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        <TotalRevenueColumn>11159122</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>1626737</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>8637618</Total>
        <ProgramServices>8637618</ProgramServices>
      </GrantsToDomesticOrgs>
      <OtherSalariesAndWages>
        <Total>1180687</Total>
        <ManagementAndGeneral>354205</ManagementAndGeneral>
        <Fundraising>826482</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>58425</Total>
        <Fundraising>58425</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>156447</Total>
        <Fundraising>156447</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>73763</Total>
        <Fundraising>73763</Fundraising>
      </PayrollTaxes>
      <FeesForServicesOther>
        <Total>11758</Total>
        <ManagementAndGeneral>11758</ManagementAndGeneral>
      </FeesForServicesOther>
      <OfficeExpenses>
        <Total>95584</Total>
        <ManagementAndGeneral>95584</ManagementAndGeneral>
      </OfficeExpenses>
      <Occupancy>
        <Total>100877</Total>
        <Fundraising>100877</Fundraising>
      </Occupancy>
      <Travel>
        <Total>22443</Total>
        <ManagementAndGeneral>22443</ManagementAndGeneral>
      </Travel>
      <Interest>
        <Total>26660</Total>
        <ManagementAndGeneral>26660</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>24789</Total>
        <Fundraising>24789</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>8751</Total>
        <ManagementAndGeneral>8751</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Purchased Services</Description>
        <Total>180782</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>180782</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Repairs and Maintenance</Description>
        <Total>13403</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>13403</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Dues and Advertising</Description>
        <Total>11956</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>11956</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Books &amp; Subscriptions</Description>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>1416</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>44998</Total>
        <Fundraising>44998</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>10650357</Total>
        <ProgramServices>8637618</ProgramServices>
        <ManagementAndGeneral>519401</ManagementAndGeneral>
        <Fundraising>1493338</Fundraising>
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      <CashNonInterestBearing>
        <BOY>250</BOY>
        <EOY>805778</EOY>
      </CashNonInterestBearing>
      <PledgesAndGrantsReceivable>
        <BOY>9096229</BOY>
        <EOY>5087353</EOY>
      </PledgesAndGrantsReceivable>
      <PrepaidExpensesDeferredCharges>
        <EOY>6136</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>498955</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>321472</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
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        <EOY>177483</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsOtherSecurities>
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      <OtherAssetsTotal>
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        <EOY>16359450</EOY>
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      <TotalAssets>
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        <EOY>22436200</EOY>
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      <AccountsPayableAccruedExpenses>
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      <OtherLiabilities>
        <BOY>0</BOY>
        <EOY>1619542</EOY>
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      <TotalLiabilities>
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        <EOY>1731612</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-384153</BOY>
        <EOY>1063714</EOY>
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      <TemporarilyRestrictedNetAssets>
        <BOY>15413120</BOY>
        <EOY>10634410</EOY>
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      <PermanentlyRestrictedNetAssets>
        <BOY>7960242</BOY>
        <EOY>9006464</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>22989209</BOY>
        <EOY>20704588</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>23005245</BOY>
        <EOY>22436200</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>508765</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-2793386</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
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        <CurrentTaxYearMinus3Years>2912372</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>5185004</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>8776517</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>9532385</CurrentTaxYear>
        <Total>33662537</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>7256259</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>2912372</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>5185004</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>8776517</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>9532385</CurrentTaxYear>
        <Total>33662537</Total>
      </Total170>
      <AmountsSubstContributorsTotal>11305110</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>22357427</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>8842530</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>723465</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>-108551</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1421032</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1626737</CurrentTaxYear>
        <Total>12505213</Total>
      </GrossInvestmentIncome170>
      <TotalSupport>46167750</TotalSupport>
      <PublicSupportPertcentage170>0.48430</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.53660</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
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    </IRS990ScheduleB>
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      <CurrentYear>
        <BeginningOfYearBalance>7960242</BeginningOfYearBalance>
        <Contributions>704845</Contributions>
        <InvestmentEarningsOrLosses>419703</InvestmentEarningsOrLosses>
