BEACON KALAMAZOO INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
BEACON KALAMAZOO INC (EIN 38-1360526)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201101339349304085
Schema version
2009v1.7
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)
Timestamp2011-05-13T16:17:01-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN381360526EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Borgess Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBORGNameControl
Phone2692268301Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11521 Gull RoadAddressLine1
CityKalamazooCity
StateMIState
ZIP Code49048ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD FELBINGERName
TitleCFOTitle
Phone2692267000Phone
Date Signed2011-05-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone5137847100Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11521 Gull RoadAddressLine1
CityKalamazooCity
StateMIState
ZIP Code49048ZIPCode
FieldValueIRS element (for citing)
Gross Receipts456412282GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web Sitewww.borgess.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1927YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionProvide inpatient & outpatient routine & ancillary care to the community.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees3459TotalNbrEmployees
Total Nbr Volunteers307TotalNbrVolunteers
Total Gross UBI2333530TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year35450ContributionsGrantsPriorYear
Contributions Grants Current Year46900ContributionsGrantsCurrentYear
Program Service Revenue Prior Year447862609ProgramServiceRevenuePriorYear
Program Service Revenue CY419981496ProgramServiceRevenueCY
Investment Income Prior Year-12239980InvestmentIncomePriorYear
Investment Income Current Year8628429InvestmentIncomeCurrentYear
Other Revenue Prior Year25725411OtherRevenuePriorYear
Other Revenue Current Year26856223OtherRevenueCurrentYear
Total Revenue Prior Year461383490TotalRevenuePriorYear
Total Revenue Current Year455513048TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year174980GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY321969GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year184093468SalariesEtcPriorYear
Salaries Etc Current Year175478687SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year285565987OtherExpensePriorYear
Other Expenses Current Year286116127OtherExpensesCurrentYear
Total Expenses Prior Year469834435TotalExpensesPriorYear
Total Expenses Current Year461916783TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-8450945RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-6403735RevenuesLessExpensesCY
Total Assets BOY369643544TotalAssetsBOY
Total Assets EOY350305035TotalAssetsEOY
Total Liabilities BOY288484681TotalLiabilitiesBOY
Total Liabilities EOY290205878TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY81158863NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY60099157NetAssetsOrFundBalancesEOY
Mission DescriptionBorgess 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense408804892Expense
Grants321969Grants
Revenue434219543Revenue
DescriptionIn 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).Description
Total Program Service Expense408804892TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096367NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3459NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
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
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Jeff SimpsonBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2692267000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11541 Gull RoadAddressLine1
CityKalamazooCity
StateMIState
ZIP Code49048ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Larry D Lueth
Chair0.50X000
Daniel E Stewart MD
Vice Chair0.50X000
Michael L Chojnowski
Treasurer0.50X000
Joni L Knapper
Secretary0.50X000
Sanjay Dalal MD
Trustee0.50X000
Gary Druskovich MD
Trustee0.50X000
Mary Ellen Gondeck CSJ
Trustee0.50X000
Doyle A Hayes
Trustee0.50X000
Kevin Holleman MD
Trustee0.50X000
Shirley Larkins
Trustee0.50X000
Albert Little
Trustee0.50X000
James McLaren MD
Trustee0.50X000
Susan Pozo PhD
Trustee0.50X000
Paul A Spaude Sch O
CEO40.00X752780062573X
Richard FelbingerSch O
CFO40.003369700122488X
Shahin Motakef Sch O
COO - BMC40.00392425079426X
Joy Strand Sch O
COO - LMH40.00165750062227X
Edward Millermaier MD
CMO (Sch O)40.00278649076916X
J Patrick Dyson Sch O
Executive VP40.004191560149076X
William Lapenna MD
Physician40.00815758026855X
Vishal Gupta MD
Physician40.00759603041008X
Robert Lapenna MD
Physician40.00714512012948X
Thomas Ryan MD
Physician40.00739770044909X
Todd Ream MD
Physician40.00675035041974X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6050408TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation720400TotalOtherCompensation
Number Individuals GT100 K165NumberIndividualsGT100K
Formers Listed0FormersListed
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
Southwest Michigan Imaging LLC
1700 Gull RoadKalamazooMI49048Imaging Services14463080
Premier Radiology
1535 Gull RoadKalamazooMI49048Radiology Services7143944
Miller Davis Company
1029 Portage RdKalamazooMI49001Construction5505264
LHRET Ascension SW Michigan LLC
6004 Payshere CircleChicagoIL60674Software Services5174798
TriMedx LLC
15091 Bake ParkwayIrvineCA92618Medical Equipment3944535
FieldValueIRS element (for citing)
