HENRY FORD HEALTH ST JOHN FOUNDATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HENRY FORD HEALTH ST JOHN FOUNDATION (EIN 20-2961579)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-14
- IRS object ID
- 201311349349305041
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-14T17:19:41-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
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 | 250 East Fifth Street Suite 1900 | AddressLine1 |
| City | Cincinnati | City |
| State | OH | State |
| ZIP Code | 45202 | 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 | 202961579 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St John Hospital Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STJO | NameControl |
| Phone | 5865827500 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22101 Moross Road Moross Office | AddressLine1 |
| Address Line2 | Building No 102 | AddressLine2 |
| City | Detroit | City |
| State | MI | State |
| ZIP Code | 48236 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Susan Burns | Name |
| Title | President | Title |
| Phone | 5865827500 | Phone |
| Date Signed | 2013-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Matt Montgomery | Name |
| PTIN | P00492843 | PTIN |
| Phone | 5137847100 | Phone |
| 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 | Susan Burns | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22101 Moross Road Moross Office | AddressLine1 |
| Address Line2 | Building No | AddressLine2 |
| City | Detroit | City |
| State | MI | State |
| ZIP Code | 48236 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 7286354 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.stjohn.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2005 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | To raise funds to benefit St. John Hospital & Medical Center. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 25 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 21 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 130 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 9532385 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6494598 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1626737 | InvestmentIncomePriorYear |
| Investment Income Current Year | 791756 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 11159122 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7286354 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 8637618 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2139062 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1469322 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1767809 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 1881795 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 543417 | OtherExpensePriorYear |
| Other Expenses Current Year | 637610 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 10650357 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4544481 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 508765 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2741873 | RevenuesLessExpensesCY |
| Total Assets BOY | 22436200 | TotalAssetsBOY |
| Total Assets EOY | 24121409 | TotalAssetsEOY |
| Total Liabilities BOY | 1731612 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 365763 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 20704588 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 23755646 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | St. John Hospital Foundation, as a Catholic Health Ministry, is committed to raise funds to benefit St. John Hospital & Medical Center. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 2139062 | Expense |
| Grants | 2139062 | Grants |
| Description | 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. | Description |
| Total Program Service Expense | 2139062 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 25 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 21 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lisa Hutchings | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5867530914 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 28000 Dequindre | AddressLine1 |
| City | Warren | City |
| State | MI | State |
| ZIP Code | 48092 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| Eugene Lovasco | ||||||
| Chairperson | 5.00 | X | X | 0 | 0 | 0 |
| Peter Cracchiolo | ||||||
| Vice Chair | 2.00 | X | X | 0 | 0 | 0 |
| Jane Nugent | ||||||
| Secretary | 2.00 | X | X | 0 | 0 | 0 |
| Jeffrey Littmann | ||||||
| Treasurer | 2.00 | X | X | 0 | 0 | 0 |
| Susan Burns Sch O | ||||||
| Pres. SJHS Foundation | 50.00 | X | X | 0 | 324744 | 21998 |
| Doug Blatt | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Dana Camphous-Peterson | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Matthew Casey | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Sean Cotton | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Matthew Cullen | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Joan Gehrke | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Patricia Giftos | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Kevin Grady MD Sch O | ||||||
| Trustee | 25.00 | X | 0 | 151007 | 17080 | |
| Sr Betty Granger CSJ | ||||||
| Trustee | 50.00 | X | 0 | 0 | 0 | |