        <OtherExpenditures>78326</OtherExpenditures>
        <EndOfYearBalance>9006464</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>7648026</BeginningOfYearBalance>
        <Contributions>437229</Contributions>
        <InvestmentEarningsOrLosses>387196</InvestmentEarningsOrLosses>
        <OtherExpenditures>512209</OtherExpenditures>
        <EndOfYearBalance>7960242</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>7630917</BeginningOfYearBalance>
        <Contributions>32318</Contributions>
        <InvestmentEarningsOrLosses>384990</InvestmentEarningsOrLosses>
        <OtherExpenditures>400199</OtherExpenditures>
        <EndOfYearBalance>7648026</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <PermanentEndowmentEOYBalance>0.88000</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.12000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>1</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>1</AreRelatedOrgsListedScheduleR>
      <Buildings>
        <OtherCostOrOtherBasis>138874</OtherCostOrOtherBasis>
        <Depreciation>30149</Depreciation>
        <BookValue>108725</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>360081</OtherCostOrOtherBasis>
        <Depreciation>291323</Depreciation>
        <BookValue>68758</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>177483</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Donor Restricted HSD</Description>
        <BookValue>16359450</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>16359450</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Intercompany Payable</Description>
        <Amount>1617676</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>1999 Debt - Current Portion</Description>
        <Amount>1866</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1619542</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>Description of Intended Use of Endowment Funds:</Identifier>
        <ReturnReference>Part V, Line 4:</ReturnReference>
        <Explanation>Endowment funds are created to support the healthcare ministry of St. John Health System Hospitals. The distributions from an endowment provide a dependable source of income each year to help St. John continue to meet the community's healthcare needs.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
        <ReturnReference>Part X:</ReturnReference>
        <Explanation>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. During the year ended June 30, 2011, the System recognized other revenue of approximately $9,000,000 related to medical resident FICA refunds that had been remitted to the Internal Revenue Service (IRS) during years ended prior to March 2005. Such amounts represent management's estimate of claims submitted to the IRS related to the IRS acceptance of residents' qualification as students for purposes of determining Medicare and social security tax.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>St John Hospital &amp; Medical Center</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>28000 Dequindre</AddressLine1>
          <City>Warren</City>
          <State>MI</State>
          <ZIPCode>48092</ZIPCode>
        </AddressUS>
        <EINOfRecipient>381359063</EINOfRecipient>
        <IRCSection>Section 501(c)(3)</IRCSection>
        <AmountOfCashGrant>8637618</AmountOfCashGrant>
        <PurposeOfGrant>To support health care ministries</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: The foundation requires potential applicants (i.e., The Hospital's Departments) to complete an actual application. There are various levels of review that subsequently take place prior to the final approval decision. The ultimate decision on every applicant is formally documented. All funds are disbursed to the hospital, but the foundation still requires an application process for the various departments requesting the funds.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Susan Burns Sch O</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>279109</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>29866</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>500</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>11025</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>10726</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>331226</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kevin Grady MD Sch O</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>144503</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>6328</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>6103</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>10726</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>167660</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Steven Minnick MD Sch O</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>200547</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>40272</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>8397</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>10726</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>259942</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Diane Radloff Sch O</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>503238</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>69254</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>8565</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>11025</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>10726</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>602808</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4b</ReturnReference>
