MYMICHIGAN MEDICAL CENTER TAWAS: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- MYMICHIGAN MEDICAL CENTER TAWAS (EIN 38-1443395)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-14
- IRS object ID
- 201941349349310419
- Schema version
- 2017v2.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-14T19:02:42-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381443395 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASCENSION ST JOSEPH'S HOSPITAL (FKA ST JOSEPH HEALTH SYSTEM INC) | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ASCE | BusinessNameControlTxt |
| Phone | 3147338000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Hemlock Road | AddressLine1Txt |
| City | Tawas City | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48763 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Tonya Mershon | PersonNm |
| Person Title | Tax Officer | PersonTitleTxt |
| Signature | 2019-05-14 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JANET JACOB | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Hemlock Road | AddressLine1Txt |
| City | Tawas City | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48763 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $52,956,361 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://healthcare.ascension.org/Locations/Michigan/MITAW/Tawas-City-Ascension-St-Joseph-Hospital | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1955 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | To improve the health and well-being of all people in the communities we serve. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 385 | TotalEmployeeCnt |
| Total Volunteers | 94 | TotalVolunteersCnt |
| Total Gross UBI | $89,973 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $34,770 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,645 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $53,878,970 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $52,680,495 | CYProgramServiceRevenueAmt |
| PY Investment Income | $22,456 | PYInvestmentIncomeAmt |
| CY Investment Income | -$35,253 | CYInvestmentIncomeAmt |
| PY Other Revenue | $169,257 | PYOtherRevenueAmt |
| CY Other Revenue | $221,740 | CYOtherRevenueAmt |
| PY Total Revenue | $54,105,453 | PYTotalRevenueAmt |
| CY Total Revenue | $52,876,627 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,446 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,014,848 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,459,806 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $30,549,593 | PYOtherExpensesAmt |
| CY Other Expenses | $33,977,818 | CYOtherExpensesAmt |
| PY Total Expenses | $52,564,441 | PYTotalExpensesAmt |
| CY Total Expenses | $56,440,070 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,541,012 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,563,443 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $26,056,604 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,677,742 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $27,713,544 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $26,418,124 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,656,940 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$6,740,382 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $41,293,495 | ExpenseAmt |
| Grant | $2,446 | GrantAmt |
| Revenue | $52,593,399 | RevenueAmt |
| Desc | ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) 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 2018, ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) treated 1,535 adults and children for a total of 3,942 patient days of service. The hospital also provided services for 176,952 outpatient visits, which included 1,465 outpatient surgeries and 17,094 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. | Desc |
| Total Program Service Expenses | $41,293,495 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | Yes (true) | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 78 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 385 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | Yes (true) | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SARA OBRIEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3147338070 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11775 BORMAN DRIVE | AddressLine1Txt |
| City | MARYLAND HEIGHTS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63146 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JOHN FREEL | |||||||||
| CHAIR | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES HRESKO | |||||||||
| VICE CHAIR (END 11/2017) | 1.0 | 8.1 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BAPINEEDU MAGANTI MD | |||||||||
| SECRETARY (END 11/2017) | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MUHAMMAD ABOUDAN MD | |||||||||
| TREASURER (END 11/2017) | 1.0 | 52.0 | Yes (X) | Yes (X) | $0 | $29,475 | $0 | ||
| JANET JACOB RN | |||||||||
| PRESIDENT & CAO (START 4/2018) | 49.0 | 1.0 | Yes (X) | Yes (X) | $70,019 | $0 | $17,800 | ||
| ANN BALFOUR | |||||||||
| PRESIDENT & CAO (END 4/2018) | 49.0 | 1.0 | Yes (X) | Yes (X) | $226,651 | $0 | $26,971 | ||
| JOSEPH R IMPICCICHE JD | |||||||||
| TRUSTEE (START 11/2017) | 0.0 | 50.0 | Yes (X) | $0 | $3,285,831 | $62,591 | |||
| PATRICIA A MARYLAND DRPH | |||||||||
| TRUSTEE (START 11/2017) | 0.0 | 50.0 | Yes (X) | $0 | $5,124,672 | $47,346 | |||
| ANTHONY J SPERANZO | |||||||||
| TRUSTEE (START 11/2017) | 0.0 | 50.0 | Yes (X) | $0 | $4,933,048 | $40,847 | |||
| JEFF SANDERS | |||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| JAMES GIORDANO | |||||||||
| TRUSTEE (START 11/2017) | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| JAMES BOLES | |||||||||
| TRUSTEE (END 7/2017) | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER J PALAZZOLO | |||||||||
| TRUSTEE (END 11/2017) | 1.0 | 49.0 | Yes (X) | $0 | $997,987 | $42,988 | |||
| PAUL FURLO | |||||||||
| TRUSTEE (END 11/2017) | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| TODD GREGORY | |||||||||
| TRUSTEE (END 11/2017) | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| A SARGE HARVEY | |||||||||
| TRUSTEE (END 11/2017) | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD HEINRICH | |||||||||
| TRUSTEE (END 11/2017) | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| JO STUDLEY MAY MD | |||||||||
| TRUSTEE (END 11/2017)/PHYSICIAN | 50.0 | 2.0 | Yes (X) | $283,887 | $0 | $17,019 | |||
| DEBORAH MORGAN | |||||||||
| TRUSTEE (END 11/2017) | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| MARK PIPER | |||||||||
| TRUSTEE (END 11/2017) | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| NANCY A HAYWOOD | |||||||||
| CFO | 1.0 | 49.0 | Yes (X) | $0 | $463,782 | $42,424 | |||
| TIMOTHY R YOUNG | |||||||||
| CHIEF CLINICAL OFFICER | 49.0 | 1.0 | $756,059 | $0 | $36,826 | Yes (X) | |||
| PAMELA KISER | |||||||||
| CHIEF NURSING OFFICER | 25.0 | 25.0 | $0 | $259,964 | $25,705 | Yes (X) | |||
| CLARK J HEADRICK MD | |||||||||
| VP, MEDICAL AFFAIRS (START 4/2018) | 1.0 | 49.0 | $0 | $348,956 | $43,637 | Yes (X) | |||
| RAGHURAM SARVEPALLI MD | |||||||||
| VP, MEDICAL AFFAIRS (END 4/2018) | 1.0 | 49.0 | $0 | $552,318 | $40,335 | Yes (X) | |||
| SHARON LEAMAN-CASE | |||||||||
| VP, OPERATIONS | 1.0 | 49.0 | $0 | $330,204 | $19,951 | Yes (X) | |||
| BERNARD J JORE RN | |||||||||
| VP, NURSING | 1.0 | 49.0 | $0 | $260,125 | $33,543 | Yes (X) | |||
| MARK L DAVIS DO | |||||||||
| PHYSICIAN | 50.0 | 0 | $752,954 | $0 | $31,472 | Yes (X) | |||
| DIANA ENNES MD | |||||||||
| PHYSICIAN | 50.0 | 0 | $427,451 | $0 | $22,940 | Yes (X) | |||
