Civic Intelligence

Ascension Medical Group Michigan

EIN 38-3494637 • 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

93rd percentile

1.03x

Higher debt load relative to assets than 93% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

87th percentile

2.93x

Higher debt load relative to revenue than 87% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

3rd percentile

-57%

Higher net margin than 3% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

94th percentile

$2,555,848

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 3.4% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

97th percentile

78%

Faster asset growth than 97% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

31st percentile

1.9%

Faster revenue growth than 31% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$212,444,905

Up $93,065,916 (+78%) from 2023

Liabilities

Up

$219,372,658

Up $85,309,170 (+64%) from 2023

Net Assets

Up

-$6,927,753

Up $7,756,746 (+53%) from 2023

Revenue

Up

$74,804,981

Up $1,379,396 (+1.9%) from 2023

Expenses

Down

$117,488,486

Down $17,490,796 (-13%) from 2023

Net Income

Up

-$42,683,505

Up $18,870,192 (+31%) from 2023

Trend Graphs

Balance Sheet Trend

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

$300M$200M$100M$0-$100MAssets 2010: $52,031,398Liabilities 2010: $31,584,411Net Assets 2010: $20,446,9872010Assets 2011: $35,613,891Liabilities 2011: $26,058,061Net Assets 2011: $9,555,8302011Assets 2012: $38,403,176Liabilities 2012: $26,702,784Net Assets 2012: $11,700,3922012Assets 2013: $35,602,533Liabilities 2013: $23,796,059Net Assets 2013: $11,806,4742013Assets 2014: $37,062,778Liabilities 2014: $25,323,469Net Assets 2014: $11,739,3092014Assets 2015: $42,616,105Liabilities 2015: $30,700,163Net Assets 2015: $11,915,9422015Assets 2016: $40,019,440Liabilities 2016: $28,162,004Net Assets 2016: $11,857,4362016Assets 2017: $28,348,559Liabilities 2017: $30,635,414Net Assets 2017: -$2,286,8552017Assets 2018: $22,105,782Liabilities 2018: $30,039,298Net Assets 2018: -$7,933,5162018Assets 2019: $21,902,279Liabilities 2019: $30,617,903Net Assets 2019: -$8,715,6242019Assets 2020: $23,244,745Liabilities 2020: $39,212,730Net Assets 2020: -$15,967,9852020Assets 2021: $49,266,771Liabilities 2021: $54,851,729Net Assets 2021: -$5,584,9582021Assets 2022: $67,382,866Liabilities 2022: $70,121,188Net Assets 2022: -$2,738,3222022Assets 2023: $119,378,989Liabilities 2023: $134,063,488Net Assets 2023: -$14,684,4992023Assets 2024: $212,444,905Liabilities 2024: $219,372,658Net Assets 2024: -$6,927,7532024

Highlighted filing

2024

Assets$212,444,905
Liabilities$219,372,658
Net Assets-$6,927,753

Operations Trend

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

$150M$100M$50M$0-$50M-$100MExpenses 2010: $131,725,9922010Expenses 2011: $87,831,3432011Expenses 2012: $58,374,2602012Revenue 2013: $43,112,523Expenses 2013: $60,445,685Net Income 2013: -$17,333,1622013Revenue 2014: $47,177,344Expenses 2014: $67,052,338Net Income 2014: -$19,874,9942014Revenue 2015: $47,524,018Expenses 2015: $67,569,544Net Income 2015: -$20,045,5262015Revenue 2016: $46,688,947Expenses 2016: $65,459,365Net Income 2016: -$18,770,4182016Revenue 2017: $35,183,080Expenses 2017: $53,201,179Net Income 2017: -$18,018,0992017Revenue 2018: $50,044,467Expenses 2018: $78,674,067Net Income 2018: -$28,629,6002018Revenue 2019: $64,316,084Expenses 2019: $102,267,403Net Income 2019: -$37,951,3192019Revenue 2020: $60,682,760Expenses 2020: $122,572,266Net Income 2020: -$61,889,5062020Revenue 2021: $75,124,562Expenses 2021: $120,309,098Net Income 2021: -$45,184,5362021Revenue 2022: $79,443,122Expenses 2022: $124,843,831Net Income 2022: -$45,400,7092022Revenue 2023: $73,425,585Expenses 2023: $134,979,282Net Income 2023: -$61,553,6972023Revenue 2024: $74,804,981Expenses 2024: $117,488,486Net Income 2024: -$42,683,5052024

