2013-05-14T09:50:01-05:00 2012-06-30 861065772 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2011-07-01 381360526 Borgess Medical Center BORG 2692268301 1521 Gull Road Kalamazoo MI 49048 Richard Felbinger 2692268301 2013-05-14 1 Matthew A Montgomery P00492843 5137847100 2011 2016-02-24 21:20:13Z Paul A Spaude 1521 Gull Road Kalamazoo MI 49048 470080467 0 0928 X www.borgess.com X 1927 MI Provide inpatient & outpatient routine & ancillary care to the community. 14 13 3368 324 3972134 0 0 0 435817231 435800013 11196602 4922582 27618577 29314025 474632410 470036620 310520 263902 0 0 179349079 174185101 0 0 0 287812409 271059531 467472008 445508534 7160402 24528086 366602313 391835591 268634717 297295694 97967596 94539897 X Borgess Medical Center provides necessary and vital health care services to an area which includes all of S.W. Michigan. This care is given regardless of any individuals' race, color, religion, gender, age, national origin or ability to pay. Borgess Medical Center is committed to cooperating with patients and families in providing holistic treatment by integrating within the healing process the physical, emotional and spiritual needs of each patient. Services include inpatient routine, inpatient and outpatient ancillary care in support of our stated mission. 0 0 395979366 263902 460005748 In furtherance of its mission, Borgess Medical Center provides quality medical services regardless of race, creed, sex, national origin, handicap or ability to pay. Additionally, the Medical Center participates in state and federal programs designed for the indigent and elderly where reimbursements are less than cost. These estimates do not include community health promotions and outreach programs performed to assist those in need and provided without charge (See Schedule O for the Community Benefit Report). 395979366 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 331 0 1 3368 1 1 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X Jeff Simpson 2692267000 1541 Gull Road Kalamazoo MI 49048 X Larry D Lueth 1.00 X 0 0 0 Daniel E Stewart MD 1.00 X 0 0 0 Joni L Knapper 1.00 X 0 0 0 Susan Pozo PhD 1.00 X 0 0 0 Sanjay Dalal MD 1.00 X 0 0 0 Gary Druskovich MD 1.00 X 0 0 0 Mary Ellen Gondeck CSJ 1.00 X 0 0 0 Doyle A Hayes 1.00 X 0 0 0 Kevin Holleman MD 1.00 X 0 0 0 Albert Little 1.00 X 0 0 0 James McLaren MD 1.00 X 0 0 0 William M Harrison 1.00 X 0 0 0 James F Hettinger 1.00 X 0 0 0 Paul A Spaude Sch O 40.00 X X 879978 0 89658 Richard Felbinger Sch O 40.00 X 366309 0 125597 J Patrick Dyson Sch O 40.00 X 607045 0 113018 Shahin Motakef 40.00 X 289572 0 36749 Joy Strand Sch O 40.00 X 172784 0 78038 Anthony F Olivia Sch O 40.00 X 349588 0 11598 David Martin MD 40.00 X 882457 0 24827 William Lapenna MD 40.00 X 873619 0 24827 Vishal Gupta MD 40.00 X 861324 0 18632 Thomas Ryan MD 40.00 X 866110 0 24827 Stephen Peck MD 40.00 X 858482 0 18851 7007268 0 566622 234 0 1 0 Southwest Michigan Imaging LLC 1700 Gull Road Kalamazoo MI 49048 Imaging Services 12104920 LHRET Ascension SW Michigan LLC 6004 Payshere Circle Chicago IL 60674 Software Services 6295913 Trimedx LLC 15091 Bake Parkway Irvine CA 92618 Medical Equipment 4649463 Premier Radiology 1535 Gull Road Kalamazoo MI 49048 Radiology Services 3562359 CCS-PA LLC 31330 Schoolcraft Rd Livonia MI 48150 Consulting 1472458 237 Net Patient Services 621990 420087168 420087168 Pharmacy 621990 10515539 10515539 Joint Ventures Income 900099 3144233 2770618 373615 Reference Lab 541380 1169534 1014989 154545 Affiliated Rental Inc. 532000 883539 883539 435800013 4672690 4672690 1179895 43739 1136156 1136156 1136156 250000 108 249892 249892 249892 Affiliate Income 621990 11482172 11482172 Laundry Revenue 812300 5103786 1659812 3443974 Research Dept. Revenue 541700 1222364 1222364 10369547 10369547 28177869 470036620 460005748 3972134 6058738 263902 263902 2075366 830146 1245220 134964883 121468395 13496488 10348914 9314023 1034891 16695312 15025781 1669531 10100626 10100626 17636106 17636106 1370882 1370882 305321 305321 569242 569242 1570183 1570183 3072622 2765360 307262 18961547 17065392 1896155 618701 556831 61870 6219329 6219329 16477047 14829342 1647705 2147776 1932998 214778 Contract Services 104188710 93769839 10418871 0 Supplies 68269494 61442545 