2019-05-14T19:02:42-05:00 2018-06-30 990 2017-07-01 381443395 ASCENSION ST JOSEPH'S HOSPITAL (FKA ST JOSEPH HEALTH SYSTEM INC) ASCE 3147338000 200 Hemlock Road Tawas City MI 48763 Tonya Mershon Tax Officer 2019-05-14 2017 2019-02-21 02:37:17Z JANET JACOB 200 Hemlock Road Tawas City MI 48763 52956361 false 0928 X https://healthcare.ascension.org/Locations/Michigan/MITAW/Tawas-City-Ascension-St-Joseph-Hospital X 1955 MI To improve the health and well-being of all people in the communities we serve. X 7 3 385 94 89973 0 34770 9645 53878970 52680495 22456 -35253 169257 221740 54105453 52876627 0 2446 0 22014848 22459806 0 0 0 30549593 33977818 52564441 56440070 1541012 -3563443 26056604 19677742 27713544 26418124 -1656940 -6740382 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. false false 41293495 2446 52593399 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. 41293495 true false false true false false false false true true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false true false true true true false false true 78 0 true 385 true true true false false false false false true false false false X 7 3 false false false false true true true true true false false false true true true true true false true true true X SARA OBRIEN 3147338070 11775 BORMAN DRIVE MARYLAND HEIGHTS MO 63146 JOHN FREEL CHAIR 1.0 2.0 X X 0 0 0 JAMES HRESKO VICE CHAIR (END 11/2017) 1.0 8.1 X X 0 0 0 BAPINEEDU MAGANTI MD SECRETARY (END 11/2017) 1.0 2.0 X X 0 0 0 MUHAMMAD ABOUDAN MD TREASURER (END 11/2017) 1.0 52.0 X X 0 29475 0 JANET JACOB RN PRESIDENT & CAO (START 4/2018) 49.0 1.0 X X 70019 0 17800 ANN BALFOUR PRESIDENT & CAO (END 4/2018) 49.0 1.0 X X 226651 0 26971 JOSEPH R IMPICCICHE JD TRUSTEE (START 11/2017) 0.0 50.0 X 0 3285831 62591 PATRICIA A MARYLAND DRPH TRUSTEE (START 11/2017) 0.0 50.0 X 0 5124672 47346 ANTHONY J SPERANZO TRUSTEE (START 11/2017) 0.0 50.0 X 0 4933048 40847 JEFF SANDERS DIRECTOR 1.0 0 X 0 0 0 JAMES GIORDANO TRUSTEE (START 11/2017) 1.0 3.0 X 0 0 0 JAMES BOLES TRUSTEE (END 7/2017) 1.0 3.0 X 0 0 0 CHRISTOPHER J PALAZZOLO TRUSTEE (END 11/2017) 1.0 49.0 X 0 997987 42988 PAUL FURLO TRUSTEE (END 11/2017) 1.0 2.0 X 0 0 0 TODD GREGORY TRUSTEE (END 11/2017) 1.0 2.0 X 0 0 0 A SARGE HARVEY TRUSTEE (END 11/2017) 1.0 3.0 X 0 0 0 RICHARD HEINRICH TRUSTEE (END 11/2017) 1.0 3.0 X 0 0 0 JO STUDLEY MAY MD TRUSTEE (END 11/2017)/PHYSICIAN 50.0 2.0 X 283887 0 17019 DEBORAH MORGAN TRUSTEE (END 11/2017) 1.0 2.0 X 0 0 0 MARK PIPER TRUSTEE (END 11/2017) 1.0 2.0 X 0 0 0 NANCY A HAYWOOD CFO 1.0 49.0 X 0 463782 42424 TIMOTHY R YOUNG CHIEF CLINICAL OFFICER 49.0 1.0 X 756059 0 36826 PAMELA KISER CHIEF NURSING OFFICER 25.0 25.0 X 0 259964 25705 CLARK J HEADRICK MD VP, MEDICAL AFFAIRS (START 4/2018) 1.0 49.0 X 0 348956 43637 RAGHURAM SARVEPALLI MD VP, MEDICAL AFFAIRS (END 4/2018) 1.0 49.0 X 0 552318 40335 SHARON LEAMAN-CASE VP, OPERATIONS 1.0 49.0 X 0 330204 19951 BERNARD J JORE RN VP, NURSING 1.0 49.0 X 0 260125 33543 MARK L DAVIS DO PHYSICIAN 50.0 0 X 752954 0 31472 DIANA ENNES MD PHYSICIAN 50.0 0 X 427451 0 22940 MICHAEL WAGNER MD PHYSICIAN 50.0 0 X 328161 0 21223 MARK GALLAGHER MD SURGEON 50.0 0 X 288367 0 25209 SYLVIA BOLOCZKO MD PHYSICIAN 50.0 0 X 279600 0 11107 3413149 16586361 609931 21 true true false AHSA LLC 10126 E Cherry Bend Rd PO BOX 945 Traverse City MI 48684 Nursing Staff 1669021 DEGARA PLLC 2370 SILVER POINT DR WATERFORD MI 483281730 PHYSICIANS SERVICES 1376195 ARUP LABORATORIES 500 S CHIPETA WAY SALT LAKE CITY UT 84108 LABORATORY SERVICES 201193 Valley ENT Associates PC 