STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

HENRY FORD HEALTH PROVIDENCE HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
HENRY FORD HEALTH PROVIDENCE HOSPITAL (EIN 38-1358212)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-13
IRS object ID
201511339349301631
Schema version
2013v4.0
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)
Return2015-05-13T09:38:01-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1250 East Fifth Street Suite 1900AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN381358212EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Providence HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlPROVBusinessNameControlTxt
Phone2488495707PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line116001 West Nine Mile RoadAddressLine1
CitySouthfieldCity
StateMIState
ZIP Code48037ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDouglas WinnerPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Phone2488495707PhoneNum
Signature2015-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAlicia JanischPreparerPersonNm
PTINP00741382PTIN
Phone5137847100PhoneNum
Preparation2015-05-09PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMichael WiemannPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line116001 West Nine Mile RoadAddressLine1
CitySouthfieldCity
StateMIState
ZIP Code48037ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$660,988,774GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.stjohn.org/providenceWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1922FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionOur Catholic Health Ministry is dedicated to spiritually centered, holistic care.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee5177TotalEmployeeCnt
Total Volunteers954TotalVolunteersCnt
Total Gross UBI$14,463TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$13,463NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$533,769PYContributionsGrantsAmt
CY Contributions Grants$617,225CYContributionsGrantsAmt
PY Program Service Revenue$621,904,116PYProgramServiceRevenueAmt
CY Program Service Revenue$629,588,019CYProgramServiceRevenueAmt
PY Investment Income$10,396,406PYInvestmentIncomeAmt
CY Investment Income$15,015,789CYInvestmentIncomeAmt
PY Other Revenue$13,157,190PYOtherRevenueAmt
CY Other Revenue$14,270,588CYOtherRevenueAmt
PY Total Revenue$645,991,481PYTotalRevenueAmt
CY Total Revenue$659,491,621CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$265,924,496PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$262,493,389CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,961,149CYTotalFundraisingExpenseAmt
PY Other Expenses$343,120,501PYOtherExpensesAmt
CY Other Expenses$343,789,582CYOtherExpensesAmt
PY Total Expenses$609,044,997PYTotalExpensesAmt
CY Total Expenses$606,282,971CYTotalExpensesAmt
PY Revenues Less Expenses$36,946,484PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$53,208,650CYRevenuesLessExpensesAmt
Total Assets BOY$891,854,987TotalAssetsBOYAmt
Total Assets EOY$967,648,941TotalAssetsEOYAmt
Total Liabilities BOY$252,370,153TotalLiabilitiesBOYAmt
Total Liabilities EOY$250,250,230TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$639,484,834NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$717,398,711NetAssetsOrFundBalancesEOYAmt
MissionSt. John Providence Health System, 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$515,890,807ExpenseAmt
Revenue$639,238,136RevenueAmt
DescIn furtherance of its mission and in an effort to reduce the government's financial burden, Providence Hospital provides essential heath care services, such as outpatient clinics, emergency rooms, ambulatory facilities that serve low-income patients as well as community services. Providence Hospital also provides preventative therapeutic and rehabilitative services for inpatient and ambulatory patients in a service-oriented and cost effective manner regardless of ability to pay.See Community Benefit Report on Schedule H.Desc
Total Program Service Expenses$515,890,807TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee5177EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Kevin SmithBusinessNameLine1
FieldValueIRS element (for citing)
Phone5867530171PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line128000 DequindreAddressLine1
CityWarrenCity
StateMIState
ZIP Code48092ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Raymond Buratto
Chairman1.000.00Yes (X)Yes (X)$0$0$0
Blair Bowman
Vice Chair, Treasurer1.000.00Yes (X)Yes (X)$0$0$0
Helen Habib
Secretary1.000.00Yes (X)Yes (X)$0$0$0
Dan Elsea
Board Member1.000.00Yes (X)$0$0$0
Shukri David MD
Board Member1.000.00Yes (X)$0$0$0
Grenai Dudley PhD
Board Member1.000.00Yes (X)$0$0$0
Sr Betty Granger CSJ Sch O
Board Member1.005.00Yes (X)$0$0$0
Brenda Lawrence
Board Member1.000.00Yes (X)$0$0$0
Joan Ryan
Board Member1.000.00Yes (X)$0$0$0
Kathleen Ryan
Board Member1.000.00Yes (X)$0$0$0
Stephen Shaya MD MS
Board Member1.000.00Yes (X)$0$0$0
Richard Suhrheinrich
Board Member1.000.00Yes (X)$0$0$0
Cherolee Trembath MD Sch O
Board Member50.000.00Yes (X)$250,682$0$19,155
John Reeves
Board Member1.000.00Yes (X)$0$0$0
Siddharth Sanghvi MD
Board Member1.000.00Yes (X)$0$0$0
Joe Walker
Ex-Officio1.000.00Yes (X)$0$0$0
Michael Wiemann MD
President - Providence Hospital50.003.00Yes (X)Yes (X)$814,444$0$19,517
Peter Karadjoff
President - Providence Park Hospital50.000.00Yes (X)$443,758$0$19,517
Douglas Winner
Chief Financial Officer50.000.00Yes (X)$317,512$0$19,517
David Dull
Chief Medical Officer50.000.00$433,793$0$19,517Yes (X)
Gerald Gilman
VP Medical Staff Dev50.000.00$263,188$0$17,484Yes (X)
Joseph Hurshe
VP Operations50.001.00$293,148$0$18,958Yes (X)
Robert Welch
Chairman - OB/GYN50.000.00$717,071$0$19,517Yes (X)
William B Blessed
Med Dir - Maternal/Fetal Med50.000.00$572,992$0$19,517Yes (X)
Laurence Cheung
Chairman - Surgery50.000.00$447,036$0$19,517Yes (X)
Andrew Vosburgh
Med Dir Assoc Health50.000.00$423,327$0$19,517Yes (X)
Kang-Lee Tu MD
Physician50.000.00$479,944$0$19,517Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,456,895TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$231,250TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K272IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$617,225AllOtherContributionsAmt
Total Contributions$617,225TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Revenue621500$628,302,419$628,302,419
Rental Income532000$862,162$862,162
Ancillary Revenue900099$423,438$424,554-$1,116
FieldValueIRS element (for citing)
Total Program Service Revenue$629,588,019TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,942,982TotalRevenueColumnAmt
Exclusion$14,942,982ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,830,812RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,447,800RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,383,012RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,383,012TotalRevenueColumnAmt
Unrelated Business Revenue$15,579UnrelatedBusinessRevenueAmt
Exclusion$2,367,433ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$122,160OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$49,353OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$72,807OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$72,807TotalRevenueColumnAmt
Exclusion$72,807ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Medicaid EHR Incentive923130$2,589,832$2,589,832
Dietary Revenue722210$2,239,382$2,239,382
Resident Income561000$230,226$230,226

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,828,136TotalRevenueColumnAmt
Related Or Exempt Func Income$6,828,136RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$11,887,576OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$659,491,621TotalRevenueColumnAmt
Related Or Exempt Func Income$639,237,329RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$14,463UnrelatedBusinessRevenueAmt
Exclusion$19,622,604ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,993,940TotalAmt
Management And General$2,993,940ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$232,004,523TotalAmt
Program Services$230,298,494ProgramServicesAmt
Management And General$1,706,029ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total-$3,805,140TotalAmt
Program Services-$3,690,986ProgramServicesAmt
Management And General-$114,154ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,968,472TotalAmt
Program Services$14,618,891ProgramServicesAmt
Management And General$349,581ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,331,594TotalAmt
Program Services$15,841,647ProgramServicesAmt
Management And General$489,947ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$12,443,994TotalAmt
Management And General$12,443,994ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$517,337TotalAmt
Management And General$517,337ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$37,520TotalAmt
Management And General$37,520ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$28,535TotalAmt
Program Services$28,535ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,687,368TotalAmt
Management And General$3,687,368ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$75,982TotalAmt
Management And General$75,982ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$924,595TotalAmt
Program Services$804,649ProgramServicesAmt
Management And General$119,946ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$18,376,401TotalAmt
Program Services$10,942,652ProgramServicesAmt
Management And General$7,433,749ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,206,560TotalAmt
Program Services$1,141,078ProgramServicesAmt
Management And General$65,482ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,547,270TotalAmt
Management And General$5,547,270ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$39,851,019TotalAmt
Program Services$34,032,770ProgramServicesAmt
Management And General$5,818,249ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,757,063TotalAmt
Program Services$3,757,063ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Purchased Services$125,395,725$79,483,429$45,912,296
Supplies for Services$83,601,532$83,295,032$306,500
Physician Guarantees$37,529,250$37,529,250
Repairs & Maintenance$2,995,180$1,955,201$1,039,979

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,814,251TotalAmt
Program Services$5,853,102ProgramServicesAmt
Fundraising$1,961,149FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$606,282,971TotalAmt
Program Services$515,890,807ProgramServicesAmt
Management And General$88,431,015ManagementAndGeneralAmt
Fundraising$1,961,149FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$14,641,821BOYAmt
