MYMICHIGAN MEDICAL CENTER TAWAS: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MYMICHIGAN MEDICAL CENTER TAWAS (EIN 38-1443395)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-13
- IRS object ID
- 201311339349302826
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-13T12:33:54-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | SUITE 900 600 RENAISSENCE CENTER | AddressLine1 |
| City | DETROIT | City |
| State | MI | State |
| ZIP Code | 482431895 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381443395 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH HEALTH SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STJO | NameControl |
| Phone | 9893620181 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 HEMLOCK STREET | AddressLine1 |
| City | TAWAS CITY | City |
| State | MI | State |
| ZIP Code | 48763 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ANN BALFOUR | Name |
| Title | PRESIDENT | Title |
| Phone | 9893620181 | Phone |
| Date Signed | 2013-05-09 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Date Prepared | 2013-05-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ANN BALFOUR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 HEMLOCK STREET | AddressLine1 |
| City | TAWAS CITY | City |
| State | MI | State |
| ZIP Code | 48763 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 65061338 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SJHSYS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1955 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | AS A CATHOLIC HEALTH MINISTRY OF THE CHURCH, ST. JOSEPH HEALTH SYSTEM'S MISSION IS TO "PROVIDE SPIRITUALLY CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES." THIS INCLUDES ACTING AS ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND WORDS. A UNIVERSAL TENET OF CATHOLIC HEALTH ORGANIZATIONS' MISSION STATEMENTS IS CARE FOR ALL PERSONS, ESPECIALLY THE POOR AND VULNERABLE. THE CALL TO BRING GOD'S HEALING TO PERSONS IN NEED IS WHAT COMPELLED THE FOUNDERS OF VARIOUS ORGANIZATIONS TO VENTURE OUT INTO PARTS OF THIS NATION THAT, UNTIL THEIR ARRIVAL, HAD BEEN SORELY UNDERSERVED. FOR MORE THAN 250 YEARS, (58 FOR ST. JOSEPH HEALTH SYSTEM) CATHOLIC HEALTH CARE IN THE UNITED STATES HAS BEEN DRIVEN BY THAT SAME CALL AND HAS GROWN IN WAYS THAT COULD NOT HAVE BEEN IMAGINED. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 617 | TotalNbrEmployees |
| Total Nbr Volunteers | 200 | TotalNbrVolunteers |
| Total Gross UBI | 168102 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -22230 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 261102 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 340261 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 56421027 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 59345799 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1959578 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1058114 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 532695 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4237334 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 59174402 | TotalRevenuePriorYear |
| Total Revenue Current Year | 64981508 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 8689 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2149 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 31357586 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 31984979 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 118578 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 27483956 | OtherExpensePriorYear |
| Other Expenses Current Year | 27599470 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 58850231 | TotalExpensesPriorYear |
| Total Expenses Current Year | 59586598 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 324171 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5394910 | RevenuesLessExpensesCY |
| Total Assets BOY | 55064786 | TotalAssetsBOY |
| Total Assets EOY | 55318675 | TotalAssetsEOY |
| Total Liabilities BOY | 27970627 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 27208536 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 27094159 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 28110139 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | AS A CATHOLIC HEALTH MINISTRY OF THE CHURCH, ST. JOSEPH HEALTH SYSTEM'S MISSION IS TO "PROVIDE SPIRITUALLY CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES." THIS INCLUDES ACTING AS ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND WORDS. A UNIVERSAL TENET OF CATHOLIC HEALTH ORGANIZATIONS' MISSION STATEMENTS IS CARE FOR ALL PERSONS, ESPECIALLY THE POOR AND VULNERABLE. THE CALL TO BRING GOD'S HEALING TO PERSONS IN NEED IS WHAT COMPELLED THE FOUNDERS OF VARIOUS ORGANIZATIONS TO VENTURE OUT INTO PARTS OF THIS NATION THAT, UNTIL THEIR ARRIVAL, HAD BEEN SORELY UNDERSERVED. FOR MORE THAN 250 YEARS, (58 FOR ST. JOSEPH HEALTH SYSTEM) CATHOLIC HEALTH CARE IN THE UNITED STATES HAS BEEN DRIVEN BY THAT SAME CALL AND HAS GROWN IN WAYS THAT COULD NOT HAVE BEEN IMAGINED. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 44432959 | Expense |
| Grants | 2149 | Grants |
| Revenue | 59270321 | Revenue |
