MYMICHIGAN MEDICAL CENTER SAGINAW: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MYMICHIGAN MEDICAL CENTER SAGINAW (EIN 38-0997730)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201111339349302281
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)
Timestamp2011-05-13T10:46:40-05:00Timestamp
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)
EIN380997730EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameGina ButcherName
TitleCFOTitle
Phone9899078000Phone
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

Doing Business As DoingBusinessAs

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1800 South Washington AvenueAddressLine1
CitySaginawCity
StateMIState
ZIP Code48601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts271682708GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web Sitewww.stmarysofmichigan.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1874YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionProvide medical services which strengthen the healing mission of the Catholic Church.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees2542TotalNbrEmployees
Total Nbr Volunteers240TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year48137ContributionsGrantsPriorYear
Contributions Grants Current Year1723519ContributionsGrantsCurrentYear
Program Service Revenue Prior Year250105451ProgramServiceRevenuePriorYear
Program Service Revenue CY251830512ProgramServiceRevenueCY
Investment Income Prior Year-23696276InvestmentIncomePriorYear
Investment Income Current Year17199295InvestmentIncomeCurrentYear
Other Revenue Prior Year827739OtherRevenuePriorYear
Other Revenue Current Year759163OtherRevenueCurrentYear
Total Revenue Prior Year227285051TotalRevenuePriorYear
Total Revenue Current Year271512489TotalRevenueCurrentYear
Grants And Similar Amnts CY162409GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year109354332SalariesEtcPriorYear
Salaries Etc Current Year111747341SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year150187953OtherExpensePriorYear
Other Expenses Current Year145398400OtherExpensesCurrentYear
Total Expenses Prior Year259542285TotalExpensesPriorYear
Total Expenses Current Year257308150TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-32257234RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14204339RevenuesLessExpensesCY
Total Assets BOY357652233TotalAssetsBOY
Total Assets EOY375539871TotalAssetsEOY
Total Liabilities BOY167010141TotalLiabilitiesBOY
Total Liabilities EOY169154537TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY190642092NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY206385334NetAssetsOrFundBalancesEOY
Mission DescriptionRooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense244174477Expense
Grants162409Grants
Revenue251830512Revenue
DescriptionSt. Mary's of Michigan Medical Center ("SMMMC") is a 268 licensed bed nonprofit acute care hospital which provides inpatient, outpatient and emergency care services. SMMMC seeks to improve the physical, mental, social and spiritual health status of its surrounding community. SMMMC provides a substantial portion of its services to the elderly and poor. During the fiscal year, approximately 52% of the value of services rendered were to elderly patients under the Medicare program, and approximately 17% of the services were provided to patients who were deemed indigent under state, county, or Medical Center Guidelines. During the fiscal year ending June 30, 2010, the estimated unreimbursed cost of services provided to the elderly, uninsured, and underinsured totaled $15,327,860.44.Description
Total Program Service Expense244174477TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
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 With1096166NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2542NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
James Van Tiflin
Chairman1.00X000
Michael Kremin
Vice Chairman1.00X000
David Hall
Secretary1.00X000
Waheed Akbar MD
Board Member1.00X000
Paul Avery
Board Member1.00X000
Susan Bays MD
Board Member1.00X000
Charles Jessup DO
Board Member1.00X000
Sr Janet Keim DC
Board Member1.00X000
Lioudmila Kinachtchouk
Board Member1.00X000
Robert Meisel
Board Member1.00X000
John Graham
Chief Executive Officer45.00X50550001509X
Sara O'Brien
Chief Financial Officer45.00335865038423X
Richard Ohle
Chief Operating Officer45.0029291109812X
Ron Haase
VP - Human Resources45.001883220797X
Michael Long
VP - Hospital Admin45.0018909004745X
Raghuram Sarvepalli MD
VP - Medical Affairs45.0045744007327X
Cheri Sammis-Berman
VP - Mission Services45.0013788407757X
Mitchell Farber
Physician45.0046771307698X
Brent Boggess
Physician45.0045213607350X
Bhramaramba Sarvepalli
Physician45.0045213607350X
Pradip Bhattacharyya
Physician45.0040768806590X
Douglas Forsyth
Physician45.0039519007065X
Richard Reid
Former CFO0.0024526602656X
Dr Mark Lester
Former VP Medical0.0041023503867X
Judith Johnson
Former VP Nursing0.0030002901567X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5099521TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation106756TotalOtherCompensation
Number Individuals GT100 K76NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HealthCare Svcs Inc DBA Acretive Health
401 N Michigan AveChicagoIL60611Consulting Services8689409
Trimedx LLC
6325 Digital Way Suite 400IndianapolisIN46278Equipment Maintenance4107337
Timberline Emergency
4677 Town Center Blvd Suite 302SaginawMI48604Emergency Physician Services2280000
SHC Services Inc
49195 Fox Drive SouthPlymouthMI48170Ultrasound Staffing1365572
Omniflight Helicopters Inc
PO Box 731094DallasTX753731094Helicopter Services1289435
FieldValueIRS element (for citing)
Number Of Contractors GT100 K52NumberOfContractorsGT100K
Related Organizations1723519RelatedOrganizations
Total Contributions1723519TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Revenue621400249394493249394493
Program Related JV621400851708851708
Adult Day Care623990801325801325
Healthsource Revenue621400530283530283
Lab Service Revenue62150021682168

