2011-05-13T10:46:40-05:00 2010-06-30 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2009-07-01 380997730 St Mary's of Michigan Medical Center STMA 9899078000 800 South Washington Avenue Saginaw MI 48601 Gina Butcher 9899078000 2011-05-13 1 5137847100 2009 2016-02-24 21:20:13Z St Mary's Medical Center of Saginaw Gina Butcher 800 South Washington Avenue Saginaw MI 48601 271682708 0 0928 X www.stmarysofmichigan.org X 1874 MI Provide medical services which strengthen the healing mission of the Catholic Church. 11 10 2542 240 0 0 48137 1723519 250105451 251830512 -23696276 17199295 827739 759163 227285051 271512489 162409 0 109354332 111747341 0 0 150187953 145398400 259542285 257308150 -32257234 14204339 357652233 375539871 167010141 169154537 190642092 206385334 Rooted 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. 0 0 244174477 162409 251830512 St. 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. 244174477 1 1 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 1 166 0 1 2542 1 0 0 0 0 0 0 0 0 0 11 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X Christopher Frick 9899077609 800 South Washington Saginaw MI 48601 James Van Tiflin 1.00 X 0 0 0 Michael Kremin 1.00 X 0 0 0 David Hall 1.00 X 0 0 0 Waheed Akbar MD 1.00 X 0 0 0 Paul Avery 1.00 X 0 0 0 Susan Bays MD 1.00 X 0 0 0 Charles Jessup DO 1.00 X 0 0 0 Sr Janet Keim DC 1.00 X 0 0 0 Lioudmila Kinachtchouk 1.00 X 0 0 0 Robert Meisel 1.00 X 0 0 0 John Graham 45.00 X X 505500 0 1509 Sara O'Brien 45.00 X 335865 0 38423 Richard Ohle 45.00 X 292911 0 9812 Ron Haase 45.00 X 188322 0 797 Michael Long 45.00 X 189090 0 4745 Raghuram Sarvepalli MD 45.00 X 457440 0 7327 Cheri Sammis-Berman 45.00 X 137884 0 7757 Mitchell Farber 45.00 X 467713 0 7698 Brent Boggess 45.00 X 452136 0 7350 Bhramaramba Sarvepalli 45.00 X 452136 0 7350 Pradip Bhattacharyya 45.00 X 407688 0 6590 Douglas Forsyth 45.00 X 395190 0 7065 Richard Reid 0.00 X 245266 0 2656 Dr Mark Lester 0.00 X 410235 0 3867 Judith Johnson 0.00 X 300029 0 1567 5099521 0 106756 76 1 1 0 HealthCare Svcs Inc DBA Acretive Health 401 N Michigan Ave Chicago IL 60611 Consulting Services 8689409 Trimedx LLC 6325 Digital Way Suite 400 Indianapolis IN 46278 Equipment Maintenance 4107337 Timberline Emergency 4677 Town Center Blvd Suite 302 Saginaw MI 48604 Emergency Physician Services 2280000 SHC Services Inc 49195 Fox Drive South Plymouth MI 48170 Ultrasound Staffing 1365572 Omniflight Helicopters Inc PO Box 731094 Dallas TX 753731094 Helicopter Services 1289435 52 1723519 1723519 Net Patient Revenue 621400 249394493 249394493 Program Related JV 621400 851708 851708 Adult Day Care 623990 801325 801325 Healthsource Revenue 621400 530283 530283 Lab Service Revenue 621500 2168 2168 250535 250535 251830512 16082014 16082014 13104 13104 13104 13104 1287500 170219 1117281 1117281 1117281 Medical Records Copies 900099 97724 97724 Cafeteria/vending 722320 91617 91617 Purchase Discounts 900099 73401 73401 483317 483317 746059 271512489 251830512 0 17958458 162409 162409 2177382 2177382 87433543 83820671 3612872 4581667 4123500 458167 10853882 10152553 701329 6700867 6318037 382830 466964 466964 598916 598916 32838833 31157610 1681223 942228 942228 320210 299519 20691 4560951 4266243 294708 368042 279892 88150 3470875 3246603 224272 1717000 1606055 110945 14136406 13222975 913431 2467659 2308210 159449 Supplies 46256625 45857385 399240 0 Bad Debts 15789957 15789957 0 0 Professional Fees 12072063 11613728 458335 0 Equip Rent & Maint 7663395 7654362 9033 0 Telephone 379873 365154 14719 0 1348403 987386 361017 257308150 244174477 13133673 0 15798868 17391565 37522932 31033901 1817345 794173 6157956 5727226 1370941 1254851 289886882 193232663 107965529 96654219 9760503 11606581 177258159 211077355 357652233 375539871 49455095 56597182 2202800 886800 115352246 111670555 167010141 169154537 X 190642092 206385334 190642092 206385334 357652233 375539871 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 15458 15458 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. 