Highlighted filing

2024

Revenue$74,804,981
Expenses$117,488,486
Net Income-$42,683,505

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$212$219$6.93$74.8$117$42.7
2023Detailed filing. Detailed filing data is available for this year.$119$134$14.7$73.4$135$61.6
2022Detailed filing. Detailed filing data is available for this year.$67.4$70.1$2.74$79.4$125$45.4
2021Detailed filing. Detailed filing data is available for this year.$49.3$54.9$5.58$75.1$120$45.2
2020Detailed filing. Detailed filing data is available for this year.$23.2$39.2$16.0$60.7$123$61.9
2019Detailed filing. Detailed filing data is available for this year.$21.9$30.6$8.72$64.3$102$38.0
2018Detailed filing. Detailed filing data is available for this year.$22.1$30.0$7.93$50.0$78.7$28.6
2017Detailed filing. Detailed filing data is available for this year.$28.3$30.6$2.29$35.2$53.2$18.0
2016Detailed filing. Detailed filing data is available for this year.$40.0$28.2$11.9$46.7$65.5$18.8
2015Detailed filing. Detailed filing data is available for this year.$42.6$30.7$11.9$47.5$67.6$20.0
2014Detailed filing. Detailed filing data is available for this year.$37.1$25.3$11.7$47.2$67.1$19.9
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$35.6$23.8$11.8$43.1$60.4$17.3
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$38.4$26.7$11.7$58.4
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$35.6$26.1$9.56$87.8
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$52.0$31.6$20.4$132
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
$74,804,981
Mission and Program Overview

Mission

Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve.

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$5,852,257$4,863,052▼ $989,205
Accounts Receivable$4,313,595$3,883,289▼ $430,306
Savings and Temporary Cash Investments$183,084$78,453▼ $104,631
Prepaid Expenses and Deferred Charges$534,116$40,338▼ $493,778
Cash and Non-Interest-Bearing Accounts$2,734$2,520▼ $214
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
Intangible Assets$0--
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$119,378,989$212,444,905▲ $93,065,916
Other Assets Total$108,493,203$203,577,253▲ $95,084,050
Liabilities
Other Liabilities$123,150,197$208,998,930▲ $85,848,733
Accounts Payable and Accrued Expenses$9,620,066$9,476,858▼ $143,208
Deferred Revenue$1,293,225$896,870▼ $396,355
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$134,063,488$219,372,658▲ $85,309,170
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$-14,684,499$-6,927,753▲ $7,756,746
Total Net Assets Fund Balance$-14,684,499$-6,927,753▲ $7,756,746
Total Liabilities and Net Assets / Fund Balance$119,378,989$212,444,905▲ $93,065,916

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,823,228$4,234,262$6,057,490
Buildings$2,430,932$1,361,044$3,791,976
Leasehold Improvements$261,988$3,066,826$3,328,814
Other Land Buildings$183,794$8,426$192,220
Land$163,110-$163,110
Other Assets Org$4,661,149--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Nicholas Blair Frisch MdPhysicianFT$1,391,540$335,640$1,727,180
Jeffrey H Declaire MdPhysicianFT$1,424,712$276,388$1,701,100
Kenneth P Drea MdPhysicianFT$745,949$825,319$1,571,268
Andrey a Volkov MdPhysicianFT$739,555$669,076$1,408,631
Nathan Evin Marshall MdPhysicianFT$1,154,635$234,998$1,389,633

Board Members and Trustees

NameTitle
Robert Peter Camara DoChair
Michael Wiemann MdEx-officio/president
Carol L SchmidtMinistry Market Executive/president
Donald R Ellis Iii MdDirector
Jamila N Taylor MdDirector
Kevin Youngs MdDirector
Leonard Johnson MdDirector
Marcus Eber Degraw MdDirector
Stuart R Verseman MdDirector
William Edgar MdDirector
Sridhar Rao MdDirector (end 12/2023)
Michael McculloughCFO, Ministry Market
Thomas KleinEx-officio/COO
Jonathan Samuel Nalli FacheFormer Officer (end 12/2022)
Douglas Todd MyersFormer Officer (end 3/2023)
Kenneth Berkovitz MdFormer Officer (end 6/2020)
Robert GuhaFormer Officer (end 6/2022)

Highest Paid Contractors

ContractorServicesLocationCompensation
Excel Health PlcPhysician Services18161 W 12 MILE RD, Lathrup Village, MI 48076$1,744,539
Lakeshore Ear Nose Throat Center PCPhysician Services17770 MACK AVE, Grosse Pointe, MI 48230-6233$759,048
Optech LLCMedical Services5440 CORPORATE DR STE 260, Troy, MI 48098$691,958
Professional Research ConsultantsConsulting Services11326 P ST, Omaha, NE 68137-2316$347,125
Nada D Bachuri Md PCPhysician Services41069 DEQUINDRE RD STE 103, Troy, MI 48085-6730$327,219
Revenue and Support