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column250535TotalRevenueColumn
Related Or Exempt Function Income250535RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue251830512TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column16082014TotalRevenueColumn
Exclusion$16,082,014ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real13104Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real13104Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column13104TotalRevenueColumn
Exclusion$13,104ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1287500Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other170219Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other1117281Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1117281TotalRevenueColumn
Exclusion$1,117,281ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Medical Records Copies90009997724$97,724
Cafeteria/vending72232091617$91,617
Purchase Discounts90009973401$73,401

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column483317TotalRevenueColumn
Exclusion$483,317ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue746059TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column271512489TotalRevenueColumn
Related Or Exempt Function Income251830512RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$17,958,458ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total162409Total
Program Services162409ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2177382Total
Management And General2177382ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total87433543Total
Program Services83820671ProgramServices
Management And General3612872ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4581667Total
Program Services4123500ProgramServices
Management And General458167ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10853882Total
Program Services10152553ProgramServices
Management And General701329ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6700867Total
Program Services6318037ProgramServices
Management And General382830ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total466964Total
Management And General466964ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total598916Total
Management And General598916ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total32838833Total
Program Services31157610ProgramServices
Management And General1681223ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total942228Total
Program Services942228ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total320210Total
Program Services299519ProgramServices
Management And General20691ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4560951Total
Program Services4266243ProgramServices
Management And General294708ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total368042Total
Program Services279892ProgramServices
Management And General88150ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3470875Total
Program Services3246603ProgramServices
Management And General224272ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total1717000Total
Program Services1606055ProgramServices
Management And General110945ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total14136406Total
Program Services13222975ProgramServices
Management And General913431ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2467659Total
Program Services2308210ProgramServices
Management And General159449ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Supplies46256625458573853992400
Bad Debts157899571578995700
Professional Fees12072063116137284583350
Equip Rent & Maint7663395765436290330
Telephone379873365154147190

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1348403Total
Program Services987386ProgramServices
Management And General361017ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total257308150Total
Program Services244174477ProgramServices
Management And General13133673ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY15798868BOY
EOY17391565EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY37522932BOY
EOY31033901EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1817345BOY
EOY794173EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6157956BOY
EOY5727226EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1370941BOY
EOY1254851EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis289886882LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec193232663LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY107965529BOY
EOY96654219EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY9760503BOY
EOY11606581EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY177258159BOY
EOY211077355EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY357652233BOY
EOY375539871EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY49455095BOY
EOY56597182EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2202800BOY
EOY886800EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY115352246BOY
EOY111670555EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY167010141BOY
EOY169154537EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY190642092BOY
EOY206385334EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY190642092BOY
EOY206385334EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY357652233BOY
EOY375539871EOY
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 B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$15,458OtherActivitiesAmount
Total Lobbying Expenditures IIB15458TotalLobbyingExpendituresIIB
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 associations that is specifically allocable to lobbying.Explanation