        <Explanation>These executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B (I) in the year paid. Amounts Paid: Diane Radloff - $6,129</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Saint John Health, a related organization of St. John Hospital Foundation, uses the following to establish the compensation of the organization's CEO: - Compensation Committee - Independent Compensation Consultant - Compensation Survey or Study - Approval by the Board or Compensation Committee</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>St. John Hospital Foundation has a single corporate member, St. John Health.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>St. John Hospital Foundation has a single corporate member, St. John Health, who has the ability to elect members to the governing body of St. John Hospital Foundation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>All decisions that have a material impact to St. John Hospital Foundation financial information or corporation as a whole are subject to approval by its sole corporate member, St. John Health, the parent.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the form to the board, or a designated committee, to review and answer any questions. Prior to filing the return, all board members are provided the Form 990 and management team members are available to answer any board member questions.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, officer, 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, officer, key employee, and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>In determining compensation of the organizations' CEO, executive director, or top management official, the process included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. Management reviewed and approved the compensation. In the review of the compensation, the CEO, executive director, and top management were compared to the other organizations in the area that hold the same title. Wage bands are adjusted annually and wages paid for all positions are within those bands. In determining compensation of other officers or key employees of the organization, this question is most appropriately answered as N/A as there are no officers or key employees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The organization will provide any documents open to public inspection upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VII:</ReturnReference>
        <Explanation>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. Amounts paid for the services of Sister Betty Granger are paid directly to her religious province; therefore, her compensation on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees is zero.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Net unrealized gains on investments: 1,322,073. Transfers from Other Foundations During the Year 1,005,873. Net Assets Released from Restriction -1,600. Equity Transfers -1,077,707. Change in Pledge Receivable Balance Non-Cash Related -4,042,025. Total to Form 990, Part XI, Line 5: -2,793,386.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>COMMUNITY BENEFIT REPORT</ReturnReference>
        <Explanation>This report illustrates the significant degree to which St. John Hospital and Medical Center contributes to the positive health status of the community it serves. As a member of Ascension Health, the nation's largest catholic healthcare system, St. John Hospital and Medical Center continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families and society as a whole. The goal of St. John Hospital and Medical Center is to perpetuate the healing mission of the church. St. John Hospital and Medical Center furthers this goal through delivery of patient services, care to the elderly and indigent, patient education, health awareness programs for the community and medical research. Our concern for all human life and dignity of each person leads the organization to provide medical services to all people in the community without regard to the patient's race, creed, national origin, economic status or ability to pay. In order to portray the full breadth of our contribution, our community benefit information is described below: Organizational commitment to providing community benefit St. John Hospital and Medical Center is a regional referral teaching hospital with 732 licensed beds, a 1300+ member medical staff and more than 50 medical and surgical specialties. St. John Hospital and Medical Center is also the largest acute care provider and the only designated emergency trauma center on Detroit's east side. St. John Hospital and Medical Center is also an active participant in community health initiative through its community-based partnerships with churches, schools, and civic organizations. St. John Hospital and Medical Center has a wide array of surgical specialties and sub-specialties. Our operating rooms and post-anesthesia units are open 24 hours a day, seven days a week for scheduled and emergency procedures. Specialties include cardiovascular and thoracic, dentistry, general surgery, laser, neurosurgery, obstetrics and gynecology, ophthalmology, oral and maxillofacial, orthopedic, otolaryngology (ear, nose and throat), pediatrics, podiatry, vascular, transplant and urology. St. John Hospital and Medical Center seeks to improve the physical, mental, social, and spiritual health status of its surrounding community. In addition to providing health care services to all individuals who require medical attention, St. John Hospital and Medical Center has developed the following programs to help achieve its mission: Expanding awareness, education and health promotion St. John Hospital and Medical Center believes that it is essential to educate people regarding the types of behavior that improve their chances of living a healthy life. The St. John Hospital and Medical Center has invested significantly in unique, top quality health education and materials to accomplish its goals. Various classes the St. John Hospital and Medical Center has provided to the community are as follows: 1,000 candlelight labyrinth walk, open arms, talk about, while you wait, acupuncture, aphasia maintenance group, aura photography, holistic consultation, baby works, bereavement support group, oncology bereavement support, non-oncology bereavement support, birth refresher - sessions I and II, childbirth preparation classes, birth unit tour, tour with caesarean class, blood disorders support group, breast cancer support group, breast feeding preparation, brite stars stroke support group, cancer education lecture series, cancer support group, individual counseling for cancer patients, pediatric cancer parent support group, cardiac nutrition class, cardiac rehabilitation program, cardiac support group, stress management for cardiac patients, carelink, carelink education program, clinical trials, CPR for family and friends infants children and adults, cranial osteopathy, cranial sacral therapy, diabetes discovery classes, diabetes exercise program, diabetes self management, post diabetes class instruction, diabetes