TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) MUHAMMAD ABOUDAN MD TREASURER	0.5 ................. 3.6	X	X		0	0	0
(2) ELIZABETH ADERHOLDT TRUSTEE, ASCENSION MID-MICHIGAN PRESIDENT & CEO	6.4 ................. 53.6	X	X		1,235,771	460,156	33,068
(3) JOHN FREEL CHAIRPERSON	0.5 ................. 3.6	X	X		0	0	0
(4) JAMES HRESKO VICE CHAIRPERSON	0.5 ................. 3.6	X	X		0	0	0
(5) BAPINEEDU MAGANTI MD SECRETARY	0.5 ................. 3.6	X	X		0	0	0
(6) JAMES BOLES TRUSTEE	0.5 ................. 3.6	X			0	0	0
(7) PAUL FURLO TRUSTEE	3.1 ................. 3.6	X			0	0	0
(8) TODD GREGORY TRUSTEE	0.5 ................. 3.6	X			0	0	0
(9) RICHARD HEINRICH TRUSTEE	0.5 ................. 5.6	X			0	0	0
(10) DEBORAH MORGAN TRUSTEE	0.5 ................. 3.6	X			0	0	0
(11) MARK PIPER TRUSTEE	0.5 ................. 3.6	X			0	0	0
(12) JO STUDLEY-MAY MD TRUSTEE	0.5 ................. 62.6	X			0	271,154	46,665
(13) ALBERT SARGE HARVEY TRUSTEE	0.5 ................. 7.6	X			0	0	0
(14) SISTER PATRICIA WARBRITTON CSJ TRUSTEE	0.5 ................. 2.6	X			0	0	0
(15) NANCY HAYWOOD ASCENSION MID-MICHIGAN CFO	21.8 ................. 38.2		X		232,500	186,758	45,146
(16) CHRISTOPHER PALAZZOLO ASCENSION MID-MICHIGAN COO	54.0 ................. 5.6		X		659,843	0	44,670
(17) JOY FINKENBINER VP PROF & SUPPORT SERVICES	54.0 ................. 0			X	320,589	0	24,791

(A) Name and business address	(B) Description of services	(C) Compensation
AMERICAN ANESTHESIOLOGY OF MI 2432 GENESYS PARKWAY GRAND BLANC,MI48439	ANESTHESIA SERVICES	8,355,637
GENESYS PHO 307 E COURT STREET FLINT,MI48502	MANAGEMENT CARE CONTRACTING	2,275,218
GENESYS TRAUMA & ER SURGERY PLLC 9463 HOLLY ROAD SUITE 102 GRAND BLANC,MI48439	EMERGENCY CENTER SERVICES	1,304,875
GREAT LAKES LITHOTRIPSY LLC 1700 WEST PARK DRIVE SUITE 410 WEST BOROUGH,MA01581	LITHOTRIPSY SERVICES	1,200,547
GENESEE MEDICAL IMAGING ONE GENESYS PARKWAY GRAND BLANC,MI48439	RADIOLOGY SERIVCES	1,200,000
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 36

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

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.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

Genesys Regional Medical Center

Employer identification number

38-2377821

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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 ....................... right arrow

33 1/3% support test—2014. If the organization did not check a 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 ..................... right arrow

17a

10%-facts-and-circumstances test—2015. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
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......
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.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
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.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
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.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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 ....... right arrow

33 1/3% support tests—2014. 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 .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

Genesys Regional Medical Center

Employer identification number

38-2377821

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization Genesys Regional Medical Center

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization Genesys Regional Medical Center		Employer identification number 38-2377821

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization Genesys Regional Medical Center			Employer identification number 38-2377821
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Genesys Regional Medical Center

Employer identification number

38-2377821

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

54,024

Total. Add lines 1c through 1i ....................................................................................................

54,024

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	LOBBYING EXPENSES INCURRED INCLUDE A PORTION OF DUES PAID TO BOTH NATIONAL AND STATE HEALTH/HOSPITAL ASSOCIATIONS. IN ADDITION, THE HOSPITAL INCURRED SOME LOBBYING EXPENDITURES TO THE MICHIGAN DEPARTMENT OF STATE LOBBY REGISTRATION. GRMC PAID SUCH DUES TO THE FOLLOWING ORGANIZATIONS: -MHA MGMT SVCS: $31,084 -LANSING ADVOCACY: $19,304 -MICHIGAN HOSPITAL ASSOCIATION: $3,627 -AMERICAN OSTEOPATHIC: $9 GENESYS REGIONAL MEDICAL CENTER DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	LOBBYING EXPENSES INCURRED INCLUDE A PORTION OF DUES PAID TO BOTH NATIONAL AND STATE HEALTH/HOSPITAL ASSOCIATIONS. IN ADDITION, THE HOSPITAL INCURRED SOME LOBBYING EXPENDITURES TO THE MICHIGAN DEPARTMENT OF STATE LOBBY REGISTRATION. GRMC PAID SUCH DUES TO THE FOLLOWING ORGANIZATIONS: -MHA MGMT SVCS: $31,084 -LANSING ADVOCACY: $19,304 -MICHIGAN HOSPITAL ASSOCIATION: $3,627 -AMERICAN OSTEOPATHIC: $9 GENESYS REGIONAL MEDICAL CENTER DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.

Return Reference

Explanation

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

LOBBYING EXPENSES INCURRED INCLUDE A PORTION OF DUES PAID TO BOTH NATIONAL AND STATE HEALTH/HOSPITAL ASSOCIATIONS. IN ADDITION, THE HOSPITAL INCURRED SOME LOBBYING EXPENDITURES TO THE MICHIGAN DEPARTMENT OF STATE LOBBY REGISTRATION. GRMC PAID SUCH DUES TO THE FOLLOWING ORGANIZATIONS: -MHA MGMT SVCS: $31,084 -LANSING ADVOCACY: $19,304 -MICHIGAN HOSPITAL ASSOCIATION: $3,627 -AMERICAN OSTEOPATHIC: $9 GENESYS REGIONAL MEDICAL CENTER DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Genesys Regional Medical Center

Employer identification number

38-2377821

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	1,721,396	1,727,819	1,718,835	1,733,531	1,798,911
b	Contributions ...	48,980	65,593	44,886	128,838	67,516
c	Net investment earnings, gains, and losses	-82,443	-20,457	154,872	107,918	-57,922
d	Grants or scholarships ...	32,250	25,950	23,000	26,500	26,520
e	Other expenditures for facilities and programs ...	0	25,609	167,774	224,952	48,454
f	Administrative expenses ....	32,524		0	0	0
g	End of year balance ......	1,623,159	1,721,396	1,727,819	1,718,835	1,733,531

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

52.4 %

Permanent endowment SchDMd Bullet

30.2 %

Temporarily restricted endowment SchDMd Bullet

17.4 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	6,297,553		6,297,553
b	Buildings	226,861,076	104,810,322	122,050,754
c	Leasehold improvements	147,091	59,537	87,554
d	Equipment ...	117,114,485	98,463,841	18,650,644
e	Other ...	5,452,335	4,091,129	1,361,206
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				148,447,711

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) Interest in Investments Held by Ascension Health Alliance				124,050,811
(2) Due from Affiliates				3,889,020
(3) Third Party Receivables				3,551,916
(4) Receivables - Blue Cross
(5) Other Executive Investments
(6) Deferred Compensation - Executives				942,287
(7) Receivable - Accretive
(8) All other Assets				309,472
(9) Assets for Sale				442,514
(10) Other Receivables				2,909,875
(11) Pension and Other Post Retirement				6,258,532
(12) RECEIVABLE - CAYMICH
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				142,354,427

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	152,683
INTERCOMPANY DEBT WITH ASCENSION HEALTH ALLIANCE	283,053,687
PENSION/EMPLOYEE SAVINGS PLAN LIABILITY	54,713,554
THIRD PARTY SETTLEMENTS	17,889,057
DUE TO AFFILIATES	3,254,026
PROFESSIONAL INSURANCE LIABILITY	5,809,342
DEFERRED COMPENSATION - EXECUTIVES	942,287
LITIGATION ALLOWANCE
ALL OTHER LIABILITIES	730,999
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	366,545,635
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

Schedule D, Part V, Line 4 Intended uses of endowment funds

THE ENDOWMENTS ARE USED FOR BOTH MEDICAL AND EDUCATIONAL (SCHOLARSHIP) PURPOSES.

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

FROM THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE AND ITS MEMBER ENTITIES ("THE SYSTEM") WHICH INCLUDE THE ACTIVITY OF GENESYS REGIONAL MEDICAL CENTER: THE SYSTEM ACCOUNTS FOR UNCERTAINITY 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.

Schedule D (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Genesys Regional Medical Center

Employer identification number

38-2377821

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			561,817		561,817	0.14 %
b	Medicaid (from Worksheet 3, column a) . . . . .			54,214,995	51,005,436	3,209,559	0.80 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			1,065,740	125,346	940,394	0.23 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	55,842,552	51,130,782	4,711,770	1.17 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).			414,460	0	414,460	0.10 %
f	Health professions education (from Worksheet 5) . . .			27,767,575	12,067,110	15,700,465	3.90 %
g	Subsidized health services (from Worksheet 6) . . . .			317,517		317,517	0.08 %
h	Research (from Worksheet 7) .			0	0	0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			165,971		165,971	0.04 %
j	Total. Other Benefits . .	0	0	28,665,523	12,067,110	16,598,413	4.12 %
k	Total. Add lines 7d and 7j .	0	0	84,508,075	63,197,892	21,310,183	5.29 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing			3,002	0	3,002	0 %
2	Economic development					0	0 %
3	Community support			12,721	0	12,721	0 %
4	Environmental improvements					0	0 %
5	Leadership development and training for community members					0	0 %
6	Coalition building			3,468	0	3,468	0 %
7	Community health improvement advocacy			14,705	0	14,705	0 %
8	Workforce development					0	0 %
9	Other					0	0 %
10	Total	0	0	33,896	0	33,896	0.01 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

4,584,231

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

838,609

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

217,931,151

Enter Medicare allowable costs of care relating to payments on line 5.....

205,323,659

Subtract line 6 from line 5. This is the surplus (or shortfall)........

