Form 990, Part IV, Line 20b Audited FInancial Statements |
The activity of Ascension Borgess Hospital is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of Ascension Borgess Hospital is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of Ascension Borgess Hospital. |
Form 990, Part VI, Line 15a Process For Determining Compensation of Top Management Official |
The process for determining compensation of the organization's CEO, Executive Director, or Top Management Official is performed by a related organization. The process includes review and approval by independent persons of the related organization's compensation committee, use of comparability data, and contemporaneous substantiation of the deliberation and decision regarding the compensation arrangement. The compensation committee is charged with overseeing the process in a manner designed to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations. |
Form 990, Part VI, Line 15b Process for Determining Compensation of Other Officers or Key Employees |
The process for determining compensation of the organization's other officers or key employees is performed by a related organization. The process includes review and approval by independent persons of the related organization's compensation committee, use of comparability data, and contemporaneous substantiation of the deliberation and decision regarding the compensation arrangement. The compensation committee is charged with overseeing the process in a manner designed to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations. |
Form 990, Part VI, Line 4 Significant changes to organizational documents |
On September 21, 2018, Borgess Medical Center legally changed its name to Ascension Borgess Hospital. |
Form 990, Part VI, Line 6 Classes of members or stockholders |
ASCENSION BORGESS HOSPITAL has a single corporate member, Ascension Michigan, who has the ability to elect members of the governing body of the ASCENSION BORGESS HOSPITAL. |
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body |
ASCENSION BORGESS HOSPITAL has a single corporate member, Ascension Michigan who has the ability to elect members to the governing body of the ASCENSION BORGESS HOSPITAL. |
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders |
All decisions that have a material impact to Ascension Borgess Hospital financial information or corporation as a whole are subject to approval by its sole corporate member, Ascension Michigan. |
Form 990, Part VI, Line 11b Review of form 990 by governing body |
DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS WHICH MAY INCLUDE, AS NEEDED, FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO DESIGNATED MANAGEMENT TEAM MEMBERS WITH EXPERIENCE IN TAX IN LIEU OF THE FULL BOARD. |
Form 990, Part VI, Line 12c Conflict of interest policy |
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 Conflict 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, Line 19 Required documents available to the public |
The organization will provide any documents open to public inspection upon request. |
Form 990, Part VII, Section A RELATED ENTITIES |
THE ORGANIZATION UTILIZES AN AFFILIATE AS THE COMMON PAY AGENT. EMPLOYEES REPORTED IN PART VII MAY HAVE DUTIES THAT IMPACT MULTIPLE RELATED ENTITIES. TOTAL AVERAGE HOURS WORKED AND COMPENSATION AND BENEFITS PAID ARE REPORTED. IN DOING SO, IF AVAILABLE, A COMMON LAW EMPLOYER ANALYSIS IS USED TO DETERMINE WHETHER THE HOURS AND COMPENSATION/BENEFITS ARE REPORTABLE AS ATTRIBUTABLE DIRECTLY TO THE FILING ORGANIZATION OR ANOTHER ENTITY; OTHERWISE, THE BEST AVAILABLE INFORMATION HAS BEEN USED AS THE BASIS FOR ALLOCATIONS UTILIZED IN THE REPORTING. |
Form 990, Part VIII, Line 2f Other Program Service Revenue |
Need to Review - Total Revenue: 3755, Related or Exempt Function Revenue: 3755, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Contracted Services Revenue - Total Revenue: 3000, Related or Exempt Function Revenue: 3000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; management fees - Total Revenue: 151745, Related or Exempt Function Revenue: 151745, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue |
Escheatment Revenue - Total Revenue: 47436, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 47436; Late Penalty Fees - Total Revenue: 779, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 779; Medical Records Fees - Total Revenue: 6340, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 6340; Miscellaneous Revenue - Total Revenue: 400511, Related or Exempt Function Revenue: 192684, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 207827; Retail Sales - Total Revenue: 4486, Related or Exempt Function Revenue: 4486, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Medical Staff Dues - Total Revenue: 83295, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 83295; EXTERNAL SERVICES - Total Revenue: 600000, Related or Exempt Function Revenue: 600000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
Form 990, Part XI, Line 9 Other changes in net assets or fund balances |
FAS 158 Pension Adjustment - -1086912; Transfers to/from Alpha Fund - -3073535; Transfers to/from Affiliates - 203391; |
Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant |
Ascension Borgess Hospital is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole. |