HENRY FORD HEALTH PROVIDENCE HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: HENRY FORD HEALTH PROVIDENCE HOSPITAL (EIN 38-1358212)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-14
IRS object ID: 201421349349301697
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-14T09:37:47-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Deloitte Tax LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	250 East Fifth Street Suite 1900	AddressLine1
City	Cincinnati	City
State	OH	State
ZIP Code	45202	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	381358212	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Providence Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	PROV	NameControl
Phone	2488495707	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	16001 West Nine Mile Road	AddressLine1
City	Southfield	City
State	MI	State
ZIP Code	48037	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Douglas Winner	Name
Title	Chief Financial Officer	Title
Phone	2488495707	Phone
Date Signed	2014-05-13	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Alicia Janisch	Name
PTIN	P00741382	PTIN
Phone	5137847100	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Michael Wiemann	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	16001 West Nine Mile Road	AddressLine1
City	Southfield	City
State	MI	State
ZIP Code	48037	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	647749532	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.stjohn.org/providence	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1922	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	Our Catholic Health Ministry is dedicated to spiritually centered, holistic care.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	5261	TotalNbrEmployees
Total Nbr Volunteers	845	TotalNbrVolunteers
Total Gross UBI	11771	TotalGrossUBI
Net Unrelated Business Txbl Income	10771	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	584852	ContributionsGrantsPriorYear
Contributions Grants Current Year	533769	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	625545780	ProgramServiceRevenuePriorYear
Program Service Revenue CY	621904116	ProgramServiceRevenueCY
Investment Income Prior Year	3166420	InvestmentIncomePriorYear
Investment Income Current Year	10396406	InvestmentIncomeCurrentYear
Other Revenue Prior Year	15475839	OtherRevenuePriorYear
Other Revenue Current Year	13157190	OtherRevenueCurrentYear
Total Revenue Prior Year	644772891	TotalRevenuePriorYear
Total Revenue Current Year	645991481	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	269741954	SalariesEtcPriorYear
Salaries Etc Current Year	265924496	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1636926	TotalFundrsngExpCurrentYear
Other Expense Prior Year	335258987	OtherExpensePriorYear
Other Expenses Current Year	343120501	OtherExpensesCurrentYear
Total Expenses Prior Year	605000941	TotalExpensesPriorYear
Total Expenses Current Year	609044997	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	39771950	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	36946484	RevenuesLessExpensesCY
Total Assets BOY	831021280	TotalAssetsBOY
Total Assets EOY	891854987	TotalAssetsEOY
Total Liabilities BOY	229542110	TotalLiabilitiesBOY
Total Liabilities EOY	252370153	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	601479170	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	639484834	NetAssetsOrFundBalancesEOY
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	515863567	Expense
Revenue	631538646	Revenue
Description	In 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 O.	Description
Total Program Service Expense	515863567	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	5261	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Kevin Smith	NamePerson
Telephone Number	5867530171	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	28000 Dequindre	AddressLine1
City	Warren	City
State	MI	State
ZIP Code	48092	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Raymond Buratto
Chairman	1.00	0.00	X	X	0	0	0
Blair Bowman
Vice Chair, Treasurer	1.00	0.00	X	X	0	0	0
Helen Habib
Secretary	1.00	0.00	X	X	0	0	0
Max Berlin
Board Member	1.00	0.00	X		0	0	0
Shukri David MD
Board Member	1.00	0.00	X		0	0	0
Grenai Dudley PhD
Board Member	1.00	0.00	X		0	0	0
Dan Elsea
Board Member	1.00	0.00	X		0	0	0
Sr Betty Granger CSJ Sch O
Board Member	1.00	3.00	X		0	0	0
Brenda Lawrence
Board Member	1.00	0.00	X		0	0	0
Joan Ryan
Board Member	1.00	0.00	X		0	0	0
Kathleen Ryan
Board Member	1.00	0.00	X		0	0	0
Stephen Shaya MD MS
Board Member	1.00	0.00	X		0	0	0
Richard Suhrheinrich
Board Member	1.00	0.00	X		0	0	0
Cherolee Trembath MD Sch O
Board Member	50.00	0.00	X		244384	0	21770
Joe Walker
Ex-Officio	1.00	0.00	X		0	0	0
Michael Wiemann MD
Pres Prov Hosp; SVP SJPHS	50.00	3.00	X	X	778493	0	23313
Douglas Winner
Chief Financial Officer	50.00	0.00		X	331354	0	23313
Peter Karadjoff
President - Providence Park Hospital	50.00	0.00		X	242056	0	22172
Maria Strom
VP Nursing Services/CNO	50.00	0.00			331818	0	4394	X
Gerald Gilman
VP Medical Staff Dev	50.00	0.00			238356	0	21866	X
Joseph Hurshe
VP Operations	50.00	1.00			304670	0	23313	X
Robert Welch
Chairman - OB/GYN	50.00	0.00			642287	0	22063		X
William B Blessed
Med Dir - Maternal/Fetal Med	50.00	0.00			490423	0	21169		X
Laurence Cheung
Chairman - Surgery	50.00	0.00			446761	0	22063		X
Andrew Vosburgh
Med Dir Assoc Health	50.00	0.00			416315	0	22063		X
Bradley Rowens
Med Dir Sleep Disorder	50.00	0.00			415597	0	22063		X
Diane Radloff Sch O
Former President SJPHS	0.00	0.00			0	777581	3337			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4882514	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	777581	TotalReportableCompFrmRltdOrgs
Total Other Compensation	252899	TotalOtherCompensation
Number Individuals GT100 K	283	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
All Other Contributions	533769	AllOtherContributions
Total Contributions	533769	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Revenue	622110	618950563	618950563
Ancillary Revenue	900099	2134571	2134571
Rental Income	532000	818982	818982