12,607,492

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1GENESYS REGIONAL MEDICAL CENTER SURGICAL SERVICES CO-MANAGEMENT COMPANY	SURGICAL ORTHO/NEURO CLINICAL SERVICE LINE	50 %	0 %	50 %
2TOGETHER HEALTH	MANAGEMENT CARE	8.84 %	0 %	0 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	Genesys Regional Medical Center One Genesys Parkway Grand Blanc,MI484938065 http://www.genesys.org/ 1060000081	X	X	X	X	X

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Genesys Regional Medical Center
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): http://www.genesys.org/upload/docs/Genesys%20CHNA%202016.pdf

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): http://www.genesys.org/upload/docs/Genesys%20Implementation%20Strategy%202016.pdf

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Genesys Regional Medical Center
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.0% and FPG family income limit for eligibility for discounted care of 300.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

http://www.genesys.org/financial-assistance

The FAP application form was widely available on a website (list url):

http://www.genesys.org/financial-assistance

A plain language summary of the FAP was widely available on a website (list url):
http://www.genesys.org/financial-assistance

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	Genesys Regional Medical Center
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - GENESYS REGIONAL MEDICAL CENTER. FOLLOWING COLLECTION OF THE OVER 400 METRICS WITHIN THE CHNA, THE DATA WAS THEN SHARED STRATEGICALLY THROUGH THE GREATER FLINT HEALTH COALITION'S ESTABLISHED NETWORK OF COLLABORATIVE PARTNERS. THE GFHC IS A MULTI-SECTOR COALITION RECOGNIZED IN GENESEE COUNTY AS THE NEUTRAL CONVENER OF COMMUNITY AND POPULATION HEALTH INITIATIVES. THE GFHC REGULARLY CONVENES PERSON AND ORGANIZATIONS REPRESENTING THE COMMUNITY'S CROSS-SECTOR INTERESTS THROUGH ENGAGEMENT OF LEADERSHIP REPRESENTATIVES FROM BUSINESS, EDUCATION, PUBLIC HEALTH, PHYSICIANS, HOSPITALS, HEALTH INSURERS, SAFETY-NET PROVIDERS, COMMUNITY-BASED ORGANIZATIONS, RESIDENTS, POLICYMAKERS, FOUNDATIONS, LABOR AND MEDIA. THIS NETWORK OF COLLABORATIVE PARTNERS IS CONTINOUSLY ENGAGED TO REVIEW AND PRIORITIZE THE HEALTH INDICATORS AND NEEDS AS DETAILED IN THE CHNA; SPECIFICALLY, THIS COMMUNITY INVOLVMENT WAS ACHIEVED BY SHARING THE CHNA'S DATA METRICS WITH THE FOLLOWING ENTITIES, AS WELL AS REQUESTING ADDITIONAL COMMUNITY HEALTH NEEDS INPUT FROM AMONGST THE FOLLOWING NETWORKS: -THE GFHC'S 35 MEMBER BOARD OF DIRECTORS COMPRISED OF LEADERSHIP REPRESENTATIVES WITHIN THE SECTORS DESCRIBED ABOVE -THE GFHC'S 18 MULTI-SECTOR COMMITTEES AND TASK FORCES THAT WORK ON VARIOUS PROJECTS AND ACTIVITIES WITHIN THE GFHC FOCUS AREAS OF HEALTH IMPROVEMENT, ACCESS AND ENVIRONMENT, QUALITY AND INNOVATION, COST & RESOURCE PLANNING, SECTOR WORKFORCE DEVELOPMENT, AND RACIAL DISPARITIES & HEALTH EQUITY. COLLECTIVELY, THESE COMMITTEES AND TASK FORCES INCLUDE 299 MEMBERS WHO EACH HAVE SPECIAL KNOWLEDGE IN HEALTHCARE, PUBLIC HEALTH, AND COMMUNITY ENGAGEMENT, AS SOURCED FROM THEIR CROSS-SECTOR COMPOSITION. THE GFHC'S COMMUNITY NETWORK, REACHING A GROUP OF APPROXIMATELY 100 COMMUNITY BASED ORGANIZATIONS AND RESIDENTS INCLUDING MINORITY GROUPS, THE UNINSURED, AND LOW-INCOME RESIDENTS. -STRATEGIC PLANNING REPRESENTATIVES FROM THE PRINCIPAL PARTNERS IN COMPLETING THE CHNA (GENESYS HEALTH SYSTEM, HURLEY MEDICAL CENTER AND MCLAREN FLINT) -LOCAL GOVERNMENT LEADERS FROM THE GENESEE COUNTY HEALTH DEPARTMENT AND THE CITY OF FLINT -LOCAL HEALTH FOUNDATIONS THAT PRIORITIZE FUNDING DECISIONS -ADDITIONAL COMMUNITY AND MEMBERSHIP GROUPS IN THE CITY OF FLINT AND GENESEE COUNTY COMMUNITY. IN TOTAL, THE CHNA PROCESS INCLUDED THE ENGAGEMENT OF OVER 500 PEOPLE IN THE COMMUNITY WHO REPRESENT THE COMMUNITY SERVED INCLUDING EXPERTS IN PUBLIC HEALTHCARE OR COMMUNITY ENGAGEMENT AS WELL AS COMMUNITY RESIDENTS. FURTHERMORE, THE ASSESSMENT PROCESS ALSO INCLUDED A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY WITH 728 LOCAL RESIDENTS RESPONDING. RESPONDENTS DEFINED A GEOGRAPHIC CROSS SECTION OF THE COMMUNITY WITH EVERY ZIP CODE REPRESENTED. TO SOLICIT AND TAKE INTO ACCOUNT INPUT FROM MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS SERVED BY THE THREE HOSPITAL SYSTEMS, THE SURVEY WAS DISTRIBUTED TO PATIENTS VISITING EACH HOSPITAL SYSTEM'S PRIMARY CARE RESIDENCY PROGRAMS AND EMERGENCY DEPARTMENTS. IN TOTAL THIS CHNA HAS INCLUDED THE INVOLVMENT OF APPROXIMATELY 1,128 REPRESENTATIVES OF THE COMMUNITY SERVED--FLINT/GENESEE COUNTY. THROUGH THIS SIGNIFICANT ENGAGEMENT OF THE COMMUNITY SERVED, ALL INDIVIDUALS INVOLVED IN THIS CHNA WERE GRANTED THE OPPORTUNITY TO PROVIDE INPUT RELATIVE TO THE HEALTH NEEDS AND ASSESSMENT PRIORITIES FOR THE FLINT/GENESEE COUNTY COMMUNITY.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - GENESYS REGIONAL MEDICAL CENTER. THE GREATER FLINT HEALTH COALITION CONDUCTED A JOINT CHNA FOR THE FOLLOWING HOSPITAL FACILITIES: GENESYS REGIONAL MEDICAL CENTER, HURLEY MEDICAL CENTER AND MCLAREN-FLINT.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - GENESYS REGIONAL MEDICAL CENTER. A MULTI-SECTOR COALITION AS A CONVENER OF HEALTH INITIATIVES, INCLUDED IN THIS COALITION WERE THE FOLLOWING HOSPITAL FACILITIES: GENESYS REGIONAL MEDICAL CENTER, HURLEY MEDICAL CENTER, AND MCLAREN-FLINT.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - GENESYS REGIONAL MEDICAL CENTER. PRIORITY 1: ACCESS TO CLEAN & SAFE DRINKING WATER RATIONALE: FLINT, GENESEE COUNTY'S URBAN CORE, HAS HAD ITS DRINKING WATER CONTAMINATED WITH LEAD AND OTHER TOXINS. THE CONTAMINATION OCCURRED WHEN THE CITY SWITCHED ITS WATER SUPPLY AS A COST SAVING MEASURE FROM THE DETROIT SYSTEM TO FLINT RIVER WATER, WHICH WAS MORE CORROSIVE THAN DETROIT WATER & CAUSED LEAD TO LEACH FROM THE PIPES THAT CONNECT MUCH OF FLINT'S AGING INFRASTRUCTURE TO CITY HOMES. RESEARCH CONDUCTED BY A HURLEY MEDICAL CENTER PEDIATRICIAN DISCOVERED THAT THE INCIDENCE OF ELEVATED BLOOD LEVELS IN CHILDREN RESIDING IN THE CITY OF FLINT INCREASED FROM 2.4% TO 4.9% AFTER THE SWITCH. WHEN ASKED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY "WHAT DO YOU THINK ARE THE THREE MOST IMPORTANT ENVIRONMENTAL FACTORS THAT AFFECT HEALTH IN OUR COMMUNITY?" 86.95% OF RESPONDENTS CHOOSE CLEAN AND SAFE DRINKING WATER FROM THE LIST OF AVAILABLE OPTIONS. THE BIGGEST CONCERN IS FOR THE HEALTH & WELL BEING OF THE FLINT RESIDENTS, SPECIFICALLY WOMEN, CHILDREN & THE ELDERLY WHO ARE AFFECTED THE MOST FROM THE LEAD EXPOSURE. THE TRUE MAGNITUDE OF RESIDENTS' EXPOSURE TO LEAD IN THE WATER WILL NEVER BE KNOWN SINCE LEAD HAS A HALF-LIFE IN BLOOD OF ONLY 28 DAYS (APPROXIMATED), & THE INTERVAL BETWEEN WARNINGS NOT TO DRINK THE WATER & CALLS FOR LEAD TESTING WAS GREATER. LEAD IS A POTENT NEUROTOXIN, & CHILDHOOD LEAD POISONING HAS AN IMPACT ON MANY DEVELOPMENTAL & BIOLOGICAL processes, MOST NOTABLY INTELLIGENCE, BEHAVIOR, & OVERALL LIFE ACHIEVEMENT. STRATEGY: GENESYS RECOGNIZES THE NEED TO SUPPORT OUR COMMUNITY THROUGH ALIGNING OUR EFFORTS WITH THE RECOMMENDATIONS OF THE FLINT WATER CRISIS/HEALTH/MEDICAL INTERVENTION STRATEGY RESPONSE PLAN VIA THE GREATER FLINT HEALTH COALITION & HURLEY CHILDREN'S HOSPITAL. GENESYS WILL PROVIDE LEAD MITIGATION NUTRITION INFORMATION & SERVICES THROUGH CURRENTLY EXISTING PROGRAMS: CENTERING PREGNANCY, LACTATION SERVICES, DIABETES/GESTATIONAL DIABETES SELF-MANAGEMENT EDUCATION, MEDICAL NUTRITION THERAPY EDUCATION, & CARDIAC & PULMONARY REHABILITATION. PRIORITY 2: INFANT/CHILD HEALTH & DEVELOPMENT RATIONALE: ACCORDING TO THE ANNIE E. CASEY FOUNDATION'S KIDS COUNT DATA BOOK, GENESEE COUNTY RANKS 79TH OUT OF 81 MICHIGAN COUNTIES FOR TRENDS IN CHILD HEALTH & WELL-BEING. IMPOVERISHED CHILDREN ARE