Civic Intelligence

Borgess Health Alliance Inc

EIN 38-2335286 • 501(c)3 • St Louis, MO

Profile

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.

C/O Tax Department PO Box 45998St Louis, MO 63145-5998

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

77th percentile

0.60x

Higher debt load relative to assets than 77% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

95th percentile

6.99x

Higher debt load relative to revenue than 95% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

1st percentile

-199%

Higher net margin than 1% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

97th percentile

$2,555,848

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 56.9% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

5th percentile

-17%

Faster asset growth than 5% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

43rd percentile

5.9%

Faster revenue growth than 43% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Down

$52,687,072

Down $10,560,414 (-17%) from 2023

Liabilities

Down

$31,386,075

Down $9,973,596 (-24%) from 2023

Net Assets

Down

$21,300,997

Down $586,818 (-2.7%) from 2023

Revenue

Up

$4,489,609

Up $248,577 (+5.9%) from 2023

Expenses

Down

$13,410,959

Down $6,108,510 (-31%) from 2023

Net Income

Up

-$8,921,350

Up $6,357,087 (+42%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$200M$100M$0-$100MAssets 2010: $6,245,937Liabilities 2010: $1,988,266Net Assets 2010: $4,257,6712010Assets 2011: $5,422,209Liabilities 2011: $1,602,734Net Assets 2011: $3,819,4752011Assets 2012: $4,660,333Liabilities 2012: $1,457,059Net Assets 2012: $3,203,2742012Assets 2013: $10,928,315Liabilities 2013: $1,621,319Net Assets 2013: $9,306,9962013Assets 2014: $8,610,923Liabilities 2014: $1,884,711Net Assets 2014: $6,726,2122014Assets 2015: $196,831,647Liabilities 2015: $245,211Net Assets 2015: $196,586,4362015Assets 2016: $125,086,867Liabilities 2016: $1,288,387Net Assets 2016: $123,798,4802016Assets 2017: $38,701,673Liabilities 2017: $14,434,117Net Assets 2017: $24,267,5562017Assets 2018: $42,469,163Liabilities 2018: $66,339,224Net Assets 2018: -$23,870,0612018Assets 2019: $28,930,142Liabilities 2019: $48,437,910Net Assets 2019: -$19,507,7682019Assets 2020: $17,586,734Liabilities 2020: $72,235,177Net Assets 2020: -$54,648,4432020Assets 2021: $46,781,570Liabilities 2021: $92,588,298Net Assets 2021: -$45,806,7282021Assets 2022: $78,536,381Liabilities 2022: $92,256,614Net Assets 2022: -$13,720,2332022Assets 2023: $63,247,486Liabilities 2023: $41,359,671Net Assets 2023: $21,887,8152023Assets 2024: $52,687,072Liabilities 2024: $31,386,075Net Assets 2024: $21,300,9972024

Highlighted filing

2024

Assets$52,687,072
Liabilities$31,386,075
Net Assets$21,300,997

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$100M$50M$0-$50M-$100MExpenses 2010: $597,7912010Revenue 2011: $3,193,317Expenses 2011: $2,222,736Net Income 2011: $970,5812011Revenue 2012: $3,448,256Expenses 2012: $2,394,282Net Income 2012: $1,053,9742012Revenue 2013: $4,826,351Expenses 2013: $52,520,590Net Income 2013: -$47,694,2392013Revenue 2014: $2,677,469Expenses 2014: $56,534,292Net Income 2014: -$53,856,8232014Revenue 2015: $9,366,628Expenses 2015: $60,728,417Net Income 2015: -$51,361,7892015Revenue 2016: $9,136,980Expenses 2016: $61,833,223Net Income 2016: -$52,696,2432016Revenue 2017: $9,006,084Expenses 2017: $64,640,979Net Income 2017: -$55,634,8952017Revenue 2018: $8,167,732Expenses 2018: $52,936,754Net Income 2018: -$44,769,0222018Revenue 2019: $7,621,632Expenses 2019: $44,175,771Net Income 2019: -$36,554,1392019Revenue 2020: $7,087,856Expenses 2020: $23,771,901Net Income 2020: -$16,684,0452020Revenue 2021: $6,896,966Expenses 2021: $19,729,647Net Income 2021: -$12,832,6812021Revenue 2022: $6,866,635Expenses 2022: $22,216,289Net Income 2022: -$15,349,6542022Revenue 2023: $4,241,032Expenses 2023: $19,519,469Net Income 2023: -$15,278,4372023Revenue 2024: $4,489,609Expenses 2024: $13,410,959Net Income 2024: -$8,921,3502024