Number Of Contractors GT100 K173NumberOfContractorsGT100K
All Other Contributions46900AllOtherContributions
Total Contributions46900TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Services621990406314082406314082
Pharmacy62199092159969215996
Joint Ventures Income90009921932531858611334642
Reference Lab54138014204181243891176527
Affiliate Rental Inc.532000837747837747
FieldValueIRS element (for citing)
Total Program Service Revenue419981496TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7499398TotalRevenueColumn
Exclusion$7,499,398ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1088693Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real54765Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1033928Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1033928TotalRevenueColumn
Unrelated Business Revenue38617UnrelatedBusinessRevenue
Exclusion$995,311ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1973500Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other844469Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other1129031Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1129031TotalRevenueColumn
Exclusion$1,129,031ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Affiliate Income6219909289335$9,289,335
Laundry Revenue812300500846832247241783744
Research Dept. Revenue54170026045782604578

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column8919914TotalRevenueColumn
Related Or Exempt Function Income8919914RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue25822295TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column455513048TotalRevenueColumn
Related Or Exempt Function Income434219543RelatedOrExemptFunctionIncome
Unrelated Business Revenue2333530UnrelatedBusinessRevenue
Exclusion$18,913,075ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total321969Total
Program Services321969ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1843043Total
Program Services737217ProgramServices
Management And General1105826ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total133607644Total
Program Services120246880ProgramServices
Management And General13360764ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total11670103Total
Program Services10503093ProgramServices
Management And General1167010ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total18192330Total
Program Services16373097ProgramServices
Management And General1819233ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total10165567Total
Program Services10165567ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total15113630Total
Program Services15113630ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1697499Total
Management And General1697499ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total209928Total
Management And General209928ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total409534Total
Management And General409534ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1212859Total
Program Services1091573ProgramServices
Management And General121286ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3992247Total
Program Services1996123ProgramServices
Management And General1996124ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total17937622Total
Program Services15246979ProgramServices
Management And General2690643ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total531433Total
Program Services478290ProgramServices
Management And General53143ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4858167Total
Management And General4858167ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total19385897Total
Program Services17447308ProgramServices
Management And General1938589ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2223290Total
Program Services2000961ProgramServices
Management And General222329ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Contract Services10246262592216362102462630
Supplies710312146392809371031210
Physician Fees150946951509469500
Bad Debts123880461238804600
Corporate Allocation2617432026174320

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total14950009Total
Program Services13455009ProgramServices
Management And General1495000ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total461916783Total
Program Services408804892ProgramServices
Management And General53111891ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10754675BOY
EOY19682723EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY67943196BOY
EOY53479527EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY11198145BOY
EOY10258597EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1916163BOY
EOY3143484EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis465847243LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec314035334LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY172091993BOY
EOY151811909EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY397472BOY
EOY352804EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY12118237BOY
EOY10686317EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1923833BOY
EOY1486292EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY91299830BOY
EOY99403382EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY369643544BOY
EOY350305035EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY36552827BOY
EOY31483408EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4409236BOY
EOY3204398EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY247522618BOY
