2012-05-08T10:31:37-05:00 2011-06-30 990 2010-07-01 381443395 ST JOSEPH HEALTH SYSTEM STJO 9893620181 200 HEMLOCK STREET TAWAS CITY MI 48763 ANN BALFOUR 9893620181 2012-04-27 false 2012-05-08 2010 2016-02-24 21:20:13Z ANN BALFOUR 200 HEMLOCK STREET TAWAS CITY MI 48763 59428934 false X WWW.SJHSYS.ORG X 1953 MI AS A CATHOLIC HEALTH MINISTRY OF THE CHURCH, ST. JOSEPH HEALTH SYSTEM'S MISSION IS TO "PROVIDE SPIRITUALLY CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES." THIS INCLUDES ACTING AS ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND WORDS. A UNIVERSAL TENET OF CATHOLIC HEALTH ORGANIZATIONS' MISSION STATEMENTS IS CARE FOR ALL PERSONS, ESPECIALLY THE POOR AND VULNERABLE. THE CALL TO BRING GOD'S HEALING TO PERSONS IN NEED IS WHAT COMPELLED THE FOUNDERS OF VARIOUS ORGANIZATIONS TO VENTURE OUT INTO PARTS OF THIS NATION THAT, UNTIL THEIR ARRIVAL, HAD BEEN SORELY UNDERSERVED. FOR MORE THAN 250 YEARS, (58 FOR ST. JOSEPH HEALTH SYSTEM) CATHOLIC HEALTH CARE IN THE UNITED STATES HAS BEEN DRIVEN BY THAT SAME CALL AND HAS GROWN IN WAYS THAT COULD NOT HAVE BEEN IMAGINED. 12 9 635 202 378296 203266 261102 56709883 56421027 2092915 1959578 503964 532695 59510028 59174402 8709 8689 0 30515697 31357586 0 116122 27296308 27483956 57820714 58850231 1689314 324171 50718767 55064786 28690451 27970627 22028316 27094159 X AS A CATHOLIC HEALTH MINISTRY OF THE CHURCH, ST. JOSEPH HEALTH SYSTEM'S MISSION IS TO "PROVIDE SPIRITUALLY CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES." THIS INCLUDES ACTING AS ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND WORDS. A UNIVERSAL TENET OF CATHOLIC HEALTH ORGANIZATIONS' MISSION STATEMENTS IS CARE FOR ALL PERSONS, ESPECIALLY THE POOR AND VULNERABLE. THE CALL TO BRING GOD'S HEALING TO PERSONS IN NEED IS WHAT COMPELLED THE FOUNDERS OF VARIOUS ORGANIZATIONS TO VENTURE OUT INTO PARTS OF THIS NATION THAT, UNTIL THEIR ARRIVAL, HAD BEEN SORELY UNDERSERVED. FOR MORE THAN 250 YEARS, (58 FOR ST. JOSEPH HEALTH SYSTEM) CATHOLIC HEALTH CARE IN THE UNITED STATES HAS BEEN DRIVEN BY THAT SAME CALL AND HAS GROWN IN WAYS THAT COULD NOT HAVE BEEN IMAGINED. false false 43412964 8689 56421027 ST. JOSEPH HEALTH SYSTEM (SJHS) PROVIDES A SUBSTANTIAL PORTION OF ITS SERVICES TO THE ELDERLY AND POOR. DURING THE FISCAL YEAR ENDING JUNE 30, 2011, APPROXIMATELY 54% OF THE VALUE OF SERVICES RENDERED WERE TO ELDERLY PATIENTS UNDER THE MEDICARE PROGRAM, AND APPROXIMATELY 16% OF THE SERVICES WERE PROVIDED TO PATIENTS WHO WERE DEEMED ELIGIBLE UNDER STATE, COUNTY, OR HEALTH SYSTEM FINANCIAL ASSISTANCE GUIDELINES. ST. JOSEPH HEALTH SYSTEM ACTIVELY PROVIDES FUNDING AND RESOURCES TO PROMOTE HEALTH SCREENINGS, WELLNESS ACTIVITIES, AND VARIOUS OTHER HEALTH EDUCATION PROGRAMS IN COMMUNITIES WE SERVE, TARGETING SCHOOLS, WOMEN'S HEALTH SEMINARS, HEALTH & WELLNESS SCREENS, AS WELL AS THE GENERAL PUBLIC. COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. IN EFFORTS TO PROMOTE HEALTHY LIVING, ST. JOSEPH HEALTH SYTEM HAS MADE AVAILABLE THE FOLLOWING PROGRAMS TO THE COMMUNITY: SEE SCHEDULE H DURING THE FISCAL YEAR ENDING JUNE 30, 2011, OUR HOSPITAL TREATED 2,277 INPATIENT ADULTS AND CHILDREN IN THE COMMUNITY FOR A TOTAL OF 5,908 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES TO 213,965 OUTPATIENTS, INCLUDING 3,342 OUTPATIENT SURGERY PATIENTS, 15,701 EMERGENCY ROOM VISITS, 15,516 HOMEBOUND VISITS, AND 4,383 HOSPICE DAYS. 43412964 true false false true false false false false false true true false false false true true false true false false false false false false false false true true false true true false false false false false false false false false false false false false true true true false false true 97 1 true 635 true true true false false false false true true false false false false X 12 9 true false false false true true true true true true true true true true true true true true true true true true X