Schedule D IRS990ScheduleD

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis102104219OtherCostOrOtherBasis
Depreciation65851991Depreciation
Book Value36252228BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4677111OtherCostOrOtherBasis
Depreciation4293651Depreciation
Book Value383460BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis172544240OtherCostOrOtherBasis
Depreciation123087021Depreciation
Book Value49457219BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings96654219TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
Health System Depository Account206775382
Construction in Progress144891
Ascension Health Deferred Compensation Asset2431774
Trimedx AR224474
Other Miscellaneous Assets197846
Other Receivables1302988
FieldValueIRS element (for citing)
Total Book Value Other Assets211077355TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Third Party Payable$1,560,303
Savings Plan Liability$266,800
Intercompany Debt to Ascension Health$109,843,452
FieldValueIRS element (for citing)
Total Of Amounts111670555TotalOfAmounts
Total Revenue271512489TotalRevenue
Total Expenses257308150TotalExpenses
Excess Or Deficit For Year14204339ExcessOrDeficitForYear
Net Unrealized GL On Investments12504219NetUnrealizedGLOnInvestments
Other-$10,965,316OtherAmount
Total Adjustments1538903TotalAdjustments
Excess Or Deficit Per FS15743242ExcessOrDeficitPerFS

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 St. Mary's Health, (which include the activity of St. Mary's of Michigan Medical Center), there is no ASC 740 (fka FIN 48) footnote for the current year.
Part XI, Line 8 - Other Adjustments:Transfers to Affiliates: -9830571. Total Pension & Other Post - Retire Costs: -1134745.

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2697050TotalCommunityBenefitExpense
Net Community Benefit Expense2697050NetCommunityBenefitExpense
Percent Of Total Expense0.01120PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense30143848TotalCommunityBenefitExpense
Direct Offsetting Revenue22989589DirectOffsettingRevenue
Net Community Benefit Expense7154259NetCommunityBenefitExpense
Percent Of Total Expense0.02960PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense32840898TotalCommunityBenefitExpense
Direct Offsetting Revenue22989589DirectOffsettingRevenue
Net Community Benefit Expense9851309NetCommunityBenefitExpense
Percent Of Total Expense0.04080PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense5241211TotalCommunityBenefitExpense
Direct Offsetting Revenue5241211DirectOffsettingRevenue

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense673541TotalCommunityBenefitExpense
Direct Offsetting Revenue186834DirectOffsettingRevenue
Net Community Benefit Expense486707NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense212169TotalCommunityBenefitExpense
Net Community Benefit Expense212169NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense6126921TotalCommunityBenefitExpense
Direct Offsetting Revenue5428045DirectOffsettingRevenue
Net Community Benefit Expense698876NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense38967819TotalCommunityBenefitExpense
Direct Offsetting Revenue28417634DirectOffsettingRevenue
Net Community Benefit Expense10550185NetCommunityBenefitExpense
Percent Of Total Expense0.04370PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense477865TotalCommunityBuildingExpense
Net Community Building Expense477865NetCommunityBuildingExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense477865TotalCommunityBuildingExpense
Net Community Building Expense477865NetCommunityBuildingExpense
Percent Of Total Expense0.00200PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$5,299,110BadDebtExpenseAmount
Amount Attributable To2952722AmountAttributableTo
Amount Reimbursed By Medicare111821630AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare127619238CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-15797608MedicareSurplusOrShortfall

