MYMICHIGAN MEDICAL CENTER SAGINAW: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MYMICHIGAN MEDICAL CENTER SAGINAW (EIN 38-0997730)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201211369349301746
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-15T09:13:31-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1250 East Fifth Street Suite 1900AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN380997730EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Mary's of Michigan Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTMANameControl
Phone9899078000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 South Washington AvenueAddressLine1
CitySaginawCity
StateMIState
ZIP Code48601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGina ButcherName
TitleChief Financial OfficerTitle
Phone9899078000Phone
Date Signed2012-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMatthew MontgomeryName
Phone5137847100Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1St Mary's Medical Center of SaginawBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonGina ButcherNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1800 South Washington AvenueAddressLine1
CitySaginawCity
StateMIState
ZIP Code48601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts276987268GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.stmarysofmichigan.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1874YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionProvide medical services which strengthen the healing mission of the Catholic Church.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees2503TotalNbrEmployees
Total Nbr Volunteers207TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1723519ContributionsGrantsPriorYear
Contributions Grants Current Year518003ContributionsGrantsCurrentYear
Program Service Revenue Prior Year251830512ProgramServiceRevenuePriorYear
Program Service Revenue CY251007264ProgramServiceRevenueCY
Investment Income Prior Year17199295InvestmentIncomePriorYear
Investment Income Current Year24570058InvestmentIncomeCurrentYear
Other Revenue Prior Year759163OtherRevenuePriorYear
Other Revenue Current Year791618OtherRevenueCurrentYear
Total Revenue Prior Year271512489TotalRevenuePriorYear
Total Revenue Current Year276886943TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year162409GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY153773GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year111747341SalariesEtcPriorYear
Salaries Etc Current Year114235423SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year145398400OtherExpensePriorYear
Other Expenses Current Year135725898OtherExpensesCurrentYear
Total Expenses Prior Year257308150TotalExpensesPriorYear
Total Expenses Current Year250115094TotalExpensesCurrentYear
Revenues Less Expenses Prior Year14204339RevenuesLessExpensesPriorYear
Revenues Less Expenses CY26771849RevenuesLessExpensesCY
Total Assets BOY375539871TotalAssetsBOY
Total Assets EOY420658494TotalAssetsEOY
Total Liabilities BOY169154537TotalLiabilitiesBOY
Total Liabilities EOY154877937TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY206385334NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY265780557NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionRooted 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense235637022Expense
Grants153773Grants
Revenue251007264Revenue
DescriptionSt. 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 51% of the value of services rendered were to elderly patients under the Medicare program, and approximately 18% 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, 2011, the estimated unreimbursed cost of services provided to the elderly, uninsured, and underinsured totaled $13,938,857.Description
Total Program Service Expense235637022TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096163NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees2503NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Christopher FrickBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9899077609TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 South WashingtonAddressLine1
CitySaginawCity
StateMIState
ZIP Code48601ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
James Van Tifflin
Chairman1.00X000
Michael Kremiin
Vice Chairman1.00X000
David Hall
Secretary1.00X000
Waheed Akbar MD
Board Member1.00X000
Charles Jessup DO
Board Member1.00X000
Sr Janet Keim
Board Member1.00X000
Lioudmila Kinachtchouk
Board Member1.00X000
Bapineedu Maganti
Board Member1.00X000
Jim Whitlock
Board Member1.00X000
John Graham
President & CEO45.00X60802208297X
Sarah O'Brien
Chief Financial Officer (end 09/10)45.00029144237243X
Gina Butcher
Chief Financial Officer45.0013970805313X
Richard Ohle
Chief Operating Officer45.0028234409356X
Cheri Sammis-Berman
VP - Mission Services45.0014484205744X
Mary Storm
VP-Admin&Legal Services45.006927304527X
Ron Haase
VP - Human Resources45.0022289003777X
Michael Long
VP - Hospital Admin45.0020989004360X
Raghuram Sarvepalli MD
VP - Medical Affairs45.0053112807698X
William J Pittas
Physician45.0063532206986X
Bhramaramba Sarvepalli
Physician45.0044045407350X
Brent Boggess
Physician45.0041647607202X
Mohammad Khan
Physician45.0037703909051X
Pradip Bhattacharyya
Physician45.00357362011540X
Dr Mark Lester
Former VP Medical0.0010662200X
Judith Johnson
Former VP Nursing0.006309100X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4604463TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs291442TotalReportableCompFrmRltdOrgs
Total Other Compensation128444TotalOtherCompensation
Number Individuals GT100 K70NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HealthCare Svcs Inc DBA Accretive Heal
401 N Michigan AveChicagoIL60611Consulting Services7627136
TriMedx LLC
6325 Digital Way - Suite 400IndianapolisIN46278Equipment Maintenance3875793
Timberline Emergency
4677 Town Center Blvd Suite 302SaginawMI48604Emergency Physician Services2280000
SHC Services Inc
49195 Fox Drive SouthPlymouthMI48170Ultrasound Staffing1404500
Community Hospital Services
1321 Cumberland StSaginawMI48601Linen Services1170134
