2011-05-13T16:17:01-05:00 2010-06-30 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2009-07-01 381360526 Borgess Medical Center BORG 2692268301 1521 Gull Road Kalamazoo MI 49048 RICHARD FELBINGER 2692267000 2011-05-13 1 5137847100 2009 2016-02-24 21:20:13Z Paul A Spaude 1521 Gull Road Kalamazoo MI 49048 456412282 0 0928 X www.borgess.com X 1927 MI Provide inpatient & outpatient routine & ancillary care to the community. 14 13 3459 307 2333530 0 35450 46900 447862609 419981496 -12239980 8628429 25725411 26856223 461383490 455513048 174980 321969 0 184093468 175478687 0 0 285565987 286116127 469834435 461916783 -8450945 -6403735 369643544 350305035 288484681 290205878 81158863 60099157 Borgess Medical Center provides necessary and vital health care services to an area which includes all of S.W. Michigan. This care is given regardless of any individuals' race, color, religion, gender, age, national origin or ability to pay. Borgess Medical Center is committed to cooperating with patients and families in providing holistic treatment by integrating within the healing process the physical, emotional and spiritual needs of each patient. Services include inpatient routine, inpatient and outpatient ancillary care in support of our stated mission. 0 0 408804892 321969 434219543 In furtherance of its mission, Borgess Medical Center provides quality medical services regardless of race, creed, sex, national origin, handicap or ability to pay. Additionally, the Medical Center participates in state and federal programs designed for the indigent and elderly where reimbursements are less than cost. These estimates do not include community health promotions and outreach programs performed to assist those in need and provided without charge (See Schedule O for the Community Benefit Report). 408804892 1 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 367 0 1 3459 1 1 1 0 0 0 0 0 0 0 0 14 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X Jeff Simpson 2692267000 1541 Gull Road Kalamazoo MI 49048 Larry D Lueth 0.50 X 0 0 0 Daniel E Stewart MD 0.50 X 0 0 0 Michael L Chojnowski 0.50 X 0 0 0 Joni L Knapper 0.50 X 0 0 0 Sanjay Dalal MD 0.50 X 0 0 0 Gary Druskovich MD 0.50 X 0 0 0 Mary Ellen Gondeck CSJ 0.50 X 0 0 0 Doyle A Hayes 0.50 X 0 0 0 Kevin Holleman MD 0.50 X 0 0 0 Shirley Larkins 0.50 X 0 0 0 Albert Little 0.50 X 0 0 0 James McLaren MD 0.50 X 0 0 0 Susan Pozo PhD 0.50 X 0 0 0 Paul A Spaude Sch O 40.00 X X 752780 0 62573 Richard FelbingerSch O 40.00 X 336970 0 122488 Shahin Motakef Sch O 40.00 X 392425 0 79426 Joy Strand Sch O 40.00 X 165750 0 62227 Edward Millermaier MD 40.00 X 278649 0 76916 J Patrick Dyson Sch O 40.00 X 419156 0 149076 William Lapenna MD 40.00 X 815758 0 26855 Vishal Gupta MD 40.00 X 759603 0 41008 Robert Lapenna MD 40.00 X 714512 0 12948 Thomas Ryan MD 40.00 X 739770 0 44909 Todd Ream MD 40.00 X 675035 0 41974 6050408 0 720400 165 0 1 0 Southwest Michigan Imaging LLC 1700 Gull Road Kalamazoo MI 49048 Imaging Services 14463080 Premier Radiology 1535 Gull Road Kalamazoo MI 49048 Radiology Services 7143944 Miller Davis Company 1029 Portage Rd Kalamazoo MI 49001 Construction 5505264 LHRET Ascension SW Michigan LLC 6004 Payshere Circle Chicago IL 60674 Software Services 5174798 TriMedx LLC 15091 Bake Parkway Irvine CA 92618 Medical Equipment 3944535 173 46900 46900 Net Patient Services 621990 406314082 406314082 Pharmacy 621990 9215996 9215996 Joint Ventures Income 900099 2193253 1858611 334642 Reference Lab 541380 1420418 1243891 176527 Affiliate Rental Inc. 532000 837747 837747 419981496 7499398 7499398 1088693 54765 1033928 1033928 38617 995311 1973500 844469 1129031 1129031 1129031 Affiliate Income 621990 9289335 9289335 Laundry Revenue 812300 5008468 3224724 1783744 Research Dept. Revenue 541700 2604578 2604578 8919914 8919914 25822295 455513048 434219543 2333530 18913075 321969 321969 1843043 737217 1105826 133607644 120246880 13360764 11670103 10503093 1167010 18192330 16373097 1819233 10165567 10165567 15113630 15113630 1697499 1697499 209928 209928 409534 409534 1212859 1091573 121286 3992247 1996123 1996124 17937622 15246979 2690643 531433 478290 53143 4858167 4858167 19385897 17447308 1938589 2223290 2000961 