HENRY FORD HEALTH ST JOHN FOUNDATION: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- HENRY FORD HEALTH ST JOHN FOUNDATION (EIN 20-2961579)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-15
- IRS object ID
- 201621369349300202
- Schema version
- 2014v6.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-15T00:04:26-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 East Fifth Street Suite 1900 | AddressLine1Txt |
| City | Cincinnati | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202961579 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St John Hospital Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJO | BusinessNameControlTxt |
| Phone | 5867530455 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22101 Moross Rd Moross Office Bldg | AddressLine1Txt |
| City | Detroit | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48236 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEAN MEYER | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Signature | 2016-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Meghann Ackley | PreparerPersonNm |
| PTIN | P01399136 | PTIN |
| Phone | 5137847100 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEAN MEYER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22101 Moross Rd | AddressLine1Txt |
| Address Line2 | Moross Office Bldg | AddressLine2Txt |
| City | Detroit | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48236 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,826,140 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STJOHNPROVIDENCE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2005 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | To raise funds to benefit St. John Hospital & Medical Center. | ActivityOrMissionDesc |
| Voting Members Governing Body | 29 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 24 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 130 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,909,424 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,094,727 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $917,871 | PYInvestmentIncomeAmt |
| CY Investment Income | $731,413 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $11,827,295 | PYTotalRevenueAmt |
| CY Total Revenue | $9,826,140 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,773,495 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,733,258 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,714,977 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,649,390 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,794,381 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $722,949 | PYOtherExpensesAmt |
| CY Other Expenses | $596,452 | CYOtherExpensesAmt |
| PY Total Expenses | $5,211,421 | PYTotalExpensesAmt |
| CY Total Expenses | $5,979,100 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,615,874 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,847,040 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $32,258,312 | TotalAssetsBOYAmt |
| Total Assets EOY | $35,094,312 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $447,495 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $371,463 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $31,810,817 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $34,722,849 | NetAssetsOrFundBalancesEOYAmt |
| Mission | St. John Hospital Foundation, as a Catholic Health Ministry, is committed to raise funds to benefit St. John Hospital & Medical Center. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,733,258 | ExpenseAmt |
| Grant | $3,733,258 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | To solicit and invest contributions, gifts and bequests for the benefit of St. John Hospital & Medical Center. This funding is used to provide delivery of patient services, care to the elderly and indigent, and health awareness programs. See community benefit report on Schedule O. | Desc |
| Total Program Service Expenses | $3,733,258 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | 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 | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 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 | 29 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 24 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | 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 | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KAREN GRUNEWALD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5867530455 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 28000 DEQUINDRE | AddressLine1Txt |
| City | WARREN | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48092 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 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 |
|---|---|---|---|---|---|---|---|
| SUSAN BURNS | |||||||
| PRESIDENT SJHS FOUNDATION | 2.00 | 52.00 | Yes (X) | Yes (X) | $0 | $421,773 | $30,482 |