FieldValueIRS element (for citing)
Number Of Contractors GT100 K49NumberOfContractorsGT100K
Related Organizations518003RelatedOrganizations
Total Contributions518003TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Revenue621400248973459248973459
Program Related JV621400797079797079
Healthsource Revenue621400554346554346
Adult Day Care623990455129455129
Lab Service Revenue62150021712171

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column225080TotalRevenueColumn
Related Or Exempt Function Income225080RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue251007264TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column23762583TotalRevenueColumn
Exclusion$23,762,583ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real8736Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real8736Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column8736TotalRevenueColumn
Exclusion$8,736ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other907800Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other100325Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other807475Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column807475TotalRevenueColumn
Exclusion$807,475ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Cafeteria/Vending722320114480$114,480
Medical Records Copies900099108349$108,349
Purchase Discounts90009982243$82,243

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column477810TotalRevenueColumn
Exclusion$477,810ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue782882TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column276886943TotalRevenueColumn
Related Or Exempt Function Income251007264RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$25,361,676ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total153773Total
Program Services153773ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2257521Total
Management And General2257521ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total90268218Total
Program Services85945290ProgramServices
Management And General4322928ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5585770Total
Program Services5027193ProgramServices
Management And General558577ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9188756Total
Program Services8535250ProgramServices
Management And General653506ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6935158Total
Program Services6541329ProgramServices
Management And General393829ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total443973Total
Management And General443973ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total409131Total
Management And General409131ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total31949824Total
Program Services30126383ProgramServices
Management And General1823441ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total794615Total
Program Services794615ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total320138Total
Program Services297370ProgramServices
Management And General22768ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4731273Total
Program Services4394784ProgramServices
Management And General336489ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total376381Total
Program Services272690ProgramServices
Management And General103691ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4425308Total
Program Services4110579ProgramServices
Management And General314729ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total1850473Total
Program Services1718867ProgramServices
Management And General131606ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11550231Total
Program Services10728776ProgramServices
Management And General821455ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1562967Total
Program Services1451808ProgramServices
Management And General111159ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Supplies47168109467600414080680
Professional Fees11476187110624294137580
Bad Debts8129417812941700
Equip Rent & Maint8122344812030120430
Telephone415098394173209250

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2000429Total
Program Services1071954ProgramServices
Management And General928475ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total250115094Total
Program Services235637022ProgramServices
Management And General14478072ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY17391565BOY
EOY19539314EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY31033901BOY
EOY33043383EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY794173BOY
EOY1269407EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5727226BOY
EOY5331560EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1254851BOY
EOY1476934EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis290331006LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec203732549LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY96654219BOY
EOY86598457EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY11606581BOY
EOY10588220EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY211077355BOY
EOY262811219EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY375539871BOY
EOY420658494EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY56597182BOY
EOY36746373EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY886800BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY111670555BOY
EOY118131564EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY169154537BOY
EOY154877937EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY206385334BOY
EOY265780557EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY206385334BOY
EOY265780557EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY375539871BOY
EOY420658494EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses26771849ReconcilationRevenueExpenses
Reconcilation Other Changes32623374ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$13,899OtherActivitiesAmount
Total Lobbying Expenditures IIB13899TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Other Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1i:ReturnReference
ExplanationLobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10561312OtherCostOrOtherBasis
Book Value10561312BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis101898786OtherCostOrOtherBasis
Depreciation65843479Depreciation
Book Value36055307BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4656111OtherCostOrOtherBasis
Depreciation4563519Depreciation
Book Value92592BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis173214797OtherCostOrOtherBasis
Depreciation133325551Depreciation
Book Value39889246BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings86598457TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
Ascension Health Deferred Compensation Asset2826767
Trimedx AR60640
Other Receivables2686746
Other Miscellaneous Assets237418
Health System Depository Account256147453
Construction in Progress852195
FieldValueIRS element (for citing)
Total Book Value Other Assets262811219TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Third Party Payable$9,056,692
AH Savings Plan Liability$298,206
Intercompany Payables$108,776,666
FieldValueIRS element (for citing)
Total Of Amounts118131564TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4168477TotalCommunityBenefitExpense
Net Community Benefit Expense4168477NetCommunityBenefitExpense
Percent Of Total Expense0.01720PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense30024010TotalCommunityBenefitExpense
Direct Offsetting Revenue21926290DirectOffsettingRevenue
Net Community Benefit Expense8097720NetCommunityBenefitExpense
Percent Of Total Expense0.03350PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense34192487TotalCommunityBenefitExpense
Direct Offsetting Revenue21926290DirectOffsettingRevenue
Net Community Benefit Expense12266197NetCommunityBenefitExpense
Percent Of Total Expense0.05070PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense5967043TotalCommunityBenefitExpense
Direct Offsetting Revenue5139710DirectOffsettingRevenue
Net Community Benefit Expense827333NetCommunityBenefitExpense
Percent Of Total Expense0.00340PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense452291TotalCommunityBenefitExpense
Net Community Benefit Expense452291NetCommunityBenefitExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense144298TotalCommunityBenefitExpense
Net Community Benefit Expense144298NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense6563632TotalCommunityBenefitExpense
Direct Offsetting Revenue5139710DirectOffsettingRevenue
Net Community Benefit Expense1423922NetCommunityBenefitExpense
Percent Of Total Expense0.00590PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense40756119TotalCommunityBenefitExpense
Direct Offsetting Revenue27066000DirectOffsettingRevenue
Net Community Benefit Expense13690119NetCommunityBenefitExpense
Percent Of Total Expense0.05660PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense503645TotalCommunityBuildingExpense
Net Community Building Expense503645NetCommunityBuildingExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense503645TotalCommunityBuildingExpense
Net Community Building Expense503645NetCommunityBuildingExpense
Percent Of Total Expense0.00210PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Mary's of Michigan Medical CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1800 S Washington AveAddressLine1
CitySaginawCity
StateMIState
ZIP Code48601ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

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 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 $8,129,417.
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 bad debt expense in fiscal year 2011 was $8,129,417 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 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, 2011, approximately 51% of the value of services rendered were to elderly patients under the Medicare program, and approximately 18% of the services were provided to patients who were deemed indigent under state, county, or Medical Center Guidelines.
Part VI, Line 6: 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 ClassicSt. Mary's of Michigan Mall Walking ClubLunch Connection Programs:Improve Cardiac Health through a Healthy Lifestyle: Know the Risk Factors for Heart DiseaseThe Power of AppreciationImportance of VolunteerismCommunity Health Programs:Blood DriveLiving With ArthritisCancer Screening ProgramsProstate ScreeningsCouples Night OutWoman to WomanCommunity Outreach:Celebrate What's Right With the WorldHealing, Forgiveness and Letting GoExploring our Heritage & MissionRejuvenation Retreat for MothersEnneagram programsSpirit Spa ProgramsFabulous Females Revitalization Stress and Dealing with Difficult PeopleGrief GatheringWalk This Way: A Guide to the LabyrinthSupport Groups:MS Support GroupSpinal Cord Injury Resource GroupOpen Heart Support GroupSupport For Living - Cancer Support GroupPublic 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 2011, St. Mary's made significant donations to the following local causes: American Cancer Society $5,000American Heart Association $6,500Catholic Diocese of Saginaw $8,770Field Neurosciences Institute $7,500 Human Development Foundation $5,000Pride In Saginaw $6,750St. Mary's Standish Community Hospital (Development) $5,750St. Vincent's Foundation $5,000Saginaw Bay Symphony Orchestra $5,000Saginaw County Chamber Commerce $15,200Saginaw Future $16,500Medical Research:St. Mary's of Michigan Medical Center furthers its mission by contributing funds and personnel to support research that has helped advance medical care. Research projects include the following:- Cardiac Research- Oncology Research- Neurology ResearchMedical Education:St. Mary's of Michigan Medical Center believes that, in order to provide the best health care to the community, its clinical personnel must receive ongoing medical education.Resident Education:St. Mary's is affiliated with 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 7: 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.St. Mary's sole corporate member is Ascension Health. St. Mary's is the sole corporate member of Field Neurosciences Institute. Standish Community Hospital's sole corporate member is 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.