4A (Expenses $ 402728477 including grants of $ 616354) (Revenue $ 471108890)
Ascension Borgess Hospital is a 374-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2022, Ascension Borgess Hospital treated 13,243 adults and children for a total of 73,243 patient days of service. The hospital also provided services for 286,326 outpatient visits, which included 7,255 outpatient surgeries and 48,627 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. As part of the Ascension Catholic health ministry, the filing organization served in support of Ascension's commitment to both care for patients and communities and support caregivers and other associates through the challenges of the COVID-19 global pandemic in FY22.

Schedule H, Part V, Section B, Line 3E
TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED.

Schedule H, Part V, Section B, Line 5 Facility A, 1
Facility A, 1 - Facility Group A. In Ascension Borgess Hospital's 2022 (tax year 2021) CHNA, conducted July 1, 2021 - June 30, 2022, community input was obtained in the following way: Responses from key informants representing community organizations serving groups that have been economically/socially marginalized were analyzed to uplift needs that are most important to those living in Kalamazoo County. Key Informant Interviews (KIIs) were collected from December 2021 - February 2022. KII participants included: -Area Agency on Aging - Kalamazoo -Ascension Medical Group Borgess -Bronson Healthcare -Communities in Schools -El Concilio -Integrated Services of Kalamazoo -Kalamazoo Community Foundation -Kalamazoo County Continuum of Care -Kalamazoo County Health & Community Services -Kalamazoo County Sheriff Department -Kalamazoo Defender -Kalamazoo Gospel Mission -Kalamazoo Loaves and Fishes -Kalamazoo Ministerial Alliance -Kalamazoo Regional Educational Service Agency -Kalamazoo Valley Community College -Michigan Works Southwest -Ministry with Community -OutFront Kalamazoo -The City of Kalamazoo -The Kalamazoo Promise -United Way of the Battle Creek & Kalamazoo Region -Western Michigan University Department for Diversity and Inclusion -Western Michigan University School of Medicine -Western Michigan University Walker Institute In addition, members of the 2022 Kalamazoo CHNA Advisory Group, representing healthcare, local government, local public health, education, community mental health, social services, and employment, met numerous times to review and discuss data, provide input from their patients, clients, and members. The following organizations make up the 2022 Kalamazoo CHNA Advisory Group: -Ascension Borgess -Bronson Healthcare -City of Kalamazoo -Family Health Center of Kalamazoo -Integrated Services of Kalamazoo (ISK) - community mental health -Kalamazoo County Continuum of Care -Kalamazoo County Health and Community Services - local public health -Kalamazoo County Sheriff's Department -Kalamazoo Regional Educational Service Agency (KRESA) -Michigan Works! Southwest * Michigan Public Health Institute (MPHI) -The Kalamazoo Promise -United Way of the Battle Creek and Kalamazoo Region -W.E. Upjohn Institute for Employment Research -Western Michigan University Homer Stryker MD School of Medicine (WMED)

Schedule H, Part V, Section B, Line 6a Facility A, 1
Facility A, 1 - Facility Group A. The CHNA was conducted with the following hospital facility(s): BRONSON HEALTHCARE

Schedule H, Part V, Section B, Line 6b Facility A, 1
Facility A, 1 - Facility Group A. The CHNA was conducted with the following non-hospital facility(s): -Family Health Center of Kalamazoo -Federally Qualified Health Center (FQHC)

