2019-05-14T18:14:15-05:00 2018-06-30 990 2017-07-01 382244034 St John Providence STJO 3147338000 28000 Dequindre Warren MI 48092 Tonya Mershon Tax Officer 2019-05-14 2017 2019-02-21 02:37:17Z JEAN MEYER 28000 Dequindre Warren MI 48092 154721211 false 0928 X https://healthcare.ascension.org/Locations/Michigan/MIDET/Detroit-Ascension-St-John-Hospital X 1978 MI To improve the health and well-being of all people in the communities we serve. 10 9 2244 9 5834628 210237 15060 38958 267427572 146943708 -436281 -38841 8690594 7708044 275696945 154651869 521679 195549 0 95921749 90589394 0 0 0 227487599 52738126 323931027 143523069 -48234082 11128800 145872957 126288134 928046320 871358861 -782173363 -745070727 Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve. false false 103582797 195549 148556719 IN FURTHERANCE OF ITS MISSION, AND IN AN EFFORT TO REDUCE THE GOVERNMENT'S FINANCIAL BURDEN, ST. JOHN PROVIDENCE SUPPORTS THE EFFORTS OF ITS HOSPITALS AND HEALTH FACILITIES PROVIDING CARE TO INDIVIDUALS AND COMMUNITIES. 103582797 true true false false false false false false true true false false true true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true true true false false true 251 0 true 2244 true true true false false false false false true false false false X 10 9 false false false false true true true true true false false false true true true true true false false true true X SARA OBRIEN 3147338070 11775 BORMAN DRIVE MARYLAND HEIGHTS MO 63146 MARITA GROBBEL CHAIR 0.1 6.0 X X 0 0 0 KATHY RYAN VICE CHAIR 0.1 6.0 X X 0 0 0 ROB LUBERA SECRETARY 0.1 6.0 X X 0 0 0 JAMES SAWYER TREASURER 0.1 6.0 X X 0 0 0 JEAN MEYER EX-OFFICIO/PRESIDENT & CEO 45.7 4.3 X X 1925845 0 45277 CHRISTINE CRADER MD TRUSTEE 0.1 6.0 X 0 0 0 ISAAC GRINBERG MD TRUSTEE 0.1 6.0 X 0 0 0 JAMES HRESKO TRUSTEE 0.1 9.0 X 0 0 0 IA KUE DO TRUSTEE 0.1 6.0 X 0 0 0 STEVEN RIVERA MD TRUSTEE 0.1 6.0 X 0 0 0 PATRICK M MCGUIRE CFO 44.0 6.0 X 1011344 0 42230 DONALD BIGNOTTI CCO 50.0 0 X 1090657 0 31749 MICHAEL WIEMANN MD PRESIDENT, CLINICAL AMG SE MI MKT 0.0 50.0 X 869412 22299 36385 MARY ZUCKERMAN PRESIDENT, ADMIN. AMG SE MI MKT 0.0 50.0 X 480370 0 39098 SCOTT W EATHORNE MD PRESIDENT & CEO (TOGETHER HEALTH NETWORK) 50.0 0 X 590918 0 38712 MARGARET A DIMOND PRESIDENT & CEO (CRITTENTON) 0.0 50.0 X 559844 0 24349 FRANK W POMA VP, CENTERS OF EXCELENCE 50.0 0 X 454494 0 27476 ROBERT HOBAN FORMER OFFICER (END 11/2015) 0.0 50.0 X 0 816543 37109 6982883 838842 322384 130 true true false MEDSPEED LLC 655 W GRAND AVE STE 320 ELMHURST IL 60126 Healthcare Courier Services 4403800 ARUP LABORATORIES 500 S CHIPETA WAY SALT LAKE CITY UT 84108 Diagnostic Lab Services 2257454 TRINITY HEALTH MICHIGAN PO BOX 269 GRAND RAPIDS MI 49525 LABORATORY SERVICES 786912 ON-DEMAND MAIL SERVICES LLC 2083 PONTIAC RD AUBURN HILLS MI 48326 MAIL SERVICES 531032 HEART CARDIOLOGY CONSULTANTS 22250 PROVIDENCE DR STE 705 SOUTHFIELD MI 480756215 MEDICAL SERVICES 350290 16 X 38958 38958 System Administration 551114 148372399 148372399 Service to Affiliates 561000 166080 166080 Management Fee 541610 1150 1150 Income from Joint Ventures 900099 -1595921 -1595921 0 0 0 0 146943708 26501 26501 61607 61607 0 61607 61607 0 4000 69342 0 -65342 -65342 -65342 Cafeteria/Vending Revenue 722514 148992 148992 Associate Leasing 561000 5834628 5834628 Research Revenues 541700 24980 24980 1637837 1588031 0 49806 7646437 154651869 148556719 5834628 221564 195549 195549 4147101 2861500 1285601 69166038 47675623 21490415 4285177 2837252 1447925 8200506 5430241 2770265 4790572 3173377 1617195 31153 31153 7885 7885 84680 84680 2818653 566161 2252492 0 763987 22053 741934 2439894 1162058 1277836 931193 155335 775858 2306826 1094582 1212244 589417 178479 410938 99007 72412 26595 811307 811307 3151883 1698071 1453812 -222809 57 -222866 Medical Supplies 23023606 24062782 -1039176 Contract Labor 724232 406959 317273 Purchased Services 12613609 10807324 1806285 Other Non Medical Supplies 459218 185650 273568 2104385 997332 1107053 0 143523069 103582797 39940272 0 6245347 225899 0 5378880 0 104014 0 0 0 0 1797248 1613342 1844300 3244395 52153848 30101019 24582014 22052829 0 2393696 2108319 3153987 5790440 105856365 85770016 145872957 126288134 30979377 19635198 0 0 897066943 851723663 928046320 871358861 X -782304102 -745070727 130739 0 -782173363 -745070727 145872957 126288134 X 11128800 25973836 X false true X true true true