HENRY FORD HEALTH ST JOHN FOUNDATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
HENRY FORD HEALTH ST JOHN FOUNDATION (EIN 20-2961579)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-10
IRS object ID
201141309349301744
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-10T13:55:35-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1600 RENAISSANCE CENTER SUITE 900AddressLine1
CityDETROITCity
StateMIState
ZIP Code482431895ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN202961579EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOHN HOSPITAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone5865827500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line122101 MOROSS RD MOROSS OFFICEAddressLine1
Address Line2BUILDING No 102AddressLine2
CityDETROITCity
StateMIState
ZIP Code48236ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLisa HutchingsName
TitleDIRECTORTitle
Phone5867530914Phone
Date Signed2011-05-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3133963000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLISA HUTCHINGSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line122101 MOROSS RD MOROSS OFFICEAddressLine1
Address Line2BUILDING NoAddressLine2
CityDETROITCity
StateMIState
ZIP Code48236ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10197549GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.stjohn.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionTO RAISE FUNDS TO BENEFIT ST. JOHN HOSPITAL AND MEDICAL CENTER.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers400TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5185004ContributionsGrantsPriorYear
Contributions Grants Current Year8776517ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-108551InvestmentIncomePriorYear
Investment Income Current Year1421032InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year5076453TotalRevenuePriorYear
Total Revenue Current Year10197549TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year5086390GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY5216627GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year847307SalariesEtcPriorYear
Salaries Etc Current Year824270SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year882340TotalFundrsngExpCurrentYear
Other Expense Prior Year293620OtherExpensePriorYear
Other Expenses Current Year300546OtherExpensesCurrentYear
Total Expenses Prior Year6227317TotalExpensesPriorYear
Total Expenses Current Year6341443TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1150864RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3856106RevenuesLessExpensesCY
Total Assets BOY17111202TotalAssetsBOY
Total Assets EOY23005245TotalAssetsEOY
Total Liabilities BOY223226TotalLiabilitiesBOY
Total Liabilities EOY16036TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16887976NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY22989209NetAssetsOrFundBalancesEOY
Mission DescriptionST. JOHN HOSPITAL FOUNDATION, AS A CATHOLIC HEALTH MINISTRY, IS COMMITTED TO RAISE FUNDS TO BENEFIT ST. JOHN HOSPITAL AND MEDICAL CENTER.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5216627Expense
Grants5216627Grants
DescriptionTO SOLICIT AND INVEST CONTRIBUTIONS, GIFTS AND BEQUESTS FOR THE BENEFIT OF ST. JOHN HOSPITAL AND MEDICAL CENTER. THIS FUNDING IS USED TO PROVIDE DELIVERY OF PATIENT SERVICES, CARE TO THE ELDERLY AND INDIGENT, AND HEALTH AWARENESS PROGRAMS.SEE COMMUNITY BENEFIT REPORT ON SCHEDULE O.Description
Total Program Service Expense5216627TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LISA HUTCHINGSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5867530914TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line128000 DEQUINDREAddressLine1
CityWARRENCity
StateMIState
ZIP Code48092ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
JOAN GEHRKE
CHAIRPERSON5.00X000
PETER CRACCHIOLO
VICE CHAIR2.00X000
JANE NUGENT
SECRETARY2.00X000
JEFFREY LITTMANN
TREASURER2.00X000
SUSAN BURNS
PRESIDENT SJHS Foundations5.00X029532248353X
DOUGLAS BLATT
TRUSTEE2.00X000
MATTHEW CULLEN
TRUSTEE2.00X000
PATRICIA GIFTOS
TRUSTEE2.00X000
KEVIN GRADY MD
TRUSTEE2.00X016255918583
SR BETTY GRANGER CSJ
TRUSTEE2.00X019943616292
THOMAS LALONDE MD
TRUSTEE2.00X000
ROBERT LIGGETT JR
TRUSTEE2.00X000
EUGENE LOVASCO
TRUSTEE2.00X000
aspa raphtis
TRUSTEE2.00X000
Sean Cotton
TRUSTEE2.00X000
STEVEN MINNICK MD
TRUSTEE2.00X021268819965
PETER RONAN
TRUSTEE2.00X000
DIANE RADLOFF
TRUSTEE2.00X053060790305
LISA VALLEE-SMITH
TRUSTEE2.00X000
DEBRA VAN ELSLANDER
TRUSTEE2.00X000
DAVID STEPHENS
TRUSTEE2.00X000
Mr Ed Deeb
TRUSTEE2.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1400612TotalReportableCompFrmRltdOrgs
Total Other Compensation193498TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions8776517AllOtherContributions
Total Contributions8776517TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1421032TotalRevenueColumn
Exclusion$1,421,032ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10197549TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,421,032ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total5216627Total
Program Services5216627ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total711076Total
Management And General213322ManagementAndGeneral
Fundraising497754Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total26775Total
Fundraising26775Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total38572Total
Fundraising38572Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total47847Total
Fundraising47847Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total176Total
Management And General176ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2275Total
