2011-05-12T08:30:33-05:00 2010-06-30 DELOITTE TAX LLP 600 RENAISSANCE CENTER SUITE 900 DETROIT MI 482431895 990 2009-07-01 382244034 ST JOHN HEALTH DBA ST JOHN PROVIDENCE HEALTH SYSTEM STJO 5867530325 28000 DEQUINDRE WARREN MI 480922468 PATRICK MCGUIRE 5867530325 2011-05-12 1 3133963000 2009 2016-02-24 21:20:13Z PATRICK MCGUIRE 28000 DEQUINDRE WARREN MI 480922468 231305161 0 X WWW.STJOHN.ORG X 1978 MI OUR CATHOLIC HEALTH MINISTRY IS DEDICATED TO SPIRITUALLY CENTERED HOLISTIC CARE. 14 12 2384 12 2913731 73065 21153 0 270690545 227499802 -2829949 3549990 19923 255369 267901672 231305161 0 0 105650211 113900145 0 0 168105411 128397093 273755622 242297238 -5853950 -10992077 537639907 587014428 773922501 856394152 -236282594 -269379724 ST. JOHN HEALTH, AS A CATHOLIC HEALTH MINISTRY, IS COMMITTED TO PROVIDING SPIRITUALLY CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS IN THE COMMUNITIES WE SERVE, WITH SPECIAL ATTENTION TO THE POOR AND VULNERABLE. 0 0 204063705 227499802 IN FURTHERANCE OF ITS MISSION, AND IN AN EFFORT TO REDUCE THE GOVERNMENT'S FINANCIAL BURDEN, ST. JOHN HEALTH SUPPORTS THE EFFORTS OF ITS HOSPITALS AND HEALTH FACILITIES PROVIDING CARE TO INDIVIDUALS AND COMMUNITIES. SEE COMMUNITY BENEFIT REPORT ON SCHEDULE O. 204063705 1 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1372 0 2384 1 1 1 0 0 0 0 0 0 0 0 14 12 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X PATRICK MCGUIRE 5867530652 28000 DEQUINDRE WARREN MI 480922468 Leslie A Murphy CPA 5.00 X 0 0 0 Michael J Brennan 5.00 X 0 0 0 KATHLEEN B MCCANN 5.00 X 0 0 0 Maureen A Fay OP PhD 5.00 X 0 0 0 Patricia Maryland Dr PH 50.00 X X 1331462 0 23780 JOYCE HAYES-GILES 5.00 X 0 0 0 Dave Stephens 5.00 X 0 0 0 denise lewis 5.00 X 0 0 0 Kevin J Grady MD 20.00 X 2885 159675 18583 Shirley R Stancato 5.00 X 0 0 0 GARy Shiffman 5.00 X 0 0 0 KAREn Swanson MD 5.00 X 0 0 0 CHRISTINE PARKS csj 5.00 X 0 0 0 JOHn Smith 5.00 X 0 0 0 PATRICK McGuire 50.00 X 479799 0 62825 TERENCE HAMILTON 50.00 X 371266 0 48378 ROBERT HOban 50.00 X 394237 0 51188 Mary Kummer Naber 50.00 X 332424 0 48828 allen tucker 50.00 X 275676 0 22018 Terence Thomas 50.00 X 268610 0 39143 DAVID SILWESTER 50.00 X 233713 0 37652 ELLIOT JOSEPH 50.00 X 800822 0 0 Michael Wiemann MD 50.00 X 0 577079 94430 ERNEST L YODER 50.00 X 397070 0 54980 PAUL VAN TIEM 50.00 X 475157 0 1475 5363121 736754 503280 101 1 1 0 MCKESSON PO BOX 630693 CINCINNATI OH 45263 Pharmaceuticals 89358856 ACCRETIVE HEALTH INC 401 N MICHIGAN AVE STE 2700 CHICAGO IL 60611 MGMT & OUTSOURCE REV CYCLE FUNCTIONS 46179975 AUTOMATED BENEFIT SERVICE INC 8220 IRVING STERLING HEIGHTS MI 48312 ADMINISTRATION OF HEALTHCARE CLAIMS 30494544 MEDTRONIC USA 4642 COLLECTION CENTER DRIVE CHICAGO IL 60693 medical equipment 23006525 CARDIOVASCULAR THERAPEUTICS 22250 PROVIDENCE DRIVE STE 705 SOUTHFIELD MI 48075 healthcare services 22192252 5 ADMINISTRATIVE 561000 227499802 224586071 2913731 227499802 15619 15619 15619 15619 3549890 100 3549890 100 3549990 3549990 assets released from r 900099 239750 239750 239750 231305161 224586071 2913731 3805359 2498653 2498653 1729504 1729504 83755311 71182839 12572472 4086051 3305615 780436 15360971 12427026 2933945 6469655 5233951 1235704 11567763 11567763 4934687 4934687 2157258 2157258 16917483 16917483 4227444 4225051 2393 30101119 30101119 35160199 35142929 17270 1288631 1226425 62206 620339 385461 234878 70309 70309 474675 474675 1383945 1383945 213551 213551 ubi tAX EXPENSE 