SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBulletGo to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047
2017
Open to Public Inspection
Name of the organization
The Health Source Group
 
Employer identification number

38-2427678
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)ASCENSION HEALTH ALLIANCE
PO BOX 45998

ST LOUIS,MO63145
45-3358926 		NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA
 
 
No
(2)ASCENSION HEALTH
PO BOX 45998

ST LOUIS,MO63145
31-1662309 		NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE
 
 
No
(3)ASCENSION MICHIGAN
28000 DEQUINDRE ROAD

WARREN,MI48092
38-2631907 		HEALTH CARE MI 501(c)(3) 10 ASCENSION HEALTH
 
 
No
(4)BORGESS HEALTH ALLIANCE INC
1521 GULL ROAD

KALAMAZOO,MI49048
38-2335286 		HEALTH SYSTEM PARENT MI 501(c)(3) Type III-FI ASCENSION MICHIGAN
 
 
No
(5)ASCENSION BORGESS HOSPITAL FKA BORGESS MEDICAL CENTER
1521 GULL ROAD

KALAMAZOO,MI49048
38-1360526 		HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN
 
 
No
(6)ASCENSION BRIGHTON CENTER FOR RECOVERY FKA BRIGHTON CENTER FOR RECOVERY
12851 GRAND RIVER

BRIGHTON,MI48116
38-1576680 		HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
 
No
(7)GENESYS HEALTH SYSTEM
ONE GENESYS PARKWAY

GRAND BLANC,MI484398065
38-3339703 		HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN
 
 
No
(8)ASCENSION GENESYS HOSPITAL FKA GENESYS REGIONAL MEDICAL CENTER
ONE GENESYS PARKWAY

GRAND BLANC,MI484398065
38-2377821 		HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
 
No
(9)ASCENSION BORGESS-LEE HOSPITAL FKA LEE MEMORIAL HOSPITAL CORPORATION
420 WEST HIGH STREET

DOWAGIAC,MI49047
38-1490190 		HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN
 
 
No
(10)ASCENSION PROVIDENCE HOSPITAL FKA PROVIDENCE - PROVIDENCE PARK HOSPITAL
16001 WEST NINE MILE ROAD

SOUTHFIELD,MI48037
38-1358212 		HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
 
No
(11)ASCENSION ST JOHN HOSPITAL FKA ST JOHN HOSPITAL & MEDICAL CENTER
28000 DEQUINDRE ROAD

WARREN,MI48092
38-1359063 		HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN
 
 
No
(12)ASCENSION MACOMB OAKLAND HOSPITAL FKA ST JOHN MACOMB-OAKLAND HOSPITAL
28000 DEQUINDRE ROAD

WARREN,MI48092
38-3322109 		HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
 
No
(13)ST JOHN PROVIDENCE
28000 DEQUINDRE ROAD

WARREN,MI48092
38-2244034 		PARENT MI 501(c)(3) Type III-FI ASCENSION MICHIGAN
 
 
No
(14)ASCENSION RIVER DISTRICT HOSPITAL FKA ST JOHN RIVER DISTRICT HOSPITAL
4100 RIVER ROAD

EAST CHINA,MI48054
38-3160564 		HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
 
No
(15)ASCENSION ST JOSEPH'S HOSPITAL FKA ST JOSEPH HEALTH SYSTEM INC
200 HEMLOCK ROAD

TAWAS CITY,MI48763
38-1443395 		HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN
 
 
No
(16)ST MARY'S - ST JOSEPH HEALTH SYSTEM
800 S WASHINGTON AVENUE

SAGINAW,MI48601
46-1084363 		SUPPORTING ORGANIZATION MI 501(c)(3) Type III-FI ASCENSION MICHIGAN
 
 
No
(17)ASCENSION ST MARY'S HOSPITAL FKA ST MARY'S OF MICHIGAN
800 S WASHINGTON AVENUE

SAGINAW,MI48601
38-0997730 		HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
 
No
(18)ASCENSION STANDISH HOSPITAL FKA STANDISH COMMUNITY HOSPITAL
805 WEST CEDEAR STREET

STANDISH,MI48658
38-1671120 		HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
 
No
(19)ASCENSION PROVIDENCE ROCHESTER HOSPITAL FKA CRITTENTON HOSPITAL MEDICAL CEN
TER1101 W UNIVERSITY DR

ROCHESTER,MI48307
38-1359247 		GENERAL HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
 
