ST JOHN PROVIDENCE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST JOHN PROVIDENCE (EIN 38-2244034)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201341349349301824
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

FieldValueIRS element (for citing)
Timestamp2013-05-14T09:48:56-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1250 East Fifth Street Suite 1900AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN382244034EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St John HealthBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone5867530455Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line128000 DequindreAddressLine1
CityWarrenCity
StateMIState
ZIP Code480922468ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePatrick McGuireName
TitleChief Financial OfficerTitle
Phone5867530455Phone
Date Signed2013-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMatthew MontgomeryName
PTINP00492843PTIN
Phone5137847100Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1St John Providence Health SystemBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonPatricia MarylandNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line128000 DequindreAddressLine1
CityWarrenCity
StateMIState
ZIP Code480922468ZIPCode
FieldValueIRS element (for citing)
Gross Receipts268476130GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.stjohn.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionOur Catholic Health Ministry is dedicated to spiritually centered holistic care.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees2281TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI3889966TotalGrossUBI
Net Unrelated Business Txbl Income105037NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year478865ContributionsGrantsPriorYear
Contributions Grants Current Year64537ContributionsGrantsCurrentYear
Program Service Revenue Prior Year237970733ProgramServiceRevenuePriorYear
Program Service Revenue CY209245699ProgramServiceRevenueCY
Investment Income Prior Year10320922InvestmentIncomePriorYear
Investment Income Current Year13565381InvestmentIncomeCurrentYear
Other Revenue Prior Year18501OtherRevenuePriorYear
Other Revenue Current Year45600513OtherRevenueCurrentYear
Total Revenue Prior Year248789021TotalRevenuePriorYear
Total Revenue Current Year268476130TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1109322GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1114499GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year115049571SalariesEtcPriorYear
Salaries Etc Current Year123754291SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year128644923OtherExpensePriorYear
Other Expenses Current Year100496476OtherExpensesCurrentYear
Total Expenses Prior Year244803816TotalExpensesPriorYear
Total Expenses Current Year225365266TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3985205RevenuesLessExpensesPriorYear
Revenues Less Expenses CY43110864RevenuesLessExpensesCY
Total Assets BOY823135742TotalAssetsBOY
Total Assets EOY1194585909TotalAssetsEOY
Total Liabilities BOY1034150657TotalLiabilitiesBOY
Total Liabilities EOY1391991062TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-211014915NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-197405153NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSt. John Providence Health System, as a Catholic Health Ministry, is committed to providing spiritually centered, holistic care which sustains and improves the health of individuals in the communities we serve, with special attention to the poor and vulnerable.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense187659737Expense
Grants1114499Grants
Revenue209943764Revenue
DescriptionIn furtherance of its mission, and in an effort to reduce the government's financial burden, St. John Health supports the efforts of its hospitals and health facilities providing care to individuals and communities. See Community Health Benefit Report on Schedule O.Description
Total Program Service Expense187659737TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961466NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2281NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Patrick McGuireBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5867530652TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line128000 DequindreAddressLine1
CityWarrenCity
StateMIState
ZIP Code48092ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Leslie A Murphy CPA
Chairperson5.00X000
Michael J Brennan
Vice Chair5.00X000
Maureen A Fay OP PhD
Secretary5.00X000
Dave Stephens
Treasurer5.00X000
Kevin J Grady MD Sch O
Board Member25.00X015100717080
James Giordano
Board Member5.00X000
Denise Lewis
Board Member5.00X000
Kathleen B McCann end 0911
Board Member5.00X000
Christine Parks CSJ
Board Member5.00X000
Dan Ponder
Board Member5.00X000
Gary Shiffman
Board Member5.00X000
John Smith
Board Member5.00X000
Shirley R Stancato
Board Member5.00X000
Karen Swanson MD
Board Member5.00X000
Patricia Maryland DrPH
Chief Executive Officer50.00X119042177046521998X
Patrick M McGuire
Chief Financial Officer50.00526307021998X
Robert Hoban
Chief Strategy Officer50.00417341057094X
Jean Meyer
Pres/EVP Acute Care Operations50.00373715017423X
Mary Kummer Naber
Chief Worklife Officer50.00369354021998X
Terence Hamilton
SVP Operations50.00348676021998X
Peter McCullough
Chief Academic/Scientific Officer50.00479015020773X
Joseph Tasse end 1011
President Ambulatory Svs50.00541825061745X
Allen D Tucker
Sr. Exec, Michigan Market Operations50.00268815020773X
Susan Burns
President - SJH Foundation50.00324744021998X
Debra L Hollander
Clinical Dir Behav Hlth Svcs50.00273627020773X
David Silwester
Former VP, Real Estate0.00027142829227X
Michael Wiemann MD
Former EVP0.00065656221998X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5113840TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1849462TotalReportableCompFrmRltdOrgs
Total Other Compensation376876TotalOtherCompensation
Number Individuals GT100 K92NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Accretive Health Inc
