BEACON HEALTH ALLIANCE INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
BEACON HEALTH ALLIANCE INC (EIN 38-2335286)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201131339349304533
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-13T16:17:01-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1250 East Fifth Street Suite 1900AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN382335286EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Borgess Health Alliance IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBORGNameControl
Phone2692268301Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11521 Gull RoadAddressLine1
CityKalamazooCity
StateMIState
ZIP Code490481640ZIPCode

Officer Officer

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

Preparer Preparer

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

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11521 Gull RoadAddressLine1
CityKalamazooCity
StateMIState
ZIP Code490481640ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1806841GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web Siteborgess.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionServing more than 1 million people through a network of hospitals & healthcare facilities.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers13TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1416328ProgramServiceRevenuePriorYear
Program Service Revenue CY1722985ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year31991OtherRevenuePriorYear
Other Revenue Current Year62136OtherRevenueCurrentYear
Total Revenue Prior Year1448319TotalRevenuePriorYear
Total Revenue Current Year1785121TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year5556TotalFundrsngExpCurrentYear
Other Expense Prior Year974632OtherExpensePriorYear
Other Expenses Current Year597791OtherExpensesCurrentYear
Total Expenses Prior Year974632TotalExpensesPriorYear
Total Expenses Current Year597791TotalExpensesCurrentYear
Revenues Less Expenses Prior Year473687RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1187330RevenuesLessExpensesCY
Total Assets BOY6276916TotalAssetsBOY
Total Assets EOY6245937TotalAssetsEOY
Total Liabilities BOY1940335TotalLiabilitiesBOY
Total Liabilities EOY1988266TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4336581NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4257671NetAssetsOrFundBalancesEOY
Mission DescriptionThe purpose of Borgess Health is to be a values-based health system continuing the healing mission of the Sisters of St. Joseph and responding to the needs of those we serve. Our commitment to those we serve respects the dignity of human life and actively responds to the needs of the poor.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense574674Expense
Revenue23650Revenue
DescriptionBorgess Health Alliance hosts information seminars to educate the public regarding changes foreseen in the healthcare industry. Additionally, Borgess Health Alliance provides office space to other healthcare services providers.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense17561Expense
Revenue1722985Revenue
DescriptionBorgess Health Alliance manages healthcare joint ventures related to providing care to the community.Description
FieldValueIRS element (for citing)
Total Program Service Expense592235TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
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 With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
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 Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
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 Line1Richard FelbingerBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2692265499TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11521 Gull RoadAddressLine1
CityKalamazooCity
StateMIState
ZIP Code49024ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Larry D Lueth
Chair1.00X000
Daniel E Stewart MD
Vice Chair1.00X000
Michael L Chojnowski
Treasurer1.00X000
Joni L Knapper
Secretary1.00X000
Sanjay Dalal MD
Trustee1.00X000
Gary Druskovich MD
Trustee1.00X000
Mary Ellen Gondeck CSJ
Trustee1.00X000
Doyle A Hayes
Trustee1.00X000
Kevin Holleman MD
Trustee1.00X000
Shirley Larkins
Trustee1.00X000
Albert Little
Trustee1.00X000
James McLaren MD
Trustee1.00X000
Susan Pozo PhD
Trustee1.00X000
Paul A Spaude Sch O
CEO40.00X075278062573X
Richard Felbinger Sch O
CFO40.000336970122488X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1089750TotalReportableCompFrmRltdOrgs
Total Other Compensation185061TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionInvestment in JVsDescription
Business Code532000BusinessCode
Total Revenue Column1722985TotalRevenueColumn
Related Or Exempt Function Income1722985RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1722985TotalProgramServiceRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real60206Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real21720Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real38486Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column38486TotalRevenueColumn
Exclusion$38,486ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionSeminar IncomeDescription
Business Code621990BusinessCode
Total Revenue Column23650TotalRevenueColumn
Related Or Exempt Function Income23650RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue23650TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1785121TotalRevenueColumn
Related Or Exempt Function Income1746635RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$38,486ExclusionAmount

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total17561Total
Program Services17561ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total500Total
Program Services500ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3874Total
Program Services3874ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total296028Total
Program Services296028ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total20012Total
Program Services20012ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total20934Total
Program Services20934ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Contract Service22720122720100
Repairs and Maintenance5725572500
Donation Expense5556005556
Minor Equipment19319300
0000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total207Total
Program Services207ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total597791Total
Program Services592235ProgramServices
Management And General0ManagementAndGeneral
Fundraising5556Fundraising

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY107791BOY
EOY90000EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1927295BOY
EOY1826406EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1380014LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec215507LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY528007BOY
EOY1164507EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY3558267BOY
EOY3015024EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY155556BOY
EOY150000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6276916BOY
EOY6245937EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13040BOY
EOY161860EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1927295BOY
EOY1826406EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1940335BOY
EOY1988266EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4336581BOY
EOY4257671EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4336581BOY
EOY4257671EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6276916BOY
EOY6245937EOY
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)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1Borgess Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
EIN381360526EIN
Type Of Organization3 - HospitalTypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$639,552Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts639552SumOfAmounts