10561312 10561312 102104219 65851991 36252228 4677111 4293651 383460 172544240 123087021 49457219 96654219 Health System Depository Account 206775382 Construction in Progress 144891 Ascension Health Deferred Compensation Asset 2431774 Trimedx AR 224474 Other Miscellaneous Assets 197846 Other Receivables 1302988 211077355 Third Party Payable 1560303 Savings Plan Liability 266800 Intercompany Debt to Ascension Health 109843452 111670555 271512489 257308150 14204339 12504219 -10965316 1538903 15743242 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. 1 1 X 1 X 1 X 1 1 0 0 2697050 2697050 0.01120 30143848 22989589 7154259 0.02960 32840898 22989589 9851309 0.04080 5241211 5241211 673541 186834 486707 0.00200 212169 212169 0.00090 6126921 5428045 698876 0.00290 38967819 28417634 10550185 0.04370 477865 477865 0.00200 477865 477865 0.00200 0 5299110 2952722 111821630 127619238 -15797608 X 1 1 St Mary's of Michigan Medical Center

800 S Washington Ave Saginaw MI 48601

X X X X X Part I, Line 3c: Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a costing accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For certain categories in the table, this was a cost accounting system; in other categories, a specific cost-to-charge ratio was applied. Part I, Line 7g: The organization has not included costs attributable to a physician clinic as part of subsidized health services. Part I, 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. Part III, Line 4: The organization is a part of the St. Mary's of Michigan consolidated audit. The provision for bad debts is based upon management's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators. Periodically throughout the year management assesses the adequacy of allowance for uncollectible accounts based upon historical write off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for bad debts to establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, St. Mary's follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with St. Mary's policies.The organization's share of bad debt expense in 2009 was $15,789,957 at charges. Part 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. 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 pracices do not apply. Part VI, Line 2: St. Mary's of Michigan Medical Center, along with six other local businesses, is a member of Saginaw County Community Health improvement Planning team. This team, over the course of the year, met at least monthly to implement a community-driven strategic planning process for improving community health. Information was gathered through focus groups, community surveys and area agencies in an attempt to acquire broad community input regarding their health concerns. The Saginaw county Community Health improvement planning team was formed in 2009 with a vision of creating a healthier Saginaw community and a mission of developing a health improvement plan that would support and maintain a healthy community. This collaborative effort provides a unique opportunity to address health related issues and ideas in a broad forum with a diverse group of partners. The planning team identified as the Community Health Improvement (CHI) Key Partners, is made up of representatives from private enterprise, faith and community based organizations, as well as educational and health and humans services organizations. These representatives play a vital role in designing materials and activities aimed at implementing, promoting, and overseeing the success of the plan. Information was gathered through focus groups, community surveys and area agencies in an attempt to acquire broad community input regarding their health concerns. The following five health issues were identified as priorities:Infant MortalityChild ObesityAdult ObesityMental HealthCancerPlans and committees are in place to outline goals, strategies and activities related to the top five health-related indicators along with others. These will be update as necessary in order to ensure successful plan deployment and optimal impact in address the needs of the Saginaw community. Part VI, Line 3: It is the policy of St. Mary's of Michigan Health to ensure