AT SIGNIFICANTLY HIGHER RISK FOR POOR HEALTH OUTCOMES & POOR EDUCATIONAL OUTCOMES OVER THE LIFE COURSE. THE GENSEE COUNTY COMMUNITY HAS A HIGHER CHILD POVERTY RATE THAN THE STATE OR NATION AS A WHOLE. IN GENESEE COUNTY TRENDS OBSERVED REGARDING MEDICAID INSURED CHILDREN (COMPARED TO THEIR COMMERCIALLY INSURED COUNTERPARTS) HAVE: HIGHER RATES OF ACUTE CARE ADMISSIONS; HIGHER RATES OF ACUTE CARE LENGTH OF STAYS (45-78 DAYS LONGER); SIGNIFICANTLY HIGHER RATES OF EMERGENCY DEPARTMENT (ED) USE FOR ASTHMA/slightly LOWER TREATMENT RATES OF USE OF APPROPRIATE ASTHMA MEDICATION; HIGHER RATES OF APPROPRIATE & "INAPPROPRIATE" USE OF THE ED; LOWER RATES OF WEIGHT ASSESSMENT & COUNSELING FOR NUTRITION AND PHYSICAL ACTIVITY; & LOWER RATES OF CHILDHOOD IMMUNIZATIONS; LOWER RATES OF APPROPRIATE TESTING FOR CHILDREN WITH PHARYNGITIS; & LOWER RATES OF UTILIZATION OF WELL-CHILD VISITS IN THE FIRST 15 MONTHS OF LIFE. STRATEGY: DEVELOP & IMPLEMENT AN EVIDENCE-BASED STANDARD OF CARE FOR INFANTS & CHILDREN IN GENESEE COUNTY THAT IMPROVES HEALTH OUTCOMES, ENHANCES PATIENT & PROVIDER EXPERIENCE & LOWERS COST. GENESYS HAS RESOURCES FOR CONTINUED & EXPANDED INFANT & CHILD HEALTH PROGRAMMING IN OUR COMMUNITY THROUGH THE CHILDREN'S HEALTHCARE ACCESS PROGRAm (CHAP), CENTERING PREGNANCY, LACTATION SERVICES, COMMIT TO HEALTHY HEARTS, & STUDENT HEART SCREENINGS. PRIORITY 3: OBESITY/OVERWEIGHT & HEALTHY LIFESTYLE RATIONALE: OVERALL, GENESEE COUNTY'S HEALTH BEHAVIORS ARE SOME OF THE POOREST IN THE STATE RANKING 77TH OUT OF 83 MICHIGAN COUNTIES FOR HEALTH BEHAVIORS. COMMUNITY RESIDENTS LACK REGULAR PHYSICAL ACTIVITY & HEALTHY EATING (DINING) PRACTICES. GENESEE COUNTY'S OBESITY RATE (35.7%) IS SIGNIFICANTLY HIGHER THAN STATE (31.1%) & NATIONAL (26.59%) AVERAGES WITH THE COMBINED OBESITY & OVERWEIGHT RATE BEING 70.4%. FLINT/GENESEE COUNTY'S physical ENVIRONMENT PRESENTS MANY CHALLENGES FOR RESIDENTS ATTEMPTING TO INCORPORATE physical ACTIVITY INTO THEIR DAILY ROUTINES INCLUDING NEIGHBORHOOD BLIGHT, CRIME & LIMITED RECREATION & FITNESS FACILITIES. POOR HEALTH BEHAVIORS ARE ASSOCIATED WITH HIGH RATES OF CHRONIC DISEASES & CONDITIONS LIKE DIABETES MELLITUS, HIGH CHOLESTEROL, & HEART DISEASE. THE PREVALENCE OF DIABETES MELLITUS CONTINUES TO RISE FOR BOTH ADULTS & CHILDREN IN GENESEE COUNTY. GENESEE COUNTY'S DIABETES PREVALENCE (11.6%) IS HIGHER THAN STATE (9.48%) & NATIONAL (9.11%) AVERAGES. DIABETES IS A SIGNIFICANT HEALTH STATUS INDICATOR & HIGH COST DISEASE. STRATEGY: SERVE AS A VITAL PRESENCE IN THE COMMUNITY TO SUPPORT physical ACTIVITY & ACCESS TO & CONSUMPTION OF HEALTHY FOOD VIA PROGRAMMING THAT MEETS COMMUNITY HEALTH NEEDS & SUPPORTS POPULATION HEALTH DELIVERY-IMPROVED HEALTH OUTCOMES, ENHANCED PATIENT & PROVIDER EXPERIENCE, & LOWER COSTS. GENESYS WILL ADDRESS OBESITY/OVERWEIGHT & SUPPORT HEALTHY LIFESTYLES AMONG ADULTS & CHILDREN THROUGH OUR ESTABLISHED & DEDICATED DIABETES PROGRAMS, EMPLOYEE PARTICIPATION IN THE GFHC COMMIT TO FIT INITIATIVE, & GENESYS ATHLETIC CLUB COMMUNITY WELLNESS PROGRAMMING.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - GENESYS REGIONAL MEDICAL CENTER. PRIORITY 4: EFFECTIVE CARE DELIVERY FOR AN AGING POPULATION RATIONALE: GENESEE COUNTY'S POPULATION IS AGING. THE MEDIAN AGE OF THE POPULATION HAS INCREASED 13.71% IN THE PAST 13 YEARS, WITH INDIVIDUALS AGED 55 YEARS & OLDER REPRESENTING A DISPROPORTIONATELY HIGH AMOUNT OF THE TOTAL POPULATION. THE PERCENTAGE OF RESIDENTS 65 YEARS & OLDER HAS INCREASED 31.03% DURING THE SAME TIME PERIOD FROM 11.6% IN 2000 TO 15.2% IN 2013. OLDER RESIDENTS AS A POPULATION HAVE AN INCREASED NEED FOR SOCIAL SUPPORTS AND HEALTH CARE SERVICES. LOCAL DATA AND STUDIES INDICATE THAT FLINT/GENESEE COUNTY RESIDENTS ARE COMMONLY NOT PREPARED FOR HEALTH CARE DECISION-MAKING AT THE END OF LIFE. STRATEGY: GENESYS IS COMMITTED TO CARING FOR THE AGING & ELDERLY POPULATIONS OF GENESEE COUNTY THROUGH OUR EXISTING PROGRAM FOR THE ALL-INCLUSIVE CARE OF THE ELDERLY (PACE) & ADVANCE CARE PLANNING PROGRAMS. PRIORITY 5: FOOD INSECURITY RATIONALE: FOOD INSECURITY IS THE HOUSEHOLD-LEVEL ECONOMIC & SOCIAL CONDITION OF LIMITED OR UNCERTAIN ACCESS TO ADEQUATE FOOD. FLINT/GENESEE COUNTY'S FOOD INSECURITY RATE (18.02%) IS HIGHER THAN STATE (16.41%) & NATIONAL (15.21%) AVERAGES. WHILE 82% OF COUNTY RESIDENTS REPORT THEY DO NOT CONSUME AN ADEQUATE AMOUNT OF FRUITS & VEGETABLES, FOR THOSE LIVING IN FLINT'S FOOD DESERT, THE LACK OF ACCESS PROHIBITS HEALTHY CHOICES. THE CITY OF FLINT, POPULATION OF 99,002, HAS ONLY ONE CHAIN GROCERY STORE COMPARED TO 54 LIQUOR STORES FOR FOOD ACCESS WITHIN CITY LIMITS & ONLY 21% OF SAMPLED CONVENIENCE STORES OFFER FRESH PRODUCE. LOW INCOME RESIDENTS ARE DISPROPORTIONATELY AFFECTED REGARDING FOOD ACCESS. THE LACK OF ADEQUATE TRANSPORTATION IS ONE LARGE CONTRIBUTING FACTOR FOR FLINT RESIDENTS BEING ABLE TO ACCESS HEALTHY FOOD. STRATEGY: OUR GOAL IS TO SERVE AS A VITAL PRESENCE IN THE COMMUNITY TO SUPPORT ACCESS TO & CONSUMPTION OF HEALTHY FOOD VIA PROGRAMMING THAT MEETS COMMUNITY HEALTH NEEDS & SUPPORTS POPULATION HEALTH DELIVERY-IMPROVED HEALTH OUTCOMES, ENHANCED PATIENT & PROVIDER EXPERIENCE, & LOWER COSTS. WE WILL LEVERAGE OUR HEALTH PARK CAMPUS RESOURCES TO PROVIDE ECONOMIC OPPORTUNITY FOR WOMEN FARMERS & SUPPORT ACCESS TO HEALTHY FOOD IN THE COMMUNITY THROUGH COLLABORATION WITH THE MICHIGAN FOOD & FARMING SYSTEMS (MIFFS) WOMEN IN AGRICULTURE PROGRAM; & SERVE IN A KEY LEADERSHIP ROLE IN THE REGIONAL FOOD SYSTEM NAVIGATION (RFSN) INITIATIVE, A COMMUNITY FOUNDATION OF GREATER FLINT-LED EFFORT TO ADDRESS ACCESS TO & CONSUMPTION OF HEALTHY FOOD. PRIORITY 6: HEALTH CARE ACCESS RATIONALE: GENESYS WILL ESTABLISH AN ENVIRONMENT TO BUILD THE CAPACITY TO PROVIDE RESPONSIVE SERVICES TO VETERANS AT THE RIGHT TIME & IN THE RIGHT PLACE THAT COMPLIMENTS OTHER VETERANS INITIATIVES & LEVERAGE EMERGING VETERANS RESOURCES. THE GENESEE COUNTY VETERANS POPULATION IS 29,204. OF THE VETERANS WHO RESIDE IN GENESEE COUNTY, ALMOST HALF (14,527 ARE AGE 65 & OLDER. IN THE STATE OF MICHIGAN, MANY VETERANS & THEIR FAMILIES HAVE UNCLAIMED FINANCIAL BENEFITS. MICHIGAN RANKS 47TH OUT OF 53 STATES & TERRITORIES FOR AVERAGE DOLLARS SPENT ON VETERANS. THERE IS A SLOW & DIFFICULT ENROLLMENT PROCESS FOR SERVICES & SIGNIFICANT SERVICE GAPS AS THE NUMBER OF VETERANS IN THE STATE CONTINUES TO GROW. STRATEGY: GENESYS HEALTH SYSTEM WILL PARTNER IN SUPPORTING VETERANS AFFAIRS PROGRAMS TO IMPROVE SERVICES TO VETERANS THAT ARE ALIGNED WITH POPULATION HEALTH CARE DELIVERY & BETTER HEALTH, IMPROVED PATIENT EXPERIENCE & REDUCE COST THROUGH THE VETERANS CHOICE PROGRAM & THE GENESYS PRESUMPTION ILLNESS PROGRAM DESIGNED TO ACCESS VETERANS TO HEALTH CARE SERVICES AND LINK VETERANS TO THE FINANCIAL BENEFITS THEY DESERVE.
Schedule H, Part V, Section B, Line 22 Facility , 1	Facility , 1 - HOW AMOUNTS CHARGED TO FAP-ELIGIBLE PATIENTS WERE DETERMINED. FACILITY NAME: GENESYS REGIONAL MEDICAL CENTER DESCRIPTION: THE HOSPITAL PARTICIPATES IN MICHIGAN MEDICAL ASSISTANCE PROGRAM TO BILL SUCH UNINSURED PATIENTS WITH INCOMES UP TO 250% OF THE FPG THAT HAVE NOT APPLIED FOR FINANCIAL ASSISTANCE NO MORE THAN 115% OF MEDICARE RATES.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?5
Name and address		Type of Facility (describe)
1	Genesys MRI Center 981 Health Park Blvd Grand Blanc,MI48439	Magnetic Resonance Imaging Services
2	Genesys Wound and Hyperbaric Center 600 Health Park Blvd Suite 1 Grand Blanc,MI48439	Wound and Hyperbaric Services
3	Genesys Sleep Disorders Center 8200 South Saginaw Street Grand Blanc,MI48439	Sleep Disorder Services
4	Academic Training Clinics 420 South Saginaw Street Flint,MI48502	Resident Training Clinics
5	Academic Training Clinics 1460 North Center Road Burton,MI48509	Resident Training Clinics
6
7
8
9
10

