HENRY FORD HEALTH ST JOHN FOUNDATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
HENRY FORD HEALTH ST JOHN FOUNDATION (EIN 20-2961579)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-13
IRS object ID
201741339349300724
Schema version
2015v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-13T10:01:01-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN202961579EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St John Hospital FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTJOBusinessNameControlTxt
Phone5867530455PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line122101 Moross Rd MOB Ste 102AddressLine1Txt
CityDetroitCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48236ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSCOTT SMITHPersonNm
Person TitlePRESIDENTPersonTitleTxt
Signature2017-05-13SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1SCOTT SMITHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line122101 Moross Rd MOB Ste 102AddressLine1Txt
CityDetroitCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48236ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,772,828GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STJOHNPROVIDENCE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTo raise funds to benefit St. John Hospital & Medical Center.ActivityOrMissionDesc
Voting Members Governing Body25VotingMembersGoverningBodyCnt
Voting Members Independent21VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers152TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,094,727PYContributionsGrantsAmt
CY Contributions Grants$9,772,828CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$731,413PYInvestmentIncomeAmt
CY Investment Income-$291,266CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$9,826,140PYTotalRevenueAmt
CY Total Revenue$9,481,562CYTotalRevenueAmt
PY Grants And Similar Paid$3,733,258PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,000,254CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,649,390PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,647,893CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,900,983CYTotalFundraisingExpenseAmt
PY Other Expenses$596,452PYOtherExpensesAmt
CY Other Expenses$654,221CYOtherExpensesAmt
PY Total Expenses$5,979,100PYTotalExpensesAmt
CY Total Expenses$6,302,368CYTotalExpensesAmt
PY Revenues Less Expenses$3,847,040PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,179,194CYRevenuesLessExpensesAmt
Total Assets BOY$35,094,312TotalAssetsBOYAmt
Total Assets EOY$43,020,105TotalAssetsEOYAmt
Total Liabilities BOY$371,463TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,756,543TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$34,722,849NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$37,263,562NetAssetsOrFundBalancesEOYAmt
MissionSt. John Hospital Foundation, as a Catholic Health Ministry, is committed to raise funds to benefit St. John Hospital & Medical Center.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$4,000,254ExpenseAmt
Grant$4,000,254GrantAmt
Revenue$0RevenueAmt
DescTo solicit and invest contributions, gifts and bequests for the benefit of St. John Hospital & Medical Center. This funding is used to provide delivery of patient services, care to the elderly and indigent, and health awareness programs. See community benefit report on Schedule O.Desc
Total Program Service Expenses$4,000,254TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members25GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KAREN GRUNEWALDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5867530455PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line128000 DEQUINDREAddressLine1Txt
CityWARRENCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48092ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
SUSAN BURNS
PRESIDENT - FOUNDATIONS (END 2/8/16)2.052.0Yes (X)Yes (X)$0$391,143$32,154
EUGENE LOVASCO
CHAIRPERSON2.00Yes (X)Yes (X)$0$0$0
DANIEL ROMA
TREASURER2.00Yes (X)Yes (X)$0$0$0
WILLIAM ZWENG
SECRETARY2.00Yes (X)Yes (X)$0$0$0
PETER AHEE
BOARD MEMBER2.00Yes (X)$0$0$0
DARRENE BAER
BOARD MEMBER2.00Yes (X)$0$0$0
DOUG BLATT
BOARD MEMBER2.00Yes (X)$0$0$0
DANA CAMPHOUS-PETERSON
BOARD MEMBER2.00Yes (X)$0$0$0
MATTHEW CASEY
BOARD MEMBER2.00Yes (X)$0$0$0
JIM COLE JR
BOARD MEMBER2.06.0Yes (X)$0$0$0
DEBORAH A CONDINO
BOARD MEMBER2.00.0Yes (X)$0$33,862$0
SR BETTY GRANGER CSJ
BOARD MEMBER2.01.0Yes (X)$0$0$0
ROBERT HOBAN
BOARD MEMBER2.055.0Yes (X)$0$739,777$46,266
KEN KIRCHNER
BOARD MEMBER2.00Yes (X)$0$0$0
JENNIFER KLUGE
BOARD MEMBER2.00Yes (X)$0$0$0
STEVEN MINNICK MD
BOARD MEMBER2.00.0Yes (X)$0$229,954$30,652
JOHN NICHOLSON
BOARD MEMBER2.00Yes (X)$0$0$0
LAN-HUONG REILLY
BOARD MEMBER2.00Yes (X)$0$0$0
LOUIS SARAVOLATZ MD
BOARD MEMBER2.00.0Yes (X)$0$528,922$41,057
TERENCE THOMAS
BOARD MEMBER2.00Yes (X)$0$0$0
SANDRA VANDENBERGHE
BOARD MEMBER2.00Yes (X)$0$0$0
VIT BATTANI
BOARD MEMBER2.00Yes (X)$0$0$0
CONNIE DEMKOWICZ
BOARD MEMBER2.00Yes (X)$0$0$0
DANIEL MEGLER MD
BOARD MEMBER2.00Yes (X)$0$0$0
ED SCHERVISH MD
BOARD MEMBER2.00Yes (X)$0$0$0
PAUL TREDER