| Thomas LaLonde | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Robert Liggett Jr | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Teresa Lucido | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Paul Mattes | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Steven Minnick MD Sch O | ||||||
| Trustee | 50.00 | X | 0 | 202688 | 18117 | |
| Peter Ronan | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Patricia Stumb | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Lisa Vallee-Smith | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Sandra Vandenberghe | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Debra VanElslander | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| William Zweng | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Diane Radloff end 312 | ||||||
| Ex-Officio | 50.00 | X | X | 0 | 622096 | 21998 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1300535 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 79193 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Related Organizations | 567312 | RelatedOrganizations |
| All Other Contributions | 5927286 | AllOtherContributions |
| Total Contributions | 6494598 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 791624 | TotalRevenueColumn |
| Exclusion | $791,624 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 132 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 132 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 132 | TotalRevenueColumn |
| Exclusion | $132 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7286354 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $791,756 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2139062 | Total |
| Program Services | 2139062 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1397767 | Total |
| Management And General | 447718 | ManagementAndGeneral |
| Fundraising | 950049 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75022 | Total |
| Fundraising | 75022 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 204516 | Total |
| Fundraising | 204516 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90504 | Total |
| Fundraising | 90504 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56 | Total |
| Fundraising | 56 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14421 | Total |
| Fundraising | 14421 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42968 | Total |
| Fundraising | 42968 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93189 | Total |
| Fundraising | 93189 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24709 | Total |
| Management And General | 24709 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36475 | Total |
| Management And General | 36475 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24911 | Total |
| Fundraising | 24911 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14722 | Total |
| Management And General | 14722 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | FundraisingFundraising |
|---|---|---|
| Purchased Services | 244430 | 244430 |
| Supplies | 80356 | 80356 |
| Catering Expense | 3737 | 3737 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57636 | Total |
| Fundraising | 57636 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4544481 | Total |
| Program Services | 2139062 | ProgramServices |
| Management And General | 523624 | ManagementAndGeneral |
| Fundraising | 1881795 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 805778 | BOY |
| EOY | 670355 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5087353 | BOY |
| EOY | 5080292 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6136 | BOY |
| EOY | 11780 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 498955 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 349921 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 177483 | BOY |
| EOY | 149034 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16359450 | BOY |
| EOY | 18209948 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22436200 | BOY |
| EOY | 24121409 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112070 | BOY |
| EOY | 109997 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1619542 | BOY |
| EOY | 255766 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1731612 | BOY |
| EOY | 365763 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1063714 | BOY |
| EOY | 1860182 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10634410 | BOY |
| EOY | 11792043 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9006464 | BOY |
| EOY | 10103421 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20704588 | BOY |
| EOY | 23755646 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22436200 | BOY |
| EOY | 24121409 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2741873 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 309185 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2912372 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5185004 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8776517 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9532385 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6494598 | CurrentTaxYear |
| Total | 32900876 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2912372 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5185004 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8776517 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9532385 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6494598 | CurrentTaxYear |