Field	Value	IRS element (for citing)
Total Program Service Revenue	621904116	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	9871817	TotalRevenueColumn
Unrelated Business Revenue	-4395	UnrelatedBusinessRevenue
Exclusion	$9,876,212	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2994640	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1675163	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1319477	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1319477	TotalRevenueColumn
Unrelated Business Revenue	16166	UnrelatedBusinessRevenue
Exclusion	$1,303,311	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	607477	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	82888	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	524589	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	524589	TotalRevenueColumn
Exclusion	$524,589	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
Medicaid EHR Incentive	923130	4184508	4184508
Dietary Revenue	722210	2203183		$2,203,183
Resident Income	561000	255771	255771

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	5194251	TotalRevenueColumn
Related Or Exempt Function Income	5194251	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	11837713	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	645991481	TotalRevenueColumn
Related Or Exempt Function Income	631538646	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	11771	UnrelatedBusinessRevenue
Exclusion	$13,907,295	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2290145	Total
Management And General	2290145	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	234876354	Total
Program Services	229985248	ProgramServices
Management And General	4891106	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	-3552982	Total
Program Services	-3445327	ProgramServices
Management And General	-107655	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	15835152	Total
Program Services	15355347	ProgramServices
Management And General	479805	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	16475827	Total
Program Services	16032656	ProgramServices
Management And General	443171	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	12573040	Total
Management And General	12573040	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	366126	Total
Management And General	366126	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	327060	Total
Management And General	327060	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	25703	Total
Program Services	25703	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2191688	Total
Management And General	2191688	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	112900	Total
Management And General	112900	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	890752	Total
Program Services	801183	ProgramServices
Management And General	89569	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	17122467	Total
Program Services	10740690	ProgramServices
Management And General	6381777	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1292647	Total
Program Services	1153305	ProgramServices
Management And General	139342	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	6149856	Total
Management And General	6149856	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	41011737	Total
Program Services	35024023	ProgramServices
Management And General	5987714	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3577027	Total
Program Services	3577027	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Purchased Services	129356916	81594526	47762390
Supplies for Services	81889616	81616109	273507
Physician Guarantees	32112222	32112222
Repairs & Maintenance	3221174	2028211	1192963

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	10899570	Total
Program Services	9262644	ProgramServices
Fundraising	1636926	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	609044997	Total
Program Services	515863567	ProgramServices
Management And General	91544504	ManagementAndGeneral
Fundraising	1636926	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	14676908	BOY
EOY	14641821	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	56671350	BOY
EOY	54925855	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	4628481	BOY
EOY	4608780	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5923609	BOY
EOY	6751898	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	10445680	BOY
EOY	7269496	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	737312823	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	426683178	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	355965684	BOY
EOY	310629645	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	176252119	BOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1232663	BOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	19610554	BOY
EOY	19315855	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	21666905	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	185614232	BOY
EOY	452044732	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	831021280	BOY
EOY	891854987	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	43679845	BOY
EOY	43128613	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	185862265	BOY
EOY	209241540	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	229542110	BOY
EOY	252370153	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	600246506	BOY
EOY	638170992	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1232664	BOY
EOY	1313842	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	601479170	BOY
EOY	639484834	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	831021280	BOY
EOY	891854987	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	36946484	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	5944766	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-4885586	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$25,703	OtherActivitiesAmount
Total Lobbying Expenditures IIB	25703	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
Explanation	Lobbying 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.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1346671	BeginningOfYearBalance
Contributions	4300	Contributions
Investment Earnings Or Losses	68729	InvestmentEarningsOrLosses
Other Expenditures	48235	OtherExpenditures
End Of Year Balance	1371465	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1304694	BeginningOfYearBalance
Contributions	19011	Contributions
Investment Earnings Or Losses	66117	InvestmentEarningsOrLosses
Other Expenditures	43151	OtherExpenditures
End Of Year Balance	1346671	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1304485	BeginningOfYearBalance
Contributions	21789	Contributions
Investment Earnings Or Losses	64261	InvestmentEarningsOrLosses
Other Expenditures	85841	OtherExpenditures
End Of Year Balance	1304694	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1283817	BeginningOfYearBalance
Contributions	55	Contributions
Investment Earnings Or Losses	64198	InvestmentEarningsOrLosses
Other Expenditures	43585	OtherExpenditures
End Of Year Balance	1304485	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1257593	BeginningOfYearBalance
Contributions	12140	Contributions
Investment Earnings Or Losses	62584	InvestmentEarningsOrLosses
Other Expenditures	48500	OtherExpenditures
End Of Year Balance	1283817	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.89000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.11000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	31552967	OtherCostOrOtherBasis
Book Value	31552967	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	200000	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	499798296	OtherCostOrOtherBasis
Depreciation	278524473	Depreciation
Book Value	221473823	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	100000	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	6761213	OtherCostOrOtherBasis
Depreciation	4589662	Depreciation
Book Value	2271551	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	191995975	OtherCostOrOtherBasis
Depreciation	143569043	Depreciation
Book Value	48426932	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6904372	OtherCostOrOtherBasis
Book Value	6904372	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	310629645	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
Advances to Affiliates	139914240
Other Assets	29250221
Interest in Investment Held by Ascension Health Alliance	282880271

