HENRY FORD HEALTH ST JOHN FOUNDATION: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- HENRY FORD HEALTH ST JOHN FOUNDATION (EIN 20-2961579)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-14
- IRS object ID
- 201941349349310204
- 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 B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-14T18:12:45-05:00 | 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 | 202961579 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASCENSION ST JOHN FOUNDATION (FKA ST JOHN HOSPITAL FOUNDATION) | 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 | 22101 Moross Rd MOB Ste 102 | AddressLine1Txt |
| City | Detroit | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48236 | 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 | SCOTT SMITH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22101 Moross Rd MOB Ste 102 | AddressLine1Txt |
| City | Detroit | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48236 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,016,013 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://stjohnprovfoundations.org/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2005 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | To actively seek and invest charitable support for St. John Providence, so that they may improve the health and well-being of all the people in the communities they serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 191 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,189,616 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,429,537 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,127,723 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,435,054 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | -$43,525 | CYOtherRevenueAmt |
| PY Total Revenue | $8,317,339 | PYTotalRevenueAmt |
| CY Total Revenue | $7,821,066 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,670,960 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $5,879,139 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,580,855 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $252,050 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $587,019 | PYOtherExpensesAmt |
| CY Other Expenses | $2,520,479 | CYOtherExpensesAmt |
| PY Total Expenses | $5,838,834 | PYTotalExpensesAmt |
| CY Total Expenses | $8,399,618 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,478,505 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$578,552 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $55,229,831 | TotalAssetsBOYAmt |
| Total Assets EOY | $64,204,347 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,952,187 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,453,064 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $53,277,644 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $62,751,283 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To solicit and invest contributions, gifts and bequests on the behalf of St. John Providence, so that they may develop and expand their services to the communities they serve. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $8,021,545 | ExpenseAmt |
| Grant | $5,879,139 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | To solicit and invest contributions, gifts and bequests for the benefit of St. John Hospital & Medical Center. This funding is used to provide delivery of patient services, care to the elderly and indigent, and health awareness programs. | Desc |
| Total Program Service Expenses | $8,021,545 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | 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 | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | 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 | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | 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 | 19 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| 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 | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | 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 | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| 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 (23 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 |
|---|---|---|---|---|---|---|---|
| JOHN NICHOLSON | |||||||
| CHAIR | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| WILLIAM ZWENG | |||||||
| SECRETARY | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DANIEL ROMA | |||||||
| TREASURER | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ROBERT HOBAN | |||||||
| BOARD MEMBER | 1.0 | 49.0 | Yes (X) | $0 | $816,543 | $37,109 | |
| CHERYL A WESEN MD | |||||||
| BOARD MEMBER | 1.0 | 50.0 | Yes (X) | $0 | $632,434 | $26,941 | |
| SISTER BETTY GRANGER CSJ | |||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |
| PETER AHEE | |||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| DARRENE BAER | |||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| VIT BATTANI | |||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| DOUG BLATT | |||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| MATTHEW CASEY | |||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| JIM COLE JR | |||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| JENNIFER KLUGE | |||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| DANIEL MEGLER MD | |||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| PAM MEYER | |||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| LAN-HUONG REILLY | |||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| LOUIS SARAVOLATZ MD | |||||||