| Description | ST. JOSEPH HEALTH SYSTEM (SJHS) PROVIDES A SUBSTANTIAL PORTION OF ITS SERVICES TO THE ELDERLY AND POOR. DURING THE FISCAL YEAR ENDING JUNE 30, 2012, APPROXIMATELY 49% OF THE VALUE OF SERVICES RENDERED WERE TO ELDERLY PATIENTS UNDER THE MEDICARE PROGRAM, AND APPROXIMATELY 16% OF THE SERVICES WERE PROVIDED TO PATIENTS WHO WERE DEEMED ELIGIBLE UNDER STATE, COUNTY, OR HEALTH SYSTEM FINANCIAL ASSISTANCE GUIDELINES. ST. JOSEPH HEALTH SYSTEM ACTIVELY PROVIDES FUNDING AND RESOURCES TO PROMOTE HEALTH SCREENINGS, WELLNESS ACTIVITIES, AND VARIOUS OTHER HEALTH EDUCATION PROGRAMS IN COMMUNITIES WE SERVE, TARGETING SCHOOLS, WOMEN'S HEALTH SEMINARS, HEALTH & WELLNESS SCREENS, AS WELL AS THE GENERAL PUBLIC. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. IN EFFORTS TO PROMOTE HEALTHY LIVING, ST. JOSEPH HEALTH SYTEM HAS MADE AVAILABLE THE FOLLOWING PROGRAMS TO THE COMMUNITY: SEE SCHEDULE H DURING THE FISCAL YEAR ENDING JUNE 30, 2012, OUR HOSPITAL TREATED 2,113 INPATIENT ADULTS AND CHILDREN IN THE COMMUNITY FOR A TOTAL OF 5,274 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES TO 213,085 OUTPATIENTS, INCLUDING 3,225 OUTPATIENT SURGERY PATIENTS, 16,471 EMERGENCY ROOM VISITS, 14,491 HOMEBOUND VISITS, AND 4,741 HOSPICE DAYS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 44432959 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 80 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 1 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 617 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | true | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DONNA SANFORD | NamePerson |
| Telephone Number | 9893620181 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 HEMLOCK STREET | AddressLine1 |
| City | TAWAS CITY | City |
| State | MI | State |
| ZIP Code | 48763 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| DONALD R ELLIS III MD | ||||||||
| TRUSTEE | 60.00 | X | 258442 | 0 | 14166 | |||
| EARL ELOWSKY | ||||||||
| CHIEF OF STA | 60.00 | X | 210556 | 0 | 14265 | X | ||
| ANN BALFOUR | ||||||||
| PRESIDENT | 60.00 | X | 184109 | 0 | 38784 | X | ||
| SCOTT CHAPLESKI | ||||||||
| TREASURER | 2.00 | X | 0 | 0 | 0 | |||
| MICHAEL BUSCH | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| JERRY SCHMIDT | ||||||||
| SECRETARY | 2.00 | X | 0 | 0 | 0 | |||
| GERALD GRACIK | ||||||||
| CHAIR | 2.00 | X | 0 | 0 | 0 | |||
| RYAN PARKINSON | ||||||||
| VICE CHAIR | 2.00 | X | 0 | 0 | 0 | |||
| MARIE HOGAN | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| RICK MICHAELS | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| ROBERT STALKER II | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| LINDA STANCILL | ||||||||
| CFO | 60.00 | 186331 | 0 | 40896 | X | |||
| DIANA ENNES | ||||||||
| SURGEON | 60.00 | 532570 | 0 | 15992 | X | |||
| JOHN BLOCKSOM DO | ||||||||
| PHYSICIAN | 60.00 | 478234 | 0 | 19285 | X | |||
| HUGO DAVILA GARCIA | ||||||||
| PHYSICIAN | 60.00 | 389355 | 0 | 14415 | X | |||
| MARK GALLAGHER DO | ||||||||
| SURGEON | 60.00 | 361126 | 0 | 17493 | X | |||
| RICHARD SCHULZ DO | ||||||||
| SURGEON | 60.00 | 320515 | 0 | 14739 | X | |||
| PATRICK MURTHA | ||||||||
| FORMER CEO | 0.00 | 255092 | 0 | 11325 | X | |||
| NEELIMADEVI RYALI MD | ||||||||
| FORMER CHIEF | 60.00 | 254154 | 0 | 10367 | X | |||
| MICHAEL WAGNER | ||||||||
| FORMER CHIEF | 60.00 | 239335 | 0 | 6204 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3669819 | TotalReportableCompFromOrg |
| Total Other Compensation | 217931 | TotalOtherCompensation |
| Number Individuals GT100 K | 28 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | Address Line2AddressOfContractor/AddressUS/AddressLine2 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|---|
| EPMG OF MICHIGAN PC | ||||||
| 2000 GREEN ROAD | SUITE 300 | ANN ARBOR | MI | 48105 | ER PHYSICIANS | 1063044 |
| DEGARA PLLC | ||||||
| 240 CANTERBURY | BLOOMFIELD HILLS | MI | 48304 | ER PHYSICIANS | 885125 | |
| TRIMEDX LLC | ||||||
| 5451 LAKEVIEW PARKWAY S DRIVE | INDIANAPOLIS | IN | 46268 | BIOMEDICAL SERV | 493470 | |
| DAVID URBANKSKI | ||||||
| 1683 LITTLESTONE | GROSS POINTE WOODS | MI | 48236 | ONCOLOGY PHYS | 207100 | |
| COMMUNITY HOSPITAL SERVICES | ||||||
| 1321 CUMBERLAND | SAGINAW | MI | 48601 | LINEN SERVICES | 206575 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 10 | NumberOfContractorsGT100K |
| Related Organizations | 70521 | RelatedOrganizations |
| Government Grants | 265240 | GovernmentGrants |
| All Other Contributions | 4500 | AllOtherContributions |
| Total Contributions | 340261 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Business CodeBusinessCode | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICES | 59270321 | 59270321 | ||
| LAB SUPPORT SERVICES TO EXTER | 75478 | 621990 | 75478 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 59345799 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1057657 | TotalRevenueColumn |
| Exclusion | $1,057,657 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 11050 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 41028 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -29978 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -29978 | TotalRevenueColumn |
| Exclusion | -$29,978 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 39259 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 38802 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 457 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 457 | TotalRevenueColumn |
| Exclusion | $457 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PENSION CURTAILMENT GAIN | 621990 | 3447026 | $3,447,026 | |
| MIS REV - CONVEN. OF PATIENTS | 621990 | 727662 | $727,662 | |
| OCC HEALTH SUPPORT SERVICES | 621990 | 92624 | 92624 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4267312 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 64981508 | TotalRevenueColumn |
| Related Or Exempt Function Income | 59270321 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 168102 | UnrelatedBusinessRevenue |
| Exclusion | $5,202,824 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2149 | Total |
| Program Services | 2149 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 947549 | Total |
| Program Services | 497429 | ProgramServices |
| Management And General | 450120 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24517798 | Total |
| Program Services | 19688511 | ProgramServices |
| Management And General | 4747158 | ManagementAndGeneral |
| Fundraising | 82129 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 263802 | Total |
