2023-05-11T00:30:28+00:00 2022-06-30 990 2021-07-01 381443395 ASCENSION ST JOSEPH HOSPITAL ASCE 3147338000 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 Tonya Mershon Vice President, Tax 3147338000 2023-05-11 Tonya Mershon 999009999 2021 2023-04-26 12:10:37Z See Schedule O STEPHANIE J DUGGAN MD C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 63276862 false 0928 X https://healthcare.ascension.org/Locations/Michigan/MITAW/Tawas-City-Ascension-St-Joseph-Hospital X 1955 MI To improve the health and well-being of all people in the communities we serve. 11 9 386 64 215397 0 5063029 4104989 51280112 58924956 22429 22677 216156 217214 56581726 63269836 4788 60718 0 0 25445742 25423455 0 0 0 30841548 34643192 56292078 60127365 289648 3142471 27849885 31747727 39034962 36832474 -11185077 -5084747 ROOTED IN THE LOVING MINISTRY OF JESUS AS HEALER, WE COMMIT OURSELVES TO SERVING ALL PERSONS WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. OUR CATHOLIC HEALTH MINISTRY IS DEDICATED TO SPIRITUALLY-CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS. false false 46759127 60718 58952239 ASCENSION ST. JOSEPH HOSPITAL is a 47-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2021, ASCENSION ST. JOSEPH HOSPITAL treated 1,368 adults and children for a total of 4,616 patient days of service. The hospital also provided services for 180,026 outpatient visits, which included 1,210 outpatient surgeries and 16,498 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. 46759127 true true false true false false false false true true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 55 0 true 386 true true true false false false false false false false false false false false X 11 9 false false false false true true true true true false false false true true true true true false false true true X SARA OBRIEN 3147338000 4600 EDMUNDSON ROAD ST LOUIS MO 631343806 JIM VANTIFLIN CHAIR 1.0 2.0 X X 0 0 0 JOHN FREEL SECRETARY/TREASURER 1.0 4.0 X X 0 0 0 RAO V C GUDIPATI MD VICE CHAIR 0.0 50.0 X X 0 616999 34919 STEPHANIE J DUGGAN MD REGIONAL PRESIDENT & CEO 0.0 50.0 X X 0 1045083 49150 ANNGE HORNING DIRECTOR 1.0 2.0 X 0 0 0 DEBORAH MORGAN DIRECTOR 1.0 4.0 X 0 0 0 KAREN MCNISH DIRECTOR 1.0 2.0 X 0 0 0 LUCIA KINACHTCHOUK MD DIRECTOR 1.0 2.0 X 0 0 0 MALIHA SHAIKH MD DIRECTOR 1.0 2.0 X 0 0 0 PAT HENGESBACH DIRECTOR 1.0 2.0 X 0 0 0 PAUL FURLO DIRECTOR 1.0 4.0 X 0 0 0 RAMAKRISHNAYYA GADAM MD DIRECTOR (END 2/2022) 1.0 3.0 X 0 0 0 NANCY A HAYWOOD VP, FINANCE 0.0 50.0 X 0 487292 39605 SHANE E HUNT HOSPITAL ADMINISTRATOR 50.0 0.0 X 172492 0 33790 BRADLEY KLOSKA MD PHYSICIAN 50.0 0 X 325807 0 38136 CHRISTOPHER J ORAVITZ MD PHYSICIAN 50.0 0 X 320426 0 20101 CHRISTOPHER LANDREY MD PHYSICIAN 50.0 0 X 305834 0 41958 DONALD R ELLIS III MD PHYSICIAN 50.0 0.0 X 396469 0 40271 MICHAEL WAGNER MD PHYSICIAN 50.0 0 X 332049 0 25924 CLARK J HEADRICK MD FORMER KEY EMPLOYEE (END 12/2017) 0.0 50.0 X 0 442047 44188 RAGHURAM SARVEPALLI MD FORMER KEY EMPLYEE (END 4/2018) 0.0 50.0 X 0 326375 38223 SHARON LEAMAN-CASE FORMER KEY EMPLOYEE (END 12/2017) 0.0 50.0 X 0 332013 21355 TIMOTHY R YOUNG MD FORMER KEY EMPLOYEE (END 12/2017) 0.0 50.0 X 0 992748 42088 1853077 4242557 469708 35 true true false RESOURCE ANESTHESIOLOGY ASSOCIATES MI PC 450 MAMARONECK AVE STE 201 HARRISON NY 105282436 MEDICAL SERVICES 825478 RURAL PHYSICIANS GROUP PANNU PLLC 10023 BRYCE ROSE AVE LAS VEGAS NV 891484764 MEDICAL SERVICES 814065 ARUP LABORATORIES 500 S CHIPETA WAY SALT LAKE CITY UT 84108 LABORATORY SERVICES 267663 COMMUNITY HOSPITAL SERVICES 1321 CUMBERLAND ST SAGINAW MI 48601 LAUNDRY SERVICES 189556 DEGARA PLLC 2370 SILVER POINT DR WATERFORD MI 483281730 PHYSICIANS SERVICES 179201 7 0 0 0 114350 3990639 0 4104989 Net Patient Service Revenue 621990 57510108 57294711 215397 Services to Affiliates 900099 770768 770768 Pharmacy Revenue 446110 636952 636952 Rental Income from Affiliates 531120 6098 6098 Interest Income from Patient Accounts 900099 1030 1030 0 0 0 0 58924956 22677 22677 0 0 0 0 58513 0 0 58513 0 58513 58513 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11433 7026 4407 4407 Cafeteria/Vending Revenue 722514 123981 123981 Escheatment Revenue 900099 26351 26351 Medical Records Fees 900099 932 932 3030 0 0 3030 154294 63269836 58736842 215397 212608 57718 57718 3000 3000 206282 206282 20861472 19407129 1454343 992317 923138 69179 1953672 1817473 136199 1409712 1312241 97471 500 500 1102 1102 5025094 4953636 71458 0 7425 428 6997 193851 64367 129484 69378 69378 1241432 1155596 85836 109987 104176 5811 18432 17912 520 19154 19154 2030055 1889692 140363 115178 115178 Medical Supplies 10657726 10509799 147927 Management Fee to Affiliate 7191332 7191332 Purchased Services 6763736 3854415 2909321 Physician Fees to Affiliate 770768 770768 428042 297569 130473 0 60127365 46759127 13368238 0 4477 100 4854722 9864485 0 0 5064175 4878358 0 0 0 0 0 0 1203532 1058913 0 0 60590620 47722487 14026916 12868133 0 233012 0 0 45448 23285 2650615 2821441 27849885 31747727 4542663 4200575 0 0 0 530 0 0 0 0 0 0 0 0 0 0 34492299 32631369 39034962 36832474 X -11463632 -5363302 278555 278555 0 0 0 0 0 0 -11185077 -5084747 27849885 31747727 X 3142471 -35841 2993700 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1102 1102 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to state hospital associations that is specifically allocable to lobbying. THE FILING ORGANIZATION does not participate in or intervene in (including the publishing or distributing or statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 3618814 29720 3589094 3489960 128854 3618814 3331387 158573 3489960 3233100 98287 3331387 754927 2127142 351031 3233100 0.0 0.8329 0.1671 false true true 0 1430428 1430428 0 36092922 29619506 6473416 0 156966 155731 1235 0 20324446 16355890 3968556 0 2585858 1591360 994498 12868133 Investment Held by Ascension Health Alliance 220809 Due from Affiliates 1205714 Other Receivables 23800 Estimated 3rd Party Payor Settlements 926495 Deferred Tax Asset 1065 right of use asset OPERATING LEASE 443558 2821441 0 Due to Affiliates 9022576 Estimated 3rd Party Payor Settlement 6016705 Recovery Tail Liability 346770 Debt with Ascension Health Alliance 15879259 Long Term OPERATING LEASE Liability 443172 Other Liabilities 922887 32631369 X Schedule D, Part V, Line 4 Intended uses of endowment funds ENDOWMENT FUNDS ARE HELD AT ASCENSION ST. JOSEPH FOUNDATION and the use of all endowed funds supports capital equipment purchases and new service line expansion at Ascension St. Joseph Hospital. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2022. true true X true X 250 true X true false true true 742172 742172 0.0123 10725381 11687569 0 0.0 0 0.0 0 0 11467553 11687569 742172 0.0123 6 131 61034 61034 0.0010 3 59 32990 32990 0.0005 0 0.0 0 0.0 4 207 43489 43489 0.0007 13 397 137513 0 137513 0.0023 13 397 11605066 11687569 879685 0.0146 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 1212391 0 35438095 29223654 6214441 X true true 1 1 ASCENSION ST JOSEPH HOSPITAL 200 Hemlock Road Tawas City MI 48763 https://healthcare.ascension.org/Locations/Michigan/MITAW/Tawas-City-Ascension-St-Joseph-Hospital L470734 X X X ASCENSION ST JOSEPH HOSPITAL 1 false false true X X X X X X X X X 21 true false true true X https://healthcare.ascension.org/CHNA X true 21 true https://healthcare.ascension.org/CHNA false true X 250.0 400.0 X X X X true true X X X true X https://healthcare.ascension.org/Financial-Assistance X https://healthcare.ascension.org/Financial-Assistance X https://healthcare.ascension.org/Financial-Assistance X X X X X X true X false X X X X true X false false 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 , 1 Facility , 1 - ASCENSION ST. JOSEPH HOSPITAL. Recognizing