St John Providence

“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.”

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

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

“Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.”

“Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all board members are provided the Form 990 and management team members are available to answer any board member's questions.”

“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.”

“In determining the compensation of the organization's CEO, the process included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. The Compensation Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to 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 committee minutes. The individual was not present when her compensation was decided. In determining the compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Compensation Committee 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. During the review and approval of the compensation, documentation of the decision was recorded in the committee minutes.”

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

“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.”

“St. John Health 38-2244034 Community Benefit Report Fiscal Year Ended June 30, 2014 This report illustrates the significant degree to which St. John Health ("the System") contributes to the positive health status of the communities it serves. As a member of Ascension Health, the nation's largest Catholic Healthcare System, St. John Health continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. The goal of St. John Health is to perpetuate the healing mission of the church. The System 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. In order to portray the full breadth of our contribution, our community benefit information is described below. ORGANIZATIONAL COMMITMENT TO PROVIDING COMMUNITY BENEFIT St. John Health is comprised of five hospitals, plus more than 125 medical facilities in southeast Michigan. St. John Health seeks to improve the physical, mental, social and spiritual health status of its surrounding community. St. John Health: 1. Operates emergency rooms that are open to all persons regardless of ability to pay. 2. Has an open medical staff with privileges available to all qualified physicians in the area. 3. Has a governing body in which independent persons representative of the community compromise a majority. 4. Engages in medical or scientific research programs. 5. Engages in the training and education of health care professionals. 6. Participates in Medicaid, Medicare, Champus, Triage and/or other government-sponsored health care programs. EXPANDING AWARENESS, EDUCATION AND HEALTH PROMOTION St. John Health believes that it is essential to educate people regarding the types of behavior that improve their chances of living a healthy life. The System has invested significantly in unique, top quality health education and materials to accomplish its goals. Various classes the System has provided to the community are as follows: - Labyrinth walk - Open arms grief counseling - Prenatal and breastfeeding classes - Bereavement support group - Oncology bereavement support - Non-oncology bereavement support - Breast cancer support group - Individual counseling for cancer patients - Pediatric cancer parent support group - Cardiac rehabilitation program - Carelink education classes for senior adults - Clinical trials - Diabetes education program - Injury prevention classes to numerous schools and community groups - Free pediatric obesity program - Screenings for oral cancer - Hip and knee pain seminar - Hypnotherapy for smoking cessation - Lap band support group - Transplant support group Education material also is provided via our website at www.stjohnprovidence.org. ACCESS TO CARE PROGRAMS St. John Health operates many public health clinics. Public clinics range from specialty clinics such as pediatrics to general internal medicine clinics. Our community health centers provide care for all community residents, regardless of their ability to pay. Services include the full range of preventive and primary health and some dental care for adults and children, prenatal care, and management of chronic diseases such as asthma, diabetes and heart disease. During the fiscal year ending June 30, 2014, St. John Health hospitals treated adults and children from the community for a total of 471,899 patient days of service. The system provided services to 2,520,618 outpatients, including 191,411 mental health visits, 45,666 urgent care visits and 38,171 outpatient surgery patients. COMMUNITY OUTREACH AND SERVICE The System provides charitable contributions to various communities by voluntee”

“The 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. St. John Health System Uncompensated Care for Fiscal Year Ending June 30, 2014: 1. Traditional charity care provided = $24,144,832 2. Unpaid cost of public programs for persons living in poverty = $26,131,348 3. Other programs for persons living in poverty and other vulnerable persons = $2,780,104 4. Community benefit programs = $50,396,279 5. Total care of persons living in poverty and community benefit programs = $103,452,562 6. Bad debt costs attributable to charity = $37,897,342 7. Medicare surplus = $55,357,612”

“Net Assets Released to/from Other Business Units 291,460. Transfers to Affiliates -47,154,513. Transfers to Sponsor -756,142. Deferred Pension Costs 711,960. Other Pension Related Adjustment 1,278,949.”