222329 Contract Services 102462625 92216362 10246263 0 Supplies 71031214 63928093 7103121 0 Physician Fees 15094695 15094695 0 0 Bad Debts 12388046 12388046 0 0 Corporate Allocation 2617432 0 2617432 0 14950009 13455009 1495000 461916783 408804892 53111891 0 10754675 19682723 67943196 53479527 11198145 10258597 1916163 3143484 465847243 314035334 172091993 151811909 397472 352804 12118237 10686317 1923833 1486292 91299830 99403382 369643544 350305035 36552827 31483408 4409236 3204398 247522618 255518072 288484681 290205878 X 80761390 59746352 397473 352805 81158863 60099157 369643544 350305035 X 0 1 1 X 0 X 0 0 0 0 0 0 0 0 1 26668 26668 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: Lobbying expenses represent the portion of dues paid to national and state hospital association that is specifically allocable to lobbying. 3490505 3490505 228482591 119372166 109110425 1431391 1057440 373951 228204985 190909171 37295814 4237771 2696557 1541214 151811909 Third Party Settlements 11846498 Other Receivables 2178278 Other Accounts Receivable 1551190 Deferred Compenation Annuities 14581094 Other Assets 3750415 Intercompany Receivables 13201082 Health System Depository Account 52294825 99403382 Third Party Settlements 9456231 Self Insurance Liabiltiy 4138076 Pension Payable 48076435 Deferred Compensation 14581094 Other Liabilities 9368796 Intercompany Debt to Ascension Health 169897440 255518072 455513048 461916783 -6403735 -421421 -5076384 -9158166 -14655971 -21059706 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 12308325 12308325 0.02740 45603393 34526778 11076615 0.02460 57911718 34526778 23384940 0.05200 1599960 1599960 0.00360 7153685 7153685 0.01590 1036738 1036738 0.00230 634969 634969 0.00140 10425352 10425352 0.02320 68337070 34526778 33810292 0.07520 0 2250393 0 192365056 204542481 -12177425 X 1 1 Borgess Medical Center

1541 Gull Road Kalamazoo MI 49048

X X X X X Borgess PIPP Hospital

411 Naomi Street Plainwell MI 49080

X LTAC Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio were calculated and applied. Part I, 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. Part 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). Part III, Line 8: Ascension Health and related health ministries follow the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. Part III, Line 9b: The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply. Part V: 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 49024 Part VI, Line 2: Borgess reviews numerous reports and statistics, including epidemiological reports published by the Kalamazoo County Health and Human Services Department, admission and emergency room data to determine where the specific needs of the community are and where we can focus our efforts to offer assistance. Part VI, Line 3: Information regarding financial assistance is posted in the admitting, and registration departments in addition to the emergency department. Borgess has staff dedicated to assisting uninsured patients complete a means test and complete applications for public assistance. Patients are provided with contact numbers on their medical bills to contact the billing office if assistance is needed to pay their bill. We leave it up to the patient to contact us then we direct them through the Charity Care process or applying for other government assistance programs. Part VI, Line 4: Kalamazoo is a two-hospital market with the consumers believing that there are two very good, equal healthcare facilities. However, because it's a newer facility with all private rooms, Bronson's reputation is partially based on facility amenities. Many consumers choose a hospital based on specific service needs and/or physician recommendations and preferences. Outside of Kalamazoo, the Borgess Health service area includes several small rural hospitals and two secondary service level hospitals. The population in the service area is expected to decline due to a decline in the following age cohorts: 0-17, 18-44, and 45-64. However, the population 65+ is expected to increase by 10.7%, creating a demand for restorative and chronic health services. There are 450,000 residents in the Kalamazoo Metropolitan Statistical