Management And General2275ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total105681Total
Fundraising105681Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total17817Total
Management And General17817ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6067Total
Management And General6067ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4228Total
Fundraising4228Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2819Total
Management And General2819ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalFundraisingFundraising
PURCHASED SERVICES7739877398
supplies4058640586
OTHER2895828958
postage99889988
DUES AND ADVERTISING45534553

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6341443Total
Program Services5216627ProgramServices
Management And General242476ManagementAndGeneral
Fundraising882340Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY250BOY
EOY250EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY8990088BOY
EOY9096229EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis143640LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec128562LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19306BOY
EOY15078EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY8101558BOY
EOY13240077EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY653611EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17111202BOY
EOY23005245EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY19209BOY
EOY16036EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY204017BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY223226BOY
EOY16036EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1827881BOY
EOY-384153EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10947830BOY
EOY15413120EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7768027BOY
EOY7960242EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16887976BOY
EOY22989209EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17111202BOY
EOY23005245EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5023409CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7256269CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2912372CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5185004CurrentTaxYearMinus1Year
Current Tax Year5216627CurrentTaxYear
Total25593681Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5023409CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7256269CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2912372CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5185004CurrentTaxYearMinus1Year
Current Tax Year5216627CurrentTaxYear
Total25593681Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total1755647AmountsSubstContributorsTotal
Public Support Total17023838034PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7949688CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8842530CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years723465CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-108551CurrentTaxYearMinus1Year
Current Tax Year1421032CurrentTaxYear
Total18828164Total
FieldValueIRS element (for citing)
Total Support44421845TotalSupport
Public Support Pertcentage1700.53660PublicSupportPertcentage170
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15786OtherCostOrOtherBasis
Depreciation9998Depreciation
Book Value5788BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis127854OtherCostOrOtherBasis
Depreciation118564Depreciation
Book Value9290BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings15078TotalOfBookValueLandBuildings
Total Revenue10197549TotalRevenue
Total Expenses6341443TotalExpenses
Excess Or Deficit For Year3856106ExcessOrDeficitForYear
Net Unrealized GL On Investments590831NetUnrealizedGLOnInvestments
Other$1,654,296OtherAmount
Total Adjustments2245127TotalAdjustments
Excess Or Deficit Per FS6101233ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XI, Line 8 - Other Adjustments:Identifier
ExplanationNET CHANGE IN PLEDGE W/O'S, NPV DISC, UNCOLLECTIBLE: 4657506. OTHER INTERCOMPANY TRANSFERS: -3003210.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1ST JOHN HOSPITAL AND MEDICAL CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line128000 DEQUINDREAddressLine1
CityWARRENCity
StateMIState
ZIP Code48092ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient381359063EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant5216627AmountOfCashGrant
Purpose Of GrantTO SUPPORT HEALTH CARE MINISTRIESPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: THE FOUNDATION REQUIRES POTENTIAL APPLICANTS(IE, THE HOSPITAL'S DEPARTMENTS) TO COMPLETE AN ACTUAL APPLICATION. THERE ARE VARIOUS LEVELS OF REVIEW THAT SUBSEQUENTLY TAKE PLACE PRIOR TO THE FINAL APPROVAL DECISION. THE ULTIMATE DECISION ON EVERY APPLICANT IS FORMALLY DOCUMENTED. ALL FUNDS ARE DISBURSED TO THE HOSPITAL, BUT THE FOUNDATION STILL REQUIRES AN APPLICATION PROCESS FOR THE VARIOUS DEPARTMENTS REQUESTING THE FUNDS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SUSAN BURNS
02899910005331035304013049034367500
KEVIN GRADY MD
0157879000468006514012069018114200
SR BETTY GRANGER CSJ
018810400011332049860113060215728011332
STEVEN MINNICK MD
0208945000374307427012538023265300
DIANE RADLOFF
052013400010473073131017174062091200

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 4aReturnReference
ExplanationTHESE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B(i) IN THE YEAR PAID. SR. BETTY GRANGER, CSJ - 457F PLAN $11,332Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 6ST. JOHN HOSPITAL FOUNDATION HAS A SINGLE CORPORATE MEMBER, ST. JOHN HEALTH.