| EUGENE LOVASCO | |||||||
| CHAIRPERSON | 2.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PETER CRACCHIOLO | |||||||
| VICE CHAIR | 2.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JANE NUGENT | |||||||
| SECRETARY | 2.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DANIEL ROMA | |||||||
| TREASURER | 2.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JOHN ADAMO | |||||||
| BOARD MEMBER | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| PETER AHEE | |||||||
| BOARD MEMBER | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| DARRENE BAER | |||||||
| BOARD MEMBER | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| DOUG BLATT | |||||||
| BOARD MEMBER | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| DAVID BROOKS | |||||||
| BOARD MEMBER | 2.00 | 52.00 | Yes (X) | $0 | $767,283 | $36,055 | |
| DANA CAMPHOUS-PETERSON | |||||||
| BOARD MEMBER | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| MATTHEW CASEY | |||||||
| BOARD MEMBER | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| AMY DANNA | |||||||
| BOARD MEMBER | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| KEVIN GRADY MD | |||||||
| BOARD MEMBER | 2.00 | 50.00 | Yes (X) | $0 | $516,251 | $38,681 | |
| STEVEN MINNICK MD | |||||||
| BOARD MEMBER | 1.00 | 54.00 | Yes (X) | $0 | $218,519 | $29,562 | |
| JOHN NICHOLSON | |||||||
| BOARD MEMBER | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| PETER RONAN | |||||||
| BOARD MEMBER | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| LOUIS SARAVOLATZ MD | |||||||
| BOARD MEMBER | 2.00 | 50.00 | Yes (X) | $0 | $536,800 | $40,440 | |
| TERENCE THOMAS | |||||||
| BOARD MEMBER | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| LISA VALLEE-SMITH | |||||||
| BOARD MEMBER | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| SANDRA VANDENBERGHE | |||||||
| BOARD MEMBER | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| WILLIAM ZWENG | |||||||
| BOARD MEMBER | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| JOAN GEHRKE | |||||||
| BOARD MEMBER | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| KEN KIRCHNER | |||||||
| BOARD MEMBER | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| JENNIFER KLUGE | |||||||
| BOARD MEMBER | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| LAN-HUONG REILLY | |||||||
| BOARD MEMBER | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| ED SCHERVISH | |||||||
| BOARD MEMBER | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| ANTHONY SOUTHALL MD | |||||||
| BOARD MEMBER | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| SR BETTY GRANGER CSJ | |||||||
| BOARD MEMBER | 2.00 | 5.30 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,460,626 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $175,220 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $547,265 | RelatedOrganizationsAmt |
| All Other Contributions | $8,547,462 | AllOtherContributionsAmt |
| Total Contributions | $9,094,727 | TotalContributionsAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $731,413 | TotalRevenueColumnAmt |
| Exclusion | $731,413 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,826,140 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $731,413 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,733,258 | TotalAmt |
| Program Services | $3,733,258 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,327,355 | TotalAmt |
| Management And General | $385,888 | ManagementAndGeneralAmt |
| Fundraising | $941,467 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,598 | TotalAmt |
| Fundraising | $4,598 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,745 | TotalAmt |
| Fundraising | $229,745 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,692 | TotalAmt |
| Fundraising | $87,692 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,523 | TotalAmt |
| Fundraising | $134,523 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,807 | TotalAmt |
| Fundraising | $77,807 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,497 | TotalAmt |
| Management And General | $33,497 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,354 | TotalAmt |
| Management And General | $5,354 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,580 | TotalAmt |
| Fundraising | $11,580 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,722 | TotalAmt |
| Management And General | $26,722 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | FundraisingFundraisingAmt |
|---|---|---|
| PURCHASED SERVICES | $169,578 | $169,578 |
| CULTIVATION | $27,030 | $27,030 |
| SUPPLIES | $89,130 | $89,130 |
| DUES | $14,525 | $14,525 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,706 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $6,706 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,979,100 | TotalAmt |
| Program Services | $3,733,258 | ProgramServicesAmt |
| Management And General | $451,461 | ManagementAndGeneralAmt |
| Fundraising | $1,794,381 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,834,765 | BOYAmt |
| EOY | $6,885,934 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,881,515 | BOYAmt |
| EOY | $6,037,113 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $432,217 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $356,982 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,395 | BOYAmt |
| EOY | $75,235 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,452,637 | BOYAmt |
| EOY | $22,096,030 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,258,312 | BOYAmt |
| EOY | $35,094,312 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,625 | BOYAmt |
| EOY | $120,320 | 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 | $254,870 | BOYAmt |
| EOY | $251,143 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $447,495 | BOYAmt |
| EOY | $371,463 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,696,113 | BOYAmt |
| EOY | $2,972,423 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,985,715 | BOYAmt |
| EOY | $15,901,705 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,128,989 | BOYAmt |
| EOY | $15,848,721 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,810,817 | BOYAmt |
| EOY | $34,722,849 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,258,312 | BOYAmt |
| EOY | $35,094,312 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,847,040 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$935,008 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,532,385 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,494,598 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,467,085 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,909,424 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,094,727 | CurrentTaxYearAmt |
| Total | $41,498,219 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,532,385 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,494,598 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,467,085 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,909,424 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,094,727 | CurrentTaxYearAmt |
| Total | $41,498,219 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $10,649,170 | SubstantialContributorsTotAmt |
| Public Support Total170 | $30,849,049 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,626,737 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $791,756 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $871,794 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $917,878 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $731,413 | CurrentTaxYearAmt |
| Total | $4,939,578 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $46,437,797 | TotalSupportAmt |
| Public Support CY170 | 0.6643 | PublicSupportCY170Pct |
| Public Support PY170 | 0.5433 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,667,452 | BeginningYearBalanceAmt |
| Contributions | $1,719,233 | ContributionsAmt |
| Investment Earnings Or Losses | $774,334 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $241,612 | OtherExpendituresAmt |
| End Year Balance | $17,919,407 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,491,624 | BeginningYearBalanceAmt |
| Contributions | $4,912,288 | ContributionsAmt |
| Investment Earnings Or Losses | $706,349 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $442,809 | OtherExpendituresAmt |
| End Year Balance | $15,667,452 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,103,422 | BeginningYearBalanceAmt |
| Contributions | $184,358 | ContributionsAmt |
| Investment Earnings Or Losses | $516,190 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $312,346 | OtherExpendituresAmt |
| End Year Balance | $10,491,624 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,006,464 | BeginningYearBalanceAmt |
| Contributions | $1,051,513 | ContributionsAmt |
| Investment Earnings Or Losses | $464,076 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $418,631 | OtherExpendituresAmt |
| End Year Balance | $10,103,422 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,960,242 | BeginningYearBalanceAmt |
| Contributions | $704,845 | ContributionsAmt |
| Investment Earnings Or Losses | $419,703 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $78,326 | OtherExpendituresAmt |
| End Year Balance | $9,006,464 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.8844 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.1156 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $138,874 | OtherCostOrOtherBasisAmt |
| Depreciation | $67,453 | DepreciationAmt |
| Book Value | $71,421 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $293,343 | OtherCostOrOtherBasisAmt |
| Depreciation | $289,529 | DepreciationAmt |
| Book Value | $3,814 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $75,235 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE | $19,041,122 |