23238 23238 CORPorate Overhead 11830004 828100 11001904 OTHER EXPENSES 3337292 3337292 Donations 1576238 1576238 CONTRact Labor 1420433 1404503 15930 1092485 1092485 242297238 204063705 38233533 0 15347242 22400758 2481168 6969776 186104 177748 31058750 30728415 37222586 14735655 60402078 22486931 41336115 58060710 2233852 192729 384594598 445997361 537639907 587014428 74487276 87000586 699435225 769393566 773922501 856394152 X -236354301 -269383530 71707 3806 -236282594 -269379724 537639907 587014428 X 0 1 1 X 1 1 X X X 0 0 0 ST JOHN MACOMB-OAKLAND HOSPITAL CORP 383322109 7 1 1 1 16634725 MEDICAL RESOURCES GROUP 383494637 9 1 1 1 36171255 SISTERS OF ST JOSEPH OF NAZARETH 381814937 5 1 1 1 0 BRIGHTON HOSPITAL 381576680 7 1 1 1 114581 ST JOHN COMMUNITY HEALTH INVESTMENT CORP 382262856 3 1 1 1 40873137 EASTWOOD COMMUINITY CLINICS 381958763 9 1 1 1 2255405 AFFILIATED HEALTH SERVICES 382292922 n/a 1 1 1 1544870 ST JOHN HEALTH FOUNDATION 382769385 9 1 1 1 3168285 8 100762258 0 1 0 0 0 0 1 174000 0 1 130117 304117 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: Line B: Paid Staff of Management: $130,117 Amount reported on behalf of St John Health to Michigan Deparment of State Lobby Registration, combined biennial reporting; 1/3 of salary to Sean Gehle, VP Advocacy; 1/3 salary of Director of Public Policy position, % salary of Princella Graham, Corporate Director of Government Affairs, St John Health, % of overhead of Lansing Advocacy Office,% of annual retainer to Public Affairs Associates,% of annual retainer to Wiener Associates Line G: Direct Contact with Legistators,their staffs,government officials $144,000 ($12,000/month) retainer to Foley and Lardner LLP $30,000 Section 508 Coalition, Strategic Healthcare and McDermott Will & Emery, LLP, Washington based law firm and lobbying firm Line J: Total Lobbying Expenditures: $304,117 5632451 5632451 16787792 7553090 9234702 84475 47924 36551 8437298 7134641 1302657 6280570 6280570 22486931 ACCOUNTS RECEIVABLE - AFFILIATES 424407735 DEFERRED COMPENSATION 21589626 445997361 ACCOUNTS PAYABLE-AFFILIATE 573541470 DEFERRED COMPENSATION 21589626 PENSION LIABILITY 149551767 WORKERS COMP REBATE 135443 OTHER ACCRUALS 100000 INTERCOMPANY DEBT DUE TO ASCENSION HEALTH 23475260 estimated settlement liabiality 1000000 769393566 X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 Patricia Maryland Dr PH 871611 0 0 0 459851 0 11025 0 12755 0 1355242 0 455049 0 Kevin J Grady MD 2885 154995 0 0 0 4680 72 6442 0 12069 2957 178186 0 0 PATRICK McGuire 451632 0 0 0 28167 0 50375 0 12450 0 542624 0 20576 0 TERENCE HAMILTON 321002 0 0 0 50264 0 35171 0 13207 0 419644 0 44933 0 ROBERT HOban 361777 0 1023 0 31437 0 36981 0 14207 0 445425 0 24537 0 Mary Kummer Naber 327093 0 0 0 5331 0 36421 0 12407 0 381252 0 0 0 allen tucker 274560 0 1116 0 0 0 9800 0 12218 0 297694 0 0 0 Terence Thomas 241839 0 0 0 26771 0 16736 0 22407 0 307753 0 11487 0 DAVID SILWESTER 219779 0 0 0 13934 0 23867 0 13785 0 271365 0 13622 0 ELLIOT JOSEPH 0 0 0 0 800822 0 0 0 0 0 800822 0 0 0 Michael Wiemann MD 0 521249 0 0 0 55830 0 82300 0 12130 0 671509 0 49368 ERNEST L YODER 384373 0 0 0 12697 0 38600 0 16380 0 452050 0 11961 0 PAUL VAN TIEM 0 0 0 0 475157 0 0 0 1475 0 476632 0 0 0 Part I, Line 1a AN OFFICER IS ALLOWED A COMPANION ON ONE BUSINESS TRIP PER YEAR. THE COST OF THE COMPANION'S TRAVEL IS ADDED TO THE OFFICER'S W-2 AT THE END OF THE YEAR. Part I, Line 4a THE FOLLOWING FORMER EXECUTIVES