| MICHAEL WAGNER MD | |||||||||
| PHYSICIAN | 50.0 | 0 | $328,161 | $0 | $21,223 | Yes (X) | |||
| MARK GALLAGHER MD | |||||||||
| SURGEON | 50.0 | 0 | $288,367 | $0 | $25,209 | Yes (X) | |||
| SYLVIA BOLOCZKO MD | |||||||||
| PHYSICIAN | 50.0 | 0 | $279,600 | $0 | $11,107 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,413,149 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $16,586,361 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $609,931 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 21 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | Address Line2ContractorAddress/USAddress/AddressLine2Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| AHSA LLC | ||||||
| 10126 E Cherry Bend Rd | PO BOX 945 | Traverse City | MI | 48684 | Nursing Staff | $1,669,021 |
| DEGARA PLLC | ||||||
| 2370 SILVER POINT DR | WATERFORD | MI | 483281730 | PHYSICIANS SERVICES | $1,376,195 | |
| ARUP LABORATORIES | ||||||
| 500 S CHIPETA WAY | SALT LAKE CITY | UT | 84108 | LABORATORY SERVICES | $201,193 | |
| Valley ENT Associates PC | ||||||
| 2551 McLeod Drive | Saginaw | MI | 48604 | ENT Physicians | $168,000 | |
| Community Hospital Services | ||||||
| 1321 Cumberland St | Saginaw | MI | 48601 | Linen Services | $163,715 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Government Grants | $9,645 | GovernmentGrantsAmt |
| Total Contributions | $9,645 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Service Revenue | 621990 | $47,706,436 | $47,616,463 | $89,973 |
| Services to Affiliates | 621990 | $3,683,829 | $3,683,829 | |
| Pharmacy Revenue | 446110 | $1,236,004 | $1,236,004 | |
| Rental Income from Affiliates | 531120 | $51,461 | $51,461 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,765 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,765 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $52,680,495 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,159 | TotalRevenueColumnAmt |
| Exclusion | $16,159 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $63,021 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $63,021 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $63,021 | TotalRevenueColumnAmt |
| Exclusion | $63,021 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $13,928 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $65,340 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$51,412 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$51,412 | TotalRevenueColumnAmt |
| Exclusion | -$51,412 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $23,024 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $14,394 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,630 | TotalRevenueColumnAmt |
| Exclusion | $8,630 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria/Vending Revenue | 722514 | $119,493 | $119,493 | |
| Community Services | 900099 | $3,165 | $3,165 | |
| Escheatment Revenue | 900099 | $2,948 | $2,948 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,483 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$288 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $24,771 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $150,089 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52,876,627 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $52,593,399 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $89,973 | UnrelatedBusinessRevenueAmt |
| Exclusion | $183,610 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,446 | TotalAmt |
| Program Services | $2,446 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,435,231 | TotalAmt |
| Program Services | $1,334,765 | ProgramServicesAmt |
| Management And General | $100,466 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,710,978 | TotalAmt |
| Program Services | $15,556,941 | ProgramServicesAmt |
| Management And General | $1,154,037 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $835,823 | TotalAmt |
| Program Services | $778,087 | ProgramServicesAmt |
| Management And General | $57,736 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,210,269 | TotalAmt |
| Program Services | $2,057,520 | ProgramServicesAmt |
| Management And General | $152,749 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,267,505 | TotalAmt |
| Program Services | $1,179,885 | ProgramServicesAmt |
| Management And General | $87,620 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,456 | TotalAmt |
| Management And General | $15,456 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,408 | TotalAmt |
| Management And General | $19,408 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,558 | TotalAmt |
| Management And General | $3,558 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,583,111 | TotalAmt |
| Program Services | $4,487,560 | ProgramServicesAmt |
| Management And General | $95,551 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,738 | TotalAmt |
| Program Services | -$3,180 | ProgramServicesAmt |
| Management And General | $8,918 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $489,055 | TotalAmt |
| Program Services | $57,691 | ProgramServicesAmt |
| Management And General | $431,364 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,128 | TotalAmt |
| Program Services | $4,128 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,199,791 | TotalAmt |
| Program Services | $538,857 | ProgramServicesAmt |
| Management And General | $660,934 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,556 | TotalAmt |
| Program Services | $86,176 | ProgramServicesAmt |
| Management And General | $21,380 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,894 | TotalAmt |
| Program Services | $13,948 | ProgramServicesAmt |
| Management And General | $946 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $619,171 | TotalAmt |
| Management And General | $619,171 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,884,085 | TotalAmt |
| Program Services | $751,384 | ProgramServicesAmt |
| Management And General | $2,132,701 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$9,865 | TotalAmt |
| Management And General | -$9,865 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $8,213,875 | $8,084,980 | $128,895 |
| Purchased Services | $5,416,027 | $1,224,497 | $4,191,530 |
| Management Fee to Affiliate | $4,872,718 | $4,872,718 | |
| Physician Fees to Affiliate | $3,683,829 | $3,683,829 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,855,283 | TotalAmt |
| Program Services | $1,453,981 | ProgramServicesAmt |
| Management And General | $401,302 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,440,070 | TotalAmt |
| Program Services | $41,293,495 | ProgramServicesAmt |
| Management And General | $15,146,575 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $729,924 | BOYAmt |
| EOY | $7,601 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $376,569 | BOYAmt |
| EOY | $637,283 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,615,087 | BOYAmt |
| EOY | $2,445,046 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$7,120 | BOYAmt |
| EOY | -$7,120 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,008,507 | BOYAmt |
| EOY | $1,057,244 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,854 | BOYAmt |
| EOY | $33,854 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $53,777,086 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $41,920,036 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,745,743 | BOYAmt |
| EOY | $11,857,050 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,445 | BOYAmt |
| EOY | $19,445 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,399,707 | BOYAmt |