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORT	GENESYS REGIONAL MEDICAL CENTER ANNUALLY COMPILES ITS COMMUNITY BENEFIT INFORMATION AND SUBMITS SUCH INFORMATION TO BOTH THE MICHIGAN HOSPITAL ASSOCIATION ("MHA") AND THE GREATER FLINT HEALTH COALITION FOR INCLUSION INTO FORMAL CONSOLIDATED PUBLICATIONS OF ALL PARTICIPATING ENTITIES.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE METHODOLGY USED TO ESTIMATE THE AMOUNTS REPORTED WITHIN PART 1, LINE 7, IS A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO INCLUDED TOTAL OPERTING EXPENSES (COSTS) WHICH WERE REDUCED BY OTHER OPERATING REVENUE COSTS, NON-PATIENT CARE EXPENSE ADJUSTMENTS, CARE OF THE POOR (CATEGORY 3) AND CARE OF THE POOR (CATEGORY 4).
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE METHODOLOGY USED TO ESTIMATE THE AMOUNT REPORTED AS BAD DEBT EXPENSE WAS A COST-TO-CHARGE RATIO APPLIED TO THE GROSS BAD DEBT CHARGES. THE COST-TO-CHARGE RATIO INCLUDED TOTAL OPERATING EXPENSES (COSTS) WHICH WERE REDUCED BY OTHER OPERATING REVENUE COSTS, NON-PATIENT CARE EXPENSE ADJUSTMENTS, CARE OF THE POOR (CATEGORY 3) COSTS, AND CARE OF THE POOR (CATEGORY 4) COSTS.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE FOLLOWING SERVES AS GUIDELINES UTILIZED BY GENESYS REGIONAL MEDICAL CENTER FOR REPORTING/ESTIMATING BAD DEBT ATTRIBUTABLE TO CHARITY CARE. BAD DEBT COST OF SERVICES CAN BE CALCULATED FOR CERTAIN BAD DEBT WRITE-OFFS. THIS ACKNOWLEDGES THAT THERE ARE CHARITY CARE PATIENTS THAT MAY NOT BE IDENTIFIED INITIALLY AS ELIGIBLE FOR SUCH CHARITY CARE. THE FOLLOWING FORMULA IS UTILIZED: COST OF BAD DEBT EXCLUDING THE PORTION RELATED TO COINSURANCE AND DEDUCTIBLES. THAT IS, PATIENTS WHO HAVE A COINSURANCE PAYMENT OR DEDUCTIBLE ARE ASSUMED TO HAVE INSURANCE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	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 APPRORIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE 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 ACCORANCE 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.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	GENESYS REGIONAL MEDICAL CENTER HAS A WRITTEN DEBT COLLECTION POLICY THAT ALSO INCLUDES A PROVISION ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR THOSE WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE, CERTAIN COLLECTION PRACTICES DO NOT APPLY.
Schedule H, Part V, Section B, Line 16a FAP website	- Genesys Regional Medical Center: Line 16a URL: http://www.genesys.org/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Genesys Regional Medical Center: Line 16b URL: http://www.genesys.org/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Genesys Regional Medical Center: Line 16c URL: http://www.genesys.org/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	PLEASE SEE PART V, SECTION B LINE 3 DISCLOSURE.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE GENESYS HEALTH SYSTEM/ASCENSION MISSION CALLS FOR SERVICE OF THE POOR. IDENTIFIED ARE THOSE PATIENTS WHO REQUIRE FINANCIAL ASSISTANCE AND TO MAKE SURE THE BILLING OF THEIR ACCOUNT REFLECTS THE LEVEL OF FINANCIAL ASSISTANCE THAT IS APPRORIATE FOR THEIR CIRCUMSTANCE. FINANCIAL ASSISTANCE PROCEDURES ARE LOCATED IN THE PATIENT ADMISSIONS HANDBOOK. IF A PATIENT ANTICIPATES DIFFICULTY FINANCING HEALTHCARE CHARGES, A CONSULTATION REGARDING VARIOUS PAYMENT OPTIONS ENSUES. UNINSURED PATIENTS WILL RECEIVE AN UNINSURED DISCOUNT. THERE ARE MANY PROGRAMS AVAILABLE TO ASSIST PATIENTS WITH THEIR HEALTH CARE NEEDS; WHEN OPTIONS HAVE BEEN EXHAUSTED, A CHARITY CARE PROGRAM IS AVAILABLE. THERE ARE 3 STEPS TO DETERMINE WHAT DISCOUNT A PATIENT MIGHT BE ENTITLED TO RECEIVE AND HOW TO COMMUNICATE THAT INFORMATION TO THE PATIENT. WHENEVER POSSIBLE, THIS PROCESS IS COMPLETED WITH THE PATIENT IN PERSON. STEP 1-CONDUCT A SELF PAY SCREENING INTERVIEW STEP 2-COMPLETE A FINANCIAL ASSISTANCE APPLICATION STEP 3 -DETERMINE AND COMMUNICATE THE DISCOUNT. FOR EMERGENCY DEPARTMENT TREATMENT AND RELEASE PATIENTS, PATIENT EDUCATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE OCCURS AT THE TIME OF DISCHARGE. PATIENTS WITH A SCHEDULED PROCEDURE, THIS CONVERSATION OCCURS AS PART OF THE FINANICAL CLEARANCE PROCESS. IF THE PATIENT IS UNSCHEDULED PATIENT, THIS CONVERSATION OCCURS WHEN THE PATIENT'S CONDITION IS STABLIZED AND A REASONABLE ESTIMATE OF THE CHARGES CAN BE MADE. FOR LONGER PATIENT STAYS, SOMETIMES IT MAY BE APPROPRIATE TO COMMUNICATE TO THE PATIENT THAT THEY HAVE QUALIFIED FOR THE DISCOUNT EARLIER IN THE VISIT TO PROVIDE SOME COMFORT TO THE PATIENT THAT THEY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE.
Schedule H, Part VI, Line 4 Community information	LOCATED 70 MILES NORT OF DETROIT, GENESEE COUNTY, WHICH INCLUDES ITS MAJOR URBAN CORE THE CITY OF FLINT, WAS AT ONE TIME THE NATIONAL EPICENTER OF AUTOMOTIVE FORETHOUGHT AND PRODUCTION. AS THE BIRTHPLACE OF GENERAL MOTORS (GM) IN 1908 AND HOME TO THE UNITED AUTO WORKERS' (UAW) FAMOUS SIT-DOWN STRIKE OF 1936-37, FLINT/GENESEE COUNTY HELPED DEFINE THE AMERICAN AUTO INDUSTRY. BY THE LATE 1970's, GM EMPLOYED MORE THAN 80,000 WORKERS IN THE COUNTY. IMPACTED BY NATIONAL DEINDUSTRIALIZATION IN THE 1980s AND THEREAFTER, A PERIOD OF DISINVESTMENT, DEPOPULATION, AND URBAN DECAY WOULD FOLLOW AS THE AUTOMOTIVE INDUSTRY DECLINED RAPIDLY. BY THE 2010, LESS THAN 8,000 GM JOBS REMAIN, APPROXIMATELY 10% OF WHAT ONCE DEFINED THE COMMUNITY'S MANUFACTURING AND ECONOMIC BASE. TODAY, FLINT/GENESEE COUNTY REMAINS A "COMMUNITY IN RECOVERY" DUE TO THIS HISTORICAL ECONOMIC SHIFT, HAVING EXPERIENCED SIGNIFICANT UNEMPLOYMENT AND POPULATION DECLINES COUPLED WITH OVERWHELMINGLY POOR MEASURES FOR BOTH HEALTH FACTORS AND HEALTH OUTCOMES. GENESEE COUNTY'S CURRENT POPULATION OF 412,895 INCLUDES A RACIAL COMPOSITION OF 74.5% WHITE, 20.7% AFRICAN-AMERICAN, AND 3.0% HISPANCIC/LATINO. FROM 2008 TO 2013, THE COUNTY'S POPULATION HAS DECREASED BY OVER 20,000 RESIDENTS. WHILE NEARLY 200,000 PEOPLE ONCE LIVED WITHIN THE CITY OF FLINT DURING ITS PEAK IN THE 1960s AND 1970s, TODAY ON 99,002 RESIDENTS REMAIN, A MAJORITY BEING AFRICAN-AMERICAN (56.6%). OUTMIGRATION HAS LEFT FLINT/GENESEE COUNTY WITH URBAN DECAY AND NEIGHBORHOOD BLIGHT (35% OF ALL PROPERTIES ARE ABANDONED, VACANT HOMES HAVE INCREASED 74% IN THE COUNTY FROM 2000-2008), DECREASED HOME VALUES (AVERAGE HOME VALUES HAVE DROPPED 56% FROM $129,300 IN 2007 TO $82,800 IN 2013), AND FALLING TAX REVENUES ($19.2 MILLION LOSS FROM 2006-2011). FLINT'S POPULATION DECLINE BELOW 100,000 RESIDENTS WILL IMPACT ITS FUTURE ELIGIBILITY TO APPLY FOR SOME FEDERAL GRANTS. THESE DEVELOPMENTS HAVE FUELED CONSISTENTLY HIGH UNEMPLOYMENT RATES (CURRENLTY AT 9.7%) AND GROWING GENERATIONAL POVERTY. THE POVERTY RATE IN FLINT/GENESEE COUNTY (41.1% AND 21.7%, RESPECTIVELY) IS MUCH HIGHER THAN STATE (17.0%) AND NATIONAL (15.8%) RATES. MEDIAN HOUSEHOLD INCOME FOR 2010-2014 FOR THE CITY OF FLINT WAS $24,679; GENESEE COUNTY $41,879; THE STATE OF MICHIGAN $49,087 AND THE UNITED STATES $53,482. THE PERCENT OF HOUSEHOLDS RECEIVING PUBLIC ASSISTANCE INCOME WAS MUCH HIGHER IN FLINT AND GENESEE COUNTY (11.67% AND 5.78% RESPECTIVELY) THAN THE STATE (3.69%) AND NATION (2.82%). UNCOMPENSATED CARE COSTS FOR THE THREE LOCAL GENESEE COUNTY HOSPITALS HAVE RISEN 78% FROM 2006 TO 2013 (FROM $78.9 MILLION TO $140.1 MILLION)
Schedule H, Part VI, Line 5 Promotion of community health	PLEASE SEE PART V, SECTION B, LINE 3 DISCLOSURE
Schedule H, Part VI, Line 6 Affiliated health care system	GENESYS REGIONAL MEDICAL CENTER IS A WHOLLY OWNED SUBSIDIARY OF GENESYS HEALTH SYSTEM (GHS) WHICH IS A MEMBER OF ASCENSION HEALTH. ASCENSION HEALTH ALLIANCE, d/b/a ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILIITIES, OR HEALTH MINISTRIES, LOCATED IN 24 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION SERVED AS THE MEMBER OR SHAREHOLDER OF VARIOUS SUBSIDIARIES. ASCENSION AND ITS MEMBER ORGANIZATIONS ARE HEREAFTER REFERRED TO COLLECTIVELY AS THE SYSTEM. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRDORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. GHS IS RELATED TO ASCENSION HEALTH'S OTHER SPONSORED ORGANIZATIONS THROUGH COMMON CONTROL. SUBSTANTIALLY ALL EXPENSES OF ASCENSION HEALTH ARE RELATED TO PROVIDING HEALTH CARE SERVICES. GRMC IS A 441 LICENSED BED HOSPITAL WITH 2,754 FULL-TIME EQUIVALENTS IN FY 2016. GRMC PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR THE RESIDENTS OF GENESEE COUNTY AND OTHER SURROUNDING COUNTIES. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. THE SYSTEM DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING, AND DEDICATING ITS RESOURCES TO SPIRITUALLY CENTERED CARE WHICH SUSTAINSAND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH THE SYSTEM'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE SYSTEM USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILITIZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS: -TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. -UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS. -COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVCE THE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. -COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESERACH. DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS ARE PROVIDED TO THOSE DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENFEIT PROGRAMS. THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS IS ESTIMATED BY REDUCING CHARGES FOREGONE BY A FACTOR DERIVED FROM THE RATIO OF EACH ENTITY'S TOTAL OPERATING EXPENSES TOT HE ENTITY'S BILLED CHARGES FOR PATIENT CARE.