Highlighted filing

2024

Revenue$4,489,609
Expenses$13,410,959
Net Income-$8,921,350

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$52.7$31.4$21.3$4.49$13.4$8.92
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$63.2$41.4$21.9$4.24$19.5$15.3
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$78.5$92.3$13.7$6.87$22.2$15.3
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$46.8$92.6$45.8$6.90$19.7$12.8
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$17.6$72.2$54.6$7.09$23.8$16.7
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$28.9$48.4$19.5$7.62$44.2$36.6
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$42.5$66.3$23.9$8.17$52.9$44.8
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$38.7$14.4$24.3$9.01$64.6$55.6
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$125$1.29$124$9.14$61.8$52.7
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$197$0.25$197$9.37$60.7$51.4
2014Detailed filing. Detailed filing data is available for this year.$8.61$1.88$6.73$2.68$56.5$53.9
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.9$1.62$9.31$4.83$52.5$47.7
2012Summary only. Only limited summary data is available for this year.$4.66$1.46$3.20$3.45$2.39$1.05
2011Summary only. Only limited summary data is available for this year.$5.42$1.60$3.82$3.19$2.22$0.97
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.25$1.99$4.26$0.60
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 15, 2025
Return Version
2023v6.0
Gross Receipts
$4,491,892
Mission and Program Overview

Mission

The 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.

To improve the health and well-being of all people in the communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Intangible Assets$38,901,944$38,393,520▼ $508,424
Savings and Temporary Cash Investments$10,754,811$6,920,506▼ $3,834,305
Land, Buildings, and Equipment, Net$3,803,414$674,185▼ $3,129,229
Cash and Non-Interest-Bearing Accounts$3,400$2,800▼ $600
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Investments in Publicly Traded Securities$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$63,247,486$52,687,072▼ $10,560,414
Other Assets Total$9,783,917$6,696,061▼ $3,087,856
Liabilities
Other Liabilities$41,122,457$31,035,491▼ $10,086,966
Accounts Payable and Accrued Expenses$237,214$350,584▲ $113,370
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$41,359,671$31,386,075▼ $9,973,596
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$17,245,861$15,958,002▼ $1,287,859
Net Assets With Donor Restrictions$4,641,954$5,342,995▲ $701,041
Total Net Assets Fund Balance$21,887,815$21,300,997▼ $586,818
Total Liabilities and Net Assets / Fund Balance$63,247,486$52,687,072▼ $10,560,414

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$484,547$38,751,238$39,235,785
Buildings$52,157$952,230$1,004,387
Other Land Buildings$137,481$65,000$202,481
Land$0-$0
Leasehold Improvements$0$0$0
Other Assets Org$5,406,645--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Thomas J Rohs Jr MdFormer Officer (end 5/2023)FT$201,960$546,585$748,545
Dean Douglas Kindler MdChief Medical OfficerFT$435,614$242,788$678,402
Melissa Brown RnVP, NursingFT$198,802$60,515$259,317
Prabhash TatineniCmioFT$244,403$14,117$258,520
Natalie Couturianux RyderAdministratorFT$188,523$51,825$240,348
Peter Uwe BergmannFormer Officer (end 6/2022)-$200,442$200,442$200,442
Matthew Alan Harry RnRegistered NurseFT$159,264$7,044$166,308
Brandi Jo Beck RnRegistered NurseFT$145,115$2,902$148,017
Ma-theresa Escuban Alvarez RnRegistered NurseFT$139,508$200$139,708

Board Members and Trustees

NameTitle
Carol L SchmidtMinistry Market Executive/president
Michael McculloughCFO, Ministry Market
Jonathan Samuel Nalli FacheFormer Officer (end 12/2022)
Douglas Todd MyersFormer Officer (end 3/2023)
Marina a HoughtonFormer Officer (end 6/2022)

Highest Paid Contractors

ContractorServicesLocationCompensation
Sound Inpatient Physicians Michigan PllcMedical Services1498 PACIFIC AVE STE 400, Tacoma, WA 98402-4208$3,094,978
Medspeed LLCCourier Services140 INDUSTRIAL DR, Elmhurst, IL 60126$349,534
Revenue and Support

Revenue Composition

Contributions and Grants
$156,923
Program Service Revenue
$1,724,520
Investment Income
$16,635
Other Revenue
$2,591,531
All Other Contributions
$0
Change in Net Assets
$-8,921,350
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$8,264,367
Salaries, Compensation, and Employee Benefits$5,146,592
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,649,729$405,525-$4,055,254
Occupancy$2,514,255$279,362-$2,793,617
Depreciation Depletion$1,344,270$149,363-$1,493,633
Current Officers, Directors, Trustees, and Key Employees$0$937,719$0$937,719
All Other Expenses$369,262$41,029$0$410,291
Payroll Taxes$277,914$30,879-$308,793
Fees for Services Other$133,700$14,856$0$148,556
Other Expenses$64,960$7,218-$72,178
Office Expenses$60,043$6,671-$66,714
Pension Plan Contributions$48,159$5,351-$53,510
Information Technology$32,778$3,642-$36,420
Travel$18,297$2,033-$20,330
Fees for Services Lobbying-$6,367-$6,367
Conferences and Meetings$945$105-$1,050
Insurance$88$10-$98
Advertising$-543$-60-$-603
Other Employee Benefits$-187,816$-20,868-$-208,684
Total Functional Expenses$11,220,186$2,190,773$0$13,410,959
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$25,077,379
Lease Liability$5,665,907
Other Miscellaneous Liabilities$290,333
Accrued Real Estate Tax Liability$1,872
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15A & 15B - Process For Determining Compensation