EOY$13,585,506EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$54,925,855BOYAmt
EOY$58,543,241EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$4,608,780BOYAmt
EOY$7,430,767EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,751,898BOYAmt
EOY$7,721,499EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,269,496BOYAmt
EOY$6,236,114EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$749,483,292LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$453,434,364LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$310,629,645BOYAmt
EOY$296,048,928EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$19,315,855BOYAmt
EOY$18,247,890EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$21,666,905BOYAmt
EOY$15,491,897EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$452,044,732BOYAmt
EOY$544,343,099EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$891,854,987BOYAmt
EOY$967,648,941EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$43,128,613BOYAmt
EOY$39,962,968EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$209,241,540BOYAmt
EOY$210,287,262EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$252,370,153BOYAmt
EOY$250,250,230EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$638,170,992BOYAmt
EOY$716,115,838EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,313,842BOYAmt
EOY$1,282,873EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$639,484,834BOYAmt
EOY$717,398,711EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$891,854,987BOYAmt
EOY$967,648,941EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$53,208,650ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$24,049,610NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$655,617OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$28,535OtherActivitiesAmt
Total Lobbying Expenditures$28,535TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationLobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. Providence Hospital does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,371,465BeginningYearBalanceAmt
Contributions$3,570ContributionsAmt
Investment Earnings Or Losses$71,276InvestmentEarningsOrLossesAmt
Other Expenditures$10,100OtherExpendituresAmt
End Year Balance$1,436,211EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,346,671BeginningYearBalanceAmt
Contributions$4,300ContributionsAmt
Investment Earnings Or Losses$68,729InvestmentEarningsOrLossesAmt
Other Expenditures$48,235OtherExpendituresAmt
End Year Balance$1,371,465EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,304,694BeginningYearBalanceAmt
Contributions$19,011ContributionsAmt
Investment Earnings Or Losses$66,117InvestmentEarningsOrLossesAmt
Other Expenditures$43,151OtherExpendituresAmt
End Year Balance$1,346,671EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,304,485BeginningYearBalanceAmt
Contributions$21,789ContributionsAmt
Investment Earnings Or Losses$64,261InvestmentEarningsOrLossesAmt
Other Expenditures$85,841OtherExpendituresAmt
End Year Balance$1,304,694EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,283,817BeginningYearBalanceAmt
Contributions$55ContributionsAmt
Investment Earnings Or Losses$64,198InvestmentEarningsOrLossesAmt
Other Expenditures$43,585OtherExpendituresAmt
End Year Balance$1,304,485EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.85000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.15000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,605,988OtherCostOrOtherBasisAmt
Book Value$31,605,988BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$200,000InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$513,483,980OtherCostOrOtherBasisAmt
Depreciation$297,115,972DepreciationAmt
Book Value$216,568,008BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$100,000InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$7,279,583OtherCostOrOtherBasisAmt
Depreciation$4,853,133DepreciationAmt
Book Value$2,526,450BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$192,161,950OtherCostOrOtherBasisAmt
Depreciation$151,465,259DepreciationAmt
Book Value$40,696,691BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,651,791OtherCostOrOtherBasisAmt
Book Value$4,651,791BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$296,048,928TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Advances to Affiliates$81,065,857
Other Post Retirement Benefit Plan Assets$49,612,633
Interest in investment Held by Ascension Health$413,664,609
FieldValueIRS element (for citing)
Total Book Value Other Assets$544,343,099TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
Intercompany Debt with Ascension Health Alliance$171,896,505
Payable to Third Party$21,620,349
Self-Insurance Liability$12,497,341
Valuation Allowance$2,650,000
Deferred Rent$1,619,302
FIN48 Liability$3,765
FieldValueIRS element (for citing)
Total Liability$210,287,262TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:Endowment funds are created to support the healthcare ministry of St. John Health System Hospitals. The distributions from an endowments provide a dependable source of income each year to help St. John continue to meet the community's healthcare needs.
Part X, Line 2:From the consolidated audited financial statements of St. John Providence Health System (the "System") (which include the activity of Providence Hospital): The member health care entities of SJPHS are primarily tax-exempt organizations under Internal Revenue Code Section 501(c)(3) or 501(c)(2), and their related income is exempt from federal income tax under Section 501(a). SJPHS 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.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,762,109TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,762,109NetCommunityBenefitExpnsAmt
Total Expense0.01120TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$55,054,323TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,047,673DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,006,650NetCommunityBenefitExpnsAmt
Total Expense0.02640TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$61,816,432TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,047,673DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,768,759NetCommunityBenefitExpnsAmt
Total Expense0.03760TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,530,416TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,775DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,528,641NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,906,874TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,045,057DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,861,817NetCommunityBenefitExpnsAmt
Total Expense0.01630TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$978,777TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$978,777NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,509TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,387DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,122NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,451,576TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,049,219DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,402,357NetCommunityBenefitExpnsAmt
Total Expense0.02380TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$90,268,008TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$53,096,892DirectOffsettingRevenueAmt
Net Community Benefit Expns$37,171,116NetCommunityBenefitExpnsAmt
Total Expense0.06140TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$40,092,114BadDebtExpenseAmt
Bad Debt Expense Attributable$11,293,765BadDebtExpenseAttributableAmt
Reimbursed By Medicare$238,720,235ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$236,679,987CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$2,040,248MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
Providence Hospital
116001 W Nine MileSouthfieldMI48037stjohnprovidence.org1060000008Yes (X)Yes (X)Yes (X)Yes (X)A
Providence Park Hospital
247601 Grand River AvenueNoviMI48374stjohnprovidence.org1060000156Yes (X)Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Facility Reporting Group - ABusinessNameLine1
FieldValueIRS element (for citing)
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
OtherYes (X)OtherInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Section C, Supplemental Info.OwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs Addressed0AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Section BFacility Reporting Group A
Facility Reporting Group A consists of:- Facility 1: Providence Hospital, - Facility 2: Providence Park Hospital
Facility 1 -- Providence Hospital Part V, Section B, line 1j:The CHNA Steering Committee proceeded with a prioritization process of selecting priority health areas for system-wide focus, and to recommend the same priority health areas for inclusion in the SJPHS Strategic Plan for fiscal years 2014-2016. A Problem Importance Worksheet was utilized to facilitate the prioritization process. Among the multitude of community health care needs, the Steering Committee utilized a prioritization process to narrow down indicators and ultimately select the recommended priority heath areas. The criteria utilized to rank the identified health concerns included:1) The magnitude of the problem 2) The seriousness of the consequences and potential burden to the community 3) The feasibility of addressing or correcting the problem, and4) The potential yield of measurable data of process or outcome improvement. Using this criteria, the three priority areas selected are 1) Diabetes Prevention, 2) Infant Mortality Reduction and, 3) Access to Care.
Facility 1 -- Providence Hospital Part V, Section B, line 3:The CHNA was conducted with the guidance and oversight of a Steering Committee composed of professionals with a diversity of expertise in health care operations, administration and management, community health, health planning, medicine and other related health disciplines. The co-chairs were the Vice President of Mission Integration and the Vice President of Community Health. Additional input from approximately 100+ people was received as a result of a survey and focus group of local health department officials, community stakeholders, and community advocates. The 6-Step model developed by the Association of Community Health Improvement was utilized to organize and facilitate the process of developing this CHNA. Further extensive data from global, national, state and local levels including hospital specific data was reviewed and discussed by the committee as part of the assessment process.
