MYMICHIGAN MEDICAL CENTER TAWAS: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: MYMICHIGAN MEDICAL CENTER TAWAS (EIN 38-1443395)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-10
IRS object ID: 201811309349301301
Schema version: 2016v3.0
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 C
Schedule D
Schedule H
Schedule J
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-10T09:07:42-05:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	381443395	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Joseph Health System Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STJO	BusinessNameControlTxt
Phone	3147338000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 Hemlock Street	AddressLine1Txt
City	Tawas City	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48763	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Tonya Mershon	PersonNm
Person Title	Tax Officer	PersonTitleTxt
Signature	2017-10-26	SignatureDt

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Chris Palazzolo	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 Hemlock Street	AddressLine1Txt
City	Tawas City	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48763	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$54,131,663	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.healthcare.ascension.org/Locations/Michigan/Tawas-City-Saint-Joseph-Health-System	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1955	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	To improve the health and well-being of all people in the communities we serve.	ActivityOrMissionDesc
Contract Termination	Yes (X)	ContractTerminationInd
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	424	TotalEmployeeCnt
Total Volunteers	94	TotalVolunteersCnt
Total Gross UBI	$68,439	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$286,858	PYContributionsGrantsAmt
CY Contributions Grants	$34,770	CYContributionsGrantsAmt
PY Program Service Revenue	$52,646,622	PYProgramServiceRevenueAmt
CY Program Service Revenue	$53,878,970	CYProgramServiceRevenueAmt
PY Investment Income	$81,115	PYInvestmentIncomeAmt
CY Investment Income	$22,456	CYInvestmentIncomeAmt
PY Other Revenue	$1,849,174	PYOtherRevenueAmt
CY Other Revenue	$169,257	CYOtherRevenueAmt
PY Total Revenue	$54,863,769	PYTotalRevenueAmt
CY Total Revenue	$54,105,453	CYTotalRevenueAmt
PY Grants And Similar Paid	$6,930	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$23,435,070	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$22,014,848	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$80,696	CYTotalFundraisingExpenseAmt
PY Other Expenses	$29,427,578	PYOtherExpensesAmt
CY Other Expenses	$30,549,593	CYOtherExpensesAmt
PY Total Expenses	$52,869,578	PYTotalExpensesAmt
CY Total Expenses	$52,564,441	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,994,191	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,541,012	CYRevenuesLessExpensesAmt
Total Assets BOY	$53,770,541	TotalAssetsBOYAmt
Total Assets EOY	$26,056,604	TotalAssetsEOYAmt
Total Liabilities BOY	$24,164,566	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$27,713,544	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$29,605,975	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$1,656,940	NetAssetsOrFundBalancesEOYAmt
Mission	Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$35,716,202	ExpenseAmt
Revenue	$53,878,970	RevenueAmt
