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        <Other>0</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>132</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>132</TotalRevenueColumn>
        <ExclusionAmount>132</ExclusionAmount>
      </NetGainOrLossInvestments>
      <TotalRevenue>
        <TotalRevenueColumn>7286354</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>791756</ExclusionAmount>
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      <GrantsToDomesticOrgs>
        <Total>2139062</Total>
        <ProgramServices>2139062</ProgramServices>
      </GrantsToDomesticOrgs>
      <OtherSalariesAndWages>
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        <ManagementAndGeneral>447718</ManagementAndGeneral>
        <Fundraising>950049</Fundraising>
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      <PensionPlanContributions>
        <Total>75022</Total>
        <Fundraising>75022</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
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        <Fundraising>204516</Fundraising>
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      <PayrollTaxes>
        <Total>90504</Total>
        <Fundraising>90504</Fundraising>
      </PayrollTaxes>
      <FeesForServicesOther>
        <Total>56</Total>
        <Fundraising>56</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>14421</Total>
        <Fundraising>14421</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>42968</Total>
        <Fundraising>42968</Fundraising>
      </OfficeExpenses>
      <Occupancy>
        <Total>93189</Total>
        <Fundraising>93189</Fundraising>
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      <Travel>
        <Total>24709</Total>
        <ManagementAndGeneral>24709</ManagementAndGeneral>
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      <Interest>
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        <ManagementAndGeneral>36475</ManagementAndGeneral>
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      <DepreciationDepletion>
        <Total>24911</Total>
        <Fundraising>24911</Fundraising>
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        <Description>Purchased Services</Description>
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      <OtherExpenses>
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        <Fundraising>80356</Fundraising>
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      <OtherExpenses>
        <Description>Catering Expense</Description>
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        <Fundraising>3737</Fundraising>
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      <AllOtherExpenses>
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        <Fundraising>57636</Fundraising>
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      <FollowSFAS117>X</FollowSFAS117>
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        <EOY>10103421</EOY>
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      <TotalNetAssetsFundBalances>
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        <EOY>23755646</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>22436200</BOY>
        <EOY>24121409</EOY>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>2741873</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>309185</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
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        <CurrentTaxYearMinus1Year>9532385</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>6494598</CurrentTaxYear>
        <Total>32900876</Total>
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      <Total170>
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        <Total>32900876</Total>
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      <PublicSupportTotal170>32900876</PublicSupportTotal170>
      <GrossInvestmentIncome170>
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        <CurrentTaxYearMinus1Year>1626737</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>791756</CurrentTaxYear>
        <Total>4454439</Total>
      </GrossInvestmentIncome170>
      <TotalSupport>37355315</TotalSupport>
      <PublicSupportPertcentage170>0.88080</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.48430</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
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        <ContributorNumber>RESTRICTED</ContributorNumber>
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        <AggregateContributions>RESTRICTED</AggregateContributions>
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        <EndOfYearBalance>10103422</EndOfYearBalance>
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        <BeginningOfYearBalance>7960242</BeginningOfYearBalance>
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        <InvestmentEarningsOrLosses>419703</InvestmentEarningsOrLosses>
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        <EndOfYearBalance>9006464</EndOfYearBalance>
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      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>7648026</BeginningOfYearBalance>
        <Contributions>437229</Contributions>
        <InvestmentEarningsOrLosses>387196</InvestmentEarningsOrLosses>
        <OtherExpenditures>512209</OtherExpenditures>
        <EndOfYearBalance>7960242</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>7630917</BeginningOfYearBalance>
        <Contributions>32318</Contributions>
        <InvestmentEarningsOrLosses>384990</InvestmentEarningsOrLosses>
        <OtherExpenditures>400199</OtherExpenditures>
        <EndOfYearBalance>7648026</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <PermanentEndowmentEOYBalance>0.88000</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.12000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>1</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>1</AreRelatedOrgsListedScheduleR>
      <Buildings>
        <OtherCostOrOtherBasis>138874</OtherCostOrOtherBasis>
        <Depreciation>39708</Depreciation>
        <BookValue>99166</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>360081</OtherCostOrOtherBasis>
        <Depreciation>310213</Depreciation>
        <BookValue>49868</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>149034</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Interest in Investments held by Ascension Health Alliance</Description>
        <BookValue>15844648</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Intercompany Receivable</Description>
        <BookValue>2365300</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>18209948</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Intercompany Debt with Ascension Health Alliance</Description>
        <Amount>253766</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>1999 Debt - Current Portion</Description>
        <Amount>2000</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>255766</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>Description of Intended Use of Endowment Funds:</Identifier>
        <ReturnReference>Part V, Line 4:</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
        <ReturnReference>Part X:</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>St John Hospital &amp; Medical Center</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>28000 Dequindre</AddressLine1>
          <City>Warren</City>
          <State>MI</State>
          <ZIPCode>48092</ZIPCode>
        </AddressUS>
        <EINOfRecipient>381359063</EINOfRecipient>
        <IRCSection>Section 501(c)(3)</IRCSection>
        <AmountOfCashGrant>2139062</AmountOfCashGrant>