EOY255518072EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY288484681BOY
EOY290205878EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY80761390BOY
EOY59746352EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY397473BOY
EOY352805EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY81158863BOY
EOY60099157EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY369643544BOY
EOY350305035EOY
FieldValueIRS element (for citing)
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 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$26,668OtherActivitiesAmount
Total Lobbying Expenditures IIB26668TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

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

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3490505OtherCostOrOtherBasis
Book Value3490505BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis228482591OtherCostOrOtherBasis
Depreciation119372166Depreciation
Book Value109110425BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1431391OtherCostOrOtherBasis
Depreciation1057440Depreciation
Book Value373951BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis228204985OtherCostOrOtherBasis
Depreciation190909171Depreciation
Book Value37295814BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4237771OtherCostOrOtherBasis
Depreciation2696557Depreciation
Book Value1541214BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings151811909TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
Third Party Settlements11846498
Other Receivables2178278
Other Accounts Receivable1551190
Deferred Compenation Annuities14581094
Other Assets3750415
Intercompany Receivables13201082
Health System Depository Account52294825
FieldValueIRS element (for citing)
Total Book Value Other Assets99403382TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
Third Party Settlements$9,456,231
Self Insurance Liabiltiy$4,138,076
Pension Payable$48,076,435
Deferred Compensation$14,581,094
Other Liabilities$9,368,796
Intercompany Debt to Ascension Health$169,897,440
FieldValueIRS element (for citing)
Total Of Amounts255518072TotalOfAmounts
Total Revenue455513048TotalRevenue
Total Expenses461916783TotalExpenses
Excess Or Deficit For Year-6403735ExcessOrDeficitForYear
Net Unrealized GL On Investments-421421NetUnrealizedGLOnInvestments
Prior Period Adjustments-5076384PriorPeriodAdjustments
Other-$9,158,166OtherAmount
Total Adjustments-14655971TotalAdjustments
Excess Or Deficit Per FS-21059706ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part X:Description of Uncertain Tax Positions Under FIN 48:Per the financial Statements of Ascension Health (which include the activity of Borgess Medical Center), there is no ASC 740 (fka FIN 48) footnote for the current year.
Part XI, Line 8 - Other Adjustments:Book/Tax Difference on Sale of Buildings: 1179348. Transfer to Ascension Health: -4919058. Deferred Pension Costs: -797273. Transfers to Affiliates: -4443645. Book/Tax Difference on Restricted Contributions: -177538.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent350XPcent350
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense12308325TotalCommunityBenefitExpense
Net Community Benefit Expense12308325NetCommunityBenefitExpense
Percent Of Total Expense0.02740PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense45603393TotalCommunityBenefitExpense
Direct Offsetting Revenue34526778DirectOffsettingRevenue
Net Community Benefit Expense11076615NetCommunityBenefitExpense
Percent Of Total Expense0.02460PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense57911718TotalCommunityBenefitExpense
Direct Offsetting Revenue34526778DirectOffsettingRevenue
Net Community Benefit Expense23384940NetCommunityBenefitExpense
Percent Of Total Expense0.05200PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1599960TotalCommunityBenefitExpense
Net Community Benefit Expense1599960NetCommunityBenefitExpense
Percent Of Total Expense0.00360PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense7153685TotalCommunityBenefitExpense
Net Community Benefit Expense7153685NetCommunityBenefitExpense
Percent Of Total Expense0.01590PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense1036738TotalCommunityBenefitExpense
Net Community Benefit Expense1036738NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense634969TotalCommunityBenefitExpense
Net Community Benefit Expense634969NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10425352TotalCommunityBenefitExpense
Net Community Benefit Expense10425352NetCommunityBenefitExpense
Percent Of Total Expense0.02320PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense68337070TotalCommunityBenefitExpense
Direct Offsetting Revenue34526778DirectOffsettingRevenue
Net Community Benefit Expense33810292NetCommunityBenefitExpense
Percent Of Total Expense0.07520PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$2,250,393BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare192365056AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare204542481CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-12177425MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24HoursOtherOther
Borgess Medical Center
1541 Gull RoadKalamazooMI49048XXXXX
Borgess PIPP Hospital
411 Naomi StreetPlainwellMI49080XLTAC

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Costing Method UsedPart 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.CostingMethodUsed