6826949 0 Physician Fees 7205829 7205829 0 0 Corporate Allocations 3303771 2973394 330377 0 19142971 17228674 1914297 445508534 395979366 49529168 0 32143336 17598994 54970320 58118381 6927517 7180960 2545203 2572266 481588371 337445450 141909502 144142921 326882 327968 12302592 13771686 1945752 1624000 113531209 146498415 366602313 391835591 36295321 43009451 2220711 1525212 230118685 252761031 268634717 297295694 X 97640713 94211928 326883 327969 0 97967596 94539897 366602313 391835591 X 24528086 -27955785 X 0 1 1 X 0 X 0 0 0 0 0 0 0 0 1 4894 4894 0 Explanation of Lobbying Activities: Part II-B, Line 1: Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. Borgess 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. 4089957 4089957 237629238 132683128 104946110 1454847 1271670 183177 231925983 200668489 31257494 6488346 2822163 3666183 144142921 Interest in investments held by Ascension Health Alliance 96584325 Intercompany Receivables 17991311 Deferred Compenation Annuities 16353149 Third Party Settlements 10022079 Other Receivables 4080959 Other Assets 1466592 146498415 Intercompany Debt with Ascension Health Alliance 167314232 Pension Payable 47491832 Deferred Compensation 16353149 Third Party Settlements 10595057 Other Liabilities 9657250 Self Insurance Liabiltiy 1349511 252761031 1 1 X 1 X 1 X 1 1 1 0 1 1 9382897 9382897 0.02170 47742173 31379867 16362306 0.03780 0.00000 57125070 31379867 25745203 0.05950 399997 399997 0.00090 7111786 7111786 0.01640 0.00000 1071536 1071536 0.00250 733743 733743 0.00170 9317062 9317062 0.02150 66442132 31379867 35062265 0.08100 0.00000 0.00000 0.00000 0.00000 0.00000 0.00000 0.00000 0.00000 0.00000 0 12466873 3823811 209243876 205290617 3953259 X 1 1 2 1 Borgess Medical Center

1521 Gull Road Kalamazoo MI 49048

X X X X X 2 Borgess PIPP Hospital

411 Naomi Street Plainwell MI 49080

X Long-Term Acute Care Borgess Medical Center 1 1 1 200.000000000000 1 350.000000000000 1 X X X X X X 1 1 X X X X 1 0 1 X 0 0 Borgess PIPP Hospital 2 1 1 200.000000000000 1 350.000000000000 1 X X X X X X 1 1 X X X X 1 0 1 X 0 0 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 cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio were calculated and applied. Part I, L7 Col(f): The amount of bad debt expense reported on Form 990, Part IX, Line 25, column (A), but subtracted for purposes of calculating the percentages in Part I, Line 7, column (f) is $13,038,577. Part II: We have a Community Benefit Advisory Committee that includes community leaders from health and human service organizations, the Borgess Health Board of Trustees and leadership that discusses and collaborates on community building activities. Borgess Health is positioned through its membership on 58 local regional and state health, economic and community service boards and advisory committees to help shape the discussion on health issues in the communities we serve. To that end, Borgess has representation on the Boards and/or advisory committees of Southwest Michigan First, Western Michigan University (WMU) School of Medicine, Kalamazoo Valley Community College and WMU Schools of Nursing, Greater Kalamazoo United Way, Blue Cross/ Blue Shield and Priority Health to name a few. Our participation on the Family Health Center (our local FQHC), Kalamazoo County Health Plan and financial support of Michigan State University/Kalamazoo Center for Medical Studies residency program and the Southwest Michigan Cancer Center insure access to care for vulnerable patients. Part III, Line 4: The provision for bad debt expense 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 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 debt expense 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, Borgess 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 Borgess' policies. Part III, Line 8: Ascension Health and related health ministries follow the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. Part VI, Line 2: Borgess reviews numerous reports and statistics, including epidemiological reports published by the Kalamazoo County Health and Human Services Department, admission and emergency room data to determine where the specific needs of the community are and where we can focus our efforts to offer