Ascension Living Borgess Place

“In determining the compensation of the Organization's CEO, the process performed by Ascension Health Senior CARE, a related organization of Borgess Nursing Home, Inc., included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The 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 who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the Committee minutes. The individual was not present when his compensation was decided.”

“IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS, THE PROCESS PERFORMED BY ASCENSION HEALTH SENIOR CARE, INC., A RELATED ORGANIZATION OF BORGESS NURSING HOME, Inc., 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 OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.”

“Borgess nursing home has a single corporate member, ascension health senior care.”

“Borgess nursing home has a single corporate member, ascension health senior care, who has the authority to appoint and remove directors and executive officers of borgess nursing home.”

“Ascension Health Senior Care 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.”

“During the return preparation process, the tax department works with other functional areas including finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance in order to prepare a complete and accurate return. Upon completion, the form 990 is reviewed by the organization's internal tax department which consists of attorneys and cpas. A complete final copy of the return is provided to the organization's president, financial officer, and/or other key officers in lieu of the full board.”

“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.”

“The organization will provide any documents open to public inspection upon request.”

“Community benefit report june 30 2017 this report illustrates the significant degree to which borgess nursing home d/b/a borgess gardens contributes to the positive health status of the communities it serves, as a member of ascension health the nation's largest catholic healthcare system, borgess gardens continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. The goal of borgess gardens is to perpetuate the healing mission of the church, borgess gardens furthers this goal through delivery of nursing care to the elderly, our concern for all human life and dignity of each person leads the organization to provide skilled nursing and rehabilitation services to all people in the community without regard to the patient's race, creed, national origin, economic status or ability to pay, borgess gardens has engaged in the following activities to ensure that our mission is accomplished: unreimbursed services provided to the elderly and the poor: borgess gardens provides nursing home placement to patients, nursing home patients are primarily elderly persons, with no other family, services are reimbursed by medicare and medicaid with a small portion by private pay. Borgess gardens' residents are typically low income, medicaid eligible people. In fact, 38% of the gardens' patient days are reimbursed by the medicaid program, with a total loss of $313,495. Borgess gardens also provides care for medicare eligible residents which produces a $312,069 shortfall. Patient services: borgess gardens provides gardens care to 101 residents at a 94% occupancy level, borgess gardens received its eden facility designation in 2003, one of the first in kalamazoo county, medical education: borgess gardens acts as a clinical setting for western michigan university nursing students. Summary: borgess gardens furthers its charitable purposes by providing nursing care to residents, under the eden philosophy of care.”

“Transfers to alpha fund - -4065486;”

“The activity of BORGESS NURSING HOME Is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of BORGESS NURSING HOME is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of BORGESS NURSING HOME.”

“BORGESS NURSING HOME 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.”

“Borgess Nursing Home is exempt as a hospital under Internal Revenue Code 170(b)(1)(A)(iii), however it is not a hospital as defined by Form 990, Schedule H Instructions.”

“The physical address of borgess nursing home is: 3057 gull road kalamazoo, 49048 the address listed on page 1 on this return is for mailing purposes only.”