DONNA SANFORD 9893620181 200 HEMLOCK STREET TAWAS CITY MI 48763 X PATRICK MURTHA 60.00 X X 996530 0 17181 DONALD R ELLIS III MD 60.00 X 227517 0 13776 NEELIMADEVI RYALI MD 60.00 X X 182317 0 12866 SCOTT CHAPLESKI 2.00 X 0 0 0 MICHAEL BUSCH 2.00 X 0 0 0 JERRY SCHMIDT 2.00 X 0 0 0 GERALD GRACIK 2.00 X 0 0 0 RYAN PARKINSON 2.00 X 0 0 0 BRENDA CHADWICK 2.00 X 0 0 0 MARIE HOGAN 2.00 X 0 0 0 RICK MICHAELS 2.00 X 0 0 0 ROBERT STALKER II 2.00 X 0 0 0 LINDA STANCILL 60.00 X 226047 0 40297 ANN BALFOUR 60.00 X 152033 0 32024 DEBRA FOX 60.00 X 144205 0 11026 JOHN BLOCKSOM DO 60.00 X 480733 0 15992 MARK GALLAGHER DO 60.00 X 341402 0 17493 RICHARD SCHULZ DO 60.00 X 298721 0 14739 CLARENCE WRIGHT III MD 60.00 X 251816 0 14974 CHRISTOPHER LANDREY DO 60.00 X 224999 0 11622 3526320 201990 24 false true false EPMG OF MICHIGAN PC 2000 GREEN ROAD SUITE 300 ANN ARBOR MI 48105 ER PHYSICIANS 2108848 MEDSERV PLUS INC PO BOX 45 E PALESTINE OH 44413 BIOMEDICAL MAIN 392250 GENTIVA HEALTH SERV PO BOX 277950 ATLANTA GA 30384 BILLING SERVICE 329265 AHSA LLC PO BOX 945 TRAVERSE CITY MI 48685 SURGICAL STAFF 315709 ARUP LABORATORIES PO BOX 27964 SALT LAKE CITY UT 84127 LAB SERVICES 236916 10 18322 242780 261102 PATIENT SERVICES 56285271 56285271 LAB SUPPORT SERVICES TO EXTER 621990 135756 135756 56421027 1904894 1904894 15491 39747 -24256 -24256 -24256 269469 214785 54684 54684 54684 MIS REV - CONVEN. OF PATIENTS 621990 314411 314411 OCC HEALTH SUPPORT SERVICES 621990 242540 242540 556951 59174402 56285271 378296 2249733 8689 8689 2055818 436475 1619343 24263060 19483620 4698580 80860 933852 466659 462494 4699 2413293 1934118 474356 4819 1691563 1355692 332493 3378 174041 174041 160744 6180 153659 905 46834 45634 1200 12246 12246 4773390 3768849 1003885 656 161504 21853 139651 1415252 778449 627809 8994 2064556 98239 1965445 872 1556097 1030610 522048 3439 177667 177601 66 147410 58095 87548 1767 784885 25047 759838 826559 826559 2777854 1836267 941307 280 30928 30928 MEDICAL SUPPLIES 7627909 7615690 12219 BAD DEBT 3416865 3416865 MAINTENANCE & REPAIRS 934513 756225 178244 44 OTHER EXPENSE 313891 74679 235003 4209 RECRUITMENT 80811 63062 17749 58850231 43412964 15321145 116122 745599 1516331 18963 8164 3822321 3786912 79378 79378 1420622 1393904 1554861 4860427 54902480 34775756 20848003 20126724 19033040 20631536 3195980 2661410 50718767 55064786 8440876 8240851 20249575 19729776 28690451 27970627 X 20799572 26755193 1228744 338966 22028316 27094159 50718767 55064786 X 324171 4741672 X false true X false X false false false false false false false false false false true 7632 false true 4614 12246 false false false false false SCHEDULE C, PART II-B, LINE 1I LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. false false false false false false false 138169 65979 25972 230120 139537 -1368 138169 0.04000 0.96000 false true true 1492993 1492993 23259811 13563287 9696524 181158 176721 4437 24898394 17708179 7190215 5070124 3327569 1742555 20126724 INTERCOMPANY DEBT TO ASCENSION HEALT 18966169 GENERAL RESERVES 550670 SELF INSURANCE LIABILITY 212937 OBLIGATION UNDER CAPTIAL LEASE - AH 19729776 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 THE USE OF ALL ENDOWED FUNDS SUPPORTS CAPITAL EQUIPMENT PURCHASES AND NEW SERVICE LINE EXPANSION AT ST. JOSEPH HEALTH SYSTEM. LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X PER THE FINANCIAL STATEMENTS OF ASCENSION HEALTH (WHICH INCLUDES THE ACTIVITY OF ST. JOSEPH HEALTH SYSTEM), THERE IS NO ASC 740 FOOTNOTE FOR THE CURRENT YEAR. true true true X true X true true false true true 283569 283569 0.00510 8390198 7533201 856997 0.01550 8673767 7533201 1140566 0.02060 381550 381550 0.00690 160913 163434 -2521 15976 15976 0.00030 558439 163434 395005 0.00720 9232206 7696635 1535571 0.02780 1 6560 6560 0.00010 1 6560 6560 0.00010 false 1761893 746930 20443279 18117833 2325446 X true true 1 1 ST JOSEPH HEALTH SYSTEM

