Civic Intelligence

St John Providence

990 • Fiscal year 2018 • EIN 38-2244034

Jul 01, 2017 to Jun 30, 2018 • Filed on May 14, 2019

28000 DequindreWarren, MI 48092

(314) 733-8000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

100th percentile

6.90x

Higher debt load relative to assets than 100% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Liabilities / Revenue

92nd percentile

5.63x

Higher debt load relative to revenue than 92% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Net Margin

60th percentile

7.2%

Higher net margin than 60% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Top Officer Pay

92nd percentile

$1,971,122

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 1.3% of source-year revenue.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Asset Growth

4th percentile

-13%

Faster asset growth than 4% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2017 to 2018

Revenue Growth

3rd percentile

-44%

Faster revenue growth than 3% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2017 to 2018

Assets

Down

$126,288,134

Down $19,584,823 (-13%) from 2017

Net Assets

Up

-$745,070,727

Up $37,102,636 (+4.7%) from 2017

Liabilities

Down

$871,358,861

Down $56,687,459 (-6.1%) from 2017

Revenue

Down

$154,651,869

Down $121,045,076 (-44%) from 2017

Expenses

Down

$143,523,069

Down $180,407,958 (-56%) from 2017

Net Income

Up

$11,128,800

Up $59,362,882 (+123%) from 2017

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$2.0B$1.0B$0-$1.0BAssets 2010: $587,014,428Liabilities 2010: $856,394,152Net Assets 2010: -$269,379,7242010Assets 2011: $823,135,742Liabilities 2011: $1,034,150,657Net Assets 2011: -$211,014,9152011Assets 2012: $1,194,585,909Liabilities 2012: $1,391,991,062Net Assets 2012: -$197,405,1532012Assets 2013: $419,916,193Liabilities 2013: $592,190,154Net Assets 2013: -$172,273,9612013Assets 2014: $343,399,104Liabilities 2014: $551,563,403Net Assets 2014: -$208,164,2992014Assets 2015: $392,896,107Liabilities 2015: $677,469,953Net Assets 2015: -$284,573,8462015Assets 2016: $1,097,577,532Liabilities 2016: $1,509,276,230Net Assets 2016: -$411,698,6982016Assets 2017: $145,872,957Liabilities 2017: $928,046,320Net Assets 2017: -$782,173,3632017Assets 2018: $126,288,134Liabilities 2018: $871,358,861Net Assets 2018: -$745,070,7272018Assets 2019: $134,889,349Liabilities 2019: $751,891,732Net Assets 2019: -$617,002,3832019Assets 2020: $105,554,571Liabilities 2020: $793,677,497Net Assets 2020: -$688,122,9262020Assets 2021: $94,228,186Liabilities 2021: $869,719,424Net Assets 2021: -$775,491,2382021Assets 2022: $87,278,457Liabilities 2022: $687,674,762Net Assets 2022: -$600,396,3052022Assets 2023: $64,815,303Liabilities 2023: $593,830,286Net Assets 2023: -$529,014,9832023Assets 2024: $66,345,227Liabilities 2024: $570,737,386Net Assets 2024: -$504,392,1592024

Highlighted filing

2018

Assets$126,288,134
Liabilities$871,358,861
Net Assets-$745,070,727

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$400M$300M$200M$100M$0-$100MExpenses 2010: $242,297,2382010Expenses 2011: $244,803,8162011Expenses 2012: $225,365,2662012Revenue 2013: $257,508,443Expenses 2013: $249,727,648Net Income 2013: $7,780,7952013Revenue 2014: $255,016,529Expenses 2014: $263,402,367Net Income 2014: -$8,385,8382014Revenue 2015: $238,916,259Expenses 2015: $242,345,627Net Income 2015: -$3,429,3682015Revenue 2016: $220,994,183Expenses 2016: $255,243,505Net Income 2016: -$34,249,3222016Revenue 2017: $275,696,945Expenses 2017: $323,931,027Net Income 2017: -$48,234,0822017Revenue 2018: $154,651,869Expenses 2018: $143,523,069Net Income 2018: $11,128,8002018Revenue 2019: $212,975,162Expenses 2019: $208,859,345Net Income 2019: $4,115,8172019Revenue 2020: $199,269,481Expenses 2020: $195,833,813Net Income 2020: $3,435,6682020Revenue 2021: $216,016,588Expenses 2021: $210,772,655Net Income 2021: $5,243,9332021Revenue 2022: $166,287,001Expenses 2022: $160,011,396Net Income 2022: $6,275,6052022Revenue 2023: $85,368,171Expenses 2023: $87,174,860Net Income 2023: -$1,806,6892023Revenue 2024: $36,598,968Expenses 2024: $36,650,217Net Income 2024: -$51,2492024