401 North Michigan Avenue Suite 27ChicagoIL60611Mgmt & Outsource Rev Cycle Functions72484398
Automated Benefit Services
8220 IrvingSterling HeightsMI48312Administration of Healthcare Claims30655434
Cardiovascular Therapeutics
22250 Providence Drive Suite 705SouthfieldMI48075Healthcare Services17571721
Sodexo Inc & Affiliates (Sch O)
4880 Payshere CircleChicagoIL60674Food Services16226496
TriMedx LLC
5451 Lakeview Parkway S DriveIndianapolisIN46268Clinical Engineering Services14631453
FieldValueIRS element (for citing)
Number Of Contractors GT100 K630NumberOfContractorsGT100K
All Other Contributions64537AllOtherContributions
Total Contributions64537TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
System Administration561000208912237208912237
Ancillary Revenue621990333462333462
FieldValueIRS element (for citing)
Total Program Service Revenue209245699TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column13559131TotalRevenueColumn
Exclusion$13,559,131ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real17900Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real17900Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column17900TotalRevenueColumn
Exclusion$17,900ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other6250Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other6250Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6250TotalRevenueColumn
Exclusion$6,250ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Pension Curtailment90009940864454$40,864,454
Cafeteria Revenue722212130128$130,128
Management Fees9000992124921249

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column4566782TotalRevenueColumn
Related Or Exempt Function Income676816RelatedOrExemptFunctionIncome
Unrelated Business Revenue3889966UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue45582613TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column268476130TotalRevenueColumn
Related Or Exempt Function Income209943764RelatedOrExemptFunctionIncome
Unrelated Business Revenue3889966UnrelatedBusinessRevenue
Exclusion$54,577,863ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1114499Total
Program Services1114499ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2050311Total
Management And General2050311ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total90076Total
Management And General90076ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total98239841Total
Program Services85063123ProgramServices
Management And General13176718ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4012101Total
Program Services3399854ProgramServices
Management And General612247ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total12763986Total
Program Services9558851ProgramServices
Management And General3205135ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6597976Total
Program Services5591185ProgramServices
Management And General1006791ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4590164Total
Management And General4590164ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2112810Total
Program Services2112810ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total197632Total
Program Services197632ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total12903997Total
Program Services12903997ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total3960763Total
Program Services3947761ProgramServices
Management And General13002ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total31873228Total
Program Services31873228ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total20868448Total
Program Services20868448ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total444519Total
Program Services277223ProgramServices
Management And General167296ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total572786Total
Program Services403003ProgramServices
Management And General169783ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total143428Total
Program Services143428ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total960944Total
Program Services960944ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2236861Total
Program Services2236861ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total204542Total
Management And General204542ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Corporate Overhead1302412760466312419464
Non Recurring Expenses20297762029776
Repairs & Maintenance13885201388520
Contract Labor12408531240853

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1743078Total
Program Services1743078ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total225365266Total
Program Services187659737ProgramServices
Management And General37705529ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY21338231BOY
EOY25378526EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2029776BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2111479BOY
EOY2084483EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY14136418BOY
EOY15381698EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis44847272LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec19424407LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19218753BOY
EOY25422865EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY142818164BOY
EOY88256421EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY116531BOY
EOY375346EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY621366390BOY
EOY1037686570EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY823135742BOY
EOY1194585909EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY101763752BOY
EOY105600234EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY932386905BOY
EOY1286390828EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1034150657BOY
EOY1391991062EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-211022175BOY
EOY-197405153EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7260BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-211014915BOY
EOY-197405153EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY823135742BOY