BOARD MEMBER2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,923,659TotReportableCompRltdOrgAmt
Total Other Compensation$150,129TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$855,046RelatedOrganizationsAmt
All Other Contributions$8,917,782AllOtherContributionsAmt
Total Contributions$9,772,828TotalContributionsAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$291,266SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$291,266SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$291,266TotalRevenueColumnAmt
Exclusion-$291,266ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,481,562TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$291,266ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,000,254TotalAmt
Program Services$4,000,254ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,357,602TotalAmt
Management And General$285,846ManagementAndGeneralAmt
Fundraising$1,071,756FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total-$18,313TotalAmt
Management And General-$3,856ManagementAndGeneralAmt
Fundraising-$14,457FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$219,025TotalAmt
Management And General$46,116ManagementAndGeneralAmt
Fundraising$172,909FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$89,579TotalAmt
Management And General$18,861ManagementAndGeneralAmt
Fundraising$70,718FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$227,873TotalAmt
Fundraising$227,873FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$81,001TotalAmt
Fundraising$81,001FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$27,906TotalAmt
Management And General$27,906ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,941TotalAmt
Management And General$3,941ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,220TotalAmt
Management And General$5,220ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,674TotalAmt
Fundraising$6,674FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$17,097TotalAmt
Management And General$17,097ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtFundraisingFundraisingAmt
PURCHASED SERVICES$167,499$167,499
CULTIVATION$72,021$72,021
REPAIRS & MAINTENANCE$29,829$29,829
DUES$10,820$10,820

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,340TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$4,340FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,302,368TotalAmt
Program Services$4,000,254ProgramServicesAmt
Management And General$401,131ManagementAndGeneralAmt
Fundraising$1,900,983FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,885,934BOYAmt
EOY$21,749,109EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,037,113BOYAmt
EOY$2,590,307EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$12,935EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$432,217LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$366,452LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$75,235BOYAmt
EOY$65,765EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$22,096,030BOYAmt
EOY$18,601,989EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$35,094,312BOYAmt
EOY$43,020,105EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$120,320BOYAmt
EOY$157,078EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$251,143BOYAmt
EOY$5,599,465EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$371,463BOYAmt
EOY$5,756,543EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,972,423BOYAmt
EOY$1,180,150EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,901,705BOYAmt
EOY$17,316,921EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,848,721BOYAmt
EOY$18,766,491EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$34,722,849BOYAmt
EOY$37,263,562EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,094,312BOYAmt
EOY$43,020,105EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,179,194ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$638,481NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,494,598CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,467,085CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,909,424CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,094,727CurrentTaxYearMinus1YearAmt
Current Tax Year$9,772,828CurrentTaxYearAmt
Total$41,738,662TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,494,598CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,467,085CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,909,424CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,094,727CurrentTaxYearMinus1YearAmt
Current Tax Year$9,772,828CurrentTaxYearAmt
Total$41,738,662TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$13,466,638SubstantialContributorsTotAmt
Public Support Total170$28,272,024PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$791,756CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$871,794CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$917,878CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$731,413CurrentTaxYearMinus1YearAmt
Current Tax Year-$291,266CurrentTaxYearAmt
Total$3,021,575TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$44,760,237TotalSupportAmt