Highlighted filing

2018

Revenue$154,651,869
Expenses$143,523,069
Net Income$11,128,800
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
May 14, 2019
Return Version
2017v2.2
Gross Receipts
$154,721,211
Mission and Program Overview

Mission

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.

To improve the health and well-being of all people in the communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$24,582,014$22,052,829▼ $2,529,185
Intangible Assets$3,153,987$5,790,440▲ $2,636,453
Savings and Temporary Cash Investments$0$5,378,880▲ $5,378,880
Prepaid Expenses and Deferred Charges$1,844,300$3,244,395▲ $1,400,095
Investments Program Related$2,393,696$2,108,319▼ $285,377
Inventories for Sale or Use$1,797,248$1,613,342▼ $183,906
Cash and Non-Interest-Bearing Accounts$6,245,347$225,899▼ $6,019,448
Accounts Receivable$0$104,014▲ $104,014
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Loans From Officers Directors$0$0→ $0
Total Assets$145,872,957$126,288,134▼ $19,584,823
Other Assets Total$105,856,365$85,770,016▼ $20,086,349
Liabilities
Other Liabilities$897,066,943$851,723,663▼ $45,343,280
Accounts Payable and Accrued Expenses$30,979,377$19,635,198▼ $11,344,179
Total Liabilities$928,046,320$871,358,861▼ $56,687,459
Net Assets / Fund Balance
Temporarily Rstr Net Assets$130,739$0▼ $130,739
Unrestricted Net Assets$-782,304,102$-745,070,727▲ $37,233,375
Total Net Assets Fund Balance$-782,173,363$-745,070,727▲ $37,102,636
Total Liabilities and Net Assets / Fund Balance$145,872,957$126,288,134▼ $19,584,823

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$7,706,998$16,797,322$24,504,320
Buildings$7,203,634$12,951,743$20,155,377
Other Land Buildings$5,517,715$196,791$5,714,506
Land$1,600,000-$1,600,000
Leasehold Improvements$24,482$155,163$179,645
Other Assets Org$2,000--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2018$14,529-▲ $605$2,736$12,398
2017$13,980-▲ $605$56$14,529
2016$14,460$294▲ $603$1,377$13,980
2015$14,029$583▲ $611$763$14,460
2014$15,091$0▲ $749$1,811$14,029
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-Ex-officio/president & CEOFT$768,960$1,202,162$1,971,122
-CCOFT$545,249$577,157$1,122,405
-CFOFT$542,188$511,386$1,053,574
-President, Clinical Amg Se Mi Mkt-$526,021$378,135$904,157
-President & CEO (together Health Network)FT$388,272$241,357$629,629
-President & CEO (crittenton)-$361,616$222,577$584,193
-President, Admin. Amg Se Mi Mkt-$322,090$197,378$519,468
-VP, Centers of ExcelenceFT$188,479$293,491$481,970

Board Members and Trustees

NameTitle
-Chair
-Vice Chair
-Trustee
-Former Officer (end 11/2015)
-Secretary
-Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Medspeed LLCHealthcare Courier Services655 W GRAND AVE, STE 320, Elmhurst, IL 60126$4,403,800
Arup LaboratoriesDiagnostic Lab Services500 S CHIPETA WAY, Salt Lake City, UT 84108$2,257,454
Trinity Health MichiganLaboratory ServicesPO BOX 269, Grand Rapids, MI 49525$786,912
On-demand Mail Services LLCMail Services2083 PONTIAC RD, Auburn Hills, MI 48326$531,032
Heart Cardiology ConsultantsMedical Services22250 PROVIDENCE DR STE 705, Southfield, MI 48075-6215$350,290
Revenue and Support