No
(20)BORGESS AMBULATORY CARE CORPORATION
1521 GULL ROAD

KALAMAZOO,MI49048
38-2468823 		HOLDING COMPANY MI 501(c)(3) 3 BORGESS HEALTH ALLIANCE INC
 
Yes
 
(21)ASCENSION BORGESS FOUNDATION FKA BORGESS FOUNDATION
1521 GULL ROAD

KALAMAZOO,MI49048
23-7222558 		FUNDRAISING MI 501(c)(3) Type III-FI BORGESS HEALTH ALLIANCE INC
 
Yes
 
(22)ASCENSION BORGESS LEE FOUNDATION FKA LEE MEMORIAL FOUNDATION
420 W HIGH STREET

DOWAGIAC,MI49047
38-2860459 		FUNDRAISING MI 501(c)(3) Type III-FI ASCENSION BORGESS-LEE HOSPITAL FKA LEE MEMORIAL HOSPITAL CORPORATION
 
Yes
 
(23)ASCENSION EASTWOOD BEHAVIORAL HEALTH FKA EASTWOOD COMMUNITY CLINICS
28000 DEQUINDRE ROAD

WARREN,MI48092
38-1958763 		HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE
 
Yes
 
(24)ASCENSION PROVIDENCE FOUNDATION (FKA PROVIDENCE HEALTH FOUNDATION)
22101 MOROSS

DETROIT,MI48236
38-3526629 		FUNDRAISING MI 501(c)(3) Type III-FI ST JOHN PROVIDENCE
 
Yes
 
(25)SETON HEALTH CORPORATION OF SOUTHEAST MICHIGAN
28000 DEQUINDRE

WARREN,MI48092
38-2820107 		HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE
 
Yes
 
(26)ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH FKA ST JOHN COMMUNITY HEALTH
INVESTMENT CORPORATION28000 DEQUINDRE ROAD

WARREN,MI48092
38-2262856 		HEALTH CARE MI 501(c)(3) 3 ST JOHN PROVIDENCE
 
Yes
 
(27)ASCENSION ST JOHN FOUNDATION FKA ST JOHN HOSPITAL FOUNDATION
22101 MOROSS

DETROIT,MI48236
20-2961579 		FUNDRAISING MI 501(c)(3) 7 ST JOHN PROVIDENCE
 
Yes
 
(28)ST JOHN PROVIDENCE PHYSICIANS CMG
28000 DEQUINDRE ROAD

WARREN,MI48092
38-2601348 		HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE
 
Yes
 
(29)ST JOSEPH HEALTH SYSTEM FOUNDATION
200 HEMLOCK ROAD

TAWAS CITY,MI48763
01-0790428 		FUNDRAISING MI 501(c)(3) Type I ASCENSION ST JOSEPH'S HOSPITAL FKA ST JOSEPH HEALTH SYSTEM INC
 
Yes
 
(30)FIELD NEUROSCIENCES INSTITUTE
800 S WASHINGTON AVENUE

SAGINAW,MI48601
38-2790703 		MEDICAL RESEARCH ORGANIZATION MI 501(c)(3) 10 ASCENSION ST MARY'S HOSPITAL FKA ST MARY'S OF MICHIGAN
 
Yes
 
(31)ASCENSION ST MARY'S FOUNDATION FKA ST MARY'S MEDICAL CENTER FOUNDATION SAGI
NAW MICHIGAN800 S WASHINGTON AVENUE

SAGINAW,MI48601
38-2246366 		FUNDRAISING MI 501(c)(3) Type II ASCENSION ST MARY'S HOSPITAL FKA ST MARY'S OF MICHIGAN
 
Yes
 
(32)CRITTENTON HOSPITAL MEDICAL CENTER FOUNDATION
1101 WEST UNIVERSITY DR

ROCHESTER,MI48307
38-2627336 		SUPPORTING MI 501(c)(3) Type I ASCENSION PROVIDENCE ROCHESTER HOSPITAL FKA CRITTENTON HOSPITAL MEDICAL CEN
TER
Yes
 