        <PurposeOfGrant>To support healthcare ministries</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>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>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Susan Burns Sch O</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>287529</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>33267</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>3948</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>11025</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>10973</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>346742</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kevin Grady MD Sch O</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>145547</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>5460</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>6107</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>10973</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>168087</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Steven Minnick MD Sch O</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>200221</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>2467</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <NontaxableBenefitsRelatedOrgs>10973</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>220805</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Diane Radloff end 312</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>530790</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>86117</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>5189</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>11025</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>10973</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>644094</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>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</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Community Benefit Report</Identifier>
        <ReturnReference>Form 990, Part III:</ReturnReference>
        <Explanation>St. John Hospital &amp; Medical Center For the fiscal year ended June 30, 2012 This report illustrates the significant degree to which St. John Hospital &amp; 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 &amp; 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 &amp; Medical Center is to perpetuate the healing mission of the church. St. John Hospital &amp; 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 &amp; 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 &amp; Medical Center is also the largest acute care provider and the only designated emergency trauma center on Detroit's east side. St. John Hospital &amp; 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 &amp; 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 &amp; 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 &amp; Medical Center has developed the following programs to help achieve its mission: EXPANDING AWARENESS, EDUCATION AND HEALTH PROMOTION St. John Hospital &amp; 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 &amp; Medical Center has invested significantly in unique, top quality health education and materials to accomplish its goals. VARIOUS CLASSES THE ST. JOHN HOSPITAL &amp; 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 &amp; 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 &amp; Medical Center provides charitable contributions to a number of community organizations. St. John Hospital &amp; 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 &amp; 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 &amp; 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 &amp; 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>St. John Hospital &amp; 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 &amp; 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 &amp; 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 &amp; 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 &amp; 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 &amp; Medical Center treated adults and children from the community for a total of 166,031 patient days of service. St. John Hospital &amp; 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</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 2</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>St. John Hospital Foundation has a single corporate member, St. John Health.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7b</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The organization will provide any documents open to public inspection upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VII:</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>Ascension Health</BusinessNameLine1>
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          <AddressLine1>PO Box 45998</AddressLine1>
          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>63145</ZIPCode>
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        <PrimaryActivities>National Health System</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
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          <AddressLine1>28000 Dequindre Road</AddressLine1>
          <City>Warren</City>
          <State>MI</State>
          <ZIPCode>48092</ZIPCode>
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          <BusinessNameLine1>Fontbonne Auxiliary of St John Hospital</BusinessNameLine1>
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          <City>Warren</City>
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          <BusinessNameLine1>St John Health</BusinessNameLine1>
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          <BusinessNameLine1>Brighton Hospital</BusinessNameLine1>
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          <AddressLine1>12851 Grand River</AddressLine1>
          <City>Brighton</City>
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          <BusinessNameLine1>St John Health</BusinessNameLine1>
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          <BusinessNameLine1>Brighton National Addiction Foundation</BusinessNameLine1>
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          <AddressLine1>12851 Grand River</AddressLine1>
          <City>Brighton</City>
          <State>MI</State>
          <ZIPCode>48116</ZIPCode>
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        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>Section 501(c)(3)</ExemptCodeSection>
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          <BusinessNameLine1>Brighton Hospital</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Father Murray Nursing Center</BusinessNameLine1>
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          <AddressLine1>28000 Dequindre Road</AddressLine1>
          <City>Warren</City>
          <State>MI</State>
          <ZIPCode>48092</ZIPCode>
        </AddressUS>
        <EIN>382601348</EIN>
        <PrimaryActivities>Medical Center</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>Section 501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Schedule A, Line 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St John Health</BusinessNameLine1>
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        <ControlledOrg>1</ControlledOrg>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Macomb Hospital Center Auxiliary</BusinessNameLine1>
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          <AddressLine1>11800 E Twelve Mile</AddressLine1>
          <City>Warren</City>
          <State>MI</State>
          <ZIPCode>48093</ZIPCode>
        </AddressUS>
        <EIN>396091287</EIN>
        <PrimaryActivities>Fundraising</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>Section 501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Schedule A, Line 11c</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St John Macomb-Oakland Hospital Corp</BusinessNameLine1>
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        <ControlledOrg>0</ControlledOrg>
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          <AddressLine1>43800 Garfield Suite 201</AddressLine1>
          <City>Clinton Township</City>
          <State>MI</State>
          <ZIPCode>48038</ZIPCode>
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        <EIN>382494637</EIN>