| Program Services | 131706 | ProgramServices |
| Management And General | 130472 | ManagementAndGeneral |
| Fundraising | 1624 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4610053 | Total |
| Program Services | 3704662 | ProgramServices |
| Management And General | 894259 | ManagementAndGeneral |
| Fundraising | 11132 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1645777 | Total |
| Program Services | 1322555 | ProgramServices |
| Management And General | 319248 | ManagementAndGeneral |
| Fundraising | 3974 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100000 | Total |
| Management And General | 100000 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70345 | Total |
| Program Services | 6267 | ProgramServices |
| Management And General | 64078 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64917 | Total |
| Management And General | 64917 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11943 | Total |
| Management And General | 11943 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5305580 | Total |
| Program Services | 3838237 | ProgramServices |
| Management And General | 1465241 | ManagementAndGeneral |
| Fundraising | 2102 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90181 | Total |
| Program Services | 5638 | ProgramServices |
| Management And General | 84543 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1443176 | Total |
| Program Services | 760438 | ProgramServices |
| Management And General | 673461 | ManagementAndGeneral |
| Fundraising | 9277 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3285392 | Total |
| Program Services | 78841 | ProgramServices |
| Management And General | 3206551 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1497495 | Total |
| Program Services | 1079870 | ProgramServices |
| Management And General | 413189 | ManagementAndGeneral |
| Fundraising | 4436 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 184688 | Total |
| Program Services | 184688 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101066 | Total |
| Program Services | 45473 | ProgramServices |
| Management And General | 53512 | ManagementAndGeneral |
| Fundraising | 2081 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 721523 | Total |
| Program Services | 15710 | ProgramServices |
| Management And General | 705813 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 567181 | Total |
| Management And General | 567181 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2470659 | Total |
| Program Services | 1838017 | ProgramServices |
| Management And General | 632472 | ManagementAndGeneral |
| Fundraising | 170 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31724 | Total |
| Management And General | 31724 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES | 8251583 | 8243822 | 7761 | |
| BAD DEBT | 2405595 | 2405595 | ||
| MAINTENANCE & REPAIRS | 627208 | 401991 | 225217 | |
| OTHER EXPENSE | 339253 | 160803 | 176797 | 1653 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29961 | Total |
| Program Services | 20557 | ProgramServices |
| Management And General | 9404 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59586598 | Total |
| Program Services | 44432959 | ProgramServices |
| Management And General | 15035061 | ManagementAndGeneral |
| Fundraising | 118578 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1516331 | BOY |
| EOY | 1747677 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8164 | BOY |
| EOY | 26090 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3786912 | BOY |
| EOY | 4172331 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79378 | BOY |
| EOY | 52379 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1393904 | BOY |
| EOY | 1223868 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4860427 | BOY |
| EOY | 5755869 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 54484141 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 34976178 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20126724 | BOY |
| EOY | 19507963 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20631536 | BOY |
| EOY | 20571532 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2661410 | BOY |
| EOY | 2260966 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55064786 | BOY |
| EOY | 55318675 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8240851 | BOY |
| EOY | 7791419 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19729776 | BOY |
| EOY | 19417117 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27970627 | BOY |
| EOY | 27208536 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26755193 | BOY |
| EOY | 27898723 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 338966 | BOY |
| EOY | 211416 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27094159 | BOY |
| EOY | 28110139 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55064786 | BOY |
| EOY | 55318675 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 5394910 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -4378930 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Form1120 Pol Filed | false | Form1120PolFiled |
| Form4720 Filed | false | Form4720Filed |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $7,632 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $4,311 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 11943 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
| Substantially All Dues Nondeduct | false | SubstantiallyAllDuesNondeduct |
| Only In House Lobbying | false | OnlyInHouseLobbying |
| Agree To Carryover Prior Year | false | AgreeToCarryoverPriorYear |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | SCHEDULE C, PART II-B, LINE 1 | ReturnReference |
| Explanation | LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. ST. JOSEPH HEALTH SYSTEM DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 230120 | BeginningOfYearBalance |
