Henry Ford Health St John Hospital

“The process for determining compensation of the organization's ceo, executive director, or top management official, as well as that of any other officers or senior executives (if any), is directed by a related organization. The related organization's board committee responsible for compensation oversees the process, utilizing independent delegees within the organization as appropriate, depending on the role. In some cases, the process may utilize comparability data and analysis from a national third-party compensation firm; or, if more appropriate for the role, it may instead utilize other applicable sources of market comparability data as needed to verify reasonableness. The process also includes contemporaneous substantiation of the analysis and decision regarding the compensation arrangement. Compensation is reviewed at least annually and the process is administered to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.”

“The process for determining compensation of the organization's ceo, executive director, or top management official, as well as that of any other officers or senior executives (if any), is directed by a related organization. The related organization's board committee responsible for compensation oversees the process, utilizing independent delegees within the organization as appropriate, depending on the role. In some cases, the process may utilize comparability data and analysis from a national third-party compensation firm; or, if more appropriate for the role, it may instead utilize other applicable sources of market comparability data as needed to verify reasonableness. The process also includes contemporaneous substantiation of the analysis and decision regarding the compensation arrangement. Compensation is reviewed at least annually and the process is administered to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.”

“Ascension St. John Hospital has a single corporate member, Ascension Michigan.”

“Ascension St. John Hospital has a single corporate member, Ascension Michigan, who has the ability to elect members to the governing body of Ascension St. John Hospital.”

“All decisions that have a material impact to Ascension St. John Hospital financial information or corporation as a whole are subject to approval by its sole corporate member, Ascension Michigan.”

“During the return preparation process, the tax department works with other functional areas which may include, as needed, finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance in order to prepare a complete and accurate return. A complete final copy of the return is provided to designated management team members with experience in tax in lieu of the full board.”

“The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.”

“The organization will provide any documents open to public inspection upon request.”

“The organization utilizes an affiliate as the common pay agent. Employees reported in part vii may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting.”

“Robert hoban worked for multiple organizations during the year and devoted 50 hours per week to each during the portions of the year that he worked for each organization.”

“Lab Services - Total Revenue: 335783, Related or Exempt Function Revenue: 335783, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Occupational Health Services - Total Revenue: 743224, Related or Exempt Function Revenue: 743224, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”

“Research Revenues - Total Revenue: 1179696, Related or Exempt Function Revenue: 1179696, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Late Penalty Fees - Total Revenue: 7577, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 7577; Medical Records Fees - Total Revenue: 56196, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 56196; Miscellaneous Revenue - Total Revenue: 2040647, Related or Exempt Function Revenue: 1442042, Unrelated Business Revenue: 484261, Revenue Excluded from Tax Under Sections 512, 513, or 514: 114344; Parking Revenue - Total Revenue: 138012, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 138012; Escheatment Revenue - Total Revenue: 109034, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 109034;”

“THE ACTIVITY OF Ascension St. John Hospital IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF Ascension St. John Hospital IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF Ascension St. John Hospital.”

“Transfers with Affiliates - -XXX-XX-XXXX;”

“Ascension St. John Hospital is included in the consolidated financial statements of Ascension. The Finance and Audit committee of Ascension's Board assumes responsibility for the consolidated organization as a whole.”

“THE PHYSICAL ADDRESS FOR THIS ENTITY IS 28000 Dequindre, Warren, Michigan 48092-2468 THE ADDRESS ON PAGE 1 IS FOR MAILING PURPOSES ONLY”

“Ascension st. John children's hospital; ascension michigan at work; ascension michigan lab services; cracchiolo radiation oncology center; liggett breast center; meade pediatric hematology oncology center; st. John hospital & medical center; st. John hospital and medical center-north shores campus; st. John north shores hospital; st. John providence children's hospital; the holley institute; ascension michigan lab services; eastside adult medicine center; macomb township regional medical center; michigan brain and spinal surgery institute; michigan center for gynecologic cancer; personalcare; pointe plaza; romeo plank urgent care; southeast michigan laser center; st. Clair pharmacy; st. Clair shores regional medical center after hours medical care; st. John - north shores; st. John center for internal medicine; st. John clinical pathology laboratory; st. John health system surgery center; st. John hematology oncology; st. John home health care; st. John hospital - macomb center; st. John hospital - macomb township center; st. John hospital - st. Clair shores center; st. John hospital and medical center corporation; st. John hospital corporation; st. John hospital security police department; st. John life enhancement center; st. John north macomb surgery center; st. John occupational health partners; st. John surgery center; st. John wound care and limb salvage center; st. John wound care center; the advanced technology & laser center; the heart center of st. John hospital and medical center; the holley ear institute; the spine center at st. John; van elslander cancer center pharmacy”