| EOY | $293,099 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,134,888 | BOYAmt |
| EOY | $3,334,240 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,056,604 | BOYAmt |
| EOY | $19,677,742 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,290,020 | BOYAmt |
| EOY | $4,067,846 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,423,524 | BOYAmt |
| EOY | $22,350,278 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,713,544 | BOYAmt |
| EOY | $26,418,124 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,886,881 | BOYAmt |
| EOY | -$6,973,692 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,941 | BOYAmt |
| EOY | $233,310 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,656,940 | BOYAmt |
| EOY | -$6,740,382 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,056,604 | BOYAmt |
| EOY | $19,677,742 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,563,443 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,369 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$449 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$1,522,919 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $3,558 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,558 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) 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. |
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) 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. |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $754,927 | BeginningYearBalanceAmt |
| Contributions | $2,127,142 | ContributionsAmt |
| Investment Earnings Or Losses | $351,031 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,233,100 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $652,608 | BeginningYearBalanceAmt |
| Contributions | $1,142 | ContributionsAmt |
| Investment Earnings Or Losses | $101,177 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $754,927 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $689,677 | BeginningYearBalanceAmt |
| Contributions | $442 | ContributionsAmt |
| Investment Earnings Or Losses | -$37,511 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $652,608 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $670,550 | BeginningYearBalanceAmt |
| Contributions | $857 | ContributionsAmt |
| Investment Earnings Or Losses | $18,270 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $689,677 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $696,971 | BeginningYearBalanceAmt |
| Contributions | $3,967 | ContributionsAmt |
| Investment Earnings Or Losses | -$30,388 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $670,550 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.0 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,430,428 | OtherCostOrOtherBasisAmt |
| Book Value | $1,430,428 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,693,648 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,704,969 | DepreciationAmt |
| Book Value | $7,988,679 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $156,966 | OtherCostOrOtherBasisAmt |
| Depreciation | $155,427 | DepreciationAmt |
| Book Value | $1,539 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,300,153 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,561,107 | DepreciationAmt |
| Book Value | $1,739,046 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,195,891 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,498,533 | DepreciationAmt |
| Book Value | $697,358 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,857,050 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Investment Held by Ascension Health Alliance | $391,597 |
| Other Assets | |
| Deferred Compensation | |
| Prepaid Pension Assets | |
| Due from Affiliates | $326,218 |
| Other Receivables | $1,170,924 |
| Estimated 3rd Party Payor Settlements | $1,445,501 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,334,240 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred Compensation | |
| AH Savings Plan Liability | |
| Due to Affiliates | $4,476,171 |
| Estimated 3rd Party Payor Settlement | $802,619 |
| Recovery Tail Liability | $83,749 |
| Accrued Tax Liability | $1,545 |
| Debt with Ascension Health Alliance | $16,986,194 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $22,350,278 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 Intended uses of endowment funds | Endowments funds are held at St, Joseph Health System Foundation and the use of all endowed funds supports capital equipment purchases and new service line expansion at Ascension St. Joseph Hospital (f/k/a St. Joseph Health System, Inc.) |
| 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, 2018. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,219,986 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,219,986 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0216 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,522,718 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,985,437 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,537,281 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0627 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $11,742,704 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,985,437 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,757,267 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0843 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $105,242 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $105,242 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0019 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,796 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,796 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $649 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $649 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $67,623 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $67,623 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0012 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $184,310 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $184,310 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0033 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $11,927,014 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,985,437 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,941,577 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0876 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,984 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,984 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $65 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $65 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,482 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $40,482 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0007 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $43,531 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $43,531 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0008 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $600,283 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $488,649 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $26,662,659 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $29,675,389 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,012,730 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASCENSION ST JOSEPH'S HOSPITAL (FKA ST JOSEPH HEALTH SYSTEM INC) | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Hemlock Road | AddressLine1Txt |