| Total | 32900876 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 32900876 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 723465 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | -108551 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1421032 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1626737 | CurrentTaxYearMinus1Year |
| Current Tax Year | 791756 | CurrentTaxYear |
| Total | 4454439 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 37355315 | TotalSupport |
| Public Support Pertcentage170 | 0.88080 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.48430 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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 D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9006464 | BeginningOfYearBalance |
| Contributions | 1051513 | Contributions |
| Investment Earnings Or Losses | 464076 | InvestmentEarningsOrLosses |
| Other Expenditures | 418631 | OtherExpenditures |
| End Of Year Balance | 10103422 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7960242 | BeginningOfYearBalance |
| Contributions | 704845 | Contributions |
| Investment Earnings Or Losses | 419703 | InvestmentEarningsOrLosses |
| Other Expenditures | 78326 | OtherExpenditures |
| End Of Year Balance | 9006464 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7648026 | BeginningOfYearBalance |
| Contributions | 437229 | Contributions |
| Investment Earnings Or Losses | 387196 | InvestmentEarningsOrLosses |
| Other Expenditures | 512209 | OtherExpenditures |
| End Of Year Balance | 7960242 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7630917 | BeginningOfYearBalance |
| Contributions | 32318 | Contributions |
| Investment Earnings Or Losses | 384990 | InvestmentEarningsOrLosses |
| Other Expenditures | 400199 | OtherExpenditures |
| End Of Year Balance | 7648026 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.88000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.12000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 138874 | OtherCostOrOtherBasis |
| Depreciation | 39708 | Depreciation |
| Book Value | 99166 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 360081 | OtherCostOrOtherBasis |
| Depreciation | 310213 | Depreciation |
| Book Value | 49868 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 149034 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Interest in Investments held by Ascension Health Alliance | 15844648 |
| Intercompany Receivable | 2365300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 18209948 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Intercompany Debt with Ascension Health Alliance | $253,766 |
| 1999 Debt - Current Portion | $2,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 255766 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | Part V, Line 4: | 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. |
| Description of Uncertain Tax Positions Under FIN 48: | Part X: | From the consolidated audited financial statements of St. John Providence Health System (the "System") (which include the activity of St. John Hospital Foundation): The member health care entities of the System are primarily tax-exempt organizations under Internal Revenue Code Section 501(c)(3) or 501(c)(2), and their related income is exempt from federal income tax under Section 501(a). The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St John Hospital & Medical Center | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 28000 Dequindre | AddressLine1 |
| City | Warren | City |
| State | MI | State |
| ZIP Code | 48092 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 381359063 | EINOfRecipient |
| IRC Section | Section 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 2139062 | AmountOfCashGrant |
| Purpose Of Grant | To support healthcare ministries | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Susan Burns Sch O | |||||||||||||
| 0 | 287529 | 0 | 33267 | 0 | 3948 | 0 | 11025 | 0 | 10973 | 0 | 346742 | 0 | 0 |
| Kevin Grady MD Sch O | |||||||||||||
| 0 | 145547 | 0 | 0 | 0 | 5460 | 0 | 6107 | 0 | 10973 | 0 | 168087 | 0 | 0 |
| Steven Minnick MD Sch O | |||||||||||||
| 0 | 200221 | 0 | 0 | 0 | 2467 | 0 | 7144 | 0 | 10973 | 0 | 220805 | 0 | 0 |
| Diane Radloff end 312 | |||||||||||||
| 0 | 530790 | 0 | 86117 | 0 | 5189 | 0 | 11025 | 0 | 10973 | 0 | 644094 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Supplemental Information | Part III | Part I, Line 3: St. John Health, a related organization of St. John Hospital Foundation, uses the following to establish the compensation of the organization's CEO: - Compensation Committee - Independent Compensation Consultant - Compensation Survey or Study - Approval by the Board or Compensation Committee |