Field	Value	IRS element (for citing)
Total Book Value Other Assets	452044732	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
Intercompany Debt with Ascension Health Alliance	$174,955,929
Payable to Third Party	$21,540,073
Self-Insurance Liability	$12,745,538

Field	Value	IRS element (for citing)
Total Of Amounts	209241540	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	Part V, Line 4:	Endowment funds are created to support the healthcare ministry of St. John Health System Hospitals. The distributions from an endowment provide a dependable source of income each year to help St. John continue to meet the community's healthcare needs.
Description of Uncertain Tax Positions Under FIN 48:	Part X, Line 2:	From the consolidated audited financial statements of St. John Providence Health System ("SJPHS") (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

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7278649	TotalCommunityBenefitExpense
Net Community Benefit Expense	7278649	NetCommunityBenefitExpense
Percent Of Total Expense	0.01200	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	54488403	TotalCommunityBenefitExpense
Direct Offsetting Revenue	37977918	DirectOffsettingRevenue
Net Community Benefit Expense	16510485	NetCommunityBenefitExpense
Percent Of Total Expense	0.02710	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	61767052	TotalCommunityBenefitExpense
Direct Offsetting Revenue	37977918	DirectOffsettingRevenue
Net Community Benefit Expense	23789134	NetCommunityBenefitExpense
Percent Of Total Expense	0.03910	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2493922	TotalCommunityBenefitExpense
Direct Offsetting Revenue	29436	DirectOffsettingRevenue
Net Community Benefit Expense	2464486	NetCommunityBenefitExpense
Percent Of Total Expense	0.00400	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19672826	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14072233	DirectOffsettingRevenue
Net Community Benefit Expense	5600593	NetCommunityBenefitExpense
Percent Of Total Expense	0.00920	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	876215	TotalCommunityBenefitExpense
Net Community Benefit Expense	876215	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	40112	TotalCommunityBenefitExpense
Net Community Benefit Expense	40112	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23083075	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14101669	DirectOffsettingRevenue
Net Community Benefit Expense	8981406	NetCommunityBenefitExpense
Percent Of Total Expense	0.01470	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	84850127	TotalCommunityBenefitExpense
Direct Offsetting Revenue	52079587	DirectOffsettingRevenue
Net Community Benefit Expense	32770540	NetCommunityBenefitExpense
Percent Of Total Expense	0.05380	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$39,708,096	BadDebtExpenseAmount
Amount Attributable To	9048005	AmountAttributableTo
Amount Reimbursed By Medicare	235292484	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	234465938	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	826546	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Website AddressWebsiteAddress	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	Facility Reporting GroupFacilityReportingGroup
Providence Hospital
1	16001 W Nine Mile	Southfield	MI	48037	stjohnprovidence.org	X	X	X	X	A
Providence Park Hospital
2	47601 Grand River Avenue	Novi	MI	48374	stjohnprovidence.org	X	X	X	X	A

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Facility Reporting Group - A	BusinessNameLine1

Field	Value	IRS element (for citing)
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Other	X	Other
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	1	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Participate Community Plan	X	ParticipateCommunityPlan
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	300.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	8	NumberOfOtherFacilities

Other Facilities OtherFacilities (8 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Providence CT Center
30055 Northwestern Hwy	Farmington Hills	MI	48334	Physician Group
Family Medical Center
210 N Lafayatt	South Lyon	MI	48178	Physician Group
Dr Sharp Crumley & Moore
21700 Northwestern Hwy	Southfield	MI	48075	Physician Group
Geriatric Clinical Services
25800 W Eleven Mile	Southfield	MI	48034	Clinic
Internal Medicine
24430 Ford Road	Dearborn Heights	MI	48127	Physician Group
Michigan Urgent Care
37595 Seven Mile Road	Livonia	MI	48152	Urgent Care Center
The Bowman Center
20548 Fenkell	Detroit	MI	48223	Physician Group
Providence Cardiac Surgery Institute
22151 Moross	Detroit	MI	48236	Physician Group