Revenue Composition

Contributions and Grants
$38,958
Program Service Revenue
$146,943,708
Investment Income
$-38,841
Other Revenue
$7,708,044
Change in Net Assets
$11,128,800
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$90,589,394
Other Expenses$52,738,126
Grants and Similar Amounts Paid$195,549
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$47,675,623$21,490,415-$69,166,038
Other Employee Benefits$5,430,241$2,770,265-$8,200,506
Payroll Taxes$3,173,377$1,617,195-$4,790,572
Pension Plan Contributions$2,837,252$1,447,925-$4,285,177
Current Officers, Directors, Trustees, and Key Employees$2,861,500$1,285,601-$4,147,101
Depreciation Depletion$1,698,071$1,453,812-$3,151,883
Fees for Services Other$566,161$2,252,492$0$2,818,653
Office Expenses$1,162,058$1,277,836-$2,439,894
Occupancy$1,094,582$1,212,244-$2,306,826
All Other Expenses$997,332$1,107,053$0$2,104,385
Information Technology$155,335$775,858-$931,193
Interest-$811,307-$811,307
Advertising$22,053$741,934-$763,987
Travel$178,479$410,938-$589,417
Other Expenses$185,650$273,568-$459,218
Grants to Domestic Orgs$195,549--$195,549
Conferences and Meetings$72,412$26,595-$99,007
Fees for Services Accounting-$84,680-$84,680
Fees for Services Management-$31,153-$31,153
Fees for Services Legal-$7,885-$7,885
Insurance$57$-222,866-$-222,809
Total Functional Expenses$103,582,797$39,940,272$0$143,523,069
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Detroit Jazz Festival FoundationHarper Woods, MI501(c)(3)General Support$35,000
Detroit Cristo Rey Work Study ProgramDetroit, MI501(c)(3)General Support$30,000
Museum of African American HistoryDetroit, MI501(c)(3)General Support$18,500
Services for Older CitizensGrosse Pointe Farms, MI501(c)(3)General Support$10,000
Black Womens Agenda IncWashington, DC501(c)(3)General Support$9,500
Care of Southeastern MichiganFraser, MI501(c)(3)General Support$8,000
Black Caucus Foundation of MichiganDetroit, MI501(c)(3)General Support$7,500
Foundation of Michigan Assocation of Physicians of Indian HeritageLathrup Village, MI501(c)(3)General Support$5,002
Ascension Southeast Michigan Community Health (fka St John Community HealthWarren, MI501(c)(3)General Support$5,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Savings Plan Liability$556,970,476
Other Liabilities$294,014,678
Due to Affiliates$287,222
FIN 48 Liability$251,287
Deferred Compensation/Retirement/Pension Liability$200,000
Estimated 3rd Party Payor Settlement-
Accrued Tax Liability-
Debt with Ascension Health Alliance-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15A process for determining compensation of top management official

In determining compensation of the organization's president & ceo, the process, performed by ascension health, a related organization of st. John providence, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensation, the president & ceo was compared to individuals at other hospitals in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Individual was not present when his compensation was decided.

Form 990, Part VI, Line 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS

In determining compensation of other officers of the organization, the process performed by Ascension Michigan, a related organization of St. John Providence, and its subsidiary organizations, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensation, the other officers of the organization were compared to individuals who work at similarly sized organizations as well as organizations similar in complexity of operations, revenues and job responsibilities across the nation. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes.