| City | Tawas City | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48763 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://healthcare.ascension.org/Locations/Michigan/MITAW/Tawas-City-Ascension-St-Joseph-Hospital | WebsiteAddressTxt |
| State License | L470734 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASCENSION ST JOSEPH'S HOSPITAL (FKA ST JOSEPH HEALTH SYSTEM INC) | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://healthcare.ascension.org/Locations/Michigan/MITAW/Tawas-City-Ascension-St-Joseph-Hospital/Co | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://healthcare.ascension.org/Locations/Michigan/MITAW/Tawas-City-Ascension-St-Joseph-Hospital/Co | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://healthcare.ascension.org/Financial-Assistance/Michigan | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://healthcare.ascension.org/Financial-Assistance/Michigan | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://healthcare.ascension.org/Financial-Assistance/Michigan | FAPSummaryOnWebsiteURLTxt |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.). From September 2015 to April a comprehensive Community Health Needs Assessment (CHNA) was conducted. A internal ministry team made up of ASCENSION ST. JOSEPH'S HOSPITAL staff and key regional partners was established to provide overall guidance and oversight of the CHNA process. Soon after, an external steering committee was created. This group was formed to promote community collaboration, collect, share and interpret data, identify health disparities and determine resources to address those needs. As noted, the external group was made up of persons and organizations representing public health, community mental health, business, education, providers, foundations, community based organizations, and residents. Following is a list of participating organizations: Alcona Health Center AuSable Valley Community Mental Health Catholic Human Services Department of Health and Human Services District Health Department #2 Iosco County Poverty Reduction Coalition Iosco Regional Educational Service Agency Iosco Transit Corporation Oscoda FISH MSU Extension St. Joseph Health System Foundation St. Mary's of Michigan Saginaw Foundation Once preliminary data was collected, it was strategically shared with the external steering committee and network of collaborative partners. Subsequent meetings were held to produce a list of current community programs and resources available, as well as, finalize a needs prioritization exercise. Data was also reviewed by District Health Department #2 Health Officer, Denise Bryan. The assessment process also included a community health needs assessment survey. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.). Through a comprehensive process of data collection and analysis, and gathering input from community members, the 2016 Community Health Needs Assessment has identified the following health challenges and issues as the highest priority needs for Iosco County: Prioritized Need #1: Chronic Disease Management. To support health care transformation and population health, Ascension St. Joseph will leverage the strengths of Ascension Mid-Michigan's current chronic disease management programs and services throughout the region to develop the capacity to offer services and specialized disease specific education and programming including Diabetes, Chronic Obstructive Pulmonary Disease (COPD), and Congestive Heart Failure (CHF) STRATEGY 1: Provide Diabetes/Nutrition education accredited programming via Ascension St. Joseph Hospital in the Tawas community. ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) has secured a partnership with MiHIA and Good Measures virtual Diabetes Prevention Program (DPP) to offer DPP Iosco County residents in fiscal year 2019. Prioritized Need #2: Health & Lifestyle Education. ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) will leverage the strengths of Ascension Mid-Michigan's current population health programs and services throughout the region, we will develop the capacity (meet people where they are) to offer services and educational programming to increase patient knowledge, and self-management/adoption of healthy behaviors to improve nutrition (access to and consumption of healthy food), weight (optimal weight for youth and adults), and physical activity. St. Joseph has collaborated with Tawas school district to begin a backpack program; FriAscension St. Joseph day Folder program; Fit Kids program; Healthy Kids Rock program. These programs began in early FY18, but have now been placed on hold for reevaluation. Prioritized Need #3: Behavioral Health. ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) will leverage the strengths of Ascension Mid-Michigan's current population health programs and services throughout the region, we will develop the capacity (meet people where they are) to offer therapeutic services and educational programming to increase patient knowledge and adoption of healthy behaviors to improve mental health, and mitigate substance abuse, abuse, and violent behavior. ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) offered education to staff through a mental health first aid program, and provided a de-escalation training for ER staff to promote a safer environment for staff, associates, and patients. Ascension St. Joseph sent over 20 letters to community health centers, physician and dental offices, to obtain broad community support and participation in Michigan's Automated Prescription System (MAPS) to protect providers and reduce prescription drug abuse. Continued work will be done to collaborate with community mental health to expand and enhance limited mental health services via telemedicine utilizing existing telehealth equipment. ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) will not directly address the transportation health need identified within the 2016 CHNA. Additionally, while access is not specifically called out as a strategy, it is embedded in each Implementation Strategy. While critically important to overall community health, the transportation priority did not meet internally determined criteria that prioritized addressing needs by either continuing or expanding current programs, services and initiatives to steward resources and achieve the greatest community impact. For the area not chosen, there are other service providers in the community better resourced to address this priority. ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.)l will work collaboratively with these organizations as appropriate to ensure optimal service coordination and utilization. |
| Schedule H, Part V, Section B, Line 16 Facility , 1 | Facility , 1 - ASCENSION ST. JOSEPH'S HOSPITAL. In accordance with our mission and values, ASCENSION ST. JOSEPH'S HOSPITAL is committed to caring for all people regardless of their ability to pay, with special attention to those who are poor and vulnerable. ASCENSION ST. JOSEPH'S HOSPITAL offers financial counseling and assistance to help address any financial concerns patients or families may have regarding their care. Our financial aid policies, which can be found on ASCENSION ST. JOSEPH'S HOSPITAL's website, reflect ASCENSION ST. JOSEPH'S HOSPITAL's dedication to working together with our patients in a compassionate and caring manner to identify options for resolving their financial obligations. Help is available by contacting (989) 984-3796 or in person at any of our facilities. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 14 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Harbor Health Center | ||||