Schedule H (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
Genesys Regional Medical Center

Employer identification number
38-2377821

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) CATHOLIC CHARITIES OF SHIAWASSEE AND GENESEE COUNTIES 901 CHIPPEWA STREET Flint,MI48503	38-1359243	501(C)(3)	25,000	SUPPORT OPERATIONS
(2) GENESEE COUNTY FREE MEDICAL CLINICS 2437 WELCH BOULEVARD FLINT,MI48504	38-2995700	501(C)(3)	10,000	SUPPORT OPERATIONS
(3) GREATER FLINT HEALTH COALITION INC 519 S SAGINAW ST STE 306 FLINT,MI48502	38-3301514	501(C)3	10,000	SUPPORT OPERATIONS
(4) COMMUNITY FOUNDATION OF GREATER FLINT 500 S SAGINAW ST STE 200 FLINT,MI48502	38-2190667	501(C)3	10,000	LEAD POISONING AID
(5) GENESEE COUNTY MEDICAL SOCIETY 4438 OAK BRIDGE DR STE B FLINT,MI48532	38-1347755	501(C)6	5,000	SUPPORT OPERATIONS, FUNDRAISER

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.

GENESYS REGIONAL MEDICAL CENTER NORMALLY REQUIRES AN ANNUAL REPORT (WHERE APPLICABLE) FOR POTENTIAL GRANT ASSISTANCE. IN ADDITION, A GENESYS REGIONAL MEDICAL CENTER POINT PERSON WILL NORMALLY ATTEND A MEETING AT THE ENTITYOR WITH AN INDIVIDUALTO HELP UNDERSTAND THEIR NEEDS. FINAL APPROVAL FOR ANY ASSISTANCE WILL COME FROM THE OFFICE OF THE PRESIDENT. DEPENDING ON THE NATURE OF THE GRANT, A FINAL REPORT OR SUBSTANTIATION OF THE GRANT ASSISTANCE USED, IS REQUIRED TO BE SUBMITTED BACK TO THE HOSPITAL. OTHER TYPES OF GRANTS (FUNDRAISERS) ARE EVALUATED BASED UPON THE PURPOSE OF THE CAMPAIGN.

Schedule I (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Genesys Regional Medical Center

Employer identification number

38-2377821

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1ELIZABETH ADERHOLDT TRUSTEE, ASCENSION MID-MICHIGAN PRESIDENT & CEO	(i) (ii)	125,075 ------------- 460,156	934,663 ------------- 0	176,033 ------------- 0	18,606 ------------- 0	14,462 ------------- 0	1,268,839 ------------- 460,156	96,493 ------------- 0
2JO STUDLEY-MAY MD TRUSTEE	(i) (ii)	0 ------------- 270,962	0 ------------- 0	0 ------------- 192	0 ------------- 43,609	0 ------------- 3,056	0 ------------- 317,819	0 ------------- 0
3NANCY HAYWOOD ASCENSION MID-MICHIGAN CFO	(i) (ii)	173,998 ------------- 186,758	23,333 ------------- 0	35,169 ------------- 0	19,448 ------------- 0	25,698 ------------- 0	277,646 ------------- 186,758	0 ------------- 0
4CHRISTOPHER PALAZZOLO ASCENSION MID-MICHIGAN COO	(i) (ii)	479,319 ------------- 0	32,204 ------------- 0	148,320 ------------- 0	19,484 ------------- 0	25,186 ------------- 0	704,513 ------------- 0	80,258 ------------- 0
5JOY FINKENBINER VP PROF & SUPPORT SERVICES	(i) (ii)	249,850 ------------- 0	12,546 ------------- 0	58,193 ------------- 0	16,409 ------------- 0	8,382 ------------- 0	345,380 ------------- 0	32,125 ------------- 0
6JULIE GORCZYCA CHIEF NURSING OFFICER	(i) (ii)	209,839 ------------- 0	13,600 ------------- 0	10,775 ------------- 0	14,289 ------------- 0	16,787 ------------- 0	265,290 ------------- 0	0 ------------- 0
7RON HAASE CHIEF HR & LEARNING OFFICER	(i) (ii)	44,846 ------------- 0	0 ------------- 0	390,345 ------------- 0	1,133 ------------- 0	3,299 ------------- 0	439,623 ------------- 0	0 ------------- 0
8CHARLES HUSSON DO CHIEF MEDICAL OFFICER	(i) (ii)	289,116 ------------- 74,801	23,600 ------------- 0	49,882 ------------- 0	18,368 ------------- 0	3,039 ------------- 0	384,005 ------------- 74,801	0 ------------- 0
9NICK BUTTAR MD PHYSICIAN	(i) (ii)	686,277 ------------- 0	2,880 ------------- 0	4,902 ------------- 0	7,950 ------------- 0	33,113 ------------- 0	735,122 ------------- 0	0 ------------- 0
10CLARK HEADRICK DO CHIEF MEDICAL INFORMATION OFFICER	(i) (ii)	260,509 ------------- 0	0 ------------- 0	540 ------------- 0	7,390 ------------- 0	26,248 ------------- 0	294,687 ------------- 0	0 ------------- 0
11MARC LEWIS MD DIRECTOR WOMEN AND CHILDREN'S SERVICES	(i) (ii)	545,237 ------------- 0	0 ------------- 0	2,250 ------------- 0	0 ------------- 0	23,848 ------------- 0	571,335 ------------- 0	0 ------------- 0
12JAMES LINDEMULDER DO PHYSICIAN	(i) (ii)	248,176 ------------- 0	0 ------------- 0	2,386 ------------- 0	7,248 ------------- 0	22,568 ------------- 0	280,378 ------------- 0	0 ------------- 0
13Prabhat Pokhrel MD PHYSICIAN	(i) (ii)	232,250 ------------- 0	0 ------------- 0	2,012 ------------- 0	6,785 ------------- 0	21,034 ------------- 0	262,081 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Schedule J, Part I, Line 1a Health or social club dues or initiation fees	THE GENESYS HEALTH SYSTEM'S TOP MANAGEMENT OFFICIAL HAD FEES THAT WERE PAID FOR A SOCIAL CLUB. THE CLUB DUES WERE PAID FOR BUSINESS PURPOSES. WRITTEN COMPANY POLICY ALONG WITH ANY IRS TAX REQUIREMENTS (WHERE APPLICABLE) WERE FOLLOWED.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	ASCENSION HEALTH, A RELATED ORGANIZATION OF GENESYS REGIONAL MEDICAL CENTER, USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT & CEO: -COMPENSATION COMMITTEE, -INDEPENDENT COMPENSATION CONSULTANT, -COMPENSATION SURVEY OR STUDY, AND -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENT RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, PART II, COLUMN B IN THE YEAR PAID. THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS FROM ASCENSION HEALTH'S NON-QUALIFIED RETIREMENT PLAN IN THE AMOUNT AS NOTED: ELIZABETH ADERHOLDT - $96,493 CHRISTOPHER PALAZZOLO - $80,258 JOY FINKENBINER - $32,125