Form990 Schedule H Part VI Form990ScheduleHPartVI (29 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
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: The organization 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.
Part II: 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 to 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, literacy program and infant mortality initiative. We improve access to health care through our community health centers, health screenings and health education. In addition, St. John Providence Health System provided more than $100 million in uncompensated care in the past year.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 SUPPORTSJHMC 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. COMMUNITY HEALTH IMPROVEMENT ADVOCACYAdministrative leaders support advocacy efforts through their membership and participation on various task-forces and committees.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. ST. JOHN MACOMB-OAKLAND HOSPITAL COMMUNITY BUILDING ACTIVITIESPHYSICAL IMPROVEMENTS/HOUSINGThe 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.COMMUNITY SUPPORT The hospital provided medical support for the annual "gold cup" boat races in Detroit.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 DEVELOPMENT The 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. 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 MEMBERSThe 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, and 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. ST. JOHN PROVIDENCE HEALTH SYSTEM ("SJPHS") COMMUNITY BUILDING ACTIVITIESECONOMIC DEVELOPMENT SJPHS 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 morality 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 ADVOCACY Eastwood 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, the System 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 System's policies.Providence Hospital's bad debt deduction in 2013 was $39,708,096 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 current 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). Each county in the service area was determined to be the focus of the assessment. Data was collected from a variety of reliable sources including but not limited to CDC, Michigan Department of Public Health, local health departments, and the US Census. Data was collected and organized by county for analysis. The University of Wisconsin State and County Health Rankings of 2011 were also discussed after it was released. The latter was consistent with the data collected. The data collected was discussed and input received from several stakeholder groups including the health system board of directors, advisory committee and other local agencies. 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. A strategic plan was developed, approved by the steering committee, and will now go to the hospitals for individual tactics to help meet the strategies listed below.For Infant Mortality, the overall strategies are to:- Increase connectivity and resources for pregnant women and their families- Provide enhanced nutrition information and services, and improve the health of high-risk babies- Improve inter-conceptual care.Diabetes Prevention/Diabetes strategies include:- Increase opportunities for healthy lifestyle activities- Increase education of Diabetes prevention, early identification and disease management.Access to Care strategies are:- Reduce barriers to the full access of healthcare services which are components of and constitute a continuum of quality patient care- Continue to address the need for access to care through the SJPHS initiative "Call to Action" which provides care to the underinsured and uninsured residents in the SJPHS service area.The identification of the health needs of the community resulting from previous CHNA was used to affirm and/or modify the existing St. John Providence Health System community health programs and partnerships. For example, an identified unmet need of accessible primary care for low-income uninsured adults in the city of Detroit resulted in the establishment of a St. John Providence Health System Safety Net Health Center, a partnership with a local Federally Qualified Health Center (FQHC) agency, and creation of a volunteer network of physician specialists to improve access to care for this population who are enrolled in the primary care program. Consequently, the establishment of two new FQHCs and recruitment of more than 400 volunteer physicians has increased access and capacity to serve this population in the St. John Providence Health System service area.
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.
Part VI, Line 4: St. John Providence Health System and its five hospital campuses comprised of seven hospital "facilities" (as that term is defined for Schedule H) including one specialty hospital are located in a five-county area of southeastern Michigan. The health system campuses are organized as follows: Providence/Providence Park Hospitals; St. John Macomb-Oakland Hospital; St. John Hospital & Medical Center, St. John River District Hospital; and Brighton Hospital. The community served by the organization includes Wayne, Oakland, Macomb, Livingston and St. Clair counties. The city of Detroit is part of Wayne County. This service area is predominately urban and suburban with pockets of rural in St. Clair and Livingston counties. Also, there is one Medical Underserved Area (MUA) in St. Clair county, two in Macomb county, and one in Oakland county. Almost the entire city of Detroit is either a MUA or Health Professional Shortage Area (HPSA) or both. In the remaining part of Wayne County, there are three areas designated as MUAs. There are no MUA's in Livingston County. There are six other health systems represented in the service area. One is a for-profit entity and the others remain nonprofit. The East Community includes Macomb and St. Clair Counties, and parts of Wayne and Oakland Counties. The West Community includes Livingston county, most of Oakland county and parts of Wayne County. Total population in the West Community (2010 Thompson Reuters) is 1,633,906 with 57.7% White, 34.7% Black, 0.2% American Indian and Alaska native, 0.2% Hispanic, 4.3% Asian/Pacific Islander and 0.7% other. Total estimated population in the East Community is 1,432,398 with 70.7% White, 23.0% Black, 0.3% Hispanic, 2.9% Asian/Pacific Islander, and 0.5% other. Note the following additional information by county. Unless otherwise indicated, the data is from the U.S. Census Bureau.- Wayne County has a total population of 1,820,575 with 13.2% of the population over age 65; median household income is $41,504; 23.8% of households are in poverty with 19.6% of individuals with incomes below 200% of the federal poverty level; 10.3% are uninsured and 23.7% (including Detroit) are enrolled in Medicaid (State of Michigan, June 2010). The city of Detroit has a total population of 713,777 and 11.5% of the population is over age 65; median household income of $26,955; 38.1% of the population in poverty; 48.5% are below 200% of the federal poverty level and 21% uninsured (State of Michigan, June 2010). Wayne County includes 54.4% White, 40.1% Black, 2.8% Asian, and 5.5% Hispanics. The city of Detroit's population is 10.6% White, 82.7% Black, 1.1% Asian and 6.8% Hispanic/Latino.- Oakland County has a total population of 1,202,362 with 14.2% of its population over 65 years of age; the median household income is $65,637; 9.9% of the households are in poverty; 14.5% of individuals are below 200% of the federal poverty level; 7.5% are uninsured and 9.5% are Medicaid enrollees (State of Michigan, June 2010). Population includes 77.3% White, 14.3% Black, 6.1% Asian, and 3.7% Hispanic/Latino.