assistance. Part VI, Line 3: Information regarding financial assistance is posted in the admitting, and registration departments in addition to the emergency department. Borgess has staff dedicated to assisting uninsured patients complete a means test and complete applications for public assistance. Patients are provided with contact numbers on their medical bills to contact the billing office if assistance is needed to pay their bill. We leave it up to the patient to contact us then we direct them through the Charity Care process or applying for other government assistance programs. Part VI, Line 4: Kalamazoo is a two-hospital market with the consumers believing that there are two very good, equal healthcare facilities. However, because it's a newer facility with all private rooms, Bronson's reputation is partially based on facility amenities. Many consumers choose a hospital based on specific service needs and/or physician recommendations and preferences. Outside of Kalamazoo, the Borgess Health service area includes several small rural hospitals and two secondary service level hospitals. The population in the service area is expected to decline due to a decline in the following age cohorts: 0-17, 18-44, and 45-64. However, the population 65+ is expected to increase by 10.7%, creating a demand for restorative and chronic health services. There are 450,000 residents in the Kalamazoo Metropolitan Statistical Area. The median income for the area is $49,968 and 15.9% of the population have income at or below the poverty level. Part VI, Line 5: Borgess provides a number of services to the community at no or a very low cost to the general community and to uninsured patients in our comprehensive Diabetes Uninsured Clinic, Wellness Project offered to adults in Allegan County, pharmaceutical assistance program, and in-home nursing programs. We also provide health screenings e.g., colorectal, immunizations, mammograms and school physicals. Borgess has a history steeped in the tradition of serving the poor and underserved. Borgess leadership including the Board of Trustees are educated on the organization's mission and values and challenge themselves on how to serve the poor and underserved members of our community. Part VI, Line 6: Borgess Medical Center is a wholly owned subsidiary of Borgess Health Alliance, Inc., which is a member of Ascension Health. Ascension Health Alliance is the sole corporate member and parentorganization of Ascension Health, a Catholic national health systemconsisting primarily of nonprofit corporations that own and operate localhealthcare facilities, or Health Ministries, located in 21 of the UnitedStates and the District of Columbia.The Medical Center, located in Kalamazoo, Michigan, is a nonprofit acute care hospital. The Medical Center provides inpatient, outpatient, and emergency care services for the residents of Kalamazoo, Michigan. Admitting physicians are primarily practitioners in the local area. The Medical Center is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of Ascension Health and its sponsored organizations are related to providing health care services.Sponsorship:Ascension Health Alliance is sponsored by Ascension Health Ministries, aPublic Juridic Person. The Participating Entities of Ascension HealthMinistries are the Daughters of Charity of St. Vincent de Paul in theUnited States, St. Louise Province, the Congregation of St. Joseph, theCongregation of the Sisters of St. Joseph of Carondelet, and theCongregation of Alexian Brothers of the Immaculate Conception Province -American Province. As more fully described in the Organizational Changesnote, Alexian Brothers Health System, which was previously sponsored bythe Congregation of Alexian Brothers of the Immaculate Conception Province- American Province, became part of Ascension Health on January 1, 2012.Mission:The System directs its governance and management activities toward strong,vibrant, Catholic Health Ministries united in service and healing, anddedicates its resources to spiritually centered care which sustains andimproves the health of the individuals and communities it serves. Inaccordance with the System's mission of service to those persons living inpoverty and other vulnerable persons, each Health Ministry acceptspatients regardless of their ability to pay. The System uses fourcategories to identify the resources utilized for the care of personsliving in poverty and community benefit programs:- Traditional charity care includes the cost of services provided topersons who cannot afford health care because of inadequate resourcesand/or who are uninsured or underinsured.