its vital importance in understanding the health needs and assets of the community, Mary Kushion Consulting, LLC. on behalf of ASCENSION ST. JOSEPH HOSPITAL assisted with the TAX YEAR 2021 CHNA AND consulted with a range of public health and social service providers that represent the broad interests of Iosco County. A concerted effort was made to ensure that the individuals and organizations represented the needs and perspectives of: 1) public health practice and research; 2) individuals who are medically underserved, are low-income, or considered among the minority populations served by the hospital; and 3) the broader community at large and those who represent the broad interests and needs of Iosco County. Multiple methods were used to gather community input. To avoid duplication of effort and "survey fatigue", Ascension St. Joseph Hospital promoted the community pulse surveys and provider surveys developed and disseminated by the MiTHRIVE assessment process. A large community forum was held to share the data generated at both the regional (MiTHRIVE) and county-specific level. The draft of the CHNA was sent to the participants of the community forum and other stakeholders within Iosco County with a feedback survey to gather the community's input prior to finalizing the CHNA for board approval. *Community Forum - In addition to the MiTHRIVE "data walk" to review and provide input on a regional level, Ascension St. Joseph Hospital also hosted a public forum in February 2022 to gather feedback from community members on the health needs and assets of Iosco County. Over 20 community members participated and represented populations of note, such as medically underserved and low-income and minority groups. In addition, faith-based, government, healthcare, mental health, public health, substance use, transportation/community mobility as well as the broader community were represented at the forum. *Surveys - A survey was conducted by Ascension St. Joseph Hospital to gather the perceptions, thoughts, opinions, and concerns of the community regarding the preliminary draft report for Iosco County. The survey was distributed to 32 individuals and four participated in the survey, held between March 2022 and April 2022. The data gathered and analyzed provides valuable insight into the issues of importance to the community. The survey contained five questions and was distributed to the stakeholder and partners who were invited to the community forum and other interested identified persons through a Google Form (survey) link. The following list represents the TAX YEAR 2021 CHNA participating organizations: *AuSable Valley Community Mental Health *Catholic Human Services *District Health Department #2 *Iosco County Medical Care Facility *Michigan Department of Health and Human Services *Northern Michigan Children's Assessment Center *Oscoda Area Schools *Sacred Heart Catholic Church Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - ASCENSION ST. JOSEPH HOSPITAL. THE NON-HOSPITAL ORGANIZATIONS WITH WHICH ASCENSION ST. JOSEPH HOSPITAL CONDUCTED ITS tax year 2021 CHNA IS: -Northern Michigan Community Health Innovation Region -Central Michigan District Health Department Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ASCENSION ST. JOSEPH HOSPITAL. Ascension St. Joseph's Fiscal Year 2020-2022 CHNA implementation strategy completed in June 2022 and addressed the following priority health needs: Healthcare Access, Obesity Related Adverse Health Conditions, Adverse Childhood Experiences (ACEs), and Human Trafficking. Highlights from the Ascension St. Joseph Hospital's TAX YEAR 2018 (fy2019) CHNA implementation strategy include: *Healthcare Access - Ascension St. Joseph Hospital exceeded its goal to increase access to healthcare in Iosco County. In October 2019, Ascension St. Joseph Hospital launched a tele-behavioral health program in the Emergency Department. A Rheumatology telehealth clinic was launched in August 2020 followed by the launch of a Neurology telehealth clinic in February 2021. Additionally, Ascension St. Joseph Hospital partnered with Catholic Health Services for Project ASSERT (Alcohol & Substance Abuse Services, Education, and Referral to Treatment), a program that helps Emergency Department patients who demonstrate risky alcohol and drug use behavior with access to treatment and the appropriate level of care. Additional information on the actions taken include: Implement a Tele-Behavioral Health Clinic - Launched clinic in November 2020; Rheumatology telehealth clinic launched in August 2020; Neurology telehealth clinic launched in February 2021 Partner with community organizations to increase mental health awareness by expanding mental health education, training capacity and support for community-driven initiative - Partnered with Catholic Human Services to provide Project ASSERT, a program that helps Emergency Department patients who demonstrate risky alcohol and drug use behavior with access to treatment and the appropriate level of care *Adverse Childhood Experiences (ACES) - Ascension St. Joseph Hospital has made significant progress on providing trauma informed care awareness, education and training to hospital staff. Through a collaboration with the Ascension Clinical Professional Development department, a standardized ACEs module for internal education was developed; over 91% of staff has completed the annual module following its launch in 2020. Additionally, five (5) Ascension Medical Group practices have been identified to pilot ACES screening, an age-specific questionnaire that provides a score that can be an indicator to the care team that further mental health services may be needed based on current or past experience An ACES workgroup has been implemented which is focused on developing best practices and workflows. Additional information on the actions taken include: Provide trauma informed care / ACEs educational module to internal staff - Co-developed standardized ACEs module for internal education; 91% of staff completed the annual module following launch in 2020 *Human Trafficking - Due to delays caused by the COVID-19 pandemic, Ascension St. Joseph Hospital and Ascension Standish collaborated to host a human trafficking awareness event for Arenac and Iosco Counties residents in spring 2022. The event aimed to increase awareness and encourage action with special focus on parents, school staff, as well as the general community. Ascension St. Joseph Hospital continues to utilize an established protocol to identify, assess, treat and refer victims of Human Trafficking (HT) to supportive community services who present for care in the Emergency Department or who are identified while receiving inpatient services. Additionally, Ascension St. Joseph Hospital has combined efforts with Ascension Southwest Michigan Community Health and other Ascension hospitals throughout Michigan to offer hospital-wide associate education with an Ascension internal MyLearning education module to increase awareness and recognition of the signs and symptoms of Human Trafficking via the lens of Trauma Informed Care, and community resources to support victims. Additional information on the actions taken include: Provide human trafficking awareness education to staff - Internal MyLearning education module available focused on the signs and symptoms of Human Trafficking via the lens of Trauma Informed Care; 91% of staff have completed module *Obesity Related Adverse Health Conditions - Ascension St. Joseph Hospital set forth to address obesity related adverse health conditions by implementing a virtual diabetes prevention program (DPP) to reduce A1C levels for individuals at risk of developing Type 2 