Desc	ST. JOSEPH HEALTH SYSTEM (SJHS) PROVIDES A SUBSTANTIAL PORTION OF ITS SERVICES TO THE ELDERLY AND POOR. DURING THE FISCAL YEAR ENDING JUNE 30, 2017, APPROXIMATELY 52.6% OF THE VALUE OF SERVICES RENDERED WERE TO ELDERLY PATIENTS UNDER THE MEDICARE PROGRAM, AND APPROXIMATELY 18.8% OF THE SERVICES WERE PROVIDED TO PATIENTS WHO WERE DEEMED ELIGIBLE UNDER STATE, COUNTY, OR HEALTH SYSTEM FINANCIAL ASSISTANCE GUIDELINES. ST. JOSEPH HEALTH SYSTEM ACTIVELY PROVIDES FUNDING AND RESOURCES TO PROMOTE HEALTH SCREENINGS, WELLNESS ACTIVITIES, AND VARIOUS OTHER HEALTH EDUCATION PROGRAMS IN COMMUNITIES WE SERVE, TARGETING SCHOOLS, WOMEN'S HEALTH SEMINARS, HEALTH & WELLNESS SCREENS, AS WELL AS THE GENERAL PUBLIC. COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENTS AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. IN EFFORTS TO PROMOTE HEALTHY LIVING, ST. JOSEPH HEALTH SYSTEM HAS MADE AVAILABLE MANY PROGRAMS TO THE COMMUNITY. SEE SCHEDULE H FOR DETAILS. DURING THE FISCAL YEAR ENDING JUNE 30, 2017, OUR HOSPITAL TREATED 1,662 INPATIENT ADULTS AND CHILDREN IN THE COMMUNITY FOR THE TOTAL OF 3,845 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES TO 81,789 OUTPATIENTS, INCLUDING 1,629 OUTPATIENT SURGERY PATIENTS AND 17,973 EMERGENCY ROOM VISITS.	Desc
Total Program Service Expenses	$35,716,202	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	Yes (true)	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	78	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	424	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	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	12	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Nancy Haywood	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8106066615	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 Hemlock Street	AddressLine1Txt
City	Tawas City	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	487630659	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHRISTOPHER J PALAZZOLO
REGIONAL PRESIDENT & CEO (START 7/2016)	3.4	50.6	Yes (X)	Yes (X)	$0	$829,173	$41,412
JOHN FREEL
CHAIRMAN	1.0	3.1	Yes (X)	Yes (X)	$0	$0	$0
JAMES HRESKO
VICE-CHAIRMAN	1.0	3.1	Yes (X)	Yes (X)	$0	$0	$0
BAPINEEDU MAGANTI MD
SECRETARY	1.0	3.1	Yes (X)	Yes (X)	$0	$0	$0
MUHAMMAD ABOUDAN MD
TREASURER	1.0	3.1	Yes (X)	Yes (X)	$0	$0	$0
JAMES BOLES
TRUSTEE	1.0	3.1	Yes (X)		$0	$0	$0
PAUL FURLO
TRUSTEE	1.0	5.7	Yes (X)		$0	$0	$0
TODD GREGORY
TRUSTEE	1.0	3.1	Yes (X)		$0	$0	$0
ALBERT SARGE HARVEY
TRUSTEE	1.0	5.1	Yes (X)		$0	$0	$0
RICHARD HEINRICH
TRUSTEE	1.0	5.1	Yes (X)		$0	$0	$0
DEBORAH MORGAN
TRUSTEE	1.0	3.1	Yes (X)		$0	$0	$0
MARK PIPER
TRUSTEE	1.0	3.1	Yes (X)		$0	$0	$0
ANN BALFOUR
PRESIDENT	45.0	2.0		Yes (X)	$279,320	$0	$31,830
NANCY HAYWOOD
CFO-HEALTH SYSTEMS	3.4	50.6		Yes (X)	$0	$541,539	$41,980
JAMES COURTNEY MD
PHYSICIAN	45.0	0			$382,577	$0	$13,326	Yes (X)
MARK L DAVIS DO
PHYSICIAN	45.0	0			$680,730	$0	$31,666	Yes (X)
DIANA ENNES MD
PHYSICIAN	45.0	0			$399,968	$0	$23,385	Yes (X)
MARK GALLAGHER MD
PHYSICIAN	45.0	0			$408,298	$0	$35,813	Yes (X)
MICHAEL WAGNER MD
PHYSICIAN	45.0	0			$389,012	$0	$20,189	Yes (X)
ELIZABETH ADERHOLDT
FORMER OFFICER (END 6/2016)	0.0	0.0			$0	$1,406,091	$21,458		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,539,905	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,776,803	TotReportableCompRltdOrgAmt
Total Other Compensation	$261,059	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	21	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AHSA LLC
10126 E Cherry Bend Rd	PO BOX 945	Traverse City	MI	48684	Nursing Staff	$562,539
PRO MD PLLC
32529 PIERCE ST		GARDEN CITY	MI	48135	MEDICAL SERVICES	$283,604
Community Hospital Services
1321 Cumberland St		Saginaw	MI	48601	Linen Services	$171,553
Valley ENT Associates PC
2551 McLeod Drive		Saginaw	MI	48604	ENT Physicians	$165,000
ARUP LABORATORIES
500 S CHIPETA WAY		SALT LAKE CITY	UT	84108	LABORATORY SERVICES	$147,680