- Unpaid cost of public programs, excluding Medicare, represents theunpaid cost of services provided to persons covered by public programs forthe persons living in poverty and other vulnerable persons.- Cost of other programs for persons living in poverty and othervulnerable persons includes unreimbursed costs of programs intentionallydesigned to serve the persons living in poverty and other vulnerablepersons of the community, including substance abusers, the homeless,victims of child abuse, and persons with acquired immune deficiencysyndrome.- Community benefit consists of the unreimbursed costs of communitybenefit programs and services for the general community, not solely forthe poor, including health promotion and education, health clinics andscreenings, and medical research.Discounts are provided to all uninsured patients, including those with themeans to pay. Discounts provided to those patients who did not qualify forassistance under charity care guidelines are not included in the cost ofproviding care of persons who are poor and community benefit programs. Thecost of providing care of persons who are poor and community benefitprograms is estimated using internal cost data. 1 Southwest Michigan First Corporation 3940 Peninsular Drive SE 180 Grand Rapids MI 49007 382853785 Section 501(c)(3) 103500 General Support Greater Kalamazoo United Way 709 South Westnedge Kalamazoo MI 49007 381359193 Section 501(c)(3) 95000 General Support Hospital Hospitality House of Kalamazoo Inc 527 W South Street Kalamazoo MI 49007 382540700 Section 501(c)(3) 29000 General Support Kalamazoo Regional Chamber of Commerce 346 West Michigan Kalamazoo MI 49007 380703370 Section 501(c)(3) 5720 General Support 3 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: If grant is for a specific event we usually have a representative attend the function. If it is for non-function activities we usually receive a letter detailing our contribution and what it was used for. X X 1 1 X X X X 0 1 0 0 0 1 1 0 0 Paul A Spaude Sch O 483491 0 285103 0 111384 0 72877 0 16781 0 969636 0 0 0 Richard Felbinger Sch O 289969 0 42763 0 33577 0 99397 0 26200 0 491906 0 0 0 J Patrick Dyson Sch O 337459 0 239652 0 29934 0 99835 0 13183 0 720063 0 0 0 Shahin Motakef 217999 0 46027 0 25546 0 22386 0 14363 0 326321 0 0 0 Joy Strand Sch O 170425 0 0 0 2359 0 50916 0 27122 0 250822 0 0 0 Anthony F Olivia Sch O 272825 0 45000 0 31763 0 0 0 11598 0 361186 0 0 0 David Martin MD 830571 0 47500 0 4386 0 0 0 24827 0 907284 0 0 0 William Lapenna MD 535545 0 334225 0 3849 0 0 0 24827 0 898446 0 0 0 Vishal Gupta MD 528198 0 314790 0 18336 0 0 0 18632 0 879956 0 0 0 Thomas Ryan MD 629972 0 207851 0 28287 0 0 0 24827 0 890937 0 0 0 Stephen Peck MD 496138 0 356800 0 5544 0 0 0 18851 0 877333 0 0 0 Part I, Line 1a An officer is allowed to bring a companion on two travel occasions that the company will pay for and include the cost of that travel in the officer's W-2. A social club fee of $10 is paid to an officer and it is included in the officer's W-2 . Part I, Line 4b Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executives is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. Neither contributions to nor distributions from the supplemental nonqualified retirement plan were made in the current year. Part I, Line 6 An incentive bonus was paid based on the company hitting our net Income budget target for Borgess Health. Form 990, Part VI, Section A, line 6 Borgess Medical Center has a single corporate member, Borgess Health Alliance, Inc. Form 990, Part VI, Section A, line 7a Borgess Medical Center has a single corporate member, Borgess Health Alliance, Inc., who has the ability to elect members to the governing body of the Borgess Medical Center. Form 990, Part VI, Section A, line 7b All decisions that have a material impact to Borgess Medical Center financial information or corporation as a whole are subject to approval by its sole corporate member, Borgess Health Alliance, Inc. 