Form 990, Part VI, Section A, line 7aST. JOHN HOSPITAL FOUNDATION HAS A SINGLE CORPORATE MEMBER, ST. JOHN HEALTH, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF ST. JOHN HOSPITAL FOUNDATION.
Form 990, Part VI, Section A, line 7bALL DECISIONS THAT HAVE A MATERIAL IMPACT TO ST. JOHN HOSPITAL FOUNDATION FINANCIAL INFORMATION OR CORPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, ST. JOHN HEALTH, THE PARENT.
Form 990, Part VI, Section B, line 11MANAGEMENT, INCLUDING CERTAIN OFFICERS, WORK DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES IN A THOROUGH MANNER. MANAGEMENT PRESENTS THE FORM TO THE BOARD, OR A DESIGNATED COMMITTEE, TO REVIEW AND ANSWER ANY QUESTIONS. PRIOR TO FILING THE RETURN, ALL BOARD MEMBERS ARE PROVIDED THE FORM 990 AND MANAGEMENT TEAM MEMBERS ARE AVAILABLE TO ANSWER ANY BOARD MEMBER QUESTIONS.
Form 990, Part VI, Section B, line 12cTHE 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 CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE.
Form 990, Part VI, Section B, line 15In determining compensation of the organizations' CEO, executive director, or top management official, the process included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. Management reviewed and approved the compensation. In the review of the compensation, the CEO, executive director, and top management were compared to the other organizations in the area that hold the same title. Wage bands are adjusted annually and wages paid for all positions are within those bands. In determining compensation of other officers or key employees of the organization, This question is most appropriately answered as N/A as there are no officers or key employees.
Form 990, Part VI, Section C, line 19THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST.
PART XI, LINE 2b & cTHE FINANCIAL STATEMENTS OF ST JOHN HOSPITAL FOUNDATION 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.
COMMUNITY BENEFIT REPORTFiscal year ended June 30, 2010 This report illustrates the significant degree to which St. John hospital foundation 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 hospital foundation continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families and society as a whole. The goal of St. John hospital foundation is to support St. John hospital and Medical Center in perpetuating the healing mission of the church. St. John hospital foundation furthers this goal by providing funding to St. John hospital and Medical Center through various fundraising initiatives such as capital campaigns and employee giving appeals. 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. St. John hospital Foundation has engaged in the following activities to ensure that our mission of supporting St. John Hospital and Medical Center is accomplished: special events organized by St. John Hospital foundation to provide support to St. John Hospital and Medical Center for capital, and allocations from temporarily restricted funds to assist uninsured and underinsured needy patients with assistance in meeting healthcare needs. St. John hospital foundation has engaged in the following activities to ensure that our mission of supporting St. John hospital is accomplished: - employee giving campaign to provide funding for hospital expansion project. - special events to raise money for programs at the VanElslander cancer center. - grants and allocations from restricted funds to provide funding to St. John hospital for capital expenditures. Organizational commitment to providing community benefit St. John hospital and medical center is a regional referral teaching hospital with 804 licensed beds, a 1300+ member medical staff and more than 50 medical and surgical specialties. St. John hospital and medical center is also the largest acute care provider and the only designated emergency trauma center on Detroit's east side. St. John hospital and medical center is also an active participant in community health initiative through it's community-based partnerships with churches, schools, and civic organizations. Associated with St. John hospital and medical center is St. John north shores hospital located in Harrison township, Michigan. St. John north shores is a 66-bed specialty hospital that provides comprehensive physical medicine and rehabilitation, along with a wide range of medical and surgical care. St. John hospital and St. John north shores will herein collectively be referred to as "St. John hospital and