EOY1194585909EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses43110864ReconcilationRevenueExpenses
Reconcilation Other Changes-29501102ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (11 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
St John Hospital & Medical Center
3813590633-Hospital111$0
Providence Hospital
3813582123-Hospital111$0
St John Macomb-Oakland Hospital
3833221093-Hospital111$0
St John River District Hospital
3831605643-Hospital111$0
Brighton Hospital
3815766803-Hospital111$0
Medical Resources Group
3834946379-Publicly Supported111$0
St John Community Health
3822628563-Hospital111$0
Eastwood Community
3819587639-Publicly Supported111$0
St John Home Care
3834086847-Publicly Supported111$0
Providence Health Foundation
38352662911-Supporting Org111$0
St John Hospital Foundation
2029615797-Publicly Supported111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs11TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts
General ExplanationSchedule A, Part IV, Supplemental Information: Schedule A, Part IV, Supplemental Information Part I, Line 11(h): Goods and services of $225,365,266 were provided to or purchased for the benefit of the supported organizations.GeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$52,000DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$145,632OtherActivitiesAmount
Total Lobbying Expenditures IIB197632TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart IV, Supplemental Information:Identifier
ExplanationPart II-B, Line 1(i), Other Lobbying Activities: Paid staff or management: $130,058 an amount reported on behalf of St. John Health to Michigan Department of State Lobby Registration, combined biennial reporting; 1/3 of salary to Sean Gehle, VP Advocacy; % of overhead of Lansing Advocacy Office, % of annual retainer to public affairs associates, % of annual retainer to Wiener Associates. Direct contact with legislators, their staffs, government officials $52,000; Section 508 Hospital Coalition. Other expenses represent the portion of dues paid to the Catholic Health Association that is specifically allocable to lobbying. Line J: Total lobbying expenditures: $197,632.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance18200BeginningOfYearBalance
Contributions114Contributions
Investment Earnings Or Losses904InvestmentEarningsOrLosses
Other Expenditures2184OtherExpenditures
End Of Year Balance17034EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance17314BeginningOfYearBalance
Investment Earnings Or Losses886InvestmentEarningsOrLosses
End Of Year Balance18200EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance20052BeginningOfYearBalance
Investment Earnings Or Losses994InvestmentEarningsOrLosses
Other Expenditures3732OtherExpenditures
End Of Year Balance17314EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance19077BeginningOfYearBalance
Contributions300Contributions
Investment Earnings Or Losses977InvestmentEarningsOrLosses
Other Expenditures302OtherExpenditures
End Of Year Balance20052EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.65860PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.34140TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5632451OtherCostOrOtherBasis
Book Value5632451BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16900607OtherCostOrOtherBasis
Depreciation8991328Depreciation
Book Value7909279BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis84475OtherCostOrOtherBasis
Depreciation59187Depreciation
Book Value25288BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis14893153OtherCostOrOtherBasis
Depreciation10373892Depreciation
Book Value4519261BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7336586OtherCostOrOtherBasis
Book Value7336586BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings25422865TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Accounts Receivable - Affiliates799737919
Deferred Compensation25191618
Interest in Investments held by Ascension Health Alliance212757033
FieldValueIRS element (for citing)
Total Book Value Other Assets1037686570TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
Accounts Payable - Affiliates$1,124,663,607
Pension Liability$91,743,278
Intercompany Debt with Ascension Health Alliance$44,566,971
Deferred Compensation$25,191,618
Workers Compensation Rebate$108,641
Other Accruals$116,713
FieldValueIRS element (for citing)
Total Of Amounts1286390828TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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"): 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

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Detroit Cristo Rey High School
5679 West Vernor HighwayDetroitMI48209262994633Section 501(c)(3)26000Work Study Program Sponsorship
Oakland University
School of Nursing 428 ODowd HallRochesterMI48309381714400Section 501(c)(3)1088499Education Grant Agreement
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: St. John Health requires potential applicants 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Kevin J Grady MD Sch O
0145547000546006107010973016808700
Patricia Maryland DrPH
9146570264280770465114840110250109730121241977046500
Patrick M McGuire
4608460653860750110250109730548305000
Robert Hoban
3643670491010387304612101097304744350350960
Jean Meyer
3372740360930348064500109730391138000
Mary Kummer Naber
332382036972000110250109730391352000
Terence Hamilton
315381033295000110250109730370674000
Peter McCullough
4747390004276098000109730499788000
Joseph Tasse end 1011
38958206748208476105077201097306035700397470
Allen D Tucker
2688150000098000109730289588000
Susan Burns
287529033267039480110250109730346742000
Debra L Hollander
2736270000098000109730294400000
David Silwester
022756203544508421014852014375030065500
Michael Wiemann MD
0525249093769037544011025010973067856000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aThe Chief Executive Officer is allowed a companion on two business trips per year. The cost of the companion's travel is added to the Chief Executive Officer's W-2 at the end of the year.