RECEIVED SEVERENCE PAYMENTS DURING THE CURRENT YEAR: Joseph, Elliot Severance $800,822 VanTiem, Paul Severance $476,632 PART I, LINE 4B: THESE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN F IN THE YEAR PAID. Patricia Maryland 457F PLAN $455,049 Patrick MCGUIRE 457F PLAN $20,576 Michael Wiemann MD 457F PLAN $49,368 Terence Hamilton 457F PLAN $44,933 Robert Hoban 457F PLAN $24,537 Terence Thomas 457F PLAN $11,487 David Silwester 457F PLAN $13,622 Ernest Yoder 457F PLAN $11,961 Part I, Line 7 LINE 3 All RELATED ORGANIZATION OF ST. JOHN HEALTH, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT,AND COMPENSATION SURVEY OR STUDY Form 990, Part VI, Section A, line 6 ST JOHN HEALTH HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH. Form 990, Part VI, Section A, line 7a ST. JOHN HEALTH HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF ST. JOHN HEALTH. Form 990, Part VI, Section A, line 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. Form 990, Part VI, Section B, line 11 MANAGEMENT, INCLUDING CERTAIN OFFICERS, WORKS DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES IN A THROUGH MANNER. PRIOR TO FILING THE RETURN, ALL BOARD MEMBERS ARE PROVIDED THE FORM 990 AND MANAGEMENT TEAM MEMBERS ARE AVAILABLE TO ANSWER ANY BOARD MEMBER'S QUESTIONS. Form 990, Part VI, Section B, 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 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. Form 990, Part VI, Section B, line 15 IN DETERMINING COMPENSATION OF THE ORGANIZATIONS' CEO, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO Was COMPARED TO THE 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 COMMITTEE MINUTES. The INDIVIDUAL WAS NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. 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 COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATIONS WERE COMPARED TO THE 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 COMMITTEE MINUTES. Form 990, Part VI, Section C, line 19 THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. PART XI, LINE 2B & C THE FINANCIAL STATEMENTS OF ST. JOHN HEALTH WERE AUDITED ON A CONSOLIDATED BASIS. AN AUDIT COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY TO OVERSEE THE AUDITED FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANTS THAT AUDITED THE FINANCIAL STATEMENTS. PART XI, LINE 3A THE FINANCIAL STATEMENTS OF ST. JOHN HEALTH WERE AUDITED ON A CONSOLIDATED BASIS. AN AUDIT COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY TO OVERSEE THE AUDITED FINANCIAL STATEMENTS IN ACCORDANCE WITH STANDARDS CONTAINED IN GOVERNMENT AUDITING STANDARDS, ISSUED BY THE COMPTROLLER GENERAL OF THE UNITED STATES PURSUANT TO OMB CIRCULAR A-133 AND THE SELECTION OF THE INDEPENDENT ACCOUNTANTS THAT AUDITED THE FINANCIAL STATEMENTS. ST. JOHN HEALTH 38-2244034 COMMUNITY BENEFIT REPORT FOR THE FISCAL YEAR ENDED JUNE 30, 2010 THIS REPORT ILLUSTRATES THE SIGNIFICANT DEGREE TO WHICH ST. JOHN HEALTH ("THE SYSTEM") CONTRIBUTES TO THE POSITIVE HEALTH STATUS OF THE COMMUNITIES IT SERVES. AS A MEMBER OF ASCENSION HEALTH, THE NATION'S LARGEST CATHOLIC HEALTHCARE SYSTEM, ST. JOHN HEALTH CONTINUES TO BUILD AND STRENGTHEN SUSTAINABLE COLLABORATIVE EFFORTS THAT BENEFIT THE HEALTH OF INDIVIDUALS, FAMILIES, AND SOCIETY AS A WHOLE. THE GOAL OF ST. JOHN HEALTH IS TO PERPETUATE THE HEALING MISSION OF THE CHURCH. THE SYSTEM FURTHERS THIS GOAL THROUGH DELIVERY OF PATIENT SERVICES, CARE TO THE ELDERLY AND