| Supplemental Information | Part III | Part I, Line 4b: 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. There are no contributions to or distributions from the supplemental nonqualified retirement plan for the current year. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Community Benefit Report | Form 990, Part III: | St. John Hospital & Medical Center For the fiscal year ended June 30, 2012 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 732 licensed beds, a 1300+ member medical staff and more than 50 medical and surgical specialties. St. John Hospital & Medical Center is also the largest acute care provider and the only designated emergency trauma center on Detroit's east side. St. John Hospital & Medical Center is also an active participant in community health initiative through its community-based partnerships with churches, schools, and civic organizations. 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. Specialties include cardiovascular and thoracic, dentistry, general surgery, laser, neurosurgery, obstetrics and gynecology, ophthalmology, oral and maxillofacial, orthopedic, otolaryngology (ear, nose and throat), pediatrics, podiatry, vascular, transplant and urology. St. John Hospital & Medical Center seeks to improve the physical, mental, social, and spiritual health status of its surrounding community. In addition to providing health care services to all individuals who require medical attention, St. John Hospital & Medical Center has developed the following programs to help achieve its mission: 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. The St. John Hospital & Medical Center has invested significantly in unique, top quality health education and materials to accomplish its goals. VARIOUS CLASSES THE ST. JOHN HOSPITAL & MEDICAL CENTER HAS PROVIDED TO THE COMMUNITY ARE AS FOLLOWS: 1,000 candlelight labyrinth walk, open arms, talk about, while you wait, acupuncture, aphasia maintenance group, aura photography, holistic consultation, baby works, bereavement support group, oncology bereavement support, non-oncology bereavement support, birth refresher-sessions I and II, childbirth preparation classes, birth unit tour, tour with caesarean class, blood disorders support group, breast cancer support group, breast feeding preparation, brite stars stroke support group, cancer education lecture series, cancer support group, individual counseling for cancer patients, pediatric cancer parent support group, cardiac nutrition class, cardiac rehabilitation program, cardiac support group, stress management for cardiac patients, carelink, carelink education program, clinical trials, CPR for family and friends infants children and adults, cranial osteopathy, cranial sacral therapy, diabetes discovery classes, diabetes exercise program, diabetes self management, post diabetes class instruction, diabetes support group for children teens and parents, outpatient diabetes education, discover a new you, look for success exercise evaluation program, exercise for older adults, fitness fun for everyone, personal exercise training, personal exercise for seniors, Pilate's, family support group, free blood pressure screenings, go red for women, GYN support group, head and neck support group, heart failure exercise program, hip and knee pain seminar, hypnosis, guided imagery, hypnosis consultation, hypnotherapy for smoking cessation, individual counseling, lap band support group, lunch with doctor, massage therapy, pregnancy massage, reflexology, reiki, river rock massage, Swedish relaxation massage, nutrition counseling, Parkinson's disease exercise class, patient and survivor support group, pulmonary rehabilitation program, pumping to precision, second wind stroke support, senior lecture series, smoking cessation, smoking cessation through acupuncture, sport training programs, sport specific training and knee injury prevention, tai chi, tai chi for seniors, time for caregivers support group, transplant support group, wellness support group, wellness workshop. Education material is provided on the web under www.stjohn.org and www.realmedicine.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. COMMUNITY OUTREACH SERVICE The 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 parades, 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, adopt a family, shoes for kids, March of Dimes cancer walk, services of remembrance for the deceased, open arms, Michigan harvest drive and Habitat for Humanity. CHARITY CARE Nearly 11.67% of Michigan residents or 1.1 million people lacked health insurance. In Detroit, in 2011, 19.6% of people did not have health insurance, compared with 15.1% nationally. This figure remains high due to increased layoffs, fewer companies offering health insurance and a lessened ability of workers to afford coverage in the metro Detroit area. In 2012 at 9.7%, St. John Providence Health System's service area has one of the highest rates of unemployment in the nation. The uninsured are likely to seek care in hospital emergency rooms. St. John Hospital & Medical Center had 126,532 emergency department and urgent care visits in fiscal 2012. Increasingly, patients are experiencing limited abilities to pay for health care services or qualify for state and federally funded programs like Medicaid and Medicare programs 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, 2012, approximately 38% of the value of services rendered was to elderly patients under the Medicare program and approximately 19% 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. 