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

Name Name

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

Address Address

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

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaPart I, Line 3c:IncomeBasedCriteria
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 costing accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For certain categories in the table, this was a cost accounting system; in other categories, a specific cost-to-charge ratio was applied.CostingMethodUsed
Subsidized Health Services ExplnPart I, Line 7g: The organization has not included costs attributable to a physician clinic as part of subsidized health services.SubsidizedHealthServicesExpln
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 $15,789,957.PercentOfTotalExpenseExpln
Bad Debt FootnotePart III, Line 4: The organization is a part of the St. Mary's of Michigan consolidated audit. The provision for bad debts is based upon management's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators. Periodically throughout the year management assesses the adequacy of allowance for uncollectible accounts based upon historical write off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for bad debts to establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, St. Mary's follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with St. Mary's policies.The organization's share of bad debt expense in 2009 was $15,789,957 at charges.BadDebtFootnote
Shortfall As Community BenefitPart III, Line 8: St. Mary's 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 pracices do not apply.DebtCollectionPolicy
Needs AssessmentPart VI, Line 2: St. Mary's of Michigan Medical Center, along with six other local businesses, is a member of Saginaw County Community Health improvement Planning team. This team, over the course of the year, met at least monthly to implement a community-driven strategic planning process for improving community health. Information was gathered through focus groups, community surveys and area agencies in an attempt to acquire broad community input regarding their health concerns. The Saginaw county Community Health improvement planning team was formed in 2009 with a vision of creating a healthier Saginaw community and a mission of developing a health improvement plan that would support and maintain a healthy community. This collaborative effort provides a unique opportunity to address health related issues and ideas in a broad forum with a diverse group of partners. The planning team identified as the Community Health Improvement (CHI) Key Partners, is made up of representatives from private enterprise, faith and community based organizations, as well as educational and health and humans services organizations. These representatives play a vital role in designing materials and activities aimed at implementing, promoting, and overseeing the success of the plan. Information was gathered through focus groups, community surveys and area agencies in an attempt to acquire broad community input regarding their health concerns. The following five health issues were identified as priorities:Infant MortalityChild ObesityAdult ObesityMental HealthCancerPlans and committees are in place to outline goals, strategies and activities related to the top five health-related indicators along with others. These will be update as necessary in order to ensure successful plan deployment and optimal impact in address the needs of the Saginaw community.NeedsAssessment
Patient Education AssistancePart VI, Line 3: It is the policy of St. Mary's of Michigan Health to ensure a socially just practice for billing for all Patients receiving care at any of our facilities. St. Mary's of Michigan provides assistance to Patients who do not have the financial resources available to pay for necessary medical service rendered. Various individuals may identify potential charity care recipients. Any Patient that may be a candidate should be referred to a financial counselor. Our billing and collection practices reflect our commitment to and reverence for human dignity and the common good; our special concern for and solidarity with poor and vulnerable persons; and our commitment to distributive justice and stewardship.St. Mary's of Michigan ensures that:A. St. Mary's of Michigan staff and agents behave in a manner that reflects the policies and values of a Catholic-sponsored facility, including treating Patients and their families with dignity, respect and compassion.B. Patients receive prompt access to charge information for any item or service.C. Patients and their families are advised of the hospital's applicable policies, including charity care and the availability of need-based financial assistance in easily understood terms.D. Patients who do not qualify for charity care, but are in need of financial assistance, are offered appropriate extended payment terms or other payment options that take into account the Patient's financial status.E. Outstanding balances on Patient accounts are pursued fairly and consistently, in a manner that reflects the values and commitments of a Catholic sponsored facility.F. Financial counselors are available to all Patients.G. Information is posted in Patient access areas including the Emergency Department regarding financial assistance and charity care policies.H. Patients are encouraged to participate in their own care by working with the financial counselor and applying for Medicaid or other public assistance programs to qualify for charity or financial assistance.PatientEducationAssistance
Community InformationPart VI, Line 4: St. Mary's of Michigan Medical Center is a 268 licensed bed nonprofit acute care hospital which provides inpatient, outpatient and emergency care services. St. Mary's of Michigan Medical Center serves the residents of northeast Michigan. St. Mary's of Michigan Medical Center seeks to improve the physical, mental, social and spiritual health status of its surrounding community. In addition to providing health care services to all individuals who require medical attention, St. Mary's of Michigan Medical Center has developed programs to help achieve its mission.St. Mary's of Michigan Medical Center provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2010, approximately 52% of the value of services rendered were to elderly patients under the Medicare program, and approximately 17% of the services were provided to patients who were deemed indigent under state, county, or Medical Center Guidelines.CommunityInformation