INDIGENT, PATIENT EDUCATION AND HEALTH AWARENESS PROGRAMS FOR THE COMMUNITY, AND MEDICAL RESEARCH. OUR CONCERN FOR ALL HUMAN LIFE AND DIGNITY OF EACH PERSON LEADS THE ORGANIZATION TO PROVIDE MEDICAL SERVICES TO ALL PEOPLE IN THE COMMUNITY WITHOUT REGARD TO THE PATIENT'S RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. IN ORDER TO PORTRAY THE FULL BREADTH OF OUR CONTRIBUTION, OUR COMMUNITY BENEFIT INFORMATION IS DESCRIBED BELOW: ORGANIZATIONAL COMMITMENT TO PROVIDING COMMUNITY BENEFIT ST. JOHN HEALTH IS COMPRISED OF EIGHT HOSPITALS, PLUS MORE THAN 125 MEDICAL FACILITIES IN SOUTHEAST MICHIGAN. ST. JOHN HEALTH SEEKS TO IMPROVE THE PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL HEALTH STATUS OF ITS SURROUNDING COMMUNITY. IN ADDITION TO PROVIDING HEALTH CARE SERVICES TO ALL INDIVIDUALS WHO REQUIRE MEDICAL ATTENTION, ST. JOHN HEALTH HAS DEVELOPED THE FOLLOWING PROGRAMS TO HELP ACHIEVE ITS MISSION: EXPANDING AWARENESS, EDUCATION, AND HEALTH PROMOTION ST. JOHN HEALTH BELIEVES THAT IT IS ESSENTIAL TO EDUCATE PEOPLE REGARDING THE TYPES OF BEHAVIOR THAT IMPROVE THEIR CHANCES OF LIVING A HEALTHY LIFE. THE SYSTEM HAS INVESTED SIGNIFICANTLY IN UNIQUE, TOP QUALITY HEALTH EDUCATION AND MATERIALS TO ACCOMPLISH ITS GOALS. VARIOUS CLASSES THE SYSTEM HAS PROVIDED TO THE COMMUNITY ARE AS FOLLOWS: POUNDS OFF WITH EMPOWERMENT CLASS, BONE DENSITY, BLOOD PRESSURE AND SKIN CANCER SCREENING,CPR,JOINT SEMINAR-HIP OR KNEE PAIN, LEARN TO LIVE WITH MIGRAINES,RISK FACTORS, STRESS MANAGEMENT, WEIGHT LOSS SEMINAR, WHAT EVERY MAN/WOMAN NEEDS TO KNOW ABOUT GOLF, SMART EATING, SMART MEDICINES, BABY CARE BASICS, BREASTFEEDING PREPARATION,CHILDBIRTH CLASSES, INFANT MASSAGE, HEALTH FAIRS CHOLESTEROL SCREENING,HEART-SAVER FIRST AID,ALTERNATIVES TO HYSTERECTOMY,NUTRITION FOR WOMEN, CD-IMPLANTABLE DEFIBRILLATOR-ICD,MENOPAUSE,MEDICARE PART D PRESCRIPTION DRUG COVERAGE, BLS RE-CERTIFICATION,SUBSTANCE ABUSE AND DEPENDENCE,LIFESTYLE CHANGES FOR DIABETES, COURAGEOUS CONVERSATIONS,BLOOD PRESSURE SCREENING,SENIOR SPIRIT DAY, TEN THINGS WOMEN CAN DO,DIABETES RISK FACTORS,CARDIAC AND PULMONARY SUPPORT,PROSTATE CANCER SCREENING,YOGA,REIKI,BLOOD DRIVES,OSTEOPOROSIS SCREENING & EDUCATION, OSTEOPOROSIS & OSTEOARTHRITIS,CARDIAC REHAB,SMOKING CESSATION,PARISH NURSE SITES,COPING WITH VARIOUS CANCERS, AND SUPPORT GROUPS FOR VARIOUS CANCERS,CAREGIVERS AND OTHER DISEASES EDUCATION MATERIAL IS PROVIDED ON THE WEB UNDER WWW.STJOHN.ORG AND WWW.REALMEDICINE.ORG ACCESS TO CARE PROGRAMS ST. JOHN HEALTH OPERATES MANY PUBLIC HEALTH CLINICS. PUBLIC CLINICS RANGE FROM SPECIALTY CLINICS SUCH AS PEDIATRICS TO GENERAL INTERNAL MEDICINE CLINICS. OUR COMMUNITY HEALTH CENTERS PROVIDE CARE FOR ALL COMMUNITY RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY. SERVICES INCLUDE THE FULL RANGE OF PREVENTIVE AND PRIMARY HEALTH AND SOME DENTAL CARE FOR ADULTS AND CHILDREN, PRENATAL CARE, AND MANAGEMENT OF CHRONIC DISEASES SUCH AS ASTHMA, DIABETES AND HEART DISEASE. COMMUNITY OUTREACH AND SERVICE THE SYSTEM PROVIDES CHARITABLE CONTRIBUTIONS TO VARIOUS COMMUNITIES BY VOLUNTEERING AND GIVING SUPPORT TO PARADES, MARATHONS, HEALTH EXPOS, AMERICAN RED CROSS BLOOD DRIVES, CHURCHES, SCHOOLS, ALL AREA 4-STAR BASKETBALL CAMP, BASEBALL CLUBS, WOMEN'S INTERNATIONAL HEALTH SHOW, BELLE ISLE RUN/WALK, TOWN HALL SERIES LECTURES, CAREER FAIRS AT SCHOOLS, POLICE OFFICERS BENEFIT, OAKLAND UNIVERSITY NIGHTINGALE SPONSORSHIP, COMMUNITY FOUNDATION OUTINGS, CHAMBER GOLF