(33)CRITTENTON CANCER CENTER
1101 WEST UNIVERSITY DR

ROCHESTER,MI48307
38-3239057 		CANCER TREATMENT MI 501(c)(3) 10 ASCENSION PROVIDENCE ROCHESTER HOSPITAL FKA CRITTENTON HOSPITAL MEDICAL CEN
TER
Yes
 
(34)GENESYS AMBULATORY HEALTH SERVICES
5455 ALI DR DEPT 200

GRAND BLANC,MI484395195
38-2371754 		HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM
 
Yes
 
(35)ASCENSION GENESYS FOUNDATION FKA GENESYS HEALTH FOUNDATION
ONE GENESYS PARKWAY

GRAND BLANC,MI484398065
38-3591148 		FOUNDATION MI 501(c)(3) Type I GENESYS HEALTH SYSTEM
 
Yes
 
(36)CENTER FOR GERONTOLOGY
5455 ALI DRIVE DEPT200

GRAND BLANC,MI484395195
38-2514708 		ADULT DAY CARE MI 501(c)(3) Type I GENESYS AMBULATORY HEALTH SERVICES
 
Yes
 
(37)GENESYS CONVALESCENT CENTER
8481 HOLLY ROAD

GRAND BLANC,MI484391812
38-2317364 		CONVALESCENT CENTER MI 501(c)(3) 3 GENESYS AMBULATORY HEALTH SERVICES
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2017
Page 2
Schedule R (Form 990) 2017
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) TOWNE CENTRE SURGERY CENTER LLC

4599 TOWNE CENTRE
SAGINAW,MI48604
20-4943843 		OUTPATIENT SERVICES MI NA
  		N/A                
(2) Open MRI of Michigan

411 W 13 MILE ROAD
MADISON HEIGHTS,MI48071
38-3544539 		MRI Center MI NA
  		N/A                
(3) The Michigan Institute for Advanced Surgery LLC

1375 S Lapeer Rd
109
Lake Orion,MI48360
03-0444972 		OUTPATIENT SERVICES MI NA
  		N/A                
(4) Hospital Consolidated Laboratories LLC

39595 W 10 Mile Rd
Novi,MI48375
38-3318428 		LAB SERVICES MI NA
  		N/A                






Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ST JOSEPH HEALTH ENTERPRISES

200 HEMLOCK ROAD
TAWAS CITY,MI48764
38-2686747 		OTHER MEDICAL MI NA
  		C Corporation       Yes  
(2) GENESYS PRACTICE PARTNERS

5445 ALI DRIVE DEPT 200
GRAND BLANC,MI48439
03-0516871 		EMPLOYED PHY PRACTICE MI NA
  		C Corporation       Yes  
(3) BEECHER BALLENGER SERVICES

ONE GENESYS PARKWAY
GRAND BLANC,MI484398065
38-2497922 		HOLDING COMPANY MI NA
  		C Corporation       Yes  
(4) ADVENT INC

28000 DEQUINDRE
WARREN,MI48092
38-2971743 		RENTAL REAL ESTATE MI NA
  		C Corporation       Yes  
(5) AFFILIATED HEALTH SERVICES INC

28000 DEQUINDRE
WARREN,MI48092
38-2292922 		MEDICAL SERVICES MI NA
  		C Corporation       Yes  
(6) St Mary's Health

800 S Washington Avenue
Saginaw,MI48601
38-3477017 		Dormant MI NA
  		C Corporation       Yes  
(7) TEXTILE SYSTEMS INC

817 WALBRIDGE
KALAMAZOO,MI49007
38-2705047 		LAUNDRY SERVICES MI NA
  		C Corporation       Yes  
(8) CRITTENTON DEVELOPMENT CORPORATION

2251 N SQUIRREL RD STE 310
AUBURN HILLS,MI48326
38-2594115 		REAL ESTATE MI NA
  		C Corporation       Yes  
Schedule R (Form 990) 2017
Page 3
Schedule R (Form 990) 2017
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) 2017
Page 4
Schedule R (Form 990) 2017
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No
(1) GENESYS PHO LLC

307 E COURT STREETFLINT,MI48502
38-3209828 		MANAGEMENT SERVICES MI Unrelated
 
No
 253,387 4,910,820
 
No
  
 
No
 50 %






























Schedule R (Form 990) 2017
Page 5
Schedule R (Form 990) 2017
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2017

Additional Data


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