| 110 Beech Street Ste B | Tawas City | MI | 48763 | Rehab Services, Physician Offices, Pediatrics |
| Medical Arts Building | ||||
| 295 Maple Street | Tawas City | MI | 48763 | Physician Offices |
| Oscoda Health Park | ||||
| 5939 N Huron Road | Tawas City | MI | 48763 | Physician Offices |
| Huron Family Medicine | ||||
| 700 German Street | Tawas City | MI | 48763 | Physician Offices |
| St Joseph Women's Clinic | ||||
| 25 M-55 | Tawas City | MI | 48763 | Physician Offices |
| Hale St Joseph Medical Center | ||||
| 116 S Church Street | Hale | MI | 48739 | 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 |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 | Iosco Human Services Coordinating Council: The mission of the HSCC is to provide leadership, coordinate policy, leverage resources, build assets, and foster partnerships, which promote healthy growth, learning and development for everyone in our community. Collaborative partners include: Iosco County DHS, Ascension St. Joseph , AuSable Community Mental Health, Iosco Transit Corporation, Iosco County Family Court, Alcona Health Center, Catholic Human Services, Sunrise Side Lifelong Learning, Tawas and Hale Area Schools, Hospice Angelic Care, Michigan Works and many other community agencies. Iosco County Poverty Coalition: The mission of the ICPC is to provide enrichment and relationship-based opportunities for neighbors living in poverty. Collaborative and coordinated efforts are led by Iosco County DHS, Alcona Health Center, Ascension St. Joseph, Hospice Angelic Care, Oscoda FISH, Carol's Baby Pantry, Michigan Works and many other community agencies whose goal is to provide support and resources to those interested in education, employment healthcare, family dynamics and various resources throughout Iosco County. Neighbors helping neighbors! |
| 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 2018 was $1,053,128 at charges, ($600,283 at cost). |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | The provision for doubtful accounts is based upon management's assessment of expected net collections considering historical experience, economic conditions, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | The organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense is located on page 21. |
| 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 Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. 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 Medicare shortfall is not treated as community benefit. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) 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. 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. |
| Schedule H, Part V, Section B, Line 16a FAP website | - ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.): Line 16a URL: https://healthcare.ascension.org/Financial-Assistance/Michigan; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.): Line 16b URL: https://healthcare.ascension.org/Financial-Assistance/Michigan; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.): Line 16c URL: https://healthcare.ascension.org/Financial-Assistance/Michigan; |
| Schedule H, Part VI, Line 2 Needs assessment | ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) relies on information from: ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) Emergency Department patients; www.michigan.gov/mdch; http://www.census.gov; www.michigan.gov/mdch; www.michigan.gov/mdch; http://www.countyhealthrankings.org; Centers for Disease Control and Prevention; Disease Control and Prevention, Behavioral Risk Factor Surveillance System; Michigan Profile for Healthy Youth Survey; Community Health Needs Assessment Survey |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | Upon admission to ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.), all self-pay patients speak with an associate regarding financial assistance that is available to them. Associates help the patient(s) determine eligibility for various government benefits as well as ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.)'s internal financial assistance program, Should the patient(s) not be consulted upon admission, a letter is sent with their first itemized billing detailing the available financial assistance programs. |
| Schedule H, Part VI, Line 4 Community information | ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) has defined its primary service area and population as Iosco County, Michigan. While services span a five county expanse, Alcona and Oscoda County to the North, Iosco and Arenac County to the south, Ogemaw County to the west and Lake Huron to the east, market share data shows that the majority of those served live or work in Iosco County and come from the following zip codes: 48730, 48763 and 48750. Considered rural, Iosco County is in the northeast quarter of the lower peninsula of Michigan in the heart of Lake Huron's "Sunrise Side." According to the US Census Bureau, Iosco County has a total area of 1,891 square miles of which 549 square miles is land and 1,342 square miles (70.96%) is water. ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) is located in Tawas City, which serves as the County Seat. Iosco County has an estimated population of 26,255 and is considered to be part of northern Michigan. Approximately 60% of the county is held in public ownership (Huron National Forest and State forest lands). The majority of the local population resides along the Lake Huron shoreline near US-23, East Tawas, Tawas City and Oscoda. The remaining population concentrations and employment opportunities are found to the west, where M-65 connects Hale, Plainfield Township and Whittemore. From the standpoint of political subdivisions, the county consists of eleven townships and three cities. Business in Iosco County is comprised of manufacturing, agriculture and tourism. Having experienced significant unemployment and population declines with the closing of the Wurtsmith Air Force Base in 1993, Iosco County struggles to recover. The underlying social determinants of health have significant impacts on this small community and the hospital. Today, unemployment rates (currently at 7.7 %) and poverty rates, especially in children, (currently at 31.4%) remain well above the state average. The Annie E. Casey Foundation, Kids Count in Michigan Data Book 2014 reveals 65.2% of Iosco County Students receive free/reduced price school lunches, a rate much higher than the state average of 47%. Education is a driving factor that has been linked to increased life expectancy, less disease, delayed aging and lower risk of unhealthy behaviors. Iosco County trails the state percentage of 26% with only 15% holding a Bachelor's degree or higher. Median Household Income is $36,928 with the state average at $49,087, another critical factor affecting health outcomes. The percentage of families with earnings below the poverty level is 16%. Considering the 29% who earn above the poverty level but below the basic cost of living for the county, the total number of Iosco County residents struggling to afford basic needs is 45%. According the US Census Bureau, 28.4% of Iosco County residents are enrolled in Medicaid compared to the state average of 21.76%. This indicator is relevant because it assesses vulnerable populations which are more likely to have multiple health access, health status, and social support needs. Based on Michigan Inpatient Data Base sources within the primary service area 96.0% of residents are Caucasian and 4.0% are African American and other. Of the approximately 25,420 residents in the primary service area approximately 28% are 65 years of age or older. Payer Mix: - Medicare - 55.5% - Blue Cross - 13.2% - Medicaid - 17.9% - Commercial - 5.7% - Self Pay - 3.5% - Other - 4.2% ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) owns ten provider-based clinics and seven of those clinics are designated rural health clinics located throughout the full service market area. The scope of service includes primary care obstetrics gynecology, pediatrics, general surgery, internal medicine, after hours and specialty care, Additionally, there are two federally qualified health centers located in Iosco and Arenac counties respectively, There are two hospitals located approximately one hour travel time north and west of ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.). |