diabetes. To offer the virtual DPP at no-cost to Iosco County residents, Ascension St. Joseph Hospital partnered with the Michigan Health Improvement Alliance, Inc. (MiHIA) and Canary Health, and thereafter began educating clinical teams on patient eligibility and establishing referral protocols. Through March 2020, Ascension Medical Group providers referred patients to virtual DPP during in-person clinical visits; however, awareness and referral efforts were halted per transition from predominantly in-person clinical visits to virtual due to an operational shift caused by the COVID-19 pandemic. Unfortunately, notification was received by Canary Health that it was closing its DPP arm of the company; no new registrations were accepted after October 8, 2021, and current participants would be supported through January 31, 2022.Additional information on the actions taken include: Provide education to clinical teams on virtual Diabetes Prevention Program - Training session(s) held to teach about the program and how to refer patients Implement virtual Diabetes Prevention Program referral protocol - Referral protocol implemented; however, referral and awareness efforts were halted per transition from predominantly in-person clinical visits to virtual due to an operational shift caused by the COVID-19 pandemic. The FY2023-FY2025 Ascension St. Joseph Hospital Implementation Strategy for the TAX YEAR 2021 CHNA will address the following prioritized needs: *Mental and Behavioral Health, including substance use disorder (SUD) Strategy 1.1: Increase awareness, access, and referrals to Project ASSERT (Alcohol & Substance Abuse Services, Education, and Referral to Treatment) for individuals who present to Ascension St. Joseph Hospital. Strategy 1.2: Through a coordinated and transformational approach, Ascension Michigan hospitals will improve access to mental and behavioral health for vulnerable populations. Strategy 1.3: Increase involvement in and support of community health activities to address mental and behavioral health needs. *Chronic Disease Strategy 2.1: Improve collaboration and coordination between Ascension St. Joseph Hospital providers, including Ascension Medical Group outpatient clinics, and Ascension St. Mary's Diabetes Education Center through a diabetic & prediabetic referral protocol. Strategy 2.2: Participate in/on chronic disease-focused community-based forums and coalitions to increase involvement in community health activities and assure awareness of the services offered by Ascension St. Joseph Hospital. *Healthcare Providers & Services Strategy 3.1: Provide cancer (lung, breast, and colorectal) and neurovascular (stroke and concussion) preventative screenings for underserved populations to improve early detection rates in Iosco County Strategy 3.2: Participate in/on healthcare access-focused community-based forums and coalitions to increase involvement in grassroots community health activities and assure awareness of the services offered by Ascension St. Joseph Hospital. 8 Harbor Health Center 110 Beech Street Ste B Tawas City MI 48763 Rehab Services, Physician Offices, Pediatrics Oscoda Health Park 5939 N Huron Road Tawas City MI 48763 Physician Offices St Joseph Women's Clinic 25 M-55 Tawas City MI 48763 Physician Offices Huron Family Medicine 700 German Street Tawas City MI 48763 Physician Offices Hale St Joseph Medical Center 116 S Church Street Hale MI 48739 Physician Offices Medical Arts Building 295 Maple Street Tawas City MI 48763 Physician Offices Huron Shores Walk In Clinic 325 M-55 Tawas City MI 487640659 Walk In Clinic AuGres Family Medicine 3210 E Huron Road AuGres MI 48703 Physician Offices Schedule H, Part I, Line 3c actors 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 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 $2,486,584 CHARGES, ($1,212,391 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 ST. JOSEPH 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 - ASCENSION ST. JOSEPH HOSPITAL: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - ASCENSION ST. JOSEPH HOSPITAL: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - ASCENSION ST. JOSEPH HOSPITAL: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part VI, Line 2 Needs assessment Ascension St. Joseph 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 St. Joseph Hospital utilizes information from these secondary sources to develop programs and provide appropriate services needed throughout the region. In addition, Ascension St. Joseph 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 ST. JOSEPH 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 ST. JOSEPH 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 ST. JOSEPH 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 ST. JOSEPH 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/midet/detroit-ascension-st-john-hospital/financial-assistance ASCENSION ST. JOSEPH 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 ST. JOSEPH 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 ST. JOSEPH HOSPITAL INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS. Schedule H, Part VI, Line 4 Community information Ascension St. Joseph Hospital is located in Iosco County but also serves portions of surrounding counties (Alcona, Oscoda, Ogemaw). The total population of Iosco county is estimated to be 26,422 residents in calendar year 2023 and is estimated to decrease by 93 residents or -0.35% over the next five years (Sg2/Claritas Pop-Facts 2023). There are an estimated 11,772 households. The county is rural and Ascension St. Joseph Hospital is a rural hospital and sole community provider. There are federally designated medically underserved areas in Iosco County and all the counties surrounding Iosco County. The median household income in Iosco county is $42,628, based on the United States Census Bureau (in 2020 dollars, 2016-2020). Approximately 13.8% of the service area persons live below the poverty line. There are no other acute care hospitals located within Ascension St. Joseph Hospital's service area. Schedule H, Part VI, Line 5 Promotion of community health ASCENSION ST. JOSEPH HOSPITAL'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 ST JOSEPH HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. ASCENSION ST JOSEPH HOSPITAL APPLIES SURPLUS FUNDS TO FUND IMPROVEMENTS IN PATIENT CARE. Schedule H, Part VI, Line 6 Affiliated health care system ASCENSION ST. JOSEPH 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 ST JOSEPH HOSPITAL OPERATES A HOSPITAL FACILITY IN IOSCO COUNTY MICHIGAN AND IS PART OF ASCENSION HEALTH. ASCENSION 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 ST. MARY'S HOSPITAL, ASCENSION STANDISH HOSPITAL, ASCENSION GENESYS HOSPITAL AND ASCENSION BRIGHTON CENTER FOR RECOVERY. ASCENSION ALSO OWNS AND OPERATES OTHER HEALTH CARE RELATED ENTITIES IN SOUTHWEST MICHIGAN INCLUDING ASCENSION BORGESS ALLEGAN HOSPITAL, ASCENSION BORGESS PIPP HOSPITAL, ASCENSION BORGESS LEE HOSPITAL AND ASCENSION BORGESS HOSPITAL. THE HEALTH SYSTEM PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF ASCENSION ST. JOSEPH HOSPITAL'S SERVICE AREA IN NORTHERN/MID-MICHIGAN. true Ascension St Joseph Foundation C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 010790428 501(C)(3) 55968 GENERAL SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE MAJORITY OF OUR GRANTS ARE GIVEN TO RELATED TAX EXEMPT ORGANIZATIONS, THEREFORE NO MONITORING IS DONE BECAUSE THOSE ORGANIZATIONS HAVE THE SAME MISSION AND EXEMPT PURPOSES AS OUR ORGANIZATION. ANY GRANTS THAT ARE GIVEN TO ORGANIZATIONS OUTSIDE OF OUR RELATED SYSTEM ARE DONE SO TO CARRY OUT THE ACTIVITIES AND PURPOSES OF OUR ORGANIZATION AND ALL RELATED ORGANIZATIONS WITHIN THE