a socially just practice for billing for all Patients receiving care at any of our facilities. St. Mary's of Michigan provides assistance to Patients who do not have the financial resources available to pay for necessary medical service rendered. Various individuals may identify potential charity care recipients. Any Patient that may be a candidate should be referred to a financial counselor. Our billing and collection practices reflect our commitment to and reverence for human dignity and the common good; our special concern for and solidarity with poor and vulnerable persons; and our commitment to distributive justice and stewardship.St. Mary's of Michigan ensures that:A. St. Mary's of Michigan staff and agents behave in a manner that reflects the policies and values of a Catholic-sponsored facility, including treating Patients and their families with dignity, respect and compassion.B. Patients receive prompt access to charge information for any item or service.C. Patients and their families are advised of the hospital's applicable policies, including charity care and the availability of need-based financial assistance in easily understood terms.D. Patients who do not qualify for charity care, but are in need of financial assistance, are offered appropriate extended payment terms or other payment options that take into account the Patient's financial status.E. Outstanding balances on Patient accounts are pursued fairly and consistently, in a manner that reflects the values and commitments of a Catholic sponsored facility.F. Financial counselors are available to all Patients.G. Information is posted in Patient access areas including the Emergency Department regarding financial assistance and charity care policies.H. Patients are encouraged to participate in their own care by working with the financial counselor and applying for Medicaid or other public assistance programs to qualify for charity or financial assistance. Part VI, Line 4: St. Mary's of Michigan Medical Center is a 268 licensed bed nonprofit acute care hospital which provides inpatient, outpatient and emergency care services. St. Mary's of Michigan Medical Center serves the residents of northeast Michigan. St. Mary's of Michigan Medical Center seeks to improve the physical, mental, social and spiritual health status of its surrounding community. In addition to providing health care services to all individuals who require medical attention, St. Mary's of Michigan Medical Center has developed programs to help achieve its mission.St. Mary's of Michigan Medical Center provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 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. Part 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 & Gynecology Part 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. Part VI, Line 7: St. Mary's of Michigan Medical Center is a member of Ascension Health. Ascension Health is a Catholic, national health system consisting primarily of nonprofit corporations that own and operate local health care facilities, or Health Ministries, located in 20 of the United States and the District of Columbia. Ascension Health is sponsored by the Northeast, Southeast, East Central, and West Central Provinces of the Daughters of Charity of St. Vincent de Paul, the Congregation of St. Joseph, and the Sisters of St. Joseph of Carondelet.St. Mary's sole corporate member is Ascension Health. St. Mary's is the sole corporate member of Field Neurosciences Institute. Standish Community Hospital's sole corporate member is St. Mary's Health. St. Mary's Medical Center, located in Saginaw, Michigan, is a nonprofit acute care hospital that provides inpatient, outpatient, and emergency care services for the residents of northeast Michigan. Admitting physicians are primarily practitioners in the local area. Standish Community Hospital, located in Standish, Michigan, is a nonprofit critical care access hospital. St. Mary's is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of St. Mary's are related to providing healthcare services.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. 