MYMICHIGAN MEDICAL CENTER TAWAS: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MYMICHIGAN MEDICAL CENTER TAWAS (EIN 38-1443395)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-11
- IRS object ID
- 201131319349301238
- Schema version
- 2009v1.7
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-11T10:15:07-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381443395 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH HEALTH SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STJO | NameControl |
| Phone | 9893620181 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 HEMLOCK STREET | AddressLine1 |
| City | TAWAS CITY | City |
| State | MI | State |
| ZIP Code | 48763 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LINDA STANCILL | Name |
| Title | CFO | Title |
| Phone | 9893620181 | Phone |
| Date Signed | 2011-04-27 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Date Prepared | 2011-05-11 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | LINDA STANCILL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 HEMLOCK STREET | AddressLine1 |
| City | TAWAS CITY | City |
| State | MI | State |
| ZIP Code | 48763 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 59639634 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.SJHSYS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1955 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | AS A CATHOLIC HEALTH MINISTRY OF THE CHURCH ST. JOSEPH HEALTH SYSTEM 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, (1953 - 2011 ST. JOSEPH HEALTH SYSTEM ) CATHOLIC HEALTH CARE IN THE UNITES STATES HAS BEEN DRIVEN BY THAT SAME CALL AND HAS GROWN IN WAYS THAT COULD NOT HAVE BEEN IMAGINED . | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 642 | TotalNbrEmployees |
| Total Nbr Volunteers | 202 | TotalNbrVolunteers |
| Total Gross UBI | 374507 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -7276 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 163480 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 203266 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 58936365 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 56709883 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -1831455 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2092915 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 528912 | OtherRevenuePriorYear |
| Other Revenue Current Year | 503964 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 57797302 | TotalRevenuePriorYear |
| Total Revenue Current Year | 59510028 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 40860 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 8709 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 30753274 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 30515697 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 122478 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 27863865 | OtherExpensePriorYear |
| Other Expenses Current Year | 27296308 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 58657999 | TotalExpensesPriorYear |
| Total Expenses Current Year | 57820714 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -860697 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1689314 | RevenuesLessExpensesCY |
| Total Assets BOY | 49337171 | TotalAssetsBOY |
| Total Assets EOY | 50718767 | TotalAssetsEOY |
| Total Liabilities BOY | 29830434 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 28690451 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 19506737 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 22028316 | NetAssetsOrFundBalancesEOY |
| Mission Description | AS A CATHOLIC HEALTH MINISTRY OF THE CHURCH ST. JOSEPH HEALTH SYSTEM 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, (1953 - 2011 ST. JOSEPH HEALTH SYSTEM ) CATHOLIC HEALTH CARE IN THE UNITES STATES HAS BEEN DRIVEN BY THAT SAME CALL AND HAS GROWN IN WAYS THAT COULD NOT HAVE BEEN IMAGINED . | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 43579888 | Expense |
| Grants | 8709 | Grants |
| Revenue | 56709883 | Revenue |
| Description | ST. JOSEPH HEALTH SYSTEM (SJHS) PROVIDES A SUBSTANTIAL PORTION OF ITS SERVICES TO THE ELDERLY AND POOR. DURING THE FISCAL YEAR ENDING JUNE 30, 2010, APPROXIMATELY 53% OF THE VALUE OF SERVICES RENDERED WERE TO ELDERLY PATIENTS UNDER THE MEDICARE PROGRAM, AND APPROXIMATELY 14% OF THE SERVICES WERE PROVIDED TO PATIENTS WHO WERE DEEMED ELIGIBLE UNDER STATE, COUNTY, OR HEALTH SYSTEM FINANCIAL ASSISTANCE GUIDELINES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | 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, 2010, OUR HOSPITAL TREATED 2,589 INPATIENT ADULTS AND CHILDREN IN THE COMMUNITY FOR A TOTAL OF 6,540 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES TO 211,176 OUTPATIENTS, INCLUDING 3,214 OUTPATIENT SURGERY PATIENTS, 14,858 EMERGENCY ROOM VISITS, 15,005 HOMEBOUND VISITS, AND 5,677 HOSPICE DAYS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 43579888 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 91 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 1 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 642 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | LINDA STANCILL | NamePerson |
