2016-11-15T17:02:21-06:00 2015-12-31 381357951 PLANTE & MORAN PLLC PO BOX 307 SOUTHFIELD MI 480370307 990 2015-01-01 381359247 CRITTENTON HOSPITAL MEDICAL CENTER CRIT 2486525000 1101 W UNIVERSITY DRIVE ROCHESTER MI 48307 MARGARET DIMOND CEO 2486525000 2016-11-15 1 CAROL A LALONDE CPA P00181637 2483522500 2015 2017-02-10 21:41:12Z MARGARET DIMOND 1101 W UNIVERSITY DRIVE ROCHESTER MI 48307 328202930 0 X WWW.CRITTENTON.COM X 1900 MI CRITTENTON HOSPITAL MEDICAL CENTER IS DEDICATED TO ENHANCING THE HEALTH STATUS OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. 14 12 1693 400 2797794 -1143807 325202 101727 223919269 197961381 4109875 17225940 2059011 2557894 230413357 217846942 0 0 0 0 86817126 91785277 0 0 0 137646715 167547471 224463841 259332748 5949516 -41485806 380154978 361124723 214063057 259940082 166091921 101184641 X CRITTENTON HOSPITAL MEDICAL CENTER IS DEDICATED TO ENHANCING THE HEALTH STATUS OF THE INDIVIDUALS AND COMMUNITIES WE SERVE IN PARTNERSHIP WITH OUR PHYSICIANS, EMPLOYEES, AND COMMUNITY MEMBERS. 0 0 195493887 195125992 THE HOSPITAL WAS INVOLVED IN A LARGE NUMBER OF COMMUNITY CARE PROJECTS, EITHER AS A PARTICIPANT OR A SPONSORING ORGANIZATION. THESE INCLUDE, BUT ARE NOT LIMITED TO: HEALTHY PREGNANCY, WOMEN'S HEALTHY HEART, NUTRITION, WEIGHT LOSS, HEALTHY AGING, CHILD SAFETY, HEALTH RISK APPRAISALS, SMOKING CESSATION, MANAGING STRESS, CPR, SLEEP DISORDER AND MEN'S HEALTH CLASSES FOR THE COMMUNITY. IN ADDITION, FREE BLOOD PRESSURE SCREENINGS ARE MADE AVAILABLE TO THE COMMUNITY. A BEREAVEMENT PROGRAM IS OFFERED THROUGH THE OBSTETRICS DEPARTMENT FOR GRIEVING PARENTS OF INFANTS. ANNUALLY, VOLUNTEERS FROM THE HOSPITAL PARTICIPATE AT THE ROCHESTER ARTS AND APPLES FESTIVAL, COLLECT GIFTS FOR THE ROCHESTER NEIGHBORHOOD HOUSE, COLLECT FOOD FOR THE MICHIGAN HARVEST GATHERING AND PARTICIPATE IN THE NORTH OAKLAND AMERICAN HEART WALK, THE BROOKSIE WAY AND COATS FOR COLD. A GEROPSYCHIATRIC PROGRAM WAS STARTED TO ASSIST OLDER ADULTS WITH HEALTH CARE CHANGES AND THE HOSPITAL ALSO HAS WOUND CARE SERVICES, INCLUDING HYPERBARIC TREATMENTS. 195493887 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 265 0 1 1693 1 1 1 1 CJ 0 0 0 0 0 0 0 0 X 14 12 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 0 1 1 0 1 0 X KIM HAUSCHILD 2486525780 1101 W UNIVERSITY DRIVE ROCHESTER MI 48307 ROBERT LENIHAN II CHAIRMAN 1.00 0.00 X X 0 0 0 BEVERLY ALLEN VICE CHARIMAN & TREASURER 1.00 0.00 X X 0 0 0 BRYAN BARNETT TRUSTEE 1.00 0.00 X 0 0 0 LISA ASADOORIAN TRUSTEE 1.00 0.00 X 0 0 0 JEFFREY DECLAIRE MD TRUSTEE 1.00 0.00 X 104211 0 0 PETER DESTEIGER TRUSTEE 1.00 0.00 X 0 0 0 ROBERT GO MD TRUSTEE 1.00 0.00 X 42759 0 0 KENNETH JOHNSON TRUSTEE 1.00 0.00 X 0 0 0 KATHRIN KUDNER TRUSTEE 1.00 0.00 X 0 0 0 FREDERICK MAIBAUER MD TRUSTEE 1.00 0.00 X 0 0 0 F SCOTT MILLER TRUSTEE 1.00 0.00 X 0 0 0 RUSSELL SHELTON TRUSTEE 1.00 0.00 X 0 0 0 BRAD UPTON TRUSTEE 1.00 0.00 X 0 0 0 BRADFORD MERRELLI MD TRUSTEE 1.00 0.00 X 0 0 0 ROBERT SKANDALARIS TRUSTEE - PART YEAR 1.00 0.00 X 0 0 0 ROY POWELL PRESIDENT & CEO 38.00 2.00 X 527563 0 35778 TERRY HAMILTON INTERIM CEO 20.00 0.00 X 12000 0 0 KENNETH SANGER CHIEF NURSING OFFICER 40.00 0.00 X 188309 0 34474 AUDRIANNE MOCERI EXECUTIVE ASSISTANT 40.00 0.00 X 73293 0 18355 PETER KORDA MD CHIEF OF STAFF 40.00 0.00 X 50640 0 0 MICHELLE HORNBERGER CHIEF STRATEGY OFFICER - PART YEAR 39.00 1.00 X 161501 0 39674 DONNA KOPINSKI CHIEF FINANCIAL OFFICER 38.00 2.00 X 263120 0 41605 SAMER KAZZIHA MD EXECUTIVE MEDICAL DIRECTOR 31.20 0.00 X 339800 0 0 DOUGLAS PUGMIRE DO MED. DIRECTOR ROBOTICS/GYN ONCOLOGY 40.00 0.00 X 600440 0 16672 KEVIN FLOREK DO PHYSICIAN 40.00 0.00 X 263776 0 39705 ROBERT LACOSTE MD MEDICAL DIRECTOR BEHAVIORAL HEALTH 40.00 0.00 X 263496 0 21674 MICHAEL LAKER MD ORTHOPEDIC SURGEON 40.00 0.00 X 354425 0 28993 3245333 0 276930 95 0 1 0 WAYNE STATE UNIVERSITY 1420 STEVENSON HIGHWAY TROY MI 48083 PROFESSIONAL SERVICES 8588679 SODEXO INC AND AFFILIATES 4880 PAYSHERE CIRCLE CHICAGO IL 60674 