Facility 1 -- Providence Hospital Part V, Section B, line 4:Providence Hospital conducted its community health needs assessment with the following other facilities.- St. John Hospital & Medical Center- Providence Park Hospital- St. John Macomb Hospital- St. John Oakland Hospital- St. John River District Hospital- Brighton Recovery Center
Facility 1 -- Providence Hospital Part V, Section B, line 5d:The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.stjohnprovidence.org/upload/docs/community%20health/chna-providence%20hospital.pdf
Facility 1 -- Providence Hospital Part V, Section B, line 7:Providence Park Hospital will not address certain identified health needs and concerns because other programs are currently offering an array of services for the community and those particular health needs and concerns are listed below with the resources, agencies and services currently established to address them:- Cardiovascular Disease This is widely addressed through St. John Providence Health System and its Cardiovascular Centers of Excellence; the American Heart Association; and other programs such as the Project Healthy Living multi-county screening program.- Cancer St. John Providence Health System has 4 cancer centers with 2 located in the service area. Additionally, the American Cancer Society, primary care standards of practice, and other cancer centers in the area provide screening and community-based education. Further, the state of Michigan with its BCCCP (Breast and Cervical Cancer Control Program) provides for routine mammograms for low-income and uninsured women.- Asthma Asthma is predominately a condition of children and youth in the service area. Through the SJPHS school-based health centers and other school-based health centers in the area, this is being addressed. Asthma education, asthma screening, and summer asthma camps are provided along with the handling of acute episodes in the school clinics with parental consent.- Obesity It is well-known that obesity is a precursor to the development of type II diabetes. There are several model programs in the service area that address childhood obesity in addition to what is available for adults.- Behavioral health/substance abuse/mental illness Medicaid and other state funding for behavioral health largely comes through the state to the county-based community mental health agencies and local health departments. These agencies continue to provide the lead on addressing these issues.The aforementioned services, programs and resources are sufficiently equipped and duly established to provide community-based resources to address cardiovascular disease, cancer, asthma, obesity, behavioral health, substance abuse, and mental illness.
Facility 1 -- Providence Hospital Part V, Section B, line 14g:Information regarding the availability of the financial assistance policy is on the website and included on the billing statements.
Facility 1 -- Providence Hospital Part V, Section B, line 20d:Uninsured patients receive a discount off charges which is comparable to the discount provided to the highest paying payor, accounting for at least 3% of the population as measured by volume or gross patient revenue. In addition, uninsured patients with income greater that 300% of the FPL may receive an additional discount based on a "Means Test".
Facility 2 -- Providence Park Hospital Part V, Section B, line 1j:The CHNA Steering Committee proceeded with a prioritization process of selecting priority health areas for system-wide focus, and to recommend the same priority health areas for inclusion in the SJPHS Strategic Plan for fiscal years 2014-2016. A Problem Importance Worksheet was utilized to facilitate the prioritization process. Among the multitude of community health care needs, the Steering Committee utilized a prioritization process to narrow down indicators and ultimately select the recommended priority heath areas. The criteria utilized to rank the identified health concerns included:1) The magnitude of the problem 2) The seriousness of the consequences and potential burden to the community 3) The feasibility of addressing or correcting the problem, and4) The potential yield of measurable data of process or outcome improvement. Using this criteria, the three priority areas selected are 1) Diabetes Prevention, 2) Infant Mortality Reduction and, 3) Access to Care.
Facility 2 -- Providence Park Hospital Part V, Section B, line 3:The CHNA was conducted with the guidance and oversight of a Steering Committee composed of professionals with a diversity of expertise in health care operations, administration and management, community health, health planning, medicine and other related health disciplines. The co-chairs were the Vice President of Mission Integration and the Vice President of Community Health. Additional input from approximately 100+ people was received as a result of a survey and focus group of local health department officials, community stakeholders, and community advocates. The 6-Step model developed by the Association of Community Health Improvement was utilized to organize and facilitate the process of developing this CHNA. Further extensive data from global, national, state and local levels including hospital specific data was reviewed and discussed by the committee as part of the assessment process.
Facility 2 -- Providence Park Hospital Part V, Section B, line 4:Providence Park Hospital conducted its community health needs assessment with the following other facilities.- Providence Hospital- St. John Hospital & Medical Center- St. John Macomb Hospital- St. John Oakland Hospital- St. John River District Hospital- Brighton Recovery Center
Facility 2 -- Providence Park Hospital Part V, Section B, line 5d:The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.stjohnprovidence.org/upload/docs/community%20health/chna-providence%20hospital.pdf
Facility 2 -- Providence Park Hospital Part V, Section B, line 7:Providence Park Hospital will not address certain identified health needs and concerns because other programs are currently offering an array of services for the community and those particular health needs and concerns are listed below with the resources, agencies and services currently established to address them:- Cardiovascular Disease This is widely addressed through St. John Providence Health System and its Cardiovascular Centers of Excellence; the American Heart Association; and other programs such as the Project Healthy Living multi-county screening program.- Cancer St. John Providence Health System has 4 cancer centers with 2 located in the service area. Additionally, the American Cancer Society, primary care standards of practice, and other cancer centers in the area provide screening and community-based education. Further, the state of Michigan with its BCCCP (Breast and Cervical Cancer Control Program) provides for routine mammograms for low-income and uninsured women.- Asthma Asthma is predominately a condition of children and youth in the service area. Through the SJPHS school-based health centers and other school-based health centers in the area, this is being addressed. Asthma education, asthma screening, and summer asthma camps are provided along with the handling of acute episodes in the school clinics with parental consent.- Obesity It is well-known that obesity is a precursor to the development of type II diabetes. There are several model programs in the service area that address childhood obesity in addition to what is available for adults.- Behavioral health/substance abuse/mental illness Medicaid and other state funding for behavioral health largely comes through the state to the county-based community mental health agencies and local health departments. These agencies continue to provide the lead on addressing these issues.The aforementioned services, programs and resources are sufficiently equipped and duly established to provide community-based resources to address cardiovascular disease, cancer, asthma, obesity, behavioral health, substance abuse, and mental illness.
Facility 2 -- Providence Park Hospital Part V, Section B, line 14g:Information regarding the availability of the financial assistance policy is on the website and included on the billing statements.
Facility 2 -- Providence Park Hospital Part V, Section B, line 20d:Uninsured patients receive a discount off charges which is comparable to the discount provided to the highest paying payor, accounting for at least 3% of the population as measured by volume or gross patient revenue. In addition, uninsured patients with income greater that 300% of the FPL may receive an additional discount based on a "Means Test".
FieldValueIRS element (for citing)
Facility12FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
Providence CT Center
30055 Northwestern HwyFarmington HillsMI48334Physician Group
Family Medical Center
210 N LafayattSouth LyonMI48178Physician Group
Dr Sharp Crumley & Moore
21700 Northwestern HwySouthfieldMI48075Physician Group
Geriatric Clinical Services
25800 W Eleven MileSouthfieldMI48034Clinic
Internal Medicine
23874 Kean StreetDearborn HeightsMI48125Physician Group
Michigan Urgent Care
37595 Seven Mile RoadLivoniaMI48152Urgent Care Center
The Bowman Center
20548 FenkellDetroitMI48223Physician Group
Providence Cardiac Surgery Institute
22151 MorossDetroitMI48236Physician Group
Milford Family Practice
1050 Corporate Office DriveMilfordMI48381Physician Group
Advanced Cardio Vascular Health
37799 Professional Center DriveLivoniaMI48154Physician Group
West Oakland Interns
44000 W 12 Mile Road Suite 200NoviMI48377Physician Group
Brighton OBGYN
8641 West Grand RiverBrightonMI48116Physician Group

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:Providence Hospital provides medically necessary care to all patients, regardless of race, color, creed, ethnic origin, gender, disability or economic status. The organization uses a percentage of Federal Poverty Level (FPL) to determine free and discounted care. At a minimum, patients with income less than or equal to 200% of the FPL, which may be adjusted for cost of living utilizing the local wage index compared to national wage index, will be eligible for 100% charity care write off of charges for services that have been provided to them. Also, at a minimum, patients with incomes above 200% of the FPL but not exceeding 300% of the FPL, subject to adjustments for cost of living utilizing the local wage index compared to national wage index, will receive a discount of 70% on the services provided to them. Additionally, for any Pure Self Pay patient (someone presenting with no insurance regardless of income), there is a 40% Uninsured Discount automatically applied against total charges.
Part I, Line 6a:Providence Hospital is part of a community benefit report which is prepared by St. John Providence Health System on a consolidated basis.
