2011-05-10T13:55:35-05:00 2010-06-30 DELOITTE TAX LLP 600 RENAISSANCE CENTER SUITE 900 DETROIT MI 482431895 990 2009-07-01 202961579 ST JOHN HOSPITAL FOUNDATION STJO 5865827500 22101 MOROSS RD MOROSS OFFICE BUILDING No 102 DETROIT MI 48236 Lisa Hutchings 5867530914 2011-05-10 1 3133963000 2009 2016-02-24 21:20:13Z LISA HUTCHINGS 22101 MOROSS RD MOROSS OFFICE BUILDING No DETROIT MI 48236 10197549 0 X www.stjohn.org X 1992 MI TO RAISE FUNDS TO BENEFIT ST. JOHN HOSPITAL AND MEDICAL CENTER. 22 17 0 400 0 0 5185004 8776517 0 -108551 1421032 0 5076453 10197549 5086390 5216627 0 847307 824270 0 882340 293620 300546 6227317 6341443 -1150864 3856106 17111202 23005245 223226 16036 16887976 22989209 ST. JOHN HOSPITAL FOUNDATION, AS A CATHOLIC HEALTH MINISTRY, IS COMMITTED TO RAISE FUNDS TO BENEFIT ST. JOHN HOSPITAL AND MEDICAL CENTER. 0 0 5216627 5216627 TO 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. 5216627 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 22 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X LISA HUTCHINGS 5867530914 28000 DEQUINDRE WARREN MI 48092 X JOAN GEHRKE 5.00 X 0 0 0 PETER CRACCHIOLO 2.00 X 0 0 0 JANE NUGENT 2.00 X 0 0 0 JEFFREY LITTMANN 2.00 X 0 0 0 SUSAN BURNS 5.00 X X 0 295322 48353 DOUGLAS BLATT 2.00 X 0 0 0 MATTHEW CULLEN 2.00 X 0 0 0 PATRICIA GIFTOS 2.00 X 0 0 0 KEVIN GRADY MD 2.00 X 0 162559 18583 SR BETTY GRANGER CSJ 2.00 X 0 199436 16292 THOMAS LALONDE MD 2.00 X 0 0 0 ROBERT LIGGETT JR 2.00 X 0 0 0 EUGENE LOVASCO 2.00 X 0 0 0 aspa raphtis 2.00 X 0 0 0 Sean Cotton 2.00 X 0 0 0 STEVEN MINNICK MD 2.00 X 0 212688 19965 PETER RONAN 2.00 X 0 0 0 DIANE RADLOFF 2.00 X 0 530607 90305 LISA VALLEE-SMITH 2.00 X 0 0 0 DEBRA VAN ELSLANDER 2.00 X 0 0 0 DAVID STEPHENS 2.00 X 0 0 0 Mr Ed Deeb 2.00 X 0 0 0 0 1400612 193498 0 0 1 0 0 8776517 8776517 1421032 1421032 10197549 0 0 1421032 5216627 5216627 711076 213322 497754 26775 26775 38572 38572 47847 47847 176 176 2275 2275 105681 105681 17817 17817 6067 6067 4228 4228 2819 2819 PURCHASED SERVICES 77398 77398 supplies 40586 40586 OTHER 28958 28958 postage 9988 9988 DUES AND ADVERTISING 4553 4553 6341443 5216627 242476 882340 250 250 8990088 9096229 143640 128562 19306 15078 8101558 13240077 653611 17111202 23005245 19209 16036 204017 0 223226 16036 X -1827881 -384153 10947830 15413120 7768027 7960242 16887976 22989209 17111202 23005245 X 0 1 1 X 0 X 5023409 7256269 2912372 5185004 5216627 25593681 5023409 7256269 2912372 5185004 5216627 25593681 1755647 23838034 7949688 8842530 723465 -108551 1421032 18828164 44421845 0.53660 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15786 9998 5788 127854 118564 9290 15078 10197549 6341443 3856106 590831 1654296 2245127 6101233 Part XI, Line 8 - Other Adjustments: NET CHANGE IN PLEDGE W/O'S, NPV DISC, UNCOLLECTIBLE: 4657506. OTHER INTERCOMPANY TRANSFERS: -3003210. 1 ST JOHN HOSPITAL AND MEDICAL CENTER 28000 DEQUINDRE WARREN MI 48092 381359063 501(c)(3) 5216627 TO SUPPORT HEALTH CARE MINISTRIES 1 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule 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. 0 1 0 0 0 0 0 0 0 SUSAN BURNS 0 289991 0 0 0 5331 0 35304 0 13049 0 343675 0 0 KEVIN GRADY MD 0 157879 0 0 0 4680 0 6514 0 12069 0 181142 0 0 SR BETTY GRANGER CSJ 0 188104 0 0 0 11332 0 4986 0 11306 0 215728 0 11332 STEVEN MINNICK MD 0 208945 0 0 0 3743 0 7427 0 12538 0 232653 0 0 DIANE RADLOFF 0 520134 0 0 0 10473 0 73131 0 17174 0 620912 0 0 Part I, Line 4a THESE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B(i) IN THE YEAR PAID. SR. BETTY GRANGER, CSJ - 457F PLAN $11,332 Form 990, Part VI, Section A, line 6 ST. JOHN HOSPITAL FOUNDATION HAS A SINGLE CORPORATE MEMBER, ST. JOHN HEALTH. Form 990, Part VI, Section A, line 7a ST. JOHN HOSPITAL FOUNDATION HAS A SINGLE CORPORATE MEMBER, ST. JOHN HEALTH, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF ST. JOHN