X X 9 Ascension St John Hospital (FKA St John Hospital & Medical Center) 381359063 3 true 0 0 Ascension Providence Hospital (fka Providence - Providence Park Hospital) 381358212 3 true 0 0 Ascension Macomb-Oakland Hospital (fka ST JOHN MACOMB-OAKLAND HOSPITAL) 383322109 3 true 0 0 Ascension Brighton Center for Recovery (fka Brighton Center for Recovery) 381576680 3 true 0 0 ASCENSION MEDICAL GROUP MICHIGAN 383494637 9 true 0 0 ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH FKA ST JOHN COMMUNITY HEALTH INVESTMENT CORPORATION 382262856 3 true 0 0 ASCENSION EASTWOOD BEHAVIORAL HEALTH FKA EASTWOOD COMMUNITY CLINICS 381958763 9 true 0 0 ASCENSION ST JOHN FOUNDATION (fka St John Hospital Foundation) 202961579 7 true 0 0 Ascension River District Hospital (FKA St John River District Hospital) 383160564 3 true 0 0 9 0 0 true false false false false false false false false false false false false false false true 14529 605 0 2736 0 12398 13980 605 0 56 0 14529 14460 294 603 0 1377 0 13980 14029 583 611 0 763 0 14460 15091 0 749 0 1811 0 14029 0.0 0.9757 0.0243 false true true 1600000 1600000 20155377 12951743 7203634 179645 155163 24482 24504320 16797322 7706998 5714506 196791 5517715 22052829 Other Long Term Assets 656170 Other Current Assets Other Investments 17814 Due from Affiliates 82969359 Other Receivables 2124673 Deferred Compensation/Retirement/Pension Asset Security Deposit 2000 85770016 Other Liabilities Due to Affiliates 294014678 Deferred Compensation/Retirement/Pension Liability 287222 FIN 48 Liability 200000 Savings Plan Liability Estimated 3rd Party Payor Settlement Accrued Tax Liability 251287 Debt with Ascension Health Alliance 556970476 851723663 X Schedule D, Part V, Line 4 Intended uses of endowment funds Endowment funds are created to support the healthcare ministry of St. John Providence Hospitals. The distributions from an endowment provide a dependable source of income each year to help St. John Providence continue to meet the community's healthcare needs. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2018. true DETROIT CRISTO REY WORK STUDY PROGRAM 5679 WEST VERNOR HWY DETROIT MI 48209 262994633 501(C)(3) 30000 GENERAL SUPPORT FOUNDATION OF MICHIGAN ASSOCATION OF PHYSICIANS OF INDIAN HERITAGE 28235 SOUTHRIDGE ROAD LATHRUP VILLAGE MI 48076 383032459 501(C)(3) 5002 GENERAL SUPPORT BLACK CAUCUS FOUNDATION OF MICHIGAN 1001 WOODWARD AVE STE 1110 DETROIT MI 48226 382739884 501(c)(3) 7500 GENERAL SUPPORT CARE OF SOUTHEASTERN MICHIGAN 31900 UTICA RD FRASER MI 48026 382175274 501(c)(3) 8000 GENERAL SUPPORT DETROIT JAZZ FESTIVAL FOUNDATION 19900 HARPER AVE HARPER WOODS MI 482251759 020754855 501(c)(3) 35000 GENERAL SUPPORT BLACK WOMENS AGENDA INC 5335 WISCONSIN AVE NW STE 440 WASHINGTON DC 20015 521139558 501(c)(3) 9500 GENERAL SUPPORT SERVICES FOR OLDER CITIZENS 158 RIDGE RD GROSSE POINTE FARMS MI 48236 382254509 501(c)(3) 10000 GENERAL SUPPORT MUSEUM OF AFRICAN AMERICAN HISTORY 315 E WARREN AVE DETROIT MI 48201 381882096 501(c)(3) 18500 GENERAL SUPPORT ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH (FKA ST JOHN COMMUNITY HEALTH INVESTMENT CORPORATION) 28000 DEQUINDRE RD WARREN MI 48092 382262856 501(C)(3) 5000 GENERAL SUPPORT 9 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. St. John Providence ensures that funds are distributed appropriately according to Ascension's strategic business plan and consistent with corporate policies and procedures. There are various levels of review that take place prior to final approval. false true false false false false false false false JEAN MEYER EX-OFFICIO/PRESIDENT & CEO 768960 0 987366 0 169519 0 17550 0 27727 0 1971122 0 0 0 ROBERT HOBAN FORMER OFFICER (END 11/2015) 0 493777 0 200400 0 122365 0 17550 0 19559 0 853652 0 0 PATRICK M MCGUIRE CFO 542188 0 354373 0 114783 0 17550 0 24680 0 1053574 0 0 0 DONALD BIGNOTTI CCO 545249 0 428454 0 116954 0 13500 0 18249 0 1122405 0 0 0 MICHAEL WIEMANN MD PRESIDENT, CLINICAL AMG SE MI MKT 526021 21027 177883 0 165507 1273 16496 904 18249 736 904157 23940 0 0 MARY ZUCKERMAN PRESIDENT, ADMIN. AMG SE MI MKT 322090 0 107759 0 50521 0 14850 0 24248 0 519468 0 0 0 SCOTT W EATHORNE MD PRESIDENT & CEO (TOGETHER HEALTH NETWORK) 388272 0 140059 0 62586 0 16200 0 22512 0 629629 0 0 0 MARGARET A DIMOND PRESIDENT & CEO (CRITTENTON) 361616 0 138094 0 60134 0 8100 0 16249 0 584193 0 0 0 FRANK W POMA VP, CENTERS OF