200 HEMLOCK STREET TAWAS CITY MI 48763

X X X ST JOSEPH HEALTH SYSTEM 1 14 HARBOR HEALTH CENTER

110 BEECH STREET TAWAS CITY MI 48763

REHAB SERVICES, PHYSICIAN OFFICES HURON PROFESSIONAL BUILDING

716 GERMAN STREET TAWAS CITY MI 48763

HOME HEALTH & HOSPICE OSCODA HEALTH PARK

5939 N HURON RD OSCODA MI 48750

PHYSICIAN OFFICES HURON FAMILY MEDICINE

700 GERMAN STREET TAWAS CITY MI 48763

PHYSICIAN OFFICES MEDICAL ARTS BUILDING

295 MAPLE STREET TAWAS CITY MI 48763

PHYSICIAN OFFICES ST JOSEPH WOMENS CLINIC

25 M-55 TAWAS CITY MI 48763

PHYSICIAN OFFICES ST JOSEPH PEDIATRIC CLINIC

325 M-55 TAWAS CITY MI 48763

PHYSICIAN OFFICES HALE ST JOSEPH MEDICAL CENTER

116 S CHURCH STREET HALE MI 48739

PHYSICIAN OFFICES WOMEN'S CLINIC - WEST BRANCH

621 COURT STREET SUITE 105 WEST BRANCH MI 48661

PHYSICIAN OFFICES ST JOSEPH UROLOGY CLINIC

110 E STATE STREET EAST TAWAS MI 48730

PHYSICIAN OFFICES HURON SHORES WALK-IN CLINIC

1691 E US-23 EAST TAWAS MI 48730

PHYSICIAN OFFICES GREAT LAKES FAMILY MEDICINE

106 DIVISION OSCODA MI 48750

PHYSICIAN OFFICES AUGRES FAMILY CLINIC

302 S MAIN AUGRES MI 48703

PHYSICIAN OFFICES AUSABLE VALLEY HEALTH CENTER

1392 MAPLE DRIVE FAIRVIEW MI 48621

PHYSICIAN OFFICES OTHER TESTING METHODS FOR FREE OR DISCOUNTED CARE PART I LINE 3C THE ORGANIZATION PROVIDES MEDICALLY NECESSARY CARE TO ALL PATIENTS REGARDLESS OF RACE COLOR CREED ETHNIC ORIGIN GENDER DISABILITY OR ECONOMIC STATUS THE ORGANIZATION USES A PERCENTAGE OF FEDERAL POVERTY LEVEL FPL TO DETERMINE FREE AND DISCOUNTED CARE AT A MINIMUM PATIENTS WITH INCOME LESS THAN OR EQUAL TO 200 OF THE FPL WHICH MAY BE ADJUSTED FOR COST OF LIVING UTILIZING THE LOCAL WAGE INDEX COMPARED TO NATIONAL WAGE INDEX WILL BE ELIGIBLE FOR 100 CHARITY CARE WRITE OFF OF CHARGES FOR SERVICES THAT HAVE BEEN PROVIDED TO THEM ALSO AT A MINIMUM PATIENTS WITH INCOMES ABOVE 200 OF THE FPL BUT NOT EXCEEDING 300 OF THE FPL SUBJECT TO ADJUSTMENTS FOR COST OF LIVING UTILIZING THE LOCAL WAGE INDEX COMPARED TO NATIONAL WAGE INDEX WILL RECEIVE A DISCOUNT ON THE SERVICES PROVIDED TO THEM EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE PART I LINE 7 COLUMN F THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON FORM 990 PART IX LINE 25 COLUMN A BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN PART I LINE 7 COLUMN F IS 34 MILLION COSTING METHODOLOGY EXPLANATION PART I LINE 7 FOR THE INFORMATION IN THE TABLE A COSTTOCHARGE RATIO WAS CALCULATED AND APPLIED COMMUNITY BUILDING ACTIVITIES PART II IOSCO COUNTY SART AS A CATHOLIC HEALTH MINISTRY ST JOSEPH HEALTH SYSTEM IS DEDICATED TO SPIRITUALLY CENTERED HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES AFTER A CRIME VICTIM SERVICE COMMISSION SEXUAL ASSAULT RESPONSE ASSESSMENT SARA PROJECT IDENTIFIED NORTHEAST MICHIGAN AS ONE REGION IN THE STATE THAT HAS ZERO DOLLARS DESIGNATED FOR SEXUAL ASSAULT SERVICES AND A REQUEST FROM ASCENSION HEALTH MINISTRIES TO CONSIDER COMPASSIONATE CARE OF SEXUAL ASSAULT PATIENTS IN THE EMERGENCY DEPARTMENT SETTING SJHS INITIATED A TASK FORCE TO INVESTIGATE THE FEASIBILITY OF A SEXUAL ASSAULT NURSE EXAMINER SANE PROGRAM IN OUR AREA THAT DREAM CONTINUED MOVING TOWARD REALITY WHEN SR RITA ANN TEICHMAN VICE PRESIDENT OF MISSION INTEGRATION AT SJHS TOOK A LEADERSHIP ROLE IN BRINGING TOGETHER COMMUNITY PARTNERS IN TAKING ACTIONS TO IMPLEMENT SANE SERVICES AND A VITAL FUNCTIONING SEXUAL ASSAULT RESPONSE TEAM SART SERVING IOSCO COUNTY ALL ABSENT OF A FORMAL FUNDING STREAM TO DATE A TREMENDOUS AMOUNT OF EFFORT HAS GONE INTO COMMUNITY WIDE EVALUATION OF SURVIVOR NEEDS RESOURCES COMMUNITY PERCEPTIONS IDENTIFICATION OF BARRIERS AND SUBSEQUENT COORDINATED RESPONSE TO ADDRESSING RURAL SURVIVOR NEEDS IN ADDITION IOSCO COUNTY SART HAS PROVIDED TRAINING FOR FOUR SEXUAL ASSAULT NURSE EXAMINERS AND MOST RECENTLY CELEBRATED THE RIBBON CUTTING AND GRAND OPENING OF THE SEXUAL ASSAULT RESPONSE AND WELCOME CENTER AT OUR OSCODA HEALTH PARK CLINIC LOCATION IN PARTNERSHIP WITH SHELTER INC A DUAL DOMESTIC VIOLENCESEXUAL ASSAULT COMPREHENSIVE SERVICE