| Contributions | 338824 | Contributions |
| Investment Earnings Or Losses | 16522 | InvestmentEarningsOrLosses |
| End Of Year Balance | 585466 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 138169 | BeginningOfYearBalance |
| Contributions | 65979 | Contributions |
| Investment Earnings Or Losses | 25972 | InvestmentEarningsOrLosses |
| End Of Year Balance | 230120 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | 139537 | Contributions |
| Investment Earnings Or Losses | -1368 | InvestmentEarningsOrLosses |
| End Of Year Balance | 138169 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.01400 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.98600 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1492993 | OtherCostOrOtherBasis |
| Book Value | 1492993 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 23686054 | OtherCostOrOtherBasis |
| Depreciation | 14262886 | Depreciation |
| Book Value | 9423168 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 181158 | OtherCostOrOtherBasis |
| Depreciation | 179862 | Depreciation |
| Book Value | 1296 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 25513632 | OtherCostOrOtherBasis |
| Depreciation | 18251375 | Depreciation |
| Book Value | 7262257 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3610304 | OtherCostOrOtherBasis |
| Depreciation | 2282055 | Depreciation |
| Book Value | 1328249 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 19507963 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTERCOMPANY DEBT TO ASCENSION HEALT | $18,817,830 |
| GENERAL RESERVES | $378,670 |
| SELF INSURANCE LIABILITY | $220,617 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 19417117 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | INTENDED USES FOR ENDOWMENT FUNDS | Identifier |
| Return Reference | SCHEDULE D, PAGE 2, PART V, LINE 4 | ReturnReference |
| Explanation | THE USE OF ALL ENDOWED FUNDS SUPPORTS CAPITAL EQUIPMENT PURCHASES AND NEW SERVICE LINE EXPANSION AT ST. JOSEPH HEALTH SYSTEM. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 618730 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 618730 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01150 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8554848 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6869897 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1684951 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03140 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9173578 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6869897 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2303681 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04290 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 318598 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 318598 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00590 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 347053 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 201409 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 145644 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24729 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 24729 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 690380 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 201409 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 488971 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00910 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9863958 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7071306 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2792652 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05200 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 5680 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5680 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 50 | PersonsServed |
| Total Community Building Expense | 1871 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1871 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 50 | PersonsServed |
| Total Community Building Expense | 7551 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 7551 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $1,236,445 | BadDebtExpenseAmount |
| Amount Attributable To | 673485 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 20668477 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 17659961 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 3008516 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH HEALTH SYSTEM | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 HEMLOCK STREET | AddressLine1 |
| City | TAWAS CITY | City |
| State | MI | State |
| ZIP Code | 48763 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH HEALTH SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200.0 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 300.0 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 14 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (14 entries)
| Address Line1Address/AddressLine1 | Address Line2Address/AddressLine2 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|---|
| HARBOR HEALTH CENTER | |||||
| 110 BEECH STREET | SUITE B | TAWAS CITY | MI | 48763 | REHAB SERVICES, PHYSICIAN OFFICES |
| HURON PROFESSIONAL BUILDING | |||||
| 716 GERMAN STREET | TAWAS CITY | MI | 48763 | HOME HEALTH & HOSPICE | |
| OSCODA HEALTH PARK | |||||
| 5939 N HURON RD | OSCODA | MI | 48750 | PHYSICIAN OFFICES | |
| HURON FAMILY MEDICINE | |||||
| 700 GERMAN STREET | TAWAS CITY | MI | 48763 | PHYSICIAN OFFICES | |
| MEDICAL ARTS BUILDING | |||||
| 295 MAPLE STREET | TAWAS CITY | MI | 48763 | PHYSICIAN OFFICES | |
| ST JOSEPH WOMENS CLINIC | |||||
| 25 M-55 | TAWAS CITY | MI | 48763 | PHYSICIAN OFFICES | |
| ST JOSEPH PEDIATRIC CLINIC | |||||
| 325 M-55 | TAWAS CITY | MI | 48763 | PHYSICIAN OFFICES | |