Part IIIPart I, Line 4a: The following former executives received severence payments during the current year: - Joseph Tasse - $90,076. 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 F in the year paid. 457(f) Payments Made: - Robert Hoban: $35,096 - Joseph Tasse: $39,747Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Program Service StatementForm 990, Part III:St. John Health 38-2244034 Community Benefit Report For the fiscal year ended June 30, 2012 This report illustrates the significant degree to which St. John Health ("the System") contributes to the positive health status of the communities it serves. As a member of Ascension Health, the nation's largest Catholic healthcare system, St. John Health 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 Health is to perpetuate the healing mission of the church. The system furthers this goal through delivery of patient services, care to the elderly and indigent, patient education and 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 Health is comprised of five hospitals, plus more than 125 medical facilities in southeast Michigan. St. John Health 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 Health has developed the following programs to help achieve its mission: EXPANDING AWARENESS, EDUCATION, AND HEALTH PROMOTION St. John Health believes that it is essential to educate people regarding the types of behavior that improve their chances of living a healthy life. The system has invested significantly in unique, top quality health education and materials to accomplish its goals. VARIOUS CLASSES THE SYSTEM HAS PROVIDED TO THE COMMUNITY ARE AS FOLLOWS: Pounds off with empowerment class, bone density, blood pressure and skin cancer screening, CPR, joint seminar-hip or knee pain, learn to live with migraines, risk factors, stress management, weight loss seminar, what every man/woman needs to know about golf, smart eating, smart medicines, baby care basics, breastfeeding preparation, childbirth classes, infant massage, health fairs cholesterol screening, heart-saver first aid, alternatives to hysterectomy, nutrition for women, CD-Implantable Defibrillator-ICD, menopause, Medicare Part D prescription drug coverage, BLS re-certification, substance abuse and dependence, lifestyle changes for diabetes, courageous conversations, blood pressure screening, senior spirit day, ten things women can do, diabetes risk factors, cardiac and pulmonary support, prostate cancer screening, yoga, reiki,blood drives, osteoporosis screening & education, osteoporosis & osteoarthritis, cardiac rehab, smoking cessation, parish nurse sites, coping with various cancers, and support groups for various cancers, caregivers and other diseases. Education material is provided on the web under www.stjohn.org and www.realmedicine.org ACCESS TO CARE PROGRAMS St. John Health operates many public health clinics. Public clinics range from specialty clinics such as pediatrics to general internal medicine clinics. Our community health centers provide care for all community residents, regardless of their ability to pay. Services include the full range of preventive and primary health and some dental care for adults and children, prenatal care, and management of chronic diseases such as asthma, diabetes and heart disease. COMMUNITY OUTREACH AND SERVICE The System provides charitable contributions to various communities by volunteering and giving support to parades, marathons, health expos, American Red Cross blood drives, churches, schools, all area 4-star basketball camp, baseball clubs, women's international health show, Belle Isle run/walk, town hall series lectures, career fairs at schools, police officers benefit, Oakland University Nightingale Sponsorship, community foundation outings, chamber golf outings, infant mortality comedy night, college health care scholarships, fall fairs, YMCA kids programs and Habitat for Humanity. St. John Health partners with many organizations to improve community health, such as American Red Cross and the American Heart Association. CHARITY CARE Nearly 12 percent of Michigan residents or 1.2 million people lacked health insurance in 2012. In Detroit, 22% of residents are uninsured; this figure reamins high due to layoffs, fewer companies offering health insurance and a lessened ability of workers to afford coverage in the metro Detroit area. The uninsured are likely to seek care in hospital emergency rooms. The System had 396,328 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. 