        <PrimaryActivities>Medical Center</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>Section 501(c)(3)</ExemptCodeSection>
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          <BusinessNameLine1>St John Health</BusinessNameLine1>
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          <BusinessNameLine1>Providence Health Foundation</BusinessNameLine1>
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          <AddressLine1>22101 Moross Suite-102</AddressLine1>
          <City>Detroit</City>
          <State>MI</State>
          <ZIPCode>48236</ZIPCode>
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        <EIN>353526629</EIN>
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          <BusinessNameLine1>St John Health</BusinessNameLine1>
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          <BusinessNameLine1>Seton Health Corp of SE Michigan</BusinessNameLine1>
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          <AddressLine1>16001 W Nine Mile Road</AddressLine1>
          <City>Southfield</City>
          <State>MI</State>
          <ZIPCode>48037</ZIPCode>
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        <EIN>382820107</EIN>
        <PrimaryActivities>Medical Care</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>Section 501(c)(3)</ExemptCodeSection>
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          <BusinessNameLine1>St John Health</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>St John Community Health Investment Corp</BusinessNameLine1>
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          <AddressLine1>28000 Dequindre Road</AddressLine1>
          <City>Warren</City>
          <State>MI</State>
          <ZIPCode>48092</ZIPCode>
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          <BusinessNameLine1>St John Health</BusinessNameLine1>
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          <BusinessNameLine1>St John Home Care</BusinessNameLine1>
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          <AddressLine1>37650 Garfield Road</AddressLine1>
          <City>Clinton Township</City>
          <State>MI</State>
          <ZIPCode>48036</ZIPCode>
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        <EIN>383408684</EIN>
        <PrimaryActivities>Medical Care</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>Section 501(c)(3)</ExemptCodeSection>
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        <DirectControllingEntityName>
          <BusinessNameLine1>St John Health</BusinessNameLine1>
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        <ControlledOrg>1</ControlledOrg>
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          <BusinessNameLine1>St John Hospital &amp; Medical Center</BusinessNameLine1>
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          <AddressLine1>28000 Dequindre Road</AddressLine1>
          <City>Warren</City>
          <State>MI</State>
          <ZIPCode>48092</ZIPCode>
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          <BusinessNameLine1>St John Health</BusinessNameLine1>
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          <BusinessNameLine1>St John Hospital Guild</BusinessNameLine1>
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          <AddressLine1>28000 Dequindre Road</AddressLine1>
          <City>Warren</City>
          <State>MI</State>
          <ZIPCode>48092</ZIPCode>
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          <BusinessNameLine1>St John River District Hospital</BusinessNameLine1>
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          <AddressLine1>4100 River Road</AddressLine1>
          <City>East China</City>
          <State>MI</State>
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          <BusinessNameLine1>St John Health</BusinessNameLine1>
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          <AddressLine1>18300 E Warren</AddressLine1>
          <City>Detroit</City>
          <State>MI</State>
          <ZIPCode>48224</ZIPCode>
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          <BusinessNameLine1>St John Health</BusinessNameLine1>
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          <BusinessNameLine1>Our Lady of Providence League</BusinessNameLine1>
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          <AddressLine1>28000 Dequindre Road</AddressLine1>
          <City>Warren</City>
          <State>MI</State>
          <ZIPCode>48092</ZIPCode>
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          <BusinessNameLine1>Providence Hospital</BusinessNameLine1>
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          <BusinessNameLine1>St John Macomb-Oakland Hospital</BusinessNameLine1>
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          <AddressLine1>28000 Dequindre Road</AddressLine1>
          <City>Warren</City>
          <State>MI</State>
          <ZIPCode>48092</ZIPCode>
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          <BusinessNameLine1>St John Health</BusinessNameLine1>
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          <BusinessNameLine1>Providence Hospital</BusinessNameLine1>
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          <State>MI</State>
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        <PublicCharityStatus>Schedule A, Line 3</PublicCharityStatus>
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          <BusinessNameLine1>St John Health</BusinessNameLine1>
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        <NameOfDisregardedEntity>
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          <AddressLine1>28000 Dequindre Road</AddressLine1>
          <City>Warren</City>
          <State>MI</State>
          <ZIPCode>48092</ZIPCode>
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        <EIN>381958763</EIN>
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        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>Section 501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Schedule A, Line 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St John Health</BusinessNameLine1>
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        <NameOfRelatedOrg>
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        <AddressUS>
          <AddressLine1>28000 Dequindre</AddressLine1>
          <City>Warren</City>
          <State>MI</State>
          <ZIPCode>48092</ZIPCode>
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        <PrimaryActivity>Investment</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <AddressLine1>28000 Dequindre</AddressLine1>
          <City>Warren</City>
          <State>MI</State>
          <ZIPCode>48092</ZIPCode>
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        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        </AddressUS>
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        <TypeOfEntity>C</TypeOfEntity>
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        <TypeOfEntity>C</TypeOfEntity>
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      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
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      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
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      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
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      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
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      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
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        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St John Hospital &amp; Medical Center</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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        <MethodOfAmtDetermination>Actual Amount Transferred</MethodOfAmtDetermination>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>