Gross Receipts Rltd Activities$0GrossReceiptsRltdActivitiesAmt
Public Support CY1700.6316PublicSupportCY170Pct
Public Support PY1700.6643PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,919,407BeginningYearBalanceAmt
Contributions$2,918,270ContributionsAmt
Investment Earnings Or Losses$850,305InvestmentEarningsOrLossesAmt
Other Expenditures$477,038OtherExpendituresAmt
End Year Balance$21,210,944EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,667,452BeginningYearBalanceAmt
Contributions$1,719,233ContributionsAmt
Investment Earnings Or Losses$774,334InvestmentEarningsOrLossesAmt
Other Expenditures$241,612OtherExpendituresAmt
End Year Balance$17,919,407EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,491,624BeginningYearBalanceAmt
Contributions$4,912,288ContributionsAmt
Investment Earnings Or Losses$706,349InvestmentEarningsOrLossesAmt
Other Expenditures$442,809OtherExpendituresAmt
End Year Balance$15,667,452EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,103,422BeginningYearBalanceAmt
Contributions$184,358ContributionsAmt
Investment Earnings Or Losses$516,190InvestmentEarningsOrLossesAmt
Other Expenditures$312,346OtherExpendituresAmt
End Year Balance$10,491,624EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,006,464BeginningYearBalanceAmt
Contributions$1,051,513ContributionsAmt
Investment Earnings Or Losses$464,076InvestmentEarningsOrLossesAmt
Other Expenditures$418,631OtherExpendituresAmt
End Year Balance$10,103,422EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.8848PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.1152TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$138,874OtherCostOrOtherBasisAmt
Depreciation$76,023DepreciationAmt
Book Value$62,851BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$293,343OtherCostOrOtherBasisAmt
Depreciation$290,429DepreciationAmt
Book Value$2,914BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$65,765TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE$18,601,989
ADVANCES TO AFFILIATES
FieldValueIRS element (for citing)
Total Book Value Other Assets$18,601,989TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
INTERCOMPANY DEBT WITH ASCENSION HEALTH ALLIANCE$247,978
INTERCOMPANY PAYABLES WITH AFFILIATES$5,351,487
FieldValueIRS element (for citing)
Total Liability$5,599,465TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsEndowment funds are created to support the healthcare ministry of St. John Providence Hospitals. The distributions from an endowment provide a dependable source of income each year to help St. John continue to meet the community's healthcare needs.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFrom the consolidated audited financial statements of Ascension Health Alliance ("the system") (which include the activity of St. John Hospital Foundation): The system accounts for uncertainty in income tax position 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, 2016.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1St John Hospital & Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line128000 DequindreAddressLine1Txt
CityWarrenCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48092ZIPCd
FieldValueIRS element (for citing)
Recipient EIN381359063RecipientEIN
IRC SectionSection 501(c)(3)IRCSectionDesc
Cash Grant$4,000,254CashGrantAmt
Purpose Of GrantTO SUPPORT HEALTH CARE MINISTRIES.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationThe Foundation requires potential applicants (i.e., the Hospital's departments) to complete an actual application. There are various levels of review that subsequently take place prior to the final approval decision. The ultimate decision on every applicant is formally documented. All funds are disbursed to the hospital, but the foundation still requires an application process for the various departments requesting the funds.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SUSAN BURNS
PRESIDENT - FOUNDATIONS (END 2/8/16)$0$282,824$0$66,383$0$41,936$0$14,575$0$17,579$0$423,297$0$0
ROBERT HOBAN
BOARD MEMBER$0$416,420$0$230,866$0$92,491$0$23,850$0$22,416$0$786,043$0$0
STEVEN MINNICK MD
BOARD MEMBER$0$219,605$0$5,000$0$5,349$0$14,511$0$16,141$0$260,606$0$0
LOUIS SARAVOLATZ MD
BOARD MEMBER$0$472,988$0$42,355$0$13,579$0$17,225$0$23,832$0$569,979$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationST. JOHN PROVIDENCE, A RELATED ORGANIZATION OF ST. JOHN HOSPITAL FOUNDATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planEligible 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 for 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 executives is reported as compensation on Form 990, Schedule J, Part II, Column B(i) in the year paid. 457(f) Payments made: NONE