- Macomb County has a total population of 840,978 with 15.0% of the population over the age of 65; median household income is $53,628; 11.8% of households live in poverty; 16.3% of individuals live below 200% of the federal poverty level; 11.2% are uninsured and 13% are Medicaid enrollees. (State of Michigan, June 2010). Population includes 84.5% White, 9.9% Black, 3.3% Asian, and 2.4% Hispanic/Latino.- St. Clair County has a total population of 163,040 with 15.6% of the population over age 65; median household income of $47,877; 14.3% of households in poverty; 21.9% of individuals have incomes below 200% of the federal poverty level; 9.1% uninsured and 16.8% enrolled in Medicaid (State of Michigan, 2010). Population includes 94.5% White, 2.5% Black, and 3.0% Hispanic/Latino.- Livingston County has a total population of 180,967, with 13.4% of the population over age 65; median household income of $72,396; 6.3% of households live in poverty; 10.4% of individuals live below 200% of the federal poverty level; 9.3% uninsured; and 7.1% enrolled in Medicaid (State of Michigan, June 2010). Population includes 96.9% White, 0.6% Black, 0.9% Asian, and 2.1% Hispanic or Latino.In summary these counties represent the southeastern Michigan region of the state. The total population is approximately 4 million, which represents 41% of the state's population and accounts for 46% of the federal monies received. Seventeen percent of the service area population is represented by the city of Detroit. Approximately 90% of Detroit consists of minorities, compared to 21% for the state. Thirty-eight percent of Detroiters live below the poverty level compared to 16% statewide. The average income for Detroit is $26,955 while the statewide average is almost double that at $48,471. In Detroit, 22% of residents are uninsured compared to a statewide total of 11.7%. The city's unemployment rate is nearly double the state and national rate. Historically, auto manufacturing, government and health care are the largest employers. In each of these areas, heart disease followed by cancer is the leading cause of death. Further, congestive heart failure and bacterial pneumonia are some of the leading causes of preventable hospitalizations. Additionally, Detroit has higher rates of illness and chronic disease than other parts of the state, and a lack of access to primary care and a shortage of health care professionals. St. John Providence Health System provides many community based programs and services. Services provided include safety net primary care, through ten school-based health centers and two adult primary care centers; HIV/AIDS treatment; health education and screening referral support services and faith community nursing to name a few. Additionally, the hospitals in Detroit, Wayne, Oakland and Macomb serve a disproportionate share of uninsured or Medicaid beneficiaries. Access to primary care for the uninsured and underinsured remains a challenge in most of the service area. Partnership with local FQHCs is improving access and the health system hospitals support their expansion.
Part VI, Line 5: ST. JOHN PROVIDENCE HEALTH SYSTEMThe health system provides internship opportunities for administrative, marketing, finance, information technology, and public health and medical billing professionals. St. John Providence Health System administrators and staff have provided leadership and participated on collaborative initiatives with Voices of Detroit Initiative, Greater Detroit Area Health Council, Wayne County Health Department, The City of Detroit Department of Health and Wellness Promotion, Wayne County Health Authority, Tomorrow's Child, The Michigan Department of Community Health, Michigan Primary Care association and area Federally Qualified Health Centers, and other community organizations to identify community needs and address community problems.The health system has a model program that serves the vulnerable and poor in our community and is not offered by any other hospitals in this area called Physicians Who Care (PWC). The program is a network of St. John Providence Health System (SJPHS) credentialed specialty physicians who volunteer their time to provide health care services to uninsured adults. It is designed to ensure a continuum of care exists for "the working poor" in the communities SJPHS serves. Each physician pledges to see a self-defined number of eligible patients per year. Currently, more than 400 physicians are registered in a common database using a web-based specialty referral network, which is maintained by the Physicians Who Care staff. The patient load is spread equally among all physicians that have agreed to participate in the project. The program provides diagnostics and hospitalizations, and prescription drugs. St. John Providence Health System has a demonstrated history and strong foundation built upon its Mission, Vision, and Values. It is this spirit that leads the institution and drives health care services. Often patients, family members, friends, and the like, are pleased with our position on care - to heal the body, mind, and spirit, have experienced it first-hand, and wish to show their appreciation by making a gift to support care of others that are vulnerable. The spiritual essence that's woven into the fabric of our daily operations allows members of the community to comfortably and directly impact the lives of others through philanthropy. We work to create an ethical legacy for emphasizing the important value of community and encourage the compassionate generosity of others to make gifts that enhance the exemplary care St. John Providence Health System has become recognized for. MEDICAL STAFF PRIVILEGESSt. John Providence Health System extends medical staff privileges to all qualified physicians in its community for some or all of its departments. Physicians who apply for St. John Providence staff membership and privileges go through a credentialing process.CLINICAL RESEARCH FUNDED BY FOR-PROFIT COMPANIESThe majority of clinical research conducted at SJPHS is funded by for-profit organizations such as pharmaceutical and medical device companies that test the efficacy and safety of health products. Examples include research projects funded by Boston Scientific, Eli Lily & Company and Medtronic.BOARD MEMBERSHIPSt. John Providence Health System board membership is comprised of persons who reside in the five counties that represent SJPHS's primary service area.