Form 990, Part VI, Line 6 Classes of members or stockholders

St. John Providence is organized on a membership basis. The sole member of the Corporation is Ascension Michigan.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

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

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

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

Form 990, Part VI, Line 11B Review of form 990 by governing body

During the return preparation process, the tax department works with other functional areas including finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance in order to prepare a complete and accurate return. Upon completion, the form 990 is reviewed by the organization's internal tax department which consists of attorneys and cpas. A complete final copy of the return is provided to the organization's president, financial officer, and/or other key officers in lieu of the full board.

Form 990, Part VI, Line 12C Conflict of interest policy

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

Form 990, Part VI, Line 19 Required documents available to the public

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

Form 990, Part VIII, Line 11D Other Miscellaneous Revenue

Medical Records Fees - Total Revenue: 361, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 361; Miscellaneous Revenue - Total Revenue: 1588031, Related or Exempt Function Revenue: 1588031, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Escheatment Revenue - Total Revenue: 49445, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 49445;

Filing and Contact Details

Filer

Filer Name
St John Providence
EIN
38-2244034
Phone
3147338000
Address
28000 Dequindre, Warren, MI 48092

Signing Officer

Name
Tonya Mershon
Title
Tax Officer
Signed
2019-05-14

Organization Details

Formed
1978
Legal Domicile
Mi
Voting Board Members
10
Independent Board Members
9
Employees
2,244
Volunteers
9
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

FAS 158 PENSION - -52; Transfers with ALPHA - 26101552; Transfers with Affiliates - 3075; Transfer Restricted Assets to Foundation - -130739;

Form 990, Part XII, Line 2B Audited Financial Statements

The activity of St. John Providence is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of St. John Providence is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of St. John Providence.

Form 990, Part XII, Line 2C Audit Committee

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

Financial Statement Notes

Schedule D, Part V, Line 4 Intended uses of endowment funds

Endowment funds are created to support the healthcare ministry of St. John Providence Hospitals. The distributions from an endowment provide a dependable source of income each year to help St. John Providence continue to meet the community's healthcare needs.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

The system accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The system has determined that no material unrecognized tax benefits or liabilities exist as of june 30, 2018.

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IRS990/Desc0IN FURTHERANCE OF ITS MISSION, AND IN AN EFFORT TO REDUCE THE GOVERNMENT'S FINANCIAL BURDEN, ST. JOHN PROVIDENCE SUPPORTS THE EFFORTS OF ITS HOSPITALS AND HEALTH FACILITIES PROVIDING CARE TO INDIVIDUALS AND COMMUNITIES.
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IRS990/Form990PartVIISectionAGrp/TitleTxt6TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt7TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt8TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt9TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt10CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt11CCO
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IRS990/Form990PartVIISectionAGrp/TitleTxt13PRESIDENT, ADMIN. AMG SE MI MKT
IRS990/Form990PartVIISectionAGrp/TitleTxt14PRESIDENT & CEO (TOGETHER HEALTH NETWORK)
IRS990/Form990PartVIISectionAGrp/TitleTxt15PRESIDENT & CEO (CRITTENTON)
IRS990/Form990PartVIISectionAGrp/TitleTxt16VP, CENTERS OF EXCELENCE
IRS990/Form990PartVIISectionAGrp/TitleTxt17FORMER OFFICER (END 11/2015)
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IRS990/MissionDesc0Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve.
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IRS990/OtherRevenueMiscGrp/Desc0Cafeteria/Vending Revenue
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IRS990/OtherRevenueMiscGrp/Desc2Research Revenues
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$66.3$571$504$36.6$36.7$0.05
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$64.8$594$529$85.4$87.2$1.81
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$87.3$688$600$166$160$6.28
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$94.2$870$775$216$211$5.24
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$106$794$688$199$196$3.44
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$135$752$617$213$209$4.12
2018Detailed filing. Detailed filing data is available for this year.$126$871$745$155$144$11.1
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$146$928$782$276$324$48.2
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,098$1,509$412$221$255$34.2
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$393$677$285$239$242$3.43
2014Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$343$552$208$255$263$8.39
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$420$592$172$258$250$7.78
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,195$1,392$197$225
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$823$1,034$211$245
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$587$856$269$242