| HALE ST JOSEPH MEDICAL CENTER | |||||
| 116 S CHURCH STREET | HALE | MI | 48739 | PHYSICIAN OFFICES | |
| WOMEN'S CLINIC - WEST BRANCH | |||||
| 621 COURT STREET SUITE 105 | WEST BRANCH | MI | 48661 | PHYSICIAN OFFICES | |
| ST JOSEPH UROLOGY CLINIC | |||||
| 110 E STATE STREET | EAST TAWAS | MI | 48730 | PHYSICIAN OFFICES | |
| HURON SHORES WALK-IN CLINIC | |||||
| 110 BEECH STREET | SUITE A | TAWAS CITY | MI | 48763 | PHYSICIAN OFFICES |
| GREAT LAKES FAMILY MEDICINE | |||||
| 106 DIVISION | OSCODA | MI | 48750 | PHYSICIAN OFFICES | |
| AUGRES FAMILY CLINIC | |||||
| 302 S MAIN | AUGRES | MI | 48703 | PHYSICIAN OFFICES | |
| AUSABLE VALLEY HEALTH CENTER | |||||
| 1392 MAPLE DRIVE | FAIRVIEW | MI | 48621 | LAB SERVICES | |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER TESTING METHODS FOR FREE OR DISCOUNTED CARE | PART I LINE 3C | THE ORGANIZATION PROVIDES MEDICALLY NECESSARY CARE TO ALL PATIENTS REGARDLESS OF RACE COLOR CREED ETHNIC ORIGIN GENDER DISABILITY OR ECONOMIC STATUS THE ORGANIZATION USES A PERCENTAGE OF FEDERAL POVERTY LEVEL FPL TO DETERMINE FREE AND DISCOUNTED CARE AT A MINIMUM PATIENTS WITH INCOME LESS THAN OR EQUAL TO 200 OF THE FPL WHICH MAY BE ADJUSTED FOR COST OF LIVING UTILIZING THE LOCAL WAGE INDEX COMPARED TO NATIONAL WAGE INDEX WILL BE ELIGIBLE FOR 100 CHARITY CARE WRITE OFF OF CHARGES FOR SERVICES THAT HAVE BEEN PROVIDED TO THEM ALSO AT A MINIMUM PATIENTS WITH INCOMES ABOVE 200 OF THE FPL BUT NOT EXCEEDING 300 OF THE FPL SUBJECT TO ADJUSTMENTS FOR COST OF LIVING UTILIZING THE LOCAL WAGE INDEX COMPARED TO NATIONAL WAGE INDEX WILL RECEIVE A DISCOUNT ON THE SERVICES PROVIDED TO THEM |
| EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE | PART I LINE 7 COLUMN F | THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON FORM 990 PART IX LINE 25 COLUMN A BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN PART I LINE 7 COLUMN F IS 2405595 |
| COSTING METHODOLOGY EXPLANATION | PART I LINE 7 | FOR THE INFORMATION IN THE TABLE A COSTTOCHARGE RATIO WAS CALCULATED AND APPLIED |
| COMMUNITY BUILDING ACTIVITIES | PART II | IOSCO COUNTY SEXUAL ASSAULT RESPONSE TEAM IN 2009 AFTER A CRIME VICTIM SERVICE COMMISSION SEXUAL ASSAULT RESPONSE ASSESSMENT SARA PROJECT IDENTIFIED NORTHEAST MICHIGAN AS ONE REGION IN THE STATE THAT HAS ZERO DOLLARS DESIGNATED FOR SEXUAL ASSAULT SERVICES AND A REQUEST FROM ASCENSION HEALTH MINISTRIES TO CONSIDER COMPASSIONATE CARE OF SEXUAL ASSAULT PATIENTS IN THE EMERGENCY DEPARTMENT SETTING ST JOSEPH HEALTH SYSTEM INITIATED A TASK FORCE TO INVESTIGATE THE FEASIBILITY OF OFFERING A SEXUAL ASSAULT NURSE EXAMINER SANE PROGRAM AS WELL AS MEET THE NEEDS OF OUR REGIONS SEXUAL ASSAULT SURVIVORS IN PARTNERSHIP WITH SHELTER INC A DUAL DOMESTIC VIOLENCESEXUAL ASSAULT COMPREHENSIVE SERVICE AGENCY SJHS AND THE IOSCO COUNTY SEXUAL ASSAULT RESPONSE TEAM SART ESTABLISHED A WELCOME AND RESPONSE CENTER AT OUR OSCODA HEALTH PARK LOCATION THE CENTER PROMOTES A COMPREHENSIVE COMMUNITY RESPONSE TO SEXUAL ASSAULT THROUGH EDUCATION SYSTEM CHANGE CRISIS AND PRIMARY AND SECONDARY VICTIM SERVICES MEMBERS OF THE SART TEAM CONSIST OF ST JOSEPH HEALTH SYSTEM ASSOCIATES AND KEY COMMUNITY STAKEHOLDERS INCLUDING MICHIGAN STATE POLICE IOSCO COUNTY SHERRIFF TAWAS POLICE AUTHORITY SHELTER INC HUMAN SERVICE AGENCIES COUNTY COURTS MENTAL HEALTH PROFESSIONALS AND CLERGY THE COMMITMENT OF SJHS AND THE LOCAL COMMUNITY TO PROVIDING SEXUAL ASSAULT SERVICES SPECIFIC TO RURAL COMMUNITY ISSUES HAS BEEN AND CONTINUES TO BE CLEAR ESTABLISHED AND ONGOING STRIVING TO BUILD AND SUSTAIN SURVIVOR CENTERED EMPOWERMENT BASED SEXUAL ASSAULT SERVICES REMAINS THE GOAL AND FOCUS OF OUR COMMUNITY COORDINATED RESPONSE TO SEXUAL ASSAULT |
| BAD DEBT EXPENSE EXPLANATION | PART III LINE 4 | THE ORGANIZATION IS A PART OF THE ASCENSION HEALTH SYSTEM CONSOLIDATED AUDIT THE FOOTNOTE THAT REFERENCES BAD DEBT EXPENSE IN THE 2012 CONSOLIDATED AUDIT IS AS FOLLOWS THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENTS ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING ECONOMIC CONDITIONS HISTORICAL EXPERIENCE TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS PERIODICALLY THROUGHOUT THE YEAR MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITEOFF EXPERIENCE BY PAYOR CATEGORY INCLUDING THOSE AMOUNTS NOT COVERED BY INSURANCE THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED ASCENSION HEALTH FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PASTDUE PATIENT BALANCES WITH COLLECTION AGENCIES SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASCENSION HEALTHS POLICIES |
| MEDICARE EXPLANATION | PART III LINE 8 | ASCENSION HEALTH AND RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION CHA GUIDELINES FOR DETERMINING COMMUNITY BENEFIT CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT |
| COLLECTION PRACTICES EXPLANATION | PART III LINE 9B | THE ORGANIZATION HAS A WRITTEN DEBT COLLECTION POLICY THAT ALSO INCLUDES A PROVISION ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE IF A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE CERTAIN COLLECTION PRACTICES DO NOT APPLY |
| NEEDS ASSESSMENT | PART VI | ST JOSEPH HEALTH SYSTEM RELIES ON INFORMATION FROM ST JOSEPH HEALTH SYSTEM EMERGENCY DEPARTMENT PATIENTS MICHIGAN STATISTICS WWWAECFORGKIDSCOUNT WWWMICHIGANGOVMDCH HTTPWWWCENSUSGOV WWWMICHIGANGOVMDCH WWWAECFORGKIDSCOUNT HTTPWWWDIABETERSORG WWWMICHIGANGOVMDCH COMMUNITY HEALTH ASSESSMENT ALCONA IOSCO OGEMAW AND OSCODA COUNTIES FEBRUARY 1996 DEMOGRAPHICS PP1122 KEY FINDINGS POPULATION EDUCATIONAL ATTAINMENT EMPLOYMENT AND INCOME POVERTY HOUSING AND PUBLIC ASSISTANCE CONCLUSION MARKET SHARE DATATHEIDSONLINECOM COMMUNITY NEEDS ASSESSMENT ALCONA 2009 |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI | UPON ADMISSION TO ST JOSEPH HEALTH SYSTEM ALL SELFPAY PATIENTS SPEAK WITH AN ASSOCIATE REGARDING FINANCIAL ASSISTANCE THAT IS AVAILABLE TO THEM ASSOCIATES HELP THE PATIENTS DETERMINE ELIGIBILITY FOR VARIOUS GOVERNMENT BENEFITS AS WELL AS ST JOSEPHS INTERNAL FINANCIAL ASSISTANCE PROGRAM SHOULD THE PATIENTS NOT BE CONSULTED UPON ADMISSION A LETTER IS SENT WITH THEIR FIRST ITEMIZED BILLING DETAILING THE AVAILABLE FINANCIAL ASSISTANCE PROGRAMS |