PROFESSIONAL SERVICES 5356799 CARETECH SOLUTIONS INC PO BOX 674271 DETROIT MI 48267 IT SERVICES 3969197 CERNER HEALTHCARE SOLUTIONS 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 IT SERVICES 3462695 SODEXO CTM PO BOX 415000 NASHVILLE TN 37241 PROFESSIONAL SERVICES 2270169 69 101727 101727 NET PATIENT SERVICE REVENUE 621110 197189342 194353953 2835389 AUC SCHOOL OF MEDICINE 611600 274144 274144 DRS LAKER/PRINCE 900099 175180 175180 MEDICAL RECORDS 900099 115434 115434 COMMUNITY HEALTH 900099 75087 75087 132194 132194 197961381 2124751 -41034 2165785 121966671 3490506 107078177 3277811 14888494 212695 15101189 15101189 JVHL 621500 916489 916489 MEDICAL STAFF FUNCTIONS 900099 255494 255494 TV RENTAL INCOME 900099 202902 202902 1183009 3439 1179570 2557894 217846942 195125992 2797794 19821429 X 1581282 1581282 74181644 66487807 7693837 2450972 2312457 138515 7436173 6894756 541417 6135206 5616781 518425 3751912 3751912 297998 17407 280591 78977 78977 36254045 34818336 1435709 1356280 1356280 2696770 2522091 174679 8802212 8802212 4934274 2281760 2652514 50324 25715 24609 16538 12529 4009 4242801 4242801 16105182 10754835 5350347 758970 1333 757637 MEDICAL SUPPLIES 40841581 40577801 263780 MALPRACTICE 26925203 12593 26912610 BAD DEBT EXPENSE 10948409 10948409 0 QAAP EXPENSE 5270165 5270165 0 4215830 2696311 1519519 259332748 195493887 63838861 0 12814 73826 21598459 25762837 27237915 27312544 3904647 3968195 4075262 2709363 171422791 3322820 172726728 168099971 93332899 93428744 41224 40925 9807256 8901695 47417774 30826623 380154978 361124723 22158333 23849387 153965478 0 152861 0 37786385 236090695 214063057 259940082 X 166034360 101127122 57561 57519 166091921 101184641 380154978 361124723 X -41485806 -15339066 5058 57563 -8145029 X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 164215 22761 141454 141495 91800 2 62852 6230 164215 138145 182593 56 177223 2076 141495 827601 193472 7886 885577 5237 138145 843841 219377 12055 243647 4025 827601 0.00000 0.00000 1.00000 0 1 1 3950000 3950000 139463464 1156215 138307249 863850 -901527 1765377 27063868 3016094 24047774 81609 52038 29571 168099971 ACCOUNTS RECEIVABLE AFFILIATES 21205808 MISCELLANEOUS ACCOUNTS RECEIVABLE 913287 PHYSICIAN LOAN FORGIVENESS 123500 PHYSICIAN LOANS 182061 LOAN RECEIVABLE DOCTORS HOSPITAL 447818 ACCOUNTS RECEIVABLE RHREH 400465 ACCOUNTS RECEIVABLE RREH 1752617 MALPRACTICE GROSS UP 5558096 ACCOUNTS RECEIVABLE MMPI 242971 30826623 SELF FUNDED MALPRACTICE INS CLAIMS LIABILITY 8587692 POST RETIREMENT HEALTH INS LIABILITY 492822 PENSION LIABILITY 24422680 IBNR AETNA 633070 CDMS NOTE PAYABLE RELATED PARTY 161224398 ACCOUNTS PAYABLE SAAC 736279 DUE TO AFFILIIATES 3731866 W/C LIABILITY 1017739 GENERAL LIABILITIES 35244149 236090695 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED FOR THE GIFT SHOP, THE AUXILLIARY AND THE HOSPITAL FOR GRANTS, SCHOLARSHIPS AND OTHER EXPENSES. PART X, LINE 2: THE MEMBER HEALTHCARE ENTITIES OF THE SYSTEM ARE PRIMARILY TAX-EXEMPT ORGANIZATIONS UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) OR SECTION 501(C)(2), AND THEIR RELATED INCOME IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A). THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2016. THE SYSTEM HAD DEFERRED TAX ASSETS OF APPROXIMATELY $378,000 AND $354,000 FOR FEDERAL AND STATE INCOME TAX PURPOSES PRIMARILY RELATED TO NET OPERATING LOSS CARRYFORWARDS FOR THE YEARS ENDED JUNE 30, 2016 AND 2015, RESPECTIVELY. A VALUATION ALLOWANCE OF APPROXIMATELY $377,000 AND $344,000 WAS RECORDED DUE TO THE UNCERTAINTY REGARDING USE OF THE DEFERRED TAX ASSETS FOR THE YEARS ENDED JUNE 30, 2016 AND 2015, RESPECTIVELY. CENTRAL AMERICA/CARIBBEAN 0 0 PROGRAM SERVICES INSURANCE 560282 CENTRAL AMERICA/CARIBBEAN 0 0 INVESTMENT 161224 0 0 0 0 0 0 721506 0 721506 1 0 1 0 0 0 1 1 X 1 X 1 X 1 1 1 0 0 179619 179619 0.00070 23307045 15673558 7633487 0.03070 94814 103707 -8893 0.00000 23581478 15777265 7804213 0.03140 126067 126067 0.00050 13101943 