Part I, Line 7:The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association (CHA) guidelines. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured or self pay). The best available data was used to calculate the amounts reported in the table. For certain categories in the table, this was a cost accounting system; in other categories, a specific cost-to-charge ratio was applied.In 2014, Michigan became a Medicaid Expansion state and rolled out the Healthy Michigan Plan. Michigan residents are eligible to apply for Medicaid if their income is at or below 133% of the FPL. To date, the St. John Providence Health System (SJPHS) service area has 213,951 people who have been enrolled in the Healthy Michigan Plan. The breakdown of the service area's enrollment includes the following: Livingston County has 4,005, Macomb County has 36,836, Oakland has 35,798, Detroit has 68,671, Wayne County (excluding Detroit) has 60,618 and St. Clair has 8,023.OTHER BENEFITSOur mission statement reads "St. John Providence Health System, 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." The hospitals that make up SJPHS demonstrate their mission through Community Benefit work.SJPHS is fortunate to have a department solely dedicated to providing community benefits to the entire community with special attention to those who are most vulnerable. St. John Community Health Investment Corporation (CHIC) extends the work of the hospital into the community by providing health care services and support that addresses the social determinants of health. The department is focused on preventative care and disease management and has components that address all of the priorities that were identified from the most recent Community Health Needs Assessment, (CHNA). In 2014, CHIC had 123,402 encounters with people from the community. All of the encounters are geared toward helping people live healthier lives. The programs include 10 school-based Health centers, a clinic for those who are uninsured, Physicians Who Care, which has 400 specialists that volunteer to see uninsured patients, Infant Mortality Program which provides support to expectant mothers and their babies, Community Outreach, which conducts exercise, nutrition education and screenings in communities throughout the service area, a grief support program for children and families, Ryan White program which provides care for people living with HIV and AIDS, Faith Community Partnerships, which supports health initiatives in places of worship, a neighborhood health and safety office and a Senior Wellness Center.COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONSHEALTH CARE SUPPORT SERVICESAll of SJPHS' hospitals partnered with community-based organizations to increase outreach and education about enrollment for health insurance coverage through the newly created Health Insurance Marketplaces (Exchanges) which are designed to help individuals find, consider options and purchase health insurance that is compatible with various income levels, and an individual's desired medical care coverage.All of the hospitals provided health insurance enrollment assistance to uninsured adults presenting to hospital Emergency Department or inpatients. We participated in 21 enrollment events, took 422 applications and 1,124 people received education about health coverage options. 4,738 that were ineligible for the Healthy Michigan Plan (HMP) received information on the Marketplace.St. John Hospital and Medical Center (SJHMC) helped 2,269 people complete applications for HMP. St. John Macomb-Oakland (SJMO) helped 2,214 complete for applications HMP, St. John River District (SJRD) helped 105 people complete applications for HMP, and Providence/Providence Park helped 1,618 people complete applications for HMP.Cultural competence is extremely important to SJPHS. We have programs that specialize in working with patients who have Limited English Proficiency (LEP). We respect cultural norms and try to accommodate patients to the best of our ability. SJMO has a nurse navigator that specializes in working with patients who are Arab or Chaldean, Providence Park has a nurse navigator that works with Japanese patients. SJHMC supports an annual health fair in the Korean community. SJHMC also partners with Black Mother's Breastfeeding Association (BMBFA) to train their lactation specialists on how to promote breastfeeding with African American mothers. Since SJHMC has partnered with BMFA, and implemented its Mother's Nurture program and Outpatient Breastfeeding, there has been an increase of African American mothers who initiate breastfeeding from 51.5 percent in 2011 to 71.7 percent in 2014. My Accessible Real Time Trusted Interpreter (MARTTI) is available at all of SJPHS hospitals to eliminate the communication barriers between the hospital staff and patients who have LEP, or are deaf or hard of hearing.EXAMPLES OF HEALTH PROFESSIONS EDUCATIONSJPHS hospitals are committed to educating students in clinical, medical and business fields. Providence/Providence Park hospital received the Truven Top 15 honors for the 6th time in FY14 which rank it as one of the top 15 major teaching hospitals. SJMO is ranked as one of the top Orthopedic Osteopathic training programs in the U.S. Brighton Center for recovery provides medical residents from hospitals throughout the health system with the unique opportunity to learn about treating patients with drug and /or alcohol additions in a clinical setting.EXAMPLES OF OUR SUBSIDIZED HEALTH SERVICESSJHMC has a level two adult and pediatric trauma center which is vital in the city of Detroit which has the highest rate of violent crimes in the country. Detroit had a crime rate of 2,122.9 per 100,000 people. This is double the rate of violent crime in Miami, five times the rate of Los Angeles, and three times the rate of New York City. The hospital routinely treats injuries from gunshot and knife wounds. Most all of these patients are uninsured. SJHMC and Providence Hospital both operate a Mother Nurture program which brings lactation consultants to the bedside of new mothers and an outpatient breastfeeding clinic that spends one-on-one time teaching mothers to breast feed successfully. In FY14, 75-80 of mothers initiated breastfeeding as a result of both the Mother Nurture program. Many continue breastfeeding with the support of the Outpatient Breastfeeding clinic.Brighton Hospital counselors run an educational and supportive program for children ages 7-12 years that have a loved one struggling with addition to drugs and/or alcohol.CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFITSJPHS' hospitals provide a significant amount of cash and in-kind contributions. During FY14, SJPHS Care of the Poor endowment supported 27 organizations by providing grants in the amount of $428,952. One organization that SJHMC supports is Eagle a faith-based sports initiative that helps kids get active as well as improving their literacy. SJPHS Sponsorship Committee provides financial support to organizations that address health and social determinants support and align with our health system. Metro Detroit is well known for its outdoor festivals during the summer. SJPHS has provided emergency medical care at a variety of festivals from the Gold Cup boat races to Arts Beats and Eats. In addition to rent, SJPHS' hospitals provide free meeting rooms to community organizations. All of our hospitals donate medical supplies and/or medication to organizations like Medical Relief or they donate to medical or clinical staff that are volunteering to provide care in the developing world or doing disaster relief.SJRD associates spent many hours collecting and stocking 21 backpacks for needy students at an elementary school in their service are. SJMO collected 111 backpacks and more than 1500 school supplies to be donated to an elementary school in their service area. SJHMC donated enough school supplies to fill and SUV to schools that partner with us and have school-based health centers. Providence/ Providence Park donated school supplies to 500 children in their service area. Lastly, SJPHS' corporate offices donated 196 back packs filled with school supplies to area schools. Our ambulatory centers donated 11 back packs filled with supplies and over 1200 supplies to area schools.Providence Hospital, SJHMC and SJMO provided nearly 1500 children with gifts and fun through their annual Christmas Stores. There are about 200 volunteers that help to make this event a success. Leaders at SJPHS spend a great
Part II, Community Building Activities:Community Building Activities are critical to the five counties that St. John Providence Health System serves. St. John Providence Health System's size means we have a stronger voice when advocating for those who have no voice - the uninsured and poor. Through partnerships, coalitions, and program development and support, our innovative programs increase access to health care services and empower individuals to make informed health choices. Our community health programs include parish nursing, school-based health centers, a grieving children's program, an infant mortality initiative, and a neighborhood health and safety office. We improve access to health care through our community health centers, health screenings and health education. It is our calling to serve, and we do it with pride. Our staff of professionals combines the skills of medical experts in more than 50 specialties and the talented, compassionate clinical staff to heal, to serve, together. In addition, the St. John Providence Health System family includes thousands of volunteers and donors who support our health care mission with their generosity. Inventories of some of St. John Providence's community building activities include:ST. JOHN HOSPITAL & MEDICAL CENTER ("SJHMC") COMMUNITY BUILDING ACTIVITIESPHYSICAL IMPROVEMENTSSJHMC Maintenance and Engineering Department provides physical improvements by annually beautifying a main intersection on the Detroit-Grosse Pointe border.COMMUNITY SUPPORT SJHMC in-patient pharmacy restocks the medical supplies for EMS that come to their facility. Their Work Life Service Department (Human Resources) also provides mentoring and job shadowing programs for high school students. The hospital partners with an area charter school to provide 4 students with a year-long internship that takes place once per week. There is a Neighborhood Safety Office that helps residents in their service area learn techniques on how to keep themselves and personal property safe. COMMUNITY HEALTH IMPROVEMENT ADVOCACYAdministrative leaders support advocacy efforts through their membership and participation on various task-forces and committees. COALITION BUILDINGAdministrative leaders participate on a coalition that includes an area Community Development Organization.WORKFORCE DEVELOPMENTSJHMC implemented a new diversity initiative to make sure