OUTINGS, INFANT MORTALITY COMEDY NIGHT, COLLEGE HEALTH CARE SCHOLARSHIPS, FALL FAIRS, YMCA KIDS PROGRAMS AND HABITAT FOR HUMANITY. ST. JOHN HEALTH PARTNERS WITH MANY ORGANIZATIONS TO IMPROVE COMMUNITY HEALTH, SUCH AS AMERICAN RED CROSS AND THE AMERICAN HEART ASSOCIATION. CHARITY CARE BASED ON A THREE YEAR AVERAGE (2005-2007) NEARLY 11 PERCENT OF MICHIGAN RESIDENTS OR 1.1 MILLION PEOPLE LACKED HEALTH INSURANCE. THIS TREND IS INCREASING DUE TO LOSS OF JOBS IN THE METRO DETROIT AREA. THE UNINSURED ARE LIKELY TO SEEK CARE IN HOSPITAL EMERGENCY ROOMS. THE SYSTEM HAD 370,044 EMERGENCY DEPARTMENT (ED) VISITS IN FISCAL 2010, AN INCREASE OF 3.52% FROM THE PRIOR YEAR. INCREASINGLY, PATIENTS ARE EXPERIENCING LIMITED ABILITIES TO PAY FOR HEALTH CARE SERVICES OR QUALIFY FOR STATE AND FEDERALLY FUNDED PROGRAMS LIKE MEDICAID AND MEDICARE -- PROGRAMS THAT COVER ONLY A PORTION OF THE COST OF SERVICES PROVIDED. FOR MANY MICHIGAN RESIDENTS, FINDING SOMEONE TO CARE FOR THEM WHEN THEY ARE SICK IS NOT AS EASY AS MAKING AN APPOINTMENT. LACK OF HEALTH INSURANCE, TRANSPORTATION ISSUES AND LANGUAGE BARRIERS COMBINE TO CREATE CHALLENGES. ST. JOHN HEALTH OFFERS VARIOUS FREE CLINICS. IN THE SPIRIT OF PRINCIPLES ADOPTED BY ASCENSION HEALTH, ST. JOHN HEALTH HAS TAKEN PROACTIVE STEPS TO ADDRESS THOSE ISSUES THAT WILL AFFECT ACCESSIBILITY, THE FINANCING, AND THE DELIVERY OF HEALTHCARE TO ALL PERSONS, ESPECIALLY THE UNINSURED, UNDERINSURED, AND THE UNDERSERVED. DURING THE FISCAL YEAR ENDING JUNE 30, 2010, THE ESTIMATED UN-REIMBURSED COST OF SERVICES PROVIDED TO THE ELDERLY, UNINSURED, AND UNDERINSURED TOTALED $110.7 MILLION. ST. JOHN HEALTH PROVIDES A SUBSTANTIAL PORTION OF ITS SERVICES TO THE ELDERLY AND POOR. DURING THE FISCAL YEAR ENDING JUNE 30, 2010, APPROXIMATELY 41% OF THE VALUE OF SERVICES RENDERED WAS TO ELDERLY PATIENTS UNDER THE MEDICARE PROGRAM, AND APPROXIMATELY 12% OF THE SERVICES WERE PROVIDED TO PATIENTS WHO WERE DEEMED INDIGENT UNDER STATE, COUNTY, OR MEDICAL CENTER GUIDELINES. WE CURRENTLY OFFER FINANCIAL ASSISTANCE PROGRAMS THROUGH THE VOICES OF DETROIT INITIATIVE, A PROGRAM THAT ASSISTS THE UNINSURED AND UNDERINSURED IN MANAGING THEIR HEALTH CARE MEDICAL RESEARCH ST. JOHN HEALTH FURTHERS ITS MISSION BY CONTRIBUTING FUNDS AND PERSONNEL TO SUPPORT RESEARCH THAT HAS HELPED ADVANCE MEDICAL CARE. RESEARCH PROJECTS INCLUDE VARIOUS CARDIAC AND INTERVENTIONAL CARDIAC RESEARCH PROJECTS, ONCOLOGY, PEDIATRIC HEMATOLOGY AND ONCOLOGY, INTERNAL MEDICINE, OBSTETRICS AND GYNECOLOGY AND INFECTIOUS DISEASE RESEARCH. MEDICAL EDUCATION ST. JOHN HEALTH BELIEVES THAT, IN ORDER TO PROVIDE THE BEST HEALTH CARE TO THE COMMUNITY, ITS CLINICAL PERSONNEL MUST RECEIVE ONGOING MEDICAL EDUCATION. NUMEROUS SEMINARS AND CLASSES ARE PROVIDED TO MEDICAL RESIDENTS AND STAFF AND ARE POSTED ON OUR WEB SITE WWW.SJHS.COM/ GME RESIDENCY TRAINING OPERATIONS AND GOVERNANCE ST. JOHN HEALTH 1. OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. 2. HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. 3. HAS A GOVERNING BODY IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY. 4. ENGAGES IN MEDICAL OR SCIENTIFIC RESEARCH PROGRAMS. 5. ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. 6. PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRIAGE AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. PATIENT SERVICES ST. JOHN HEALTH PROVIDES THE FOLLOWING INPATIENT AND OUTPATIENT MEDICAL SERVICES TO THE COMMUNITY: ALLERGY AND IMMUNOLOGY, ANATOMIC AND CLINICAL PATHOLOGY, ANESTHESIOLOGY, ANESTHESIOLOGY-PAIN MEDICINE, CARDIOLOGY, CARDIOVASCULAR DISEASE, CARDIOTHORACIC SURGERY, CHILD AND ADOLESCENT PSYCHIATRY, CHILD/ADOLESCENT NEUROLOGY, CLINICAL CARDIAC ELECTROPHYSIOLOGY, COLON AND RECTAL SURGERY, CYTOPATHOLOGY, DENTISTRY, DERMATOLOGY, DIAGNOSTIC RADIOLOGY, EMERGENCY MEDICINE, EMERGENCY MEDICINE-PEDIATRIC EMERGENCY MEDICINE, ENDOCRINOLOGY DIABETES AND METABOLISM, FAMILY MEDICINE, FAMILY MEDICINE-ADDICTION, FAMILY MEDICINE-GERIATRIC MEDICINE, FAMILY MEDICINE-SPORTS MEDICINE, FORENSIC PSYCHIATRY, GASTROENTEROLOGY, GERIATRIC PSYCHIATRY, GYNECOLOGIC ONCOLOGY, GYNECOLOGY, HEMATOLOGY AND MEDICAL ONCOLOGY, INFECTIOUS DISEASE, INTERNAL MEDICINE, INTERNAL MEDICINE-CRITICAL CARE MEDICINE, INTERNAL MEDICINE-GERIATRIC MEDICINE, INTERNAL MEDICINE-HEMATOLOGY, INTERVENTIONAL CARDIOLOGY, MATERNAL AND FETAL MEDICINE, NENONATAL-PERINATAL MEDICINE, NEPHROLOGY, NEUROLOGICAL SURGERY, NEUROLOGY, NEURORADIOLOGY, NUCLEAR MEDICINE, OBSTETRICS AND GYNECOLOGY, OCCUPATIONAL MEDICINE, OPTHALMOLOGY, ORAL AND MAXIOFACIAL SURGERY, ORTHOPEDIC SURGERY, ORTHOPEDIC SURGERY-HAND SURGERY, TOLARYNGOLOGY, OTORHINOLARYNGOLOGY AND OROFACIAL PLASTIC SURGERY, PATHOLOGY, PATHOLOGY-DERMATOPATHOLOGY, PEDIATRIC-ENDOCRINOLOGY, PEDIATRIC-ALLERGY AND IMMUNOLOGY, PEDIATRIC-CARDIOLOGY, PEDIATRIC-CRITICAL CARE MEDICINE, PEDIATRIC-DENTISTRY, PEDIATRIC-EMERGENCY MEDICINE, PEDIATRIC-GASTROENTEROLOGY, PEDIATRIC-HEMATOLOGY ONCOLOGY, PEDIATRIC-INFECTIOUS DISEASE, PEDIATRIC-NEPHROLOGY, PEDIATRIC-OTOLARYNGOLOGY, PEDIATRIC-RADIOLOGY, PEDIATRIC-SURGERY, PEDIATRICS, PHYSICAL MEDICINE AND REHABILITATION, PLASTIC AND RECONSTRUCTIVE SURGERY, PLASTIC SURGERY, PLASTIC SURGERY-SURGERY OF THE HAND, PODIATRIC SURGERY, PODIATRY, PSYCHIATRY, PULMONARY MEDICINE, RADIATION ONCOLOGY, RADIOLOGY, REPRODUCTIVE ENDOCRINOLOGY, RHEUMATOLOGY, SLEEP MEDICINE, SURGERY, SURGERY OF THE HAND, THERAPEUTIC RADIOLOGY, UROLOGY, VASCULAR AND INTERVENTIONAL RADIOLOGY, AND VASCULAR SURGERY. SOME OF THE SERVICES LISTED ABOVE OPERATE AT A LOSS IN ORDER TO ENSURE THAT ALL SERVICES ARE AVAILABLE TO MEET COMMUNITY HEALTH CARE NEEDS. DURING THE FISCAL YEAR ENDING JUNE 30, 2010, ST. JOHN HEALTH HOSPITALS TREATED ADULTS AND CHILDREN FROM THE COMMUNITY FOR A TOTAL OF 642,452 PATIENT DAYS OF SERVICE. THE SYSTEM ALSO PROVIDED SERVICES TO 2,709,539 OUTPATIENTS, INCLUDING 310,598 OUTPATIENT SURGERY PATIENTS, 370,044 EMERGENCY AND MINOR CARE VISITS, AND 127,266 HOMEBOUND PATIENTS ADDITIONAL LINKS TO ADDITIONAL COMMUNITY BENEFIT INFORMATION: //WWW:MHA.ORG FINANCIAL INFORMATION THE FINANCIAL INFORMATION PRESENTED BELOW WAS PREPARED IN ACCORDANCE WITH THE CATHOLIC HEALTH ASSOCIATION'S (CHA) COMMUNITY BENEFIT REPORTING GUIDELINES. THESE GUIDELINES RECOMMEND THE FOLLOWING: REPORT CARE OF THE POOR AT COST, NOT CHARGES. DO NOT INCLUDE BAD DEBT, CONTRACTUAL ALLOWANCES, AND QUICK PAY DISCOUNTS AS PART OF CARE OF THE POOR EXPENSE. DO NOT COUNT MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. REPORT THE NET EXPENSE FOR COMMUNITY BENEFIT SERVICES, I.E., THE TOTAL COMMUNITY BENEFIT EXPENSE MINUS ANY ASSOCIATED REVENUE FROM PATIENTS, PAYERS, AND OTHER EXTERNAL SOURCES. THE CHA REPORTING GUIDELINES REFLECT A CONSERVATIVE APPROACH TO REPORTING QUANTIFIABLE COMMUNITY BENEFIT. THE GOAL OF THE REPORTING GUIDELINES IS TO PRODUCE COMMUNITY BENEFIT FINANCIAL REPORTS THAT REFLECT TRUE COSTS AND THAT DESCRIBE COMMUNITY BENEFIT ACTIVITIES THAT INCREASE