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 Board Members are provided the Form 990 and management team members are available to answer any Board Members questions. Form 990, Part VI, Section B, line 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 conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Section B, line 15 In determining 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 executive/compensation committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other hospitals in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the executive committee minutes. The individual was not present when his compensation was decided. In determining compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The executive/compensation committee reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization were compared to individuals at other organizations' employees in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the executive committee minutes. Form 990, Part VI, Section C, line 19 The organization will provide any documents open to public inspection upon request. Explanation of Hours for Officers and Key Employees Form 990, Part VII: Officers and Key Employees of Borgess Medical Center provide services to Borgess Health Alliance, Inc. and its subsidiaries. Hours worked are not tracked on an entity by entity basis. Therefore, where noted with a "(Sch O)" reference, officers' and key employees' hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees represent aggregate hours worked per week for all entities. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -6,344,172. Book/Tax Difference on Sale of Buildings 853,572. Transfer to Ascension Health -469,453. Deferred Pension Costs -19,776,708. Transfers to Affiliates -2,219,024. Restricted Donations used for Capital 2,175,029. Book/Tax difference on Restricted Contributions -2,175,029. Total to Form 990, Part XI, Line 5: -27,955,785. Community Benefit Report: Form 990, Part III, Line 4: This report illustrates the significant degree to which Borgess Medical Center contributes to the positive health status of the communities it serves. As a member of Ascension Health, the nation's largest Catholic healthcare system, Borges 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 Borgess Medical Center is to perpetuate the healing mission of the church. Borgess 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. Borgess Medical Center has engaged in the following activities to ensure that our mission is accomplished: Unreimbursed Services Provided to the Elderly and the Poor Borgess Medical Center provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2012, approximately 50.1% of the value of services rendered were to elderly patients under the Medicare program, and approximately 12.9% of the services were provided to patients who were deemed indigent under state, county, or Medical Center Guidelines. In the spirit of principles adopted by Ascension Health, Borgess Medical Center has taken proactive steps to address those issues that will affect accessibility, the financing, and the delivery of healthcare to all persons, especially the uninsured, underinsured, and the underserved. During the fiscal year ending June 30, 2012 the estimated unreimbursed cost of services provided to the elderly, uninsured, and underinsured totaled $35.1 million. Patient Services In addition to offering nationally recognized, cardiac, neuro and orthopedic care, Borgess Medical Center serves southern Michigan and the greater Kalamazoo region with more than 40 inpatient and outpatient specialties -- including emergency and trauma, heart health, advanced cancer care, vascular services and women's health -- provided by a medical staff of more than 500 physicians. The following represent some of the services provided: -Behavioral Medicine -Birthing Center -Breast Care Centers -Cancer Care -Cardiac Services (Heart Care) -Clinical Trials (Research) -CorpFit (Occupational Health) -Diabetes Education -Emergency Services -Fitness -Health Promotion (For Instructor Use) -Home Health Care & Hospice -Integrative Medicine -Laboratory Services -Level I Trauma Center -Neuro Sciences (Head, neck and spine) -Nutritional Counseling -Orthopedic Services / Joint Replacement Center -Osteoporosis Centers -Radiology Services -Rehabilitation Services -Sleep Disorders Center -Surgical Services -Vascular Services -West Michigan Spine -Women's Health Some services operate at a loss in order to ensure that all services are available to meet community health care needs. Some of the larger examples include Obstetrics, Neonatal, Behavioral, and General Medicine. During the fiscal year ending June 30, 2012, our Medical Center treated adults and children in the community for a total of 90,666 patient days of service. The Medical Center also provided services for 554,282 outpatient visits, including 6,312 outpatient surgeries, and 65,971 emergency and minor care visits. Community Outreach activities Borgess 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, Borgess Medical Center has developed the following programs to help achieve its mission: Expanding Awareness, Education, and Health Promotion Borgess Medical Center believes that it is essential to educate people regarding the types of behavior that improve their chances of living a healthy life. Borgess Medical Center has invested significantly in unique, top quality health education and materials to accomplish its goals. Below are some of the topics of program offerings to the community: -Cardiac Rehabilitation -Loss and Bereavement -Healthy Heart Education -Food Preparation for Cardiac Patients -Hip and Knee Pain -Joint Replacement Pre-op Education -Diabetes Education -Family and Sibling Education -Cardio Pulmonary Seminars -Lamaze -Lamaze for Spanish speaking population -Birth Education -Better Breathers Club -Breast Education -End of Life Issues Borgess Medical Center provides the following information on its website: 1. Listings of Health and Wellness classes, including a description of the class, cost, and location. 2. Drug Reference information on thousands of Brand and Generic drugs. 3. Adult and Pediatric Disease and Condition Index, that provides information on various disease processes and health conditions for adults and children. While our health ministry does not have formal public health clinic, it does provide a variety of specialized clinics at various sites in the community independently and in conjunction with other organizations. These include: -Public Flu Clinic -Diabetes Screenings -Congestive Heart failure -Fitness and Exercise -Cholesterol -Stroke -Cardiac Health -Wellness Clinics offered by Parish Nurse Program -Blood Pressure Screenings -Prevention and Safety Health Fairs offered by Visiting Nurse and Hospice Program -Senior Wellness Program -Joint community health fairs: 1. African American Health Fair 2. Cover the Uninsured Week health screenings 3. Senior Expo 4. Women's Festival 5. Kalamazoo County Health Fair In fulfillment of its corporate responsibility to address compelling community and social needs through philanthropy, Borgess Medical Center has established a policy to direct monetary contributions to not-for-profit organizations that work to improve the quality of life in its service area. Priority is given to those organizations whose mission is most closely aligned with the mission and values of Borgess. Borgess played a leadership role in the establishment of the Kalamazoo County Health Plan, whose mission is to improve coverage and access for the uninsured in Kalamazoo County. Additionally Borgess executive staff sit on a number of governance Boards of non-profit organizations in our community that serve disfranchised groups; such as the American Red Cross, Greater Kalamazoo United Way, Family Health Center and Ministry with Community to name a few. Borgess also has representation on public and private organizations including the Kalamazoo Chamber of Commerce and the Kalamazoo Valley Community College Foundation. Medical Research Borgess Medical Center furthers its mission by contributing funds and personnel to support research that has helped advance medical care. Borgess Research Institute conducts sponsored clinical device and drug trials in the following areas: -Cardiovascular Research: high cholesterol, high blood