support group for children teens and parents, outpatient diabetes education, discover a new you, look for success exercise evaluation program, exercise for older adults, fitness fun for everyone, personal exercise training, personal exercise for seniors, Pilate's, family support group, free blood pressure screenings, go red for women, GYN support group, head and neck support group, heart failure exercise program, hip and knee pain seminar, hypnosis, guided imagery, hypnosis consultation, hypnotherapy for smoking cessation, individual counseling, lap band support group, lunch with doctor, massage therapy, pregnancy massage, reflexology, reiki, river rock massage, Swedish relaxation massage, nutrition counseling, Parkinson's disease exercise class, patient and survivor support group, pulmonary rehabilitation program, pumping to precision, second wind stroke support, senior lecture series, smoking cessation, smoking cessation through acupuncture, sport training programs, sport specific training and knee injury prevention, tai chi, tai chi for seniors, time for caregivers support group, transplant support group, wellness support group, wellness workshop. Education material is provided on the web under www.stjohn.org and www.realmedicine.org. Access to care programs St. John Hospital and Medical Center operates many public health clinics. Public clinics range from specialty clinics such as pediatrics to general internal medicine clinics. Our public health clinics provide care for all community residents, regardless of their ability to pay. Services include the full range of preventive and primary health and dental care for adults and children, prenatal care, AIDS/HIV education and management of chronic diseases such as asthma, diabetes and heart disease. Community outreach service The St. John Hospital and Medical Center provides charitable contributions to a number of community organizations. St. John Hospital and Medical Center has contributed funds for sponsorship in the community by volunteering and giving support to parades, health walks and marathons, health expos and health fairs, American Red Cross blood drives, churches, schools, career fairs at schools, police office benefits and community foundation outings. St. John Hospital and Medical Center is an active supporting member in community events and partners with many organizations to improve community health, such as American Red Cross, American Heart Association, adopt a family, shoes for kids, March of Dimes cancer walk, services of remembrance for the deceased, open arms, Michigan harvest drive and Habitat for Humanity. Charity care Nearly 11% of Michigan residents or 1.1 million people lacked health insurance in 2011. In Detroit, 22% of residents are uninsured; this figure remains high due to increased layoffs, fewer companies offering health insurance and a lessened ability of workers to afford coverage in the metro Detroit area. In 2011 at 11.5%, St. John Providence Health System's service area has one of the highest rates of unemployment in the nation. The uninsured are likely to seek care in hospital emergency rooms. St. John Hospital and Medical Center had 146,377 emergency department and urgent care visits in fiscal 2011. Increasingly, patients are experiencing limited abilities to pay for health care services or qualify for state and federally funded programs like Medicaid and Medicare programs that cover only a portion of the cost of services provided. St. John Hospital and Medical Center offers various free clinics. For many Michigan residents, finding someone to care for them when they are sick is not as easy as making an appointment. Lack of health insurance, transportation issues and language barriers combine to create challenges.</Explanation>
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      <GeneralExplanation>
        <Explanation>St. John Hospital and Medical Center provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2011, approximately 42% of the value of services rendered was to elderly patients under the Medicare program and approximately 24% of the services were provided to patients who were deemed indigent under state, county or medical center guidelines. We currently offer financial assistance programs through the voices of Detroit initiative, a program that assists the uninsured and underinsured in managing their health care. Medical research St. John Hospital and Medical Center furthers its mission by contributing funds and personnel to support research that has helped advance medical care. Research projects include various cardiac and interventional cardiac research projects, oncology, pediatric hematology and oncology, internal medicine, obstetrics and gynecology, nephrology, radiology and infectious disease research. Medical education St. John Hospital and Medical Center believes that in order to provide the best health care to the community, its clinical personnel must receive ongoing medical education. Numerous seminars and classes are provided to medical residents and staff and are posted on our website www.sjhs.com/physicians/gme residency training. Operations and governance St. John Hospital and Medical Center 1) Operates an emergency room that is open to all persons regardless of ability to pay. 2) Has on open medical staff with privileges available to all qualified physicians in the area. 3) Has a governing body in which independent persons representative of the community compromise a majority. 4) Engages in medical or scientific research programs. 5) Engages in the training and education of health care professionals. 