AGENCY THE RESPONSE CENTER PROMOTES A COMPREHENSIVE COMMUNITY RESPONSE TO SEXUAL ASSAULT THROUGH EDUCATION SYSTEM CHANGE CRISIS AND PRIMARY AND SECONDARY VICTIM SERVICES MEMBERS OF THE SART TEAM CONSIST OF 8 ST JOSEPH HEALTH SYSTEM ASSOCIATES AND KEY COMMUNITY STAKEHOLDERS INCLUDING MICHIGAN STATE POLICE IOSCO COUNTY SHERRIFF TAWAS POLICE AUTHORITY SHELTER INC HUMAN SERVICE AGENCIES COUNTY COURTS MENTAL HEALTH PROFESSIONALS AND CLERGY THE COMMITMENT OF SJHS AND THE LOCAL COMMUNITY TO PROVIDING SEXUAL ASSAULT SERVICES SPECIFIC TO RURAL COMMUNITY ISSUES HAS BEEN AND CONTINUES TO BE CLEAR ESTABLISHED AND ONGOING STRIVING TO BUILD AND SUSTAIN SURVIVOR CENTERED EMPOWERMENT BASED SEXUAL ASSAULT SERVICES REMAINS THE GOAL AND FOCUS OF OUR COMMUNITY COORDINATED RESPONSE TO SEXUAL ASSAULT BAD DEBT EXPENSE EXPLANATION PART III LINE 4 THE ORGANIZATION IS A PART OF THE ASCENSION HEALTH SYSTEM CONSOLIDATED AUDIT THE FOOTNOTE THAT REFERENCES BAD DEBT EXPENSE IN THE 2011 CONSOLIDATED AUDIT IS AS FOLLOWS THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENTS ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING ECONOMIC CONDITIONS HISTORICAL EXPERIENCE TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS PERIODICALLY THROUGHOUT THE YEAR MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITEOFF EXPERIENCE BY PAYOR CATEGORY INCLUDING THOSE AMOUNTS NOT COVERED BY INSURANCE THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED ASCENSION HEALTH FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PASTDUE PATIENT BALANCES WITH COLLECTION AGENCIES SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASCENSION HEALTHS POLICIES MEDICARE EXPLANATION PART III LINE 8 ASCENSION HEALTH AND RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION CHA GUIDELINES FOR DETERMINING COMMUNITY BENEFIT CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT COLLECTION PRACTICES EXPLANATION PART III LINE 9B THE ORGANIZATION HAS A WRITTEN DEBT COLLECTION POLICY THAT ALSO INCLUDES A PROVISION ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE IF A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE CERTAIN COLLECTION PRACTICES DO NOT APPLY NEEDS ASSESSMENT PART VI ST JOSEPH HEALTH SYSTEM RELIES ON INFORMATION FROM ST JOSEPH HEALTH SYSTEM EMERGENCY DEPARTMENT PATIENTS MICHIGAN STATISTICS WWWAECFORGKIDSCOUNT WWWMICHIGANGOVMDCH HTTPWWWCENSUSGOV WWWMICHIGANGOVMDCH WWWAECFORGKIDSCOUNT HTTPWWWDIABETERSORG WWWMICHIGANGOVMDCH COMMUNITY HEALTH ASSESSMENT ALCONA IOSCO OGEMAW AND OSCODA COUNTIES FEBRUARY 1996 DEMOGRAPHICS PP1122 KEY FINDINGS POPULATION EDUCATIONAL ATTAINMENT EMPLOYMENT AND INCOME POVERTY HOUSING AND PUBLIC ASSISTANCE CONCLUSION MARKET SHARE DATATHEIDSONLINECOM COMMUNITY NEEDS ASSESSMENT ALCONA 2009 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI UPON ADMISSION TO ST JOSEPH HEALTH SYSTEM ALL SELFPAY PATIENTS SPEAK WITH AN ASSOCIATE REGARDING FINANCIAL ASSISTANCE THAT IS AVAILABLE TO THEM ASSOCIATES HELP THE PATIENTS DETERMINE ELIGIBILITY FOR VARIOUS GOVERNMENT BENEFITS AS WELL AS ST JOSEPHS INTERNAL FINANCIAL ASSISTANCE PROGRAM SHOULD THE PATIENTS NOT BE CONSULTED UPON ADMISSION A LETTER IS SENT WITH THEIR FIRST ITEMIZED BILLING DETAILING THE AVAILABLE FINANCIAL ASSISTANCE PROGRAMS COMMUNITY INFORMATION PART VI IV COMMUNITY INFORMATION COMMUNITY SERVICE AREA DESCRIPTION ST JOSEPH HEALTH SYSTEM SERVES FIVE RURAL COUNTY AREAS COMPRISED OF 80000 RESIDENTS 2010 CENSUS AMONG THESE FIVE COUNTIES OUR FULL SERVICE MARKET AREA CONSISTS OF FIFTEEN ZIP CODES WITH A POPULATION OF APPROXIMATELY 40000 RESIDENTS AND THREE ZIP CODES MAKE UP THE PRIMARY SERVICE AREA WITH APPROXIMATELY 18000 RESIDENTS ST JOSEPH HEALTH SYSTEM IS LOCATED IN TAWAS CITY REMAINS THE LARGEST EMPLOYER WITHIN IOSCO COUNTY SEVERAL AUTOMOTIVE PARTS SUPPLIERS AND AIRCRAFT MAINTENANCE AND REFURBISHING FACILITIES ARE PROMINENT EMPLOYEES WITHIN IOSCO COUNTY WITHIN THE PRIMARY SERVICE AREA 96 OF RESIDENTS ARE CAUCASIAN WITH 2 HISPANIC 1 AFRICAN AMERICAN 1 INDIAN AND ASIAN OF THE APPROXIMATELY 18000 RESIDENTS