Schedule J (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Genesys Regional Medical Center

Employer identification number

38-2377821

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No










Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) SUSAN TIPPETT	SPOUSE OF A DIRECTOR	116,005	DIRECTOR'S WIFE (SUSAN TIPPETT) IS PAID (EMPLOYED BY GENESYS REGIONAL MEDICAL CENTER AND COSTS ARE ALLOCATED INTO THE FOUNDATION) TO WRITE GRANT PROPOSALS TO PROSPECTIVE COMPANIES.		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
Schedule L, Part IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	ALL TRANSACTIONS REPORTED ON PART IV ARE REPORTED AS ARMS-LENGTH FOR FAIR MARKET VALUE.

Schedule L (Form 990 or 990-EZ) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- 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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

Genesys Regional Medical Center

Employer identification number

38-2377821

Return Reference	Explanation
Form 990, Part VI, Line 15a Procedure for determining compensation of the President & CEO	IN DETERMINING COMPENSATION OF THE ORGANIZATION'S PRESIDENT & CEO, THE PROCESS, PERFORMED BY ASCENSION MICHIGAN, A RELATED ORGANIZATION OF GENESYS REGIONAL MEDICAL CENTER, 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 PRESIDENT & 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 WAS RECORDED IN THE COMPENSATION COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HER COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 15b PROCEDURE FOR DETERMINING COMPENSATION OF OFFICERS AND KEY EMPLOYEES	IN DETERMINING COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION, THE PROCESS, PERFORMED BY ASCENSION MICHIGAN, A RELATED ORGANIZATION OF GENESYS REGIONAL MEDICAL CENTER, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF COMPENSATION, OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION 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 EXECUTIVE COMMITTEE MINUTES.
Form 990, Part VI, Line 4 Significant changes to organizational documents	DURING FISCAL YEAR 2016, ASCENSION MICHIGAN REPLACED GENESYS HEALTH SYSTEM AS THE SOLE CORPORATE MEMBER OF GENESYS REGIONAL MEDICAL CENTER.
Form 990, Part VI, Line 6 Classes of members or stockholders	GENESYS REGIONAL MEDICAL CENTER HAS A SINGLE CORPORATE MEMBER: ASCENSION MICHIGAN.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	GENESYS REGIONAL MEDICAL CENTER HAS A SINGLE CORPORATE MEMBER, ASCENSION MICHIGAN, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF THE GENESYS REGIONAL MEDICAL CENTER.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO GENESYS REGIONAL MEDICAL CENTER FINANCIAL INFORMATION OR CORPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, ASCENSION MICHIGAN.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body	GENESYS REGIONAL MEDICAL CENTER DOES NOT HAVE ANY COMMITTEES THAT HAVE AUTHORITY TO ACT ON ITS BEHALF.
Form 990, Part VI, Line 11b Review of form 990 by governing body	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 MANAGEEMNT TEAM MEMBERS ARE AVAILABLE TO ANSWER ANY BOARD MEMBERS' QUESTIONS.
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 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 CONFLICT 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 VIII, Line 2f Other Program Service Revenue	Other Revenue - Total Revenue: 54018, Related or Exempt Function Revenue: 54018, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Miscellaneous Revenue - Total Revenue: 825644, Related or Exempt Function Revenue: , Unrelated Business Revenue: 158637, Revenue Excluded from Tax Under Sections 512, 513, or 514: 667007;
Form 990, Part IX, Line 11g Other Fees	CONTRACTED LABOR - Total Expense: 1285074, Program Service Expense: 1034292, Management and General Expenses: 250782, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 25456677, Program Service Expense: 15826150, Management and General Expenses: 9630527, Fundraising Expenses: ; RCM FEES - Total Expense: 7576866, Program Service Expense: , Management and General Expenses: 7576866, Fundraising Expenses: ; REVENUE CYCLE - Total Expense: 2858276, Program Service Expense: , Management and General Expenses: 2858276, Fundraising Expenses: ; CONSULTING FEES - Total Expense: 784795, Program Service Expense: , Management and General Expenses: 784795, Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 13216919, Program Service Expense: 13216919, Management and General Expenses: , Fundraising Expenses: ; OTHER PROFESSIONAL FEES - Total Expense: 7041466, Program Service Expense: 6298921, Management and General Expenses: 742545, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	PENSION/OTHER POST RETIRMENET DEFERRED ACTIVITY - -29804018; TRANSFERS WITH AFFILIATES - 23078503;
FORM 990, PART IV, LINE 12B EXPLANATION OF FINANCIAL STATEMENTS	THE ACTIVITY OF GENESYS REGIONAL MEDICAL CENTER IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF GENESYS REGIONAL MEDICAL CENTER IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF GENESYS REGIONAL MEDICAL CENTER.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Genesys Regional Medical Center