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	7	CntrctRcvdGreaterThan100KCnt
Related Organizations	$26,010	RelatedOrganizationsAmt
Government Grants	$8,760	GovernmentGrantsAmt
Total Contributions	$34,770	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Services	621990	$52,339,861	$52,271,422	$68,439
Pharmacy Sales	446110	$1,036,918	$1,036,918
Government Incentives	900099	$427,199	$427,199
Rent from Affiliates	531120	$40,577	$40,577
Services to Affiliates	561000	$34,415	$34,415

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	$53,878,970	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,456	TotalRevenueColumnAmt
Exclusion	$22,456	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$46,810	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$46,810	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$46,810	TotalRevenueColumnAmt
Exclusion	$46,810	ExclusionAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$21,051	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$26,210	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$5,159	TotalRevenueColumnAmt
Exclusion	-$5,159	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
Cafeteria Revenue	722514	$115,601	$115,601
Miscellaneous Revenue	900099	$7,534	$7,534
Escheatment Revenue	900099	$4,471	$4,471

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	$127,606	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$54,105,453	TotalRevenueColumnAmt
Related Or Exempt Func Income	$53,810,531	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$68,439	UnrelatedBusinessRevenueAmt
Exclusion	$191,713	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$311,150	TotalAmt
Management And General	$311,150	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$18,548,235	TotalAmt
Program Services	$16,870,470	ProgramServicesAmt
Management And General	$1,641,508	ManagementAndGeneralAmt
Fundraising	$36,257	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	-$430,074	TotalAmt
Program Services	-$397,760	ProgramServicesAmt
Management And General	-$31,473	ManagementAndGeneralAmt
Fundraising	-$841	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,295,543	TotalAmt
Program Services	$2,123,066	ProgramServicesAmt
Management And General	$167,989	ManagementAndGeneralAmt
Fundraising	$4,488	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,289,994	TotalAmt
Program Services	$1,157,058	ProgramServicesAmt
Management And General	$130,449	ManagementAndGeneralAmt
Fundraising	$2,487	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	-$5,763	TotalAmt
Management And General	-$5,763	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,041	TotalAmt
Management And General	$1,041	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,593,449	TotalAmt
Program Services	$4,149,677	ProgramServicesAmt
Management And General	$443,772	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$10,083	TotalAmt
Program Services	$100	ProgramServicesAmt
Management And General	$9,983	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$801,259	TotalAmt
Program Services	$147,106	ProgramServicesAmt
Management And General	$653,909	ManagementAndGeneralAmt
Fundraising	$244	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$25,602	TotalAmt
Program Services	$25,404	ProgramServicesAmt
Management And General	$198	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,180,972	TotalAmt
Program Services	$438,607	ProgramServicesAmt
Management And General	$742,365	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$123,753	TotalAmt
Program Services	$83,885	ProgramServicesAmt
Management And General	$39,527	ManagementAndGeneralAmt
Fundraising	$341	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$47,804	TotalAmt
Program Services	$36,057	ProgramServicesAmt
Management And General	$9,699	ManagementAndGeneralAmt
Fundraising	$2,048	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$604,364	TotalAmt
Management And General	$604,364	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,203,371	TotalAmt
Program Services	$863,706	ProgramServicesAmt
Management And General	$2,336,985	ManagementAndGeneralAmt
Fundraising	$2,680	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$252,066	TotalAmt
Program Services	$131,802	ProgramServicesAmt
Management And General	$120,264	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Purchased Services	$9,958,833	$1,352,421	$8,606,412
Medical Supplies	$8,243,051	$8,243,051
Provider Tax	$838,008		$838,008
Equipment Lease	$217,196	$212,897	$4,299

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$454,504	TotalAmt
Program Services	$278,655	ProgramServicesAmt
Management And General	$142,857	ManagementAndGeneralAmt
Fundraising	$32,992	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$52,564,441	TotalAmt
Program Services	$35,716,202	ProgramServicesAmt
Management And General	$16,767,543	ManagementAndGeneralAmt
Fundraising	$80,696	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,868,975	BOYAmt
EOY	$729,924	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$376,569	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,760,058	BOYAmt
EOY	$3,615,087	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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	-$7,120	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$985,733	BOYAmt
EOY	$1,008,507	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,347,005	BOYAmt
EOY	$33,854	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$53,170,579	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$40,424,836	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$14,072,074	BOYAmt
EOY	$12,745,743	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$19,878	BOYAmt
EOY	$19,445	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,858,615	BOYAmt
EOY	$1,399,707	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$22,858,203	BOYAmt
EOY	$6,134,888	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$53,770,541	BOYAmt
EOY	$26,056,604	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,247,605	BOYAmt
EOY	$3,290,020	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,916,961	BOYAmt
EOY	$24,423,524	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$24,164,566	BOYAmt
EOY	$27,713,544	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$29,386,617	BOYAmt
EOY	-$1,886,881	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$219,358	BOYAmt
EOY	$229,941	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$29,605,975	BOYAmt
EOY	-$1,656,940	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$53,770,541	BOYAmt
EOY	$26,056,604	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,541,012	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$10,582	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$32,814,509	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$11,845	OtherActivitiesAmt
Total Lobbying Expenditures	$11,845	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	Other Activities: Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocated to lobbying. St. Joseph Health System does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$652,608	BeginningYearBalanceAmt
Contributions	$1,142	ContributionsAmt
Investment Earnings Or Losses	$101,177	InvestmentEarningsOrLossesAmt
End Year Balance	$754,927	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$689,677	BeginningYearBalanceAmt
Contributions	$442	ContributionsAmt
Investment Earnings Or Losses	-$37,511	InvestmentEarningsOrLossesAmt
End Year Balance	$652,608	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$670,550	BeginningYearBalanceAmt
Contributions	$857	ContributionsAmt
Investment Earnings Or Losses	$18,270	InvestmentEarningsOrLossesAmt
End Year Balance	$689,677	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$696,971	BeginningYearBalanceAmt
Contributions	$3,967	ContributionsAmt
Investment Earnings Or Losses	-$30,388	InvestmentEarningsOrLossesAmt
End Year Balance	$670,550	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$585,466	BeginningYearBalanceAmt
Contributions	$32,875	ContributionsAmt
Investment Earnings Or Losses	$78,630	InvestmentEarningsOrLossesAmt
End Year Balance	$696,971	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0165	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.9835	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,510,493	OtherCostOrOtherBasisAmt
Book Value	$1,510,493	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,929,325	OtherCostOrOtherBasisAmt
Depreciation	$25,656,341	DepreciationAmt
Book Value	$9,272,984	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$156,966	OtherCostOrOtherBasisAmt
Depreciation	$155,351	DepreciationAmt
Book Value	$1,615	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,604,864	OtherCostOrOtherBasisAmt
Depreciation	$13,095,671	DepreciationAmt
Book Value	$1,509,193	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,968,931	OtherCostOrOtherBasisAmt
Depreciation	$1,517,473	DepreciationAmt
Book Value	$451,458	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$12,745,743	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
Interest in Investments Held by Ascension Health Alliance
Due from Affiliates	$286,433
Other Receivables	$616,620
Other Assets	$4,377
Deferred Compensation	$1,473,017
Estimated Third Party Payor Settlements	$195,000
Prepaid Pension Assets	$3,559,441