HOSPITAL FOUNDATION. Form 990, Part VI, Section A, line 7b ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO ST. JOHN HOSPITAL FOUNDATION FINANCIAL INFORMATION OR CORPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, ST. JOHN HEALTH, THE PARENT. Form 990, Part VI, Section B, line 11 MANAGEMENT, 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 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 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 15 In determining compensation of the organizations' CEO, executive director, or top management official, the process included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. Management reviewed and approved the compensation. In the review of the compensation, the CEO, executive director, and top management were compared to the other organizations in the area that hold the same title. Wage bands are adjusted annually and wages paid for all positions are within those bands. In determining compensation of other officers or key employees of the organization, This question is most appropriately answered as N/A as there are no officers or key employees. 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 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 REPORT Fiscal 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 VII 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. SCHEDULE j PART I, LINE 3 ST 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. 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 FUNDRAISING 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 ENGLEMAN 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 FUNDRAISING MI 501(C)(3) BOX 11C ST JOHN MACOMB-OAKLAND HOSPITAL CORP MACOMB HOSPITAL FOUNDATION 1471 E TWELEVE MILE MADISON HEIGHTS MI 48071 202962353 FUNDRAISING MI 501(C)(3) BOX 7 ST JOHN MACOMB-OAKLAND HOSPITAL CORP 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 FUNDRAISING 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 28000 DEQUINDRE WARREN MI 48092 382244034 PARENT MI 501(C)(3) BOX 11C ASCENSON ST JOHN HEALTH FOUNDATION 1471 E TWELEVE MILE MADISON HEIGHTS MI 48071 382769385 FUNDRAISING 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 381559063 HOSPITAL MI 501(C)(3) BOX 3 - HOSPITAL ST JOHN HEALTH ST JOHN HOSPITAL GUILD 28000 DEQUINDRE WARREN MI 48092 386091110 FUNDRAISING 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 DETROIT MI 48224 382631907 MEDICAL CARE MI 501(C)(3) BOX 9 ST JOHN HEALTH ASCENSION HEALTH P O BOX 45998 ST LOUIS MO 63145 311662309 NATIONAL HEALTH SYSTEM MI 501(C)(3) BOX 11A N/A OUR LADY OF PROVIDENCE LEAGUE 28000 DEQUINDRE WARREN MI 48092 386108200 FUNDRAISING MI 501(C)(3) BOX 7 PROVIDENCE HOSPITAL FONTBONNE AUXILIARY OF ST JOHN HOSPITAL 28000 DEQUINDRE WARREN MI 48092 386082173 FUNDRAISING MI 501(C)(3) BOX 11C ST JOHN HEALTH ADVENT PARTNERS LP 28000 DEQUINDRE WARREN MI 48092 383494197 Real Estate Rental MI N/A OPEN MRI OF MICHIGAN 28000 DEQUINDRE WARREN MI 48092 383544539 Diagnostic Services MI N/A ADVENT INC 28000 dequindre Warren MI 48092 382971743 INVESTMENT MI N/A C affiliated health services inc 28000 dequindre warren MI 48092 382292922 MEDICAL SUPPLY SALES MI N/A C 1 1 1 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 ST JOHN HEALTH SYSTEM B 82244 ST JOHN HEALTH SYSTEM P 828285 ST JOHN HEALTH FOUNDATION Q 8273148 ST JOHN HEALTH FOUNDATION B 612500 ST JOHN HEALTH FOUNDATION P 956891 ST JOHN HEALTH FOUNDATION A 8705883 ST JOHN HOSPITAL AND MEDICAL CENTER B 558522 ST JOHN HOSPITAL AND MEDICAL CENTER Q 221099 ST JOHN HOSPITAL AND MEDICAL CENTER P 4143872 ST JOHN HOSPITAL AND MEDICAL CENTER J 78973 PROVIDENCE HOSPITAL AND MEDICAL CENTER C 55730 ST JOHN HOSPITAL AND MEDICAL CENTER O 4869813 river district hospital O 108872 ST JOHN HEALTH SYSTEM R 50000 river district hospital R 238470 ST JOHN HOSPITAL AND MEDICAL CENTER O 1117138