Employer identification number

38-2377821

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS,MO63145 45-3358926	NATIONAL HEALTH SYSTEM	MO	501(c)(3	Type I	NA		No
(2)ASCENSION HEALTH PO BOX 45998 ST LOUIS,MO63145 31-1662309	NATIONAL HEALTH SYSTEM	MO	501(c)(3	Type I	ASCENSION HEALTH ALLIANCE		No
(3)ASCENSION MICHIGAN 28000 DEQUINDRE ROAD WARREN,MI48092 38-2631907	HEALTH CARE	MI	501(c)(3	9	ASCENSION HEALTH		No
(4)ST JOHN PROVIDENCE 28000 DEQUINDRE ROAD WARREN,MI48092 38-2244034	PARENT	MI	501(c)(3	Type III-FI	ASCENSION MICHIGAN	Yes
(5)BRIGHTON CENTER FOR RECOVERY 12851 GRAND RIVER BRIGHTON,MI48116 38-1576680	HOSPITAL	MI	501(c)(3	3	ASCENSION MICHIGAN	Yes
(6)PROVIDENCE-PROVIDENCE PARK HOSPITAL 16001 WEST NINE MILE ROAD SOUTHFIELD,MI48037 38-1358212	HOSPITAL	MI	501(c)(3	3	ASCENSION MICHIGAN	Yes
(7)ST JOHN HOSPITAL & MEDICAL CENTER 28000 DEQUINDRE ROAD WARREN,MI48092 38-1359063	HEALTH CARE	MI	501(c)(3	3	ASCENSION MICHIGAN	Yes
(8)ST JOHN RIVER DISTRICT HOSPITAL 4100 RIVER ROAD EAST CHINA,MI48054 38-3160564	HOSPITAL	MI	501(c)(3	3	ASCENSION MICHIGAN	Yes
(9)ST JOHN MACOMB-OAKLAND HOSPITAL 28000 DEQUINDRE ROAD WARREN,MI48092 38-3322109	HOSPITAL	MI	501(c)(3	3	ASCENSION MICHIGAN	Yes
(10)REVERENCE HOME HEALTH & HOSPICE 5445 ALI DRIVE DEPT 800 GRAND BLANC,MI484395172 38-3408684	HEALTH CARE	MI	501(c)(3	7	ST JOHN PROVIDENCE	Yes
(11)EASTWOOD COMMUNITY CLINICS 28000 DEQUINDRE ROAD WARREN,MI48092 38-1958763	HEALTH CARE	MI	501(c)(3	9	ST JOHN PROVIDENCE	Yes
(12)ST JOHN PROVIDENCE PHYSICIANS CMG 28000 DEQUINDRE ROAD WARREN,MI48092 38-2601348	HEALTH CARE	MI	501(c)(3	9	ST JOHN PROVIDENCE	Yes
(13)MEDICAL RESOURCES GROUP 43800 GARFIELD CLINTON TOWNSHIP,MI48038 38-3494637	HEALTH CARE	MI	501(c)(3	9	ST JOHN PROVIDENCE	Yes
(14)PROVIDENCE HEALTH FOUNDATION 22101 MOROSS DETROIT,MI48236 38-3526629	FUNDRAISING	MI	501(c)(3	Type III-FI	ST JOHN PROVIDENCE	Yes
(15)SETON HEALTH CORP OF SE MICHIGAN 28000 DEQUINDRE WARREN,MI48092 38-2820107	HEALTH CARE	MI	501(c)(3	9	ST JOHN PROVIDENCE	Yes
(16)ST JOHN COMMUNITY HEALTH INVESTMENT CORP 28000 DEQUINDRE ROAD WARREN,MI48092 38-2262856	HEALTH CARE	MI	501(c)(3	3	ST JOHN PROVIDENCE	Yes
(17)ST JOHN HOSPITAL FOUNDATION 22101 MOROSS DETROIT,MI48236 20-2961579	FUNDRAISING	MI	501(c)(3	7	ST JOHN PROVIDENCE	Yes
(18)GENESYS HEALTH SYSTEM ONE GENESYS PARKWAY GRAND BLANC,MI484398065 38-3339703	HEALTH SYSTEM PARENT	MI	501(c)(3	Type II	ASCENSION MICHIGAN	Yes
(19)GENESYS HEALTH FOUNDATION ONE GENESYS PARKWAY GRAND BLANC,MI484398065 38-3591148	FOUNDATION	MI	501(c)(3	Type I	GENESYS HEALTH SYSTEM	Yes
(20)HEALTH SOURCE GROUP 5455 ALI DR DEPT 200 GRAND BLANC,MI484395195 38-2427678	PRG RELATED INVESTMENTS	MI	501(c)(3	Type I	GENESYS HEALTH SYSTEM	Yes
(21)GENESYS AMBULATORY HEALTH SERVICES 5455 ALI DR DEPT 200 GRAND BLANC,MI484395195 38-2371754	HEALTH SRVCS/STAFFING/PROP MNGT	MI	501(c)(3	Type II	GENESYS HEALTH SYSTEM	Yes
(22)CENTER FOR GERONTOLOGY 5455 ALI DRIVE DEPT200 GRAND BLANC,MI484395195 38-2514708	ADULT DAY CARE	MI	501(c)(3	Type I	GENESYS AMBULATORY HEALTH SERVICES	Yes
(23)GENESYS CONVALESCENT CENTER 8481 HOLLY ROAD GRAND BLANC,MI484391812 38-2317364	CONVALESCENT CENTER	MI	501(c)(3	3	GENESYS AMBULATORY HEALTH SERVICES	Yes
(24)BORGESS HEALTH ALLIANCE INC 1521 GULL ROAD KALAMAZOO,MI49048 38-2335286	HEALTH SYSTEM PARENT	MI	501(c)(3	Type III-FI	ASCENSION MICHIGAN	Yes
(25)LEE MEMORIAL HOSPITAL CORPORATION 420 WEST HIGH STREET DOWAGIAC,MI49047 38-1490190	HEALTHCARE SERVICES	MI	501(c)(3	3	ASCENSION MICHIGAN	Yes
(26)BORGESS MEDICAL CENTER 1521 GULL ROAD KALAMAZOO,MI49048 38-1360526	HEALTHCARE SERVICES	MI	501(c)(3	3	ASCENSION MICHIGAN	Yes
(27)BORGESS AMBULATORY CARE CORPORATION 1521 GULL ROAD KALAMAZOO,MI49048 38-2468823	HOLDING COMPANY	MI	501(c)(3	3	BORGESS HEALTH ALLIANCE INC	Yes
(28)BORGESS FOUNDATION 1521 GULL ROAD KALAMAZOO,MI49048 23-7222558	FUNDRAISING	MI	501(c)(3	Type III-FI	BORGESS HEALTH ALLIANCE INC	Yes
(29)LEE MEMORIAL FOUNDATION 420 W HIGH STREET DOWAGIAC,MI49047 38-2860459	FUNDRAISING	MI	501(c)(3	Type III-FI	LEE MEMORIAL HOSPITAL CORPORATION	Yes
(30)PROMED HEALTHCARE 1521 GULL ROAD KALAMAZOO,MI49048 38-3193801	HEALTHCARE SERVICES	MI	501(c)(3	9	BORGESS HEALTH ALLIANCE INC	Yes
(31)ST MARY'S - ST JOSEPH HEALTH SYSTEM 800 S WASHINGTON AVENUE SAGINAW,MI48601 46-1084363	SUPPORTING ORGANIZATION	MI	501(c)(3	Type III-FI	ASCENSION MICHIGAN	Yes
(32)STANDISH COMMUNITY HOSPITAL 805 WEST CEDEAR STREET STANDISH,MI48658 38-1671120	HOSPITAL	MI	501(c)(3	3	ASCENSION MICHIGAN	Yes
(33)ST MARY'S OF MICHIGAN MEDICAL CENTER 800 S WASHINGTON AVENUE SAGINAW,MI48601 38-0997730	HOSPITAL	MI	501(c)(3	3	ASCENSION MICHIGAN	Yes
(34)ST MARY'S MEDICAL CENTER FOUNDATION SAGINAW MICHIGAN 800 S WASHINGTON AVENUE SAGINAW,MI48601 38-2246366	FUNDRAISING	MI	501(c)(3	Type II	STMARY'S OF MICHIGAN MEDICAL CENTER	Yes
(35)FIELD NEUROSCIENCES INSTITUTE 800 S WASHINGTON AVENUE SAGINAW,MI48601 38-2790703	MEDICAL RESEARCH ORGANIZATION	MI	501(c)(3	9	STMARY'S OF MICHIGAN MEDICAL CENTER	Yes
(36)ST JOSEPH HEALTH SYSTEM 200 HEMLOCK ROAD TAWAS CITY,MI48763 38-1443395	HEALTH CARE	MI	501(c)(3	3	ASCENSION MICHIGAN	Yes
(37)ST JOSEPH HEALTH SYSTEM FOUNDATION 200 HEMLOCK ROAD TAWAS CITY,MI48763 01-0790428	FUNDRAISING	MI	501(c)(3	Type I	ST JOSEPH HEALTH SYSTEM	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) ADVENT PARTNERS LP 28000 DEQUINDRE WARREN,MI48092 38-3544539	RENTAL REAL ESTATE	MI	NA	N/A
(2) TOWNE CENTRE SURGERY CENETER 4599 TOWNE CENTRE SAGINAW,MI48604 20-4943843	OUTPATIENT SERVICES	MI	NA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) ST JOSEPH HEALTH ENTERPRISES 200 HEMLOCK ROAD TAWAS CITY,MI48764 38-2686747	OTHER MEDICAL	MI	NA	C Corporation			Yes
(2) GENESYS PRACTICE PARTNERS 5445 ALI DRIVE DEPT 200 GRAND BLANC,MI48439 03-0516871	EMPLOYED PHY PRACTICE	MI	NA	C Corporation			Yes
(3) BEECHER BALLENGER SERVICES ONE GENESYS PARKWAY GRAND BLANC,MI484398065 38-2497922	HOLDING COMPANY	MI	NA	C Corporation			Yes
(4) ADVENT INC 28000 DEQUINDRE WARREN,MI48092 38-2971743	RENTAL REAL ESTATE	MI	NA	C Corporation			Yes
(5) AFFILIATED HEALTH SERVICES INC 28000 DEQUINDRE WARREN,MI48092 38-2292922	MEDICAL SERVICES	MI	NA	C Corporation			Yes
(6) St Mary's Health 800 S Washington Avenue Saginaw,MI48601 38-3477017	Dormant	MI	NA	C Corporation			Yes
(7) TEXTILE SYSTEMS INC 817 WALBRIDGE KALAMAZOO,MI49007 38-2705047	LAUNDRY SERVICES	MI	NA	C Corporation			Yes

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) GENESYS AMBULATORY HEALTH SERVICES	R	6,033,320	ACTUAL AMOUNT TRANSFERRED
(2) GENESYS AMBULATORY HEALTH SERVICES	S	25,301,156	ACTUAL AMOUNT TRANSFERRED
(3) GENESYS CONVALESCENT CENTER	R	579,330	ACTUAL AMOUNT TRANSFERRED
(4) HEALTH SOURCE GROUP	S	1,563,578	ACTUAL AMOUNT TRANSFERRED
(5) GENESYS HEALTH FOUNDATION	C	415,882	ACTUAL AMOUNT TRANSFERRED
(6) GENESYS HEALTH FOUNDATION	S	2,277,901	ACTUAL AMOUNT TRANSFERRED
(7) GENESYS AMBULATORY HEALTH SERVICES	K	430,032	ACTUAL AMOUNT TRANSFERRED
(8) GENESYS HEALTH FOUNDATION	R	458,209	ACTUAL AMOUNT TRANSFERRED
(9) THE HEALTH SOURCE GROUP	R	696,183	ACTUAL AMOUNT TRANSFERRED
(10) GENESYS CONVALESCENT CENTER	S	5,574,697	ACTUAL AMOUNT TRANSFERRED
(11) GENESYS PRACTICE PARTNERS	S	12,449,551	ACTUAL AMOUNT TRANSFERRED
(12) GENESYS PRACTICE PARTNERS	R	1,858,578	ACTUAL AMOUNT TRANSFERRED
(13) ST JOHN HOSPITAL & MEDICAL CENTER	Q	101,046	ACTUAL AMOUNT TRANSFERRED
(14) REVERENCE HOME HEALTH & HOSPICE	Q	245,083	ACTUAL AMOUNT TRANSFERRED
(15) ST MARY'S OF MICHIGAN	Q	2,362,681	ACTUAL AMOUNT TRANSFERRED
(16) ASCENSION HEALTH	Q	442,890,271	ACTUAL AMOUNT TRANSFERRED
(17) REVERENCE HOME HEALTH & HOSPICE	P	115,313	ACTUAL AMOUNT TRANSFERRED
(18) ST JOHN HOSPITAL & MEDICAL CENTER	P	106,972	ACTUAL AMOUNT TRANSFERRED
(19) ST MARY'S OF MICHIGAN	P	56,192	ACTUAL AMOUNT TRANSFERRED
(20) BORGESS MEDICAL CENTER	P	2,605,858	ACTUAL AMOUNT TRANSFERRED
(21) ASCENSION HEALTH	P	471,806,279	ACTUAL AMOUNT TRANSFERRED
(22) BEECHER BALLENGER SERVICES	S	8,819,249	ACTUAL AMOUNT TRANSFERRED
(23) BEECHER BALLENGER SERVICES	R	208,665	ACTUAL AMOUNT TRANSFERRED
(24) ST JOHN PROVIDENCE	Q	245,202	ACTUAL AMOUNT TRANSFERRED
(25) ST JOHN PROVIDENCE	P	924,272	ACTUAL AMOUNT TRANSFERRED