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$6,134,888	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
Intercompany Debt with Ascension Health Alliance	$17,207,282
Due to Affiliates	$4,509,977
Deferred Compensation	$1,473,017
Estimated Third Party Payor Settlements	$849,812
AH Savings Plan Liability	$285,838
Recovery Tail Liability	$97,598

Field	Value	IRS element (for citing)
Total Liability	$24,423,524	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment funds	Endowments funds are held at St, Joseph Health System Foundation and the use of all endowed funds supports capital equipment purchases and new service line expansion at 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, 2017.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$695,773	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$695,773	NetCommunityBenefitExpnsAmt
Total Expense	0.0132	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,198,576	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,324,965	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$873,611	NetCommunityBenefitExpnsAmt
Total Expense	0.0166	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$10,894,349	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,324,965	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,569,384	NetCommunityBenefitExpnsAmt
Total Expense	0.0299	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$101,042	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$101,042	NetCommunityBenefitExpnsAmt
Total Expense	0.0019	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,218	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$72,218	NetCommunityBenefitExpnsAmt
Total Expense	0.0014	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,650	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,650	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$193,910	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$193,910	NetCommunityBenefitExpnsAmt
Total Expense	0.0037	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$11,088,259	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,324,965	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,763,294	NetCommunityBenefitExpnsAmt
Total Expense	0.0335	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$295	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$295	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,596	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,596	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,891	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,891	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$799,905	BadDebtExpenseAmt
Bad Debt Expense Attributable	$458,048	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$28,992,908	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$27,185,502	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,807,406	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Joseph Health System Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 Hemlock Street	AddressLine1Txt
City	Tawas City	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48763	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.sjhsys.org	WebsiteAddressTxt
State License	L470734	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	St Joseph Health System Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	healthcare.ascension.org/Locations/Michigan/Tawas-City-Saint-Joseph-Health-System/Community-Benefit-	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	healthcare.ascension.org/Locations/Michigan/Tawas-City-Saint-Joseph-Health-System/Community-Benefit-	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://healthcare.ascension.org/Locations/Michigan/Tawas-City-Saint-Joseph-Health-System/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://healthcare.ascension.org/Locations/Michigan/Tawas-City-Saint-Joseph-Health-System/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://healthcare.ascension.org/Locations/Michigan/Tawas-City-Saint-Joseph-Health-System/	FAPSummaryOnWebsiteURLTxt
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - St. Joseph Health System. Initially, an internal ministry team made up of St. Joseph Health System 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 - 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 GOAL: To support health care transformation and population health, SJHS 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 St Joseph Health system in the Tawas community ACTIONS: 1. Establish a multi-disciplinary task force to oversee the project and development of plan 2. Determine resource needs, allocation strategy and place/hours of operation. 3. Research accreditation requirement as it relates to Diabetes Education (American Association of Diabetes Educators-AADE; American Diabetes Association-ADA; State of Michigan) 4. Select and apply for Accreditation 5. Establish cost center and the structure and process to support charges/billing etc. 6. Establish education on and operationalize data base and clinical forms to enable patient scheduling and collection of all necessary elements required for Accreditation and annual reporting 7. Utilize newly developed communication tools/messaging (from Health & Lifestyle Education Strategy) to inform Physician groups, PHO organizations, and community of referral avenues for patients with Diabetes or Nutritional needs 8. Conduct DSMET program in Tawas community Prioritized Need #2: Health & Lifestyle Education GOAL: Leveraging 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 STRATEGY 1: Develop and implement a marketing strategy/consistent messaging to inform school-based and community audiences about adoption of healthy behavior to delay or mitigate the progression of poor health/disease ACTIONS: 1. Establish a Community Advisory Group comprised of key health system and community stakeholders to oversee the project and development of plan 2. Develop and implement a consistent messaging campaign strategy for school-based activities to inform the students/staff/parents/providers about the adoption of healthy behaviors 3. Connect with Chronic Disease Management strategy to create information that will be utilized for school-aged students - with focus on Diabetes 4. Hire a Community Health Worker to facilitate outreach/education programs 5. Increase scope and reach of current school-based programming to promote wellness for 5th grade students and families In the Tawas school district through: backpack program; Friday Folder program; Fit Kids program; Healthy Kids Rock program Prioritized Need #3: Behavioral Health GOAL: Leveraging 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. STRATEGY 1: Enhance and/or adapt/create programming to educate about prescription drug use and mitigate abuse ACTIONS: 1. Conduct a provider workshop regarding prescription drug dosage, use, and potential for abuse 2. Identify a training program and provide de-escalation training for ER staff to promote a safer environment for staff, associates, and patients 3. Obtain broad community support and participation in Michigan's Automated Prescription System (MAPS) to protect providers and reduce prescription drug abuse 4. Collaborate with community mental health to expand and enhance limited mental health services via telemedicine utilizing existing telehealth equipment 5. Link with messaging campaign proposed as the Health & Lifestyle Education strategy to promote needed behavioral health messaging. Needs that will not be addressed: St. Joseph Health System 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. St. Joseph Health System 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 - St. Joseph Health System, Inc.. In accordance with our mission and values, St. Joseph Health System is committed to caring for all people regardless of their ability to pay, with special attention to those who are poor and vulnerable. St. Joseph Health System 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 St. Joseph Health System's website, reflect St. Joseph Health System's dedication to working together with our patients in a compassionate and caring manner to identify options for resolving their financial obligations. Help is available by contacting (989) 984-3796 or in person at any of our facilities.