| COMMUNITY INFORMATION | PART VI | IV COMMUNITY INFORMATION COMMUNITY SERVICE AREA DESCRIPTION ST JOSEPH HEALTH SYSTEM SERVES FIVE RURAL COUNTIES IN NORTHEAST MICHIGAN THE COUNTIES OF ALCONA ARENAC IOSCO OGEMAW AND OSCODA HAVE A TOTAL POPULATION OF APPROXIMATELY 83000 RESIDENTS 2010 US CENSUS BUREAU THREE ZIP CODES EAST TAWAS TAWAS CITY AND OSCODA COMPRISE OUR PRIMARY SERVICE AREA WITH APPROXIMATELY 18500 RESIDENTS ST JOSEPH HEALTH SYSTEM IS LOCATED IN TAWAS CITY MICHIGAN AND REMAINS THE LARGEST EMPLOYER WITHIN IOSCO COUNTY SEVERAL AUTOMOTIVE PARTS SUPPLIERS AIRCRAFT MAINTENANCE AND REFURBISHING FACILITIES ARE PROMINENT EMPLOYEES WITHIN IOSCO COUNTY WITHIN THE PRIMARY SERVICE AREA 95 OF RESIDENTS ARE CAUCASIAN WITH 14 HISPANIC 1 AFRICAN AMERICAN 1 INDIAN AND ASIAN OF THE APPROXIMATELY 18500 RESIDENTS IN THE PRIMARY SERVICE AREA APPROXIMATELY 81 ARE 45 YEARS OF AGE OR OLDER PAYER MIX MEDICARE 5399 BLUE CROSS 1420 MEDICAID 1549 COMMERCIAL 728 SELF PAY 342 OTHER 561 ST JOSEPH HEALTH SYSTEM PROVIDES 54 OF BOTH INPATIENT AND OUTPATIENT HOSPITAL BASED HEALTHCARE SERVICES FOR RESIDENTS WITHIN OUR PRIMARY SERVICE AREA ST JOSEPH HEALTH SYSTEM OWNS SEVENTEEN PROVIDERBASED AND RURAL HEALTH CLINICS LOCATED THROUGHOUT THE FULL SERVICE MARKET AREA THE SCOPE OF SERVICE INCLUDES PRIMARY CARE OBSTETRICS GYNECOLOGY PEDIATRICS GENERAL SURGERY INTERNAL MEDICINE AFTER HOURS AND SPECIALTY CARE ADDITIONALLY THERE ARE TWO FEDERALLY QUALIFIED HEALTH CENTERS LOCATED IN IOSCO AND ARENAC COUNTIES RESPECTIVELY THERE ARE TWO HOSPITALS LOCATED APPROXIMATELY ONE HOUR TRAVEL TIME NORTH AND WEST OF ST JOSEPH HEALTH SYSTEM |
| HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE | PART VI | ST JOSEPH HEALTHKEY OPERATIONAL BUDGET IN THE PAST YEAR ST JOSEPH HEALTH SYSTEM PROVIDED MORE THAN 16 MILLION IN UNCOMPENSATED CARE THROUGH DELIVERY OF SERVICES TO THE POOR AND VULNERABLE UNPAID COSTS OF PUBLIC PROGRAMS FINANCIAL ASSISTANCE TO THE UNINSURED AND OUTREACH SERVICES TO THE COMMUNITY HEALTHKEY A DEPARTMENT OF ST JOSEPH HEALTH SYSTEM WHOSE ROLE IS SERVING AS THE RESOURCE AND SUPPORT CENTER FOR THE UNINSURED AND UNDERINSURED FAMILIES IN OUR COMMUNITY HEALTHKEY STAFF INCLUDES AN RN CASE MANAGER INTAKE AND PRESCRIPTION ASSISTANCE COORDINATOR AND A PART TIME OUTREACH WORKER OUTREACH SERVICES INCLUDE MEDICAID APPLICATION ASSISTANCE FINANCIAL ASSISTANCE APPLICATIONS REFERRALS TO MEDICAL HOMES PRESCRIPTION ASSISTANCE AND CARE MANAGEMENT FOR DIABETES HYPERTENSION AND APPROPRIATE EMERGENCY ROOM USE CARING FOR THE CLIENTS MIND PHYSICAL AND SPIRITUAL NEEDS HEALTHKEY STAFF NAVIGATES THROUGH VARIOUS COMMUNITY AND SOCIAL SERVICE AGENCIES AND ADVOCATES ON THEIR BEHALF FOR ACCESS TO NECESSARY HEALTHCARE RELATED AND SOCIAL SERVICES THE MISSION VISION AND VALUES OF ST JOSEPH HEALTH SYSTEM ARE AT THE CENTER OF HEALTHKEYS WORK TO SERVE THE POOR AND VULNERABLE IN OUR COMMUNITY AS OUR RURAL ECONOMY CONTINUES TO STRUGGLE AND SMALL BUSINESSES ARE NOT ABLE TO OFFER EMPLOYERSPONSORED INSURANCE COVERAGE A VALUABLE SERVICE OFFERED IS THE PRESCRIPTION ASSISTANCE PROGRAM IN 2011 HEALTHKEY SERVED 575 CLIENTS WITH A WIDE RANGE OF MEDICATION REQUESTS THIS EFFORT YIELDED A RETAIL DOLLAR SAVINGS VALUE OF 399061 WITH ONLY A SMALL TEAM OF ASSOCIATES COLLABORATION HAS PROVEN SUCCESSFUL IN OUR HEALTHCARE ACCESS WORK CLIENTS WHO PRESENT TO US HAVE A WIDE VARIETY OF HURDLES TO OVERCOME IMPROVING RELATIONSHIPS EMPLOYMENT SKILLS EDUCATIONAL OPPORTUNITIES WILL ALL PROVIDE A POSITIVE IMPACT ON THE CLIENTS HEALTH AND ABILITY TO CARE FOR THEMSELVES AND THEIR FAMILIES PARTNERSHIPS WITH THE IOSCO COUNTY POVERTY COALITION IOSCO READS LITERACY GROUP AND MICHIGAN WORKS HAVE GREATLY ASSISTED US IN BRIDGING GAPS EXPERIENCED BY OUR CLIENTS A TRUE COMMUNITY BENEFIT THE SUCCESS OF HEALTHKEY IS ONLY POSSIBLE BY THE STRONG SUPPORT RECEIVED FROM OUR BOARD PHYSICIANS LEADERSHIP ASSOCIATES AND VOLUNTEERS WHO ALLOW US TO RECOGNIZE AND RESPOND TO THE NEEDS OF OUR POOR AND VULNERABLE NEIGHBORS AND CARE FOR OUR COMMUNITY ST JOSEPH HEALTH SYSTEM PROVIDED THE FOLLOWING COMMUNITY BUILDING ACTIVITIES IN 2012 1IOSCO COUNTY SEXUAL ASSAULT RESPONSE TEAM SART IS A MULTIDISCIPLINARY INTERAGENCY COLLABORATION THAT UNITES ITS MEMBERS IN A COORDINATED SURVIVORCENTERED APPROACH TO THE INTERVENTION AND CARE FOR SEXUAL ASSAULT VICTIMS THE MISSION OF THE IOSCO COUNTY SART IS TO FACILITATE THE CLINICAL LEGAL AND EMOTIONAL RESOURCES TO CARE FOR SURVIVORS OF SEXUAL ASSAULT AND TO CREATE A COMMUNITY WHERE SURVIVORS OF SEXUAL ASSAULT ARE SUPPORTED AND TREATED WITH DIGNITY AND RESPECT 2DIABETIC CLUB A PROGRAM THAT IS OPEN TO THE COMMUNITY AT NO CHARGE THAT INCLUDES A SHORT LECTURE ABOUT GENERAL HEALTH ISSUES AND HOW THEY AFFECT DIABETES TOPICS RELATED TO LIFESTYLE MODIFICATIONS AND TOOLS FOR DIABETES MANAGEMENT OTHER HIGHLIGHTS INCLUDE A SAMPLING OF THE RECIPE OF THE MONTH DISCUSSIONS TO ANSWER QUESTIONS AND PROVIDE PEER TO PEER SUPPORT 3SPEAKERS BUREAU A FREE COMMUNITY PROGRAM THAT OFFERS HEALTH RELATED PRESENTATIONS PROVIDED BY HEALTH SYSTEM PROFESSIONALS THE PROGRAM IS DESIGNED TO EDUCATE THE COMMUNITY ON A VARIETY OF HEALTH AND HUMAN SERVICE TOPICS 4FAMILY FUN FAIR AN EVENT HELD IN COOPERATION WITH TWO LOCAL COLLABORATIVE THE IOSCO COUNTY FAMILY COALITION AND THE GREAT START COLLABORATIVE WITH THE PURPOSE TO EDUCATE THE COMMUNITY ABOUT LOCAL AGENCIES AND SERVICES AVAILABLE TO CHILDREN AND FAMILIES ACTIVITIES INCLUDE A FREE LUNCH PROVIDED TO AN AVERAGE OF 1000 CHILDREN AND ADULTS DOOR PRIZES CAR SEAT CHECKS AND DISPLAY BOOTHS FEATURING FAMILY CRAFT PROJECTS EDUCATIONAL ACTIVITIES AND PARENTING INFORMATION 5HEALTHKEY A PROGRAM THAT PROVIDES ACCESS TO HEALTHCARE FOR THE UNINSURED AND UNDERINSURED SERVICES INCLUDE NAVIGATION THROUGH HEALTH AND HUMAN SERVICE AGENCIES ASSISTANCE IN COMPLETING PAPERWORK PRESCRIPTION ASSISTANCE DIABETIC AND HYPERTENSION EDUCATION AS WELL AS REFERRALS TO PRIMARY CARE PROVIDERS SHELTER FOOD ASSISTANCE AND OTHER COMMUNITY RESOURCES 6ALCOHOLICS ANONYMOUS IS A FELLOWSHIP OF MEN AND WOMEN WHO SHARE THEIR EXPERIENCE STRENGTH AND HOPE WITH EACH OTHER THAT THEY MAY SOLVE THEIR COMMON PROBLEM AND HELP OTHERS TO RECOVER FROM ALCOHOLISM THIS PROGRAM ALIGNS WITH ST JOSEPHS MISSION VISION AND VALUES AND WE ARE PLEASED TO BE ABLE TO LEND ESSENTIAL MEETING SPACE FOR PARTICIPANTS TWICE WEEKLY ON AN INKIND BASIS |