| Telephone Number | 9893629303 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 HEMLOCK STREET | AddressLine1 |
| City | TAWAS CITY | City |
| State | MI | State |
| ZIP Code | 48763 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| PATRICK MURTHA | |||||||
| CEO | 60.00 | X | X | 379303 | 0 | 19046 | |
| NEELIMADEVI RYALI MD | |||||||
| CHIEF OF STA | 60.00 | X | X | 299531 | 0 | 14128 | |
| DONALD R ELLIS III MD | |||||||
| TRUSTEE | 60.00 | X | 213582 | 0 | 13342 | ||
| SCOTT CHAPLESKI | |||||||
| VICE CHAIR | 2.00 | X | 0 | 0 | 0 | ||
| MATTHEW BURESH | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| MICHAEL BUSCH | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| BRIDGET DUNLEAVY | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| JERRY SCHMIDT | |||||||
| SECRETARY | 2.00 | X | 0 | 0 | 0 | ||
| GERALD GRACIK | |||||||
| VICE-CHAIR | 2.00 | X | 0 | 0 | 0 | ||
| RYAN PARKINSON | |||||||
| TREASURER | 2.00 | X | 0 | 0 | 0 | ||
| BRENDA CHADWICK | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| MARIE HOGAN | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| RICK MICHAELS | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| ROBERT STALKER II | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| LINDA STANCILL | |||||||
| CFO | 60.00 | X | 241891 | 0 | 42119 | ||
| ANN BALFOUR | |||||||
| VP RISK MANA | 60.00 | X | 155703 | 0 | 31825 | ||
| DEBRA FOX | |||||||
| VP NURSING S | 60.00 | X | 149054 | 0 | 12066 | ||
| SR RITA ANN TEICHMAN | |||||||
| VP MISSION | 60.00 | X | 93467 | 0 | 3269 | ||
| JOHN BLOCKSOM | |||||||
| PHYSICIAN | 60.00 | 440006 | 0 | 15909 | X | ||
| DIANA ENNES MD | |||||||
| SURGEON | 60.00 | 429225 | 0 | 41120 | X | ||
| RICHARD SCHULZ | |||||||
| SURGEON | 60.00 | 308757 | 0 | 14365 | X | ||
| MICHAEL WAGNER | |||||||
| PHYSICIAN | 60.00 | 240965 | 0 | 6273 | X | ||
| EARL ELOWSKY MD | |||||||
| PHYSICIAN | 60.00 | 228213 | 0 | 14562 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3179697 | TotalReportableCompFromOrg |
| Total Other Compensation | 228024 | TotalOtherCompensation |
| Number Individuals GT100 K | 24 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | Address Line2AddressOfContractor/AddressUS/AddressLine2 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|---|
| EPMG OF MICHIGAN PC | ||||||
| 2000 GREEN ROAD | SUITE 300 | ANN ARBOR | MI | 48105 | ER PHYSICIANS | 2023126 |
| AHSA LLC | ||||||
| PO BOX 945 | TRAVERSE CITY | MI | 48685 | SURGICAL STAFF | 438886 | |
| MEDSERV PLUS INC | ||||||
| PO BOX 45 | E PALESTINE | OH | 44413 | BIOMEDICAL MAIN | 369384 | |
| GENTIVA HEALTH SERV | ||||||
| PO BOX 277950 | ATLANTA | GA | 30384 | BILLING SERVICE | 330387 | |
| B & B GENERAL CONTRACTING INC | ||||||
| PO BOX 245 | OSCODA | MI | 48750 | CONSTRUCTION | 234322 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Government Grants | 58018 | GovernmentGrants |
| All Other Contributions | 145248 | AllOtherContributions |
| Total Contributions | 203266 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Business CodeBusinessCode | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICES | 56545377 | 56545377 | ||
| LAB SUPPORT SERVICES TO EXTER | 164506 | 621990 | 164506 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 56709883 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2083655 | TotalRevenueColumn |
| Exclusion | $2,083,655 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 10200 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 47546 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -37346 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -37346 | TotalRevenueColumn |
| Exclusion | -$37,346 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 91320 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 82060 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 9260 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9260 | TotalRevenueColumn |
| Exclusion | $9,260 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| MIS REV - CONVEN. OF PATIENTS | 621990 | 331309 | $331,309 | |