Field	Value	IRS element (for citing)
Facility	14	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Harbor Health Center
110 Beech Street Ste B	Tawas City	MI	48763	Rehab Services, Physician Offices, Pediatrics
Medical Arts Building
295 Maple Street	Tawas City	MI	48763	Physician Offices
Oscoda Health Park
5939 N Huron Road	Tawas City	MI	48763	Physician Offices
Huron Family Medicine
700 German Street	Tawas City	MI	48763	Physician Offices
St Joseph Women's Clinic
25 M-55	Tawas City	MI	48763	Physician Offices
Hale St Joseph Medical Center
116 S Church Street	Hale	MI	48739	Physician Offices
Huron Shores Walk In Clinic
325 M-55	Tawas City	MI	487640659	Walk In Clinic
AuGres Family Medicine
3210 E Huron Road	AuGres	MI	48703	Physician Offices

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 17 Billing and Collection Policy	During tax year 2017, the organization learned via verbal comments of IRS agents at public events that the IRS intends that the "readily obtainable" standard in the 501(r) regulations for the AGB calculation and billing and collection policy is only met if those items are posted to the organization's web site. The organization had interpreted that web posting standard to be a safe harbor after consulting with external counsel and tax advisors, and timely took other steps to make the information readily obtainable. Consequently, the organization does not believe its decision to not post these documents to its web site rises to the level of a failure, nor does it believe the circumstances were either willful or egregious, having otherwise timely taken the steps necessary to attain and continue to maintain compliance with the other requirements related to the billing and collection policy and the AGB, as part of its policies and procedures for ensuring compliance with all aspects of 501(r). However, the organization is making this voluntary disclosure in order to communicate to the IRS the changes it is undertaking in response to the recent IRS informal guidance on this specific point concerning the "readily obtainable" standard, and the fact that the organization has started the work necessary to post its AGB information and billing and collection policy to its web site and will complete those additional postings as soon as reasonably possible. The other web postings required under 501(r) (i.e., those related to the community health needs assessment and the financial assistance policy) were timely completed and continue to remain in place as required. The organization believes its safeguards worked as intended in this case (i.e., the organization has regular communications with a number of external law firms and tax consultants and the timely attention to the recent guidance was supported by the framework of regular access to subject matter experts). These changes are in the process of being incorporated into corporate policies and procedures that apply to the organization.
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, St. Joseph Health System, 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, St. Joseph Health System, 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 2017 was $1,523,031 at charges, ($799,905 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 19.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	THE ORGANIZATION HAS A WRITTEN DEBT COLLECTION POLICY THAT ALSO INCLUDE A PROVISION ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE CERTAIN PRACTICES DO NOT APPLY.
Schedule H, Part V, Section B, Line 16a FAP website	- St. Joseph Health System, Inc.: Line 16a URL: https://healthcare.ascension.org/Locations/Michigan/Tawas-City-Saint-Joseph-Health-System/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- St. Joseph Health System, Inc.: Line 16b URL: https://healthcare.ascension.org/Locations/Michigan/Tawas-City-Saint-Joseph-Health-System/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- St. Joseph Health System, Inc.: Line 16c URL: https://healthcare.ascension.org/Locations/Michigan/Tawas-City-Saint-Joseph-Health-System/;
Schedule H, Part VI, Line 2 Needs assessment	St. Joseph Health System relies on information from: St. Joseph Health System 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 St. Joseph Health System, 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 St. Joseph Health System'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	St. Joseph Health System 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. St. Joseph Health System 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% St. Joseph Health System 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 St. Joseph Health System.