0 American Heart Association 460 N Lindbergh Blvd St Louis MO 63141 135613797 501(c)(3) 10500 Donation Catholic Community Foundation of Mid-Michigan 5800 Weiss St Saginaw MI 48603 204595721 501(c)(3) 5000 Donation Catholic Diocese of Saginaw 5800 Weiss St Saginaw MI 48601 501(c)(3) 8680 Donation Community Prescription Support Program 401 Holden St Saginaw MI 48601 300270211 501(c)(3) 12742 Donation St Mary's of Michigan Field Neurosciences Institute 800 S Washington Saginaw MI 48603 382790703 501(c)(3) 12500 Donation Hospital Hospitality House 604 Emerson St Saginaw MI 48601 382480414 501(c)(3) 12000 Donation Saginaw Bay Symphony 201 N Washington Saginaw MI 48607 386082223 501(c)(3) 5000 Donation Saginaw County Chamber of Commerce 515 Washington Saginaw MI 48607 380995390 501(c)(6) 15800 Donation Saginaw Future 515 Washington 3rd Floor Saginaw MI 48607 383021995 501(c)(3) 15000 Donation St Mary's of Michigan Auxiliary 800 S Washington Saginaw MI 48601 382124291 501(c)(3) 7500 Donation St Mary's Standish Community Hospital 805 Cedar Standish MI 48658 381671120 501(c)(3) 5500 Donation 10 1 X X X 1 0 0 0 0 0 0 0 0 John Graham 400441 0 65959 0 39100 0 600 0 909 0 507009 0 0 0 Sara O'Brien 193884 0 133814 0 8167 0 21992 0 16431 0 374288 0 0 0 Richard Ohle 202412 0 48616 0 41883 0 4737 0 5075 0 302723 0 0 0 Ron Haase 166980 0 0 0 21342 0 0 0 797 0 189119 0 0 0 Michael Long 168371 0 10987 0 9732 0 3479 0 1266 0 193835 0 0 0 Raghuram Sarvepalli MD 240461 0 177580 0 39399 0 7008 0 319 0 464767 0 0 0 Mitchell Farber 433999 0 0 0 33714 0 7350 0 348 0 475411 0 0 0 Brent Boggess 242523 0 170000 0 39613 0 7350 0 0 0 459486 0 0 0 Bhramaramba Sarvepalli 248067 0 165000 0 39069 0 7350 0 0 0 459486 0 0 0 Pradip Bhattacharyya 164199 0 205000 0 38489 0 6398 0 192 0 414278 0 0 0 Douglas Forsyth 222615 0 139245 0 33330 0 7065 0 0 0 402255 0 0 0 Richard Reid 105232 0 16935 0 123099 0 1692 0 964 0 247922 0 0 0 Dr Mark Lester 142782 0 64498 0 202955 0 3137 0 730 0 414102 0 0 0 Judith Johnson 69678 0 78862 0 151489 0 1376 0 191 0 301596 0 0 0 Part I, Line 4a Severance Payments: Richard Reid - $110,000; Mark Lester - $184,879; Judith Johnson - $133,812 Form 990, Part VI, Section A, line 6 St. Mary's Of Michigan Medical Center has a single corporate member, Ascension Health. Form 990, Part VI, Section A, line 7a St. 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 7b All 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 11 Management, 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 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 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 19 The organization will provide any documents open to public inspection upon request. Form 990, Part III, Line 4a: Community Benefit Report: 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. Ascension Health PO Box 45998 St Louis MO 63145 311662309 Nation Health System MO Section 501(c)(3) Schedule A, Line 11a N/A St Mary's Health 800 South Washington Avenue Saginaw MI 48601 383477071 System Parent - Standish MI Section 501(c)(3) Schedule A, Line 11 St Mary's of Michigan Standish Hospital 805 Cedar Street Standish MI 48658 381671120 Hospital MI Section 501(c)(3) Schedule A, Line 3 St Mary's Health St Mary's Hospital Foundation 800 South Washington Avenue Saginaw MI 48601 382246366 Fundraising MI Section 501(c)(3) Schedule A, Line 11c St Mary's of Michigan Field Neurosciences Institute 800 South Washington Avenue Saginaw MI 48601 382790703 Medical Research Organization MI Section 501(c)(3) Schedule A, Line 9 St Mary's of Michigan Towne Centre Surgery Center LLC 4599 Towne Centre Saginaw MI 48604 204943843 Surgery Center MI St Mary's of Michigan Medical Center Related 180500 4173982 0 0 St Mary's of Michigan Specialtists 800 S Washington Saginaw MI 48601 205959777 Physician Practice MI St Mary's of Michigan Medical Center C -1407934 1117712 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Ascension Health Q 7539047 St Mary's of Michigan Foundation Q 340629 Field NeuroSciences Institute Q 1101375 Standish Community Hospital Q 850000