IN THE PRIMARY SERVICE AREA APPROXIMATELY 81 ARE 45 YEARS OF AGE OR OLDER NO SIGNIFICANT CHANGE IN THE FIVE COUNTY SERVICE AREA IS PREDICTED FOR THE NEXT FIVE YEARS PAYER MIX WITHIN PRIMARY SERVICE AREA MEDICARE 53 BLUE CROSS 17 MEDICAID 14 COMMERCIAL 6 SELF PAY 4 OTHER 4 ST JOSEPH HEALTH SYSTEM PROVIDES 54 OF BOTH INPATIENT AND OUTPATIENT HOSPITAL BASED HEALTHCARE SERVICES FOR RESIDENTS WITHIN OUR PRIMARY SERVICE AREA CALENDAR 2011 ST JOSEPH HEALTH SYSTEM OWNS SEVEN PROVIDER BASED RURAL HEALTH PRIMARY CARE PRACTICES LOCATED IN TWO COUNTIES OUR FEDERALLY QUALIFIED HEALTH CARE CENTER FQHC IS LOCATED WITHIN THE PRIMARY SERVICE AREA AND THE ADDITIONAL FQHC IS LOCATED WITHIN THE FIVECOUNTY SERVICE AREA TWO PUBLICALLY OWNED HOSPITALS ARE LOCATED APPROXIMATELY ONE HOUR TRAVEL TIME NORTH AND WEST OF ST JOSEPH HEALTH SYSTEM IOSCO COUNTY WAS REPORTED AMONG THE NATIONS TWENTY 20 MOST ECONOMICALLY STRESSED COUNTIES IN 2011 HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI IN THE PAST YEAR ST JOSEPH HEALTH SYSTEM PROVIDED MORE THAN 16 MILLION IN UNCOMPENSATED CARE THROUGH DELIVERY OF SERVICES TO THE POOR AND VULNERABLE UNPAID COSTS OF PUBLIC PROGRAMS FINANCIAL ASSISTANCE TO THE UNINSURED AND OUTREACH SERVICES TO THE COMMUNITY HEALTHKEY A DEPARTMENT OF ST JOSEPH HEALTH SYSTEM WHOSE ROLE IS SERVING AS THE RESOURCE AND SUPPORT CENTER FOR THE UNINSURED AND UNDERINSURED FAMILIES IN OUR COMMUNITY HEALTHKEY STAFF INCLUDES A FULL TIME DIRECTOR RN CASE MANAGER INTAKE AND PRESCRIPTION ASSISTANCE COORDINATOR AND A PART TIME OUTREACH WORKER OUTREACH SERVICES INCLUDE MEDICAID APPLICATION ASSISTANCE FINANCIAL ASSISTANCE APPLICATIONS REFERRALS TO MEDICAL HOMES PRESCRIPTION ASSISTANCE AND CARE MANAGEMENT FOR DIABETES HYPERTENSION AND APPROPRIATE EMERGENCY ROOM USE CARING FOR THE CLIENTS MIND PHYSICAL AND SPIRITUAL NEEDS HEALTHKEY STAFF NAVIGATES THROUGH VARIOUS COMMUNITY AND SOCIAL SERVICE AGENCIES AND ADVOCATES ON THEIR BEHALF FOR ACCESS TO NECESSARY HEALTHCARE RELATED AND SOCIAL SERVICES THE MISSION VISION AND VALUES OF ST JOSEPH HEALTH SYSTEM ARE AT THE CENTER OF HEALTHKEYS WORK TO SERVE THE POOR AND VULNERABLE IN OUR COMMUNITY AS OUR RURAL ECONOMY CONTINUES TO STRUGGLE AND SMALL BUSINESSES ARE NOT ABLE TO OFFER EMPLOYERSPONSORED INSURANCE COVERAGE A VALUABLE SERVICE OFFERED IS THE PRESCRIPTION ASSISTANCE PROGRAM IN FISCAL YEAR 20102011 HEALTHKEY SERVED 564 CLIENTS WITH A WIDE RANGE OF MEDICATION REQUESTS THIS EFFORT YIELDED A RETAIL DOLLAR SAVINGS VALUE OF 447152 WITH ONLY A SMALL TEAM OF ASSOCIATES COLLABORATION HAS PROVEN SUCCESSFUL IN OUR HEALTHCARE ACCESS WORK CLIENTS WHO PRESENT TO US HAVE A WIDE VARIETY OF HURDLES TO OVERCOME IMPROVING RELATIONSHIPS EMPLOYMENT SKILLS EDUCATIONAL OPPORTUNITIES WILL ALL PROVIDE A POSITIVE IMPACT ON THE CLIENTS HEALTH AND ABILITY TO CARE FOR THEMSELVES AND THEIR FAMILIES PARTNERSHIPS WITH THE IOSCO COUNTY POVERTY COALITION IOSCO READS LITERACY GROUP AND MICHIGAN WORKS HAVE GREATLY ASSISTED US IN BRIDGING GAPS EXPERIENCED BY OUR CLIENTS A TRUE COMMUNITY BENEFIT THE SUCCESS OF HEALTHKEY IS ONLY POSSIBLE BY THE STRONG SUPPORT RECEIVED FROM OUR BOARD PHYSICIANS LEADERSHIP ASSOCIATES AND VOLUNTEERS WHO ALLOW US TO RECOGNIZE AND RESPOND TO THE NEEDS OF OUR POOR AND VULNERABLE NEIGHBORS AND CARE FOR OUR COMMUNITY ST JOSEPH HEALTH SYSTEM PROVIDED THE FOLLOWING COMMUNITY BUILDING ACTIVITIES IN 2011 1IOSCO COUNTY SEXUAL ASSAULT RESPONSE TEAM SART IS A MULTIDISCIPLINARY INTERAGENCY COLLABORATION THAT UNITES ITS MEMBERS IN A COORDINATED SURVIVORCENTERED APPROACH TO THE INTERVENTION AND CARE FOR SEXUAL ASSAULT VICTIMS THE MISSION OF THE IOSCO COUNTY SART IS TO FACILITATE THE CLINICAL LEGAL AND EMOTIONAL RESOURCES TO CARE FOR SURVIVORS OF SEXUAL ASSAULT AND TO CREATE A COMMUNITY WHERE SURVIVORS OF SEXUAL ASSAULT ARE SUPPORTED AND TREATED WITH DIGNITY AND RESPECT 2DIABETIC CLUB A PROGRAM THAT IS OPEN TO THE COMMUNITY AT NO CHARGE THAT INCLUDES A SHORT LECTURE ABOUT GENERAL HEALTH ISSUES SPECIFICALLY ELATED TO THE COMPLICATIONS AND LIFESTYLE OF DIABETES