| BOARD MEMBER | 1.0 | 50.0 | Yes (X) | $0 | $562,185 | $47,631 | |
| ED SCHERVISH MD | |||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| TERENCE THOMAS | |||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| PAUL TREDER | |||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| SANDRA VANDENBERGHE | |||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| ADRIENNE WAY | |||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| SCOTT SMITH | |||||||
| PRESIDENT & CEO | 25.0 | 25.0 | Yes (X) | $0 | $273,695 | $39,106 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,284,857 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $150,787 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $290,823 | FundraisingAmt |
| Related Organizations | $2,197,363 | RelatedOrganizationsAmt |
| All Other Contributions | $3,941,351 | AllOtherContributionsAmt |
| Noncash Contributions | $84,027 | NoncashContributionsAmt |
| Total Contributions | $6,429,537 | TotalContributionsAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,435,054 | TotalRevenueColumnAmt |
| Exclusion | $1,435,054 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $137,177 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $290,823 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $179,889 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$42,712 | TotalRevenueColumnAmt |
| Exclusion | -$42,712 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $14,245 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $15,058 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$813 | TotalRevenueColumnAmt |
| Exclusion | -$813 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,821,066 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,391,529 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,879,139 | TotalAmt |
| Program Services | $5,879,139 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,027 | TotalAmt |
| Program Services | $1,723 | ProgramServicesAmt |
| Management And General | $101 | ManagementAndGeneralAmt |
| Fundraising | $203 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,333 | TotalAmt |
| Program Services | $8,783 | ProgramServicesAmt |
| Management And General | $517 | ManagementAndGeneralAmt |
| Fundraising | $1,033 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,707 | TotalAmt |
| Program Services | $12,501 | ProgramServicesAmt |
| Management And General | $735 | ManagementAndGeneralAmt |
| Fundraising | $1,471 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,907 | TotalAmt |
| Program Services | $122,321 | ProgramServicesAmt |
| Management And General | $7,195 | ManagementAndGeneralAmt |
| Fundraising | $14,391 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139 | TotalAmt |
| Program Services | $118 | ProgramServicesAmt |
| Management And General | $7 | ManagementAndGeneralAmt |
| Fundraising | $14 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,118 | TotalAmt |
| Program Services | $63,000 | ProgramServicesAmt |
| Management And General | $3,706 | ManagementAndGeneralAmt |
| Fundraising | $7,412 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,495 | TotalAmt |
| Program Services | $16,571 | ProgramServicesAmt |
| Management And General | $975 | ManagementAndGeneralAmt |
| Fundraising | $1,949 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,547 | TotalAmt |
| Program Services | $7,265 | ProgramServicesAmt |
| Management And General | $427 | ManagementAndGeneralAmt |
| Fundraising | $855 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,919 | TotalAmt |
| Program Services | $5,031 | ProgramServicesAmt |
| Management And General | $296 | ManagementAndGeneralAmt |
| Fundraising | $592 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,655 | TotalAmt |
| Program Services | $4,807 | ProgramServicesAmt |
| Management And General | $283 | ManagementAndGeneralAmt |
| Fundraising | $565 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,476 | TotalAmt |
| Program Services | $4,654 | ProgramServicesAmt |
| Management And General | $274 | ManagementAndGeneralAmt |
| Fundraising | $548 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Shared Wages and Benefits | $1,744,904 | $1,483,168 | $87,245 | $174,491 |
| Mgt Fee to Affiliates | $348,183 | $295,956 | $17,409 | $34,818 |
| Other Non Medical Supplies | $53,520 | $45,492 | $2,676 | $5,352 |
| Purchased Services | $40,301 | $34,256 | $2,015 | $4,030 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,248 | TotalAmt |
| Program Services | $36,760 | ProgramServicesAmt |
| Management And General | $2,162 | ManagementAndGeneralAmt |
| Fundraising | $4,326 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,399,618 | TotalAmt |
| Program Services | $8,021,545 | ProgramServicesAmt |
| Management And General | $126,023 | ManagementAndGeneralAmt |
| Fundraising | $252,050 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,532,864 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,219,276 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,004,568 | BOYAmt |
| EOY | $3,533,652 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $432,217 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $383,344 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,313 | BOYAmt |
| EOY | $48,873 | 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 | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,635,086 | BOYAmt |
| EOY | $58,402,546 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,229,831 | BOYAmt |