that there are qualified individuals from underrepresented minority in the pool of candidates for open positions.PROVIDENCE HOSPITALS, SOUTHFIELD AND NOVI COMMUNITY BUILDING ACTIVITIESCOMMUNITY SUPPORT The hospital provides disaster recovery above and beyond the normal requirements. They also provide mentoring to students interested in health careers.COMMUNITY HEALTH IMPROVEMENT ADVOCACYThe hospital was sponsor of the "On My Own" Foundation Gala fundraiser. This foundation works to increase independence for people with disabilities. The Radiology department provides community support and a mentoring program. Administrative leaders support advocacy efforts through their membership and participation on various task-forces and committees.WORKFORCE DEVELOPMENTProvidence/Providence Park hospitals implemented a new diversity initiative to make sure that there are qualified individuals from underrepresented minority in the pool of candidates for open positions.ST. JOHN MACOMB-OAKLAND HOSPITAL COMMUNITY BUILDING ACTIVITIESPHYSICAL IMPROVEMENTS/HOUSING The hospital helped to build and improve houses through the local Habitat for Humanity and for low-income families. They also helped to develop a barrier-free environment for individuals with disabilities.WORKFORCE DEVELOPMENTSJMO implemented a new diversity initiative to make sure that there are qualified individuals from underrepresented minority in the pool of candidates for open positions.ST. JOHN RIVER DISTRICT HOSPITAL COMMUNITY BUILDING ACTIVITIESCOALITION BUILDINGThe hospital participates on the Great Parents-Great Start Coalition which supports services for children 0-5 years in St. Clair County. The Richmond Physician Office supported the "Recycled Paper Project" and donated recycled paper to the Richmond School District so that they can earn money to support their educational programs.WORKFORCE DEVELOPMENTThe hospital mentors high school students in St. Clair County and educates them about careers in the medical fields. They also assist with college course selection of medical careers and/or assist in streamlining technical students. SJRD also implemented a new diversity initiative to make sure that there are qualified individuals from underrepresented minority in the pool of candidates for open positions. BRIGHTON COMMUNITY BUILDING ACTIVITIESWORKFORCE DEVELOPMENTThe hospital's administration participated in community mentoring programs by working with students at the high school or college level to assist them in their future endeavors, particularly in the health care field. LEADERSHIP DEV/TRAINING FOR COMMUNITY MEMBERS The hospital's administration participated in Executive Women International and the medical department participated in Leadership Development Training for community members in the process of addiction recovery.COALITION BUILDINGThe hospital provides professional support to the Farmington/Farmington Hills community, law enforcement, community leaders, parent groups, teachers, schools and administrators, city governments, mental health, treatment centers to bring awareness of drug and violence prevention efforts and to decrease gaps and fragmentation in information and resources. Their goal is for community groups to decrease gaps and fragmentation within drug and violence prevention efforts. WORKFORCE DEVELOPMENTBrighton Center for Recovery implemented a new diversity initiative to make sure that there are qualified individuals from underrepresented minority in the pool of candidates for open positions.ST. JOHN PROVIDENCE HEALTH SYSTEM ("SJPHS") COMMUNITY BUILDING ACTIVITIESECONOMIC DEVELOPMENTSJPHS Administration is active in various Chambers of Commerce throughout our service area. COALITION BUILDINGSJPHS Business Development department participated in Coalition Building. Eastwood Clinics also participates on the "Save Our Youth" Coalition whose goal is to prevent substance abuse among youth in Royal Oak. SJPHS Community Health participates on the infant mortality task force, state coalition of school-based health centers and youth violence prevention task force.WORKFORCE DEVELOPMENT/JOB CREATION AND TRAINING PROGRAMSSJPHS Work Life Services partners with area schools, universities and technical schools to mentor students and educate them about careers in healthcare. They also provide assistance with resume writing and interviewing techniques. COMMUNITY HEALTH IMPROVEMENT ADVOCACYEastwood Clinics participates on the Behavioral Health Legislative Drug Court Committee which partners with judges and prosecutors from counties throughout Michigan and provides advocacy and support for drug and alcohol treatment for legislative staff.
Part III, Line 4:The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, SJPHS follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the SJPHS's policies.Providence Hospital's bad debt deduction in 2014 was $40,092,114 at charges.
Part III, Line 8:Ascension Health and related health ministries follow the Catholic Health Association (CHA) guidelines for determining community benefit.
Part III, Line 9b:The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply.
Part VI, Line 2:A community health needs assessment of the St. John Providence Health System service area is completed every three years. The most recent assessment was led by a steering committee composed of members with diverse health professional backgrounds representing the services provided by St. John Providence Health System. Members included professionals with backgrounds in Finance, Marketing, Nursing, Social Work, Medicine, Pharmacy and Public Health to name a few. The process was based on the 6 steps outlined by the Association for Community Health Improvement (ACHI). The 6 steps are:- Identifying the Team and Resources (Step 1) - Defining the Purpose and Scope (Step 2)- Collecting and Analyzing Data (Step 3) - Selecting Priorities (Step 4) - Documenting and Communicating Results (Step 5) - Planning for Action and Monitoring Progress (Step 6) The process resulted in a ranking of the health needs by county and then three were selected as priority areas of focus. These three are: 1) Diabetes Prevention and Management; 2) Infant Mortality Prevention; 3) Access to Primary Care for Underinsured and Uninsured. The risk factors related to these three, when addressed will have a positive impact on the other major community health needs related to heart failure, kidney failure, cancer early identification and treatment, asthma education and treatment, infant mortality, and obesity in children and adults. Subcommittees were formed and led by community health staff. The subcommittees consisted of SJPHS staff, county health department representatives and community members. An Implementation Plan was developed for all of the hospitals with strategies to help achieve the desired outcomes. Below are the priority areas, strategies and results for FY14.Priority Health Area #1: DIABETES PREVENTIONDiabetes is a leading cause of death in Michigan and typically exists as a condition of co-morbidity among individuals with obesity, heart disease, hypertension and renal failure, stroke and other conditions. The activities will be categorized according to three levels of prevention: Primary Prevention will target the well population. Secondary Prevention will target the at-risk population, and Tertiary Prevention will target the established disease population. We will continue and/or expand the strategies, tactics and programs listed below:Strategy 1: Increase opportunities for healthy lifestyle activities. The following are St. John Hospital and Medical Center programs to support healthy lifestyles targeting seniors, children and youth, and uninsured community residents:Baseline Measures for Strategy 1: Health Education Programs1) The number of participants in the programs2) The number of sessions attended by program participants.1.1 Rock-On program Targeted to obese children ages 7-18 years old, to achieve weight loss and weight management. The program has been renamed the Pediatric Weight Management Program. They had 85 program participants in FY14.1.2 Amazing Steps Targeted to individuals for fitness through walking programs, and includes mall walking program.1.3 Kids Mile Program - Provides exercise, nutrition education, and a final contest for low income children and five Detroit schools. There were 82 participants and 48 sessions.1.4 Faith Community Partnerships with churches in Detroit, Macomb, and St. Clair Counties. Providing health information and education on diabetes and other chronic diseases. Faith Community Partnerships provided 435 classes geared toward diabetes prevention and management.1.5 Senior Wellness Center in Detroit - Providing health education, diabetes management classes, exercise classes, and some school limited screening for persons 55 years of age and older. Also includes monthly cooking classes. The Senior Wellness Center had 8,468 participants and 575 programs.1.6 Safety Net Health Center Partnerships - Partnership with Mercy Primary Care and the emergency department for referral of uninsured non-elderly adult residents of Detroit who are diabetic or have other chronic diseases.1.7 Clintondale School Jump Up and Go program is located in Macomb County and provides exercise, fitness, and healthy eating education to students of the school.1.8 Weight-loss center is available for residents in the community. There were 54 participants in the program.Strategy 2: Increase education for diabetes prevention, early identification and disease management. Note that community diabetes education program is available for newly diagnosed diabetics in the community that spans several weeks. There are a number of these programs that are provided free or low-cost to all residents of the community. There are also diabetes support groups. SJH&MC will fill some gaps with the following programs:Baseline Measures for Strategy 2: Diabetes Prevention - The number of participants in the programs.