OTHER HIGHLIGHTS INCLUDE A SAMPLING OF THE RECIPE OF THE MONTH DISCUSSIONS TO ANSWER QUESTIONS AND PROVIDE SUPPORT 3SPEAKERS BUREAU A FREE COMMUNITY PROGRAM THAT OFFERS HEALTH RELATED PRESENTATIONS PROVIDED BY HEALTH SYSTEM PROFESSIONALS WHICH IS DESIGNED TO EDUCATE THE COMMUNITY ON A VARIETY OF HEALTH AND HUMAN SERVICE TOPICS SUCH AS WOMENS HEALTH AGING WITH DIGNITY DEPRESSION AND HEALTH CARE REFORM TO NAME JUST A FEW 4FAMILY FUN FAIR AN EVENT HELD IN COOPERATION WITH TWO LOCAL COLLABORATIVE THE IOSCO COUNTY FAMILY COALITION AND THE GREAT START COLLABORATIVE WITH THE PURPOSE TO EDUCATE THE COMMUNITY ABOUT LOCAL AGENCIES AND SERVICES AVAILABLE T CHILDREN AND FAMILIES OTHER ACTIVITIES INCLUDE A FREE LUNCH PROVIDED TO AN AVERAGE OF 1000 CHILDREN AND ADULTS DOOR PRIZES CAR SEAT CHECKS AND BOOTHS FEATURING FAMILY CRAFT PROJECTS EDUCATIONAL ACTIVITIES AND PARENTING INFORMATION 5HEALTHKEY A PROGRAM THAT PROVIDES ACCESS TO HEALTHCARE FOR THE UNINSURED AND UNDERINSURED EXAMPLES INCLUDE ASSISTANCE IN COMPLETING PAPERWORK PRESCRIPTION ASSISTANCE DIABETIC EDUCATION AND REFERRALS TO OTHER COMMUNITY SERVICES INCLUDING HEALTH CARE PROVIDERS HOUSING TRANSPORTATION FOOD BANKS AND DAY CARE HEALTHKEY ALSO ADVOCATES ON BEHALF OF COMMUNITY MEMBERS FOR ACCESS TO NECESSARY HEALTHCARE RELATED SERVICES AFFILIATED HEALTH CARE INFORMATION PART VI ST JOSEPH HEALTH SYSTEM AND SUBSIDIARIES ARE MEMBERS OF ASCENSION HEALTH ASCENSION HEALTH IS THE PARENT ORGANIZATION OF A CATHOLIC NATIONAL MULTIUNIT TAXEXEMPT HEALTHCARE SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES OR HEALTH MINISTRIES LOCATED PRIMARILY IN THE GREAT LAKES MIDATLANTIC WESTERN AND SOUTHERN REGIONS OF THE UNITED STATES ASCENSION HEALTH IS CURRENTLY SPONSORED BY THE NORTHEAST SOUTHEAST EAST CENTRAL AND WEST CENTRAL PROVINCES OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL THE CONGREGATION OF THE SISTERS OF ST JOSEPH OF NAZARETH AND THE SISTERS OF ST JOSEPH OF CARONDELET THE 49BED HOSPITAL STAFFED BY MORE THAN 480 EMPLOYEES IS LOCATED IN TAWAS CITY MICHIGAN AND IS A NONPROFIT ACUTECARE HOSPITAL THE HOSPITAL MAINTAINS TWO WHOLLY OWNED SUBSIDIARIES ST JOSEPH HEALTH ENTERPRISES A HOME MEDICAL EQUIPMENT BUSINESS AND ST JOSEPH HEALTH SYSTEM FOUNDATION A CHARITABLE FOUNDATION CREATED TO RECEIVE AND ADMINISTER FUNDS FOR THE HOSPITAL FOR THE PURPOSE OF ACQUIRING OR IMPROVING HOSPITAL FACILITIES AND TECHNOLOGIES AND THE ESTABLISHMENT SUPPORT AND MAINTENANCE OF COMMUNITY HEALTH EDUCATION PROGRAMS THE HOSPITAL PROVIDES INPATIENT OUTPATIENT AND EMERGENCY CARE SERVICES FOR THE RESIDENTS OF IOSCO COUNTY AND THE SURROUNDING AREA ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA ST JOSEPH HEALTH SYSTEM OFFERS ACCESS TO A LARGE BOARDCERTIFIED MEDICAL STAFF WITH MORE THAN 17 PRIMARY CARE AND SPECIALTY PHYSICIANS THROUGH COMMUNITY HEALTH SERVICES PROFESSIONAL EDUCATION SUBSIDIZED HEALTH CARE FINANCIAL CONTRIBUTIONS COMMUNITYBUILDING ACTIVITIES AND OTHER COMMUNITY BENEFIT ACTIVITIES ST JOSEPH HEALTH SYSTEM CONTRIBUTED 16 MILLION TO THE COMMUNITY INCLUDED IN THIS FIGURE ARE PROGRAMS SUCH AS CHARITY CARE AND UNREIMBURSED MEDICAID COMMUNITY HEALTHEDUCATION LECTURES SCHOOL HEALTHEDUCATION PROGRAMS PROMOTING HEALTH CARE CAREERS WORKFORCE ENHANCEMENT FREE HEALTH SCREENINGS HEALTHKEY SART SEXUAL ASSAULT RESPONSE TEAM COMMUNITYBASED CHAPLAINCY AND SPIRITUAL CARE SPONSORSHIPS AND CONTRIBUTIONS TO VARIOUS COMMUNITY EVENTS LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED PART VI MICHIGAN true BALLOON FESTIVAL SPONSOR 1 2000 HOLY FAMILY FUNDRAISER 1 100 WINE TASTING SPONSOR 200 550 BLUES BY THE BAY SPONSOR 1 300 IOSCO PRIDE SPONSOR 1 50 FARM MARKET SPONSOR 1 100 5K RUN SPONSOR 30 84 CHILD SAFETY SPONSOR 1 90 NE ACADEMY DANCE SPONSOR 1 70 CORSAIR CONCERT SPONSOR 1 300 PERCHVILLE SPONSOR 1 350 HALE BALLOON FEST SPONSOR 1 2000 FAMILY FUN FAIR 1 1000 PURE MICHIGAN CAMPAIGN 1 300 ALCONA CO. FAIR SPONSOR 1 200 BIRDING FESTIVAL SPONSOR 1 100 CELEBRATION DAYS SPONSOR 1 100 MCVI-WOMENS HLTH SPONSOR 1 500 FIRE SAFETY ED SPONSOR 1 95 