| OCC HEALTH SUPPORT SERVICES | 621990 | 210001 | 210001 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 541310 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 59510028 | TotalRevenueColumn |
| Related Or Exempt Function Income | 56545377 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 374507 | UnrelatedBusinessRevenue |
| Exclusion | $2,386,878 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8709 | Total |
| Program Services | 8709 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1668325 | Total |
| Program Services | 637319 | ProgramServices |
| Management And General | 1031006 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23910402 | Total |
| Program Services | 18959597 | ProgramServices |
| Management And General | 4870189 | ManagementAndGeneral |
| Fundraising | 80616 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1162372 | Total |
| Program Services | 581212 | ProgramServices |
| Management And General | 574877 | ManagementAndGeneral |
| Fundraising | 6283 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2098704 | Total |
| Program Services | 1665486 | ProgramServices |
| Management And General | 428560 | ManagementAndGeneral |
| Fundraising | 4658 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1675894 | Total |
| Program Services | 1329953 | ProgramServices |
| Management And General | 342236 | ManagementAndGeneral |
| Fundraising | 3705 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 236355 | Total |
| Management And General | 236355 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 139032 | Total |
| Program Services | 2491 | ProgramServices |
| Management And General | 135926 | ManagementAndGeneral |
| Fundraising | 615 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58507 | Total |
| Management And General | 55307 | ManagementAndGeneral |
| Fundraising | 3200 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14694 | Total |
| Management And General | 14694 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6681945 | Total |
| Program Services | 3890436 | ProgramServices |
| Management And General | 2786600 | ManagementAndGeneral |
| Fundraising | 4909 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 155645 | Total |
| Program Services | 27216 | ProgramServices |
| Management And General | 128429 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1387719 | Total |
| Program Services | 772177 | ProgramServices |
| Management And General | 606362 | ManagementAndGeneral |
| Fundraising | 9180 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1498915 | Total |
| Program Services | 1056293 | ProgramServices |
| Management And General | 438660 | ManagementAndGeneral |
| Fundraising | 3962 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 200725 | Total |
| Program Services | 198070 | ProgramServices |
| Management And General | 2575 | ManagementAndGeneral |
| Fundraising | 80 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 138579 | Total |
| Program Services | 52531 | ProgramServices |
| Management And General | 84153 | ManagementAndGeneral |
| Fundraising | 1895 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 624828 | Total |
| Program Services | 35582 | ProgramServices |
| Management And General | 589246 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 487304 | Total |
| Management And General | 487304 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3019084 | Total |
| Program Services | 2182882 | ProgramServices |
| Management And General | 834371 | ManagementAndGeneral |
| Fundraising | 1831 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 294358 | Total |
| Program Services | 263259 | ProgramServices |
| Management And General | 31099 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES | 7007138 | 6994885 | 12253 | |
| BAD DEBT | 3959030 | 3959030 | ||
| MAINTENANCE & REPAIRS | 975543 | 817570 | 157973 | |
| OTHER EXPENSE | 319812 | 76197 | 242071 | 1544 |
| RECRUITMENT | 97095 | 68993 | 28102 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57820714 | Total |
| Program Services | 43579888 | ProgramServices |
| Management And General | 14118348 | ManagementAndGeneral |
| Fundraising | 122478 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3942372 | BOY |
| EOY | 745599 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35701 | BOY |
| EOY | 18963 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3696187 | BOY |
| EOY | 3822321 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97042 | BOY |
| EOY | 79378 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1465100 | BOY |
| EOY | 1420622 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1442268 | BOY |
| EOY | 1554861 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 53518147 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 32670144 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22802904 | BOY |