ASCENSION HEALTH SYSTEM. false true false false false false false false false STEPHANIE J DUGGAN MD REGIONAL PRESIDENT & CEO 0 734787 0 223200 0 87096 0 17400 0 31750 0 1094233 0 0 RAO V C GUDIPATI MD VICE CHAIR 0 594567 0 7954 0 14478 0 14500 0 20419 0 651918 0 0 NANCY A HAYWOOD VP, FINANCE 0 338250 0 112000 0 37042 0 18850 0 20755 0 526897 0 0 CLARK J HEADRICK MD FORMER KEY EMPLOYEE (END 12/2017) 0 338765 0 70000 0 33282 0 18850 0 25338 0 486235 0 0 SHARON LEAMAN-CASE FORMER KEY EMPLOYEE (END 12/2017) 0 231102 0 46000 0 54911 0 16776 0 4579 0 353368 0 0 RAGHURAM SARVEPALLI MD FORMER KEY EMPLYEE (END 4/2018) 0 287653 0 30645 0 8077 0 18850 0 19373 0 364598 0 0 TIMOTHY R YOUNG MD FORMER KEY EMPLOYEE (END 12/2017) 0 480149 0 424375 0 88224 0 18850 0 23238 0 1034836 0 0 SHANE E HUNT HOSPITAL ADMINISTRATOR 141802 0 30000 0 690 0 11027 0 22763 0 206282 0 0 0 MICHAEL WAGNER MD PHYSICIAN 219763 0 106234 0 6052 0 17316 0 8608 0 357973 0 0 0 CHRISTOPHER LANDREY MD PHYSICIAN 302611 0 1650 0 1573 0 14953 0 27005 0 347792 0 0 0 DONALD R ELLIS III MD PHYSICIAN 225141 0 170196 0 1132 0 13658 0 26613 0 436740 0 0 0 BRADLEY KLOSKA MD PHYSICIAN 230466 0 94827 0 514 0 16697 0 21439 0 363943 0 0 0 CHRISTOPHER J ORAVITZ MD PHYSICIAN 313812 0 2100 0 4514 0 14500 0 5601 0 340527 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation A RELATED ORGANIZATION OF THE FILING ORGANIZATION, USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL 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. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. 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 UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS. Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENTS The activity of ASCENSION ST. JOSEPH HOSPITAL is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of ASCENSION ST. JOSEPH HOSPITAL is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of ASCENSION ST. JOSEPH HOSPITAL. Form 990, Part IV, Line 24a TAX EXEMPT BONDS THE FILING ENTITY IS A HEALTH FACILITY THAT IS PART OF ASCENSION HEALTH SYSTEM. ASCENSION HEALTH ALLIANCE ISEITHERTHE BORROWER FOR,OR SECURES,TAX EXEMPT HOSPITAL REVENUE BONDS. THE FILING ENTITYMAYHOLD AN INTERCOMPANY NOTE PAYABLE WITH ASCENSION HEALTH ALLIANCE, AND THIS INFORMATION IS REPORTED ON THE BALANCE SHEET. Form 990, Part VI, Line 15a Process For Determining Compensation of Top Management Official THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. Form 990, Part VI, Line 15b PROCESS FOR DETERMINING COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. Form 990, Part VI, Line 6 Classes of members or stockholders ASCENSION ST. JOSEPH HOSPITAL HAS A SINGLE CORPORATE MEMBER, ASCENSION MICHIGAN. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body ASCENSION ST. JOSEPH HOSPITAL HAS A SINGLE CORPORATE MEMBER, ASCENSION MICHIGAN, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF THE ASCENSION ST. JOSEPH HOSPITAL. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to ASCENSION ST. JOSEPH HOSPITAL financial information or corporation as a whole are subject to approval by its sole corporate member, ASCENSION MICHIGAN. Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS WHICH MAY INCLUDE, AS NEEDED, FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO DESIGNATED MANAGEMENT TEAM MEMBERS WITH EXPERIENCE IN TAX IN LIEU OF THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE. Form 990, Part VI, Line 19 Required documents available to the public The organization will provide any documents open to public inspection upon request. Form 990, Part VII, Section A RELATED ENTITIES THE ORGANIZATION UTILIZES AN AFFILIATE AS THE COMMON PAY AGENT. EMPLOYEES REPORTED IN PART VII MAY HAVE DUTIES THAT IMPACT MULTIPLE RELATED ENTITIES. TOTAL AVERAGE HOURS WORKED AND COMPENSATION AND BENEFITS PAID ARE REPORTED. IN DOING SO, IF AVAILABLE, A COMMON LAW EMPLOYER ANALYSIS IS USED TO DETERMINE WHETHER THE HOURS AND COMPENSATION/BENEFITS ARE REPORTABLE AS ATTRIBUTABLE DIRECTLY TO THE FILING ORGANIZATION OR ANOTHER ENTITY; OTHERWISE, THE BEST AVAILABLE INFORMATION HAS BEEN USED AS THE BASIS FOR ALLOCATIONS UTILIZED IN THE REPORTING. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Late Penalty Fees - Total Revenue: 125, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 125; Other Miscellanous Revenue - Total Revenue: 2905, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 2905; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers with Affiliates - 2993700; Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant ASCENSION ST. JOSEPH HOSPITAL is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole. FORM 990, PAGE 1 PHYSICAL ADDRESS THE PHYSICAL ADDRESS FOR THIS ENTITY IS 200 HEMLOCK ROAD, TAWAS CITY, MICHIGAN 48763. THE ADDRESS ON PAGE 1 IS FOR MAILING PURPOSES ONLY. FORM 990, PAGE 1 - BOX C DOING BUSINESS AS Ascension Michigan Employer Solutions-Occupational Health Ascension Michigan Lab Services St. Joseph Health System Tawas St. Joseph Hospital AFFINITY HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391568866 HEALTH SYSTEM IL 501(c)(3) Type II MINISTRY HEALTH CARE INC true ALABAMA PROVIDENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 462847744 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 10 GULF COAST HEALTH SYSTEM true ALEXIAN BROTHERS AMBULATORY GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364336931 PHYSICIANS SERVICES IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPTIAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251848 BEHAVIORAL HEALTH HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS BONAVENTURE HOUSE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363527899 HOUSING AND SUPPORTIVE CARE SERVICES FOR PERSONS WITH HIV/AIDS IL 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363045007 OUTPATIENT COMMUNITY MENTAL HEALTH SERVICES IL 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS COMMUNITY SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364344423 PACE- COMPREHENSIVE & COORDINATED COMMUNITY BASED SERVICES IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363260495 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS FOR WHICH IT IS A MEMBER IL 501(c)(3) Type III-FI ASCENSION HEALTH true ALEXIAN BROTHERS HOSPITAL NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363276552 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS IL 501(c)(3) Type III-FI Alexian Brothers Health System true ALEXIAN BROTHERS LANSDOWNE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431470362 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS MEDICAL CARE GROUP NFP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 471930457 PHYSICIANS SERVICES IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS MEDICAL CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362596381 ACUTE CARE HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS MEDICAL GROUP SPECIALTY CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 811110738 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 ALEXIAN BROTHERS HEALTH SYSTEM true ALEXIAN BROTHERS OF SAN JOSE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 941530037 ACUTE CARE HOSPITAL (sold in 1998) TX 501(c)(3) Type I Alexian Brothers Health System true ALEXIAN BROTHERS SENIOR MINISTRIES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364484290 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS IL 501(c)(3) Type II Alexian Brothers Health System true ALEXIAN BROTHERS SERVICES INC 3040 Salt Creek Ln Arlington Heights IL 60005 431295333 HUD HOUSING MO 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS SHERBROOKE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431592502 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS SPECIALTY GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 800710751 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN VILLAGE OF MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391351584 CONTINUING CARE RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN VILLAGE OF TENNESSEE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621136742 CONTINUING CARE RETIREMENT COMMUNITY TN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALVERNO PROVENA HOSPITAL LABORATORIES INC 2434 Interstate Plaza Drive Hammond IN 46234 203238867 HEALTH CARE IN 501(c)(3) 3 Presence Central & Suburban Hospitals Network AND PRESENCE CHICAGO HOSPITAL S NETWORK true AMERICAN SPORTS MEDICINE INSTITUTE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630952490 SPORTS MEDICINE AL 501(c)(3) 7 ST VINCENT'S BIRMINGHAM true ARTHUR MERKLE - CLARA KNIPPRATH NURSING HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362841358 RETIREMENT COMMUNITY IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true ASCENSION ALL SAINTS HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391570877 FOUNDATION WI 501(c)(3) 7 ASCENSION ALL SAINTS HOSPITAL INC true ASCENSION ALL SAINTS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391264986 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ALLEGAN PROFESSIONAL HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205800012 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION MICHIGAN true ASCENSION ARIZONA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860455920 HOSPITAL AZ 501(c)(3) 3 ASCENSION HEALTH true ASCENSION BORGESS ALLEGAN FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382802463 FUNDRAISING MI 501(c)(3) Type I ASCENSION MICHIGAN true ASCENSION BORGESS ALLEGAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359180 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237222558 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS HOSPITAL true ASCENSION BORGESS HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381360526 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS LEE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382860459 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS-LEE HOSPITAL true ASCENSION BORGESS-LEE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381490190 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BRIGHTON CENTER FOR RECOVERY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381576680 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION CALUMET HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390905385 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION CARE MANAGEMENT INSURANCE HOLDINGS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 461121862 HEALTH CARE MO 501(c)(3) Type I Ascension Care Management LLC true ASCENSION DEPAUL HOLDINGS OF EL PASO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742734755 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH true ASCENSION EAGLE RIVER HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390985690 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION EASTWOOD BEHAVIORAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381958763 HEALTH CARE MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 862197504 FOUNDATION MO 501(c)(3) Type II ASCENSION HEALTH ALLIANCE true ASCENSION GENESYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383591148 FOUNDATION MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true ASCENSION GENESYS HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382377821 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION GOOD SAMARITAN HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391627755 FOUNDATION WI 501(c)(3) Type II ASCENSION GOOD SAMARITAN HOSPITAL INC true ASCENSION GOOD SAMARITAN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390808503 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ASCENSION HEALTH - IS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651257719 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE T RUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 367046706 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH GLOBAL MISSION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651205990 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH SENIOR CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431227406 PARENT COMPANY MO 501(c)(3) Type II ASCENSION HEALTH true ASCENSION LIVING - LAKESHORE AT SIENA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 824710412 RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION LIVING ST VINCENT PACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 872516723 PACE- COMPREHENSIVE & COORDINATED COMMUNITY BASED SERVICES IN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION MACOMB OAKLAND HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383322109 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION MEDICAL GROUP GENESYS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 831617112 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383494637 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP PROMED C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383193801 HEALTHCARE SERVICES MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391127163 CLINICAL HEALTHCARE SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391965593 MEDICAL GROUP WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391791586 MEDICAL GROUP WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382631907 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION HEALTH true ASCENSION MICHIGAN CMG C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382601348 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION MINISTRY AND MISSION FUND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273174701 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION NE WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816818 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION OUR LADY OF VICTORY HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390807065 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION PROVIDENCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109636 HEALTHCARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383526629 FUNDRAISING MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381358212 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION PROVIDENCE ROCHESTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382627336 SUPPORTING MI 501(c)(3) Type I ASCENSION PROVIDENCE ROCHESTER HOSPITAL true ASCENSION PROVIDENCE ROCHESTER HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359247 GENERAL HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION RIVER DISTRICT HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383160564 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391390638 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION SE WISCONSIN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816857 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION SETON C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109643 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382262856 HEALTH CARE MI 501(c)(3) 3 ST JOHN PROVIDENCE true ASCENSION ST CLARE'S HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 721531917 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION ST ELIZABETH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391256677 FOUNDATION WI 501(c)(3) 7 AFFINITY HEALTH SYSTEM true ASCENSION ST FRANCIS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390907740 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ST JOHN FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 202961579 FUNDRAISING MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION ST JOHN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359063 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST JOSEPH FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 010790428 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST JOSEPH'S HOSPITAL true ASCENSION ST MARY'S FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382246366 FUNDRAISING MI 501(c)(3) Type III-FI ASCENSION ST MARY'S HOSPITAL true ASCENSION ST MARY'S HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 380997730 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MICHAEL'S HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391657410 FOUNDATION WI 501(c)(3) Type I ASCENSION ST MICHAEL'S HOSPITAL INC true ASCENSION ST MICHAEL'S HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390808443 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION STANDISH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381671120 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION TEXAS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364243 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION HEALTH true ASCENSION TEXAS CARDIOVASCULAR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273220767 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II SETON CLINICAL ENTERPRISE CORPORATION true ASCENSION VIA CHRISTI HEALTH PARTNERS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480958974 MANAGEMENT COMPANY KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172107 HEALTH SYSTEM PARENT KS 501(c)(3) Type I ASCENSION HEALTH true ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481186704 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480543778 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL ST TERESA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271965272 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITALS WICHITA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172106 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI PROPERTY SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480948571 PROPERTY MANAGEMENT KS 501(c)(4) ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481158274 REHABILITATION HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION WELFARE BENEFITS TRUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431601369 VEBA MO 501(c)(9) ASCENSION HEALTH ALLIANCE true ASCENSION WISCONSIN FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391494981 FOUNDATION WI 501(c)(3) 7 COLUMBIA ST MARY'S INC true ASCENSION WISCONSIN LABORATORIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391701402 LABORATORY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION WISCONSIN PHARMACY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391613624 PHARMACY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true BAPTIST HEALTH CARE AFFILIATES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581509251 COMMUNITY HEALTH PROMOTION TN 501(c)(3) Type I SAINT THOMAS NETWORK true BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581861378 INACTIVE TN 501(c)(3) Type I SAINT THOMAS WEST HOSPITAL true BINGHAMTON HEALTH CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 881655027 HEALTH CARE NY 501(c)(3) 10 OUR LADY OF LOURDES MEMORIAL HOSPITAL INC true BLUE LADIES MINERALS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742971975 OWN OIL AND MINERAL RIGHTS, REAL ESTATE TX 501(c)(3) Type III-FI SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC true BORGESS AMBULATORY CARE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382468823 HOLDING COMPANY MI 501(c)(3) 3 BORGESS HEALTH ALLIANCE INC true BORGESS HEALTH ALLIANCE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382335286 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true BORGESS NURSING HOME INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382555589 SKILLED NURSING FACILITY MI 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true CARONDELET FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860749574 FOUNDATION AZ 501(c)(3) Type I ASCENSION ARIZONA true CARONDELET HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431276738 HEALTH SYSTEM PARENT MO 501(c)(3) Type I ASCENSION HEALTH true CARONDELET LONG-TERM CARE FACILITIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742505427 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CARROLL MANOR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 832068871 SKILLED NURSING FACILITY DC 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CATALPA HEALTH INC N4642 COUNTY N APPLETON WI 54914 454681563 BEHAVIORAL HEALTH SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true CENTER FOR GERONTOLOGY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382514708 ADULT DAY CARE MI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351869951 FREESTANDING OUTPATIENT CENTER IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true CMC FOUNDATION OF CENTRAL TEXAS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 200468031 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true COLUMBIA COLLEGE OF NURSING Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391596986 COLLEGE WI 501(c)(3) 2 COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC true COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390806315 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390807063 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391834639 HEALTH SYSTEM WI 501(c)(3) Type I ASCENSION HEALTH true CORNERSTONE ASSISTED LIVING INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481241079 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true DELL CHILDREN'S MEDICAL GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742800601 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true DR KATE NEWCOMB CONVALESCENT CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391357365 NURSING/ASSISTED LIVING SERVICES WI 501(c)(3) 10 MINISTRY HEALTH CARE INC true FIELD NEUROSCIENCES INSTITUTE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382790703 SUPPORTING ORGANIZATION MI 501(c)(3) Type II ASCENSION ST MARY'S HOSPITAL true GENESYS AMBULATORY HEALTH SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382371754 HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true GENESYS CONVALESCENT CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382317364 CONVALESCENT CENTER MI 501(c)(3) 3 GENESYS AMBULATORY HEALTH SERVICES true GENESYS HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383339703 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true GULF COAST HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630934712 HEALTH SYSTEM AL 501(c)(3) Type III-FI ST VINCENT'S HEALTH SYSTEM true HAVEN OF OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 593620346 NURSING HOME FL 501(c)(3) 10 SACRED HEART HEALTH SYSTEM true HOWARD YOUNG HEALTH CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391499115 HOME OFFICE WI 501(c)(3) Type II MINISTRY HEALTH CARE INC true HUMPHREYS COUNTY COMMUNITY HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 261861676 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true JANE PHILLIPS MEMORIAL MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730606129 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true JANE PHILLIPS NOWATA HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731440267 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true LAVERNA TERRACE HOUSING CORPORATION 18927 HICKORY CREEK DRIVE SUITE 300 MOKENA IL 60448 363438977 LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED INDIVIDUALS IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true LOURDES FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 