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 Health offers various free clinics. In the spirit of principles adopted by Ascension Health, St. John Health has taken proactive steps to address those issues that will affect accessibility, the financing, and the delivery of healthcare to all persons, especially the uninsured, underinsured, and the underserved. During the fiscal year ending June 30, 2012, the estimated un-reimbursed cost of services provided to the elderly, uninsured, and underinsured totaled $121.5 million. St. John Health provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2012, approximately 40% of the value of services rendered was to elderly patients under the Medicare program, and approximately 14.5% 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 Health 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 and infectious disease research. MEDICAL EDUCATION St. John Health 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/GME Residency Training OPERATIONS AND GOVERNANCE ST. JOHN HEALTH 1. Operates an emergency room that is open to all persons regardless of ability to pay. 2. Has an 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 comprise 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 Health 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, cardiothoracic surgery, child and adolescent psychiatry, child/adolescent neurology, clinical cardiac electrophysiology, colon and rectal surgery, cytopathology, dentistry, dermatology, diagnostic radiology, emergency medicine, emergency medicine-pediatric emergency medicine, endocrinology diabetes and metabolism, family medicine, family medicine-addiction, 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 and fetal medicine, neonatal-perinatal medicine, nephrology, neurological surgery, neurology, neuroradiology, nuclear medicine, obstetrics and gynecology, occupational medicine, opthalmology, oral and maxiofacial surgery, orthopedic surgery, orthopedic surgery-hand surgery, tolaryngology, otorhinolaryngology and orofacial plastic surgery, pathology, pathology-dermatopathology, pediatric-endocrinology, pediatric-allergy and immunology, pediatric-cardiology, pediatric-critical care medicine, pediatric-dentistry, pediatric-emergency medicine, pediatric-gastroenterology, pediatric-hematology 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 Health hospitals treated adults and children from the community for a total of 492,712 patient days of service. The system also provided services to 2,689,371 outpatients, including 215,291 mental health visits, 124,080 home health visits, and 38,713 outpatient surgery patients. Additional links to additional community benefit information: //www.mha.org FINANCIAL INFORMATION The financial information presented below was prepared in accordance with the Catholic Health Association's (CHA) community benefit reporting guidelines. These guidelines recommend the following: - Report care of the poor at cost, not charges. - Do not include bad debt, contractual allowances, and quick pay discounts as part of care of the poor expense. - Do not count Medicare shortfall as a community benefit. - Report the net expense for community benefit services, i.e., the total community benefit expense minus any associated revenue from patients, payers, and other external sources. The CHA reporting guidelines reflect a conservative approach to reporting quantifiable community benefit. The goal of the reporting guidelines is to produce community benefit financial reports that reflect true costs and that describe community benefit activities that increase access to health care and improve community health. Consolidated St. John Health information for fiscal year ended June 30, 2012: 1) Care of the poor (at cost) = $32,796,609 2) Government sponsored health care (net expense) = $2,760,432 3) Unpaid cost of public indigent care programs (includes medicaid, schip, and other safety net programs; does not include medicare shortfalls) = $35,672,999 4) Community benefit programs (net expense) = $50,117,421 Total quantifiable community benefit, as determined in accordance with CHA reporting guidelines = $121,347,461 SUPPLEMENTAL INFORMATION Bad debt costs attributable to charity = $33,771,163 Medicare surplus = $33,553,518
Form 990, Part VI, Section A, line 2Many 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. Leslie Murphy, Chairman, and Maureen A. Fay, Secretary, have a business relationship. Leslie Murphy, Chairman, and Michael Brennan, Vice Chair, have a business relationship. Leslie Murphy, Chairman, and Patricia Maryland, Chief Executive Officer, have a business relationship.