| EOY | 20848003 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12525735 | BOY |
| EOY | 19033040 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3329862 | BOY |
| EOY | 3195980 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49337171 | BOY |
| EOY | 50718767 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8820504 | BOY |
| EOY | 8440876 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21009930 | BOY |
| EOY | 20249575 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29830434 | BOY |
| EOY | 28690451 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18334842 | BOY |
| EOY | 20799572 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1171895 | BOY |
| EOY | 1228744 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19506737 | BOY |
| EOY | 22028316 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49337171 | BOY |
| EOY | 50718767 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Form1120 Pol Filed | false | Form1120PolFiled |
| Form4720 Filed | false | Form4720Filed |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $7,632 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $7,062 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 14694 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
| Substantially All Dues Nondeduct | false | SubstantiallyAllDuesNondeduct |
| Only In House Lobbying | false | OnlyInHouseLobbying |
| Agree To Carryover Prior Year | false | AgreeToCarryoverPriorYear |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | SCHEDULE C, PART II-B, LINE 1I | ReturnReference |
| Explanation | LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1492993 | OtherCostOrOtherBasis |
| Book Value | 1492993 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 22889498 | OtherCostOrOtherBasis |
| Depreciation | 12780968 | Depreciation |
| Book Value | 10108530 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 181158 | OtherCostOrOtherBasis |
| Depreciation | 173510 | Depreciation |
| Book Value | 7648 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 24330356 | OtherCostOrOtherBasis |
| Depreciation | 16840718 | Depreciation |
| Book Value | 7489638 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4624142 | OtherCostOrOtherBasis |
| Depreciation | 2874948 | Depreciation |
| Book Value | 1749194 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 20848003 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| AMOUNTS DUE FROM 3RD PARTY PAYORS | 1322905 |
| OTHER RECEIVABLES | 1144967 |
| DEFERRED COMPENSATION ASSET | 676312 |
| INTERCOMPANY RECEIVABLES (SJHE) | 32351 |
| INVESTMENT IN UNCONSOLIDATED ENTITY | 19445 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 3195980 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTERCOMPANY DEBT TO ASCENSION HEALT | $19,103,600 |
| GENERAL RESERVES | $735,157 |
| SELF INSURANCE LIABILITY | $210,828 |
| OBLIGATION UNDER CAPTIAL LEASE - AH | $199,990 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 20249575 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LIABILITY UNDER FIN 48 FOOTNOTE | Identifier |
| Return Reference | SCHEDULE D, PAGE 3, PART X | ReturnReference |
| Explanation | 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. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 376545 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 376545 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00700 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8031723 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6607656 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1424067 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02640 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8408268 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6607656 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1800612 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03340 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 3308 | PersonsServed |
| Total Community Benefit Expense | 469987 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 469987 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00860 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 208588 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 148607 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 59981 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 10 | NumberOfActivitiesOrPrograms |
| Persons Served | 1670 | PersonsServed |
| Total Community Benefit Expense | 14621 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 14621 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 15 | NumberOfActivitiesOrPrograms |