4779772 8322171 0.03350 1300 1300 0.00000 13229310 4779772 8449538 0.03400 36810788 20557037 16253751 0.06540 9 1034 1581 1581 0.00000 7 3 963 963 0.00000 30 1675 5924 5924 0.00000 2 60 372 372 0.00000 48 2772 8840 8840 0 10948409 21169 59311543 73002256 -13690713 X 1 1 1 USC LLC SURGICAL CENTER 0.28640 0.71360 1 1 CRITTENTON HOSPITAL MEDICAL CENTER 1101 W UNIVERSITY ROCHESTER MI 48307 X X X X CRITTENTON HOSPITAL MEDICAL CENTER 1 0 1 1 X X X X X X X X 13 1 0 0 1 X WWW.CRITTENTON.COM X HTTP://WWW.CRITTENTON.COM/PUBLIC/UPLOADS/2012/07/COMMUNITY-HEALTH-NEEDS- X X 1 14 1 HTTP://WWW.CRITTENTON.COM/COMMUNITY-ASSESSMENT/ 0 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X 1 X HTTP://WWW.CRITTENTON.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY/ X HTTP://WWW.CRITTENTON.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY/ X HTTP://WWW.CRITTENTON.COM/PATIENTS-VISITORS/BILLING-AND-INSURANCE/ X X X X 1 0 X X X X 1 X 0 0 CRITTENTON HOSPITAL MEDICAL CENTER PART V, SECTION B, LINE 5: THE METHODOLOGY FOR SURVEY ASSESSMENT INVOLVED THE DISTRIBUTION OF THE SURVEY ELECTRONICALLY, ONLINE, AND ON PAPER DURING THE MONTHS OF SEPTEMBER THROUGH NOVEMBER 2012. THE SURVEY TOOL WAS DEVELOPED TO ASSESS THE NEEDS OF THE COMMUNITY, THE INDIVIDUAL NEEDS AND HEALTH STATUS OF THE RESPONDERS, AND TO ASSESS THE SERVICES THAT CHMC PROVIDES TO THE COMMUNITY. THE INTENTION OF THE SURVEY TOPIC SELECTION WAS TO ASSESS A GENERAL OVERVIEW OF THE COMMUNITY NEEDS. THE SURVEY TAKERS WERE GIVEN MULTIPLE CHOICE OPTIONS WITH IMPORTANT ISSUES IDENTIFIED BY: HIGH NEED/CONCERN, LOW NEED/CONCERN, NO NEED/CONCERN, AND DO NOT KNOW.COMMUNITY STAKEHOLDERS OF DIFFERENT AGES, SOCIOECONOMIC STATUS, OCCUPATION, AND CULTURAL BACKGROUNDS WERE INVITED TO PARTICIPATE. FEATURE ARTICLE AND INVITATION TO TAKE SURVEY IN OUR WELLSPRING PUBLICATION WAS DISTRIBUTED TO 15,000 HOUSEHOLDS IN OUR PRIMARY SERVICE AREA. EMAIL INVITATIONS WITH SURVEY WEBSITE LINK WERE SENT TO ALL OF OUR COMMUNITY MEMBERS IN OUR PRIMARY SERVICE AREAS:1. PUBLIC/PRIVATE SCHOOLS2. PUBLIC HEALTH3. BUSINESS LEADERS4. PHYSICIANS5. RELIGIOUS ORGANIZATIONS6. UNIVERSITIES/COLLEGES7. HIGH SCHOOL LEADERSHIP GROUPS8. SENIOR CENTERSHARD COPY INVITATIONS AND PAPER SURVEYS WERE DISTRIBUTED AT ALL COMMUNITY EVENTS WITH INSTRUCTIONS TO TAKE THE SURVEY ONLINE OR PAPER SURVEYS COMPLETED ON-SITE OR MAILED IN. THESE EVENTS INCLUDED:1. COMMUNITY HEALTH FAIRS AND EXPOS2. BREAST CANCER WALK3. PHYSICIAN LECTURES4. HEALTH SCREENINGS CRITTENTON HOSPITAL MEDICAL CENTER PART V, SECTION B, LINE 7D: DISTRIBUTION OF ANNUAL COMMUNITY BENEFIT REPORT TO 15,000 HOUSEHOLDS, IN HOSPITAL AND AT COMMUNITY EVENTS CRITTENTON HOSPITAL MEDICAL CENTER PART V, SECTION B, LINE 2: CRITTENTON HOSPITAL WAS ACQUIRED BY ASCENSION HOSPTIAL ON 10/1/15. CRITTENTON HOSPITAL MEDICAL CENTER PART V, SECTION B, LINE 11: CHMC WILL NOT ADDRESS THE INCREASED AVAILABILITY OF CHILDCARE PRIORITY BECAUSE THERE ARE SUFFICIENT RESOURCES IN THE COMMUNITY. THERE ARE A VARIETY OF CHILDCARE OPTIONS FROM IN-HOME, LEARNING CENTERS, DAYCARE CENTERS, AND DROP-IN CARE. CHMC HAS A CHILDCARE FACILITY, CHILDREN'S CHOICE, AVAILABLE TO EMPLOYEES AND THE COMMUNITY. CHMC WILL NOT ADDRESS THE IMMUNIZATIONS FOR CHILDREN AND ADULTS PRIORITY BECAUSE THERE ARE SUFFICIENT RESOURCES IN THE COMMUNITY. CHMC OFFERS FRIENDS AND FAMILY FLU SHOT EVENT IN THE FALL, CHMC TRAVEL MEDICINE AND THE CRITTENTON WELLNESS CENTER AT OLDER PERSON COMMISSION (OPC) OFFERS IMMUNIZATIONS TO THE PUBLIC, THE PUBLIC HEALTH DEPARTMENT PROVIDES FREE IMMUNIZATIONS, AND LOCAL NON-PROFIT OFFERS FREE IMMUNIZATIONS FOR CHILDREN IN AUGUST AT AN ANNUAL HEALTH BAZAAR.CHMC WILL NOT ADDRESS THE LOW AWARENESS OF POTENTIAL HEALTH THREATS PRIORITY BECAUSE CHMC CURRENTLY HAS AND EMERGENCY MANAGEMENT COMMITTEE COMPRISED OF HOSPITAL TEAM MEMBERS, LOCAL AGENCIES AND BUSINESSES, AND COMMUNITY MEMBERS. INFORMATION IS POSTED ON THE WEBSITE AND ARTICLES ARE PUBLISHED IN WELLSPRING ON THIS ISSUE. CRITTENTON HOSPITAL