Form 990, Part VI, Section A, line 6St. John Health has a single corporate member, Ascension Health.
Form 990, Part VI, Section A, line 7aSt. John Health has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of St. John Health.
Form 990, Part VI, Section A, line 7bAscension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.
Form 990, Part VI, Section B, line 11Management, 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 and board member's questions.
Form 990, Part VI, Section B, line 12cThe organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, officer, key employee, 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, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the 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 15In determining the compensation of the organization's CEO, the process included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. The compensation committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the committee minutes. The individual was not present when her compensation was decided. In determining the compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Compensation Committee reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organizations were compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the committee minutes.
Form 990, Part VI, Section C, line 19The organization will provide any documents open to public inspection upon request.
Form 990, Part VII, Section A: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.
Form 990, Part VII, Section B:Amounts paid to Sodexo, Inc. & Affiliates represent amounts paid for services and materials. These amounts cannot be separated.
Changes in Net Assets or Fund Balances:Form 990, Part XI, line 5:Net unrealized losses on investments: -12,358,588. Transfers to Affiliates -17,321,738. Transfers to Sponsor -1,222,791. Deferred Pension Costs 1,531,001. Net Assets Released to/from Other Business Units 73,248. Other Pension related Adjustments -202,234. Total to Form 990, Part XI, Line 5: -29,501,102.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (20 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Ascension Health
PO Box 45998St LouisMO63145311662309National Health SystemMOSection 501(c)(3)Schedule A, Line 11aAscension Health Alliance0
Brighton Hospital
12851 Grand RiverBrightonMI48116381576680HospitalMISection 501(c)(3)Schedule A, Line 3St John Health1
Brighton National Addiction Foundation
12851 Grand RiverBrightonMI48116260694680FundraisingMISection 501(c)(3)Schedule A, Line 7Brighton Hospital1
Father Murray Nursing Center
28000 Dequindre RoadWarrenMI48092382601348Medical CareMISection 501(c)(3)Schedule A, Line 9St John Health1
Macomb Hospital Center Auxiliary
11800 E Twelve MileWarrenMI48093386091287FundraisingMISection 501(c)(3)Schedule A, Line 11cSt John Macomb-Oakland Hospital Corp0
Medical Resources Group
43800 Garfield Rd Suite 201Clinton TownshipMI48038383494637Medical CareMISection 501(c)(3)Schedule A, Line 9StJohn Health1
Providence Health Foundation
22101 Moross Suite 102DetroitMI48236383526629FundraisingMISection 501(c)(3)Schedule A, Line 11cStJohn Health1
Providence Hospital
16001 West Nine Mile RdSouthfieldMI48037381358212HospitalMISection 501(c)(3)Schedule A, Line 3StJohn Health1
Seton Health Corp of SE Michigan
16001 West Nine Mile RdSouthfieldMI48037382820107Medical CareMISection 501(c)(3)Schedule A, Line 11cSt John Health1
St John Community Health Investment Corp
28000 Dequindre RoadWarrenMI48092382262856Medical CareMISection 501(c)(3)Schedule A, Line 3St John Health1
St John Home Care
37650 Garfield RdClinton TownshipMI48036383408684Medical CareMISection 501(c)(3)Schedule A, Line 7StJohn Health1
St John Hospital & Medical Center
28000 Dequindre RoadWarrenMI48092381359063HospitalMISection 501(c)(3)Schedule A, Line 3St John Health1
St John Hospital Foundation
22101 Moross Rd Mack Office Bldg StDetroitMI48236202961579FundraisingMISection 501(c)(3)Schedule A, Line 7St John Health1
St John Hospital Guild
28000 Dequindre RoadWarrenMI48092386091110FundraisingMISection 501(c)(3)Schedule A, Line 11cSt John Hospital & Medical Center0
St John River District Hospital