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4a Community Benefit Report - Part ISt. John Hospital & Medical Center Community Benefit Report Fiscal Year Ended June 30, 2016 This report illustrates the significant degree to which St. John Hospital and Medical Center contributes to the positive health status of the community it serves. As a member of Ascension Health, the nation's largest Catholic Healthcare System, St. John Hospital and Medical Center continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families and society as a whole. The goal of St. John Hospital and Medical Center is to perpetuate the healing mission of the church. St. John Hospital and Medical Center furthers this goal through delivery of patient services, care to the elderly and indigent, patient education, health awareness programs for the community and medical research. Our concern for all human life and dignity of each person leads the organization to provide medical services to all people in the community without regard to the patient's race, creed, national origin, economic status or ability to pay. In order to portray the full breadth of our contribution, our community benefit information is described below. Organizational Commitment to Providing Community Benefit St. John Hospital and Medical Center is a regional referral teaching hospital with 772 licensed beds, a 1300+ member medical staff and more than 50 medical and surgical specialties. As the largest acute care provider on Detroit's east side, St. John Hospital and Medical Center is also an active participant in community health initiatives through its community-based partnerships with churches, schools, and civic organizations. St. John Hospital and Medical center: 1. Operates an emergency room that is open to all persons regardless of ability to pay. 2. Has on open medical staff with privileges available to all qualified physicians in the area. 3. Has a governing body in which independent persons representative of the community compromise a majority. 4. Engages in medical or scientific research programs. 5. Engages in the training and education of health care professionals. 6. Participates in Medicaid, Medicare, Champus, Triage and/or other government-sponsored health care programs. Medical Research St. John Hospital and Medical Center furthers its mission by contributing funds and personnel to support research that has helped advance medical care. Research projects include various cardiac and interventional cardiac research projects, oncology, pediatric hematology and oncology, internal medicine, obstetrics and gynecology, nephrology, radiology and infectious disease research. St. John Hospital and Medical Center has a wide array of surgical specialties and sub-specialties. Our operating rooms and post-anesthesia units are open 24 hours a day, seven days a week for scheduled and emergency procedures. St. John Hospital and Medical Center seeks to improve the physical, mental, social, and spiritual health status of its surrounding community and has long been known for its excellence in medical care. Medical Education & Specialty Areas St. John Hospital and Medical Center believes that in order to provide the best health care to the community, its clinical personnel must receive ongoing medical education. Numerous seminars and classes and continuing education programs are provided to medical residents and staff and are posted on our website www.stjohnprovidence.org/medical professionals/medical education. Along with providing care and treatment in a wide range of areas, St. John Hospital and Medical Center is known for various specialty areas including Bariatric Surgery, the Cracchiolo Inpatient Rehabilitation Center, the St. John Center for Wound and Hyperbaric Medicine and the Valade Healing Arts Center and the Van Elslander Cancer Center. Some of the services provided operate at a loss in order to ensure that all services are available to meet community health care needs. Expanding Awareness, Education and Health Promotion St. John Hospital and Medical Center believes that it is essential to educate people regarding the types of behavior that improve their chances of living a healthy life and has invested significantly in unique, top quality health education and materials to accomplish its goals. Various classes are provided to the community. Education material also is provided via our website at www.stjohnprovidence.org. Access To Care Programs St. John Hospital and Medical Center operates many public health clinics. Public clinics range from specialty clinics such as pediatrics to general internal medicine clinics. Our public health clinics provide care for all community residents, regardless of their ability to pay. Services include the full range of preventive and primary health and dental care for adults and children, prenatal care, AIDS/HIV education and management of chronic diseases such as asthma, diabetes and heart disease. St. John Hospital provides clothing and food pantries both in the Van Elslander Cancer Center and various units within the hospital. Our associates have had departmental bake sales and other benefits for individual patients in need. Educating the younger generation is a hallmark of St. John Hospital and Medical Center. To give underserved children an opportunity to learn a healthcare career, our human resources department participates with local Detroit school Del