| Persons Served | 4978 | PersonsServed |
| Total Community Benefit Expense | 693196 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 148607 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 544589 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01000 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 15 | NumberOfActivitiesOrPrograms |
| Persons Served | 4978 | PersonsServed |
| Total Community Benefit Expense | 9101464 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6756263 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2345201 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04340 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 8515 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 3115 | DirectOffsettingRevenue |
| Net Community Building Expense | 5400 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 8515 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 3115 | DirectOffsettingRevenue |
| Net Community Building Expense | 5400 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $2,040,572 | BadDebtExpenseAmount |
| Amount Attributable To | 785175 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 21337848 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 18165837 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 3172011 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (15 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Critical Access HospitalCriticalAccessHospital |
|---|---|---|---|---|
| ST JOSEPH HEALTH SYSTEM | ||||
| 200 HEMLOCK STREET | TAWAS CITY | MI | 48763 | X |
| ST JOSEPH PEDIATRIC CLINIC | ||||
| 325 M-55 | TAWAS CITY | MI | 48763 | |
| OSCODA HEALTH PARK | ||||
| 5939 N HURON RD | OSCODA | MI | 48750 | |
| HURON FAMILY MEDICINE | ||||
| 700 GERMAN STREET | TAWAS CITY | MI | 48763 | |
| HALE ST JOSEPH MEDICAL CLINIC | ||||
| 116 S CHURCH STREET | HALE | MI | 48739 | |
| AUSABLE VALLEY HEALTH CENTER | ||||
| 1392 MAPLE DRIVE | FAIRVIEW | MI | 48621 | |
| ST JOSEPH WOMENS CLINIC | ||||
| 25 M-55 | TAWAS CITY | MI | 48763 | |
| AUGRES FAMILY CLINIC | ||||
| 302 S MAIN | AUGRES | MI | 48703 | |
| GREAT LAKES FAMILY MEDICINE | ||||
| 106 DIVISION | OSCODA | MI | 48750 | |
| MEDICAL ARTS BUILDING | ||||
| 295 MAPLE STREET | TAWAS CITY | MI | 48763 | |
| WOMEN'S CLINIC - WEST BRANCH | ||||
| 621 COURT STREET SUITE 105 | WEST BRANCH | MI | 48661 | |
| HURON SHORES WALK-IN CLINIC | ||||
| 1691 E US-23 | EAST TAWAS | MI | 48730 | |
| HURON PROFESSIONAL BUILDING | ||||
| 716 GERMAN STREET | TAWAS CITY | MI | 48763 | |
| HARBOR HEALTH CENTER | ||||
| 110 BEECH STREET | TAWAS CITY | MI | 48763 | |
| ST JOSEPH UROLOGY CLINIC | ||||
| 110 E STATE STREET | EAST TAWAS | MI | 48730 | |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | 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. | IncomeBasedCriteria |
| Costing Method Used | FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED. | CostingMethodUsed |
| Percent Of Total Expense Expln | 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 3.9 MILLION. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | THE ORGANIZATION IS A PART OF THE ASCENSION HEALTH SYSTEM CONSOLIDATED AUDIT. THE FOOTNOTE THAT REFERENCES BAD DEBT EXPENSE IN THE 2010 CONSOLIDATED AUDIT IS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S 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 WRITE-OFF 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 PAST-DUE 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 HEALTH'S POLICIES. | BadDebtFootnote |
| Shortfall As Community Benefit | 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. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | 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. | DebtCollectionPolicy |
| Needs Assessment | ST. JOSEPH HEALTH SYSTEM RELIES ON INFORMATION FROM: ST. JOSEPH HEALTH SYSTEM EMERGENCY DEPARTMENT PATIENTS; MICHIGAN STATISTICS - WWW.AECF.ORG/KIDSCOUNT; WWW.MICHIGAN.GOV/MDCH; HTTP://WWW.CENSUS.GOV; WWW.MICHIGAN.GOV/MDCH; WWW.AECF.ORG/KIDSCOUNT; HTTP://WWW.DIABETERS.ORG; WWW.MICHIGAN.GOV/MDCH; COMMUNITY HEALTH ASSESSMENT (ALCONA, IOSCO, OGEMAW, AND OSCODA COUNTIES) FEBRUARY 1996 - DEMOGRAPHICS: PP.11-22 KEY FINDINGS, POPULATION, EDUCATIONAL ATTAINMENT, EMPLOYMENT AND INCOME, POVERTY, HOUSING, AND PUBLIC ASSISTANCE, CONCLUSION; MARKET SHARE DATA-THEIDSONLINE.COM; COMMUNITY NEEDS ASSESSMENT ALCONA 2009. | NeedsAssessment |