Schedule H, Part V, Section B, Line 11 Facility A, 1
"Facility A, 1 - Facility Group A. Ascension Borgess Hospital's 2019 CHNA, conducted July 1, 2018 - June 30, 2019, identified the following significant needs in the community: 1) Racism and discrimination 2) Mental Health Assistance and Access 3) Access to Primary Care Providers 4) Living Wage to Afford (housing, transportation, childcare, etc.) 5) Safe Housing 6) Sexual Health Ascension Borgess Hospital's Implementation Strategy for the tax year 2018 (FY2019) CHNA addressed the following prioritized needs in the following ways: Racism and Discrimination: In November 2020, Ascension Borgess convened an ""Appreciation-Belongingness-Inclusivity-Diversity Equity (ABIDE) Council"" - consistent with the national Ascension ABIDE framework. The first council meeting was held November 18, 2020 and meets monthly. Purpose of the council: Inclusivity and Diversity is a demonstration of Ascension's Mission, Values, and commitment to social justice. The fundamental purpose of this council is to actively transform our culture. This council will engage in listening, learning, open dialogue and acting together to ensure that all associates have the opportunity to attain their full potential. Council Functions/Objectives: This council was established to serve as the local/regional council to impact change at the local ministry level to address aspects of education and formation related to equity in the work environment. 52 Ascension Medical Group (AMG) primary care physicians completed the Stanford Unconscious Bias in Medicine education module (approximately 1 hour) in June 2021 as part of Blue Cross Blue Shield of Michigan (BCBSM) requirements for participating primary care providers. The pandemic has increased awareness of the impact of health disparities and BCBSM encourages all providers to learn more about the influence of unconscious bias on decisions in health care. The Resilience documentary, focused on Adverse Child Experiences (ACES) and implicit bias training was held December 14, 2020. 6 members of the Ascension Borgess Senior Leadership team participated in the first workshop. This team recommends Ascension providers and additional leadership are provided an opportunity to view the documentary as well. All women's health providers and many of the pediatric providers were trained in Trauma Informed Care through a webinar offered by the YWCA. Women's Health is building intentional relationships with local Doula organizations to work with patients who lack trust in the healthcare system Mental Health Assistance and Access: AMG will implement the Collaborative Care Model within selected primary care practices in 2022. The Collaborative Care model consists of the Primary Care Provider, Behavioral Health Care Manager and Psychiatrist all working together as a truly integrated team. It leads to better patient outcomes, better patient and provider satisfaction, improved functioning, increased access to care, and reductions in health care costs, achieving the Triple Aim of health care reform. Collaborative Care necessitates a practice change on multiple levels and is nothing short of a new way to practice medicine, but it works. Ascension Borgess Women's Health is also creating a Collaborative Care model, between the Masters prepared Social Workers (MSWs) in the department and DeLano Clinic. MSWs working in Pediatrics, Women's Health and Ascension Borgess Birthing Center meet monthly to coordinate their work and to proactively support the patients that are at high risk or struggling. AMG DeLano Clinic (behavioral health) has been conducting a high volume of virtual visits over the last several months, which has also been well received and significantly assisted with access during this time of Covid. A new child psychiatrist started with Behavioral Health Services on August 10, 2020, and is very busy, receiving many referrals. Dementia, bariatric and guardianship testing services at AMG DeLano Clinic have been added. MSWs working in pediatrics, Ascension Borgess Women's Health (AMG) and Ascension Borgess Birthing Center meet 2 times a month to coordinate their work and to proactively support the patients that are at high risk or struggling. Access to Primary Care Providers: Virtual care marketing commenced over the last few months and is seeing a high volume of patients, providing increased access to care. AMG practices are accepting Medicaid and patients are not prioritized for appointment scheduling based on insurance type. Portage PC replacements and succession hires resulted in 136 providers through new acquisitions for a 20% increase in primary care providers. Recruitment efforts are ongoing. Living Wage to Afford (housing, transportation, childcare, etc.) was not addressed in the most recent implementation strategy as Ascension Borgess Hospital does not currently have the capacity or expertise to address and impact this issue. Additional community partners are working to address this need and the hospital will support community strategies to the extent this is feasible. In addition to the four priority areas selected, two other areas were identified, but did not garner stakeholder support for inclusion into the implementation plan phase: Safe Housing and Sexual Health Ascension Borgess Hospital's FY2023-FY2025 Implementation Strategy to address the 2022 (tax year 2021) CHNA will address the following prioritized needs: -System Navigation (healthcare, mental health services, social services) to include: -Coordination of care across health and social service sectors; -The importance of community connection (to resources/services and one another); -Addressing the social determinants of health in addition to clinical health care -Mental Health - -Systems Change Efforts to Address Deep-Rooted Inequities (race and class inequities) to include: -Culturally competent and trauma-informed care and communication -Lack of trust in the healthcare system -Healthcare and services workforce not representative of the community -Equitable distribution of services and resources -Living Conditions (physical, economic/work, service) to include: -Necessity of providing career pathways and a livable wage for all -Healthcare and services workforce not representative of the community -Cost of care (healthcare, mental health services) -The need for affordable and reliable transportation and housing -Addressing the social determinants of health in addition to clinical health care Based on the prioritization criteria, the health needs identified through the CHNA, Ascension Borgess Hospital plans to address all the identified needs under the four priority areas for the tax year 2021 (FY2022) CHNA."

Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG
"IN ADDITION TO FPG, THE ORGANIZATION USES MEDICAL INDIGENCY, ASSET TEST, INSURANCE STATUS AND RESIDENCY AS OTHER FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. A Patient may not be eligible for the financial assistance if such Patient is deemed to have sufficient assets to pay pursuant to an ""Asset Test."" The Asset Test involves a substantive assessment of a Patient's ability to pay based on the categories of assets measured in the FAP Application. A Patient with such assets that exceed 250% of such Patient's FPL amount may not be eligible for financial assistance. AN ASSET TEST APPLIES IF A PATIENT HAS ELIGIBLE LIQUID ASSETS THAT EXCEED 250% OF THE PATIENT'S FPG LEVEL FOR CONSIDERATION OF FINANCIAL ASSISTANCE ELIGIBILITY. LIQUID ASSETS INCLUDE ASSETS THAT CAN BE CONVERTED TO CASH WITHIN 1 YEAR. THESE INCLUDE ITEMS SUCH AS CHECKING ACCOUNTS, SAVINGS ACCOUNTS, TRUST FUNDS AND LUXURY ITEMS SUCH AS RECREATIONAL VEHICLES, BOATS, A SECOND HOME, ETC."

Schedule H, Part I, Line 5a BUDGET AMOUNTS FOR FREE OR DISCOUNTED CARE
THE ORGANIZATION ADMINISTERS ITS FINANCIAL ASSISTANCE POLICY IN ACCORDANCE WITH THE TERMS OF THE POLICY.

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
"THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION (""CHA"") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED."

Schedule H, Part II Community Building Activities
Research shows the social determinants and quality of life play a major role in the health status of individuals and communities. Community building activities, which focus on improving the quality of life within a community, ultimately influence and improve health status. The community building dollars reported in FY2022 for Ascension Borgess Hospital are related to Community Support, as it relates to social determinants of health

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. AFTER APPLYING THE COST-TO-CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE IN FISCAL YEAR 2022 WAS $17,029,267 AT CHARGES, ($5,378,883 AT COST).

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
BASED ON THE ORGANIZATION'S ADMINISTRATION OF ITS FINANCIAL ASSISTANCE PROGRAM, NO ESTIMATE FOR BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS IS DEEMED APPLICABLE TO HOSPITAL OPERATIONS.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
THE ORGANIZATION IS PART OFASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSESBAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 17-20, OF THE AUDITED FINANCIAL STATEMENTS.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE GROSS CHARGES TO CALCULATE MEDICARE COSTS, WHICH ARE THEN COMPARED TO MEDICARE PAYMENTS RECEIVED, TO DETERMINE A MEDICARE GAIN OR LOSS. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT A MEDICARE SHORTFALL (LOSS) IS NOT TREATED AS COMMUNITY BENEFIT, EVEN THOUGH THE HOSPITAL HAS INCURRED LOSSES IN PROVIDING CARE TO MEDICARE PATIENTS. THEREFORE, NONE OF THE AMOUNT ON LINE 7 IS TREATED AS COMMUNITY BENEFIT.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
ASCENSION BORGESS HOSPITAL FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED IF ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED FOR THE AMOUNTS FOR WHICH THE PATIENT QUALIFIES.

Schedule H, Part V, Section B, Line 16a FAP website
A - Ascension Borgess Hospital: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance;

Schedule H, Part V, Section B, Line 16b FAP Application website
A - Ascension Borgess Hospital: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
A - Ascension Borgess Hospital: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance;

Schedule H, Part VI, Line 4 Community information
The total population of Kalamazoo county is estimated to be 258,539 residents in calendar year 2023 and is estimated to increase by 2,410 residents or 0.93% over the next five years (Sg2/Claritas Pop-Facts 2023). There are an estimated 104,278 households. The median household income in Kalamazoo county is $58,836, based on the United States Census Bureau (in 2020 dollars, 2016-2020). Approximately 12% of the service area persons live below the poverty line. There is one other acute care hospital located in Kalamazoo County.

