Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ProMed Healthcare
Employer identification number
38-3193801
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
89,129
43,556
23,650
1,000
157,335
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
34,188,045
28,366,524
30,314,973
38,138,728
45,956,360
176,964,630
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
34,277,174
28,410,080
30,338,623
38,139,728
45,956,360
177,121,965
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
0
c
Add lines 7a and 7b..
0
8
Public Support (Subtract line 7c from line 6.)
177,121,965
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
34,277,174
28,410,080
30,338,623
38,139,728
45,956,360
177,121,965
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
353,128
-79,996
-32,912
4,848
245,068
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
-15,456
1,352,344
725,123
194,818
90,827
2,347,656
13
Total support (Add lines 9, 10c, 11 and 12.).
34,614,846
29,682,428
31,030,834
38,339,394
46,047,187
179,714,689
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
98.560 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
97.670 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
0 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A, Part II, Line 12, Explanation of Other Income: Affiliate Labor Medical Director Fees Employee Assistance Pharmacy
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ProMed Healthcare
Employer identification number
38-3193801
Identifier
Return Reference
Explanation
Form 990, Part VI, Section A, line 1
The ProMed governing body has the same voting rights unless the vote involves montary amounts affecting the Portage Physicians PC. If the vote is regarding this, then the Portage Physicians PC board members do not vote.
Form 990, Part VI, Section A, line 6
ProMed Healthcare has a single corporate member, Borgess Health Alliance, Inc.
Form 990, Part VI, Section A, line 7a
ProMed Healthcare has a single corporate member, Borgess Health Alliance, Inc., who has the ability to elect members to the governing body of ProMed Healthcare.
Form 990, Part VI, Section A, line 7b
All decisions that have a material impact to ProMed Healthcare financial information or corporation as a whole are subject to approval by its sole corporate member, Borgess Health Alliance, Inc.
Form 990, Part VI, Section B, line 11
Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions.
Form 990, Part VI, Section B, line 12c
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 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, Section B, line 15
In determining compensation of the organization's top management official, the process performed by Borgess Medical Center, a related organization, 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 top management official was compared to other organizations in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the executive committee minutes. The Individual was not present when his compensation was decided. In determining compensation of other officers of the organization, the process performed by Borgess Medical Center, a related organization, 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 other officers of the organization were compared to other organizations' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the executive committee minutes.
Form 990, Part VI, Section C, line 19
The organization will provide any documents open to public inspection upon request.
Explanation of Hours for Directors and Officers:
Form 990, Part VII:
Directors and Officers for Promed Healthcare provide services to Borgess Health Alliance, Inc. and it subsidiaries. Hours worked are not tracked on an entity by entity basis. Therefore, where noted with a "(Sch O)" reference, compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees represent aggregate hours worked per week for all entities.
Changes in Net Assets or Fund Balances:
Form 990, Part XI, line 5:
Transfers from Borgess Medical Center -919,367. Total to Form 990, Part XI, Line 5: -919,367.