911528577 FUNDRAISING WA 501(c)(3) Type I OUR LADY OF LOURDES HOSPITAL AT PASCO true LOURDES REALTY COMPANY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 222873637 RENTAL OF HEALTH CARE FACILITIES NY 501(c)(2) OUR LADY OF LOURDES MEMORIAL HOSPITAL INC true MEDICARE VALUE PARTNERS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363495969 HEALTH CARE IL 501(c)(3) 10 Presence Health Partners Services true MERCY HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237140261 FOUNDATION WI 501(c)(3) 10 AFFINITY HEALTH SYSTEM true METRO PHYSICIANS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 943436893 Medical Group WI 501(c)(3) 3 ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC true MINISTRY HEALTH CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391490371 PARENT CORPORATION WI 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF LOURDES HOSPITAL AT PASCO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 910349750 HEALTHCARE WA 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF LOURDES MEMORIAL HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 150532221 HOSPITAL NY 501(c)(3) 3 ASCENSION HEALTH true OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 161608735 SKILLED NURSING FACILITY NY 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true OWASSO MEDICAL FACILITY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 203700131 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true PRESENCE AMBULATORY SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364286236 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE BEHAVIORAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362709982 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483587 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE TRANSFORMATION CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363366652 MGMT SUPPORT IL 501(c)(3) Type III-FI Alexian Brothers Health System true PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364195126 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CHICAGO HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362235165 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE HEALTH PARTNERS SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362644178 HEALTH CARE IL 501(c)(3) Type II Alexian Brothers Health System true PRESENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363330928 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE HOME CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483581 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE LIFE CONNECTIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 371127787 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PRESENCE SENIOR SERVICES CHICAGOLAND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237061646 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PROVIDENCE BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630914564 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(2) GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630915493 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 7 GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742683112 SUPPORT CHARITABLE PURPOSE OF ASCENSION PROVIDENCE TX 501(c)(3) Type I ASCENSION PROVIDENCE true PROVIDENCE HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742696970 PHYSICIAN PRACTICES TX 501(c)(3) 3 ASCENSION PROVIDENCE true PROVIDENCE HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275583 FUNDRAISING ORGANIZATION DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275587 PHYSICIAN PRACTICES DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 530196636 HOSPITAL DC 501(c)(3) 3 ASCENSION HEALTH true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630288861 HOSPITAL AL 501(c)(3) 3 GULF COAST HEALTH SYSTEM true PROVIDENCE PARK INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611759304 SKILLED NURSING FACILITY TX 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true RAINBOW HOSPICE AND PALLIATIVE CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363296367 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true SACRED HEART FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 592436597 FOUNDATION FL 501(c)(3) 7 SACRED HEART HEALTH SYSTEM true SACRED HEART HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 590634434 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true SACRED HEART HEALTH VENTURES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 571183283 INVESTMENT FL 501(c)(3) Type I SACRED HEART HEALTH SYSTEM true SACRED HEART REHABILITATION INSTITUTE Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390902199 REHAB SERVICES WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390847631 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true SAINT THOMAS HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581716804 SYSTEM PARENT TN 501(c)(3) Type I ASCENSION HEALTH true SAINT THOMAS HEALTH FOUNDATIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581663055 OPERATES FOUNDATION TN 501(c)(3) 7 SAINT THOMAS NETWORK true SAINT THOMAS HICKMAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581737573 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true SAINT THOMAS HOME HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621836937 HOME HEALTH CARE TN 501(c)(3) 10 SAINT THOMAS HICKMAN HOSPITAL true SAINT THOMAS MEDICAL PARTNERS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621529858 HEALTHCARE PROVIDER TN 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SAINT THOMAS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621284994 HEALTH INVESTMENT ENTITY TN 501(c)(3) 10 SAINT THOMAS HEALTH true SAINT THOMAS REGIONAL HOSPITALS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 474063046 HOSPITALS TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS RUTHERFORD FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621167917 FOUNDATION TN 501(c)(3) Type I SAINT THOMAS RUTHERFORD HOSPITAL true SAINT THOMAS RUTHERFORD HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620475842 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS WEST HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620347580 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SALINA REGIONAL HOME MEDICAL SERVICES LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431948057 MEDICAL EQUIPMENT KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH PARTNERS INC true SAVELLI PROPERTIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363308965 OWNS OR LEASES PROPERTIES WHERE HEALTHCARE SERVICES ARE DELIVERED IL 501(c)(2) Alexian Brothers Health System true SETON CLINICAL ENTERPRISE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364681 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION TEXAS true SETON FAMILY OF DOCTORS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 264562522 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON FAMILY OF PEDIATRIC SURGEONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271311790 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742212968 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true SETON HAYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 262842608 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382820107 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true SETON HOSPITALIST SERVICE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 452498998 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 ASCENSION SETON true SETON INSURANCE SERVICES CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364813 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II ASCENSION TEXAS true SETON MANOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 