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 St. Joseph Health System 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 - St, Joseph Health System offers several Support Groups with the purpose of addressing physical, social, psychological or emotional issues related to specific diagnoses or life events. Diabetic Club - This is a program that is open to the community at no charge and includes a short lecture about general health issues and how those issues affect diabetes. Topics related to lifestyle modifications and tools for diabetes management are taught by a certified Dietitian or other health care provider from the Health System, The group also offers peer to peer support. 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. Iosco County Sexual Assault Response Team In 2009, after a Crime Victim Service Commission Sexual Assault Response Assessment (SARA) Project identified Northeast Michigan as one region in the state that has zero dollars designated for sexual assault services, and a request from Ascension Health Ministries to consider Compassionate Care of Sexual Assault Patients in the Emergency Department Setting, St. Joseph Health System initiated a task force to investigate the feasibility of offering a Sexual Assault Nurse Examiner (SANE) Program as well as meet the needs of our region's sexual assault survivors. In partnership with SJHS, Shelter, Inc., a dual domestic violence/sexual assault comprehensive service agency, and other community partners, the Iosco County Sexual Assault Response Team (SART) continues to promote a comprehensive community response to sexual assault through education, system change, crisis, and primary and secondary victim services The commitment of SJHS and the local community to providing sexual assault services specific to rural community issues has been and continues to be clear, established, and ongoing. Striving to build and sustain survivor centered, empowerment based sexual assault services remains the goal and focus of our community coordinated response to sexual assault.
Schedule H, Part VI, Line 6 Affiliated health care system	St. Joseph Health System 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 ST. JOSEPH HEALTH SYSTEM 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. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. ST. JOSEPH HEALTH SYSTEM 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 ST. JOSEPH HEALTH SYSTEM 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 SYSTEM 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 SYSTEM USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS: - TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. - UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS. - COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. - COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH. DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED BY REDUCING CHARGES FORGONE BY A FACTOR DERIVED FROM THE RATIO OF EACH ENTITY'S TOTAL OPERATING EXPENSES TO THE ENTITY'S BILLED CHARGES FOR PATIENT CARE. CERTAIN COSTS SUCH AS GRADUATE MEDICAL EDUCATION AND CERTAIN OTHER ACTIVITIES ARE EXCLUDED FROM TOTAL OPERATING EXPENSES FOR PURPOSES OF THIS COMPUTATION.
Schedule H, Part VI, Line 7 State filing of community benefit report	MI

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 (9 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
CHRISTOPHER J PALAZZOLO
REGIONAL PRESIDENT & CEO (START 7/2016)	$0	$514,572	$0	$166,155	$0	$148,446	$0	$15,900	$0	$25,512	$0	$870,585	$0	$40,972
ELIZABETH ADERHOLDT
FORMER OFFICER (END 6/2016)	$0	$318,644	$0	$931,208	$0	$156,239	$0	$15,069	$0	$6,389	$0	$1,427,549	$0	$0
ANN BALFOUR
PRESIDENT	$176,625	$0	$52,472	$0	$50,223	$0	$13,806	$0	$18,024	$0	$311,150	$0	$30,037	$0
NANCY HAYWOOD
CFO-HEALTH SYSTEMS	$0	$339,165	$0	$119,385	$0	$82,989	$0	$17,225	$0	$24,755	$0	$583,519	$0	$23,559
JAMES COURTNEY MD
PHYSICIAN	$258,020	$0	$120,899	$0	$3,658	$0	$7,832	$0	$5,494	$0	$395,903	$0	$0	$0
MARK L DAVIS DO
PHYSICIAN	$635,020	$0	$44,000	$0	$1,710	$0	$5,300	$0	$26,366	$0	$712,396	$0	$0	$0
DIANA ENNES MD
PHYSICIAN	$387,942	$0	$1,000	$0	$11,026	$0	$17,225	$0	$6,160	$0	$423,353	$0	$0	$0
MARK GALLAGHER MD
PHYSICIAN	$371,127	$0	$27,875	$0	$9,296	$0	$14,575	$0	$21,238	$0	$444,111	$0	$0	$0
MICHAEL WAGNER MD
PHYSICIAN	$215,086	$0	$170,508	$0	$3,418	$0	$16,847	$0	$3,342	$0	$409,201	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation

ASCENSION HEALTH, A RELATED ORGANIZATION OF ST. JOSEPH HEALTH SYSTEM, 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: CHRISTOPHER J. PALAZZOLO - $40,972 ANN BALFOUR - $30,037 NANCY HAYWOOD - $23,559

