2011-05-11T10:15:07-05:00 2010-06-30 990 2009-07-01 381443395 ST JOSEPH HEALTH SYSTEM STJO 9893620181 200 HEMLOCK STREET TAWAS CITY MI 48763 LINDA STANCILL 9893620181 2011-04-27 false 2011-05-11 2009 2016-02-24 21:20:13Z LINDA STANCILL 200 HEMLOCK STREET TAWAS CITY MI 48763 59639634 false X WWW.SJHSYS.ORG X 1955 MI 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 . 14 11 642 202 374507 -7276 163480 203266 58936365 56709883 -1831455 2092915 528912 503964 57797302 59510028 40860 8709 0 30753274 30515697 0 122478 27863865 27296308 58657999 57820714 -860697 1689314 49337171 50718767 29830434 28690451 19506737 22028316 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 . false false 43579888 8709 56709883 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. 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. 43579888 true true false true false false false false false true false true false false false false false false false false true false true true false false false false false false false false false false false false false true true false false true 91 1 true 642 true true true false false false false false false false false false false false 14 11 false false false false true true true true true false true true true true true true true true true true true true MI X LINDA STANCILL 9893629303 200 HEMLOCK STREET TAWAS CITY MI 48763 PATRICK MURTHA 60.00 X X 379303 0 19046 NEELIMADEVI RYALI MD 60.00 X X 299531 0 14128 DONALD R ELLIS III MD 60.00 X 213582 0 13342 SCOTT CHAPLESKI 2.00 X 0 0 0 MATTHEW BURESH 2.00 X 0 0 0 MICHAEL BUSCH 2.00 X 0 0 0 BRIDGET DUNLEAVY 2.00 X 0 0 0 JERRY SCHMIDT 2.00 X 0 0 0 GERALD GRACIK 2.00 X 0 0 0 RYAN PARKINSON 2.00 X 0 0 0 BRENDA CHADWICK 2.00 X 0 0 0 MARIE HOGAN 2.00 X 0 0 0 RICK MICHAELS 2.00 X 0 0 0 ROBERT STALKER II 2.00 X 0 0 0 LINDA STANCILL 60.00 X 241891 0 42119 ANN BALFOUR 60.00 X 155703 0 31825 DEBRA FOX 60.00 X 149054 0 12066 SR RITA ANN TEICHMAN 60.00 X 93467 0 3269 JOHN BLOCKSOM 60.00 X 440006 0 15909 DIANA ENNES MD 60.00 X 429225 0 41120 RICHARD SCHULZ 60.00 X 308757 0 14365 MICHAEL WAGNER 60.00 X 240965 0 6273 EARL ELOWSKY MD 60.00 X 228213 0 14562 3179697 228024 24 false true false 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 11 58018 145248 203266 PATIENT SERVICES 56545377 56545377 LAB SUPPORT SERVICES TO EXTER 621990 164506 164506 56709883 2083655 2083655 10200 47546 -37346 -37346 -37346 91320 82060 9260 9260 9260 MIS REV - CONVEN. OF PATIENTS 621990 331309 331309 OCC HEALTH SUPPORT SERVICES 621990 210001 210001 541310 59510028 56545377 374507 2386878 8709 8709 1668325 637319 1031006 23910402 18959597 4870189 80616 1162372 581212 574877 6283 2098704 1665486 428560 4658 1675894 1329953 342236 3705 236355 236355 139032 2491 135926 615 58507 55307 3200 14694 14694 6681945 3890436 2786600 4909 155645 27216 128429 1387719 772177 606362 9180 1498915 1056293 438660 3962 200725 198070 2575 80 138579 52531 84153 1895 624828 35582 589246 487304 487304 3019084 2182882 834371 1831 294358 263259 31099 MEDICAL SUPPLIES 7007138 6994885 12253 BAD DEBT 3959030 3959030 MAINTENANCE & REPAIRS 975543 817570 157973 OTHER EXPENSE 319812 76197 242071 1544 RECRUITMENT 97095 68993 28102 57820714 43579888 14118348 122478 3942372 745599 35701 18963 3696187 3822321 97042 79378 1465100 1420622 1442268 1554861 53518147 32670144 22802904 20848003 12525735 19033040 3329862 3195980 49337171 50718767 8820504 8440876 21009930 20249575 29830434 28690451 X 18334842 20799572 1171895 1228744 19506737 22028316 49337171 50718767 X false