| Patient Education Assistance | UPON ADMISSION TO ST. JOSEPH HEALTH SYSTEM, ALL SELF-PAY PATIENTS SPEAK WITH AN ASSOCIATE REGARDING FINANCIAL ASSISTANCE THAT IS AVAILABLE TO THEM. ASSOCIATES HELP THE PATIENT(S) DETERMINE ELIGIBILITY FOR VARIOUS GOVERNMENT BENEFITS AS WELL AS ST. JOSEPH'S INTERNAL FINANCIAL ASSISTANCE PROGRAM. SHOULD THE PATIENT(S) NOT BE CONSULTED UPON ADMISSION, A LETTER IS SENT WITH THEIR FIRST ITEMIZED BILLING DETAILING THE AVAILABLE FINANCIAL ASSISTANCE PROGRAMS. | PatientEducationAssistance |
| Community Information | ST. JOSEPH HEALTH SYSTEM SERVES FIVE RURAL COUNTY AREAS COMPRISED OF APPROXIMATELY 80,000 RESIDENTS (2009 CENSUS). AMONG THESE FIVE COUNTIES OUR FULL SERVICE MARKET AREA CONSISTS OF FIFTEEN ZIP CODES WITH A POPULATION OF APPROXIMATELY 40,000 RESIDENTS AND THREE ZIP CODES MAKE UP PRIMARY SERVICE AREA WITH APPROXIMATELY 18,000 RESIDENTS. ST JOSEPH HEALTH SYSTEM LOCATED IN TAWAS CITY REMAINS THE LARGEST EMPLOYER WITHIN IOSCO COUNTY. SEVERAL AUTOMOTIVE PARTS SUPPLIERS AND AIRCRAFT MAINTENANCE AND REFURBISHING FACILITIES ARE PROMINENT EMPLOYERS WITHIN IOSCO COUNTY. WITHIN THE PRIMARY SERVICE AREA 95% OF RESIDENTS ARE CAUCASIAN, WITH 1.4% HISPANIC, 1% AFRICAN AMERICAN, 1% INDIAN AND ASIAN. OF THE APPROXIMATELY 18,000. 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 FEW YEARS. PAYER MIX WITHIN PRIMARY SERVICE AREA: - MEDICARE 53% - BC 17% - MEDICAID 14% - COMMERCIAL 6% - HMO/PPO 2% - SELF PAY 4% - OTHER 4% ST. JOSEPH HEALTH SYSTEM PROVIDED 54% OF BOTH INPATIENT AND OUTPATIENT HOSPITAL BASED HEALTHCARE SERVICES FOR RESIDENTS WITHIN OUR PRIMARY SERVICE AREA DURING CALENDAR YEAR 2010. ST JOSEPH HEALTH SYSTEM OWNS SEVEN PROVIDER BASED RURAL HEALTH PRIMARY CARE PRACTICES LOCATED IN TWO COUNTIES. ONE FEDERALLY QUALIFIED HEALTH CENTER (FQHC), IS LOCATED WITHIN THE PRIMARY SERVICE AREA AND THE ADDITIONAL FQHC IS LOCATED WITHIN THE FIVE-COUNTY SERVICE AREA. ONE PHYSICIAN OWNED RURAL HEALTH PRACTICE IS LOCATED WITH THE PRIMARY SERVICE AREA. TWO PUBLICALLY OWNED HOSPITALS ARE LOCATED APPROXIMATELY ONE HOURS TRAVEL TIME NORTH AND WEST OF ST. JOSEPH HEALTH SYSTEM. IOSCO COUNTY WAS REPORTED AS AMONG THE NATION'S 20 MOST ECONOMICALLY STRESSED COUNTIES IN 2010 | CommunityInformation |
| Community Building Activities | IOSCO COUNTY SART THE MISSION OF ST. JOSEPH HEALTH SYSTEM COMPELS US TO PURSUE THE NEED TO COMMIT OURSELVES TO SERVING ALL PERSONS WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. AFTER STATISTICS AND REPORTS FROM THE OFFICE FOR VICTIMS OF CRIME (OVC), ST. JOSEPH HEALTH SYSTEM'S EMERGENCY DEPARTMENT AND LAW ENFORCEMENT AGENCIES WITHIN OUR 5 COUNTY SERVICE AREA CREATED AN AWARENESS OF THE REALITY OF SEXUAL ASSAULT IN OUR COMMUNITIES, A TASK FORCE WAS INITIATED TO INVESTIGATE THE FEASIBILITY OF CREATING A SEXUAL ASSAULT RESPONSE TEAM (SART) IN OUR COUNTY. THROUGH INITIAL DISCUSSIONS WITH OTHER SART AND SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAMS ACROSS THE STATE, WE CONTINUE TO SUCCESSFULLY IMPLEMENT THE NECESSARY PHASES TO ASSURE A SUCCESSFUL PROGRAM FOR THIS SENSITIVE, YET WORTHY COMMUNITY OUTREACH EFFORT. AS THE FIRST PROGRAM OF ITS KIND IN NORTHERN MICHIGAN, SART IS A MULTI-DISCIPLINARY, INTER-AGENCY COLLABORATION THAT UNITES ITS MEMBERS IN A COORDINATED VICTIM-CENTERED 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. TO DATE, THE PROGRAM HAS SECURED A COORDINATOR, A PLANNING AND DEVELOPMENT SURVEY WAS DISTRIBUTED TO OUR COMMUNITY STAKE-HOLDERS TO SELECT A PROGRAM MODEL (REALIZING A 60% RETURN), A MISSION AND VISION STATEMENT AND STRATEGIC PLAN WAS COMPLETED AND PROGRAM PROCEDURES AND PROTOCOLS HAVE BEEN ESTABLISHED. ST. JOSEPH HEALTH SYSTEM HAS ALSO COMMITTED CLINICAL AND OFFICE SPACE TO IMPLEMENT THE PROGRAM. IN ADDITION, SJHS SPONSORED A COMMUNITY FORUM TO CREATE COMMUNITY AWARENESS OF SEXUAL ABUSE AND VIOLENCE BRINGING 40 COMMUNITY AND AGENCY MEMBERS TO THE TABLE AS WELL AS BROUGHT IN 2 SPEAKERS FROM THE MICHIGAN COALITION AGAINST DOMESTIC AND SEXUAL VIOLENCE TO EDUCATE PARTICIPANTS ON TOPICS SUCH AS COORDINATED COMMUNITY RESPONSE AND ADVOCATE TRAINING. WITH THE HELP OF STOP (SERVICES TRAINING OFFICERS PROSECUTOR) MONIES AND FUNDS FROM SHELTER, INC. GENERAL FUNDS, TWO ADDITIONAL NURSES HAVE COMPLETED SANE TRAINING AS WELL. THE NEXT STEPS INCLUDE THE CONVERSION OF THE SJHS SPACE TO THE SEXUAL ASSAULT RESOURCE CENTER THAT WILL HOUSE THE PROGRAM'S DEDICATED PHONE LINE, A FAMILY HEALING SPACE AND CLINICAL AREA. IT IS OUR BELIEF THAT AS AWARENESS OF THE RESOURCE CENTER GROWS AND PEOPLE BECOME AWARE OF THE RESOURCES AVAILABLE THEY WILL BE MORE WILLING TO COME FORWARD TO BEGIN THE HEALING PROCESS. | CommunityBuildingActivities |