| EOY | $64,204,347 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,137 | BOYAmt |
| EOY | $51,326 | 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 | $1,851,050 | BOYAmt |
| EOY | $1,401,738 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,952,187 | BOYAmt |
| EOY | $1,453,064 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,879,982 | BOYAmt |
| EOY | $22,470,111 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,161,078 | BOYAmt |
| EOY | $20,491,727 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,236,584 | BOYAmt |
| EOY | $19,789,445 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,277,644 | BOYAmt |
| EOY | $62,751,283 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,229,831 | BOYAmt |
| EOY | $64,204,347 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$578,552 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $336,676 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $9,715,515 | 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,909,424 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,094,727 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,772,828 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,189,616 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,429,537 | CurrentTaxYearAmt |
| Total | $43,396,132 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,909,424 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,094,727 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,772,828 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,189,616 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,429,537 | CurrentTaxYearAmt |
| Total | $43,396,132 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $43,396,132 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $917,878 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $731,413 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,127,723 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,435,054 | CurrentTaxYearAmt |
| Total | $4,212,068 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $47,608,200 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $0 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.9115 | PublicSupportCY170Pct |
| Public Support PY170 | 0.6472 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $21,852,614 | BeginningYearBalanceAmt |
| Contributions | $555,137 | ContributionsAmt |
| Investment Earnings Or Losses | $981,225 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $455,134 | OtherExpendituresAmt |
| End Year Balance | $22,933,842 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $21,210,944 | BeginningYearBalanceAmt |
| Contributions | $469,593 | ContributionsAmt |
| Investment Earnings Or Losses | $954,372 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $782,295 | OtherExpendituresAmt |
| End Year Balance | $21,852,614 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,919,407 | BeginningYearBalanceAmt |
| Contributions | $2,918,270 | ContributionsAmt |
| Investment Earnings Or Losses | $850,305 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $477,038 | OtherExpendituresAmt |
| End Year Balance | $21,210,944 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,667,452 | BeginningYearBalanceAmt |
| Contributions | $1,719,233 | ContributionsAmt |
| Investment Earnings Or Losses | $774,334 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $241,612 | OtherExpendituresAmt |
| End Year Balance | $17,919,407 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,491,624 | BeginningYearBalanceAmt |
| Contributions | $4,912,288 | ContributionsAmt |
| Investment Earnings Or Losses | $706,349 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $442,809 | OtherExpendituresAmt |
| End Year Balance | $15,667,452 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.8629 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.1371 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $138,874 | OtherCostOrOtherBasisAmt |
| Depreciation | $91,233 | DepreciationAmt |
| Book Value | $47,641 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $293,343 | OtherCostOrOtherBasisAmt |
| Depreciation | $292,111 | DepreciationAmt |
| Book Value | $1,232 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $48,873 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Donor Restricted Assets | $36,747,520 |
| Due from Affiliates | $3,046,220 |
| Interest in Investments Held by Ascension Health Alliance | $18,608,806 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $58,402,546 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Due to Affiliates | Desc |
| Amt | $1,401,738 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,401,738 | 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 | Endowment funds are created to support the healthcare ministry of St. John Providence Hospitals. The distributions from an endowment provide a dependable source of income each year to help St. John continue to meet the community's healthcare needs. |
| 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 G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Clay Shooting | Event1Nm |
| Gross Receipts Event1 | $151,200 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $135,376 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $15,824 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $700 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $6,600 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $10,577 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $32,992 | OtherDirectExpensesEvent1Amt |
| Event2 | Golf | Event2Nm |