Percent Of Total Expense ExplnPart I, Line 7f: 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 $12,388,046.PercentOfTotalExpenseExpln
Bad Debt FootnotePart III, Line 4: The organization is a part of the Ascension Health consolidated audit. The footnote that references bad debt expense in the 2009 consolidated audit is as follows: The provision for bad debts 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 allowance for uncollectible accounts based upon historical write off experience by payor category, including those amounts no 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, the organization 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 the organization. Accounts receivable are written off after collection efforts have been followed in accordance with the Organization's policies.The organization's share of bad debt expense in 2009 was $12,388,046 at charges ($2,250,393 at cost).BadDebtFootnote
Shortfall As Community BenefitPart 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.ShortfallAsCommunityBenefit
Debt Collection PolicyPart 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.DebtCollectionPolicy
Number Of Facility Type ExplnPart V: There are three additional facilities for Borgess Medical Center:Health & Fitness Center at 1521 Gull Road Kalamazoo MI 49048 which houses our rehab center Westside Radiology at 6565 W. Main Kalamazoo MI 49009 andWoodbridge outpatient service center, diagnostics and urgent care at: 7901 Angling Road, Portage MI 49024NumberOfFacilityTypeExpln
Needs AssessmentPart 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.NeedsAssessment
Patient Education AssistancePart 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.PatientEducationAssistance
Community InformationPart 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.CommunityInformation
Community Building ActivitiesPart VI, Line 5: 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.CommunityBuildingActivities
Other InformationPart VI, Line 6: 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 organizations mission and values and challenge themselves on how to serve the poor and underserved members of our community.OtherInformation
Affiliated Health Care SystemPart VI, Line 7: Borgess Medical Center is a wholly owned subsidiary of Borgess Health Alliance, Inc., which 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 (CSJ).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.Mission: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.AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Drug Treatment CT Foundation
PO Box 50587KalamazooMI49005010770241501(c)(3)5000General Support
Free Clinic
2918 Portage RdKalamazooMI49001260715243501(c)(3)9000General Support
Greater United Way
709 S WestnedgeKalamazooMI49007381359193501(c)(3)46865General Support
Hospital Hospitality House
527 W South StKalamazooMI49007382540700501(c)(3)27500General Support
Kalamazoo Academy of Medicine
6027 FairgroveKalamazooMI49009381655680501(c)(3)5000General Support
Lifelines Neurodiagnostic System
611 Riggin RdTroyIL62294501(c)(3)25000General Support
MRC Industries
2538 So 26th StKalamazooMI49048381911437501(c)(3)5000General Support
Senior Services Inc
918 JasperKalamazooMI49001381747660501(c)(3)10700General Support
Southwest Michigan First
3940 Peninsular Dr SE 180Grand RapidsMI49007382853785501(c)(3)75000General Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants9TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 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
Paul A Spaude (Sch O)
6265790361380900630465210160520815353000
Richard Felbinger(Sch O)
28366402152003178601049710175170459458000
Shahin Motakef (Sch O)
2703900463890756460606930187330471851000
Joy Strand (Sch O)
16399000017600492800129470227977000
Edward Millermaier MD
264105000145440568850200310355565000
J Patrick Dyson (Sch O)
32787606148102979901384770105990568232000
William Lapenna MD
524883029087500000268550842613000
Vishal Gupta MD
49848902402990208150165000245080800611000
Robert Lapenna MD
529087018542500000129480727460000
Thomas Ryan MD
58315501284460281690220000229090784679000
Todd Ream MD
6013620454920281810165000254740717009000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aAn 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.
Part I, Line 4aEligible 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. The filing organization contributed to the Supplemental Nonqualified Retirement Plan in the amounts as noted: Paul A. Spaude - $49,992

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 6Borgess Medical Center has a single corporate member, Borgess Health Alliance, Inc.
Form 990, Part VI, Section A, line 7aBorgess 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 7bAll 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 11Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions.
Form 990, Part VI, Section B, line 12cThe organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if 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 15In 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 other hospitals 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 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 other organizations' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the executive committee minutes.
Form 990, Part VI, Section C, line 19The organization will provide any documents open to public inspection upon request.