The process for determining compensation of the organization's ceo, executive director, or top management official, as well as that of any other officers or senior executives (if any), is directed by a related organization. The related organization's board committee responsible for compensation oversees the process, utilizing independent delegees within the organization as appropriate, depending on the role. In some cases, the process may utilize comparability data and analysis from a national third-party compensation firm; or, if more appropriate for the role, it may instead utilize other applicable sources of market comparability data as needed to verify reasonableness. The process also includes contemporaneous substantiation of the analysis and decision regarding the compensation arrangement. Compensation is reviewed at least annually and the process is administered 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 6 Classes of members or stockholders

Borgess Health Alliance, Inc. has a single corporate member, Ascension Michigan.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

Borgess Health Alliance, Inc. has a single corporate member, Ascension Michigan, who has the ability to elect members of the governing body of the Borgess Health Alliance, Inc.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

All decisions that have a material impact to BORGESS HEALTH ALLIANCE, INC. 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 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, 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 VII, Section A HOURS REPORTED

MA-THERESA ESCUBAN ALVAREZ, RN WORKED FOR MULTIPLE ORGANIZATIONS DURING THE YEAR AND DEVOTED 50 HOURS PER WEEK TO EACH DURING THE PORTIONS OF THE YEAR THAT the individual WORKED FOR EACH ORGANIZATION.

Form 990, Part VIII, Line 11D Other Miscellaneous Revenue

Medical Records Fees - Total Revenue: 35, Related or Exempt Function Revenue: 35, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Miscellaneous Revenue - Total Revenue: 52405, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 52405;

Filing and Contact Details

Filer

Filer Name
Borgess Health Alliance Inc
EIN
38-2335286
Phone
3147338000
Address
C/O TAX DEPARTMENT PO BOX 45998, ST LOUIS, MO 63145-5998

Signing Officer

Name
Tonya Mershon
Title
Vice President, Tax
Phone
3147338000
Signed
2025-05-15
Discuss with paid preparer
Yes

Organization Details

Formed
1980
Legal Domicile
Mi
Voting Board Members
1
Independent Board Members
0
Employees
190
Volunteers
0

Preparer

Firm
Ernst & Young US Llp
Address
155 NORTH WACKER DRIVE, CHICAGO, IL 60606
Preparer
Lindsey Pigg
Phone
3128792000
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Transfers with Affiliates - 7008373; Distribution of JV Partner Capital - 625118; Unrestricted Change Net Assets - 701041;

Form 990, Part XII, Line 2B Audited Financial Statements

The activity of the filing organization is reported in the consolidated financial statements of ascension health alliance. No individual audit of the filing organization is completed. Therefore, the audited financial statements are of ascension health alliance and affiliates, which include the activity of the filing organization.

Form 990, Part XII, Line 2C Audit Committee

The filing organization 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.

Form 990, Page 1 Physical Address

The physical address for this entity is 1521 gull road, kalamazoo, michigan 49048. The address on page 1 is for mailing purposes only.

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

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, 2024.

Raw XML AppendixShowing 400 of 5,761 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0The filing organization is a part of the Ascension Catholic Health Ministry. Ascension is a faith-based healthcare organization that delivers personalized, compassionate care to all, especially to those who need it the most. TOGETHER, OUR PHYSICIANS, ASSOCIATES AND MEMBERS OFFER A COMPLETE CONTINUUM OF SERVICES TO NEARLY 1 MILLION PEOPLE LIVING IN 10 COUNTIES IN SOUTHWEST MICHIGAN. DELIVERING COMPREHENSIVE PREVENTION, PRIMARY CARE, ADVANCED TREATMENT PROGRAMS AND REHABILITATION SERVICES, BORGESS HEALTH IS ONE OF THE AREA'S LARGEST HEALTH CARE PROVIDERS AND EMPLOYERS. BORGESS HEALTH INCLUDES ASCENSION BORGESS HOSPITAL, OUR FLAGSHIP HOSPITAL, ALONG WITH MANY OWNED OR AFFILIATED ENTITIES.
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IRS990/MissionDesc0ROOTED 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.
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