| Schedule H, Part VI, Line 5 Promotion of community health | Alcoholics Anonymous - Heavy alcohol consumption and substance abuse issues continue to be a problem in the communities we serve, Understanding that a large gap exists between the need for treatment and the availability of services in our rural area ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) maintains its commitment to provide a supportive role and to work collaboratively with community stakeholders whose primary responsibility is to provide prevention and education programs as well as treatment to those affected by alcohol or substance abuse i.e., AuSable Valley Community Mental Health and Catholic Human Services, Michigan Rehabilitation Services, and Northern Michigan Regional Entity. With access a barrier to education and treatment St. Joseph Health System lends support by providing in-kind space to local Alcoholics Anonymous groups. The groups meet Monday, Wednesday and Thursday evenings each week of the year for approximately 1 hour. Alcoholics Anonymous is a fellowship of men and women who help each other maintain sobriety and who offer to share their recovery experience freely with others. Support Groups - ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) offers several Support Groups with the purpose of addressing physical, social, psychological or emotional issues related to specific diagnoses or life events. Grief Support Group - This group is designed to provide a safe environment to talk about feelings as they relate to loss learn to help oneself discover new ways to cope with these feelings and changes in one's life and identify new sources of strength and hope. |
| Schedule H, Part VI, Line 6 Affiliated health care system | ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) IS PART OF THE ASCENSION HEALTH ALLIANCE ("THE SYSTEM"). 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 23 STATES AND THE DISTRICT OF COLUMBIA. ASCENSION AND ITS MEMBER ORGANIZATIONS ARE HEREAFTER REFERRED TO COLLECTIVELY AS THE SYSTEM. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. THE 49-BED HOSPITAL, STAFFED BY MORE THAN 380 EMPLOYEES, IS LOCATED IN TAWAS CITY, MICHIGAN AND IS A NONPROFIT ACUTE-CARE HOSPITAL. THE HOSPITAL MAINTAINS TWO WHOLLY OWNED SUBSIDIARIES: ST. JOSEPH HEALTH ENTERPRISES, A HOME MEDICAL EQUIPMENT BUSINESS, AND ASCENSION ST. JOSEPH HOSPITAL FOUNDATION, A CHARITABLE FOUNDATION CREATED TO RECEIVE AND ADMINISTER FUNDS FOR THE HOSPITAL FOR THE PURPOSE OF ACQUIRING OR IMPROVING HOSPITAL FACILITIES AND TECHNOLOGIES, AND THE ESTABLISHMENT SUPPORT, AND MAINTENANCE OF COMMUNITY HEALTH EDUCATION PROGRAMS. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR THE RESIDENTS OF IOSCO COUNTY AND THE SURROUNDING AREA. PRIMARY CARE HOSPITALIST SERVICES ADMIT PATIENTS IN THE LOCAL AREA. ASCENSION ST. JOSEPH HOSPITAL OFFERS ACCESS TO A LARGE BOARD- CERTIFIED MEDICAL STAFF WITH MORE THAN 15 PRIMARY CARE AND SPECIALTY PHYSICIANS. THROUGH COMMUNITY HEALTH SERVICES PROFESSIONAL EDUCATION SUBSIDIZED HEALTH CARE FINANCIAL CONTRIBUTIONS COMMUNITY-BUILDING ACTIVITIES AND OTHER COMMUNITY BENEFIT ACTIVITIES ASCENSION ST. JOSEPH CONTRIBUTED OVER $2.4 MILLION TO THE COMMUNITY. INCLUDED IN THIS FIGURE ARE PROGRAMS SUCH AS: - CHARITY CARE AND UNREIMBURSED MEDICAID - COMMUNITY HEALTH- EDUCATION LECTURES - SCHOOL HEALTH-EDUCATION PROGRAMS PROMOTING HEALTH CARE CAREERS & WORKFORCE ENHANCEMENT - FREE HEALTH SCREENINGS - SART (SEXUAL ASSAULT RESPONSE TEAM) - COMMUNITY-BASED CHAPLAINCY AND SPIRITUAL CARE - SPONSORSHIPS AND CONTRIBUTIONS TO VARIOUS COMMUNITY EVENTS. THE HOSPITAL DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING, AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH THE SYSTEM'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS: - TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. - UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS. - COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. - COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH. DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED BY REDUCING CHARGES FORGONE BY A FACTOR DERIVED FROM THE RATIO OF EACH ENTITY'S TOTAL OPERATING EXPENSES TO THE ENTITY'S BILLED CHARGES FOR PATIENT CARE. CERTAIN COSTS SUCH AS GRADUATE MEDICAL EDUCATION AND CERTAIN OTHER ACTIVITIES ARE EXCLUDED FROM TOTAL OPERATING EXPENSES FOR PURPOSES OF THIS COMPUTATION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANN BALFOUR | ||||||||||||||
| PRESIDENT & CAO (END 4/2018) | $171,823 | $0 | $39,133 | $0 | $15,696 | $0 | $13,340 | $0 | $13,632 | $0 | $253,622 | $0 | $0 | $0 |
| JOSEPH R IMPICCICHE JD | ||||||||||||||
| TRUSTEE (START 11/2017) | $0 | $774,914 | $0 | $2,211,502 | $0 | $299,415 | $0 | $16,200 | $0 | $46,391 | $0 | $3,348,422 | $0 | $0 |
| PATRICIA A MARYLAND DRPH | ||||||||||||||
| TRUSTEE (START 11/2017) | $0 | $1,161,299 | $0 | $3,124,792 | $0 | $838,581 | $0 | $17,532 | $0 | $29,814 | $0 | $5,172,018 | $0 | $0 |
| ANTHONY J SPERANZO | ||||||||||||||
| TRUSTEE (START 11/2017) | $0 | $1,040,631 | $0 | $3,327,870 | $0 | $564,547 | $0 | $17,550 | $0 | $23,297 | $0 | $4,973,895 | $0 | $0 |
| CHRISTOPHER J PALAZZOLO | ||||||||||||||
| TRUSTEE (END 11/2017) | $0 | $544,785 | $0 | $324,134 | $0 | $129,068 | $0 | $16,200 | $0 | $26,788 | $0 | $1,040,975 | $0 | $0 |
| JO STUDLEY MAY MD | ||||||||||||||
| TRUSTEE (END 11/2017)/PHYSICIAN | $214,794 | $0 | $68,652 | $0 | $441 | $0 | $14,048 | $0 | $2,971 | $0 | $300,905 | $0 | $0 | $0 |
| NANCY A HAYWOOD | ||||||||||||||
| CFO | $0 | $339,028 | $0 | $75,985 | $0 | $48,769 | $0 | $17,550 | $0 | $24,874 | $0 | $506,206 | $0 | $0 |
| TIMOTHY R YOUNG | ||||||||||||||
| CHIEF CLINICAL OFFICER | $464,477 | $0 | $223,055 | $0 | $68,527 | $0 | $17,550 | $0 | $19,276 | $0 | $792,885 | $0 | $0 | $0 |
| PAMELA KISER | ||||||||||||||
| CHIEF NURSING OFFICER | $0 | $218,170 | $0 | $22,657 | $0 | $19,137 | $0 | $14,534 | $0 | $11,171 | $0 | $285,669 | $0 | $0 |
| CLARK J HEADRICK MD | ||||||||||||||
| VP, MEDICAL AFFAIRS (START 4/2018) | $0 | $267,105 | $0 | $59,703 | $0 | $22,148 | $0 | $16,200 | $0 | $27,437 | $0 | $392,593 | $0 | $0 |
| RAGHURAM SARVEPALLI MD | ||||||||||||||
| VP, MEDICAL AFFAIRS (END 4/2018) | $0 | $408,627 | $0 | $79,735 | $0 | $63,956 | $0 | $17,550 | $0 | $22,785 | $0 | $592,653 | $0 | $0 |
| SHARON LEAMAN-CASE | ||||||||||||||
| VP, OPERATIONS | $0 | $219,234 | $0 | $47,762 | $0 | $63,208 | $0 | $16,179 | $0 | $3,771 | $0 | $350,155 | $0 | $16,474 |
| BERNARD J JORE RN | ||||||||||||||
| VP, NURSING | $0 | $187,926 | $0 | $41,820 | $0 | $30,379 | $0 | $14,108 | $0 | $19,435 | $0 | $293,668 | $0 | $0 |
| MARK L DAVIS DO | ||||||||||||||
| PHYSICIAN | $593,064 | $0 | $158,180 | $0 | $1,710 | $0 | $5,400 | $0 | $26,072 | $0 | $784,426 | $0 | $0 | $0 |