6) Participates in Medicaid, Medicare, champus, triage and/or other government-sponsored health care programs. Patient services St. John Hospital and Medical Center provides the following inpatient and outpatient medical services to the community: Allergy and immunology, anatomic and clinical pathology, anesthesiology, anesthesiology, anesthesiology-pain medicine, cardiology, cardiovascular disease, cardio thoracic surgery, child and adolescent psychiatry, child and adolescent neurology, clinical cardiac electo physiology, colon and rectal surgery, cyst-pathology, dentistry, dermatology, diagnostic radiology, emergency medicine, emergency medicine-pediatric emergency medicine, endocrinology, diabetes and metabolism, family medicine, family medicine-addition, family medicine-geriatric medicine, family medicine-sports medicine, forensic psychiatry, gastroenterology, geriatric psychiatry, gynecologic oncology, gynecology, hematology and medical oncology, infectious disease, internal medicine, internal medicine-critical care medicine, internal medicine-geriatric medicine, internal medicine-hematology, interventional cardiology, maternal fetal medicine, neo-natal and pre-natal medicine, nephrology, neurological surgery, neurology, neuro-radiology, nuclear medicine, obstetrics and gynecology, occupational medicine, ophthalmology, oral and maxiofacial surgery, orthopedic surgery, orthopedic surgery-hand surgery, otolaryngology, otorhinolaryngology and orofacial plastic surgery, pathology, pathology and derma-pathology, pediatric-endocrinology, pediatric-allergy and immunology, pediatric-cardiology, pediatric-critical care medicine, pediatric-dentistry, pediatric-emergency medicine, pediatric-gastroenterology, pediatric-hematology, pediatric-oncology, pediatric-infectious disease, pediatric-nephrology, pediatric-otolaryngology, pediatric-radiology, pediatric-surgery, pediatrics, physical medicine and rehabilitation, plastic and reconstructive surgery, plastic surgery, plastic surgery-surgery of the hand, podiatric surgery, podiatry, psychiatry, pulmonary medicine, radiation oncology, radiology, reproductive endocrinology, rheumatology, sleep medicine, surgery, surgery of the hand, therapeutic radiology, urology, vascular and interventional radiology and vascular surgery. Some of the services listed above operate at a loss in order to ensure that all services are available to meet community health care needs. During the fiscal year ending June 30, 2011, St. John Hospital and Medical Center treated adults and children from the community for a total of 173,698 patient days of service. St. John Hospital and Medical Center also provided services to 14,311 outpatient surgery patients, 113,538 emergency and minor care visits and 32,839 urgent care visits. St. John Hospital and Medical Center information for fiscal year ended June 30, 2011: 1) care of the poor (at cost) $15,504,973 2) government sponsored health care (net expense) $79,084 3) unpaid cost of public indigent care programs (includes Medicaid, schip, and other safety net programs; does not include Medicare shortfalls) $1,248,094 4) community benefit programs (net expense) $19,203,052 Total quantifiable community benefit, as determined in accordance with cha reporting guidelines $36,035,203 Supplemental information Bad debt costs attributable to charity $12,927,012 Medicare surplus $12,322,586 For additional links to community benefit information please refer to www.mha.org</Explanation>
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        </NameOfRelatedOrg>
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        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
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        <TypeOfEntity>C</TypeOfEntity>
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      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
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      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>St John Health System</BusinessNameLine1>
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        <MethodOfAmtDetermination>Actual Amount Transferred</MethodOfAmtDetermination>
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      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>Actual Amount Transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>St John Health System</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>Actual Amount Transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St John Health System</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
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        <MethodOfAmtDetermination>Actual Amount Transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Providence Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
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      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>St John Hospital &amp; Medical Center</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        <TransactionType>R</TransactionType>
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        <MethodOfAmtDetermination>Actual Amount Transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        <MethodOfAmtDetermination>Actual Amount Transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>Actual Amount Transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
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        <MethodOfAmtDetermination>Actual Amount Transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>River District Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>150317</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>River District Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
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        <MethodOfAmtDetermination>Actual Amount Transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>River District Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>Actual Amount Transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>River District Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
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        <MethodOfAmtDetermination>Actual Amount Transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
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        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
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        <MethodOfAmtDetermination>Actual Amount Transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St John Community Health Investment</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
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      </TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>Actual Amount Transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
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        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
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        <MethodOfAmtDetermination>Actual Amount Transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>