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. MEDICAL EDUCATION 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 are provided to medical residents and staff and are posted on our website www.sjhs.com/physicians/gme residency training. OPERATIONS AND GOVERNANCE 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. PATIENT SERVICES St. John Hospital & Medical Center provides the following inpatient and outpatient medical services to the community: Allergy and immunology, anatomic and clinical pathology, anesthesiology, anesthesiology-pain medicine, cardiology, cardiovascular disease, cardio thoracic surgery, child and adolescent psychiatry, child and adolescent neurology, clinical cardiac electo physiology, colon and rectal surgery, cyst-pathology, dentistry, dermatology, diagnostic radiology, emergency medicine, emergency medicine-pediatric emergency medicine, endocrinology, diabetes and metabolism, family medicine, family medicine-addition, family medicine-geriatric medicine, family medicine-sports medicine, forensic psychiatry, gastroenterology, geriatric psychiatry, gynecologic oncology, gynecology, hematology and medical oncology, infectious disease, internal medicine, internal medicine-critical care medicine, internal medicine-geriatric medicine, internal medicine-hematology, interventional cardiology, maternal fetal medicine, neo-natal and pre-natal medicine, nephrology, neurological surgery, neurology, neuro-radiology, nuclear medicine, obstetrics and gynecology, occupational medicine, ophthalmology, oral and maxiofacial surgery, orthopedic surgery, orthopedic surgery-hand surgery, otolaryngology, otorhinolaryngology and orofacial plastic surgery, pathology, pathology and derma-pathology, pediatric-endocrinology, pediatric-allergy and immunology, pediatric-cardiology, pediatric-critical care medicine, pediatric-dentistry, pediatric-emergency medicine, pediatric-gastroenterology, pediatric-hematology, pediatric-oncology, pediatric-infectious disease, pediatric-nephrology, pediatric-otolaryngology, pediatric-radiology, pediatric-surgery, pediatrics, physical medicine and rehabilitation, plastic and reconstructive surgery, plastic surgery, plastic surgery-surgery of the hand, podiatric surgery, podiatry, psychiatry, pulmonary medicine, radiation oncology, radiology, reproductive endocrinology, rheumatology, sleep medicine, surgery, surgery of the hand, therapeutic radiology, urology, vascular and interventional radiology and vascular surgery. 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. During the fiscal year ending June 30, 2012, St. John Hospital & Medical Center treated adults and children from the community for a total of 166,031 patient days of service. St. John Hospital & Medical Center also provided services to 14,479 outpatient surgery patients, 126,532 emergency room visits. For additional links to community benefit information please refer to www.mha.org | ||
| Form 990, Part VI, Section A, line 2 | 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, Section A, line 6 | St. John Hospital Foundation has a single corporate member, St. John Health. | |
| Form 990, Part VI, Section A, line 7a | 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, Section A, line 7b | 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, Section B, line 11 | 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, Section B, line 12c | 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, Section B, line 15 | In determining compensation of the organization's top management official, 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 top management official 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 reveiw and approval of the compensation, documentation of the decision was recorded in the board minutes. Individual was not present when her compensation was decided. In determining compensation of other officers of the organization, 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. The audit committee reviewed and approved the compensation. In the review of the compensation, the other officers of the organization were compared to individuals at other organization in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. | |
| Form 990, Part VI, Section C, line 19 | The organization will provide any documents open to public inspection upon request. | |
| Form 990, Part VII: | Where noted with a "(Sch O)" reference, the compensation listed is for services provided to this organization or a related organization in an employee capacity and not for participation in this organization's board. | |
| Changes in Net Assets or Fund Balances: | Form 990, Part XI, line 5: | Net unrealized losses on investments: -1,165,871. Transfers to Other Foundations During the Year -233,398. Equity Transfers 1,715,515. Change in Pledge Receivable Balance Non-Cash Related -7,061. Total to Form 990, Part XI, Line 5: 309,185. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (20 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Ascension Health | ||||||||||
| PO Box 45998 | St Louis | MO | 63145 | 311662309 | National Health System | MO | Section 501(c)(3) | Schedule A, Line 11a | Ascension Health Alliance | 0 |
| St John Health | ||||||||||
| 28000 Dequindre Road | Warren | MI | 48092 | 382244034 | Parent | MI | Section 501(c)(3) | Schedule A, Line 11c | Ascension Health | 0 |
| Fontbonne Auxiliary of St John Hospital | ||||||||||
| 28000 Dequindre Road | Warren | MI | 48092 | 386082173 | Fundraising | MI | Section 501(c)(3) | Schedule A, Line 11c | St John Health | 0 |
| Brighton Hospital | ||||||||||
| 12851 Grand River | Brighton | MI | 48116 | 381576680 | Hospital | MI | Section 501(c)(3) | Schedule A, Line 3 | St John Health | 1 |