| Gross Receipts Event2 | $93,125 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $50,380 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $42,745 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $1,723 | NonCashPrizesEvent2Amt |
| Food And Beverage Event2 | $30,750 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $12,613 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 3 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $183,675 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $105,067 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $78,608 | GrossRevenueOtherEventsAmt |
| Non Cash Prizes Other Events | $1,125 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $5,000 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $27,409 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $1,400 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $49,000 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $428,000 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $290,823 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $137,177 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $3,548 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $11,600 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $68,736 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $1,400 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $94,605 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $179,889 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$42,712 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Business Name Line2RecipientBusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|
| Ascension St John Hospital | ||||||||
| 28000 DEQUINDRE | WARREN | MI | 48092 | 381359063 | 501(C)(3) | $4,939,508 | OPERATING SUPPORT | |
| Ascension Macomb Oakland Hospital | ||||||||
| 28000 Dequindre | Warren | MI | 48092 | 383322109 | 501(C)(3) | $789,140 | OPERATING SUPPORT | |
| Ascension River District Hospital | ||||||||
| 4100 River Road | East China | MI | 48054 | 383160564 | 501(C)(3) | $88,305 | OPERATING SUPPORT | |
| St John Providence | ||||||||
| 16001 West Nine Mile Rd | Southfield | MI | 48075 | 382244034 | 501(C)(3) | $29,147 | OPERATING SUPPORT | |
| Ascension Providence Hospital | ||||||||
| 28000 Dequindre | Warren | MI | 48092 | 381358212 | 501(C)(3) | $15,115 | OPERATING SUPPORT | |
| ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH FKA ST JOHN COMMUNITY HEALTH | ||||||||
| 28000 DEQUINDRE RD | WARREN | MI | 48092 | 382262856 | 501(C)(3) | $12,000 | OPERATING SUPPORT | INVESTMENT CORPORATION |
| AFFILIATED HEALTH SERVICES INC | ||||||||
| 28000 DEQUINDRE RD | WARREN | MI | 48092 | 382292922 | $5,923 | OPERATING SUPPORT | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | THE MAJORITY OF THE ASSISTANCE GIVEN IS TO RELATED ORGANIZATIONS WHICH HAVE A COMMON CONTROLLING PARENT. FOR ASSISTANCE GIVEN TO UNRELATED ORGANIZATIONS, ST. JOHN HOSPITAL FOUNDATION ENSURES THAT FUNDS ARE DISTRIBUTED APPROPRIATELY ACCORDING TO ASCENSION'S STRATEGIC BUSINESS PLAN AND CONSISTENT WITH CORPORATE POLICIES AND PROCEDURES. THERE ARE VARIOUS LEVELS OF REVIEW THAT TAKE PLACE PRIOR TO FINAL APPROVAL. | ExplanationTxt |
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 (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT HOBAN | ||||||||||||||
| BOARD MEMBER | $0 | $493,777 | $0 | $200,400 | $0 | $122,365 | $0 | $17,550 | $0 | $19,559 | $0 | $853,652 | $0 | $0 |
| CHERYL A WESEN MD | ||||||||||||||
| BOARD MEMBER | $0 | $599,464 | $0 | $18,492 | $0 | $14,478 | $0 | $16,951 | $0 | $9,990 | $0 | $659,375 | $0 | $0 |
| LOUIS SARAVOLATZ MD | ||||||||||||||
| BOARD MEMBER | $0 | $495,804 | $0 | $51,919 | $0 | $14,462 | $0 | $17,550 | $0 | $30,081 | $0 | $609,816 | $0 | $0 |
| SCOTT SMITH | ||||||||||||||
| PRESIDENT & CEO | $0 | $215,123 | $0 | $43,898 | $0 | $14,674 | $0 | $14,789 | $0 | $24,317 | $0 | $312,801 | $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 | ST. JOHN PROVIDENCE, A RELATED ORGANIZATION OF ASCENION ST. JOHN FOUNDATION (F/K/A ST. JOHN HOSPITAL FOUNDATION), USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - 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. No payments were made to listed persons in Part VII under the non-qualified retirement plan during the year. |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 3 | ContributionCnt |
| Noncash Contributions Rpt F990 | $50,162 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Market value | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | Auction & Raffle Items for Events | Desc |
| Contribution | 168 | ContributionCnt |
| Noncash Contributions Rpt F990 | $33,865 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule M, Part I Explanations of reporting method for number of contributions | FormAndLineReferenceDesc |
| Explanation | Securities - Publicly traded - Number of Contributions Other - Auction & Raffle Items for Events Number of Contributions | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL | IN DETERMINING COMPENSATION OF THE ORGANIZATION'S PRESIDENT, THE PROCESS, PERFORMED BY ST. JOHN PROVIDENCE, A RELATED ORGANIZATION OF ST. JOHN HOSPITAL FOUNDATION, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. MANAGEMENT REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE PRESIDENT WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. WAGE BANDS ARE ADJUSTED ANNUALLY AND WAGES PAID FOR ALL POSITIONS ARE WITHIN THOSE BANDS. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. INDIVIDUAL WAS NOT PRESENT WHEN HER COMPENSATION WAS DECIDED. |