MEDICAL CENTER PART V, SECTION B, LINE 22D: THOSE PATIENTS THAT ARE ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY ARE EITHER NOT CHARGED FOR THEIR SERVICES OR ARE CHARGED A 75% DISCOUNT RATE WHICH ON AVERAGE SHOULD NOT EXCEED THE GREATER OF OUR THREE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES. 3 2 - MICHIGAN RESONANCE IMAGING 355 BARCLAY CIRCLE STE A ROCHESTER MI 48307 IMAGING CENTER 3 - MICHIGAN MOBILE PET 15500 LUNDY PARKWAY DEARBORN MI 48126 IMAGING CENTER 4 - USC LLC 4800 INVESTMENT DRIVE STE 370 TROY MI 48098 SURGICAL CENTER PART I, LINE 3C: CRITTENTON HOSPITAL MEDICAL CENTER USED THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILTY FOR PROVIDING BOTH 'FREE' CARE AND 'DISCOUNTED' CARE TO LOW INCOME INDIVIDUALS. THE FAMILY INCOME LIMIT USED IS 200% FOR 'FREE' CARE AND UP TO 300% FOR 'DISCOUNTED' CARE. PART I, LINE 7: THE COSTING METHOD USED FOR FINANCIAL ASSISTANCE AND MEANS TESTED GOVERNMENT PROGRAMS WAS A COST TO CHARGE RATIO FROM WORKSHEET 2 AND OTHER COMMUNITY BENEFITS WAS CALCULATED BASED UPON ACTUAL COST. PART I, LINE 7G: CRITTENTON HOSPITAL MEDICAL CENTER DOES NOT HAVE ANY SUBSIDIZED HEALTH SERVICES TO REPORT. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE OF $10,948,409 WAS REMOVED FROM THE DENOMINATOR FOR THE CALCULATION OF THE PERCENT OF TOTAL EXPENSE. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY HEALTH LEADERSHIP AND OTHER SENIOR LEADERS ACTIVELY PARTICIPATE ON A BROAD RANGE OF COMMUNITY COALITIONS SUCH AS THE OLDER PERSON'S COMMISSION, ROCHESTER COMMUNITY SCHOOLS, ROCHESTER/AUBURN HILLS COMMUNITY COALITION, OAKLAND COUNTY OBESITY COALITION, REGION 2 NORTH, OAKLAND COUNTY MEDICAL CONTROL AUTHORITY, MICHIGAN DEPT OF COMMUNITY HEALTH, CROSSROADS PREGNANCY CENTER AND OTHERS. THIS PROVIDES ONGOING KNOWLEDGE OF VARYING COMMUNITY NEEDS AND ADJUSTS AS ECONOMIC, ENVIRONMENTAL, AND HEALTHCARE CHANGES OCCUR IN CRITTENTON'S KEY COMMUNITIES. THE VARIOUS PROGRAMS THAT CHMC OFFERS TO THE COMMUNITY HELP TO ENHANCE THE HEALTH STATUS BY EDUCATION, EARLY DETECTION, SCREENING, AND ACCESSIBILITY TO RESOURCES. WE RECEIVE MULTIPLE STORIES EVERY YEAR STATING THAT IF THEY HAD NOT ATTENDED ONE OF OUR SCREENINGS, THEN THEY MAY NOT HAVE PURSUED FURTHER MEDICAL CARE OR TREATMENT. THE SCREENING OR EDUCATION IS WHAT INCREASED THEIR AWARENESS AND ENCOURAGED THEM TO SEEK CARE AND THAT SCREENING OR ACTIVITY IS WHAT HELPED TO ENHANCE THEIR HEALTH. PART III, LINE 2: 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 THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THE REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HOSPITAL FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES. THE BAD DEBT AMOUNT REPORTED ON PART III LINE 2 IS THE HOSPITAL'S PROVISION FOR BAD DEBT PER THE HOPSITAL'S FINANCIAL STATEMENTS AND PER FORM 990 PART IX. PART III, LINE 4: THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL EXPERIENCE, ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL 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 DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE ARE REASONABLE EFFORTS TO COLLECT FROM THE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE SYSTEM. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE SYSTEM'S POLICIES. THE METHODOLOGY FOR DETERMINING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED WRITE-OFFS ON UNINSURED PATIENT ACCOUNTS HAS REMAINED CONSISTENT WITH THE PRIOR YEAR. PART III, LINE 8: AS A NON-PROFIT HOSPITAL, CRITTENTON HOSPITAL MEDICAL CENTER IS REQUIRED TO PROVIDE MINIMAL LEVELS OF COMMUNITY BENEFIT IN EXCHANGE FOR OUR TAX EXEMPT STATUS. THESE COMMUNITY BENEFITS INCLUDE HEALTH EDUCATION OPPORTUNITIES, CHARITY AND BAD DEBT WRITEOFFS, AND OUR LOSSES ON MEDICARE. IN KEEPING WITH OUR MISSION TO PROMOTE HEALTH IN THE COMMUNITY, WE PROVIDE CARE TO MEDICARE BENEFICIARIES AT A LOSS, THUS HELPING TO RELIEVE THE GOVERNMENT BURDEN OF TREATING THESE PATIENTS WHO MAY OTHERWISE HAVE THEIR ACCESS TO CARE LIMITED. PART