2551 McLeod Drive Saginaw MI 48604 ENT Physicians 168000 Community Hospital Services 1321 Cumberland St Saginaw MI 48601 Linen Services 163715 9 X 9645 9645 Net Patient Service Revenue 621990 47706436 47616463 89973 Services to Affiliates 621990 3683829 3683829 Pharmacy Revenue 446110 1236004 1236004 Rental Income from Affiliates 531120 51461 51461 2765 2765 0 0 52680495 16159 16159 63021 63021 0 63021 63021 0 13928 65340 0 -51412 -51412 -51412 23024 14394 8630 8630 Cafeteria/Vending Revenue 722514 119493 119493 Community Services 900099 3165 3165 Escheatment Revenue 900099 2948 2948 24483 -288 0 24771 150089 52876627 52593399 89973 183610 2446 2446 1435231 1334765 100466 16710978 15556941 1154037 835823 778087 57736 2210269 2057520 152749 1267505 1179885 87620 15456 15456 19408 19408 3558 3558 4583111 4487560 95551 0 5738 -3180 8918 489055 57691 431364 4128 4128 1199791 538857 660934 107556 86176 21380 14894 13948 946 619171 619171 2884085 751384 2132701 -9865 -9865 Medical Supplies 8213875 8084980 128895 Purchased Services 5416027 1224497 4191530 Management Fee to Affiliate 4872718 4872718 Physician Fees to Affiliate 3683829 3683829 1855283 1453981 401302 0 56440070 41293495 15146575 0 729924 7601 376569 637283 3615087 2445046 0 0 0 0 -7120 -7120 1008507 1057244 33854 33854 53777086 41920036 12745743 11857050 0 19445 19445 1399707 293099 6134888 3334240 26056604 19677742 3290020 4067846 0 0 24423524 22350278 27713544 26418124 X -1886881 -6973692 229941 233310 -1656940 -6740382 26056604 19677742 X -3563443 3369 -449 -1522919 X false true X true false X false false false false false false false false true 3558 3558 false 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. 754927 2127142 351031 3233100 652608 1142 101177 754927 689677 442 -37511 652608 670550 857 18270 689677 696971 3967 -30388 670550 0.0 1.0 0.0 false true true 1430428 1430428 34693648 26704969 7988679 156966 155427 1539 15300153 13561107 1739046 2195891 1498533 697358 11857050 Investment Held by Ascension Health Alliance 391597 Other Assets Deferred Compensation Prepaid Pension Assets Due from Affiliates 326218 Other Receivables 1170924 Estimated 3rd Party Payor Settlements 1445501 3334240 0 Deferred Compensation AH Savings Plan Liability Due to Affiliates 4476171 Estimated 3rd Party Payor Settlement 802619 Recovery Tail Liability 83749 Accrued Tax Liability 1545 Debt with Ascension Health Alliance 16986194 22350278 X 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. true true X true X 250 true X true true false true true 1219986 0 1219986 0.0216 10522718 6985437 3537281 0.0627 0 0.0 0 0 11742704 6985437 4757267 0.0843 105242 105242 0.0019 10796 10796 0.0002 649 649 0.0000 0 0.0 67623 67623 0.0012 0 0 184310 0 184310 0.0033 0 0 11927014 6985437 4941577 0.0876 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 2984 2984 0.0001 65 65 0.0000 0 0.0 40482 40482 0.0007 0 0 43531 0 43531 0.0008 false 600283 488649 26662659 29675389 -3012730 X true true 1 1 ASCENSION ST JOSEPH'S HOSPITAL (FKA ST JOSEPH HEALTH SYSTEM INC) 200 Hemlock Road Tawas City MI 48763 https://healthcare.ascension.org/Locations/Michigan/MITAW/Tawas-City-Ascension-St-Joseph-Hospital L470734 X X X ASCENSION ST JOSEPH'S HOSPITAL (FKA ST JOSEPH HEALTH SYSTEM INC) 1 false false true X X X X X X X X 15 true false false true X https://healthcare.ascension.org/Locations/Michigan/MITAW/Tawas-City-Ascension-St-Joseph-Hospital/Co X true 15 true https://healthcare.ascension.org/Locations/Michigan/MITAW/Tawas-City-Ascension-St-Joseph-Hospital/Co