- The number of sessions attended by program participants.Breakdown of participation in our Diabetes Education class by hospital are- SJH&MC - 283 - SJMOH - 411- SJRDH - 452.1 CareLink Education and Classes - A program that produces a quarterly booklet that includes health education and information for a wide variety of low-cost community-based programs and services addressing prevention and management of chronic disease including diabetes. CareLink had a total of 2,722 participants and 218 programs.Priority Health Area #2: INFANT MORTALITY REDUCTIONAccording to the State of Michigan Health Dashboard, the infant mortality rate (IMR) is worse than the national average and has remained so over the last 20 years in spite of an overall downward trend. Also of concern is the IMR for Detroit (13.5% compared to statewide 7.1%). The rate is also related to the high rates of inadequate prenatal care across southeastern Michigan. We will continue and/or expand the strategies, tactics and programs listed below.St. John Hospital and Medical Center will address community needs through collaboration between nursing, case management; community health and social work to identify resources and communication methods with patients (birth folders, prenatal clinic, etc.). Additionally, increase social work and nursing knowledge about programs available. Expectant mothers who receive care in Obstetrics clinic setting are given pro-breastfeeding information regarding prenatal nutrition and infant feeding, and have the opportunity to engage with the lactation consultant and other health providers as needed.Strategy 1: Increase connectivity to and resources for pregnant women and their families1.1 Provide referral information about local Maternal Infant Health Programs (MIHP) to women with Medicaid Insurance who present for prenatal care and/or for delivery.Baseline Measure: Number of referrals made to MIHP programs.1.2 Provide referrals to the Strong Start Enhanced Pregnancy Program to women with Medicaid Insurance who present for prenatal care and/or for delivery.Baseline Measure: Number of referrals made to the Strong Start program.1.3 Provide information and referral to St. John Providence Health System Infant Mortality Program to women who present for prenatal care and/or deliver with other insurance coverage.Baseline Measure: Number of referrals to SJPHS Infant Mortality Program.Strategy 2: Provide enhanced nutrition information and services that support the health of high-risk infants.2.1 Provide information and/or referrals for all women delivering babies at SJH&MC to the Mother Nurture Breastfeeding Program.Baseline Measure: Number of referrals made.3,385 received referrals.2.2 Provide referrals to the Outpatient Breastfeeding Clinic for consultation with breastfeeding consultant.Baseline Measure: Number of referrals made to Outpatient Breastfeeding Clinic. 2,540 received referrals.2.3 Provide breast pump to low-income breastfeeding mothers to encourage breastfeeding.Baseline Measure: Number of breast pumps provided.141 pumps were provided.2.4 80% of all women who deliver at SJH&MC will receive information/referral to the WIC Program. WIC is a special supplemental nutrition program for Women, Infants and Children that provides nutritious foods (primarily through retail grocery stores), nutrition counseling, and referrals to health care and social services. WIC serves low-income pregnant, postpartum and breastfeeding women, infants and children up to age 5 who are at nutritional risk.Baseline Measure: Number of referrals to WIC, and the number of women participating in the WIC program.3,385, received info on WIC, estimated 55% of deliveries participate.Strategy 3: Increase education to enhance access to primary care for mothers after delivery of infant and post-partum visit.3.1 All mothers delivering at SJH&MC will be provided information upon discharge on how to locate Primary Care Medical Home services via the SJPHS Health Connect service which can assist in making appointments and referrals to local Federally Qualified Safety Net Health Centers in their vicinity. SJPHS Health
Strategy 1: Increase education for diabetes prevention, earlyidentification and disease management2.1 Joslin Diabetes Center Hospital-Certified Diabetes Educators provide patients with group and individual education related to diabetes and nutrition; medication management including insulin starts; continuous Glucose Monitoring System; insulin pump therapy; and gestational diabetes education series.Baseline Measures for Strategy 2: Diabetes Prevention1) The number of participants in the programs.2) The number of sessions attended by program participants.Priority Health Area #2: INFANT MORTALITY REDUCTION (PROVIDENCE PROVIDENCE/PARK)According to the State of Michigan Health Dashboard, the infant mortality rate (IMR) is worse than the national average and has remained so over the last 20 years in spite of an overall downward trend. Also of concern is the IMR for Detroit (13.5% compared to statewide 7.1%). The rate is also related to the high rates of inadequate prenatal care across southeastern Michigan. We will continue and/or expand the strategies, tactics and programs listed below.Providence Hospital will address community needs through collaboration between nursing, case management, community health and social work to identify resources and communication methods with patients (birth folders, prenatal clinic, etc.), and increase social work and nursing knowledge about programs available. Expectant mothers who receive care in the Obstetric clinic setting are given pro-breastfeeding information regarding prenatal nutrition and infant feeding, and have the opportunity to engage with the lactation consultant and other health providers as needed.Strategy 1: Increase connectivity to and resources for pregnant women and their families.1.1 Provide referral information about local Maternal Infant Health Programs (MIHP) to women with Medicaid Insurance who present for prenatal care and/or for delivery.Baseline Measure: Number of referrals made to MIHP programs.1.2 Provide referrals to the Strong Start Enhanced Pregnancy Program to women with Medicaid Insurance who present for prenatal care and/or for delivery.Baseline Measure: Number of referrals made to the Strong Start program.Strategy 2: Provide enhanced nutrition information and services that support the health of high-risk infants.2.1 Provide information and/or referrals to women delivering babies at Providence Hospital to the Mother Nurture Breastfeeding Program.Baseline Measure: Number of referrals made. 3,173 referrals were made to Mother Nurture in FY14.2.2 Provide referrals to the Outpatient Breastfeeding Clinic for consultation with breastfeeding consultant.Baseline Measure: Number of referrals made to Outpatient Breastfeeding Clinic. 1275 referrals were made to the Outpatient Breastfeeding Clinic in FY14.2.3 Provide breast pump to low-income breastfeeding mothers to encourage breastfeeding.Baseline Measure: Number of breast pumps provided.14 pumps were provided in FY142.4 80% of all women who deliver at Providence Hospital will receive information/referral to the WIC program. WIC is a special supplemental nutrition program for Women, Infants and Children that provides nutritious foods (primarily through retail grocery stores), nutrition counseling, and referrals to health care and social services. WIC serves low-income pregnant, postpartum and breastfeeding women, infants and children up to age 5 who are at nutritional risk.Baseline Measure: Number of referrals to WIC, and the number of women participating in the WIC program. Of the mothers who needed it, 95% or better received referrals.Strategy 3: Increase education to enhance access to primary care for mothers after delivery of infant and post-partum visit.3.1 All mothers delivering at Providence Hospital will be provided information upon discharge on how to locate Primary Care Medical Home services via the SJPHS "Health Connect" service which can assist in making appointments and referrals to local Federally Qualified Safety Net Health Centers in their vicinity. SJPHS Health Connect is a free health information service designed to help callers locate primary and specialty care physicians, programs, clinics, classes and/or events that fit their health care needs.Baseline Measure: Number of discharge information packets given. There were 4,206 packets were given in FY14.Priority Health Area #3: ACCESS TO CARE (ALL HOSPITALS)Access to Care for individuals who are uninsured and underinsured is an ongoing concern. The need to address and strengthen Access to Care is an ongoing healthcare system-wide initiative through the Providence Hospital parent company, Ascension Health, through the "Call to Action" policy Healthcare That Leaves No One Behind. This policy represents Ascension Health's commitment to 100% access and coverage for all Americans. As we move into 2014 and the next phase of implementation of the Affordable Care Act, more and more individuals will become insured with Medicaid expansion, and through the Health Insurance Marketplaces (Exchanges) there will still remain the need to support those unfamiliar with the system in navigating the health system, locating a primary care physician, and obtaining support for other non-medical needs that, if not addressed, may present a barrier to access to care.Strategy 1: Reduce barriers to access the full continuum of health care for low income, uninsured and/or underinsured residents of the service area.1.1 Develop internet-based resource guide for associates/employees to utilize to locate safety net access points of care for patients.Baseline Measure: Establishment of internet-based resource guide.The guide has been developed for all of the hospitals and is readily available.1.2 Partner with community-based organizations to increase outreach and education about enrollment for health insurance coverage through the newly created Health Insurance Marketplaces (Exchanges) which are designed to help individuals find, consider options and purchase health insurance that is compatible with various income levels, and an individual's desired medical care coverage. In FY 14 there were"- 21 enrollment activities- 422 applications were taken and - 1124 people received education. Baseline Measure: Number of events/activities providing Health Insurance Marketplace enrollment support.1.3 Provide health insurance enrollment assistance to uninsured adults presenting to hospital Emergency Department or inpatients. Baseline Measure: Number of patients receiving health insurance enrollment assistance.6206 applications were completed at the hospitals.- SJHMC 2,269 HMP apps- Macomb 1,433 HMP apps- Oakland 781 HMP apps- River District 105 HMP apps- Providence 1,237 HMP apps- Prov. Park 381 HMP appsMarketplace Data 4,738 people received education on the Marketplace 6 Marketplace applications were completed1.1 Support recruitment of Physicians Who Care. A program comprised of specialists who volunteer to provide medical care for uninsured adults 19 to 64 years old who are referred from partner safety net health centers. Baseline Measure: Number of referrals for Physicians Who Care.There were 9 new physicians and 2,184 referrals to Physicians who care in FY2014Strategy 2: Increase/support safety net capacity in the service area.2.1 Explore partnerships/collaboratives with potential safety net providers in Wayne, Oakland and Livingston counties.Baseline Measure: Evidence of identified potential partners and discussions.2.2 Participation in local access collaboratives such as VODI (Voices of Detroit Initiative), Detroit-Wayne County Health Authority, and the Beacon Project.Baseline Measure: Evidence of assigned health system leadership individual and their participation in the local collaboratives.