pressure, heart failure, acute myocardial infaction, patients with acute coronary syndrome undergoing coronary stent placement, carotid stenting, and coronary artery bypass graphs. -Neuroscience Research: Parkinson's Disease, Alzheimer's Disease, Back pain, Spine Surgery, Mild Cognitive Impairment, Peripheral Neuropathy, Migraines, Sleep Disorders, Acute Stroke, Stroke Prevention and Insonomia. -Acute Care and Trauma Research: Sepsis, Acute Respitory Distress Syndrome, and Pneumonia. -Other: Erosive Gerd, Chron's Disease, and Infectious Disease. -Basic and Molecular Science research is conducted in trauma research looking at ischemia and reperfusion animal models. Cardiovascular basic science research is also conducted at Borgess. Borgess Medical Center utilizes its website to recruit patients for clinical trials. Furthermore, advertising is done on Centerwatch and other research recruiting websites. Medical Education Borgess Medical Center believes that, in order to provide the best health care to the community, its clinical personnel must receive ongoing medical education. Classes, seminars, and materials are provided to medical residents and staff. Additionally, symposiums such as for Cardiac and Neurology are offered. Summary Borgess Medical Center furthers its charitable purposes by providing a broad array of services to meet the healthcare needs of patients and organizations in the community. We provide essential medical services to the community, train and recruit healthcare professionals to serve the needs of the broader community, provide appropriate charity services to those patients who are not able to pay for their own healthcare needs, provide services to other organizations that allow them to provide quality services to their patients or constituents, and present education information classes and activities to the community in order to improve its overall health status. Ascension Health PO Box 45998 St Louis MO 63134 311662309 National Health System MO Section 501(c)(3) Schedule A, Line 11a Ascension Health Alliance 0 Borgess Health Alliance Inc 1521 Gull Road Kalamazoo MI 49048 382335286 Health System Parent MI Section 501(c)(3) Schedule A, Line 11c Ascension Health 0 Borgess Ambulatory Care Corporation 1521 Gull Road Kalamazoo MI 49048 382468823 Holding Company MI Section 501(c)(3) Schedule A, Line 3 Borgess Health Alliance Inc 1 Borgess Foundation 1521 Gull Road Kalamazoo MI 49048 237222558 Fundraising MI Section 501(c)(3) Schedule A, Line 11c Borgess Health Alliance Inc 1 Borgess Nursing Home 3057 Gull Road Kalamazoo MI 490481281 382555589 Residential Care MI Section 501(c)(3) Schedule A, Line 3 Borgess Health Alliance Inc 1 Lee Memorial Hospital Corporation 420 West High Street Dowagiac MI 49047 381490190 Healthcare Services MI Section 501(c)(3) Schedule A, Line 3 Borgess Health Alliance Inc 1 Lee Memorial Foundation 420 West High Street Dowagiac MI 49047 382860459 Fundraising MI Section 501(c)(3) Schedule A, Line 11c Borgess Health Alliance Inc 1 ProMed Healthcare 1521 Gull Road Kalamazoo MI 49048 383193801 Healthcare Services MI Section 501(c)(3) Schedule A, Line 9 Borgess Health Alliance Inc 1 Visiting Nurse & Hospice Services of SW MI 348 North Burdick Kalamazoo MI 49007 381359216 Home Nursing and Rehabilitation Services MI Section 501(c)(3) Schedule A, Line 9 Borgess Health Alliance Inc 1 Visiting Nurses Home Care DBA Borgess VNA Home Care 348 North Burdick Kalamazoo MI 49007 382717691 Home Healthcare Services MI Section 501(c)(3) Schedule A, Line 9 Borgess Health Alliance Inc 1 Textile Systems Inc 817 Walbridge Kalamazoo MI 49007 382705047 Laundry Services MI Borgess Medical Center C -53749 963506 1.00000 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 Borgess Ambulatory Care Corporation P 31108962 FMV Borgess Ambulatory Care Corporation O 30953290 FMV Borgess Foundation P 2175029 FMV Borgess Health Alliance Inc O 2231038 FMV Borgess Health Alliance Inc R 3901213 FMV Borgess Health Alliance Inc B 1670175 FMV Borgess Nursing Home R 1361545 FMV Borgess Nursing Home P 1380207 FMV Ascension Health Q 4295511 FMV Visiting Nurses & Hospice Services of SW MI P 3480183 FMV Lee Memorial Hospital Corporation R 10693900 FMV Lee Memorial Hospital Corporation O 13456289 FMV