Form 990, Part VII, Section A:Directors and Officers 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, Directors' and Officers' 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.Explanation of hours for officers and key employees:
Form 990, Part VII, Section B:Amounts reported for Miller Davis Company represent amounts paid for both services and materials. These amounts cannot be separated.Explanation of Independent Contractor Amounts:
Form 990, Part XI, Line 2:The financial statements of Borgess Medical Center fall under the limited scope audit. The activity of Borgess Health Alliance, Inc. and other members of Borgess Health Alliance, Inc. are reported in the consolidated financial statements of Ascension Health. No individual audit of Borgess Medical Center is completed.Explanation of Audited Financial Statements:
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, 2010, approximately 48.3% of the value of services rendered was to elderly patients under the Medicare program, and approximately 10.0% 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, 2010 the estimated unreimbursed cost of services provided to the elderly, uninsured, and underinsured totaled $40.7 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, 2010, our Medical Center treated adults and children in the community for a total of 91,360 patient days of service. The Medical Center also provided services for 553,331 outpatient visits, including 5,873 outpatient surgeries, and 66,476 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.Community Benefit Report:
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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Ascension Health
PO Box 45998St LouisMO63134311662309National Health SystemMOSection 501(c)(3)Schedule A, Line 11aN/A
Borgess Health Alliance Inc
1521 Gull RoadKalamazooMI49048382335286Health System ParentMISection 501(c)(3)Schedule A, Line 11cAscension Health
Borgess Ambulatory Care Corporation
1521 Gull RoadKalamazooMI49048382468823Holding CompanyMISection 501(c)(3)Schedule A, Line 3Borgess Health Alliance Inc
Borgess Foundation
1521 Gull RoadKalamazooMI49048237222558FundraisingMISection 501(c)(3)Schedule A, Line 11cBorgess Health Alliance Inc
Borgess Nursing Home
537 Chicago AvenueKalamazooMI49048382555589Residential CareMISection 501(c)(3)Schedule A, Line 3Borgess Health Alliance Inc
Lee Memorial Hospital Corporation
420 W High StreetDowagiacMI49047381490190Healthcare ServicesMISection 501(c)(3)Schedule A, Line 3Borgess Health Alliance Inc
Lee Memorial Foundation
420 W High StreetDowagiacMI49047382860459FundraisingMISection 501(c)(3)Schedule A, Line 11cBorgess Health Alliance Inc
ProMed Healthcare
1521 Gull RoadKalamazooMI49048383193801Healthcare ServicesMISection 501(c)(3)Schedule A, Line 9Borgess Health Alliance Inc
Visiting Nurse & Hospice Services of SW MI
348 North BurdickKalamazooMI49007381359216Home Nursing and Rehabilitation ServicesMISection 501(c)(3)Schedule A, Line 9Borgess Health Alliance Inc
Visiting Nurses Home Care DBA Borgess VNA Home Care
348 North BurdickKalamazooMI49007382717691Home Healthcare ServicesMISection 501(c)(3)Schedule A, Line 9Borgess Health Alliance Inc

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipDirect Controlling Entity NADirectControllingEntityNA
Textile Systems Inc
817 WalbridgeKalamazooMI49007382705047Laundry ServicesMIBorgess Medical CenterC902810470841.00000
Homewild Medical Buildings Inc
110 Elm StreetJacksonMI49201382411606Real Estate RentalsMICN/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets1ExchangeOfAssets
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 Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (19 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Borgess Ambulatory Care Corporation
P29004116
Borgess Ambulatory Care Corporation
O28982091
Borgess Foundation
R2697041
Borgess Foundation
P912871
Borgess Health Alliance Inc
O11749031
Borgess Health Alliance Inc
R2479284
Borgess Nursing Home Inc
P584506
Borgess Nursing Home Inc
R1463342
Borgess Nursing Home Inc
Q15303074
Promed Healthcare Inc
H2939869
Promed Healthcare Inc
N18284701
Promed Healthcare Inc
P13039037
Promed Healthcare Inc
O13262867
Promed Healthcare Inc
R48779459
Visiting Nurses Home Care
P152997
Visiting Nurses Home Care
O145145
Ascension Health
Q4919058
Lee Memorial Hospital Corporation
P5857799
Lee Memorial Hospital Corporation
O5645349

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