| ADVANCES TO AFFILIATES | $3,054,908 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $22,096,030 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTERCOMPANY DEBT WITH ASCENSION HEALTH ALLIANCE | Desc |
| Amt | $251,143 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $251,143 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 Intended uses of endowment funds | Endowment funds are created to support the healthcare ministry of St. John Health System Hospitals. The distributions from an endowment provide a dependable source of income each year to help St. John continue to meet the community's healthcare needs. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | From 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, 2015. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St John Hospital & Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 28000 Dequindre | AddressLine1Txt |
| City | Warren | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48092 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 381359063 | RecipientEIN |
| IRC Section | Section 501(c)(3) | IRCSectionDesc |
| Cash Grant | $3,733,258 | CashGrantAmt |
| Purpose Of Grant | To support health care ministries. | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds | The 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. |
| Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | The 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. |
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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUSAN BURNS | ||||||||||||||
| PRESIDENT SJHS FOUNDATION | $0 | $283,518 | $0 | $70,688 | $0 | $67,567 | $0 | $14,300 | $0 | $16,182 | $0 | $452,255 | $0 | $25,554 |
| DAVID BROOKS | ||||||||||||||
| BOARD MEMBER | $0 | $534,193 | $0 | $159,570 | $0 | $73,520 | $0 | $13,000 | $0 | $23,055 | $0 | $803,338 | $0 | $0 |
| KEVIN GRADY MD | ||||||||||||||
| BOARD MEMBER | $0 | $419,894 | $0 | $66,192 | $0 | $30,165 | $0 | $16,900 | $0 | $21,781 | $0 | $554,932 | $0 | $0 |
| STEVEN MINNICK MD | ||||||||||||||
| BOARD MEMBER | $0 | $210,739 | $0 | $5,000 | $0 | $2,780 | $0 | $12,535 | $0 | $17,027 | $0 | $248,080 | $0 | $0 |
| LOUIS SARAVOLATZ MD | ||||||||||||||
| BOARD MEMBER | $0 | $463,193 | $0 | $66,352 | $0 | $7,255 | $0 | $16,900 | $0 | $23,540 | $0 | $577,240 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | ST. JOHN HEALTH, 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 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 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: - Susan Burns - $25,554 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a Community Benefit Report - Part I | St. John Hospital & Medical Center Community Benefit Report Fiscal Year Ended June 30, 2015 This report illustrates the significant degree to which St. John Hospital & 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 & 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 & Medical Center is to perpetuate the healing mission of the church. St. John Hospital & 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 & 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 & 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 & 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 & 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 & 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 & 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. Our clinical excellence includes: - More than 50 medical and surgical specialties - A Level Two Trauma Center - An Accredited Chest Pain Center - Excellence in maternal/child services - Many minimally invasive and robotic surgery options - Comprehensive cardiac care - Quality neurosciences - A network of oncology specialties - Comprehensive bone and joint care - A thriving medical education program Medical Education & Specialty Areas St. John Hospital & 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 & Medical Center is known for the following specialty areas: - Audiology - Bariatric Surgery - Bone & Joint Center - Childbirth Services - Cracchiolo Inpatient Rehabilitation Center - Emergency - Heart and Vascular Care - The Holley Institute - Minimally Invasive Surgery - Neurosciences - Parkinson's Disease Clinic - Physical Rehabilitation and Therapy - Post-Polio Clinic - St. John Center for Wound and Hyperbaric Medicine - Stroke - Transplant Specialty Center - Trauma Center - Valade Healing Arts Center - Van Elslander Cancer Center - Women's Health |