ACCESS TO HEALTH CARE AND IMPROVE COMMUNITY HEALTH. CONSOLIDATED ST. JOHN HEALTH INFORMATION FOR FISCAL YEAR ENDED JUNE 30, 2010: 1) CARE OF THE POOR (AT COST) $28,858,033 2) GOVERNMENT SPONSORED HEALTH CARE (NET EXPENSE) 2,983,162 3) UNPAID COST OF PUBLIC INDIGENT CARE PROGRAMS (INCLUDES MEDICAID, SCHIP, AND OTHER SAFETY NET PROGRAMS; DOES NOT INCLUDE MEDICARE SHORTFALLS) 26,673,691 4) COMMUNITY BENEFIT PROGRAMS (NET EXPENSE) 34,705,958 TOTAL QUANTIFIABLE COMMUNITY BENEFIT, AS DETERMINED IN ACCORDANCE WITH CHA REPORTING GUIDELINES $93,220,844 SUPPLEMENTAL INFORMATION BAD DEBT COSTS ATTRIBUTABLE TO CHARITY $32,846,763 MEDICARE SURPLUS $15,395,495 PART VII COMPENSATION OF BOARD MEMBERS The compensation listed is for services provided to this organization or a related organization in an employee capacity, and not for participation in this organization's board. BRIGHTON HOSPITAL 12851 GRAND RIVER BRIGHTON MI 48116 381576680 HOSPITAL MI 501(C)(3) BOX 3 - HOSPITAL ST JOHN HEALTH BRIGHTON NATIONAL ADDICTION FOUNDATION 12851 GRAND RIVER BRIGHTON MI 48116 260694680 FUND RAISING MI 501(C)(3) BOX 7 BRIGHTON HOSPITAL EASTWOOD COMMUNITY CLINIC 28000 DEQUINDRE WARREN MI 48092 381958763 MEDICAL CARE MI 501(C)(3) BOX 9 ST JOHN HEALTH FATHER MURRAY NURSING CENTER 8444 ENGELMAN CENTERLINE MI 48015 382601348 MEDICAL CARE MI 501(C)(3) BOX 9 ST JOHN HEALTH MACOMB HOSPITAL CENTER AUXILIARY 11800 E TWELEVE MILE WARREN MI 48093 386091287 FUND RAISING MI 501(C)(3) BOX 11C ST JOHN MACOMB-OAKLAND HOSPITAL CORP MACOMB HOSPITAL FOUNDATION 1471 E TWELEVE MILE MADISON HEIGHTS MI 48071 202962353 FUND RAISING MI 501(C)(3) BOX 7 ST JOHN HEALTH MEDICAL RESOURCES GROUP 43800 GARFIELD CLINTON TWP MI 48038 383494637 MEDICAL CARE MI 501(C)(3) BOX 9 ST JOHN HEALTH PROVIDENCE HEALTH FOUNDATION 1471 E TWELEVE MILE MADISON HEIGHTS MI 48071 383526629 FUND RAISING MI 501(C)(3) BOX 11C ST JOHN HEALTH PROVIDENCE HOSPITAL 16001 W NINE MILE SOUTHFIELD MI 48037 381358212 HOSPITAL MI 501(C)(3) BOX 3 - HOSPITAL ST JOHN HEALTH SETON HEALTH CORP OF SE MICHIGAN 16001 W NINE MILE SOUTHFIELD MI 48037 382820107 MEDICAL CARE MI 501(C)(3) BOX 11C ST JOHN HEALTH ST JOHN COMMUNITY HEALTH INVESTMENT CORP 28000 DEQUINDRE WARREN MI 48092 382262856 MEDICAL CARE MI 501(C)(3) BOX 3 - HOSPITAL ST JOHN HEALTH ST JOHN HEALTH FOUNDATION 1471 E TWELEVE MILE MADISON HEIGHTS MI 48071 382769385 FUND RAISING MI 501(C)(3) BOX 9 ST JOHN HEALTH ST JOHN HOME CARE 37650 GARFIELD CLINTON TWP MI 48036 383408684 MEDICAL CARE MI 501(C)(3) BOX 7 ST JOHN HEALTH ST JOHN HOSPITAL AND MEDICAL CENTER 28000 DEQUINDRE WARREN MI 48092 381359063 HOSPITAL MI 501(C)(3) BOX 3 - HOSPITAL ST JOHN HEALTH ST JOHN HOSPITAL FOUNDATION 1471 E TWELEVE MILE MADISON HEIGHTS MI 48071 202961579 FUND RAISING MI 501(C)(3) BOX 7 ST JOHN HEALTH ST JOHN HOSPITAL GUILD 28000 DEQUINDRE WARREN MI 48092 386091110 FUND RAISING MI 501(C)(3) BOX 7 ST JOHN HOSPITAL AND MEDICAL CENTER ST JOHN MACOMB-OAKLAND HOSPITAL CORP 28000 DEQUINDRE WARREN MI 48092 383322109 HOSPITAL MI 501(C)(3) BOX 3 - HOSPITAL ST JOHN HEALTH ST JOHN RIVER DISTRICT HOSPITAL 4100 RIVER ROAD EAST CHINA MI 48054 383160564 HOSPITAL MI 501(C)(3) BOX 3 - HOSPITAL ST JOHN HEALTH ST JOHN SENIOR COMMUNITY 18300 E WARREN WARREN MI 48224 382631907 MEDICAL CARE MI 501(C)(3) BOX 9 ST JOHN HEALTH ASCENSION HEALTH PO BOX 45998 ST LOUIS MI 63145 311662309 NATIONAL HEALTH SYSTEM MO 501(C)(3) BOX 11A N/A OUR LADY OF PROVIDENCE LEAGUE 28000 DEQUINDRE WARREN MI 