Community Building ActivitiesPart VI, Line 5: Expanding Awareness, Education, and Health PromotionSt. Mary's of Michigan Medical Center believes that it is essential to educate people regarding the types of behavior that improve their chances of living a healthy life. St. Mary's of Michigan has invested significantly in unique, top quality health education and materials to accomplish its goals. In efforts to promote healthy living, St. Mary's has made available the following community education programs: Physical Fitness Activities:- Annual Charity Golf Classic - St. Mary's of Michigan Mall Walking Club- Medical Massage Therapy Lunch Connection Programs:- Blood: The Tip of the Iceberg - The Sweet Lure of Chocolate- The Building of Jefferson Avenue - What to Expect When Visiting Your Cardiologist- Finding Your True Color- Harvest Days at the Downtown Saginaw Farmers Market - Walk into a Healthier Lifestyle...The Public Libraries of SaginawCommunity Health Programs: -Bariatric Weight Loss Seminar - Living With Arthritis- Blood Drive - Looking out for Depression- Breast Cancer Awareness - Neck Pain and Headaches- Comforting Canines - Pet Therapy - Prostate Screenings- Couples Night Out - Skin Cancer Screening- Dealing with Diabetes - Woman to Woman- Fabulous Females Revitalization Retreat Renewal Day Programs: - Celebrate What's Right With the World - Healing, Forgiveness and Letting Go- Exploring our Heritage & Mission - Rejuvenation Retreat for Mothers- For the Love of It - Spirit Spa Programs- Grief Gathering - Stress and Dealing with Difficult People- Harmony - Walk This Way: A Guide to the LabyrinthSupport Groups: - Cancer Survivors Day - Open Heart Support Group- Look Good-Feel Better - Spinal Cord Injury Resource Group- MS Support Group - Support For Living - Cancer Support GroupPublic Health AccessHealthy Futures operates a network of free clinics to assist the uninsured, underinsured and homeless population of Saginaw County to obtain healthcare and prescription medications. Staff are on hand to help guide family, friends and neighbors to the many services provided in Saginaw County. Many of the uninsured population in Saginaw County cannot access regular health care due to cultural, geographical or financial barriers. The Healthy Futures program allows patients to enter the health care system through free neighborhood clinics which include: the Naseau Clinic at the Hunger Solution Center, the Family Life Community Clinic at New Life Ministries in the Houghton Jones neighborhood, the Rehmann Health Center in Chesaning, the Self Reliance Clinic at St. Paul's Episcopal Church and Rapha's Clinic at the Living Faith Ministries in the Stone School area. In furthering St. Mary's commitment to the surrounding community, contributions to local organizations and causes are made each year. During fiscal year 2010, St. Mary's made significant donations to the following local causes: - American Heart Association - $10,500- Catholic Community Foundation - $5,000- Catholic Diocese of Saginaw - $8,680- Community Prescription Support Program - $12,742- Field Neurosciences Institute - $12,500 - Hospital Hospitality House - $12,000 - Saginaw Bay Symphony Orchestra - $5,000- Saginaw County Chamber Commerce - $15,800- Saginaw Future - $15,000- St. Mary's of Michigan Auxiliary - $7,500- St. Mary's Standish Community Hospital - $5,500 Medical ResearchSt. Mary's of Michigan Medical Center furthers its mission by contributing funds and personnel to support research that has helped advance medical care. Research projects include the following:- Cardiac Research- Oncology Research- Neurology ResearchMedical EducationSt. Mary's of Michigan Medical Center believes that, in order to provide the best health care to the community, its clinical personnel must receive ongoing medical education.Resident EducationSt. Marys is affiliated with Synergy Medical Education alliance. Synergy Medical is a non-profit medical education corporation with formal affiliation with Michigan State University College of Human Medicine. Residents receive training as they rotate through Saginaw area member hospitals including St. Mary's. Residency programs include: - Emergency Medicine- Family Medicine- General Surgery- Internal Medicine- Obstetrics & GynecologyCommunityBuildingActivities
Other InformationPart VI, Line 6: Operations and governanceSt. Mary's of Michigan Medical Center:- Operates an emergency room that is open to all persons regardless of ability to pay; - Has an open medical staff with privileges available to all qualified physicians in the area; - Has a governing body in which independent persons representative of the community comprise a majority;- Engages in medical or scientific research programs;-engages in the training and education of health care professionals; and-participates in Medicaid, Medicare, CHAMPUS, Tricare, and/or other government-sponsored health care programs.Patient ServicesSt. Mary's of Michigan Medical Center provides the following in-patient and out-patient medical services to the community:- Ambulatory care center services - Pain Management- Cardiac services- Primary Care Physicians- Cancer treatment services - Radiology services- Cyberknife - Rehabilitation services- Emergency care center services - Robotic Surgical Services- Flight Care - Sleep Studies- Laboratory services - Stroke services- Neuroscience services - Trauma services- Orthopedic services Some of the services listed above operate at a loss in order to ensure that all services are available to meet community health care needs. These include Trauma services and Physician Offices.During the fiscal year ending June 30, 2010, our Medical Center treated 12,151 adults and children in the community for a total of 64,228 patient days of service. The Medical Center also provided services to 230,867 outpatients, including 2,519 outpatient surgery patients, 50,562 emergency visits and 78,070 Physician office visits.OtherInformation
Affiliated Health Care SystemPart VI, Line 7: St. Mary's of Michigan Medical Center is a member of Ascension Health. Ascension Health is a Catholic, national health system consisting primarily of nonprofit corporations that own and operate local health care facilities, or Health Ministries, located in 20 of the United States and the District of Columbia. Ascension Health is sponsored by the Northeast, Southeast, East Central, and West Central Provinces of the Daughters of Charity of St. Vincent de Paul, the Congregation of St. Joseph, and the Sisters of St. Joseph of Carondelet.St. Mary's sole corporate member is Ascension Health. St. Mary's is the sole corporate member of Field Neurosciences Institute. Standish Community Hospital's sole corporate member is St. Mary's Health. St. Mary's Medical Center, located in Saginaw, Michigan, is a nonprofit acute care hospital that provides inpatient, outpatient, and emergency care services for the residents of northeast Michigan. Admitting physicians are primarily practitioners in the local area. Standish Community Hospital, located in Standish, Michigan, is a nonprofit critical care access hospital. St. Mary's is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of St. Mary's are related to providing healthcare services.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 Maintained0RecordsMaintained