III, LINE 9B: IT IS THE POLICY OF CRITTENTON HOSPITAL MEDICAL CENTER TO REQUIRE PAYMENT IN FULL FOR ALL SERVICES RENDERED, WHICH ARE PATIENT PAY, UPON RECEIPT OF THEIR FIRST STATEMENT. THE PATIENT THEN HAS THIRTY DAYS TO REMIT PAYMENT IN FULL. THE BURDEN OF PROOF OF A PATIENT'S INABILITY TO PAY IN FULL IS THE RESPONSIBILITY OF THE PATIENT. IF THE PATIENT CAN PROVE AN INABILITY TO PAY THEIR DEBT IN FULL, PARTIAL PAYMENT ARRANGEMENTS CAN BE MADE. IT IS ALSO THE POLICY OF THE HOSPITAL TO PROVIDE THE PATIENT WITH INFORMATION REGARDING THE AVAILABILITY OF WHATEVER SOCIAL SERVICES MAY BE APPLICABLE FOR THE PATIENT. IN ADDITION, A CHARITY CARE APPLICATION MAY ALSO BE PROVIDED. PART VI, LINE 2: THE ALLOCATION OF CRITTENTON'S RESOURCES TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF COMMUNITY RESIDENTS ARE BASED ON COMMUNITY NEEDS THAT ARE IDENTIFIED BOTH THROUGH THE STRATEGIC PLANNING PROCESS AND THROUGH A YEARLY COMPREHENSIVE REVIEW OF COUNTY, STATE AND FEDERAL HEALTHCARE DATA BY CRITTENTON'S COMMUNITY HEALTH AND EDUCATION DEPARTMENT. WE HAVE GATHERED AND ALIGNED THE COMMUNITY HEALTH NEEDS FROM OUR COMMUNITY, THE COUNTIES IN WHICH WE SERVE, THE STATE OF MICHIGAN FOUR BY FOUR PLAN, AND HEALTHY PEOPLE 2020. ONE OF THE IDENTIFIED NEEDS THAT CONSISTENTLY REMAINS A PRIORITY IS THE MENTAL HEALTH OF OUR ADOLESCENT POPULATION; SPECIFICALLY FOUCUSED ON SUBSTANCE ABUSE AND SUICIDE. WE HAVE CREATED A PROGRAM FOR TEENS, TEEN NIGHT, IN COLLABORATION WITH OUR COMMUNITY PARTNERS: THE VILLAGE OF ROCHESTER HILLS, ROCHESTER/AUBURN HILLS COMMUNITY COALITION, COMMON GROUND, OAKLAND COUNTY SHERRIFF'S DEPARTMENT, OAKLAND UNIVERSITY, AMERICAN CANCER SOCIETY, AVONDALE YOUTH ASSISTANCE, AND ROCHESTER AREA COUNSELING SERVICES THAT INTEGRATES EDUCATION AND SUPPORT IN A FUN, INTERACTIVE EVENING. WE RECENTLY HELD OUR 4TH ANNUAL TEEN NIGHT AND HAVE REACHED OVER 1,500 TEENS AND THEIR FAMILIES. PART VI, LINE 3: CRITTENTON HOSPITAL MEDICAL CENTER DOES A NUMBER OF THINGS IN ORDER TO EDUCATE AND/OR ASSIST A PATIENT IN RECEIVING OUTSIDE ASSISTANCE, INCLUDING THE FOLLOWING:1. SIGNAGE IS POSTED AT REGISTRATION POINTS AROUND THE HOSPITAL REGARDING ASSISTANCE AVAILABLE TO PAY FOR SERVICES AS WELL AS OUR UNCOMPENSATED SERVICES PROGRAM, HANDOUTS ARE GIVEN TO THE PATIENTS AND THE PROGRAM IS OUTLINED ON THE BACK OF EVERY STATEMENT THAT IS SENT TO THE PATIENT.2. FINANCIAL COUNSELORS ARE ON SITE THAT ARE CONTACTED EVERY TIME A PATIENT WITHOUT INSURANCE COMES INTO THE EMERGENCY ROOM OR IS ADMITTED TO THE HOSPITAL. IN THE PAST 12 MONTHS THE FINANCIAL COUNSELORS HAVE ASSISTED OVER 600 PATIENTS IN QUALIFYING FOR COUNTY, STATE, FEDERAL, OR HOSPITAL ASSISTANCE PROGRAMS.3. TAKE PART AND ASSIST PATIENTS IN QUALIFYING FOR THE COUNTY INDIGENT HOSPITATLIZATION PROGRAM WHICH IS RUN DIRECTLY THROUGH THE HOSPITAL AND PLACES VIRTUALLY NO BURDEN OF ANY TYPE ON THE PATIENT IN ORDER TO BE QUALIFIED.4. ALL MANAGERS THAT DEAL WITH THE PUBLIC ARE DIRECTLY INFORMED OF OUR UNCOMPENSATED SERVICE PROGRAMS AND VERBALLY ASSIST PATIENTS WITH SUGGESTIONS AS WELL AS OUR CASHIERS HAVING ACCESS TO THE SAME INFORMATION AND TRAINING.5. OFFER ASSISTANCE TO NEWBORN MOTHERS WITHOUT INSURANCE IN THE FORM OF ASSISTANCE IN APPLYING FOR MEDICAID AND PROVIDING MINIMAL PAYMENT OPTIONS. PART VI, LINE 4: CRITTENTON HOSPITAL MEDICAL CENTER IS A 290 BED ACUTE CARE HEALTH FACILITY SERVING COMMUNITIES IN OAKLAND, MACOMB AND LAPEER COUNTIES. THE ENTIRE SERVICE AREA ENCOMPASSES 35 ZIP CODES IN THREE REGIONS AND IS FURTHER SUBDIVIDED INTO THREE SECTORS: OUR CORE SECTOR WHICH ENCOMPASSES THE THREE ROCHESTER ZIP CODES, AND THE PRIMARY AND SECONDARY SECTORS. THE DEMOGRAPHIC SKEW FOR THE AREA IS SLIGHTLY OLDER THAN THE NORM WITH HIGHER HOUSEHOLD INCOMES. PART VI, LINE 5: CRITTENTON HOSPITAL MEDICAL CENTER DOES NOT WANT TO FORGET THE IMPORTANT ROLE THE COMMUNITY PLAYS IN ITS SUCCESS. THE HOSPITAL IS ESPECIALLY GRATEFUL THAT THEY ARE ABLE TO GIVE BACK TO THE COMMUNITY THROUGH ESSENTIAL HEALTHCARE