48092 386108200 FUND RAISING MI 501(C)(3) BOX 11C PROVIDENCE HOSPITAL ADVENT PARTNERS LP 28000 DEQUINDRE WARREN MI 48092 383494197 INVESTMENT MI N/A OPEN MRI OF MICHIGAN 28000 DEQUINDRE WARREN MI 48092 383544539 medical services MI N/A AFFILIATED HEALTH SERVICES 28000 DEQUINDRE WARREN MI 48092 382292922 MAINTAIN RENTAL SPACE & PROVIDE MEDICAL MGMT MI N/A C ADVENT INC 28000 DEQUINDRE WARREN MI 48092 382971743 INVESTMENT MI N/A C St John HealthPartners 28000 DEQUINDRE wARREN MI 48092 383333157 Health Care Management Services MI N/A C 1 1 1 0 0 0 1 0 1 0 0 0 0 1 1 1 1 1 ST JOHN HEALTH FOUNDATION R 6174054 ST JOHN HEALTH FOUNDATION N 1312882 ST JOHN HEALTH FOUNDATION O 1694755 ST JOHN HEALTH FOUNDATION A 7426 ST JOHN HOSPITAL AND MEDICAL CENTER FOUNDATION Q 50000 ST JOHN HOSPITAL AND MEDICAL CENTER FOUNDATION C 82244 ST JOHN HOSPITAL AND MEDICAL CENTER FOUNDATION O 828285 MACOMB HOSPITAL FOUNDATION O 91145 PROVIDENCE HOSPITAL MEDICAL CENTER FOUNDATION O 586691 ST JOHN HOSPITAL AND MEDICAL CENTER Q 27119767 ST JOHN HOSPITAL AND MEDICAL CENTER R 678198578 ST JOHN HOSPITAL AND MEDICAL CENTER G 25787753 ST JOHN HOSPITAL AND MEDICAL CENTER N 7257840 ST JOHN HOSPITAL AND MEDICAL CENTER O 624937007 ST JOHN HOSPITAL AND MEDICAL CENTER I 2406736 ST JOHN HOSPITAL AND MEDICAL CENTER A 7529432 ST JOHN SENIOR COMMUNITY Q 591067 ST JOHN SENIOR COMMUNITY R 14440890 ST JOHN SENIOR COMMUNITY N 82541 ST JOHN SENIOR COMMUNITY O 17868483 ST JOHN SENIOR COMMUNITY A 348843 ST JOHN MACOMB-OAKLAND HOSPITAL Q 606263 ST JOHN MACOMB-OAKLAND HOSPITAL R 428948866 ST JOHN MACOMB-OAKLAND HOSPITAL B 501842 ST JOHN MACOMB-OAKLAND HOSPITAL G 6663973 ST JOHN MACOMB-OAKLAND HOSPITAL N 3852610 ST JOHN MACOMB-OAKLAND HOSPITAL O 403418724 ST JOHN MACOMB-OAKLAND HOSPITAL I 1653048 ST JOHN MACOMB-OAKLAND HOSPITAL A 5391965 FATHER MURRAY NURSING CENTER Q 411679 FATHER MURRAY NURSING CENTER R 15336414 FATHER MURRAY NURSING CENTER N 90402 FATHER MURRAY NURSING CENTER O 20657787 FATHER MURRAY NURSING CENTER A 112746 ST JOHN RIVER DISTRICT HOSPITAL Q 714497 ST JOHN RIVER DISTRICT HOSPITAL R 38036653 ST JOHN RIVER DISTRICT HOSPITAL O 37408407 ST JOHN RIVER DISTRICT HOSPITAL I 72234 ST JOHN RIVER DISTRICT HOSPITAL A 229167 MEDICAL RESOURCE GROUP Q 164977 MEDICAL RESOURCE GROUP R 168709994 MEDICAL RESOURCE GROUP O 132138189 MEDICAL RESOURCE GROUP I 57203 MEDICAL RESOURCE GROUP A 292775 ST JOHN HOMECARE Q 10011578 ST JOHN HOMECARE R 38601855 ST JOHN HOMECARE O 36506497 ST JOHN HOMECARE A 54805 ST JOHN COMMUNITY HEALTH INVESTMENT CORP R 45352934 ST JOHN COMMUNITY HEALTH INVESTMENT CORP N 60948 ST JOHN COMMUNITY HEALTH INVESTMENT CORP P 4399761 EASTWOOD COMMUNITY CLINICS R 15842800 EASTWOOD COMMUNITY CLINICS O 13570258 OPEN MRI OF MICHIGAN R 95600 OPEN MRI OF MICHIGAN P 86481 AFFILIATED HEALTH SERVICES INC Q 215841 AFFILIATED HEALTH SERVICES INC R 47817528 AFFILIATED HEALTH SERVICES INC N 7281239 AFFILIATED HEALTH SERVICES INC O 39951144 AFFILIATED HEALTH SERVICES INC I 1231149 AFFILIATED HEALTH SERVICES INC A 54584 PROVIDENCE HOSPITAL AND MEDICAL CENTER Q 42118951 PROVIDENCE HOSPITAL AND MEDICAL CENTER R -292051414 PROVIDENCE HOSPITAL AND MEDICAL CENTER G 6563222 PROVIDENCE HOSPITAL AND MEDICAL CENTER N 5948964 PROVIDENCE HOSPITAL AND MEDICAL CENTER O 302052014 PROVIDENCE HOSPITAL AND MEDICAL CENTER I -56957 BRIGHTON HOSPITAL Q 377792 BRIGHTON HOSPITAL R 193273 BRIGHTON HOSPITAL O 299100 R O ASCENSION HEALTH Q 1294135 ASCENSION HEALTH P 1181611