Recipient Table RecipientTable (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
American Heart Association
460 N Lindbergh BlvdSt LouisMO63141135613797501(c)(3)10500Donation
Catholic Community Foundation of Mid-Michigan
5800 Weiss StSaginawMI48603204595721501(c)(3)5000Donation
Catholic Diocese of Saginaw
5800 Weiss StSaginawMI48601501(c)(3)8680Donation
Community Prescription Support Program
401 Holden StSaginawMI48601300270211501(c)(3)12742Donation
St Mary's of Michigan Field Neurosciences Institute
800 S WashingtonSaginawMI48603382790703501(c)(3)12500Donation
Hospital Hospitality House
604 Emerson StSaginawMI48601382480414501(c)(3)12000Donation
Saginaw Bay Symphony
201 N WashingtonSaginawMI48607386082223501(c)(3)5000Donation
Saginaw County Chamber of Commerce
515 WashingtonSaginawMI48607380995390501(c)(6)15800Donation
Saginaw Future
515 Washington 3rd FloorSaginawMI48607383021995501(c)(3)15000Donation
St Mary's of Michigan Auxiliary
800 S WashingtonSaginawMI48601382124291501(c)(3)7500Donation
St Mary's Standish Community Hospital
805 CedarStandishMI48658381671120501(c)(3)5500Donation
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants10TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
John Graham
400441065959039100060009090507009000
Sara O'Brien
1938840133814081670219920164310374288000
Richard Ohle
20241204861604188304737050750302723000
Ron Haase
166980000213420007970189119000
Michael Long
1683710109870973203479012660193835000
Raghuram Sarvepalli MD
24046101775800393990700803190464767000
Mitchell Farber
433999000337140735003480475411000
Brent Boggess
242523017000003961307350000459486000
Bhramaramba Sarvepalli
248067016500003906907350000459486000
Pradip Bhattacharyya
16419902050000384890639801920414278000
Douglas Forsyth
222615013924503333007065000402255000
Richard Reid
10523201693501230990169209640247922000
Dr Mark Lester
14278206449802029550313707300414102000
Judith Johnson
6967807886201514890137601910301596000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 4aReturnReference
ExplanationSeverance Payments: Richard Reid - $110,000; Mark Lester - $184,879; Judith Johnson - $133,812Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 6St. Mary's Of Michigan Medical Center has a single corporate member, Ascension Health.
Form 990, Part VI, Section A, line 7aSt. Mary's of Michigan Medical Center has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of St. Mary's of Michigan Medical Center.
Form 990, Part VI, Section A, line 7bAll decisions that have a material impact to St. Mary's of Michigan Medical Center financial information or corporation as a whole are subject to approval by its sole corporate member, Ascension Health. Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.
Form 990, Part VI, Section B, line 11Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form to the Board, or a designated committee, to review. 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 the compensation of the organization's CEO, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Ascension Health board reviewed and approved the compensation. In the review of the compensation, the CEO was compared to other organizations in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when his compensation was decided. The Executive Committee of the Board of Directors in conjunction with the Intermediate Sanctions Compliance Policy of the hospital is responsible for determining the compensation of other officers or key employees of the organization. The process includes a market analysis of comparable healthcare positions from other organizations of comparable size, complexity, and business activity. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes.
Form 990, Part VI, Section C, line 19The organization will provide any documents open to public inspection upon request.
Form 990, Part III, Line 4a:The following illustrates the significant degree to which St. Mary's of Michigan 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, St. Mary's of Michigan Medical Center continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. The goal of St. Mary's of Michigan Medical Center is to perpetuate the healing mission of the church. St. Mary's of Michigan Medical Center furthers this goal through delivery of patient services, care to the elderly and indigent, patient education and health awareness programs for the community, and medical research. Our concern for all human life and dignity of each person leads the organization to provide medical services to all