Schedule H, Part VI, Line 5 Promotion of community health
ASCENSION MICHIGAN'S GOVERNING BODY IS COMPRISED OF PERSONS REPRESENTING ASCENSION MICHIGAN'S SERVICE AREAS AND INCLUDES MEMBERS WITH DIVERSE ASPECTS AND INTERESTS OF THE SERVICE AREA. MEMBERS OF THE GOVERNING BODY RESIDE IN THE ORGANIZATION'S SERVICE AREA AND ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. ASCENSION BORGESS HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. ASCENSION BORGESS HOSPITAL APPLIES SURPLUS FUNDS TO FUND IMPROVEMENTS IN PATIENT CARE.

Schedule H, Part VI, Line 2 Needs assessment
Ascension Borgess Hospital uses internal and external data and reports from third parties, including government sources, to assess the healthcare needs of the communities we serve. These reports provide key information about health, socioeconomic, demographic factors that identify areas of need and inform our strategies that help to meet those needs of our community. These reports include, but are not limited to: -Sg2 Healthcare Intelligence -State Datasets -Internal Data Sets Ascension Borgess Hospital utilizes information from these secondary sources to develop programs and provide appropriate services needed throughout the region. In addition, Ascension Borgess Hospital considers the health care needs of the overall community when evaluating internal financial and operational decisions.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
ASCENSION BORGESS HOSPITAL IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL, IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, Ascension Borgess Hospital'S FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES; ASCENSION BORGESS HOSPITAL PROVIDES FULL FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 250% OF THE FEDERAL POVERTY LEVEL AND SLIDING SCALE ASSISTANCE FOR THOSE UP TO 400% OF THE FEDERAL POVERTY LEVEL. ASCENSION BORGESS HOSPITAL WIDELY PUBLICIZES ITS: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY VIA THE HOSPITAL FACILITY'S WEBSITE - https://healthcare.ascension.org/locations/michigan/mikal/kalamazoo-ascension-borgess-hospital/financial-assistance ASCENSION BORGESS HOSPITAL MAKES PAPER COPIES OF THE: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - AMOUNT GENERALLY BILLED CALCULATION. THE PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. ASCENSION BORGESS HOSPITAL INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION MAY BE FOUND. ASCENSION BORGESS HOSPITAL INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS.

Schedule H, Part VI, Line 6 Affiliated health care system
ASCENSION BORGESS HOSPITAL IS A MEMBER OF ASCENSION. 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 FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 19 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. 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 THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. ASCENSION BORGESS HOSPITAL OPERATES A HOSPITAL FACILITY IN KALAMAZOO COUNTY MICHIGAN AND IS PART OF ASCENSION HEALTH WHICH ALSO OWNS AND OPERATES OTHER HEALTH CARE RELATED ENTITIES INCLUDING ASCENSION BORGESS ALLEGAN HOSPITAL, ASCENSION BORGESS PIPP HOSPITAL, ASCENSION BORGESS LEE HOSPITAL IN SOUTHWEST MICHIGAN. ASCENSION MICHIGAN ALSO OPERATES HOSPITALS IN THE EASTERN PORTION OF THE STATE INCLUDING ASCENSION ST. JOHN HOSPITAL, ASCENSION RIVER DISTRICT HOSPITAL, ASCENSION MACOMB OAKLAND HOSPITAL WARREN CAMPUS, ASCENSION MACOMB OAKLAND HOSPITAL MADISON HEIGHTS CAMPUS, ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD CAMPUS, ASCENSION PROVIDENCE HOSPITAL NOVI CAMPUS, ASCENSION PROVIDENCE ROCHESTER HOSPITAL, ASCENSION GENESYS HOSPITAL, ASCENSION ST. MARY'S HOSPITAL, ASCENSION STANDISH HOSPITAL, ASCENSION ST. JOSEPH HOSPITAL AND ASCENSION BRIGHTON CENTER FOR RECOVERY. THE HEALTH SYSTEM PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF SOUTHWEST MICHIGAN.