medical center." Expanding awareness, education and health promotion St. John hospital and medical center believes that it is essential to educate people regarding the types of behavior that improve their chances of living a healthy life. The st. John hospital and medical center has invested significantly in unique, top quality health education and materials to accomplish it's goals. Various classes the St. John hospital and medical center has provided to the community are as follows: 1,000 candlelight labyrinth walk, open arms, talk about, while you wait, acupuncture, aphasia maintenance group, aura photography, holistic consultation, baby works, bereavement support group, oncology bereavement support, non-oncology bereavement support, birth refresher - sessions i and ii, childbirth preparation classes, birth unit tour, tour with caesarean class, blood disorders support group, breast cancer support group, breast feeding preparation, brite stars stroke support group, cancer education lecture series, cancer support group, individual counseling for cancer patients, pediatric cancer parent support group, cardiac nutrition class, cardiac rehabilitation program, cardiac support group, stress management for cardiac patients, carelink, carelink education program, clinical trials, cpr for family and friends infants children and adults, cranial osteopathy, cranial sacral therapy, diabetes discovery classes, diabetes exercise program, diabetes self management, post diabetes class instruction, diabetes support group for children teens and parents, outpatient diabetes education, discover a new you, look for success exercise evaluation program, exercise for older adults, fitness fun for everyone, personal exercise training, personal exercise for seniors, pilate's, family support group, free blood pressure screenings, go red for women, gyn support group, head and neck support group, heart failure exercise program, hip and knee pain seminar, hypnosis, guided imagery, hypnosis consultation, hypnotherapy for smoking cessation, individual counseling, lap band support group, lunch with doctor, massage therapy, pregnancy massage, reflexology, reiki, river rock massage, swedish relaxation massage, nutrition counseling, parkinson's disease exercise class, patient and survivor support group, pulmonary rehabilitation program, pumping to precision, second wind stroke support, senior lecture series, smoking cessation, smoking cessation through acupuncture, sport training programs, sport specific training and knee injury prevention, tai chi, tai chi for seniors, time for caregivers support group, transplant support group, wellness support group, wellness workshop. Community outreach service The St. John hospital and medical center provides chartable contributions to a number of community organizations. St. John hospital and medical center has contributed funds for sponsorship in the community by volunteering and giving support to parades, health walks and marathons, health expos and health fairs, American red cross blood drives, churches, schools, career fairs at schools, police office benefits and community foundation outings. St. John hospital and medical center is an active supporting member in community events and partners with many organizations to improve community health, such as American red cross, American heart association, adopt a family, shoes for kids, march of dimes cancer walk, services of remembrance for the deceased, open arms, Michigan harvest drive and habitat for humanity. FINANCIAL INFORMATION 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. St. John hospital and medical center information for fiscal year ended June 30, 2010: 1) care of the poor (at cost) $ 14,766,170 2) government sponsored health care (net expense) $40,093 3) unpaid cost of public indigent care programs (includes Medicaid, schip, and other safety net programs; does not include Medicare shortfalls) 1,537,608 4) community benefit programs (net expense) 12,394,256 Total quantifiable community benefit, as determined in accordance with cha reporting guidelines $28,738,127 Supplemental information Bad debt costs attributable to charity $11,339,621 Medicare shortfall ($ 10,312,748) Summary St. John hospital foundation provides funding to St. John hospital to further its charitable purposes of providing a broad array of services to meet the needs of individuals and organizations in the community. St. John hospital through the funding support of St. John hospital foundation, is able to provide essential services to the community, provide appropriate charity services to those individuals who are not able to pay for their own needs, provide services to other organizations that allow them to provide quality services to their constituents, and patient education and health awareness programs to the community in order to improve its overall health status.