SERVICES AND EDUCATION TO CATER TO THE UNMET NEEDS OF SO MANY IN ITS COMMUNITY. OFFERING ADVANCED CARE AND SERVICES IS ONE OF THE MANY WAYS CRITTENTON SERVES ITS COMMUNITY. CRITTENTON HAS PARTNERED WITH PREMIER ORGANIZATIONS TO FULFILL ITS MISSION OF ENHANCING THE HEALTH STATUS OF THE COMMUNITY, I.E. WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE AND OAKLAND UNIVERSITY SCHOOL OF NURSING ARE JUST A FEW. PART VI, LINE 6: CRITTENTON HOSPITAL MEDICAL CENTER IS DEDICATED TO PROVIDING CARE TO ALL RESIDENTS OF THE COMMUNITY, REGARDLESS OF THEIR FINANCIAL STATUS. THROUGH UNCOMPENSATED CARE, GOVERNMENT SPONSORED HEALTH CARE, COMMUNITY HEALTH SERVICES AND DONATIONS THE HOSPITAL IS ABLE TO REACH OUT TO THE COMMUNITY. THE FOUNDATION IS THE FUNDRAISING ARM OF THE ORGANIZATION. THEY HAVE HOSTED EVENTS SUCH AS THE GOLF, TENNIS AND FUN WALK BENEFIT AND THE GOURMET GALA BENEFIT WHICH HAS RAISED MONEY FOR A VARIETY OF ENHANCEMENTS TO THE HOSPITAL. THE CRITTENTON VOLUNTEER AUXILLARY IS AN INTEGRAL PART OF THE HOSPITAL'S SUCCESS. THE GROUP CONTRIBUTES A GREAT DEAL OF TIME AND SERVICE TO FURTHER THE GOAL OF PROVIDING CLINICAL EXCELLENCE IN A COMFORTABLE, WELCOMING ENVIRONMENT. SOME OF THE SERVICES THAT THEY PROVIDE INCLUDE CLERICAL ASSISTANCE, ESCORTING PATIENTS AROUND THE FACILITY, AND GREETING FAMILIES AND VISITORS. THE CRITTENTON WELLNESS CENTER AND THE OLDER PERSONS COMMISSION HAVE COMBINED HEALTH, WELLNESS, EDUCATION AND ACTIVITIES ALL WITH THE OLDER PERSON IN MIND. MEMBERSHIP IS FREE TO RESIDENTS OF ROCHESTER, ROCHESTER HILLS, AND OAKLAND TOWNSHIP WHO ARE OLDER THAN AGE FIFTY. PART VI, LINE 7, REPORTS FILED WITH STATES MI X X 1 0 0 0 0 0 0 0 0 ROY POWELL PRESIDENT & CEO 514057 0 10000 0 3506 0 18173 0 17605 0 563341 0 0 0 KENNETH SANGER CHIEF NURSING OFFICER 187790 0 0 0 519 0 12800 0 21674 0 222783 0 0 0 MICHELLE HORNBERGER CHIEF STRATEGY OFFICER - PART YEAR 161316 0 0 0 185 0 18000 0 21674 0 201175 0 0 0 DONNA KOPINSKI CHIEF FINANCIAL OFFICER 243120 0 20000 0 0 0 24000 0 17605 0 304725 0 0 0 SAMER KAZZIHA MD EXECUTIVE MEDICAL DIRECTOR 306421 0 0 0 33379 0 0 0 0 0 339800 0 0 0 DOUGLAS PUGMIRE DO MED. DIRECTOR ROBOTICS/GYN ONCOLOGY 515825 0 0 0 84615 0 0 0 16672 0 617112 0 0 0 KEVIN FLOREK DO PHYSICIAN 263776 0 0 0 0 0 22100 0 17605 0 303481 0 0 0 ROBERT LACOSTE MD MEDICAL DIRECTOR BEHAVIORAL HEALTH 171392 0 0 0 92104 0 0 0 21674 0 285170 0 0 0 MICHAEL LAKER MD ORTHOPEDIC SURGEON 353855 0 0 0 570 0 13154 0 15839 0 383418 0 0 0 PART I, LINE 4A ROY POWELL RECEIVED A SEVERANCE PAYMENT OF $3,506 IN 2015. THERE IS A SEVERANCE AGREEMENT SIGNED BY BOTH THE EMPLOYER AND EACH EMPLOYEE DETAILING THE TERMS. FORM 990, PART VI, SECTION A, LINE 4 THE GOVERNING DOCUMENTS OF CRITTENTON HOSPITAL MEDICAL CENTER CHANGED WITH THE ACQUISITION BY ASCENSION MICHIGAN. ASCENSION MICHIGAN BECAME THE SOLE MEMBER OF CRITTENTON HOSPITAL MEDICAL CENTER ON 10/1/15. THE GOVERNING DOCUMENTS WERE AMENDED TO CONFORM WITH THIS ACQUISITION. THE PHILOSOPHY OF CHMC IS THAT OF ASCENSION SPONSOR IN THAT IT WILL BE IN ACCORDANCE WITH THE OFFICAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEAL CARE SERVICES. THERE ARE POWERS AND RESPONSIBILITIES RESERVED FOR ASCENSION. FORM 990, PART VI, SECTION A, LINE 6 ASCENSION MICHIGAN (MINISTRY MARKET CORPORATION) THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A MINISTRY MARKET CORPORATION HAS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD. IT CAN ALSO APPOINT AND REMOVE THE CHAIR OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B MINISTRY MARKET CORPORATION HAS THE FOLLOWING DECISION MAKING RIGHTS: ANNUAL PERFORMANCE ASSESSMENT OF THE BOARD; MINISTRY MARKET STRATEGY; CHANGES TO MAJOR CLINICAL PROGRAMS OR SERVICES PROVIDED; STRATEGIES INVOLVING CHMC FOR PRATICIPATING IN CLINICALLY INTEGRATED SYSTEMS OF CARE; ARRANGEMENTS WITH PHYSICIANS PRACTICING AT CHMC'S HEALTH CARE FACILITIES; STRATEGIES INVOLVING CHMC FOR ESTABLISHING ARRANGEMENTS WITH LOCAL PAYORS, SELF-INSURED EMPLOYERS AND OTHER