Part VI, Line 3:Financial assistance staff is trained on how to qualify patients for Medicaid, SCHIP and other such programs. During the pre-registration, registration, admissions, and discharge processes, the hospital attempts to identify all self pay patients who may be eligible for government programs or for discounted care through the health system charity care policy. A financial assistance counselor is provided to all patients identified as eligible for charity care and the process and paper work is explained by the counselor. Patients with limited English proficiency are provided with a translator as needed. Those who are deemed eligible for government programs are provided with the needed information, forms and contact information including assistance in filling out forms as needed. The Hospital's charity care policy is posted on the website. A summary of the policy along with financial assistance contact information is provided to patients in the emergency department and inpatients upon discharge. Self pay patients are also provided with referrals to partner FQHCs or free primary care clinics in the area as well as locations to obtain low cost pharmaceuticals. A written summary of financial guidelines/charity policy and contact information is also provided in all communications with patients regarding bills and accounts. Non-English speaking patients receive translation assistance as needed.All third parties that work on behalf of the organization to collect fees (such as collection agencies and legal firms) are required to follow the hospital's policies regarding patient notification about the availability of financial assistance including its guidelines for collection of payment.
PROVIDENCE HOSPITAL & PROVIDENCE FOUNDATIONCOMMUNITY BENEFIT REPORTFISCAL YEAR END JUNE 30, 2014This report illustrates the significant degree to which Providence Hospital contributes to the positive health status of the communities it serves. As a member of Ascension Health, the nation's largest Catholic healthcare system, Providence Hospital continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. The goal of Providence Hospital is to perpetuate the healing mission of the church. Providence Hospital 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. FINANCIAL INFORMATIONThe 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. Providence Hospital information for fiscal year ended June 30, 2014:1) Care of the poor (at cost) = $6,762,1092) Government sponsored health care (net expense) = $978,7773)Unpaid cost of public indigent care programs (includes Medicaid, Schip, and other safety net programs; does not include Medicare shortfalls) = $16,006,6504) Community benefit programs (net expense) = $13,423,580Total quantifiable community benefit, as determined in accordance with CHA reporting guidelines = $37,171,116 SUPPLEMENTAL INFORMATIONBad debt costs attributable to charity = $11,293,765Medicare surplus = -$2,040,247Total quantifiable community benefit, including bad debt and Medicare surplus = $46,424,634CHARITY CAREThe Hospital had 113,044 Emergency Department (ED) visits in fiscal 2014, an increase of 1% over FY13. 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. Providence Hospital provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2014, approximately 41% of the value of services rendered was to elderly patients under the Medicare program, and approximately 9% of the services were provided to patients who were deemed indigent under state, county, or Medical Center Guidelines. ORGANIZATIONAL COMMITMENT TO PROVIDING COMMUNITY BENEFITProvidence Hospital and Medical Center is made up of a 416-bed teaching hospital located in Southfield, Michigan and a 212-bed hospital located in Novi, Michigan. Providence Hospital 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, Providence Hospital has developed the following programs to help achieve its mission:HEALTH ACCESSSupport of the Thea Bowman Community Health Center, located in Northwest Detroit; the St. Vincent DePaul Clinic in Northwest Detroit; Physicians Who Care Program; donation of pharmaceuticals to the World Medical Relief program; and donations of supplies through materials management.Since 2003, Providence Hospital, along with our partner Advantage Health, has provided support for the Thea Bowman Community Health Center, located in Northwest Detroit. Thea Bowman has provided access to quality primary care, dental care, social workers and behavioral medicine. These services are offered on a sliding fee scale. PHYSICIANS WHO CAREProvidence physicians have enrolled in Physicians Who Care. The goal of this program is to link uninsured patients with medical specialists, who have agreed to provide medical services at no charge. Providence Hospital covers testing and hospitalization costs. SCHOOL PROGRAMSPartners in Prevention program, Partnership with Southfield Schools Medical and Natural Sciences Academy, and volunteer opportunities with numerous students.PHILOSOPHY OF SERVICE COMMITTEEIce cream social, Manna Meal Soup Kitchen, Providence Choir, Christmas Store, Crisis Assistance Program, and various other charitable drives during the year.THE INFANT MORTALITY PROJECT Serves Detroit and Wayne County. Providence donated $35,000 toward this program. In FY14 the MIHP Client Encounters 497 and 33 parents graduated from Jubilee Parenting Classes and Safe Sleep Classes. Other positive results were prevention of low birth babies and premature infant births among our clients.SHALOM PROVIDENCE PROJECT Providence partnered with the Jewish Hospice & Chaplaincy Network in FY08 to start up Shalom Providence. Rabbi's come in 4 days per week to visit the Jewish patients. The program includes education for associates, a dedicated phone line to the Director and a library of Jewish Prayer books and symbols for the bedside. Shalom Providence Project Manager of Spiritual care.PARISH NURSING Providence Hospital contributes $64,167 to the Parish Nurse Program. A Parish Nurse is a RN who practices under the Faith Community Nursing Standards and focuses on the intentional care of the spirit as part of the process of promoting holistic health and preventing or minimizing illnesses within a faith community. The nurses provide numerous screening and educational programs at the churches. GRADUATE MEDICAL EDUCATION PROGRAM- The residents provide care to those who are economically disadvantaged in a variety of specialties including Family Practice, Internal Medicine, Cardiovascular, OB GYN, Gastrointestinal, Plastic Surgery, General Surgery, Neurosurgery, and Hematology/Oncology.- Work with various public schools to provide health education and screening. - Provide care at the St. Vincent De Paul Health Center and to the elderly at several nursing homes.- Residents participated in Cover the Uninsured Health Fair. Residents participated in the Southfield Senior Appreciation Day, Strides For Breast Cancer, AHA Heart Walk, and the Thea Bowman Health Fair. - Provide care at the St. Vincent De Paul Health Center (IHM), East-side Pavilion Practice and to the elderly at several nursing homes.- Participate in a variety of medical missionary trips. OUR LADY OF PROVIDENCE LEAGUE VOLUNTEERS- 335 Active Volunteers work with Providence Hospital. - The "No One Dies Alone" Program continues. Interested volunteers sit at the bedside of patients, who are dying, to provide families respite or are there for those who have no family.- A new program, Therapy Dog Program', has been started. Each hospital has a dog that visits with patients, families and associates (with a trained volunteer handler) to enhance their day and healthcare experience.SUMMARYProvidence Hospital furthers its charitable purposes by providing a broad array of services to meet the healthcare needs of patients and organizations in the community. We provide essential medical services to the community, train and recruit healthcare professionals to serve the needs of the broader community, provide appropriate charity services to those patients who are not able to pay for their own healthcare needs, provide services to other organizations that allow them to provide quality services to their patients or constituents, and present education information classes and activities to the community in order to improve its overall health status.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Cherolee Trembath MD Sch O
Board Member$228,913$0$21,769$0$0$0$7,288$0$11,867$0$269,837$0$0$0
Michael Wiemann MD
President - Providence Hospital$519,990$0$213,221$0$81,233$0$7,650$0$11,867$0$833,961$0$81,233$0
Peter Karadjoff
President - Providence Park Hospital$360,006$0$83,752$0$0$0$7,650$0$11,867$0$463,275$0$0$0
Douglas Winner
Chief Financial Officer$256,252$0$61,260$0$0$0$7,650$0$11,867$0$337,029$0$0$0
David Dull
Chief Medical Officer$359,985$0$73,808$0$0$0$7,650$0$11,867$0$453,310$0$0$0
Gerald Gilman
VP Medical Staff Dev$179,375$0$50,877$0$32,936$0$5,617$0$11,867$0$280,672$0$32,936$0
Joseph Hurshe
VP Operations$232,049$0$61,099$0$0$0$7,091$0$11,867$0$312,106$0$0$0
Robert Welch
Chairman - OB/GYN$440,113$0$276,958$0$0$0$7,650$0$11,867$0$736,588$0$0$0
William B Blessed
Med Dir - Maternal/Fetal Med$382,490$0$190,362$0$140$0$7,650$0$11,867$0$592,509$0$0$0
Laurence Cheung
Chairman - Surgery$447,036$0$0$0$0$0$7,650$0$11,867$0$466,553$0$0$0
Andrew Vosburgh
Med Dir Assoc Health$313,148$0$110,179$0$0$0$7,650$0$11,867$0$442,844$0$0$0
Kang-Lee Tu MD
Physician$306,929$0$90,215$0$82,800$0$7,650$0$11,867$0$499,461$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3St. John Health, a related organization of Providence Hospital, uses the following to establish the compensation of the organization's President: - Compensation Committee - Independent Compensation Consultant - Compensation Survey or Study - Approval by the Board of Compensation Committee
Part I, Line 4bEligible 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. 457(f) Payments made: - Gerald Gilman - $32,936 - Michael Wiemann - $81,233

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Many of the persons listed on Part VII have a "business relationship" with each other by virtue of sitting on related St. John Providence Health System entity boards.