| AFFILIATED HEALTH CARE INFORMATION | PART VI | ASCENSION HEALTH ALLIANCE IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13 2011 ASCENSION HEALTH ALLIANCE IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES OR HEALTH MINISTRIES LOCATED IN 21 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA ST JOSEPH HEALTH SYSTEM AND SUBSIDIARIES ARE MEMBERS OF ASCENSION HEALTH ASCENSION HEALTH ALLIANCE IS SPONSORED BY ASCENSION HEALTH MINISTRIES A PUBLIC JURIDIC PERSON THE PARTICIPATING ENTITIES OF ASCENSION HEALTH MINISTRIES ARE THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL IN THE UNITED STATES ST LOUISE PROVINCE THE CONGREGATION OF ST JOSEPH THE CONGREGATION OF THE SISTERS OF ST JOSEPH OF CARONDELET AND THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE AMERICAN PROVINCE AS MORE FULLY DESCRIBED IN THE ORGANIZATIONAL CHANGES NOTE ALEXIAN BROTHERS HEALTH SYSTEM WHICH WAS PREVIOUSLY SPONSORED BY THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE AMERICAN PROVINCE BECAME PART OF ASCENSION HEALTH ON JANUARY 1 2012 THE 49BED HOSPITAL STAFFED BY MORE THAN 460 EMPLOYEES IS LOCATED IN TAWAS CITY MICHIGAN AND IS A NONPROFIT ACUTECARE HOSPITAL THE HOSPITAL MAINTAINS TWO WHOLLY OWNED SUBSIDIARIES ST JOSEPH HEALTH ENTERPRISES A HOME MEDICAL EQUIPMENT BUSINESS AND ST JOSEPH HEALTH SYSTEM FOUNDATION A CHARITABLE FOUNDATION CREATED TO RECEIVE AND ADMINISTER FUNDS FOR THE HOSPITAL FOR THE PURPOSE OF ACQUIRING OR IMPROVING HOSPITAL FACILITIES AND TECHNOLOGIES AND THE ESTABLISHMENT SUPPORT AND MAINTENANCE OF COMMUNITY HEALTH EDUCATION PROGRAMS THE HOSPITAL PROVIDES INPATIENT OUTPATIENT AND EMERGENCY CARE SERVICES FOR THE RESIDENTS OF IOSCO COUNTY AND THE SURROUNDING AREA ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA ST JOSEPH HEALTH SYSTEM OFFERS ACCESS TO A LARGE BOARDCERTIFIED MEDICAL STAFF WITH MORE THAN 17 PRIMARY CARE AND SPECIALTY PHYSICIANS THROUGH COMMUNITY HEALTH SERVICES PROFESSIONAL EDUCATION SUBSIDIZED HEALTH CARE FINANCIAL CONTRIBUTIONS COMMUNITYBUILDING ACTIVITIES AND OTHER COMMUNITY BENEFIT ACTIVITIES ST JOSEPH HEALTH SYSTEM CONTRIBUTED 16 MILLION TO THE COMMUNITY INCLUDED IN THIS FIGURE ARE PROGRAMS SUCH AS CHARITY CARE AND UNREIMBURSED MEDICAID COMMUNITY HEALTHEDUCATION LECTURES SCHOOL HEALTHEDUCATION PROGRAMS PROMOTING HEALTH CARE CAREERS WORKFORCE ENHANCEMENT FREE HEALTH SCREENINGS HEALTHKEY SART SEXUAL ASSAULT RESPONSE TEAM COMMUNITYBASED CHAPLAINCY AND SPIRITUAL CARE SPONSORSHIPS AND CONTRIBUTIONS TO VARIOUS COMMUNITY EVENTS |
| LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED | PART VI | MICHIGAN |
| ST JOSEPH HEALTH SYSTEM LINE NUMBER 1 PART V LINE 13G | PART V LINE 13G | ST JOSEPH HEALTH SYSTEMS PUBLIC WEBSITE HAS A FINANCIAL ASSISTANCE LINK LOCATED AT THE BOTTOM OF THE PATIENTS GUESTS PAGE THAT READS AS FOLLOWS FINANCIAL ASSISTANCE IN ACCORDANCE WITH OUR MISSION AND VALUES ST JOSEPH HEALTH CARE SYSTEM IS COMMITTED TO CARING FOR ALL PEOPLE REGARDLESS OF THEIR ABILITY TO PAY WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE ST JOSEPH HEALTH CARE SYSTEM OFFERS FINANCIAL COUNSELING AND ASSISTANCE TO HELP ADDRESS ANY FINANCIAL CONCERNS PATIENTS OR FAMILIES MAY HAVE REGARDING THEIR CARE OUR FINANCIAL AID POLICIES WHICH CAN BE FOUND ST JOSEPH HEALTH CARE SYSTEM WEBSITE REFLECT ST JOSEPH HEALTH CARE SYSTEM DEDICATION TO WORKING TOGETHER WITH OUR PATIENTS IN A COMPASSIONATE AND CARING MANNER TO IDENTIFY OPTIONS FOR RESOLVING THEIR FINANCIAL OBLIGATIONS HELP IS AVAILABLE BY CONTACTING 989 9843796 EMAILING BMCNALLYSTMARYSOFMICHIGANORG OR IN PERSON AT ANY OF OUR FACILITIES |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg |
|---|---|---|---|---|---|
| DONALD R ELLIS III MD | |||||
| 145609 | 112833 | 4900 | 9266 | 272608 | |
| EARL ELOWSKY | |||||
| 210556 | 4180 | 10085 | 224821 | ||
| ANN BALFOUR | |||||
| 150016 | 29199 | 9585 | 222893 | 34093 | |
| LINDA STANCILL | |||||
| 140585 | 29735 | 11161 | 227227 | 45746 | |
| DIANA ENNES | |||||
| 500601 | 4900 | 11092 | 548562 | 31969 | |
| JOHN BLOCKSOM DO | |||||
| 461750 | 4900 | 14385 | 497519 | 16484 | |
| HUGO DAVILA GARCIA | |||||
| 389355 | 4900 | 9515 | 403770 | ||
| MARK GALLAGHER DO | |||||
| 354626 | 4900 | 12593 | 378619 | 6500 | |
| RICHARD SCHULZ DO | |||||
| 319215 | 4900 | 9839 | 335254 | 1300 | |
| PATRICK MURTHA | |||||
| 10324 | 11325 | 266417 | 244768 | ||
| NEELIMADEVI RYALI MD | |||||
| 222394 | 31760 | 1025 | 9342 | 264521 | |
| MICHAEL WAGNER | |||||
| 143001 | 96334 | 4703 | 1501 | 245539 | |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS | SCHEDULE J, PAGE 1, PART I, LINE 4 | PATRICK MURTHA 244,768 0 0 |