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis197000OtherCostOrOtherBasis
Book Value197000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1183014OtherCostOrOtherBasis
Depreciation215507Depreciation
Book Value967507BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1164507TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Woodbridge Center, LLC948997C
MMDI, LLC929346C
SMIC, LLC1136681C
FieldValueIRS element (for citing)
Total Of Book Value Program Related3015024TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to Borgess Medical CenterDescription
Amount$1,826,406Amount
FieldValueIRS element (for citing)
Total Of Amounts1826406TotalOfAmounts
Total Revenue1785121TotalRevenue
Total Expenses597791TotalExpenses
Excess Or Deficit For Year1187330ExcessOrDeficitForYear
Other-$1,266,240OtherAmount
Total Adjustments-1266240TotalAdjustments
Excess Or Deficit Per FS-78910ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part X:Description of Uncertain Tax Positions Under FIN 48:Per the financial statements of Ascension Health (which include the activity of Borgess Health Alliance, Inc.), there is no ASC 740 (fka FIN 48) footnote for the current year.
Part XI, Line 8 - Other Adjustments:Transfer to/from Borgess Properties: -1266240.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Paul A Spaude (Sch O)
0626579036138090063046521016052081535300
Richard Felbinger (Sch O)
02836640215200317860104971017517045945800

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 4aEligible Executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon to facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The related organization that paid the salaries of the individuals listed in Schedule J, Part II, contributed to the Supplemental Nonqualified Retirement Plan in the amounts as noted: Paul A. Spaude - $49,992
Part IIIPart I, Line 3: Borgess Medical Center, a related organization of Borgess Health Alliance, Inc., uses the following to establish the compensation of the organization's CEO: - Compensation Committee, - Written Employment Contract, - Compensation Survey or Study, and - Approval by the Board or Compensation CommitteeSupplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 6Borgess Health Alliance, Inc. has a single corporate member, Ascension Health.
Form 990, Part VI, Section A, line 7aBorgess Health Alliance, Inc. has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of the Borgess Health Alliance, Inc.
Form 990, Part VI, Section A, line 7bAscension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.
Form 990, Part VI, Section B, line 11Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all 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 performed by Borgess Medical Center, a related organization, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The executive/compensation committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at 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 executive committee minutes. The individual was not present when his compensation was decided. In determining the compensation of the other officer of the organization, the process performed by Borgess Medical Center, a related organization, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The executive/compensation committee reviewed and approved the compensation. In the review of the compensation, the other officer of the organization was compared to other organizations' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the executive committee minutes.
Form 990, Part VI, Section C, line 19The organization will provide any documents open to public inspection upon request.
Form 990, Part XI, Line 2:The financial statements of Borgess Health Alliance, Inc. fall under the limited scope audit. The activity of Borgess Health Alliance, Inc. and other members of Borgess Health Alliance, Inc. are reported in the consolidated financial statements of Ascension Health. No individual audit of Borgess Health Alliance, Inc. is completed.Explanation of Audited Financial Statements:
Form 990, Part VII, Section A:Certain officers for Borgess Health Allliance, Inc. provide services to Borgess Health Alliance, Inc. and its subsidiaries. Hours worked are not tracked on an enitity by entity basis. Therefore, where noted with a "(Sch O)" reference, officers' hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees represent aggregate hours worked per week for all entities.Explanation of Hours for Officers:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Ascension Health
PO Box 45998St LouisMO63134311662309National Health SystemMOSection 501(c)(3)Schedule A, Line 11aN/A
Borgess Medical Center
1521 Gull RoadKalamazooMI49048381360526Healthcare ServicesMISection 501(c)(3)Schedule A, Line 3Borgess Health Alliance Inc
Borgess Ambulatory Care Corporation
1521 Gull RoadKalamazooMI49048382468823Holding CompanyMISection 501(c)(3)Schedule A, Line 3Borgess Health Alliance Inc
Borgess Foundation
1521 Gull RoadKalamazooMI49048237222558FundraisingMISection 501(c)(3)Schedule A, Line 11cBorgess Health Alliance Inc
Borgess Nursing Home
537 Chicago AvenueKalamazooMI49048382555589Residential CareMISection 501(c)(3)Schedule A, Line 3Borgess Health Alliance Inc
Lee Memorial Hospital Corporation
420 W High StreetDowagiacMI49047381490190Healthcare ServicesMISection 501(c)(3)Schedule A, Line 3Borgess Health Alliance Inc
Lee Memorial Foundation
420 W High StreetDowagiacMI49047382860459FundraisingMISection 501(c)(3)Schedule A, Line 11cBorgess Health Alliance Inc
ProMed Healthcare
1521 Gull RoadKalamazooMI49048383193801Healthcare ServicesMISection 501(c)(3)Schedule A, Line 9Borgess Health Alliance Inc
Visiting Nurse & Hospice Services of SW MI
348 North BurdickKalamazooMI49007381359216Home Nursing and Rehabilitation ServicesMISection 501(c)(3)Schedule A, Line 9Borgess Health Alliance Inc
Visiting Nurses Home Care DBA Borgess VNA Home Care
348 North BurdickKalamazooMI49007382717691Home Healthcare ServicesMISection 501(c)(3)Schedule A, Line 9Borgess Health Alliance Inc

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
Textile Systems Inc
817 WalbridgeKalamazooMI49007382705047Laundry ServicesMIN/AC
Homewild Medical Buildings Inc
110 Elm StreetJacksonMI49201382411606Real Estate RentalsMIN/AC
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 Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Borgess Medical Center
P511298
Borgess Medical Center
Q2479284
Borgess Medical Center
P11237733

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