| DIANA ENNES MD | ||||||||||||||
| PHYSICIAN | $379,989 | $0 | $100 | $0 | $47,361 | $0 | $17,550 | $0 | $5,390 | $0 | $450,391 | $0 | $36,541 | $0 |
| MICHAEL WAGNER MD | ||||||||||||||
| PHYSICIAN | $273,269 | $0 | $51,096 | $0 | $3,796 | $0 | $17,487 | $0 | $3,736 | $0 | $349,384 | $0 | $0 | $0 |
| MARK GALLAGHER MD | ||||||||||||||
| SURGEON | $187,894 | $0 | $95,109 | $0 | $5,363 | $0 | $12,772 | $0 | $12,437 | $0 | $313,576 | $0 | $0 | $0 |
| SYLVIA BOLOCZKO MD | ||||||||||||||
| PHYSICIAN | $233,051 | $0 | $45,847 | $0 | $702 | $0 | $7,800 | $0 | $3,307 | $0 | $290,706 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | ASCENSION HEALTH, A RELATED ORGANIZATION OF ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.), USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO: - COMPENSATION COMMITTEE, - INDEPENDENT COMPENSATION CONSULTANT, - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | Eligible executives participate in a program that provides for 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. The following individuals received payment from the supplemental nonqualified retirement plan in the amount as noted during calendar year 2017: Sharon Leaman-Case - $16,474 Diana Ennes - $36,541 |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | NET ASSETS TRANSFERRED TO ALPHA FUND | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2017-07-01 | DistributionDt |
| Fair Market Value Of Asset | $1,574,279 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | FMV | MethodOfFMVDeterminationTxt |
| EIN | 453358926 | EIN |
| Person | ASCENSION HEALTH ALLIANCE | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 45998 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63145 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501(C)(3) | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | false | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | false | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | false | OwnerOfSuccessor2Ind |
| Receive Compensation2 | false | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule N, Part II CASH TRANSFER | FormAndLineReferenceDesc |
| Explanation | ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) TRANSFERRED ITS BEGINNING HSD CASH BALANCES TO ASCENSION HEALTH ALLIANCE (45-3358926) AS OF JULY 1, 2017. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENTS | The activity of ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) and Affiliates (which include the activity of ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.)). |
| Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL | IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT & CEO, THE PROCESS PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE PRESIDENT & CEO WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) has a single corporate member Ascension Health. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of the ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.). |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) has a single corporate member Ascension Health. Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments /removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures, These areas are subject to certain levels of approval by Ascension per the system authority matrix. |
| 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 INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS 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 conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. |
| Form 990, Part VI, Line 19 Required documents available to the public | The organization will provide any documents open to public inspection upon request. |
| Form 990, Part VII, Section A Related Entities | The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting. |
| Form 990, Part VIII, Line 2f Other Program Service Revenue | Need to Review - Total Revenue: 2975, Related or Exempt Function Revenue: 2975, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Management Fees - Total Revenue: -210, Related or Exempt Function Revenue: -210, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Education Revenue - Total Revenue: -288, Related or Exempt Function Revenue: -288, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Medical Records Fees - Total Revenue: 1967, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1967; Miscellaneous Revenue - Total Revenue: 22804, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 22804; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | TRANSFERS WITH ALPHA FUND - -1574279; Transfers with Affiliates - 51360; |
| Form 990, Part XII, Line 2c AUDIT COMMITTEE | ASCENSION ST. JOSEPH'S HOSPITAL (F/K/A ST. JOSEPH HEALTH SYSTEM, INC.) 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (37 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Business Name Line2DisregardedEntityName/BusinessNameLine2Txt | Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ASCENSION HEALTH ALLIANCE | ||||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 453358926 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3) | Type I | NA | false | ||
| ASCENSION HEALTH | ||||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 311662309 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3) | Type I | ASCENSION HEALTH ALLIANCE | false | ||
| ASCENSION MICHIGAN | ||||||||||||
| 28000 DEQUINDRE ROAD | WARREN | MI | 48092 | 382631907 | HEALTH CARE | MI | 501(c)(3) | 10 | ASCENSION HEALTH | false | ||
| BORGESS HEALTH ALLIANCE INC | ||||||||||||
| 1521 GULL ROAD | KALAMAZOO | MI | 49048 | 382335286 | HEALTH SYSTEM PARENT | MI | 501(c)(3) | Type III-FI | ASCENSION MICHIGAN | Yes (true) | ||
| ASCENSION BORGESS HOSPITAL FKA BORGESS MEDICAL CENTER | ||||||||||||
| 1521 GULL ROAD | KALAMAZOO | MI | 49048 | 381360526 | HEALTHCARE SERVICES | MI | 501(c)(3) | 3 | ASCENSION MICHIGAN | Yes (true) | ||
| ASCENSION BRIGHTON CENTER FOR RECOVERY FKA BRIGHTON CENTER FOR RECOVERY | ||||||||||||
| 12851 GRAND RIVER | BRIGHTON | MI | 48116 | 381576680 | HOSPITAL | MI | 501(c)(3) | 3 | ASCENSION MICHIGAN | Yes (true) | ||
| GENESYS HEALTH SYSTEM | ||||||||||||
| ONE GENESYS PARKWAY | GRAND BLANC | MI | 484398065 | 383339703 | HEALTH SYSTEM PARENT | MI | 501(c)(3) | Type II | ASCENSION MICHIGAN | Yes (true) | ||
| ASCENSION GENESYS HOSPITAL FKA GENESYS REGIONAL MEDICAL CENTER | ||||||||||||
| ONE GENESYS PARKWAY | GRAND BLANC | MI | 484398065 | 382377821 | HOSPITAL | MI | 501(c)(3) | 3 | ASCENSION MICHIGAN | Yes (true) | ||
| ASCENSION BORGESS-LEE HOSPITAL FKA LEE MEMORIAL HOSPITAL CORPORATION | ||||||||||||
| 420 WEST HIGH STREET | DOWAGIAC | MI | 49047 | 381490190 | HEALTHCARE SERVICES | MI | 501(c)(3) | 3 | ASCENSION MICHIGAN | Yes (true) | ||
| ASCENSION PROVIDENCE HOSPITAL FKA PROVIDENCE - PROVIDENCE PARK HOSPITAL | ||||||||||||
| 16001 WEST NINE MILE ROAD | SOUTHFIELD | MI | 48037 | 381358212 | HOSPITAL | MI | 501(c)(3) | 3 | ASCENSION MICHIGAN | Yes (true) | ||
| ASCENSION ST JOHN HOSPITAL FKA ST JOHN HOSPITAL & MEDICAL CENTER | ||||||||||||
| 28000 DEQUINDRE ROAD | WARREN | MI | 48092 | 381359063 | HEALTH CARE | MI | 501(c)(3) | 3 | ASCENSION MICHIGAN | Yes (true) | ||
| ASCENSION MACOMB OAKLAND HOSPITAL FKA ST JOHN MACOMB-OAKLAND HOSPITAL | ||||||||||||
| 28000 DEQUINDRE ROAD | WARREN | MI | 48092 | 383322109 | HOSPITAL | MI | 501(c)(3) | 3 | ASCENSION MICHIGAN | Yes (true) | ||
| ST JOHN PROVIDENCE | ||||||||||||
| 28000 DEQUINDRE ROAD | WARREN | MI | 48092 | 382244034 | PARENT | MI | 501(c)(3) | Type III-FI | ASCENSION MICHIGAN | Yes (true) | ||