Cristo Rey to provide employment to students as part of their normal school week. Our emergency department hosts students in the emergency center for several hours of learning and instructional hands-on education. Our physicians and leaders participate regularly in career days for local schools in which they have partnerships. Our medical education department organizes physician speakers for the Grosse Pointe schools advanced medicine classes. Community Outreach Service St. John Hospital and Medical Center provides charitable contributions to a number of community organizations. St. John Hospital and Medical Center has contributed funds for sponsorship in the community by volunteering and giving support to community organizations, parades, neighborhood advocacy and clean-up groups, community orchestras, health walks and marathons, health expos and health fairs, American Red Cross blood drives, churches, schools, career fairs at schools, police office benefits and community foundation outings. Community service is an important part of our existence. To that end, St. John Hospital and Medical Center provides a Christmas store each year for up to 600 children, giving each child a toy, outfit and gift bag for the family that includes a $50 food gift certificate. The mission spirituality team at the hospital also supports the Salem Memorial Lutheran church food pantry with weekly donations and counseling from our spiritual care team for those attending. Charity Care St John Hospital and Medical Center offers a wide variety of health and wellness programs that meet diverse needs, regardless of economic status and physical condition. The uninsured are more likely to seek care in hospital emergency rooms. St. John Hospital and Medical Center had 124,071 emergency department visits in fiscal 2016. St. John Hospital and Medical Center offers various free clinics. For many Michigan residents, finding someone to care for them when they are sick is not as easy as making an appointment. Lack of health insurance, transportation issues and language barriers combine to create challenges. St. John Hospital and Medical Center provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2016, approximately 41% of the value of services rendered was to elderly patients under the Medicare program and approximately 24% of the services were provided to patients who were deemed indigent under state, county or medical center guidelines. We currently offer financial assistance programs through the Voices of Detroit initiative, a program that assists the uninsured and underinsured in managing their health care. During the fiscal year ending June 30, 2016, St. John Hospital and Medical center treated adults and children from the community for a total of 144,326 patient days of service. St. John Hospital and Medical Center also provided services to 15,416 outpatient surgery patients. St. John Hospital and Medical Center Uncompensated Care for Fiscal Year Ending June 30, 2016: 1. Traditional charity care provided $56,481 2. Unpaid cost of public programs for persons living in poverty ($5,638,972) 3. Other programs for persons living in poverty and other vulnerable persons $2,271,498 4. Community benefit programs $22,609,971 5. Total care of persons living in poverty and community benefit programs $19,298,979 6. Bad debt costs attributable to charity $8,418,589 7. Medicare shortfalls/(surplus) ($11,509,811)
Form 990, Part VI, Line 15 COMPENSATIONIN DETERMINING COMPENSATION OF THE ORGANIZATION'S PRESIDENT, THE PROCESS, PERFORMED BY ST. JOHN PROVIDENCE, A RELATED ORGANIZATION OF ST. JOHN HOSPITAL FOUNDATION, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. MANAGEMENT REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE PRESIDENT WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. WAGE BANDS ARE ADJUSTED ANNUALLY AND WAGES PAID FOR ALL POSITIONS ARE WITHIN THOSE BANDS. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. INDIVIDUAL WAS NOT PRESENT WHEN HER COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 15b COMPENSATIONLINE 15B IS MORE APPROPRIATELY ANSWERED AS NOT APPLICABLE AS ST. JOHN HOSPITAL FOUNDATION DOES NOT COMPENSATE ANY OTHER OFFICERS OR KEY EMPLOYEES.
Form 990, Part VI, Line 6 Classes of members or stockholdersSt. John Hospital Foundation has a single corporate member, St. John Providence.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodySt. John Hospital Foundation has a single corporate member, St. John Providence, who has the ability to elect members to the governing body of St. John Hospital Foundation.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersAll decisions that have a material impact to St. John Hospital Foundation financial information or corporation as a whole are subject to approval by its sole corporate member, St. John Providence.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyManagement, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all board members are provided the Form 990 and management team members are available to answer any board member questions.