Revenue Composition

Contributions and Grants
$1,786,669
Program Service Revenue
$72,300,124
Investment Income
$269,305
Other Revenue
$448,883
All Other Contributions
$0
Change in Net Assets
$-42,683,505
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$60,195,831
Salaries, Compensation, and Employee Benefits$57,291,860
Grants and Similar Amounts Paid$795
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$38,984,963$8,370,455-$47,355,418
Insurance$46,911$8,170,336-$8,217,247
Fees for Services Other$5,284,347$613,628$0$5,897,975
Pension Plan Contributions$3,659,003$785,624-$4,444,627
Occupancy$3,326,719$714,279-$4,040,998
Payroll Taxes$2,271,802$487,778-$2,759,580
Other Employee Benefits$2,249,290$482,945-$2,732,235
Information Technology-$1,091,126-$1,091,126
Depreciation Depletion$830,821$178,385-$1,009,206
Office Expenses$334,262$60,606-$394,868
All Other Expenses$56,681$333,635$0$390,316
Other Expenses$108,132$252,120-$360,252
Travel$66,888$52,646-$119,534
Conferences and Meetings$56,698$38,350-$95,048
Fees for Services Legal-$57,159-$57,159
Advertising$11,536$14,727-$26,263
Fees for Services Accounting-$2,210-$2,210
Grants to Domestic Orgs$795--$795
Total Functional Expenses$64,393,755$53,094,731$0$117,488,486
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
No
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$204,079,714
Long Term Operating Lease Liability$4,752,773
Recovery Tail Liability$122,349
Accrued Personal Property Tax Liability$21,752
Accrued Real Estate Tax Liability$15,239
Real Estate Security Deposit$7,103
Legal and Acp Reserve-
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

Ascension Medical Group Michigan has a single corporate member, Ascension Medical Group, LLC, a disregarded entity of Ascension Health.

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

Ascension Medical Group Michigan has a single corporate member, Ascension Medical Group, LLC, who has the ability to elect members to the governing body of Ascension Medical Group Michigan.

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

All decisions that have a material impact to Ascension Medical Group Michigan financial information or corporation as a whole are subject to approval by its sole corporate member, Ascension Medical Group, LLC.

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 VIII, Line 2F Other Program Service Revenue

Other Program Revenue - Total Revenue: 8118778, Related or Exempt Function Revenue: 8118778, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

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

Other Miscellaneous Revenue - Total Revenue: 207453, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 207453;

Filing and Contact Details

Filer

Filer Name
Ascension Medical Group Michigan
EIN
38-3494637
Phone
3147338000
Address
C/O TAX DEPARTMENT PO BOX 45998, ST LOUIS, MO 63145-5998
Doing Business As
See Schedule O

Signing Officer

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

Organization Details

Formed
2019
Legal Domicile
Mi
Voting Board Members
11
Independent Board Members
0
Employees
1,940
Volunteers
0

Preparer

Firm
Deloitte Tax LLP
Address
695 Town Center Drive Suite 1000, Costa Mesa, CA 92626
Preparer
John W Sadoff Jr
Phone
7144367100
Supplemental Narrative

Additional Explanations

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

Transfers with affiliates - 50440251;

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 28000 Dequindre, Warren, Michigan 48092-2468 THE ADDRESS ON PAGE 1 IS FOR MAILING PURPOSES ONLY

Form 990, Page 1 - Box C Doing Business as

Ascension Online Care Bennett Family Foot Care Center Center for Osetopathic Health Care Great Lakes Obstetric and Gynecology Macomb Sleep Institute Masonic Medical Center Ascension Medical Group Premier Internal Medicine St. John Outpatient Rehabilitation Services St. John Providence Novi Primary Care Physicians St. John Providence Physicians Network Sterling Medical Group

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.

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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt3PROFESSIONAL RESEARCH CONSULTANTS
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt4NADA D BACHURI MD PC
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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. IN FURTHERANCE OF ITS MISSION AND IN AN EFFORT TO REDUCE THE GOVERNMENT'S FINANCIAL BURDEN, ASCENSION MEDICAL GROUP MICHIGAN PROVIDES ESSENTIAL HEALTH CARE SERVICES, SUCH AS PRIMARY CARE, SPECIALTY CARE AND DIAGNOSTIC IMAGING FACILITIES THAT SERVE LOW-INCOME PATIENTS AS WELL AS COMMUNITY SERVICES. DURING FY 2024, ASCENSION MEDICAL GROUP MICHIGAN HAD A TOTAL OF 263,449 VISITS.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0MINISTRY MARKET EXECUTIVE/PRESIDENT
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IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR (END 12/2023)
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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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