Part VI, Line 6: Providence Hospital is part of the St. John Providence Health System ("SJPHS").St. John Providence Health System ("SJPHS") is a member of Ascension Health. In December 2011, Ascension Health Alliance became the sole corporate member and parent organization of Ascension Health, a Catholic, national health system consisting primarily of nonprofit corporations that own and operate local health care facilities, or Health Ministries, located in 23 of the United States and the District of Columbia. In addition to serving as the sole corporate member of Ascension Health, Ascension Health Alliance serves as the member or shareholder of various other subsidiaries. Ascension Health Alliance, its subsidiaries, and the Health Ministries are referred to collectively from time to time hereafter as the System.Ascension Health Alliance is sponsored by Ascension Health Ministries, a Public Juridic Person. The Participating Entities of Ascension Health Ministries are the Daughters of Charity of St. Vincent de Paul in the United States, St. Louise Province, the Congregation of St. Joseph, the Congregation of the Sisters of St. Joseph of Carondelet, the Congregation of Alexian Brothers of the Immaculate Conception Province American Province, and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi US/Caribbean Province.SJPHS located in Southeast Michigan is a nonprofit acute care hospital. SJPHS operates five acute care hospitals and various other health care entities in Southeastern Michigan. SJPHS provides inpatient, outpatient, and emergency care services for the residents of Southeastern Michigan. Admitting physicians are primarily practitioners in the local area. SJPHS is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of SJPHS are related to providing health care services.The System directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with the System's mission of service to those persons living in poverty and other vulnerable persons, each Health Ministry accepts patients regardless of their ability to pay. The System uses four categories to identify the sources utilized for the care of persons living in poverty and community benefit programs:- Traditional charity care includes the cost of services provided to persons who cannot afford health care because of inadequate resources and/or who are uninsured or underinsured.- Unpaid cost of public programs, excluding Medicare, represents the unpaid cost of services provided to persons covered by public programs for persons living in poverty and other vulnerable persons.- Cost of other programs for persons living in poverty and other vulnerable persons includes unreimbursed costs of programs intentionally designed to serve the persons living in poverty and other vulnerable persons of the community, including substance abusers, the homeless, victims of child abuse, and persons with acquired immune deficiency syndrome.- Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the persons living in poverty, including health promotion and education, health clinics and screenings, and medical research.Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons living in poverty and community benefit programs. The cost of providing care to persons living in poverty and community benefit programs is estimated using internal cost data and is calculated in compliance with guidelines established by both the Catholic Health Association (CHA) and the Internal Revenue Service (IRS).The amount of traditional charity care provided, determined on the basis of cost, excluding the provision for bad debt expense, was approximately $31,372 thousand and $32,797 thousand for the years ended June 30, 2013 and 2012, respectively. The amount of unpaid cost of public programs, cost of other programs for persons living in poverty and other vulnerable persons, and community benefit cost are reported in the accompanying supplementary information.
PROVIDENCE HOSPITAL & PROVIDENCE HEALTH FOUNDATIONCOMMUNITY BENEFIT REPORTFISCAL YEAR END JUNE 30, 2013This 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, 2013: 1) Care of the poor (at cost) = $7,278,6492) Other programs for persons living in poverty and other vulnerable persons = $876,2153) Unpaid cost of public indigent care programs (includes Medicaid, SCHIP, and other safety net programs; does not include Medicare shortfalls) = $16,510,4854) Community benefit programs (net expense) = $8,105,191Total quantifiable community benefit, as determined in accordance with CHA reporting guidelines = $32,770,540 SUPPLEMENTAL INFORMATIONBad debt costs attributable to charity = $9,048,005Medicare shortfall = -$826,546Total quantifiable community benefit, including bad debt and Medicare shortfall = $40,991,999CHARITY CARENearly 11.7% of Michigan residents or 1.2 million people lacked health insurance in 2013. The uninsured are likely to seek care in hospital emergency rooms. The Hospital had 112,100 Emergency Department (ED) visits in fiscal 2013, an increase of nearly 3% over FY12. 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, 2013, 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 392-bed teaching hospital located in Southfield, Michigan and a 218-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 CARE Providence 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 PROGRAMS Partners in Prevention program, Partnership with Southfield Schools Medical and Natural Sciences Academy, and volunteer opportunities with numerous students.PHILOSOPHY OF SERVICE COMMITTEE Ice cream social, Manna Meal Soup Kitchen, Providence Choir, Christmas Store, Crisis Assistance Program, and various other charitable drives during the year.THE INFANT MORTALITY PROJECTServes Detroit and Wayne County. Providence donated $35,000 toward this program. In FY13 the IMP mentored 184 mothers and 75 parents graduated from Jubilee Parenting 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 $90,000 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- 320 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.
See below	Part V, Line 8 Facility Reporting Group A
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 1j:
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 3:
Providence Hospital conducted its community health needs assessment with the following other facilities.1. St. John Hospital & Medical Center2. Providence Park Hospital3. St. John Macomb-Oakland Hospital4. St. John River District Hospital5. Brighton Recovery Center	Facility 1 -- Providence Hospital	Part V, Section B, line 4:
The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.stjohnprovidence.org/Documents/CommunityHealth/CHNA-Providence-Hospital-2013.pdf.	Facility 1 -- Providence Hospital	Part V, Section B, line 5c:
Providence 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 7:
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 14g:
Question 18 is more appropriately answered as not applicable as the Billing and Collections Policy of Providence Hospital does not allow a hospital to engage in extraordinary collection actions before the organization made reasonable efforts to determine whether the individual is eligible for assistance under the financial assistance policy. Reasonable efforts taken include but are not limited to:- Notifying individuals of the financial assistance policy on admission;- Notifying individuals of the financial assistance policy prior to discharge;- Notifying individuals of the financial assistance policy in communications with the patients regarding the patients' bills;- Documenting its determination of whether patients were eligible for financial assistance under the hospital facility's financial assistance policy.	Facility 1 -- Providence Hospital	Part V, Section B, line 18e:
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 1 -- Providence Hospital	Part V, Section B, line 20d:
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 1j:
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 3:
Providence Park Hospital conducted its community health needs assessment with the following other facilities.1. Providence Hospital2. St. John Hospital & Medical Center3. St. John Macomb-Oakland Hospital4. St. John River District Hospital5. Brighton Recovery Center	Facility 2 -- Providence Park Hospital	Part V, Section B, line 4:
The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.stjohnprovidence.org/Documents/CommunityHealth/CHNA-Providence- Park-Hospital-2013.pdf.	Facility 2 -- Providence Park Hospital	Part V, Section B, line 5c:
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 7:
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 14g:
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 20d:

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Cherolee Trembath MD Sch O
Board Member	234552	0	9832	0	0	0	9707	0	12063	0	266154	0	0	0
Michael Wiemann MD
Pres Prov Hosp; SVP SJPHS	517851	0	239570	0	21072	0	11250	0	12063	0	801806	0	0	0
Douglas Winner
Chief Financial Officer	254814	0	74140	0	2400	0	11250	0	12063	0	354667	0	0	0
Peter Karadjoff
President - Providence Park Hospital	220768	0	21288	0	0	0	10109	0	12063	0	264228	0	0	0
Maria Strom
VP Nursing Services/CNO	227494	0	104324	0	0	0	4394	0	0	0	336212	0	12426	0
Gerald Gilman
VP Medical Staff Dev	175850	0	62506	0	0	0	9803	0	12063	0	260222	0	0	0
Joseph Hurshe
VP Operations	216210	0	67460	0	21000	0	11250	0	12063	0	327983	0	0	0
Robert Welch
Chairman - OB/GYN	446084	0	194424	0	1779	0	10000	0	12063	0	664350	0	0	0
William B Blessed
Med Dir - Maternal/Fetal Med	381404	0	109019	0	0	0	9106	0	12063	0	511592	0	0	0
Laurence Cheung
Chairman - Surgery	446761	0	0	0	0	0	10000	0	12063	0	468824	0	0	0
Andrew Vosburgh
Med Dir Assoc Health	313745	0	102570	0	0	0	10000	0	12063	0	438378	0	0	0
Bradley Rowens
Med Dir Sleep Disorder	315597	0	100000	0	0	0	10000	0	12063	0	437660	0	0	0
Diane Radloff Sch O
Former President SJPHS	0	142961	0	633485	0	1135	0	3337	0	0	0	780918	0	49259