| Form 990, Part VI, Line 15b COMPENSATION | LINE 15B IS MORE APPROPRIATELY ANSWERED AS NOT APPLICABLE AS Ascension St. John Foundation (f/k/a St. John Hospital Foundation) DOES NOT COMPENSATE ANY OTHER OFFICERS OR KEY EMPLOYEES. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | Ascension St. John Foundation (f/k/a St. John Hospital Foundation) has a single corporate member, St. John Providence. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | Ascension St. John Foundation (f/k/a St. John Hospital Foundation) has a single corporate member, St. John Providence, who has the ability to elect members to the governing body of Ascension St. John Foundation (f/k/a St. John Hospital Foundation). |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | All decisions that have a material impact to Ascension St. John Foundation (f/k/a St. John Hospital Foundation) financial information or corporation as a whole are subject to approval by its sole corporate member, St. John Providence. |
| 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, 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, officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy; has read and understands the policy; has agreed to comply with the policy; and understands that the organization is charitable and, in order to maintain its federal tax exemption, it must engage primarily in activities which accomplish its tax-exempt purpose. |
| Form 990, Part VI, Line 19 Required documents available to the public | The organization will provide any documents open to public inspection upon request. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | TRANSFERS WITH ALPHA FUND - 7147808; TRANSFER OF RESTRICTED FUNDS FROM AFFILIATED ENTITIES - 2567707; |
| Form 990, Part XII, Line 2b Audited Financial Statements | The activity of Ascension St. John Foundation (f/k/a St. John Hospital Foundation) is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of Ascension St. John Foundation (f/k/a St. John Hospital Foundation) is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of Ascension St. John Foundation (f/k/a St. John Hospital Foundation). |
| Form 990, Part XII, Line 2c Audit Committee | Ascension St. John Foundation (f/k/a St. John Hospital Foundation) is included in the consolidated financial statements of Ascension. The Finance and Audit committee of Ascension'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 | false | ||
| ASCENSION BORGESS HOSPITAL FKA BORGESS MEDICAL CENTER | ||||||||||||
| 1521 GULL ROAD | KALAMAZOO | MI | 49048 | 381360526 | HEALTHCARE SERVICES | MI | 501(c)(3) | 3 | ASCENSION MICHIGAN | false | ||
| 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 | false | ||
| GENESYS HEALTH SYSTEM | ||||||||||||
| ONE GENESYS PARKWAY | GRAND BLANC | MI | 484398065 | 383339703 | HEALTH SYSTEM PARENT | MI | 501(c)(3) | Type II | ASCENSION MICHIGAN | false | ||
| ASCENSION GENESYS HOSPITAL FKA GENESYS REGIONAL MEDICAL CENTER | ||||||||||||
| ONE GENESYS PARKWAY | GRAND BLANC | MI | 484398065 | 382377821 | HOSPITAL | MI | 501(c)(3) | 3 | ASCENSION MICHIGAN | false | ||
| 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 | false | ||
| 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 | false | ||
| 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 | false | ||
| 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 | false | ||
| ST JOHN PROVIDENCE | ||||||||||||
| 28000 DEQUINDRE ROAD | WARREN | MI | 48092 | 382244034 | PARENT | MI | 501(c)(3) | Type III-FI | ASCENSION MICHIGAN | false | ||
| 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 | false | ||
| 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 | false | ||
| 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 | false | ||
| 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 | false | ||
| ASCENSION STANDISH HOSPITAL FKA STANDISH COMMUNITY HOSPITAL | ||||||||||||
| 805 WEST CEDEAR STREET | STANDISH | MI | 48658 | 381671120 | HOSPITAL | MI | 501(c)(3) | 3 | ASCENSION MICHIGAN | false | ||
| ASCENSION PROVIDENCE ROCHESTER HOSPITAL FKA CRITTENTON HOSPITAL MEDICAL CEN | ||||||||||||
| 1101 W UNIVERSITY DR | ROCHESTER | MI | 48307 | 381359247 | GENERAL HOSPITAL | MI | 501(c)(3) | 3 | ASCENSION MICHIGAN | false | TER | |
| 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 (FKA PROVIDENCE HEALTH 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 CORPORATION | |
| 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 CEN | Yes (true) | TER | |
| 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 CEN | Yes (true) | TER | |
| 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 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| ST JOSEPH HEALTH ENTERPRISES | |||||||||
| 200 HEMLOCK ROAD | TAWAS CITY | MI | 48764 | 382686747 | OTHER MEDICAL | MI | NA | C Corporation | 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 | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | 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 | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | 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 | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt | Business Name Line2OtherOrganizationName/BusinessNameLine2Txt |
|---|---|---|---|
| ASCENSION PROVIDENCE FOUNDATION (FKA PROVIDENCE HEALTH FOUNDATION) | |||
| Q | $983,351 | FAIR MARKET VALUE | |
| ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH FKA ST JOHN COMMUNITY HEALTH | |||
| L | $762,253 | FAIR MARKET VALUE | INVESTMENT CORPORATION |
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