232960726 SKILLED NURSING FACILITY PA 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true SETON MEDICAL GROUP INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 392064992 PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY MD 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SETON MEDICAL MANAGEMENT INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630937704 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) Type II GULF COAST HEALTH SYSTEM true SETON ORAL & MAXILLOFACIAL SURGERY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 421670843 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON PROPERTY CORPORATION OF NORTH ALABAMA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237326976 REAL ESTATE AL 501(c)(2) ST VINCENT'S HEALTH SYSTEM true SETON WILLIAMSON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205330986 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true SETONUT DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742869762 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SJRMC INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 820204264 HOSPITAL ID 501(c)(3) 3 ASCENSION HEALTH true SOUTHERN TIER MEDICAL CARE - NY PC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 821103087 HEALTHCARE NY 501(c)(3) 3 OUR LADY OF LOURDES MEMORIAL HOSPITAL INC true ST AGNES FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521415083 FUNDRAISING MD 501(c)(3) Type I ST AGNES HEALTHCARE INC true ST AGNES HEALTHCARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 520591657 HOSPITAL MD 501(c)(3) 3 ASCENSION HEALTH true ST ALEXIUS MEDICAL CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251846 ACUTE CARE HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ST CATHERINE LABOURE MANOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 591878316 SKILLED NURSING FACILITY FL 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true ST JOHN AUXILIARY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730999759 HEALTH CARE OK 501(c)(3) 10 ST JOHN HEALTH SYSTEM INC true ST JOHN BROKEN ARROW INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383833117 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611659782 REAL ESTATE OK 501(c)(2) ST JOHN HEALTH SYSTEM INC true ST JOHN HEALTH SYSTEM FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731133139 FUNDRAISING OK 501(c)(3) Type I ST JOHN HEALTH SYSTEM INC true ST JOHN HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731215174 SYSTEM PARENT OK 501(c)(3) Type I ASCENSION HEALTH true ST JOHN MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730579286 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN PROVIDENCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382244034 PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true ST JOHN SAPULPA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730662663 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237313206 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST JOSEPH HOSPITAL & HEALTH CENTER INC true ST JOSEPH HOSPITAL & HEALTH CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350992717 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST JOSEPH MEDICAL CENTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431388461 FUNDRAISING MO 501(c)(3) Type I CARONDELET HEALTH true ST JOSEPH REGIONAL MEDICAL CENTER FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 510168321 FUNDRAISING ID 501(c)(3) Type I SJRMC Inc true ST JOSEPH'S MINISTRIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521835288 SKILLED NURSING FACILITY MD 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ST LUKE'S-ST VINCENT'S HEALTHCARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 260479484 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true ST MARY'S BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237248362 REAL ESTATE HOLDING COMPANY IN 501(c)(2) ST MARY'S HEALTH INC true ST MARY'S HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237045370 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST MARY'S HEALTH INC true ST MARY'S HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350869065 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST MARY'S MEDICAL CENTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431918107 FUNDRAISING MO 501(c)(3) Type I CARONDELET HEALTH true ST MARY'S MEDICAL GROUP LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 261356310 PHYSICIAN PROFESSIONAL SERVICES IN 501(c)(3) 10 ST VINCENT MEDICAL GROUP INC true ST MARY'S WARRICK HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351343019 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT ANDERSON REGIONAL HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352053693 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT ANDERSON REGIONAL HOSPITAL 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HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT RAS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 471289091 RETAIL AMBULATORY SERVICES IN 501(c)(3) 10 ST VINCENT HEALTH INC true ST VINCENT SALEM HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 270847538 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT SETON SPECIALTY HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351712001 LONG TERM CARE HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT WILLIAMSPORT HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 743130159 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT WILLIAMSPORT HOSPITAL INC true ST VINCENT WILLIAMSPORT HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350784551 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT'S AMBULATORY CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 592292041 PHYSICIAN PRACTICE FL 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ST VINCENT'S BIRMINGHAM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630288864 HOSPITAL AL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM true ST VINCENT'S BLOUNT C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630909073 HOSPITAL AL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM true ST VINCENT'S COLLEGE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 061331677 INACTIVE CT 501(c)(3) 10 STVINCENT'S MEDICAL CENTER true ST VINCENT'S EAST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630578923 HOSPITAL AL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM true ST VINCENT'S FOUNDATION OF ALABAMA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630868066 FUNDRAISING AL 501(c)(3) 7 ST VINCENT'S HEALTH SYSTEM true ST VINCENT'S FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 592219923 FUND RAISING FL 501(c)(3) 7 ST VINCENT'S HEALTH SYSTEM INC true ST VINCENT'S HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630931008 HEALTH SYSTEM AL 501(c)(3) Type III-FI ASCENSION HEALTH true ST VINCENT'S HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 593650609 PARENT ENTITY FL 501(c)(3) Type II ASCENSION HEALTH true ST VINCENT'S MEDICAL CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 060646886 HOSPITAL AND SYSTEM PARENT CT 501(c)(3) Type I ASCENSION HEALTH true ST VINCENT'S MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 590624449 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true ST VINCENT'S MEDICAL CENTER-CLAY COUNTY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 461523194 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true SVH REAL ESTATE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205002285 REAL ESTATE HOLDING COMPANY IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true THE HEALTH SOURCE GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382427678 PRG 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