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 Management- Cardiac services- Primary Care Physicians- Cancer treatment services- Radiology services- Cyberknife- Rehabilitation services- Emergency care center services- Robotic Surgical Services- Flight Care- Sleep Studies- Laboratory services- Stroke services- Neuroscience services- Trauma services- Orthopedic servicesSome 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, 2011, our Medical Center treated 11,149 adults and children in the community for a total of 63,946 patient days of service. The Medical Center also provided services to 235,816 outpatients, including 2,643 outpatient surgery patients, 52,029 emergency visits and 78,088 Physician office visits.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
American Cancer Society
1480 W Center RoadEssexvilleMI48732135613797501(c)(3)5000Donation
American Heart Association
460 N Lindbergh BlvdSt LouisMO63141135613797501(c)(3)6500Donation
Catholic Diocese of Saginaw
5800 Weiss StSaginawMI48603501(c)(3)8770Donation
St Mary's of Michigan Field Neurosciences Institute
800 S WashingtonSaginawMI48601382790703501(c)(3)7500Donation
Human Development Foundation
1350 Remington RoadSchaumburgIL60173364184940501(c)(3)5000Donation
Pride in Saginaw
PO Box 872SaginawMI48606510135720501(c)(3)6750Donation
St Mary's Standish Community Hospital
805 CedarStandishMI48658381671120501(c)(3)5750Donation
St Vincent's Foundation
50 Medical Park East DriveBirminghamAL35235630909071501(c)(3)5000Donation
Saginaw Bay Symphony
201 N WashingtonSaginawMI48607386082223501(c)(3)5000Donation
Saginaw county Chamber of Commerce
515 WashingtonSaginawMI48607380995390501(c)(6)15200Donation
Saginaw Future
515 Washington 3rd FloorSaginawMI48607383021995501(c)(3)16500Donation
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants10TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
John Graham
38907902000020189410735009470616319000
Sarah O'Brien
0244668023136023638022710014533032868500
Richard Ohle
2317780461940437204281050750291700000
Cheri Sammis-Berman
1336100100000123202693030510150586000
Ron Haase
1803260200000225640307707000226667000
Michael Long
1888810150000600902854015060214250000
Raghuram Sarvepalli MD
4169240112522016820735003480538826000
William J Pittas
6348360004860679401920642308000
Bhramaramba Sarvepalli
2900190149841059407350000447804000
Brent Boggess
27059201447460113807202000423678000
Mohammad Khan
2709380105713038806974020770386090000
Pradip Bhattacharyya
21131901449220112106348051920368902000
Dr Mark Lester
000010662200000106622000
Judith Johnson
0000630910000063091000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 4aReturnReference
ExplanationSeverance Payments: Mark Lester, $106,445.52; Judith E. Johnson, $62,748;Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 6St. Mary's Of Michigan Medical Center has a single corporate member, Ascension Health.
Form 990, Part VI, Section A, line 7aSt. 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 7bAll 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 11Management, 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.
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 12c
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 B, line 15
The organization will provide any documents open to public inspection upon request.Form 990, Part VI, Section C, line 19
Changes in Net Assets or Fund Balances:Net unrealized gains on investments: 18,317,869. Transfers to Affiliates -11,015,654. Total Pension & Other Post - Retire Costs 24,698,119. EMS Disolution into Medical Center 105,037. Net Assets Released for Property Acqusitions 518,503. FNI Van Rebate Check -500. Total to Form 990, Part XI, Line 5: 32,623,374.Form 990, Part XI, line 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Ascension Health
PO Box 45998St LouisMO63145311662309National Health SystemMOSection 501(c)(3)Schedule A, Line 11aN/A0
St Mary's Health
800 S WashingtonSaginawMI48601383477071Hospital ParentMISection 501(c)(3)Schedule A, Line 111St Mary's of Michigan Medical Center
Standish Hospital
805 W Cedar StreetStandishMI48658381671120HospitalMISection 501(c)(3)Schedule A, Line 31St Mary's Health
St Mary's Hospital Foundation
800 S WashingtonSaginawMI48601382246366FundraisingMISection 501(c)(3)Schedule A, Line 11c1St Mary's of Michigan Medical Center
Field Neurosciences Institute
800 S WashingtonSaginawMI48601382790703Medical Research OrganizationMISection 501(c)(3)Schedule A, Line 91St Mary's of Michigan Medical Center
Field Neurosciences Institute Foundation
800 S WashingtonSaginawMI48601383638165FundraisingMISection 501(c)(3)Schedule A, Line 111St Mary's of Michigan Medical Center

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Towne Centre Surgery Center LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14599 Towne CentreAddressLine1
CitySaginawCity
StateMIState
ZIP Code48604ZIPCode
FieldValueIRS element (for citing)
EIN204943843EIN
Primary ActivityOutpatient ServicesPrimaryActivity
Legal Domicile StateMILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1St Mary's of Michigan Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeType
Share Of Total Income124140ShareOfTotalIncome
Share Of EOY Assets3626404ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0.50891PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1St Mary's of Michigan SpecialistsBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 S WashingtonAddressLine1
CitySaginawCity
StateMIState
ZIP Code48601ZIPCode
FieldValueIRS element (for citing)
EIN205959777EIN
Primary ActivityPhysician PracticesPrimaryActivity
Legal Domicile StateMILegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Ascension Health
Q8850644FMV
St Mary's of Michigan Foundation
Q685273FMV
St Mary's of Michigan Field Neurosciences
Q961734FMV
St Mary's of Michigan Foundation
C361944FMV
Field Neurosciences Institute
C156059FMV

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