| OTHER ADDITIONAL INFORMATION | SCHEDULE J, PART III | PART I, LINE 3 - COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR ST. MARY'S OF MICHIGAN, A RELATED ORGANIZATION OF ST. JOSEPH HEALTH SYSTEM, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE WRITTEN EMPLOYMENT CONTRACT APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4(A) - SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS THE SEVERANCE PAYMENTS REPORTED TO PATRICK MURTHA WERE PAID BY ST. JOSEPH HEALTH SYSTEM. PART I, LINE 4(B) - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. AMOUNTS PAID: ANN BALFOUR - 29,418 LINDA STANCILL - 29,263 DIANA ENNESS - 15,469 CONTRIBUTIONS: ANN BALFOUR - 17,436 LINDA STANCILL - 17,699 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | AS A CATHOLIC HEALTH MINISTRY OF THE CHURCH, ST. JOSEPH HEALTH SYSTEM'S MISSION IS TO "PROVIDE SPIRITUALLY CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES." THIS INCLUDES ACTING AS ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND WORDS. A UNIVERSAL TENET OF CATHOLIC HEALTH ORGANIZATIONS' MISSION STATEMENTS IS CARE FOR ALL PERSONS, ESPECIALLY THE POOR AND VULNERABLE. THE CALL TO BRING GOD'S HEALING TO PERSONS IN NEED IS WHAT COMPELLED THE FOUNDERS OF VARIOUS ORGANIZATIONS TO VENTURE OUT INTO PARTS OF THIS NATION THAT, UNTIL THEIR ARRIVAL, HAD BEEN SORELY UNDERSERVED. FOR MORE THAN 250 YEARS, (58 FOR ST. JOSEPH HEALTH SYSTEM) CATHOLIC HEALTH CARE IN THE UNITED STATES HAS BEEN DRIVEN BY THAT SAME CALL AND HAS GROWN IN WAYS THAT COULD NOT HAVE BEEN IMAGINED. |
| ADDITIONAL INFORMATION | FORM 990 | PART IV, LINE 20B - THE FINANCIAL STATEMENTS OF ST. JOSEPH HEALTH SYSTEM FALL UNDER THE SPECIFIC SCOPE AUDIT. THE ACTIVITY OF ST. JOSEPH HEALTH SYSTEM AND OTHER MEMBERS OF ST. JOSEPH HEALTH SYSTEM ARE REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF ST. JOSEPH HEALTH SYSTEM IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES (WHICH INCLUDE THE ACTIVITY OF ST. JOSEPH HEALTH SYSTEM). PART IV, LINE 17 & 18 - ST. JOSEPH HEALTH SYSTEM INCURS FUNDRAISING EXPENSES ASSOCIATED WITH FUNDRAISING EVENTS UNDERTAKEN BY ST. JOSEPH HEALTH SYSTEM FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION. |
| ADDITIONAL INFORMATION | FORM 990, PART VI | LINE 2 - MANY OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON RELATED ST. JOSEPH HEALTH SYSTEM ENTITY BOARDS. |
| CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PAGE 6, PART VI, LINE 6 | ST. JOSEPH HEALTH SYSTEM HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH. |
| ELECTION OF MEMBERS AND THEIR RIGHTS | FORM 990, PAGE 6, PART VI, LINE 7A | THE ST. JOSEPH HEALTH SYSTEM HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF THE ST. JOSEPH HEALTH SYSTEM. |
| DECISIONS SUBJECT TO APPROVAL OF MEMBERS | FORM 990, PAGE 6, PART VI, LINE 7B | ASCENSION HEALTH HAS DESIGNED A SYSTEM AUTHORITY MATRIX WHICH ASSIGNS AUTHORITY FOR KEY DECISIONS THAT ARE NECESSARY IN THE OPERATION OF THE SYSTEM. SPECIFIC AREAS THAT ARE IDENTIFIED IN THE AUTHORITY MATRIX ARE: NEW ORGANIZATIONS & MAJOR TRANSACTIONS; GOVERNING DOCUMENTS; APPOINTMENTS/REMOVALS; EVALUATION; DEBT LIMITS; STRATEGIC & FINANCIAL PLANS; ASSETS; SYSTEM POLICIES & PROCEDURES. THESE AREAS ARE SUBJECT TO CERTAIN LEVELS OF APPROVAL BY ASCENSION PER THE SYSTEM AUTHORITY MATRIX. |
| OFFICERS WHO CANNOT BE REACHED | FORM 990, PAGE 6, PART VI, LINE 9 | NEELIMADEVI RYALI, M.D. 1251 MONUMENT RD TAWAS CITY, MI 48763 LINDA STANCILL 2329 WEST MILLER ROAD TAWAS CITY, MI 487633 |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | 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. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE MEETING WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS 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. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | IN DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE AUDIT COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION,THE CEO WAS COMPARED TO OTHER ORGANIZATIONS IN THE AREA THAT HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. THE INNDIVIDUAL WAS NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | IN DETERMINING COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE AUDIT COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATIONS, THE OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION WERE COMPARED TO OTHER ORGANIZATIONS' EMPLOYEES IN THE AREA THAT HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. |
| ADDITIONAL INFORMATION | FORM 990, PART VII | SEC. A, LINE 1A - DONALD R. ELLIS III, M.D. COMPENSATION REPORTED IS FOR SERVICES PROVIDED TO THE HOSPITAL IN HIS ROLE AS A PHYSICIAN NOT FOR HIS ROLE AS A TRUSTEE. |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 5 | OTHER CHANGES IN NET ASSETS RELATES TO THE FOLLOWING: DONATIONS FROM RESTRICTION 111,076 RESTRICTED CONTRIBUTIONS USED FOR PROPERTY 310,697 CA DEFERRED PENSION COST 638,338 TOTAL INCREASES 1,060,111 NET ASSETS FROM AFFILIATES ( 75,021) UNREALIZED LOSSES FROM INVESTMENT (UNRESTRICTED) (1,539,871) OTHER PENSION NET ASSET ADJUSTEMENT (3,447,026) TRANSFER TO GENERAL FUND ( 351,252) TEMPORARY RESTRICTED UNREALIZED ( 25,871) TOTAL DECREASES (5,439,041) TOTAL OTHER CHANGES (4,378,930) |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| ASCENSION HEALTH | ||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 311662309 | HEALTHSYST | MO | 501(C) | 11A | N/A | false |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | ||||||||||
| 200 HEMLOCK ROAD | TAWAS CITY | MI | 48763 | 010790428 | FUNDRAISIN | MI | 501(C) | 11A | N/A | true |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ST JOSEPH HEALTH ENTERPRISES | |||||||||||
| 200 HEMLOCK ROAD | TAWAS | MI | 48764 | 382686747 | OTHERMEDIC | MI | NA | C CORP | 702077 | 974838 | 1.00000 |
| HEALTH PARTNERS OF NE MI | |||||||||||
| 200 HEMLOCK ROAD | TAWAS | MI | 48764 | 383378622 | OTHERMEDIC | MI | NA | C CORP | 34 | 62286 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| ST JOSEPH HEALTH ENTERPRISES | ||
| J | 166563 | CASH |
| ASCENSION HEALTH | ||
| O | 4551627 | CASH |
| ST JOSEPH HEALTH ENTERPRISES | ||
| P | 514933 | CASH |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | ||
| C | 70521 | CASH |
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