false true X 250.0 400.0 X X X true true X X X X true X https://healthcare.ascension.org/Financial-Assistance/Michigan X https://healthcare.ascension.org/Financial-Assistance/Michigan X https://healthcare.ascension.org/Financial-Assistance/Michigan X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E To better target community resources on the service area's most pressing health needs, the hospital participated in a group discussion with organizational decision makers and community leaders to prioritize the significant community health needs while considering several criteria: alignment with Ascension Health strategies of healthcare that leaves no one behind; care for the poor and vulnerable; opportunities for partnership; availability of existing programs and resources; addressing disparities of subgroups; availability of evidence-based practices; and community input. The significant health needs are a prioritized description of the significant health needs of the community as identified through the CHNA. See Schedule H, Part V, Line 7 for the link to the CHNA and Schedule H, Part V, Line 11 for how those needs are being addressed. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - ASCENSION ST. JOSEPH'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. 14 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 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. false true false false false false false false false ANN BALFOUR PRESIDENT & CAO (END 4/2018) 171823 0 39133 0 15696 0 13340 0 13632 0 253622 0 0 0 JOSEPH R IMPICCICHE JD TRUSTEE (START 11/2017) 0 774914 0 2211502 0 299415 0 16200 0 46391 0 3348422 0 0 PATRICIA A MARYLAND DRPH TRUSTEE (START 11/2017) 0 1161299 0 3124792 0 838581 0 17532 0 29814 0 5172018 0 0 ANTHONY J SPERANZO TRUSTEE (START 11/2017) 0 1040631 0 3327870 0 564547 0 17550 0 23297 0 4973895 0 0 CHRISTOPHER J PALAZZOLO TRUSTEE (END 11/2017) 0 544785 0 324134 0 129068 0 16200 0 26788 0 1040975 0 0 JO STUDLEY MAY MD TRUSTEE (END 11/2017)/PHYSICIAN 214794 0 68652 0 441 0 14048 0 2971 0 300905 0 0 0 NANCY A HAYWOOD CFO 0 339028 0 75985 0 48769 0 17550 0 24874 0 506206 0 0 TIMOTHY R YOUNG CHIEF CLINICAL OFFICER 464477 0 223055 0 68527 0 17550 0 19276 0 792885 0 0 0 PAMELA KISER CHIEF NURSING OFFICER 0 218170 0 22657 0 19137 0 14534 0 11171 0 285669 0 0 CLARK J HEADRICK MD VP, MEDICAL AFFAIRS (START 4/2018) 0 267105 0 59703 0 22148 0 16200 0 27437 0 392593 0 0 RAGHURAM SARVEPALLI MD VP, MEDICAL AFFAIRS (END 4/2018) 0 408627 0 79735 0 63956 0 17550 0 22785 0 592653 0 0 SHARON LEAMAN-CASE VP, OPERATIONS 0 219234 0 47762 0 63208 0 16179 0 3771 0 350155 0 16474 BERNARD J JORE RN VP, NURSING 0 187926 0 41820 0 30379 0 14108 0 19435 0 293668 0 0 MARK L DAVIS DO PHYSICIAN 593064 0 158180 0 1710 0 5400 0 26072 0 784426 0 0 0 DIANA ENNES MD PHYSICIAN 379989 0 100 0 47361 0 17550 0 5390 0 450391 0 36541 0 MICHAEL WAGNER MD PHYSICIAN 273269 0 51096 0 3796 0 17487 0 3736 0 349384 0 0 0 MARK GALLAGHER MD SURGEON 187894 0 95109 0 5363 0 12772 0 12437 0 313576 0 0 0 SYLVIA BOLOCZKO MD PHYSICIAN 233051 0 45847 0 702 0 7800 0 3307 0 290706 0 0 0 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 NET ASSETS TRANSFERRED TO ALPHA FUND 2017-07-01 1574279 FMV 453358926 ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 63145 501(C)(3) false false false false Schedule N, Part II CASH TRANSFER 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. 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. 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