3 DISC TRIATH SPONSOR 1 250 YOUTH FOOTBALL SPONSOR 1 150 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 ST. JOSEPH HEALTH SYSTEM'S DIRECTOR OF COMMUNICATION & OUTREACH REVIEWS REQUESTS MADE BY INDIVIDUALS AND ORGANIZATIONS TO DETERMINE THE APPROPRIATENESS OF THE REQUEST TO ENSURE THAT IT FOCUSES ON BETTER SERVING THE HEALTHCARE NEEDS OF OUR COMMUNITY. ST. JOSEPH HEALTH SYSTEM ACTIVELY PROVIDES FUNDING AND RESOURCES TO PROMOTE HEALTH SCREENINGS, WELLNESS ACTIVITIES, AND VARIOUS OTHER HEALTH EDUCATION PROGRAMS IN COMMUNITIES WE SERVE, TARGETING SCHOOLS, WOMEN'S HEALTH SEMINARS, HEALTH & WELLNESS SCREENS, AS WELL AS THE GENERAL PUBLIC. THE REQUESTING ORGANIZATION OR INDIVIDUAL IS TO PROVIDE THE HEALTH SYSTEM WITH AN APPROXIMATE NUMBER OF RECIPIENTS SERVED SO WE CAN TRACK THIS ON OUR COMMUNITY BENEFITS REPORT. X X X true false false true false false false false false PATRICK MURTHA 184176 234008 578346 3951 13230 1013711 DONALD R ELLIS III MD 135851 91666 4595 9181 241293 NEELIMADEVI RYALI MD 168317 14000 3696 9170 195183 LINDA STANCILL 137444 88603 30563 9734 266344 ANN BALFOUR 119263 32770 22626 9398 184057 DEBRA FOX 126885 17320 1615 9411 155231 JOHN BLOCKSOM DO 480733 4900 11092 496725 MARK GALLAGHER DO 341402 4900 12593 358895 RICHARD SCHULZ DO 298271 450 4900 9839 313460 CLARENCE WRIGHT III MD 153899 97917 4900 10074 266790 CHRISTOPHER LANDREY DO 224999 2273 9349 236621 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 PATRICK MURTHA 47,510 0 0 DEBRA FOX 2,550 0 0 COMPENSATION CONTINGENT UPON REVENUES OF ORGANIZATION SCHEDULE J, PAGE 1, PART I, LINE 5A ST. JOSEPH HEALTH SYSTEM OFFERS TO ITS PHYSICIANS INCENTIVE COMPENSATION BASED UPON ANNUAL CASH COLLECTIONS. PHYSICIANS SHALL BE ENTITLED TO AN ADDITIONAL INCENTIVE BONUS OF EIGHTY PERCENT OF CASH COLLECTIONS IN EXCESS OF THE ANNUAL TARGET. SJHS WILL DEVELOP A MONTHLY COLLECTIONS BUDGET, BASED ON THE PRACTICE'S HISTORICAL PERFORMANCE (INCLUDING SEASONAL FLUCTUATIONS IN COLLECTIONS), WITH TOTAL ANNUAL BUDGETED COLLECTIONS EQUAL TO THE ANNUAL TARGET. COLLECTIONS ARE DEFINED AS ALL SUMS THAT SJHS COLLECTS FOR SERVICES PERSONALLY PERFORMED BY THE PHYSICIAN IN ANY SETTING AND FOR SERVICES PERSONALLY PERFORMED BY A MIDLEVEL PROVIDER ACTING UNDER PHYSICIAN'S SUPERVISION. COLLECTIONS DO NOT INCLUDE HOSPITAL FACILITY FEES OR THE NON-PROFESSIONAL COMPONENT OF TESTS OR INJECTIONS ORDERED BY THE PHYSICIAN. FOR CALENDAR YEAR 2010 WAGES WERE PAID BASED UPON THESE CONTINGENCIES TO THE FOLLOWING: DONALD R. ELLIS III, M.D. NEELIMADEVI RYALI, M.D. CLARENCE D. WRIGHT III, M.D. OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III PART I, LINE 3 - COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR ST. MARY'S OF MICHIGAN, A RELATED ORGANIZATION OF ST. JOSEPH HEALTH SYSTEM, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE WRITTEN EMPLOYMENT CONTRACT APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4 - SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS THE SEVERANCE PAYMENTS REPORTED TO PATRICK MURTHA AND DEBRA FOX WERE PAID BY ST. JOSEPH HEALTH SYSTEM. ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION AS A CATHOLIC HEALTH MINISTRY OF THE CHURCH, ST. JOSEPH HEALTH SYSTEM'S MISSION IS TO "PROVIDE SPIRITUALLY CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES." THIS INCLUDES ACTING AS ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND WORDS. A UNIVERSAL TENET OF CATHOLIC HEALTH ORGANIZATIONS' MISSION STATEMENTS IS CARE FOR ALL PERSONS, ESPECIALLY THE POOR AND VULNERABLE. THE CALL TO BRING GOD'S HEALING TO PERSONS IN NEED IS WHAT COMPELLED THE FOUNDERS OF VARIOUS ORGANIZATIONS TO VENTURE OUT INTO PARTS OF THIS NATION THAT, UNTIL THEIR ARRIVAL, HAD BEEN SORELY UNDERSERVED. FOR MORE THAN 250 YEARS, (58 FOR ST. JOSEPH HEALTH SYSTEM) CATHOLIC HEALTH CARE IN THE UNITED STATES HAS BEEN DRIVEN BY THAT SAME CALL AND HAS GROWN IN WAYS THAT COULD NOT HAVE BEEN IMAGINED. ADDITIONAL INFORMATION FORM 990 PART IV, LINE 20B - ST. JOSEPH HEALTH SYSTEM DOES NOT HAVE AN EXTERNAL USE OF AUDITED