Form 990, Part VI, Line 12c Conflict of interest policyThe organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy; has read and understands the policy; has agreed to comply with the policy; and understands that the organization is charitable and, in order to maintain its federal tax exemption, it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Line 19 Required documents available to the publicThe organization will provide any documents open to public inspection upon request.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (37 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ASCENSION HEALTH ALLIANCE
PO BOX 45998ST LOUISMO63145453358926NATIONAL HEALTH SYSTEMMO501(c)(3Type INAfalse
ASCENSION HEALTH
PO BOX 45998ST LOUISMO63145311662309NATIONAL HEALTH SYSTEMMO501(c)(3Type IASCENSION HEALTH ALLIANCEfalse
ASCENSION MICHIGAN
28000 DEQUINDRE ROADWARRENMI48092382631907HEALTH CAREMI501(c)(39ASCENSION HEALTHfalse
BORGESS HEALTH ALLIANCE INC
1521 GULL ROADKALAMAZOOMI49048382335286HEALTH SYSTEM PARENTMI501(c)(3Type III-FIASCENSION MICHIGANfalse
BORGESS MEDICAL CENTER
1521 GULL ROADKALAMAZOOMI49048381360526HEALTHCARE SERVICESMI501(c)(33ASCENSION MICHIGANfalse
BRIGHTON CENTER FOR RECOVERY
12851 GRAND RIVERBRIGHTONMI48116381576680HOSPITALMI501(c)(33ASCENSION MICHIGANfalse
GENESYS HEALTH SYSTEM
ONE GENESYS PARKWAYGRAND BLANCMI484398065383339703HEALTH SYSTEM PARENTMI501(c)(3Type IIASCENSION MICHIGANfalse
GENESYS REGIONAL MEDICAL CENTER
ONE GENESYS PARKWAYGRAND BLANCMI484398065382377821HOSPITALMI501(c)(33ASCENSION MICHIGANfalse
LEE MEMORIAL HOSPITAL CORPORATION
420 WEST HIGH STREETDOWAGIACMI49047381490190HEALTHCARE SERVICESMI501(c)(33ASCENSION MICHIGANfalse
PROVIDENCE-PROVIDENCE PARK HOSPITAL
16001 WEST NINE MILE ROADSOUTHFIELDMI48037381358212HOSPITALMI501(c)(33ASCENSION MICHIGANfalse
ST JOHN HOSPITAL & MEDICAL CENTER
28000 DEQUINDRE ROADWARRENMI48092381359063HEALTH CAREMI501(c)(33ASCENSION MICHIGANfalse
ST JOHN MACOMB-OAKLAND HOSPITAL
28000 DEQUINDRE ROADWARRENMI48092383322109HOSPITALMI501(c)(33ASCENSION MICHIGANfalse
ST JOHN PROVIDENCE
28000 DEQUINDRE ROADWARRENMI48092382244034PARENTMI501(c)(3Type III-FIASCENSION MICHIGANfalse
ST JOHN RIVER DISTRICT HOSPITAL
4100 RIVER ROADEAST CHINAMI48054383160564HOSPITALMI501(c)(33ASCENSION MICHIGANfalse
ST JOSEPH HEALTH SYSTEM
200 HEMLOCK ROADTAWAS CITYMI48763381443395HEALTH CAREMI501(c)(33ASCENSION MICHIGANfalse
ST MARY'S - ST JOSEPH HEALTH SYSTEM
800 S WASHINGTON AVENUESAGINAWMI48601461084363SUPPORTING ORGANIZATIONMI501(c)(3Type III-FIASCENSION MICHIGANfalse
ST MARY'S OF MICHIGAN MEDICAL CENTER
800 S WASHINGTON AVENUESAGINAWMI48601380997730HOSPITALMI501(c)(33ASCENSION MICHIGANfalse
STANDISH COMMUNITY HOSPITAL
805 WEST CEDEAR STREETSTANDISHMI48658381671120HOSPITALMI501(c)(33ASCENSION MICHIGANfalse
BORGESS AMBULATORY CARE CORPORATION
1521 GULL ROADKALAMAZOOMI49048382468823HOLDING COMPANYMI501(c)(33BORGESS HEALTH ALLIANCE INCYes (true)
BORGESS FOUNDATION
1521 GULL ROADKALAMAZOOMI49048237222558FUNDRAISINGMI501(c)(3Type III-FIBORGESS HEALTH ALLIANCE INCYes (true)
PROMED HEALTHCARE
1521 GULL ROADKALAMAZOOMI49048383193801HEALTHCARE SERVICESMI501(c)(39BORGESS HEALTH ALLIANCE INCYes (true)
CENTER FOR GERONTOLOGY
5455 ALI DRIVE DEPT200GRAND BLANCMI484395195382514708ADULT DAY CAREMI501(c)(3Type IGENESYS AMBULATORY HEALTH SERVICESYes (true)
GENESYS CONVALESCENT CENTER