| Brighton National Addiction Foundation | ||||||||||
| 12851 Grand River | Brighton | MI | 48116 | 260694680 | Fundraising | MI | Section 501(c)(3) | Schedule A, Line 7 | Brighton Hospital | 1 |
| Father Murray Nursing Center | ||||||||||
| 28000 Dequindre Road | Warren | MI | 48092 | 382601348 | Medical Center | MI | Section 501(c)(3) | Schedule A, Line 9 | St John Health | 1 |
| Macomb Hospital Center Auxiliary | ||||||||||
| 11800 E Twelve Mile | Warren | MI | 48093 | 396091287 | Fundraising | MI | Section 501(c)(3) | Schedule A, Line 11c | St John Macomb-Oakland Hospital Corp | 0 |
| Medical Resources Group | ||||||||||
| 43800 Garfield Suite 201 | Clinton Township | MI | 48038 | 382494637 | Medical Center | MI | Section 501(c)(3) | Schedule A, Line 9 | St John Health | 1 |
| Providence Health Foundation | ||||||||||
| 22101 Moross Suite-102 | Detroit | MI | 48236 | 353526629 | Fundraising | MI | Section 501(c)(3) | Schedule A, Line 11c | St John Health | 1 |
| Seton Health Corp of SE Michigan | ||||||||||
| 16001 W Nine Mile Road | Southfield | MI | 48037 | 382820107 | Medical Care | MI | Section 501(c)(3) | Schedule A, Line 11c | St John Health | 1 |
| St John Community Health Investment Corp | ||||||||||
| 28000 Dequindre Road | Warren | MI | 48092 | 382262856 | Medical Care | MI | Section 501(c)(3) | Schedule A, Line 3 | St John Health | 1 |
| St John Home Care | ||||||||||
| 37650 Garfield Road | Clinton Township | MI | 48036 | 383408684 | Medical Care | MI | Section 501(c)(3) | Schedule A, Line 7 | St John Health | 1 |
| St John Hospital & Medical Center | ||||||||||
| 28000 Dequindre Road | Warren | MI | 48092 | 381359063 | Hospital | MI | Section 501(c)(3) | Schedule A, Line 3 | St John Health | 1 |
| St John Hospital Guild | ||||||||||
| 28000 Dequindre Road | Warren | MI | 48092 | 386091110 | Fundraising | MI | Section 501(c)(3) | Schedule A, Line 11c | St John Hospital & Medical Center | 0 |
| St John River District Hospital | ||||||||||
| 4100 River Road | East China | MI | 48054 | 383160564 | Hospital | MI | Section 501(c)(3) | Schedule A, Line 3 | St John Health | 1 |
| St John Senior Community | ||||||||||
| 18300 E Warren | Detroit | MI | 48224 | 382631907 | Medical Care | MI | Section 501(c)(3) | Schedule A, Line 9 | St John Health | 1 |
| Our Lady of Providence League | ||||||||||
| 28000 Dequindre Road | Warren | MI | 48092 | 386108200 | Fundraising | MI | Section 501(c)(3) | Schedule A, Line 11c | Providence Hospital | 0 |
| St John Macomb-Oakland Hospital | ||||||||||
| 28000 Dequindre Road | Warren | MI | 48092 | 383322109 | Hospital | MI | Section 501(c)(3) | Schedule A, Line 3 | St John Health | 1 |
| Providence Hospital | ||||||||||
| 16001 West Nine Mile Road | Southfield | MI | 48037 | 381358212 | Hospital | MI | Section 501(c)(3) | Schedule A, Line 3 | St John Health | 1 |
| Eastwood Community Clinics | ||||||||||
| 28000 Dequindre Road | Warren | MI | 48092 | 381958763 | Medical Care | MI | Section 501(c)(3) | Schedule A, Line 9 | St John Health | 1 |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| Advent Partners LP | |||||||
| 28000 Dequindre | Warren | MI | 48092 | 383494197 | Investment | MI | N/A |
| Open MRI of Michigan | |||||||
| 28000 Dequindre | Warren | MI | 48092 | 383544539 | Medical Services | MI | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Advent Inc | ||||||||
| 28000 Dequindre | Warren | MI | 48092 | 382971743 | Investment | MI | N/A | C |
| Affiliated Health Services Inc | ||||||||
| 28000 Dequindre | Warren | MI | 48092 | 382292922 | Medical Supply Sales | MI | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (20 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| St John Hospital & Medical Center | ||
| Q | 2139062 | Actual Amount Transferred |
| St John Health | ||
| Q | 63804 | Actual Amount Transferred |
| St John Macomb Oakland Hospital | ||
| Q | 366086 | Actual Amount Transferred |
| Providence Health Foundation | ||
| R | 3211831 | Actual Amount Transferred |
| St John River District Hospital | ||
| Q | 247106 | Actual Amount Transferred |
| St John Community Health Investment Corporation | ||
| R | 99038 | Actual Amount Transferred |
| St John Home Care | ||
| R | 186369 | Actual Amount Transferred |
| St John Hospital & Medical Center | ||
| Q | 3066878 | Actual Amount Transferred |
| Fontbonne Auxiliary | ||
| R | 387312 | Actual Amount Transferred |
| St John Hospital & Medical Center | ||
| J | 76680 | Actual Amount Transferred |
| St John Health | ||
| O | 3575943 | Actual Amount Transferred |
| Providence Health Foundation | ||
| P | 329899 | Actual Amount Transferred |
| St John Hospital & Medical Center | ||
| P | 2477019 | Actual Amount Transferred |
| Providence Health Foundation | ||
| Q | 3004487 | Actual Amount Transferred |
| St John Macomb Oakland Hospital | ||
| Q | 710476 | Actual Amount Transferred |
| St John River District Hospital | ||
| Q | 416385 | Actual Amount Transferred |
| St John Hospital & Medical Center | ||
| Q | 3712346 | Actual Amount Transferred |
| St John Community Health Investment Corporation | ||
| Q | 107793 | Actual Amount Transferred |
| St John Home Care | ||
| Q | 207922 | Actual Amount Transferred |
| St John Health | ||
| R | 1353189 | Actual Amount Transferred |
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