Community Benefit Report:
Form 990, Part III, Line 4:
This report illustrates the significant degree to which ProMed Healthcare contributes to the positive health status of the communities it serves. As a member of Ascension Health, the nation's largest Catholic nonprofit health system, ProMed Healthcare continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. The goal of ProMed Healthcare is to perpetuate the healing mission of Ascension Health. ProMed Healthcare furthers this goal through delivery of patient services, care to the elderly and indigent, patient education and health awareness programs for the community. Our concern for all human life and dignity of each person leads the organization to provide medical services to all people in the community without regard to the patient's race, creed, national origin, economic status, or ability to pay. ProMed Healthcare has engaged in the following activities to ensure that our mission is accomplished: Unreimbursed Services Provided to the Elderly and the Poor ProMed Healthcare Medical Center provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2011, approximately 14.0% of the value of services rendered was to elderly patients under the Medicare program, and approximately 10.0% of the services were provided to patients who were deemed indigent under state or county guidelines. In the spirit of principles adopted by Ascension Health, ProMed Healthcare has taken proactive steps to address those issues that will affect accessibility, the financing, and the delivery of healthcare to all persons, especially the uninsured, underinsured, and the underserved. During the fiscal year ending June 30, 2011 the estimated unreimbursed cost of services provided to the elderly, uninsured, and underinsured totaled over $4.8 million dollars. Patient Services ProMed Healthcare provides the following specialties to the community: -Family Practice -Internal Medicine -Obstetrics and Gynecology -Pediatrics -Radiology -Rheumatology -Behavioral Health -Neuro Services -Cardiology -Orthopedic During the fiscal year ending June 30, 2011, ProMed Healthcare has approximately 400,000 active adults and children as its patient base in the community. In 2005, Blue Cross Blue Shield of Michigan selected ProMed along with nine other practices in Michigan, to serve as a pilot for developing and implementing care management programs for patients with chronic diseases. Since then, Blue Care Network, IBA and Health Plan of Michigan have recognized ProMed practices for meeting wellness and prevention goals for their members. -We launched the Diabetic Care Management Initiative in January 2007, and over 5,000 patients have been entered into the registry. Four of our practices, Borgess Family Medicine, Borgess Internal Medicine, ProMed Family Practice and ProMed Internal Medicine have been recognized by the National Committee in Quality Assurance (NCQA) and the American Diabetes Association (ADA) as providing high quality care in their Diabetes physician recognition program. -One of our physicians, Dr. Garrison, who received top communication scores on a BCN patient satisfaction survey, was highlighted in the Blue Care Network Physician News Bulletin discussing treatment options with patients. Community Outreach activities ProMed Healthcare seeks to improve the physical, mental, social and spiritual health status of its surrounding community. In addition to providing health care services to all individuals who require medical attention, ProMed Healthcare believes that it is essential to educate people regarding the types of behavior that improve their chances of living a healthy life. ProMed Healthcare has invested and participated significantly in unique, top quality health education and materials to accomplish its goals. Awareness, education and health promotion programs available to the community include: -We also participate in free mammograms on Pink Saturdays in October to income eligible women, aged 40 and up -Borgess Run for the Health of It for raising awareness in the prevention of cardiovascular complications -Weight Management and nutrition counseling program at our Internal Medicine practice -Diabetes care with prevention and education programs to help diabetic patients and their families understand and effectively cope with the disease. ProMed Healthcare participates frequently with volunteer or charitable programs in support of one of Ascension Health's missions-Service of the Poor. -ProMed Healthcare participates to serve lunches in the Ministry with the Community, the only daytime shelter in Kalamazoo for the homeless, poor, mentally ill and hard-to-serve adults. -We also participate with the local United Way organizations to raise funds in its annual community campaign, as well as food banks activities in the community. -On a regular basis, ProMed staff organizes and participates in fund raising activities such as the Susan G. Komen Breast Cancer Foundation Denim Day, American Cancer Society Relay for Life, Friends of Children with Cancer, American Heart Association's Heart Walk and Wear Red Day. -Other community outreach programs include staff donations to charitable programs such as the Gospel Mission or disadvantaged families, and the Helping Hands Funds for patients. Medical Education ProMed Healthcare believes that, in order to provide the best health care to the community, its clinical personnel must receive ongoing medical education. ProMed's clinical personnel receive education from professional organizations and the Borgess Health education and development department in various service areas, which include men's and women's health, diabetes, pregnancy and childbirth, adolescent medicine, behavioral health, cardiac life support, cardiopulmonary resuscitation, compliance and safety trainings and emergency response training. In summary, ProMed Healthcare furthers its charitable purposes by providing a broad array of services to meet the healthcare needs of patients and organizations in the community. We provide essential medical services to the community, train and recruit healthcare professionals to serve the needs of the broader community, provide appropriate charity services to those patients who are not able to pay for their own healthcare needs, provide services to other organizations that allow them to provide quality services to their patients or constituents, and present education information classes and activities to the community in order to improve its overall health status.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.