| Other Information | IN THE PAST YEAR, ST. JOSEPH HEALTH SYSTEM PROVIDED MORE THAN 2.4 MILLION IN UNCOMPENSATED CARE THROUGH DELIVERY OF SERVICES TO THE POOR AND VULNERABLE, UNPAID COSTS OF PUBLIC PROGRAMS, FINANCIAL ASSISTANCE TO THE UNINSURED AND UNDERINSURED AND OUTREACH SERVICES TO THE COMMUNITY. HEALTHKEY IS A DEPARTMENT OF ST. JOSEPH HEALTH SYSTEM. OUR TEAM INCLUDES AN EXECUTIVE DIRECTOR, INTAKE/PRESCRIPTION ASSISTANCE COORDINATOR, RN CASE MANAGER AND AN OUTREACH WORKER. THE STAFF OF ST. JOSEPH HEALTHKEY TAKES GREAT PRIDE IN THEIR ROLE SERVING AS THE RESOURCE AND SUPPORT CENTER FOR THE UNINSURED AND UNDERINSURED FAMILIES IN OUR COMMUNITY. ST. JOSEPH HEALTHKEY PROVIDES A VARIETY OF DIFFERENT OUTREACH SERVICES INCLUDING MEDICAID APPLICATION ASSISTANCE, FINANCIAL ASSISTANCE APPLICATIONS, REFERRALS TO MEDICAL HOMES, PRESCRIPTION ASSISTANCE, CARE MANAGEMENT FOR APPROPRIATE EMERGENCY ROOM UTILIZATION, DIABETES AND HYPERTENSION. IN ADDITION, ST. JOSEPH HEALTHKEY STAFF NAVIGATES ITS CLIENTS THROUGH VARIOUS COMMUNITY SERVICE AGENCIES AND ADVOCATES ON THEIR BEHALF FOR ACCESS TO NECESSARY HEALTHCARE RELATED SERVICES. IN ALIGNMENT WITH THE MISSION, VISION AND VALUES OF ST. JOSEPH HEALTH SYSTEM, HEALTHKEY CONTINUES ITS WORK OF SERVING THE POOR AND VULNERABLE IN OUR COMMUNITY IN A VARIETY OF DIFFERENT WAYS. ONE OF THE MOST UTILIZED SERVICES IS THE PRESCRIPTION ASSISTANCE PROGRAM. IN FISCAL YEAR 2009-2010, HEALTHKEY SERVED 527 CLIENTS WITH 968 DIFFERENT MEDICATION REQUESTS. THIS EFFORT YIELDED A RETAIL DOLLAR SAVINGS VALUE OF 347,959. THE CLIENTS WHO USE THIS SERVICE HAVE REFERRED TO IT AS "A GIFT" AND "LIFE-SAVING". HEALTHKEY OUTREACH INITIATIVES CONTINUE TO BE STRONG AND FOCUSED ON FILLING THE GAPS IN OUR CURRENT SAFETY NET SYSTEM. OUR COMMUNITY AND CIVIC ORGANIZATIONS HAVE PARTNERED WITH THE HEALTHKEY TEAM TO REACH OUT WITH MANY DIFFERENT INITIATIVES. WITH THIS TREMENDOUS SUPPORT WE HAVE HAD OPPORTUNITIES TO SERVE OUR NEIGHBORS IN CREATIVE, YET EFFECTIVE WAYS. WHETHER OUR OUTREACH HAS TOUCHED ONE NEIGHBOR OR ONE HUNDRED, WE ARE PROUD OF OUR MANY COMMUNITY PARTNERSHIPS THAT MAKE THESE PROJECTS A REALITY FOR SO MANY. DIABETIC EYE EXAMS, HEARING AIDE APPLICATIONS, UNINSURED AWARENESS WALKS, NECESSITY BAG GIVEAWAYS AND OPERATION BACKPACK HAVE STRETCHED FAR AND WIDE INTO OUR COMMUNITIES TO MAKE POSITIVE IMPACTS ON THE FAMILIES WE SERVE. DIABETIC CLUB - A PROGRAM THAT IS OPEN TO THE COMMUNITY AT NO CHARGE THAT INCLUDES A SHORT LECTURE ABOUT GENERAL HEALTH ISSUES, SPECIFICALLY RELATED TO THE COMPLICATIONS AND LIFESTYLE OF DIABETES. OTHER HIGHLIGHTS INCLUDE A SAMPLING OF THE RECIPE OF THE MONTH, DISCUSSIONS ON THE BENEFITS OF HERBAL AND MINERAL SUPPLEMENTS AND OPEN DISCUSSION TO ANSWER QUESTIONS AND PROVIDE SUPPORT. SPEAKER'S 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: EXAMPLES INCLUDE: ADVANCE DIRECTIVES: MY VOICE, MY CHOICE- HEALTHY FOOD CHOICES-HEALTHY AGING/BALANCED SAFETY. FAMILY FUN FAIR-AN EVENT HELD IN COOPERATION WITH TWO LOCAL COLLABORATIVES (THE IOSCO COUNTY FAMILY ENRICHMENT COALITION AND THE GREAT START COLLABORATIVE) WITH THE PURPOSE TO EDUCATE THE COMMUNITY ABOUT LOCAL AGENCIES AND SERVICES AVAILABLE TO CHILDREN AND FAMILIES. OTHER ACTIVITIES INCLUDE: A FREE LUNCH PROVIDED TO AN AVERAGE OF 1,000 CHILDREN AND ADULTS, DOOR PRIZES, CAR SEAT CHECKS AND BOOTHS FEATURING FAMILY CRAFT PROJECTS, EDUCATIONAL ACTIVITIES AND PARENTING INFORMATION. DEVELOP IOSCO - A PROGRAM THAT PROMOTES COMMUNITY AND ECONOMIC DEVELOPMENT AND THE GROWTH OF IOSCO COUNTY AND/OR THE MULTI-COUNTY AREA SURROUNDING IOSCO COUNTY IN THE STATE OF MICHIGAN. RECOGNIZING THE INSEPARABILITY OF HEALTHY COMMUNITY, ENVIRONMENT AND ECONOMY, DEVELOP IOSCO SUPPORTS AND CONDUCTS ECONOMIC DEVELOPMENT ACTIVITIES TO FURTHER SOUND COMMUNITY AND ENVIRONMENTAL POLICIES. OUR DIRECTOR OF COMMUNICATIONS SERVES AS THE VICE PRESIDENT. | OtherInformation |
| Affiliated Health Care System | ST. JOSEPH HEALTH SYSTEM AND SUBSIDIARIES ARE MEMBERS OF ASCENSION HEALTH. ASCENSION HEALTH IS THE PARENT ORGANIZATION OF A CATHOLIC, NATIONAL, MULTI-UNIT, TAX-EXEMPT HEALTHCARE SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES OR HEALTH MINISTRIES, LOCATED PRIMARILY IN THE GREAT LAKES, MID-ATLANTIC, 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 49-BED HOSPITAL, STAFFED BY MORE THAN 480 EMPLOYEES, IS LOCATED IN TAWAS CITY, MICHIGAN AND IS A NONPROFIT ACUTE-CARE 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 BOARD-CERTIFIED MEDICAL STAFF, WITH MORE THAN 17 PRIMARY CARE AND SPECIALTY PHYSICIANS. THROUGH COMMUNITY HEALTH SERVICES, PROFESSIONAL EDUCATION, SUBSIDIZED HEALTH CARE, FINANCIAL CONTRIBUTIONS, COMMUNITY-BUILDING ACTIVITIES, AND OTHER COMMUNITY BENEFIT ACTIVITIES, ST. JOSEPH HEALTH SYSTEM CONTRIBUTED 2.3 MILLION TO THE COMMUNITY. INCLUDED IN THIS FIGURE ARE PROGRAMS SUCH AS: - CHARITY CARE AND UNREIMBURSED MEDICAID - COMMUNITY HEALTH-EDUCATION LECTURES - SCHOOL HEALTH-EDUCATION PROGRAMS PROMOTING HEALTH CARE CAREERS & WORKFORCE ENHANCEMENT - FREE HEALTH SCREENINGS - HEALTHKEY - SART (SEXUAL ASSAULT RESPONSE TEAM) - COMMUNITY-BASED CHAPLAINCY AND SPIRITUAL CARE - SPONSORSHIPS AND CONTRIBUTIONS TO VARIOUS COMMUNITY EVENTS | AffiliatedHealthCareSystem |