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail

Field	Value	IRS element (for citing)
Assets Distri Or Expnss Paid	CASH ACCOUNTS TRANSFERRED TO PARENT'S BALANCE SHEET- ST. JOSEPH HOSPITAL	AssetsDistriOrExpnssPaidDesc
Distribution	2016-07-01	DistributionDt
Fair Market Value Of Asset	$18,920,803	FairMarketValueOfAssetAmt
Method Of FMV Determination	FMV	MethodOfFMVDeterminationTxt
EIN	453358926	EIN
Person	ASCENSION HEALTH ALLIANCE	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 45998	AddressLine1Txt
City	ST LOUIS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63145	ZIPCd

Field	Value	IRS element (for citing)
IRC Section	501(C)(3)	IRCSectionTxt

Field	Value	IRS element (for citing)
Director Of Successor2	false	DirectorOfSuccessor2Ind
Employee Of Successor2	false	EmployeeOfSuccessor2Ind
Owner Of Successor2	false	OwnerOfSuccessor2Ind
Receive Compensation2	false	ReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule N, Part II CASH TRANSFER	FormAndLineReferenceDesc
Explanation	ST. JOSEPH HEALTH SYSTEM TRANSFERRED ITS BEGINNING HSD CASH BALANCES TO ASCENSION HEALTH ALLIANCE (45-3358926) AS OF JULY 1, 2016.	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 THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT & CEO, THE PROCESS PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF 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	St. Joseph Health System has a single corporate member Ascension Health.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	St. Joseph Health System has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of the St. Joseph Health System.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	St. Joseph Health System 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 XI, Line 9 Other changes in net assets or fund balances	FAS 158 Pension Adjustment - -1695320; Transfers with Affiliates - -12198386; TRANSFER INVESTMENT INTEREST IN ASCENSION HEALTH ALLIANCE BACK TO AHA - -18920803;
Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTS	The activity of ST. JOSEPH HEALTH SYSTEM, INC. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of 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 ST. JOSEPH HEALTH SYSTEM, INC. and Affiliates (which include the activity of St. Joseph Health System).
Form 990, Part XII, Line 2c AUDIT COMMITTEE	ST. JOSEPH HEALTH SYSTEM, INC. is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (39 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
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
BORGESS MEDICAL CENTER
1521 GULL ROAD	KALAMAZOO	MI	49048	381360526	HEALTHCARE SERVICES	MI	501(c)(3)	3	ASCENSION MICHIGAN	false
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
GENESYS REGIONAL MEDICAL CENTER
ONE GENESYS PARKWAY	GRAND BLANC	MI	484398065	382377821	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	false
LEE MEMORIAL HOSPITAL CORPORATION
420 WEST HIGH STREET	DOWAGIAC	MI	49047	381490190	HEALTHCARE SERVICES	MI	501(c)(3)	3	ASCENSION MICHIGAN	false
PROVIDENCE-PROVIDENCE PARK HOSPITAL
16001 WEST NINE MILE ROAD	SOUTHFIELD	MI	48037	381358212	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	false
ST JOHN HOSPITAL & MEDICAL CENTER
28000 DEQUINDRE ROAD	WARREN	MI	48092	381359063	HEALTH CARE	MI	501(c)(3)	3	ASCENSION MICHIGAN	false
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
ST JOHN RIVER DISTRICT HOSPITAL
4100 RIVER ROAD	EAST CHINA	MI	48054	383160564	HOSPITAL	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
ST MARY'S OF MICHIGAN MEDICAL CENTER
800 S WASHINGTON AVENUE	SAGINAW	MI	48601	380997730	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	false
STANDISH COMMUNITY HOSPITAL
805 WEST CEDEAR STREET	STANDISH	MI	48658	381671120	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	false
BORGESS AMBULATORY CARE CORPORATION
1521 GULL ROAD	KALAMAZOO	MI	49048	382468823	HOLDING COMPANY	MI	501(c)(3)	3	BORGESS HEALTH ALLIANCE INC	Yes (true)
BORGESS FOUNDATION
1521 GULL ROAD	KALAMAZOO	MI	49048	237222558	FUNDRAISING	MI	501(c)(3)	Type III-FI	BORGESS HEALTH ALLIANCE INC	Yes (true)
PROMED HEALTHCARE
1521 GULL ROAD	KALAMAZOO	MI	49048	383193801	HEALTHCARE SERVICES	MI	501(c)(3)	10	BORGESS HEALTH ALLIANCE INC	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)
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)