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

1	Briefly describe the organization’s mission or most significant activities: PROVIDES PATIENT/EMERGENCY SERVICES AND MEDICAL/PATIENT EDUCATION PROGRAMS TO THE COMMUNITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	3,779
6	Total number of volunteers (estimate if necessary) .............	6	399
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,033,309
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	85,461

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	662,851	449,584
9	Program service revenue (Part VIII, line 2g) .........	410,843,196	412,607,472
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,173,057	680,334
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,585,491	3,302,913
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	420,264,595	417,040,303
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	589,597	100,650
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	215,430,312	210,444,124
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	191,264,128	192,511,641
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	407,284,037	403,056,415
19	Revenue less expenses. Subtract line 18 from line 12.......	12,980,558	13,983,888
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	358,837,440	376,432,620
21	Total liabilities (Part X, line 26).............	383,252,726	398,556,510
22	Net assets or fund balances. Subtract line 21 from line 20.....	-24,415,286	-22,123,890

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 322,491,435 including grants of $ 100,650 ) (Revenue $ 375,899,790 )
	HOSPITAL NET PATIENT SERVICE REVENUE & OTHER PROGRAM SERVICE REVENUE - GRMC HAS 441 LICENSED BEDS (378 ACUTE, 32 REHABILITATION, AND 31 BASSINETS) WHICH RESULTED IN PROVIDING 101,142 PATIENT DAYS OF CARE, 21,039 PATIENT DISCHARGES, WHICH EQUALED A 67.4% OCCUPANCY PERCENTAGE. IN ADDITION, GRMC HAD 1,764 DELIVERIES, 61,522 EMERGENCY VISITS, THE HOSPITAL HAS 23 SURGERY SUITES WHICH TOTALED 13,905 SURGERIES (BOTH I/P & 0/P), AND 206 OPEN HEART PROCEDURES. THE HOSPITAL HAD 2,754 FULL - TIME EQUIVALENTS.

4b	(Code: ) (Expenses $ 27,712,635 including grants of $ 0 ) (Revenue $ 36,707,682 )
	MEDICAL EDUCATION PROGRAM - THE PROGRAM WHICH INCLUDES RESIDENTS AND INTERNS ARE REPRESENTED IN THE FOLLOWING TRAINING PROGRAMS: TRADITIONAL INTERNSHIP - 2; EMERGENCY MEDICINE (AOA & ACGME ACCREDITED) - 24; FAMILY MEDICINE (AOA & ACGME ACCREDITED) - 39; GENERAL SURGERY - 18; INTERNAL MEDICINE - 30; OB/GYN - 13; ORTHOPEDIC SURGERY - 15; PODIATRY - 6. IN ADDITION, THERE ARE THE FOLLOWING FELLOWSHIPS: CARDIOLOGY - 6; GASTROENTEROLOGY - 4; HEMATOLOGY/ONCOLOGY - 3; PSYCHOLOGY -3; AND PULMONARY/CRITICAL - 3. THIS RESULTED IN APPROXIMATELY 166 FULL-TIME RESIDENT/INTERN EQUIVALENTS.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses350,204,070

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) JULIE GORCZYCA CHIEF NURSING OFFICER	46.0 .......................0	X		234,214	0	31,076
(19) RON HAASE CHIEF HR & LEARNING OFFICER	54.0 .......................0	X		435,191	0	4,432
(20) CHARLES HUSSON DO CHIEF MEDICAL OFFICER	42.0 .......................12.0	X		362,598	74,801	21,407
(21) NICK BUTTAR MD PHYSICIAN	50.0 .......................0		X	694,059	0	41,063
(22) CLARK HEADRICK DO CHIEF MEDICAL INFORMATION OFFICER	50.0 .......................1.0		X	261,049	0	33,638
(23) MARC LEWIS MD DIRECTOR WOMEN AND CHILDREN'S SERVICES	50.0 .......................0		X	547,487	0	23,848
(24) JAMES LINDEMULDER DO PHYSICIAN	50.0 .......................0		X	250,562	0	29,816
(25) Prabhat Pokhrel MD PHYSICIAN	50.0 .......................0		X	234,262	0	27,819

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	5,468,125	992,869	407,439

1a	Federated campaigns..		1a	0
b	Membership dues..		1b	0
c	Fundraising events..		1c	0
d	Related organizations		1d	415,822
e	Government grants (contributions)		1e	0

f	All other contributions, gifts, grants, and similar amounts not included above		1f	33,762

g	Noncash contributions included in lines 1a-1f:$ 0
h Total.Add lines 1a-1f.......		449,584

		Business Code
2a	Net Patient Revenue	621990	372,457,057	372,457,057	0	0
b	Medical Education	611710	36,707,682	36,707,682	0	0
c	Medicare/Medicaid ARRA	900099	1,139,773	1,139,773	0	0
d	RENTAL INCOME	532000	1,275,742	1,275,742	0	0
e	BLUE CROSS VBK	900099	973,200	973,200	0	0
f	All other program service revenue.			54,018	54,018	0	0
g Total.Add lines 2a–2f.....			412,607,472

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			666,334	0	0	666,334
4 Income from investment of tax-exempt bond proceeds			0	0	0	0
5 Royalties...........			0	0	0	0
		(ii) Personal	(i) Real
6a	Gross rents	0	226,799
b	Less: rental expenses	0	209,513
c	Rental income or (loss)	0	17,286
d	Net rental income or (loss)......			17,286	0	17,286	0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	14,000	0
b	Less: cost or other basis and sales expenses	0	0
c	Gain or (loss)	14,000	0
d	Net gain or (loss).....			14,000	0	0	14,000
8a	Gross income from fundraising events (not including $ 0of contributions reported on line 1c). See Part IV, line 18 ....
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from fundraising events..			0		0	0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from gaming activities..			0	0	0	0
10a	Gross sales of inventory, less returns and allowances ..
	a		0
b	Less: cost of goods sold ..b		0
c	Net income or (loss) from sales of inventory..			0	0	0	0
Business Code			Miscellaneous Revenue
11a	Cafeteria		722210	1,349,392	0	0	1,349,392
b	OUTREACH LABORATORY		621500	857,386	0	857,386	0
c	EMS EDUCATION/TRAINING		611710	253,205	0	0	253,205
d	All other revenue ....			825,644	0	158,637	667,007
e	Total. Add lines 11a–11d ......			3,285,627
12	Total revenue. See Instructions......			417,040,303	412,607,472	1,033,309	2,949,938

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	100,650	100,650
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0	0
4	Benefits paid to or for members	0	0
5	Compensation of current officers, directors, trustees, and key employees ....	3,018,861	100,960	2,917,901	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0	0	0	0
7	Other salaries and wages	175,716,562	165,536,332	10,180,230	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	335,618	316,174	19,444	0
9	Other employee benefits .......	18,104,952	17,056,032	1,048,920	0
10	Payroll taxes ...........	13,268,131	12,499,435	768,696	0
11	Fees for services (non-employees):
a	Management ......	310,340	0	310,340	0
b	Legal .........	658,671	0	658,671	0
c	Accounting ...........	512,210	0	512,210	0
d	Lobbying ...........	54,024	54,024	0	0
e	Professional fundraising services. See Part IV, line 17	0			0
f	Investment management fees ......	0	0	0	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	58,220,073	36,376,282	21,843,791	0
12	Advertising and promotion ....	501,440	446,877	54,563	0
13	Office expenses .......	1,180,142	636,490	543,652	0
14	Information technology ......	24,344,841	16,973,461	7,371,380	0
15	Royalties ..	0	0	0	0
16	Occupancy ...........	5,723,966	4,308,433	1,415,533	0
17	Travel ............	333,084	157,174	175,910	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0			0
19	Conferences, conventions, and meetings ....	185,519	179,933	5,586	0
20	Interest ...........	8,875,174	7,810,153	1,065,021	0
21	Payments to affiliates .......	0	0	0	0
22	Depreciation, depletion, and amortization ..	15,235,521	13,275,852	1,959,669	0
23	Insurance ...	3,918,568	3,153,312	765,256	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PATIENT RELATED SUPPLIES	63,958,231	63,958,231	0	0
b	EQUIPMENT LEASE	3,122,752	3,087,765	34,987	0
c	REPAIRS & MAINTENANCE	1,629,030	1,222,180	406,850
d	FOOD	997,438	997,438		0
e	All other expenses	2,750,617	1,956,882	793,735	0
25	Total functional expenses. Add lines 1 through 24e	403,056,415	350,204,070	52,852,345	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			4,560,144	1	3,815,426
2	Savings and temporary cash investments .........			56,985	2	3,147,348
3	Pledges and grants receivable, net ......				3	0
4	Accounts receivable, net .............			41,024,663	4	55,750,446
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6	0
7	Notes and loans receivable, net ....			2,825,571	7	2,629,957
8	Inventories for sale or use ........			7,850,954	8	7,620,420
9	Prepaid expenses and deferred charges ......			8,909,528	9	2,110,459
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	355,872,540
b	Less: accumulated depreciation	10b	207,424,829	148,262,316	10c	148,447,711
11	Investments—publicly traded securities .				11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			117,487	13	47,378
14	Intangible assets ...............			11,642,428	14	10,509,048
15	Other assets. See Part IV, line 11 ...........			133,587,364	15	142,354,427
16	Total assets. Add lines 1 through 15 (must equal line 34)...			358,837,440	16	376,432,620

17	Accounts payable and accrued expenses .....	31,613,062	17	30,358,590
18	Grants payable ...	950,020	18	950,020
19	Deferred revenue .........	720,665	19	702,265
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	349,968,979	25	366,545,635
26	Total liabilities. Add lines 17 through 25..	383,252,726	26	398,556,510

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	-24,415,286	27	-22,123,890
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	-24,415,286	33	-22,123,890
34	Total liabilities and net assets/fund balances ........	358,837,440	34	376,432,620