EXCELENCE 188479 0 65567 0 200448 0 14939 0 12537 0 481970 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation ASCENSION HEALTH, A RELATED ORGANIZATION OF ST. JOHN PROVIDENCE, USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Eligible 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 in the year paid. No payments were made to listed persons in Part VII under the non-qualified retirement plan during the year. Form 990, Part VI, Line 15a process for determining compensation of top management official IN DETERMINING COMPENSATION OF THE ORGANIZATION'S PRESIDENT & CEO, THE PROCESS, PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF ST. JOHN PROVIDENCE, 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 PRESIDENT & CEO WAS COMPARED TO INDIVIDUALS AT OTHER HOSPITALS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS In determining compensation of other officers of the organization, the process performed by Ascension Michigan, a related organization of St. John Providence, and its subsidiary organizations, 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 other officers of the organization were compared to individuals who work at similarly sized organizations as well as organizations similar in complexity of operations, revenues and job responsibilities across the nation. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Form 990, Part VI, Line 6 Classes of members or stockholders St. John Providence is organized on a membership basis. The sole member of the Corporation is Ascension Michigan. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body St. John Providence has a single corporate member, Ascension Michigan, who has the ability to elect members to the governing body of St. John Providence. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to St. John Providence financial information or corporation as a whole are subject to approval by its sole corporate member, Ascension Michigan. Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy 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, Line 19 Required documents available to the public The organization will provide any documents open to public inspection upon request. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Medical Records Fees - Total Revenue: 361, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 361; Miscellaneous Revenue - Total Revenue: 1588031, Related or Exempt Function Revenue: 1588031, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Escheatment Revenue - Total Revenue: 49445, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 49445; Form 990, Part XI, Line 9 Other changes in net assets or fund balances FAS 158 PENSION - -52; Transfers with ALPHA - 26101552; Transfers with Affiliates - 3075; Transfer Restricted Assets to Foundation - -130739; Form 990, Part XII, Line 2b Audited Financial Statements The activity of St. John Providence is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of St. John Providence is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of St. John Providence. Form 990, Part XII, Line 2c Audit Committee St. John Providence is included in the consolidated financial statements of Ascension. The Finance and Audit committee of Ascension's Board assumes responsibility for the consolidated organization as a whole. 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Type I ASCENSION PROVIDENCE ROCHESTER HOSPITAL FKA CRITTENTON HOSPITAL MEDICAL CEN TER true CRITTENTON CANCER CENTER 1101 WEST UNIVERSITY DR ROCHESTER MI 48307 383239057 CANCER TREATMENT MI 501(c)(3) 10 ASCENSION PROVIDENCE ROCHESTER HOSPITAL FKA CRITTENTON HOSPITAL MEDICAL CEN TER true GENESYS AMBULATORY HEALTH SERVICES 5455 ALI DR DEPT 200 GRAND BLANC MI 484395195 382371754 HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true ASCENSION GENESYS FOUNDATION FKA GENESYS HEALTH FOUNDATION ONE GENESYS PARKWAY GRAND BLANC MI 484398065 383591148 FOUNDATION MI 501(c)(3) Type I GENESYS HEALTH SYSTEM true THE HEALTH SOURCE GROUP 5455 ALI DR DEPT 200 GRAND BLANC MI 484395195 382427678 PRG RELATED INVESTMENTS MI 501(c)(3) Type I GENESYS HEALTH SYSTEM true CENTER FOR GERONTOLOGY 5455 ALI DRIVE DEPT200 GRAND BLANC MI 484395195 382514708 ADULT DAY CARE MI 501(c)(3) Type I GENESYS AMBULATORY HEALTH SERVICES true GENESYS CONVALESCENT CENTER 8481 HOLLY ROAD GRAND BLANC MI 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