Area. The median income for the area is $49,968 and 15.9% of the population have income at or below the poverty level. Part VI, Line 5: We have a Community Benefit Advisory Committee that includes community leaders from health and human service organizations, the Borgess Health Board of Trustees and leadership that discusses and collaborates on community building activities. Borgess Health is positioned through its membership on 58 local regional and state health, economic and community service boards and advisory committees to help shape the discussion on health issues in the communities we serve. To that end, Borgess has representation on the Boards and/or advisory committees of Southwest Michigan First, Western Michigan University (WMU)School of Medicine, Kalamazoo Valley Community College and WMU Schools of Nursing, Greater Kalamazoo United Way, Blue Cross/ Blue Shield and Priority Health to name a few. Our participation on the Family Health Center (our local FQHC), Kalamazoo County Health Plan and financial support of Michigan State University/Kalamazoo Center for Medical Studies residency program and the Southwest Michigan Cancer Center insure access to care for vulnerable patients. Part 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. Part 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. 1 Drug Treatment CT Foundation PO Box 50587 Kalamazoo MI 49005 010770241 501(c)(3) 5000 General Support Free Clinic 2918 Portage Rd Kalamazoo MI 49001 260715243 501(c)(3) 9000 General Support Greater United Way 709 S Westnedge Kalamazoo MI 49007 381359193 501(c)(3) 46865 General Support Hospital Hospitality House 527 W South St Kalamazoo MI 49007 382540700 501(c)(3) 27500 General Support Kalamazoo Academy of Medicine 6027 Fairgrove Kalamazoo MI 49009 381655680 501(c)(3) 5000 General Support Lifelines Neurodiagnostic System 611 Riggin Rd Troy IL 62294 501(c)(3) 25000 General Support MRC Industries 2538 So 26th St Kalamazoo MI 49048 381911437 501(c)(3) 5000 General Support Senior Services Inc 918 Jasper Kalamazoo MI 49001 381747660 501(c)(3) 10700 General Support Southwest Michigan First 3940 Peninsular Dr SE 180 Grand Rapids MI 49007 382853785 501(c)(3) 75000 General Support 9 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: If grant is for a specific event we usually have a representative attend the function. If it is for non function activities we usually receive a letter detailing our contribution and what it was used for. X 1 1 X X X X 0 1 0 0 0 0 0 0 0 Paul A Spaude (Sch O) 626579 0 36138 0 90063 0 46521 0 16052 0 815353 0 0 0 Richard Felbinger(Sch O) 283664 0 21520 0 31786 0 104971 0 17517 0 459458 0 0 0 Shahin Motakef (Sch O) 270390 0 46389 0 75646 0 60693 0 18733 0 471851 0 0 0 Joy Strand (Sch O) 163990 0 0 0 1760 0 49280 0 12947 0 227977 0 0 0 Edward Millermaier MD 264105 0 0 0 14544 0 56885 0 20031 0 355565 0 0 0 J Patrick Dyson (Sch O) 327876 0 61481 0 29799 0 138477 0 10599 0 568232 0 0 0 William Lapenna MD 524883 0 290875 0 0 0 0 0 26855 0 842613 0 0 0 Vishal Gupta MD 498489 0 240299 0 20815 0 16500 0 24508 0 800611 0 0 0 Robert Lapenna MD 529087 0 185425 0 0 0 0 0 12948 0 727460 0 0 0 Thomas Ryan MD 583155 0 128446 0 28169 0 22000 0 22909 0 784679 0 0 0 Todd Ream MD 601362 0 45492 0 28181 0 16500 0 25474 0 717009 0 0 0 Part I, Line 1a An officer is allowed to bring a companion on two travel occasions that the company will pay for and include the cost of that travel in the officer's W-2. Part I, Line 4a Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executives is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The filing organization contributed to the Supplemental Nonqualified Retirement Plan in the amounts as noted: Paul A. Spaude - $49,992 Form 990, Part VI, Section A, line 6 Borgess Medical Center has a single corporate member, Borgess Health Alliance, Inc. Form 990, Part VI, Section A, line 7a Borgess Medical Center has a single corporate member, Borgess Health Alliance, Inc., who has the ability to elect members to the governing body of the Borgess Medical Center. Form 990, Part VI, Section A, line 7b All decisions that have a material impact to Borgess Medical Center financial information