Form 990, Part VIIThe 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.
SCHEDULE j PART I, LINE 3ST JOHN HEALTH FOUNDATION, a related organization of ST JOHN HOSPITAL FOUNDATION, 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (22 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Direct Controlling Entity NADirectControllingEntityNA
BRIGHTON HOSPITAL
12851 GRAND RIVERBRIGHTONMI48116381576680HOSPITALMI501(C)(3)BOX 3 - HOSPITALST JOHN HEALTH
BRIGHTON NATIONAL ADDICTION FOUNDATION
12851 GRAND RIVERBRIGHTONMI48116260694680FUNDRAISINGMI501(C)(3)BOX 7BRIGHTON HOSPITAL
EASTWOOD COMMUNITY CLINIC
28000 DEQUINDREWARRENMI48092381958763MEDICAL CAREMI501(C)(3)BOX 9ST JOHN HEALTH
FATHER MURRAY NURSING CENTER
8444 ENGLEMANCENTERLINEMI48015382601348MEDICAL CAREMI501(C)(3)BOX 9ST JOHN HEALTH
MACOMB HOSPITAL CENTER AUXILIARY
11800 E TWELEVE MILEWARRENMI48093386091287FUNDRAISINGMI501(C)(3)BOX 11CST JOHN MACOMB-OAKLAND HOSPITAL CORP
MACOMB HOSPITAL FOUNDATION
1471 E TWELEVE MILEMADISON HEIGHTSMI48071202962353FUNDRAISINGMI501(C)(3)BOX 7ST JOHN MACOMB-OAKLAND HOSPITAL CORP
MEDICAL RESOURCES GROUP
43800 GARFIELDCLINTON TWPMI48038383494637MEDICAL CAREMI501(C)(3)BOX 9ST JOHN HEALTH
PROVIDENCE HEALTH FOUNDATION
1471 E TWELEVE MILEMADISON HEIGHTSMI48071383526629FUNDRAISINGMI501(C)(3)BOX 11CST JOHN HEALTH
PROVIDENCE HOSPITAL
16001 W NINE MILESOUTHFIELDMI48037381358212HOSPITALMI501(C)(3)BOX 3 - HOSPITALST JOHN HEALTH
SETON HEALTH CORP OF SE MICHIGAN
16001 W NINE MILESOUTHFIELDMI48037382820107MEDICAL CAREMI501(C)(3)BOX 11CST JOHN HEALTH
ST JOHN COMMUNITY HEALTH INVESTMENT CORP
28000 DEQUINDREWARRENMI48092382262856MEDICAL CAREMI501(C)(3)BOX 3 - HOSPITALST JOHN HEALTH
ST JOHN HEALTH
28000 DEQUINDREWARRENMI48092382244034PARENTMI501(C)(3)BOX 11CASCENSON
ST JOHN HEALTH FOUNDATION
1471 E TWELEVE MILEMADISON HEIGHTSMI48071382769385FUNDRAISINGMI501(C)(3)BOX 9ST JOHN HEALTH
ST JOHN HOME CARE
37650 GARFIELDCLINTON TWPMI48036383408684MEDICAL CAREMI501(C)(3)BOX 7ST JOHN HEALTH
ST JOHN HOSPITAL AND MEDICAL CENTER
28000 DEQUINDREWARRENMI48092381559063HOSPITALMI501(C)(3)BOX 3 - HOSPITALST JOHN HEALTH
ST JOHN HOSPITAL GUILD
28000 DEQUINDREWARRENMI48092386091110FUNDRAISINGMI501(C)(3)BOX 7ST JOHN HOSPITAL AND MEDICAL CENTER
ST JOHN MACOMB-OAKLAND HOSPITAL CORP
28000 DEQUINDREWARRENMI48092383322109HOSPITALMI501(C)(3)BOX 3 - HOSPITALST JOHN HEALTH
ST JOHN RIVER DISTRICT HOSPITAL
4100 RIVER ROADEAST CHINAMI48054383160564HOSPITALMI501(C)(3)BOX 3 - HOSPITALST JOHN HEALTH
ST JOHN SENIOR COMMUNITY
18300 E WARRENDETROITMI48224382631907MEDICAL CAREMI501(C)(3)BOX 9ST JOHN HEALTH
ASCENSION HEALTH
P O BOX 45998ST LOUISMO63145311662309NATIONAL HEALTH SYSTEMMI501(C)(3)BOX 11AN/A
OUR LADY OF PROVIDENCE LEAGUE
28000 DEQUINDREWARRENMI48092386108200FUNDRAISINGMI501(C)(3)BOX 7PROVIDENCE HOSPITAL
FONTBONNE AUXILIARY OF ST JOHN HOSPITAL
28000 DEQUINDREWARRENMI48092386082173FUNDRAISINGMI501(C)(3)BOX 11CST JOHN HEALTH

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
ADVENT PARTNERS LP
28000 DEQUINDREWARRENMI48092383494197Real Estate RentalMIN/A
OPEN MRI OF MICHIGAN
28000 DEQUINDREWARRENMI48092383544539Diagnostic ServicesMIN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
ADVENT INC
28000 dequindreWarrenMI48092382971743INVESTMENTMIN/AC
affiliated health services inc
28000 dequindrewarrenMI48092382292922MEDICAL SUPPLY SALESMIN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
ST JOHN HEALTH SYSTEM
B82244
ST JOHN HEALTH SYSTEM
P828285
ST JOHN HEALTH FOUNDATION
Q8273148
ST JOHN HEALTH FOUNDATION
B612500
ST JOHN HEALTH FOUNDATION
P956891
ST JOHN HEALTH FOUNDATION
A8705883
ST JOHN HOSPITAL AND MEDICAL CENTER
B558522
ST JOHN HOSPITAL AND MEDICAL CENTER
Q221099
ST JOHN HOSPITAL AND MEDICAL CENTER
P4143872
ST JOHN HOSPITAL AND MEDICAL CENTER
J78973
PROVIDENCE HOSPITAL AND MEDICAL CENTER
C55730
ST JOHN HOSPITAL AND MEDICAL CENTER
O4869813
river district hospital
O108872
ST JOHN HEALTH SYSTEM
R50000
river district hospital
R238470
ST JOHN HOSPITAL AND MEDICAL CENTER
O1117138

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