8481 HOLLY ROADGRAND BLANCMI484391812382317364CONVALESCENT CENTERMI501(c)(33GENESYS AMBULATORY HEALTH SERVICESYes (true)
GENESYS AMBULATORY HEALTH SERVICES
5455 ALI DR DEPT 200GRAND BLANCMI484395195382371754HEALTH SRVCS/STAFFING/PROP MNGTMI501(c)(3Type IIGENESYS HEALTH SYSTEMYes (true)
GENESYS HEALTH FOUNDATION
ONE GENESYS PARKWAYGRAND BLANCMI484398065383591148FOUNDATIONMI501(c)(3Type IGENESYS HEALTH SYSTEMYes (true)
HEALTH SOURCE GROUP
5455 ALI DR DEPT 200GRAND BLANCMI484395195382427678PRG RELATED INVESTMENTSMI501(c)(3Type IGENESYS HEALTH SYSTEMYes (true)
LEE MEMORIAL FOUNDATION
420 W HIGH STREETDOWAGIACMI49047382860459FUNDRAISINGMI501(c)(3Type III-FILEE MEMORIAL HOSPITAL CORPORATIONYes (true)
EASTWOOD COMMUNITY CLINICS
28000 DEQUINDRE ROADWARRENMI48092381958763HEALTH CAREMI501(c)(39ST JOHN PROVIDENCEYes (true)
MEDICAL RESOURCES GROUP
43800 GARFIELDCLINTON TOWNSHIPMI48038383494637HEALTH CAREMI501(c)(39ST JOHN PROVIDENCEYes (true)
PROVIDENCE HEALTH FOUNDATION
22101 MOROSSDETROITMI48236383526629FUNDRAISINGMI501(c)(3Type III-FIST JOHN PROVIDENCEYes (true)
REVERENCE HOME HEALTH & HOSPICE
5445 ALI DRIVE DEPT 800GRAND BLANCMI484395172383408684HEALTH CAREMI501(c)(37ST JOHN PROVIDENCEYes (true)
SETON HEALTH CORP OF SE MICHIGAN
28000 DEQUINDREWARRENMI48092382820107HEALTH CAREMI501(c)(39ST JOHN PROVIDENCEYes (true)
ST JOHN COMMUNITY HEALTH INVESTMENT CORP
28000 DEQUINDRE ROADWARRENMI48092382262856HEALTH CAREMI501(c)(33ST JOHN PROVIDENCEYes (true)
ST JOHN PROVIDENCE PHYSICIANS CMG
28000 DEQUINDRE ROADWARRENMI48092382601348HEALTH CAREMI501(c)(39ST JOHN PROVIDENCEYes (true)
ST JOSEPH HEALTH SYSTEM FOUNDATION
200 HEMLOCK ROADTAWAS CITYMI48763010790428FUNDRAISINGMI501(c)(3Type IST JOSEPH HEALTH SYSTEMYes (true)
FIELD NEUROSCIENCES INSTITUTE
800 S WASHINGTON AVENUESAGINAWMI48601382790703MEDICAL RESEARCH ORGANIZATIONMI501(c)(39STMARY'S OF MICHIGAN MEDICAL CENTERYes (true)
ST MARY'S MEDICAL CENTER FOUNDATION SAGINAW MICHIGAN
800 S WASHINGTON AVENUESAGINAWMI48601382246366FUNDRAISINGMI501(c)(3Type IISTMARY'S OF MICHIGAN MEDICAL CENTERYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtOwnershipOwnershipPct
ADVENT PARTNERS LP
28000 DEQUINDREWARRENMI48092383544539RENTAL REAL ESTATEMINAN/A0
TOWNE CENTRE SURGERY CENETER
4599 TOWNE CENTRESAGINAWMI48604204943843OUTPATIENT SERVICESMINAN/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
ST JOSEPH HEALTH ENTERPRISES
200 HEMLOCK ROADTAWAS CITYMI48764382686747OTHER MEDICALMINAC CorporationYes (true)
GENESYS PRACTICE PARTNERS
5445 ALI DRIVE DEPT 200GRAND BLANCMI48439030516871EMPLOYED PHY PRACTICEMINAC CorporationYes (true)
BEECHER BALLENGER SERVICES
ONE GENESYS PARKWAYGRAND BLANCMI484398065382497922HOLDING COMPANYMINAC CorporationYes (true)
ADVENT INC
28000 DEQUINDREWARRENMI48092382971743RENTAL REAL ESTATEMINAC CorporationYes (true)
AFFILIATED HEALTH SERVICES INC
28000 DEQUINDREWARRENMI48092382292922MEDICAL SERVICESMINAC CorporationYes (true)
St Mary's Health
800 S Washington AvenueSaginawMI48601383477017DormantMINAC CorporationYes (true)
TEXTILE SYSTEMS INC
817 WALBRIDGEKALAMAZOOMI49007382705047LAUNDRY SERVICESMINAC CorporationYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Providence Health Foundation
S$2,059,493Actual Amount Paid
St John River District Hospital
S$106,524Actual Amount Paid
St John Hospital & Medical Center
B$4,000,254Actual Amount Paid

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