4100 River RoadEast ChinaMI48054383160564HospitalMISection 501(c)(3)Schedule A, Line 3St John Health1
St John Senior Community
18300 East WarrenDetroitMI48224382631907Medical CareMISection 501(c)(3)Schedule A, Line 9St John Health1
Our Lady of Providence League
28000 Dequindre RoadWarrenMI48092386108200FundraisingMISection 501(c)(3)Schedule A, Line 11cProvidence Hospital0
St John Macomb-Oakland Hospital
28000 Dequindre RoadWarrenMI48092383322109HospitalMISection 501(c)(3)Schedule A, Line 3St John Health1
Eastwood Community Clinics
28000 Dequindre RoadWarrenMI48092381958763Medical CareMISection 501(c)(3)Schedule A, Line 9St John Health1
Fontbonne Auxiliary of St John Hospital
28000 Dequindre RoadWarrenMI48092386082173FundraisingMISection 501(c)(3)Schedule A, Line 11cSt John Health0

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
Advent Partners LP
28000 Dequindre RoadWarrenMI48092383494197InvestmentMIN/A
Open MRI of Michigan
28000 Dequindre RoadWarrenMI48092383544539Medical ServicesMIN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
Advent Inc
28000 Dequindre RoadWarrenMI48092382971743InvestmentMIN/AC
Affiliated Health Services Inc
28000 Dequindre RoadWarrenMI48092382292922Maintain Rental Space & Provide Medical Mgmt.MIN/AC1010197112493981.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (44 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Brighton Hospital
N3011827Actual Amount Transferred
Brighton Hospital
P3350874Actual Amount Transferred
Brighton Hospital
R265556Actual Amount Transferred
Eastwood Community Clinics
N6089413Actual Amount Transferred
Eastwood Community Clinics
P6317958Actual Amount Transferred
Eastwood Community Clinics
R12271301Actual Amount Transferred
Father Murray Nursing Center
R1302663Actual Amount Transferred
St John Macomb-Oakland Hospital
R340773Actual Amount Transferred
St John Macomb-Oakland Hospital
N102541766Actual Amount Transferred
St John Macomb-Oakland Hospital
P270444705Actual Amount Transferred
St John Macomb-Oakland Hospital
R389525023Actual Amount Transferred
Medical Resources Group
N48106961Actual Amount Transferred
Medical Resources Group
P61302898Actual Amount Transferred
Medical Resources Group
R99102461Actual Amount Transferred
Providence Health Foundation
P987562Actual Amount Transferred
Providence Hospital
R310121Actual Amount Transferred
Providence Hospital
N161877262Actual Amount Transferred
Providence Hospital
P475714854Actual Amount Transferred
Providence Hospital
R753146472Actual Amount Transferred
St John River District Hospital
R61363Actual Amount Transferred
St John River District Hospital
N11899435Actual Amount Transferred
St John River District Hospital
P30655988Actual Amount Transferred
St John River District Hospital
R34800455Actual Amount Transferred
St John Senior Community
R187827Actual Amount Transferred
St John Community Health Investment Corporation
N2381993Actual Amount Transferred
St John Community Health Investment Corporation
P3613581Actual Amount Transferred
St John Community Health Investment Corporation
R1031620Actual Amount Transferred
St John Home Care
N14299627Actual Amount Transferred
St John Home Care
P19598170Actual Amount Transferred
St John Home Care
R36102476Actual Amount Transferred
St John Hospital and Medical Center
R366184Actual Amount Transferred
St John Hospital and Medical Center
J683298Actual Amount Transferred
St John Hospital and Medical Center
N162492114Actual Amount Transferred
St John Hospital and Medical Center
P512081444Actual Amount Transferred
St John Hospital and Medical Center
R664441851Actual Amount Transferred
St John Hospital Foundation
C63804Actual Amount Transferred
St John Hospital Foundation
P3575943Actual Amount Transferred
St John Hospital Foundation
Q1353189Actual Amount Transferred
Affiliated Health Services Inc
N8468247Actual Amount Transferred
Affiliated Health Services Inc
P43696744Actual Amount Transferred
Affiliated Health Services Inc
R53579991Actual Amount Transferred
Open MRI of Michigan
P932013Actual Amount Transferred
Open MRI of Michigan
R994061Actual Amount Transferred
Ascension Health
Q18272248Actual Amount Transferred

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