FINANCIAL STATEMENTS SHOWING ST. JOSEPH HEALTH SYSTEM STAND ALONE, THEREFORE WE ARE ATTACHING OUR INTERNAL FINANCIAL STATEMENTS. PART IV, LINE 17 & 18 - ST. JOSEPH HEALTH SYSTEM INCURS FUNDRAISING EXPENSES ASSOCIATED WITH FUNDRAISING EVENTS UNDERTAKEN BY ST. JOSEPH HEALTH SYSTEM FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION. ADDITIONAL INFORMATION FORM 990, PART VI LINE 2 - MANY OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON RELATED ST. JOSEPH HEALTH SYSTEM ENTITY BOARDS. CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 ST. JOSEPH HEALTH SYSTEM HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A THE ST. JOSEPH HEALTH SYSTEM HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF THE ST. JOSEPH HEALTH SYSTEM. DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B ASCENSION HEALTH HAS DESIGNED A SYSTEM AUTHORITY MATRIX WHICH ASSIGNS AUTHORITY FOR KEY DECISIONS THAT ARE NECESSARY IN THE OPERATION OF THE SYSTEM. SPECIFIC AREAS THAT ARE IDENTIFIED IN THE AUTHORITY MATRIX ARE: NEW ORGANIZATIONS & MAJOR TRANSACTIONS; GOVERNING DOCUMENTS; APPOINTMENTS/REMOVALS; EVALUATION; DEBT LIMITS; STRATEGIC & FINANCIAL PLANS; ASSETS; SYSTEM POLICIES & PROCEDURES. THESE AREAS ARE SUBJECT TO CERTAIN LEVELS OF APPROVAL BY ASCENSION PER THE SYSTEM AUTHORITY MATRIX. OFFICERS WHO CANNOT BE REACHED FORM 990, PAGE 6, PART VI, LINE 9 DEBRA FOX 111 W WASHINGTON EAST TAWAS, MI 48730 PATRICK MURTHA 1520 NORTH HURON RD TAWAS CITY, MI 48763 ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B MANAGEMENT, INCLUDING CERTAIN OFFICERS, WORKS DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES IN A THOROUGH MANNER. PRIOR TO FILING THE RETURN, ALL BOARD MEMBERS ARE PROVIDED THE FORM 990 AND MANAGEMENT TEAM MEMBERS ARE AVAILABLE TO ANSWER ANY BOARD MEMBER QUESTIONS. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE MEETING WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A IN DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE AUDIT COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION,THE CEO WAS COMPARED TO OTHER ORGANIZATIONS IN THE AREA THAT HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. THE INNDIVIDUAL WAS NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B IN DETERMINING COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE AUDIT COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATIONS, THE OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION WERE COMPARED TO OTHER ORGANIZATIONS' EMPLOYEES IN THE AREA THAT HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. ADDITIONAL INFORMATION FORM 990, PART VII SEC. A, LINE 1A - DONALD R. ELLIS III, M.D. COMPENSATION REPORTED IS FOR SERVICES PROVIDED TO THE HOSPITAL IN HIS ROLE AS A PHYSICIAN NOT FOR HIS ROLE AS A TRUSTEE. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS RELATES TO THE FOLLOWING: UNREALIZED GAINS ON INVESTMENT (UNRESTRICTED) 1,594,923 DONATIONS FROM RESTRICTIONS 619,240 CA DEFERRED PENSION COSTS 2,942,863 RESTRICTED CONTRIBUTIONS USED FOR PROPERTY 717,204 TEMPORARY RESTRICTED GRANT 231,791 UNREALIZED TEMPORARY RESTRICTED 80,212 TOTAL INCREASES 6,186,233 NET ASSETS FROM FOUNDATION(REPORT AS REVENUE) ( 242,780) TRANSFER TO GENERAL FUND (1,108,601) TEMPORARY RESTRICTED DONATIONS ( 93,180) TOTAL DECREASES (1,444,561) TOTAL OTHER CHANGES 4,741,672 ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 63145 311662309 HEALTHSYST MO 501(C) 11A N/A false ST JOSEPH HEALTH SYSTEM FOUNDATION 200 HEMLOCK ROAD TAWAS CITY MI 48763 010790428 FUNDRAISIN MI 501(C) 11A N/A true ST JOSEPH HEALTH ENTERPRISES 200 HEMLOCK ROAD TAWAS MI 48764 382686747 OTHERMEDIC MI NA C CORP 680656 877268 1.00000 HEALTH PARTNERS OF NE MI 200 HEMLOCK ROAD TAWAS MI 48764 383378622 OTHERMEDIC MI NA C CORP 34 62286 0.50000 false false true false false false false false false true false false false false true true false false ST JOSEPH HEALTH ENTERPRISES J 167611 CASH ASCENSION HEALTH O 2665954 CASH ST JOSEPH HEALTH ENTERPRISES P 532465 CASH ST JOSEPH HEALTH SYSTEM FOUNDATION C 227840 CASH