Form 990, Part VI, Section A, line 6Providence Hospital has a single corporate member, St. John Health.
Form 990, Part VI, Section A, line 7aProvidence Hospital has a single corporate member, St. John Health, who has the ability to elect members to the governing body of Providence Hospital.
Form 990, Part VI, Section A, line 7bAll decisions that have a material impact to Providence Hospital financial information or corporation as a whole are subject to approval by its sole corporate member, St. John Health.
Form 990, Part VI, Section B, line 11Management 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 members 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, officer, key employee, 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 organization's President, the process, performed by St. John Health, a related organization of Providence Hospital, 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 President was compared with individuals at other organizations 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. In determining compensation of other officers or key employees of the organization, the process, performed by St. John Health, a related organization of Providence Hospital, 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 other officers or key employees of the organizations were compared to individuals at other organizations in the area who hold the same title. Wage bands are adjusted annually and wages paid for all positions are within those bands. 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 19The organization will provide any documents open to public inspection upon request.
Form 990,Part VII, Section A:Where noted with a "(Sch O)" reference, 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. Amounts paid for the services of Sister Betty Granger are paid directly to her religious province; Therefore, her compensation on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees is zero.
Form 990, Part XI, line 9:Deferred Pension Costs 2,159,731. Transfer to Affiliates -5,329,570. Other 2,397,229. Deferred Other Post Retirement Costs 1,428,227.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Hospital Consolidated LaboratoriesBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line128000 Dequindre RoadAddressLine1
CityWarrenCity
StateMIState
ZIP Code48092ZIPCode
FieldValueIRS element (for citing)
EIN383318428EIN
Primary ActivitiesLaboratory TestsPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Providence Hospital and Medical CenterBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Ascension Health Alliance
PO Box 45998St LouisMO63145453358926National Health SystemMOSection 501(c)(3)Schedule A, Line 11aN/A0
Ascension Health
PO Box 45998St LouisMO63145311662309National Health SystemMOSection 501(c)(3)Schedule A, Line 11a0Ascension Health Alliance
St John Health
28000 Dequindre RoadWarrenMI48092382244034ParentMISection 501(c)(3)Schedule A, Line 11c0Ascension Health
Brighton Hospital
12851 Grand RiverBrightonMI48116381576680HospitalMISection 501(c)(3)Schedule A, Line 3Yes (1)St John Health
Eastwood Community Clinics
28000 Dequindre RoadWarrenMI48092381958763Health CareMISection 501(c)(3)Schedule A, Line 9Yes (1)St John Health
Father Murray Nursing Center
28000 Dequindre RoadWarrenMI48092382601348Health CareMISection 501(c)(3)Schedule A, Line 9Yes (1)St John Health
Medical Resources Group
43800 GarfieldClinton TownshipMI48038383494637Health CareMISection 501(c)(3)Schedule A, Line 9Yes (1)St John Health
Providence Health Foundation
22101 MorossDetroitMI48236383526629FundraisingMISection 501(c)(3)Schedule A, Line 11cYes (1)St John Health
Seton Health Corp of SE Michigan
16001 West Nine Mile RoadSouthfieldMI48037382820107Health CareMISection 501(c)(3)Schedule A, Line 11cYes (1)St John Health
St John Community Health Investment Corp
28000 Dequindre RoadWarrenMI48092382262856Health CareMISection 501(c)(3)Schedule A, Line 3Yes (1)St John Health
St John Hospital & Medical Center
28000 Dequindre RoadWarrenMI48092381359063Health CareMISection 501(c)(3)Schedule A, Line 3Yes (1)St John Health
St John Hospital Foundation
22101 Moross Rd Mack Office Buldg SDetroitMI48236202961579FundraisingMISection 501(c)(3)Schedule A, Line 7Yes (1)St John Health
St John River District Hospital
4100 River RoadEast ChinaMI48054383160564HospitalMISection 501(c)(3)Schedule A, Line 3Yes (1)St John Health
St John Senior Community
28000 Dequindre RoadWarrenMI48092382631907Health CareMISection 501(c)(3)Schedule A, Line 9Yes (1)St John Health
Our Lady of Providence League
PO Box 2043SouthfieldMI48037386108200FundraisingMISection 501(c)(3)Schedule A, Line 11cYes (1)Providence Hospital
Providence Park League
47601 Grand River AvenueNoviMI48374382058690FundraisingMISection 501(c)(3)Schedule A, Line 11cYes (1)Providence Hospital
St John Macomb-Oakland Hospital
28000 Dequindre RoadWarrenMI48092383322109HospitalMISection 501(c)(3)Schedule A, Line 3Yes (1)St John Health

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
Advent Partners LP
28000 Dequindre RoadWarrenMI48092383494197Rental Real EstateMIN/A
Open MRI of Michigan
28000 Dequindre RoadWarrenMI48092383544539Diagnostic Imaging CenterMIN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Advent Inc
28000 Dequindre RoadWarrenMI48092382971743Real Estate DevelopmentMIN/AC0
Affiliated Health Services Inc
28000 Dequindre RoadWarrenMI48092382292922Medical ServicesMIN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (26 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Brighton Hospital
R$119,734Actual Amount Paid
Eastwood Community Clinics
R$139,958Actual Amount Paid
St John Macomb-Oakland Hospital
O$60,026Actual Amount Paid
St John Macomb-Oakland Hospital
Q$128,091Actual Amount Paid
St John Macomb-Oakland Hospital
S$57,868Actual Amount Paid
Medical Resources Group
O$277,763Actual Amount Paid
Medical Resources Group
P$9,713,289Actual Amount Paid
Medical Resources Group
R$5,288,440Actual Amount Paid
Providence Health Foundation
C$1,617,240Actual Amount Paid
Providence Health Foundation
P$1,656,865Actual Amount Paid
Providence Health Foundation
S$1,383,987Actual Amount Paid
St John Community Health Investment Corporation
R$1,212,779Actual Amount Paid
St John Community Health Investment Corporation
P$125,473Actual Amount Paid
St John Community Health Investment Corporation
R$1,282,789Actual Amount Paid
St John Health
O$151,602,037Actual Amount Paid
St John Health
P$446,903,803Actual Amount Paid
St John Health
R$544,224,396Actual Amount Paid
St John Hospital & Medical Center
J$439,260Actual Amount Paid
St John Hospital & Medical Center
O$603,062Actual Amount Paid
St John Hospital & Medical Center
P$2,016,311Actual Amount Paid
St John Hospital & Medical Center
R$2,371,069Actual Amount Paid
Affiliated Health Services Inc
P$1,220,630Actual Amount Paid
Affiliated Health Services Inc
R$1,069,236Actual Amount Paid
Open MRI of Michigan
O$495,068Actual Amount Paid
Open MRI of Michigan
Q$66,150Actual Amount Paid
Open MRI of Michigan
S$572,778Actual Amount Paid