people in the community without regard to the patient's race, creed, national origin, economic status, or ability to pay. In order to portray the full breadth of our contribution, our community benefit information is described below: Organizational Commitment to Providing Community Benefit St. Mary's of Michigan Medical Center is a 268 licensed bed nonprofit acute care hospital which provides inpatient, outpatient and emergency care services. St. Mary's of Michigan Medical Center serves the residents of northeast Michigan. St. Mary's of Michigan Medical Center seeks to improve the physical, mental, social and spiritual health status of its surrounding community. In addition to providing health care services to all individuals who require medical attention, St. Mary's of Michigan Medical Center has developed the following programs to help achieve its mission. Expanding Awareness, Education, and Health Promotion St. Mary's of Michigan Medical Center believes that it is essential to educate people regarding the types of behavior that improve their chances of living a healthy life. St. Mary's of Michigan has invested significantly in unique, top quality health education and materials to accomplish its goals. In efforts to promote healthy living, St. Mary's has made available the following community education programs: Physical Fitness Activities -Annual Charity Golf Classic -St. Mary's of Michigan Mall Walking Club -Medical Massage Therapy Lunch Connection Programs -Blood: The Tip of the Iceberg -The Sweet Lure of Chocolate -The Building of Jefferson Avenue -What to Expect When Visiting Your Cardiologist -Finding Your True Color -Harvest Days at the Downtown Saginaw Farmers Market -Walk into a Healthier Lifestyle...The Public Libraries of Saginaw Community Health Programs -Bariatric Weight Loss Seminar -Living With Arthritis -Blood Drive -Looking out for Depression -Breast Cancer Awareness -Neck Pain and Headaches -Comforting Canines - Pet Therapy -Prostate Screenings -Couples Night Out -Skin Cancer Screening -Dealing with Diabetes -Woman to Woman -Fabulous Females Revitalization Retreat Renewal Day Programs -Celebrate What's Right With the World -Healing, Forgiveness and Letting Go -Exploring our Heritage & Mission -Rejuvenation Retreat for Mothers -For the Love of It -Spirit Spa Programs -Grief Gathering -Stress and Dealing with Difficult People -Harmony -Walk This Way: A Guide to the Labyrinth Support Groups -Cancer Survivors Day -Open Heart Support Group -Look Good-Feel Better -Spinal Cord Injury Resource Group -MS Support Group -Support For Living - Cancer Support Group Public Health Access Healthy Futures operates a network of free clinics to assist the uninsured, underinsured and homeless population of Saginaw County to obtain healthcare and prescription medications. Staff are on hand to help guide family, friends and neighbors to the many services provided in Saginaw County. Many of the uninsured population in Saginaw County cannot access regular health care due to cultural, geographical or financial barriers. The Healthy Futures program allows patients to enter the health care system through free neighborhood clinics which include: the Naseau Clinic at the Hunger Solution Center, the Family Life Community Clinic at New Life Ministries in the Houghton Jones neighborhood, the Rehmann Health Center in Chesaning, the Self Reliance Clinic at St. Paul's Episcopal Church and Rapha's Clinic at the Living Faith Ministries in the Stone School area. In furthering St. Mary's commitment to the surrounding community, contributions to local organizations and causes are made each year. During fiscal year 2010, St. Mary's made significant donations to the following local causes: -American Heart Association-$10,500 -Catholic Community Foundation-$5,000 -Catholic Diocese of Saginaw-$8,680 -Community Prescription Support Program-$12,742 -Field Neurosciences Institute12,500 -Hospital Hospitality House-$12,000 -Saginaw Bay Symphony Orchestra-$5,000 -Saginaw County Chamber Commerce-$15,800 -Saginaw Future-$15,000 -St. Mary's of Michigan Auxiliary-$7,500 -St. Mary's Standish Community Hospital-$5,500 Medical Research St. Mary's of Michigan Medical Center furthers its mission by contributing funds and personnel to support research that has helped advance medical care. Research projects include the following: -Cardiac Research -Oncology Research -Neurology Research Medical Education St. Mary's of Michigan Medical Center believes that, in order to provide the best health care to the