| Form 990, Part III, Line 4a COMMUNITY BENEFIT REPORT - PART II | Some of the services listed above 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 & 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 provided to the community are as follows: - Labyrinth walk - Open arms grief counseling - Prenatal and breastfeeding classes - Bereavement support group - Oncology bereavement support - Non-oncology bereavement support - Breast cancer support group - Individual counseling for cancer patients - Pediatric cancer parent support group - Cardiac rehabilitation program - Carelink education classes for senior adults - Clinical trials - Diabetes education program - Injury prevention classes to numerous schools and community groups - Free pediatric obesity program - Screenings for oral cancer - Hip and knee pain seminar - Hypnotherapy for smoking cessation - Lap band support group - Transplant support group Education material also is provided via our website at www.stjohnprovidence.org. Access To Care Programs St. John Hospital & 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 & 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 & Medical Center provides charitable contributions to a number of community organizations. St. John Hospital & 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. St. John Hospital & Medical Center is an active supporting member in community events and partners with many organizations to improve community health, such as American Red Cross, American Heart Association, Multiple Sclerosis Society, Eagle Sports, Soar tutoring program, American Cancer Society . Community service is an important part of our existence. To that end, St. John Hospital & 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 & 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 & Medical Center had 128,295 emergency department visits in fiscal 2015. Increasingly, patients are experiencing limited abilities to pay for health care services or qualify for state and federally funded programs like Medicaid that cover only a portion of the cost of services provided. St. John Hospital & 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 & Medical Center provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2015, approximately 39% of the value of services rendered was to elderly patients under the Medicare program and approximately 23% 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, 2015, St. John Hospital & Medical center treated adults and children from the community for a total of 148,316 patient days of service. St. John Hospital & Medical Center also provided services to 14,820 outpatient surgery patients. St. John Hospital & Medical Center Uncompensated Care for Fiscal Year Ending June 30, 2015: - Traditional charity care provided = $1,256,358 - Unpaid cost of public programs for persons living in poverty = $9,774,873 - Other programs for persons living in poverty and other vulnerable persons = $2,621,311 - Community benefit programs = $21,069,488 - Total care of persons living in poverty and community benefit programs = $34,722,030 - Bad debt costs attributable to charity = $13,388,485 - Medicare shortfalls/(surplus) = ($18,815,977) |
| Form 990, Part VI, Line 15 COMPENSATION | IN DETERMINING COMPENSATION OF THE ORGANIZATION'S PRESIDENT, THE PROCESS, PERFORMED BY ST. JOHN HEALTH, A RELATED ORGANIZATION OF ST. JOHN HOSPITAL FOUNDATION, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. MANAGEMENT REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE PRESIDENT WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. WAGE BANDS ARE ADJUSTED ANNUALLY AND WAGES PAID FOR ALL POSITIONS ARE WITHIN THOSE BANDS. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. INDIVIDUAL WAS NOT PRESENT WHEN HER COMPENSATION WAS DECIDED. |
| Form 990, Part VI, Line 15b COMPENSATION | LINE 15B IS MORE APPROPRIATELY ANSWERED AS NOT APPLICABLE AS ST. JOHN HOSPITAL FOUNDATION DOES NOT COMPENSATE ANY OTHER OFFICERS OR KEY EMPLOYEES. |
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | MANY OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON RELATED ST. JOHN PROVIDENCE HEALTH SYSTEM ENTITY BOARDS. - |
| Form 990, Part VI, Line 6 Classes of members or stockholders | St. John Hospital Foundation has a single corporate member, St. John Health. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | St. John Hospital Foundation has a single corporate member, St. John Health, 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 stockholders | All 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 Health. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | Management, 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 policy | The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy; has read and understands the policy; has agreed to comply with the policy; and understands that the organization is charitable and, in order to maintain its federal tax exemption, it must engage primarily in activities which accomplish its tax-exempt purpose. |
| Form 990, Part VI, Line 19 Required documents available to the public | The organization will provide any documents open to public inspection upon request. |