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

Part I, Line 3

St. 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 4b

Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. Maria Strom - $12,426 Diane Radloff - $49,259

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Form 990, Part VI, Section A, line 2	Many 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 6	Providence Hospital has a single corporate member, St. John Health.
Form 990, Part VI, Section A, line 7a	Providence 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 7b	All 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 11	Management 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 12c	The 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 15	In 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 19	The 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 922,474. Transfer to Affiliates -6,239,352. Other 1,218,292. Transfer to Sponsor -787,000.	Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Hospital Consolidated Laboratories	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	28000 Dequindre Road	AddressLine1
City	Warren	City
State	MI	State
ZIP Code	48092	ZIPCode

Field	Value	IRS element (for citing)
EIN	383318428	EIN
Primary Activities	Laboratory Tests	PrimaryActivities
Legal Domicile State	MI	LegalDomicileState
Total Income	0	TotalIncome
EOY Assets	0	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Providence Hospital and Medical Center	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (17 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Ascension Health
PO Box 45998	St Louis	MO	63145	311662309	National Health System	MO	Section 501(c)(3)	Schedule A, Line 11a	Ascension Health Alliance	0
St John Health
28000 Dequindre Road	Warren	MI	48092	382244034	Parent	MI	Section 501(c)(3)	Schedule A, Line 11c	Ascension Health	0
Brighton Hospital
12851 Grand River	Brighton	MI	48116	381576680	Hospital	MI	Section 501(c)(3)	Schedule A, Line 3	St John Health	1
Eastwood Community Clinics
28000 Dequindre Road	Warren	MI	48092	381958763	Health Care	MI	Section 501(c)(3)	Schedule A, Line 9	St John Health	1
Father Murray Nursing Center
28000 Dequindre Road	Warren	MI	48092	382601348	Health Care	MI	Section 501(c)(3)	Schedule A, Line 9	St John Health	1
Medical Resources Group
43800 Garfield	Clinton Township	MI	48038	383494637	Health Care	MI	Section 501(c)(3)	Schedule A, Line 9	St John Health	1
Providence Health Foundation
22101 Moross	Detroit	MI	48236	383526629	Fundraising	MI	Section 501(c)(3)	Schedule A, Line 11c	St John Health	1
Seton Health Corp of SE Michigan
16001 West Nine Mile Road	Southfield	MI	48037	382820107	Health Care	MI	Section 501(c)(3)	Schedule A, Line 11c	St John Health	1
St John Community Health Investment Corp
28000 Dequindre Road	Warren	MI	48092	382262856	Health Care	MI	Section 501(c)(3)	Schedule A, Line 3	St John Health	1
Reverence Home Health & Hospice
5445 Ali Drive	Grand Blanc	MI	484395172	383408684	Health Care	MI	Section 501(c)(3)	Schedule A, Line 7	St John Health	1
St John Hospital & Medical Center
28000 Dequindre Road	Warren	MI	48092	381359063	Health Care	MI	Section 501(c)(3)	Schedule A, Line 3	St John Health	1
St John Hospital Foundation
22101 Moross Rd Mack Office Buldg S	Detroit	MI	48236	202961579	Fundraising	MI	Section 501(c)(3)	Schedule A, Line 7	St John Health	1
St John River District Hospital
4100 River Road	East China	MI	48054	383160564	Hospital	MI	Section 501(c)(3)	Schedule A, Line 3	St John Health	1
St John Senior Community
28000 Dequindre Road	Warren	MI	48092	382631907	Health Care	MI	Section 501(c)(3)	Schedule A, Line 9	St John Health	1
Our Lady of Providence League
PO Box 2043	Southfield	MI	48037	386108200	Fundraising	MI	Section 501(c)(3)	Schedule A, Line 11c	Providence Hospital	1
Providence Park League
47601 Grand River Avenue	Novi	MI	48374	382058690	Fundraising	MI	Section 501(c)(3)	Schedule A, Line 11c	Providence Hospital	1
St John Macomb-Oakland Hospital
28000 Dequindre Road	Warren	MI	48092	383322109	Hospital	MI	Section 501(c)(3)	Schedule A, Line 3	St John Health	1

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA
Advent Partners LP
28000 Dequindre Road	Warren	MI	48092	383494197	Rental Real Estate	MI	N/A
Open MRI of Michigan
28000 Dequindre Road	Warren	MI	48092	383544539	Diagnostic Imaging Center	MI	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg
Advent Inc
28000 Dequindre	Warren	MI	48092	382971743	Real Estate Development	MI	N/A	C	0
Affiliated Health Services Inc
28000 Dequindre	Warren	MI	48092	382292922	Medical Services	MI	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (29 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Brighton Hospital
Q	51999	Actual Amount Paid
Eastwood Community Clinics
P	114504	Actual Amount Paid
Eastwood Community Clinics
R	51572	Actual Amount Paid
St John Macomb-Oakland Hospital
O	51837	Actual Amount Paid
St John Macomb-Oakland Hospital
Q	288966	Actual Amount Paid
St John Macomb-Oakland Hospital
S	1065145	Actual Amount Paid
Medical Resources Group
O	199297	Actual Amount Paid
Medical Resources Group
P	9617978	Actual Amount Paid
Medical Resources Group
R	12967760	Actual Amount Paid
Providence Health Foundation
R	715479	Actual Amount Paid
Providence Health Foundation
P	1250113	Actual Amount Paid
Providence Health Foundation
R	2798368	Actual Amount Paid
St John Community Health Investment Corporation
R	1053572	Actual Amount Paid
St John Community Health Investment Corporation
R	1402846	Actual Amount Paid
St John Health
O	154115533	Actual Amount Paid
St John Health
P	422308849	Actual Amount Paid
St John Health
R	541505060	Actual Amount Paid
St John Home Care
Q	843030	Actual Amount Paid
St John Home Care
S	1071231	Actual Amount Paid
St John Hospital & Medical Center
J	495628	Actual Amount Paid
St John Hospital & Medical Center
O	88095	Actual Amount Paid
St John Hospital & Medical Center
P	2135208	Actual Amount Paid
St John Hospital & Medical Center
R	2151035	Actual Amount Paid
St John Hospital Foundation
R	385675	Actual Amount Paid
Affiliated Health Services Inc
P	635617	Actual Amount Paid
Affiliated Health Services Inc
R	858882	Actual Amount Paid
Open MRI of Michigan
O	508090	Actual Amount Paid
Open MRI of Michigan
Q	70648	Actual Amount Paid
Open MRI of Michigan
S	548301	Actual Amount Paid