community, its clinical personnel must receive ongoing medical education. Resident Education St. Mary's is affiliated with Synergy Medical Education alliance. Synergy Medical is a non-profit medical education corporation with formal affiliation with Michigan State University College of Human Medicine. Residents receive training as they rotate through Saginaw area member hospitals including St. Marys. Residency programs include: -Emergency Medicine -Family Medicine -General Surgery -Internal Medicine -Obstetrics & Gynecology Unreimbursed Services Provided to the Elderly and the Poor St. Mary's of Michigan Medical Center provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2010, approximately 52% of the value of services rendered were to elderly patients under the Medicare program, and approximately 17% of the services were provided to patients who were deemed indigent under state, county, or Medical Center Guidelines. Operations and governance St. Mary's of Michigan Medical Center: -operates an emergency room that is open to all persons regardless of ability to pay; -has an open medical staff with privileges available to all qualified physicians in the area; -has a governing body in which independent persons representative of the community comprise a majority; -engages in medical or scientific research programs; -engages in the training and education of health care professionals; and -participates in Medicaid, Medicare, CHAMPUS, Tricare, and/or other government-sponsored health care programs. Patient Services St. Mary's of Michigan Medical Center provides the following in-patient and out-patient medical services to the community: -Ambulatory care center services -Pain Management -Cardiac services -Primary Care Physicians -Cancer treatment services -Radiology services -Cyberknife -Rehabilitation services -Emergency care center services -Robotic Surgical Services -Flight Care -Sleep Studies -Laboratory services -Stroke services -Neuroscience services -Trauma services -Orthopedic services Some of the services listed above operate at a loss in order to ensure that all services are available to meet community health care needs. These include Trauma services and Physician Offices. During the fiscal year ending June 30, 2010, our Medical Center treated 12,151 adults and children in the community for a total of 64,228 patient days of service. The Medical Center also provided services to 230,867 outpatients, including 2,519 outpatient surgery patients, 50,562 emergency visits and 78,070 Physician office visits. Summary St. Mary's of Michigan 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.Community Benefit Report:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 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 LouisMO63145311662309Nation Health SystemMOSection 501(c)(3)Schedule A, Line 11aN/A
St Mary's Health
800 South Washington AvenueSaginawMI48601383477071System Parent - StandishMISection 501(c)(3)Schedule A, Line 11St Mary's of Michigan
Standish Hospital
805 Cedar StreetStandishMI48658381671120HospitalMISection 501(c)(3)Schedule A, Line 3St Mary's Health
St Mary's Hospital Foundation
800 South Washington AvenueSaginawMI48601382246366FundraisingMISection 501(c)(3)Schedule A, Line 11cSt Mary's of Michigan
Field Neurosciences Institute
800 South Washington AvenueSaginawMI48601382790703Medical Research OrganizationMISection 501(c)(3)Schedule A, Line 9St Mary's of Michigan

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1St Mary's of Michigan Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeType
Share Of Total Income180500ShareOfTotalIncome
Share Of EOY Assets4173982ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1St Mary's of Michigan SpecialtistsBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 S WashingtonAddressLine1
CitySaginawCity
StateMIState
ZIP Code48601ZIPCode
FieldValueIRS element (for citing)
EIN205959777EIN
Primary ActivityPhysician PracticePrimaryActivity
Legal Domicile StateMILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1St Mary's of Michigan Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of Total Income-1407934ShareOfTotalIncome
Share Of EOY Assets1117712ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
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 Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Ascension Health
Q7539047
St Mary's of Michigan Foundation
Q340629
Field NeuroSciences Institute
Q1101375
Standish Community Hospital
Q850000

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