or corporation as a whole are subject to approval by its sole corporate member, Borgess Health Alliance, Inc. Form 990, Part VI, Section B, line 11 Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Section B, line 15 In determining 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 19 The organization will provide any documents open to public inspection upon request. Form 990, Part VII, Section A: Explanation of hours for officers and key employees: 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. Form 990, Part VII, Section B: Explanation of Independent Contractor Amounts: Amounts reported for Miller Davis Company represent amounts paid for both services and materials. These amounts cannot be separated. Form 990, Part XI, Line 2: Explanation of Audited Financial Statements: 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. Form 990, Part III, Line 4: Community Benefit Report: 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. Summary Borgess Medical Center furthers its charitable purposes by providing a broad array of services to meet the healthcare needs of patients and organizations in the community. We provide essential medical services to the community, train and recruit healthcare professionals to serve the needs of the broader community, provide appropriate charity services to those patients who are not able to pay for their own healthcare needs, provide services to other organizations that allow them to provide quality services to their patients or constituents, and present education information classes and activities to the community in order to improve its overall health status. Ascension Health PO Box 45998 St Louis MO 63134 311662309 National Health System MO Section 501(c)(3) Schedule A, Line 11a N/A Borgess Health Alliance Inc 1521 Gull Road Kalamazoo MI 49048 382335286 Health System Parent MI Section 501(c)(3) Schedule A, Line 11c Ascension Health Borgess Ambulatory Care Corporation 1521 Gull Road Kalamazoo MI 49048 382468823 Holding Company MI Section 501(c)(3) Schedule A, Line 3 Borgess Health Alliance Inc Borgess Foundation 1521 Gull Road Kalamazoo MI 49048 237222558 Fundraising MI Section 501(c)(3) Schedule A, Line 11c Borgess Health Alliance Inc Borgess Nursing Home 537 Chicago Avenue Kalamazoo MI 49048 382555589 Residential Care MI Section 501(c)(3) Schedule A, Line 3 Borgess Health Alliance Inc Lee Memorial Hospital Corporation 420 W High Street Dowagiac MI 49047 381490190 Healthcare Services MI Section 501(c)(3) Schedule A, Line 3 Borgess Health Alliance Inc Lee Memorial Foundation 420 W High Street Dowagiac MI 49047 382860459 Fundraising MI Section 501(c)(3) Schedule A, Line 11c Borgess Health Alliance Inc ProMed Healthcare 1521 Gull Road Kalamazoo MI 49048 383193801 Healthcare Services MI Section 501(c)(3) Schedule A, Line 9 Borgess Health Alliance Inc Visiting Nurse & Hospice Services of SW MI 348 North Burdick Kalamazoo MI 49007 381359216 Home Nursing and Rehabilitation Services MI Section 501(c)(3) Schedule A, Line 9 Borgess Health Alliance Inc Visiting Nurses Home Care DBA Borgess VNA Home Care 348 North Burdick Kalamazoo MI 49007 382717691 Home Healthcare Services MI Section 501(c)(3) Schedule A, Line 9 Borgess Health Alliance Inc Textile Systems Inc 817 Walbridge Kalamazoo MI 49007 382705047 Laundry Services MI Borgess Medical Center C 9028 1047084 1.00000 Homewild Medical Buildings Inc 110 Elm Street Jackson MI 49201 382411606 Real Estate Rentals MI N/A C 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 1 Borgess Ambulatory Care Corporation P 29004116 Borgess Ambulatory Care Corporation O 28982091 Borgess Foundation R 2697041 Borgess Foundation P 912871 Borgess Health Alliance Inc O 11749031 Borgess Health Alliance Inc R 2479284 Borgess Nursing Home Inc P 584506 Borgess Nursing Home Inc R 1463342 Borgess Nursing Home Inc Q 15303074 Promed Healthcare Inc H 2939869 Promed Healthcare Inc N 18284701 Promed Healthcare Inc P 13039037 Promed Healthcare Inc O 13262867 Promed Healthcare Inc R 48779459 Visiting Nurses Home Care P 152997 Visiting Nurses Home Care O 145145 Ascension Health Q 4919058 Lee Memorial Hospital Corporation P 5857799 Lee Memorial Hospital Corporation O 5645349