| ASCENSION RIVER DISTRICT HOSPITAL FKA ST JOHN RIVER DISTRICT HOSPITAL | ||||||||||||
| 4100 RIVER ROAD | EAST CHINA | MI | 48054 | 383160564 | HOSPITAL | MI | 501(c)(3) | 3 | ASCENSION MICHIGAN | Yes (true) | ||
| ASCENSION ST JOSEPH'S HOSPITAL (FKA ST JOSEPH HEALTH SYSTEM INC) | ||||||||||||
| 200 HEMLOCK ROAD | TAWAS CITY | MI | 48763 | 381443395 | HEALTH CARE | MI | 501(c)(3) | 3 | ASCENSION MICHIGAN | Yes (true) | ||
| ST MARY'S - ST JOSEPH HEALTH SYSTEM | ||||||||||||
| 800 S WASHINGTON AVENUE | SAGINAW | MI | 48601 | 461084363 | SUPPORTING ORGANIZATION | MI | 501(c)(3) | Type III-FI | ASCENSION MICHIGAN | Yes (true) | ||
| ASCENSION ST MARY'S HOSPITAL FKA ST MARY'S OF MICHIGAN | ||||||||||||
| 800 S WASHINGTON AVENUE | SAGINAW | MI | 48601 | 380997730 | HOSPITAL | MI | 501(c)(3) | 3 | ASCENSION MICHIGAN | Yes (true) | ||
| ASCENSION STANDISH HOSPITAL FKA STANDISH COMMUNITY HOSPITAL | ||||||||||||
| 805 WEST CEDEAR STREET | STANDISH | MI | 48658 | 381671120 | HOSPITAL | MI | 501(c)(3) | 3 | ASCENSION MICHIGAN | Yes (true) | ||
| BORGESS AMBULATORY CARE CORPORATION | ||||||||||||
| 1521 GULL ROAD | KALAMAZOO | MI | 49048 | 382468823 | HOLDING COMPANY | MI | 501(c)(3) | 3 | BORGESS HEALTH ALLIANCE INC | Yes (true) | ||
| ASCENSION BORGESS FOUNDATION FKA BORGESS FOUNDATION | ||||||||||||
| 1521 GULL ROAD | KALAMAZOO | MI | 49048 | 237222558 | FUNDRAISING | MI | 501(c)(3) | Type III-FI | BORGESS HEALTH ALLIANCE INC | Yes (true) | ||
| ASCENSION BORGESS LEE FOUNDATION FKA LEE MEMORIAL FOUNDATION | ||||||||||||
| 420 W HIGH STREET | DOWAGIAC | MI | 49047 | 382860459 | FUNDRAISING | MI | 501(c)(3) | Type III-FI | ASCENSION BORGESS-LEE HOSPITAL FKA LEE MEMORIAL HOSPITAL CORPORATION | Yes (true) | ||
| ASCENSION EASTWOOD BEHAVIORAL HEALTH FKA EASTWOOD COMMUNITY CLINICS | ||||||||||||
| 28000 DEQUINDRE ROAD | WARREN | MI | 48092 | 381958763 | HEALTH CARE | MI | 501(c)(3) | 10 | ST JOHN PROVIDENCE | Yes (true) | ||
| ASCENSION PROVIDENCE FOUNDATION | ||||||||||||
| 22101 MOROSS | DETROIT | MI | 48236 | 383526629 | FUNDRAISING | MI | 501(c)(3) | Type III-FI | ST JOHN PROVIDENCE | Yes (true) | ||
| SETON HEALTH CORPORATION OF SOUTHEAST MICHIGAN | ||||||||||||
| 28000 DEQUINDRE | WARREN | MI | 48092 | 382820107 | HEALTH CARE | MI | 501(c)(3) | 10 | ST JOHN PROVIDENCE | Yes (true) | ||
| ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH (FKA ST JOHN COMMUNITY HEALTH | ||||||||||||
| 28000 DEQUINDRE ROAD | WARREN | MI | 48092 | 382262856 | HEALTH CARE | MI | 501(c)(3) | 3 | ST JOHN PROVIDENCE | Yes (true) | INVESTMENT CORP) | |
| ASCENSION ST JOHN FOUNDATION FKA ST JOHN HOSPITAL FOUNDATION | ||||||||||||
| 22101 MOROSS | DETROIT | MI | 48236 | 202961579 | FUNDRAISING | MI | 501(c)(3) | 7 | ST JOHN PROVIDENCE | Yes (true) | ||
| ST JOHN PROVIDENCE PHYSICIANS CMG | ||||||||||||
| 28000 DEQUINDRE ROAD | WARREN | MI | 48092 | 382601348 | HEALTH CARE | MI | 501(c)(3) | 10 | ST JOHN PROVIDENCE | Yes (true) | ||
| ST JOSEPH HEALTH SYSTEM FOUNDATION | ||||||||||||
| 200 HEMLOCK ROAD | TAWAS CITY | MI | 48763 | 010790428 | FUNDRAISING | MI | 501(c)(3) | Type I | ASCENSION ST JOSEPH'S HOSPITAL (FKA ST JOSEPH HEALTH SYSTEM INC) | Yes (true) | ||
| FIELD NEUROSCIENCES INSTITUTE | ||||||||||||
| 800 S WASHINGTON AVENUE | SAGINAW | MI | 48601 | 382790703 | MEDICAL RESEARCH ORGANIZATION | MI | 501(c)(3) | 10 | ASCENSION ST MARY'S HOSPITAL FKA ST MARY'S OF MICHIGAN | Yes (true) | ||
| ASCENSION ST MARY'S FOUNDATION FKA ST MARY'S MEDICAL CENTER FOUNDATION SAGI | ||||||||||||
| 800 S WASHINGTON AVENUE | SAGINAW | MI | 48601 | 382246366 | FUNDRAISING | MI | 501(c)(3) | Type II | ASCENSION ST MARY'S HOSPITAL FKA ST MARY'S OF MICHIGAN | Yes (true) | NAW MICHIGAN | |
| CRITTENTON HOSPITAL MEDICAL CENTER FOUNDATION | ||||||||||||
| 1101 WEST UNIVERSITY DR | ROCHESTER | MI | 48307 | 382627336 | SUPPORTING | MI | 501(c)(3) | Type I | ASCENSION PROVIDENCE ROCHESTER HOSPITAL (FKA CRITTENTON HOSPITAL MEDICAL CE | Yes (true) | NTER) | |
| CRITTENTON CANCER CENTER | ||||||||||||
| 1101 WEST UNIVERSITY DR | ROCHESTER | MI | 48307 | 383239057 | CANCER TREATMENT | MI | 501(c)(3) | 10 | ASCENSION PROVIDENCE ROCHESTER HOSPITAL (FKA CRITTENTON HOSPITAL MEDICAL CE | Yes (true) | NTER) | |
| GENESYS AMBULATORY HEALTH SERVICES | ||||||||||||
| 5455 ALI DR DEPT 200 | GRAND BLANC | MI | 484395195 | 382371754 | HEALTH SRVCS/STAFFING/PROP MNGT | MI | 501(c)(3) | Type II | GENESYS HEALTH SYSTEM | Yes (true) | ||
| ASCENSION GENESYS FOUNDATION FKA GENESYS HEALTH FOUNDATION | ||||||||||||
| ONE GENESYS PARKWAY | GRAND BLANC | MI | 484398065 | 383591148 | FOUNDATION | MI | 501(c)(3) | Type I | GENESYS HEALTH SYSTEM | Yes (true) | ||
| THE HEALTH SOURCE GROUP | ||||||||||||
| 5455 ALI DR DEPT 200 | GRAND BLANC | MI | 484395195 | 382427678 | PRG RELATED INVESTMENTS | MI | 501(c)(3) | Type I | GENESYS HEALTH SYSTEM | Yes (true) | ||
| CENTER FOR GERONTOLOGY | ||||||||||||
| 5455 ALI DRIVE DEPT200 | GRAND BLANC | MI | 484395195 | 382514708 | ADULT DAY CARE | MI | 501(c)(3) | Type I | GENESYS AMBULATORY HEALTH SERVICES | Yes (true) | ||
| GENESYS CONVALESCENT CENTER | ||||||||||||
| 8481 HOLLY ROAD | GRAND BLANC | MI | 484391812 | 382317364 | CONVALESCENT CENTER | MI | 501(c)(3) | 3 | GENESYS AMBULATORY HEALTH SERVICES | Yes (true) | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|
| TOWNE CENTRE SURGERY CENTER LLC | |||||||||
| 4599 TOWNE CENTRE | SAGINAW | MI | 48604 | 204943843 | OUTPATIENT SERVICES | MI | NA | N/A | |
| Open MRI of Michigan | |||||||||
| 411 W 13 MILE ROAD | MADISON HEIGHTS | MI | 48071 | 383544539 | MRI Center | MI | NA | N/A | |
| The Michigan Institute for Advanced Surgery LLC | |||||||||
| 1375 S Lapeer Rd | Lake Orion | MI | 48360 | 030444972 | OUTPATIENT SERVICES | MI | NA | N/A | 109 |
| Hospital Consolidated Laboratories LLC | |||||||||
| 39595 W 10 Mile Rd | Novi | MI | 48375 | 383318428 | LAB SERVICES | MI | NA | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ST JOSEPH HEALTH ENTERPRISES | |||||||||||
| 200 HEMLOCK ROAD | TAWAS CITY | MI | 48764 | 382686747 | OTHER MEDICAL | MI | ASCENSION ST JOSEPH'S HOSPITAL (FKA ST JOSEPH HEALTH SYSTEM INC) | C Corporation | $143,778 | $1,288,002 | Yes (true) |
| GENESYS PRACTICE PARTNERS | |||||||||||
| 5445 ALI DRIVE DEPT 200 | GRAND BLANC | MI | 48439 | 030516871 | EMPLOYED PHY PRACTICE | MI | NA | C Corporation | Yes (true) | ||
| BEECHER BALLENGER SERVICES | |||||||||||
| ONE GENESYS PARKWAY | GRAND BLANC | MI | 484398065 | 382497922 | HOLDING COMPANY | MI | NA | C Corporation | Yes (true) | ||
| ADVENT INC | |||||||||||
| 28000 DEQUINDRE | WARREN | MI | 48092 | 382971743 | RENTAL REAL ESTATE | MI | NA | C Corporation | Yes (true) | ||
| AFFILIATED HEALTH SERVICES INC | |||||||||||
| 28000 DEQUINDRE | WARREN | MI | 48092 | 382292922 | MEDICAL SERVICES | MI | NA | C Corporation | Yes (true) | ||
| St Mary's Health | |||||||||||
| 800 S Washington Avenue | Saginaw | MI | 48601 | 383477017 | Dormant | MI | NA | C Corporation | Yes (true) | ||
| TEXTILE SYSTEMS INC | |||||||||||
| 817 WALBRIDGE | KALAMAZOO | MI | 49007 | 382705047 | LAUNDRY SERVICES | MI | NA | C Corporation | Yes (true) | ||
| CRITTENTON DEVELOPMENT CORPORATION | |||||||||||
| 2251 N SQUIRREL RD STE 310 | AUBURN HILLS | MI | 48326 | 382594115 | REAL ESTATE | MI | NA | C Corporation | Yes (true) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH HEALTH ENTERPRISES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | K | TransactionTypeTxt |
| Involved | $143,778 | InvolvedAmt |
| Method Of Amount Determination | FAIR MARKET VALUE | MethodOfAmountDeterminationTxt |
Comments