| Form 990, Part VII, Section B, Line 1 Independent Contractor Reporting | Compensation of independent contractors is paid by and reported on the Form 1096, Annual Summary and Transmittal of U.S. Information Returns, of Ascension Health EIN 31-1662309. Expenses are allocated to and reimbursed by the filing organization to Ascension Health. As such, the organization has not reported independent contractors paid on Form 990, Part VII, Section B. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ASCENSION HEALTH ALLIANCE | |||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 453358926 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3 | Type I | N/A | false | |
| ASCENSION HEALTH | |||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 311662309 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3 | Type I | false | ASCENSION HEALTH | |
| ST JOHN HEALTH | |||||||||||
| 28000 DEQUINDRE ROAD | WARREN | MI | 48092 | 382244034 | PARENT | MI | 501(c)(3 | Type III-FI | false | ASCENSION HEALTH | |
| BRIGHTON HOSPITAL | |||||||||||
| 12851 GRAND RIVER | BRIGHTON | MI | 48116 | 381576680 | HOSPITAL | MI | 501(c)(3 | 3 | Yes (true) | ST JOHN HEALTH | |
| EASTWOOD COMMUNITY CLINICS | |||||||||||
| 28000 DEQUINDRE ROAD | WARREN | MI | 48092 | 381958763 | HEALTH CARE | MI | 501(c)(3 | 9 | Yes (true) | ST JOHN HEALTH | |
| FATHER MURRAY NURSING CENTER | |||||||||||
| 28000 DEQUINDRE ROAD | WARREN | MI | 48092 | 382601348 | HEALTH CARE | MI | 501(c)(3 | 9 | Yes (true) | ST JOHN HEALTH | |
| MEDICAL RESOURCES GROUP | |||||||||||
| 28000 DEQUINDRE | WARREN | MI | 48092 | 383494637 | HEALTH CARE | MI | 501(c)(3 | 9 | Yes (true) | ST JOHN HEALTH | |
| PROVIDENCE HEALTH FOUNDATION | |||||||||||
| 22101 MOROSS | DETROIT | MI | 48236 | 383526629 | FUNDRAISING | MI | 501(c)(3 | Type III-FI | Yes (true) | ST JOHN HEALTH | |
| PROVIDENCE HOSPITAL | |||||||||||
| 16001 WEST NINE MILE ROAD | SOUTHFIELD | MI | 48037 | 381358212 | HOSPITAL | MI | 501(c)(3 | 3 | Yes (true) | ST JOHN HEALTH | |
| SETON HEALTH CORP OF SE MICHIGAN | |||||||||||
| 28000 DEQUINDRE | WARREN | MI | 48092 | 382820107 | HEALTH CARE | MI | 501(c)(3 | 9 | Yes (true) | ST JOHN HEALTH | |
| ST JOHN COMMUNITY HEALTH INVESTMENT CORP | |||||||||||
| 28000 DEQUINDRE ROAD | WARREN | MI | 48092 | 382262856 | HEALTH CARE | MI | 501(c)(3 | 3 | Yes (true) | ST JOHN HEALTH | |
| ST JOHN HOSPITAL & MEDICAL CENTER | |||||||||||
| 28000 DEQUINDRE ROAD | WARREN | MI | 48092 | 381359063 | HEALTH CARE | MI | 501(c)(3 | 3 | Yes (true) | ST JOHN HEALTH | |
| ST JOHN HOSPITAL GUILD | |||||||||||
| 28000 DEQUINDRE ROAD | WARREN | MI | 48092 | 386091110 | FUNDRAISING | MI | 501(c)(3 | Type III-FI | false | ST JOHN HOSPITAL & MEDICAL CENTER | |
| ST JOHN RIVER DISTRICT HOSPITAL | |||||||||||
| 4100 RIVER ROAD | EAST CHINA | MI | 48054 | 383160564 | HOSPITAL | MI | 501(c)(3 | 3 | Yes (true) | ST JOHN HEALTH | |
| ST JOHN SENIOR COMMUNITY | |||||||||||
| 28000 DEQUINDRE ROAD | WARREN | MI | 48092 | 382631907 | HEALTH CARE | MI | 501(c)(3 | 9 | Yes (true) | ST JOHN HEALTH | |
| ST JOHN MACOMB-OAKLAND HOSPITAL | |||||||||||
| 28000 DEQUINDRE ROAD | WARREN | MI | 48092 | 383322109 | HOSPITAL | MI | 501(c)(3 | 3 | Yes (true) | ST JOHN HEALTH | |
| FONTBONNE AUXILIARY OF ST JOHN HOSPITAL | |||||||||||
| 28000 DEQUINDRE ROAD | WARREN | MI | 48092 | 386082173 | FUNDRAISING | MI | 501(c)(3 | Type III-FI | false | ST JOHN HOSPITAL & MEDICAL CENTER | |
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 | 383494197 | RENTAL REAL ESTATE | MI | NA | N/A |
| OPEN MRI OF MICHIGAN | ||||||||
| 28000 DEQUINDRE | WARREN | MI | 48092 | 383544539 | DIAGONOSTIC IMAGING CENTER | MI | NA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| ADVENT INC | |||||||||
| 28000 DEQUINDRE | WARREN | MI | 48092 | 382971743 | REAL ESTATE DEVELOPMENT | MI | NA | C Corporation | false |
| AFFILIATED HEALTH SERVICES INC | |||||||||
| 28000 DEQUINDRE | WARREN | MI | 48092 | 382292922 | MEDICAL SERVICES | MI | NA | C Corporation | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (13 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| St John River District Hospital | ||
| R | $380,939 | Actual Amount Paid |
| St John Macomb-Oakland Hospital | ||
| Q | $87,097 | Actual Amount Paid |
| St John Macomb-Oakland Hospital | ||
| R | $2,105,742 | Actual Amount Paid |
| St John Macomb-Oakland Hospital | ||
| S | $69,949 | Actual Amount Paid |
| Providence Health Foundation | ||
| Q | $1,984,055 | Actual Amount Paid |
| Providence Health Foundation | ||
| S | $2,651,912 | Actual Amount Paid |
| St John Health | ||
| P | $4,173,072 | Actual Amount Paid |
| St John Health | ||
| R | $5,919,273 | Actual Amount Paid |
| St John Hospital & Medical Center | ||
| B | $3,733,258 | Actual Amount Paid |
| St John Hospital & Medical Center | ||
| Q | $2,652,505 | Actual Amount Paid |
| St John Hospital & Medical Center | ||
| R | $1,565,975 | Actual Amount Paid |
| FONTBONNE AUXILIARY OF ST JOHN HOSPITAL | ||
| C | $233,344 | Actual Amount Paid |
| ST JOHN HOSPITAL GUILD | ||
| C | $230,000 | Actual Amount Paid |
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