| Reports Filed With States | MI | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII (8 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|
| WINE TASTING/GRAPE STOMP | 500 | 1037 | BOOK | |
| AUGRES PIRATEFEST SPONSOR | 75 | 318 | BOOK | |
| PERCHVILLE DINNER SPONSOR | 1 | 2000 | BOOK | |
| BIRDINGFESTIVAL SPONSOR | 1 | 100 | BOOK | |
| FRIEND OF E.T. LIBRARY | 1 | 100 | BOOK | |
| LIFETRAIL BIKE PATH | 1 | 3500 | BOOK | |
| TAWASTRIATHOLON SPONSOR | 1 | 1250 | BOOK | |
| FAMILY FUN FAIR | 1000 | 404 | BOOK | FAMILYFUNFAIR |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES | Identifier |
| Return Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | ReturnReference |
| Explanation | 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | true | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|
| PATRICK MURTHA | |||||
| 237986 | 110506 | 30811 | 4900 | 14146 | 398349 |
| NEELIMADEVI RYALI MD | |||||
| 176013 | 123518 | 4900 | 9228 | 313659 | |
| DONALD R ELLIS III MD | |||||
| 140065 | 73517 | 4291 | 9051 | 226924 | |
| LINDA STANCILL | |||||
| 141230 | 100661 | 30958 | 11161 | 284010 | |
| ANN BALFOUR | |||||
| 118677 | 37026 | 22557 | 9268 | 187528 | |
| DEBRA FOX | |||||
| 135284 | 13770 | 2755 | 9311 | 161120 | |
| JOHN BLOCKSOM | |||||
| 440006 | 4900 | 11009 | 455915 | ||
| DIANA ENNES MD | |||||
| 412728 | 16497 | 31546 | 9574 | 470345 | |
| RICHARD SCHULZ | |||||
| 308757 | 4900 | 9465 | 323122 | ||
| MICHAEL WAGNER | |||||
| 147500 | 93465 | 4769 | 1504 | 247238 | |
| EARL ELOWSKY MD | |||||
| 228213 | 4611 | 9951 | 242775 | ||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | COMPENSATION CONTINGENT UPON REVENUES OF ORGANIZATION | Identifier |
| Return Reference | SCHEDULE J, PAGE 1, PART I, LINE 5A | ReturnReference |
| Explanation | ST. JOSEPH HEALTH SYSTEM OFFERS TO ITS PHYSICIANS AN INCENTIVE COMPENSATION BASED UPON ANNUAL COLLECTIONS. PHYSICIANS SHALL BE ENTITLED TO AN ADDITIONAL INCENTIVE BONUS OF EIGHTY PERCENT OF 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 2009 WAGES WERE PAID BASED UPON THESE CONTINGENCIES TO THE FOLLOWING: DONALD R. ELLIS III, M.D. NEELIMADEVI RYALI, M.D. MICHAEL WAGNER, D.O. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | AS A CATHOLIC HEALTH MINISTRY OF THE CHURCH ST. JOSEPH HEALTH SYSTEM 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, (1953 - 2011 ST. JOSEPH HEALTH SYSTEM ) CATHOLIC HEALTH CARE IN THE UNITES STATES HAS BEEN DRIVEN BY THAT SAME CALL AND HAS GROWN IN WAYS THAT COULD NOT HAVE BEEN IMAGINED . |
| 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. |
| POLICIES AND PROCEDURES GOVERNING CHAPTERS | FORM 990, PAGE 6, PART VI, LINE 10B | YES |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11 | MANAGEMENT, INCLUDING CERTAIN OFFICER(S), 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 MEMBERS 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 | SCHEDULE O | PART VII, SEC. A - COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES DONALD R. ELLIS III, MD COMPENSATION REPORTED IN PART VII, SECTION A IS FOR SERVICES PROVIDED TO THE HOSPITAL IN HIS ROLE AS A PHYSICIAN NOT FOR HIS ROLE AS A TRUSTEE. PART VII, SEC. B - FIVE HIGHEST PAID INDEPENDENT CONTRACTORS THE AMOUNT REPORTED ON PART VII, SECTION B, AS PAYMENTS TO B & B GENERAL CONTRACTING REPRESENTS AMOUNTS PAID FOR BOTH SERVICES AND SUPPLIES. THESE AMOUNTS ARE NOT EASILY BIFURCATED SUCH THAT ONLY COMPENSATION FOR SERVICES CAN BE REPORTED. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| ASCENSION HEALTH | |||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 311662309 | HEALTHSYST | MO | 501 | 11A | N/A |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | |||||||||
| 200 HEMLOCK ROAD | TAWAS CITY | MI | 48763 | 010790428 | FUNDRAISIN | MI | 501 | 3 | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ST JOSEPH HEALTH ENTERPRISES | |||||||||||
| 200 HEMLOCK ROAD | TAWAS | MI | 48764 | 382686747 | OTHERMEDIC | MI | NA | C CORP | 672833 | 826082 | 1.00000 |
| HEALTH PARTNERS OF NE MI | |||||||||||
| 200 HEMLOCK ROAD | TAWAS | MI | 48764 | 383378622 | OTHERMEDIC | MI | NA | C CORP | 34 | 62286 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| ST JOSEPH HEALTH ENTERPRISES | |
| J | 171727 |
| ASCENSION HEALTH | |
| O | 2382669 |
| ST JOSEPH HEALTH ENTERPRISES | |
| P | 559762 |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | |
| R | 132904 |
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