HEALTH CARE PURCHASES; STATEGIES NECESSARY TO MEET COMMUNITY NEEDS; AND MARKET-SPECIFIC CLINICALLY RELIABLE PROCESS DEVELOPMENT. ASCENSION HAS THE FOLLOWING DECISION MAKING RIGHTS: MAJOR TRANSACTIONS INVOLVING CHMC AND SUBSIDIARY THAT IS A CREDIT GROUP MEMBER; AND THE INCURRENCE OF DEBT BY CHMC OR ANY SUBSIDIARY. ASCENSION HEALTH HAS THE FOLLOWING DECISION MAKING RIGHTS: CHANGES TO ARTICLES OF INCORPORATION OR BYLAWS WHERE SUCH CHANGES ARE NOT CONSISTENT WITH SYSTEM POLICY; THE APPOINTMENT, REMOVAL AND PERFORMANCE EVALUATION OF CHMC'S PRESIDENT; THE FORMATION OF A SUBSIDIARY; AND MAJOR TRANSACTIONS INVOLVING ANY SUBSIDIARY THAT IS NOT A CREDIT GROUP MEMBER. FORM 990, PART VI, SECTION B, LINE 11 THE RETURN IS GIVEN TO THE BOARD OF DIRECTORS VIA E-MAIL FOR REVIEW BEFORE FILING. AFTER THE REVIEW, THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE HOSPITAL POLICY STATES THAT ALL EMPLOYEES HAVE A CONTINUOUS OBLIGATION TO DISCLOSE CONFLICTS OF INTEREST, AN ACTUAL IMPROPRIETY, AND/OR AN APPEARANCE OF IMPROPRIETY. EMPLOYEES AT THE MANAGER LEVEL AND ABOVE EACH SIGN A STATEMENT ON AN ANNUAL BASIS ACKNOWLEDGING THEIR UNDERSTANDING OF THE POLICY AND VERIFYING THEIR APPROPRIATE DISCLOSURE OF ANY CONFLICTS. ALL REPORTED CONFLICTS SHALL BE REVIEWED BY THE CEO IN CONJUCTION WITH THE COMPLIANCE OFFICER AND DEPARTMENT OF LEGAL AFFAIRS. IF IT IS DETERMINED THAT A CONFLICT EXISTS THE EMPLOYEEE SHALL DISCONTINUE ALL ACTIVITIES SURROUNDING THAT CONFLICT. THE EMPLOYEE MAY ALSO SEEK A WAIVER OF THE CONFLICT FROM THE CEO. CHMC ALSO HAS A QUESTIONNAIRE FOR INDIVIDUALS AND THEIR IMMEDIATE FAMILY MEMBERS, INCLUDING BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES REGARDING CONFICTS OF INTEREST AND THIS MUST BE SIGNED BY THE INDIVIDUALS. THE QUESTIONNAIRE INCLUDES THE FOLLOWING: 1. IDENTIFY YOUR SERVICE ON ANY BOARD OF DIRECTORS OR TRUSTEES OF ANY OF THE COMPANY'S WITH WHICH CHMC OR ANY OF ITS' AFFILIATES DOES BUSINESS. 2. IDENTIFY WHETHER YOU ARE ASSOCIATED DIRECTLY OR INDIRECTLY OR HOLD A POSITION OR FINANCIAL INTEREST IN ANY OUTSIDE ORGANIZATION OR CONCERN WITH WHICH CRITTENTON DOES BUSINESS. 3. IDENTIFY WHETHER YOU DIRECT, MANAGE,OR PROVIDE SERVICES OR CONSULTATION TO ANY OUTSIDE ORGANIZATION OR CONCERN THAT DOES BUSINESS WITH OR COMPETES WITH CRITTENTON. 4. IDENTIFY ANY ACTIVITIES IN WHICH YOU ARE ENGAGED THAT MIGHT BE REGARDED AS CONSTITUTING A POTENTIAL CONFLICT OF INTEREST WITH CRITTENTON. 5. DISCLOSE ANY DIRECT OR INDIRECT COMPENSATION THAT YOU RECEIVE, OR ANTICIPATE RECEIVING, FROM ANY PERSON, FIRM, CORPORATION, OR MARKET IN ANY WAY RELATED TO YOUR POSITION WITH CRITTENTON. IF AT ANY TIME THERE IS A MATTER UNDER CONSIDERATION WHICH MAY CREATE A DIRECT OR INDIRECT CONFLICT OF INTEREST, IT IS THE INDIVIDUAL'S OBLIGATION TO DISCLOSE THE FACTS SURROUNDING THE POSSIBLE CONFLICT TO THE CORPORATE COMPLIANCE OFFICER OR DEPARTMENT OF HUMAN RESOURCES AND THAT THE INDIVIDUAL AGREES TO PROMPTLY REPORT ANY NEW SITUATIONS THAT REQUIRE DISCLOSURE UNDER THIS QUESTIONNAIRE. THERE IS A SIGNED WRITTEN AGREEMENT/DOCUMENTATION FOR ANY BOARD MEMBER OR OFFICER IF A CONFLICT OF INTEREST ARISES. CURRENTLY THERE HAVE NOT BEEN ANY RESTRICTIONS PLACED ON ANY BOARD MEMBER OR OFFICER AS AN ISSUE HAS NOT ARISEN TO WARRANT THIS. FORM 990, PART VI, SECTION B, LINE 15A THE AUDIT COMMITTEE REVIEWS THE PERFORMANCE AGAINST THE GOALS SET FOR THE CEO. IN ADDITION THE AUDIT COMMITTEE PERFORMS A REVIEW OF THE TOTAL SALARY AGAINST MARKET STATISTICS. FROM THAT REVIEW, A RECOMMENDATION IS MADE TO THE EXECUTIVE COMMITTEE OF THE BOARD AND THE BOARD FOR APPROVAL. THE DETERMINATION AND DECISION ARE DOCUMENTED IN THE EXECUTIVE COMMITTEE OF THE BOARD MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN 2012. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST OF THE INDIVIDUAL. FORM 990, PART IX, LINE 11G CONTRACT SERVICES-PHYSICIANS, CLINICAL,CLERICAL: PROGRAM SERVICE EXPENSES 14,820,355. MANAGEMENT AND GENERAL EXPENSES 230,730. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,051,085. OP SURGICAL SERVICES: PROGRAM SERVICE EXPENSES 19,383. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,383. PURCHASED SERVICES-GENERAL: PROGRAM SERVICE EXPENSES 1,724,320. MANAGEMENT AND GENERAL EXPENSES 694,936. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,419,256. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 2,588,732. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,588,732. FOOD AND NUTRITION: PROGRAM SERVICE EXPENSES 2,384,003. MANAGEMENT AND GENERAL EXPENSES 72,801. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,456,804. BIO-MED: PROGRAM SERVICE EXPENSES 1,870,726. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,870,726. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 1,139,873. MANAGEMENT AND GENERAL EXPENSES 155,560. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,295,433. PURCHASED SERVICES-MEDICAL: PROGRAM SERVICE EXPENSES 1,460,188. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,460,188. LAUNDRY: PROGRAM SERVICE EXPENSES 1,332,527. MANAGEMENT AND GENERAL EXPENSES 53. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,332,580. REHAB SERVICES: PROGRAM SERVICE EXPENSES 739,219. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 739,219. PHARMACY: PROGRAM SERVICE EXPENSES 542,419. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 542,419. RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 502,645. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 502,645. GROUNDS MAINTENANCE: PROGRAM SERVICE EXPENSES 22,397. MANAGEMENT AND GENERAL EXPENSES 182,124. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 204,521. REIMBURSEMENT CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 99,505. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 99,505. EHR INCENTIVE : PROGRAM SERVICE EXPENSES 5,671,549. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,671,549. FORM 990, PART XI, LINE 9: FMV ADJUSTMENTS -7,578,947. LOSS ON INVESTMENT IN JOINT VENTURE -566,082. PART IV, LINE 20B: CRITTENTON HOSPITAL MEDICAL CENTER (CHMC) WAS ACQUIRED BY ASCENSION MICHIGAN ON OCTOBER 1, 2016. THERE WAS NO AUDIT PERFORMED FOR THE TAX YEAR JANUARY 1, 2015 THROUGH DECEMBER 31, 2015. CHMC WAS INCLUDED IN ASCENSION'S JUNE 30, 2016 AUDITED FINANCIAL STATEMENTS THAT COVERED CHMC FOR THE PERIOD OF OCTOBER 1, 2015 THROUGH JUNE 30, 2016. ATTACHED ARE ASCENSION'S JUNE 30, 2016 CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR WHICH CHMC WAS INCLUDED. CRITTENTON HOSPITAL MEDICAL CENTER FOUNDATION 1101 W UNIVERSITY DR ROCHESTER MI 48307 382627336 SUPPORTING MI 501(C)(3) LINE 11A, I CRITTENTON HOSPITAL MEDICAL CENTER 1 CRITTENTON CANCER CENTER 1101 W UNIVERSITY DR ROCHESTER MI 48307 383239057 CANCER TREATMENT MI 501(C)(3) LINE 9 CRITTENTON HOSPITAL MEDICAL CENTER 1 ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 63145 453358926 NATIONAL HEALTH SYSTEM MO 501(C)(3) LINE 11A, I N/A 0 ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 63145 311662309 NATIONAL HEALTH SYSTEM MO 501(C)(3) LINE 11A, I ASCENSION HEALTH ALLIANCE 0 CRITTENTON MEDICAL EQUIPMENT 161 S LIVERNOIS RD ROCHESTER HILLS MI 48307 383433794 MEDICAL EQUIPMENT SALES MI N/A BALD MOUNTAIN SURGICAL CENTER 1375 S LAPEER RD STE 3109 LAKE ORION MI 48360 030444972 SURGICAL SERVICES MI N/A CRITTENTON DEVELOPMENT CORPORATION 2251 N SQUIRREL RD STE 310 AUBURN HILLS MI 48326 382594115 REAL ESTATE MI CRITTENTON HOSPITAL MEDICAL CENTER C 1.00000 0 CRITTENTON MEDICAL PHARMACY 1101 W UNIVERSITY ROCHESTER MI 48307 203773341 PHARMACY SALES MI CRITTENTON DEVELOPMENT CORPORATION C 0 0 0 1 1 0 0 0 0 0 1 0 1 1 1 1 1 0 0 0 CHMC FOUNDATION C 101727 ACTUAL CASH TRANSFERRED CHMC FOUNDATION L 72700 ACTUAL CASH TRANSFERRED CHMC FOUNDATION M 249149 ACTUAL CASH TRANSFERRED CHMC FOUNDATION O 56925 ACTUAL COST INCURRED CRITTENTON CANCER CENTER J 153000 ACTUAL COST INCURRED CRITTENTON CANCER CENTER D 933533 ACTUAL COST INCURRED CRITTENTON CANCER CENTER P 61023 ACTUAL COST INCURRED