true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 7632 false true 7062 14694 false false false false false SCHEDULE C, PART II-B, LINE 1I LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. false false false false false false false false false false 1492993 1492993 22889498 12780968 10108530 181158 173510 7648 24330356 16840718 7489638 4624142 2874948 1749194 20848003 AMOUNTS DUE FROM 3RD PARTY PAYORS 1322905 OTHER RECEIVABLES 1144967 DEFERRED COMPENSATION ASSET 676312 INTERCOMPANY RECEIVABLES (SJHE) 32351 INVESTMENT IN UNCONSOLIDATED ENTITY 19445 3195980 INTERCOMPANY DEBT TO ASCENSION HEALT 19103600 GENERAL RESERVES 735157 SELF INSURANCE LIABILITY 210828 OBLIGATION UNDER CAPTIAL LEASE - AH 199990 20249575 LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X PER THE FINANCIAL STATEMENTS OF ASCENSION HEALTH (WHICH INCLUDES THE ACTIVITY OF ST. JOSEPH HEALTH SYSTEM), THERE IS NO ASC 740 FOOTNOTE FOR THE CURRENT YEAR. true true true X true X true true true false true true 376545 376545 0.00700 8031723 6607656 1424067 0.02640 8408268 6607656 1800612 0.03340 5 3308 469987 469987 0.00860 208588 148607 59981 0.00110 10 1670 14621 14621 0.00030 15 4978 693196 148607 544589 0.01000 15 4978 9101464 6756263 2345201 0.04340 1 8515 3115 5400 0.00010 1 8515 3115 5400 0.00010 false 2040572 785175 21337848 18165837 3172011 X true true 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

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. FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED. 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. 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. 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. 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. 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. 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. 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 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. 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. 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 MI true 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 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 ST. JOSEPH HEALTH SYSTEM'S DIRECTOR OF COMMUNICATION & OUTREACH REVIEWS REQUESTS MADE BY INDIVIDUALS AND ORGANIZATIONS TO DETERMINE THE APPROPRIATENESS OF THE REQUEST TO ENSURE THAT IT FOCUSES ON BETTER SERVING THE HEALTHCARE NEEDS OF OUR COMMUNITY. ST. JOSEPH HEALTH SYSTEM ACTIVELY PROVIDES FUNDING AND RESOURCES TO PROMOTE HEALTH SCREENINGS, WELLNESS ACTIVITIES, AND VARIOUS OTHER HEALTH EDUCATION PROGRAMS IN COMMUNITIES WE SERVE, TARGETING SCHOOLS, WOMEN'S HEALTH SEMINARS, HEALTH & WELLNESS SCREENS, AS WELL AS THE GENERAL PUBLIC. THE REQUESTING ORGANIZATION OR INDIVIDUAL IS TO PROVIDE THE HEALTH SYSTEM WITH AN APPROXIMATE NUMBER OF RECIPIENTS SERVED SO WE CAN TRACK THIS ON OUR COMMUNITY BENEFITS REPORT. X X X false false false true false false false false false 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 COMPENSATION CONTINGENT UPON REVENUES OF ORGANIZATION SCHEDULE J, PAGE 1, PART I, LINE 5A 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. 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. 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 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 false false false false false false false false false true false false false false true true false true ST JOSEPH HEALTH ENTERPRISES J 171727 ASCENSION HEALTH O 2382669 ST JOSEPH HEALTH ENTERPRISES P 559762 ST JOSEPH HEALTH SYSTEM FOUNDATION R 132904