GENESYS HEALTH FOUNDATION
ONE GENESYS PARKWAY	GRAND BLANC	MI	484398065	383591148	FOUNDATION	MI	501(c)(3)	Type I	GENESYS HEALTH SYSTEM	Yes (true)
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)
LEE MEMORIAL FOUNDATION
420 W HIGH STREET	DOWAGIAC	MI	49047	382860459	FUNDRAISING	MI	501(c)(3)	Type III-FI	LEE MEMORIAL HOSPITAL CORPORATION	Yes (true)
EASTWOOD COMMUNITY CLINICS
28000 DEQUINDRE ROAD	WARREN	MI	48092	381958763	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes (true)
ASCENSIN MEDICAL GROUP MICHIGAN FKA MEDICAL RESOURCES GROUP
43800 GARFIELD	CLINTON TOWNSHIP	MI	48038	383494637	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes (true)
PROVIDENCE HEALTH FOUNDATION
22101 MOROSS	DETROIT	MI	48236	383526629	FUNDRAISING	MI	501(c)(3)	Type III-FI	ST JOHN PROVIDENCE	Yes (true)
SETON HEALTH CORP OF SE MICHIGAN
28000 DEQUINDRE	WARREN	MI	48092	382820107	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes (true)
ST JOHN COMMUNITY HEALTH INVESTMENT CORP
28000 DEQUINDRE ROAD	WARREN	MI	48092	382262856	HEALTH CARE	MI	501(c)(3)	3	ST JOHN PROVIDENCE	Yes (true)
ST JOHN HOSPITAL FOUNDATION
22101 MOROSS	DETROIT	MI	48236	202961579	FUNDRAISING	MI	501(c)(3)	7	ST JOHN PROVIDENCE	Yes (true)
ST JOHN PROVIDENCE PHYSICIANS CMG
28000 DEQUINDRE ROAD	WARREN	MI	48092	382601348	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes (true)
ST JOSEPH HEALTH SYSTEM FOUNDATION
200 HEMLOCK ROAD	TAWAS CITY	MI	48763	010790428	FUNDRAISING	MI	501(c)(3)	Type I	ST JOSEPH HEALTH SYSTEM	Yes (true)
FIELD NEUROSCIENCES INSTITUTE
800 S WASHINGTON AVENUE	SAGINAW	MI	48601	382790703	MEDICAL RESEARCH ORGANIZATION	MI	501(c)(3)	10	STMARY'S OF MICHIGAN MEDICAL CENTER	Yes (true)
ST MARY'S MEDICAL CENTER FOUNDATION SAGINAW MICHIGAN
800 S WASHINGTON AVENUE	SAGINAW	MI	48601	382246366	FUNDRAISING	MI	501(c)(3)	Type II	STMARY'S OF MICHIGAN MEDICAL CENTER	Yes (true)
CRITTENTON HOSPITAL MEDICAL CENTER
1101 W UNIVERSITY DR	ROCHESTER	MI	48307	381359247	GENERAL HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes (true)
CRITTENTON HOSPITAL MEDICAL CENTER FOUNDATION
1101 WEST UNIVERSITY DR	ROCHESTER	MI	48307	382627336	SUPPORTING	MI	501(c)(3)	Type I	CRITTENTON HOSPITAL MEDICAL CENTER	Yes (true)
CRITTENTON CANCER CENTER
1101 WEST UNIVERSITY DR	ROCHESTER	MI	48307	383239057	CANCER TREATMENT	MI	501(c)(3)	10	CRITTENTON HOSPITAL MEDICAL CENTER	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
ADVENT PARTNERS LP
28000 DEQUINDRE	WARREN	MI	48092	383544539	RENTAL REAL ESTATE	MI	NA	N/A
TOWNE CENTRE SURGERY CENETER
4599 TOWNE CENTRE	SAGINAW	MI	48604	204943843	OUTPATIENT SERVICES	MI	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
ST JOSEPH HEALTH ENTERPRISES
200 HEMLOCK ROAD	TAWAS CITY	MI	48764	382686747	OTHER MEDICAL	MI	ST JOSEPH HEALTH SYSTEM INC	C Corporation	$143,843	$1,213,126	1	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)
CRITTENTON MEDICAL PHARMACY
1101 W UNIVERSITY DR	ROCHESTER	MI	48307	203773341	PHARMACY SALES	MI	NA	C Corporation				Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	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	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ST JOSEPH HEALTH ENTERPRISES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	K	TransactionTypeTxt
Involved	$143,778	InvolvedAmt
Method Of Amount Determination	FAIR MARKET VALUE	MethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule R, Part II ProMed Healthcare, Inc.

Due to a corporate reorganization during FY 2017, the sole corporate member of ProMed Healthcare, Inc. changed from Borgess Health Alliance, Inc. to Ascension Medical Group, a disregarded entity of Ascension Health, EIN 31-1662309. At that time, ProMed Healthcare, Inc. ceased to be a member of the Ascension Michigan group.

Schedule R, Part II Medical Resources Group

Due to a corporate reorganization during FY 2017, Medical Resources Group changed its name to Ascension Medical Group Michigan. The sole corporate member of Ascension Medical Group Michigan (f/k/a Medical Resources Group) changed from St. John Providence, Inc. to Ascension Medical Group, a disregarded entity of Ascension Health, EIN 31-1662309. At that time, Ascension Medical Group Michigan (f/k/a Medical Resources Group) ceased to be a member of the Ascension Michigan group.