Civic Intelligence

St John Providence

990 • Fiscal year 2019 • EIN 38-2244034

Jul 01, 2018 to Jun 30, 2019 • Filed on May 14, 2020

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

5.57x

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

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Liabilities / Revenue

88th percentile

3.53x

Higher debt load relative to revenue than 88% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Net Margin

42nd percentile

1.9%

Higher net margin than 42% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Top Officer Pay

83rd percentile

$1,164,822

Higher top officer pay than 83% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Asset Growth

59th percentile

6.8%

Faster asset growth than 59% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2018 to 2019

Revenue Growth

90th percentile

38%

Faster revenue growth than 90% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2018 to 2019

Assets

Up

$134,889,349

Up $8,601,215 (+6.8%) from 2018

Net Assets

Up

-$617,002,383

Up $128,068,344 (+17%) from 2018

Liabilities

Down

$751,891,732

Down $119,467,129 (-14%) from 2018

Revenue

Up

$212,975,162

Up $58,323,293 (+38%) from 2018

Expenses

Up

$208,859,345

Up $65,336,276 (+46%) from 2018

Net Income

Down

$4,115,817

Down $7,012,983 (-63%) from 2018

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

2019

Assets$134,889,349
Liabilities$751,891,732
Net Assets-$617,002,383

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

2019

Revenue$212,975,162
Expenses$208,859,345
Net Income$4,115,817
Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
May 14, 2020
Return Version
2018v3.1
Gross Receipts
$212,975,162
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$22,052,829$33,367,609▲ $11,314,780
Intangible Assets$5,790,440$7,756,634▲ $1,966,194
Savings and Temporary Cash Investments$5,378,880$4,476,244▼ $902,636
Inventories for Sale or Use$1,613,342$1,670,768▲ $57,426
Investments Program Related$2,108,319$1,549,148▼ $559,171
Accounts Receivable$104,014$1,066,695▲ $962,681
Cash and Non-Interest-Bearing Accounts$225,899$283,343▲ $57,444
Prepaid Expenses and Deferred Charges$3,244,395$19,614▼ $3,224,781
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments in Publicly Traded Securities$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$126,288,134$134,889,349▲ $8,601,215
Other Assets Total$85,770,016$84,699,294▼ $1,070,722
Liabilities
Other Liabilities$851,723,663$732,193,993▼ $119,529,670
Accounts Payable and Accrued Expenses$19,635,198$19,697,739▲ $62,541
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$871,358,861$751,891,732▼ $119,467,129
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-745,070,727$-617,002,383▲ $128,068,344
Total Net Assets Fund Balance$-745,070,727$-617,002,383▲ $128,068,344
Total Liabilities and Net Assets / Fund Balance$126,288,134$134,889,349▲ $8,601,215

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$7,944,555$18,998,796$26,943,351
Buildings$6,719,413$13,773,243$20,492,656
Other Land Buildings$17,095,463$308,294$17,403,757
Land$1,600,000-$1,600,000
Leasehold Improvements$8,178$171,467$179,645
Other Assets Org$2,000--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2019$12,398--$12,398$0
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-CMO, AmgFT$547,670$189,643$737,314
-COOFT$386,318$189,927$576,246
-CMO/president, Administrative, Amg, Se MichiganFT$320,672$79,564$400,236
-CMO, Ministry MarketFT$307,532$54,370$361,903
-CMOFT$199,343$146,597$345,941
-VP, StrategyFT$272,321$65,449$337,770
-CNO (end 10/2018)FT$263,334$44,998$308,331
-VP, Community HealthFT$218,136$75,655$293,791
-VP, Research/academic AffairsFT$233,200$57,103$290,303
-Senior Executive, Physician AllianceFT$245,351$35,560$280,910
-VP, Centers of ExcellenceFT$248,588$248,588$248,588

Board Members and Trustees

NameTitle
-Chair
-Ex-officio/president & CEO
-Vice Chair
-Director
-CFO
-Former Key Employee (end 12/2017)
-Former Officer (end 11/2015)
-Secretary
-Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Medspeed LLCHealthcare Courier Services655 W GRAND AVE, STE 320, Elmhurst, IL 60126$4,746,378
Together Health Network LLCMedical Services20750 CIVIC CENTER DR, STE 590, Southfield, MI 48076-4101$2,319,900
Arup LaboratoriesDiagnostic Lab Services500 S CHIPETA WAY, Salt Lake City, UT 84108$1,840,322
Houser And Company LLCConsulting Fees60 N WESTERN AVE, Lake Forest, IL 60045-2130$1,594,513
Change Healthcare LLCHealthcare Consulting5995 WINDWARD PARKWAY, Alpharetta, GA 30005$1,377,314
Revenue and Support

Revenue Composition

Contributions and Grants
$138,734
Program Service Revenue
$205,818,264
Investment Income
$27,700
Other Revenue
$6,990,464
All Other Contributions
$0
Change in Net Assets
$4,115,817
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$124,174,921
Salaries, Compensation, and Employee Benefits$84,674,424
Grants and Similar Amounts Paid$10,000
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$46,505,589$21,128,282-$67,633,871
Other Employee Benefits$3,776,605$1,789,175-$5,565,780
Pension Plan Contributions$2,962,102$1,415,993-$4,378,095
Payroll Taxes$2,926,476$1,440,232-$4,366,708
Depreciation Depletion$2,141,178$1,520,340-$3,661,518
Fees for Services Other$11,895$2,770,518$0$2,782,413
Current Officers, Directors, Trustees, and Key Employees$576,246$2,153,724$0$2,729,970
All Other Expenses$1,557,697$715,751$0$2,273,448
Office Expenses$969,944$1,294,959-$2,264,903
Occupancy$1,117,756$566,393-$1,684,149
Information Technology$147,186$813,746-$960,932
Advertising$17,221$591,896-$609,117
Travel$172,048$332,085-$504,133
Insurance-$87,803-$87,803
Conferences and Meetings$33,694$47,170-$80,864
Other Expenses$281,873$58,987-$58,987
Grants to Domestic Orgs$10,000--$10,000
Total Functional Expenses$148,934,114$59,925,231$0$208,859,345
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
Accrued Tax Liability$549,144,219
Due to Affiliates$182,571,401
Deferred Compensation/Retirement/Pension Liability$200,000
FIN 48 Liability$100,000
Estimated 3rd Party Payor Settlement$31,500
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

The process for determining compensation of the organization's CEO, Executive Director, or Top Management Official is performed by a related organization. The process includes review and approval by independent persons of the related organization's compensation committee, use of comparability data, and contemporaneous substantiation of the deliberation and decision regarding the compensation arrangement. The compensation committee is charged with overseeing the process in a manner designed to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.

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

The process for determining compensation of the organization's other officers or key employees is performed by a related organization. The process includes review and approval by independent persons of the related organization's compensation committee, use of comparability data, and contemporaneous substantiation of the deliberation and decision regarding the compensation arrangement. The compensation committee is charged with overseeing the process in a manner designed to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.

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 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.

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 VII, Section A RELATED ENTITIES

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.

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

Miscellaneous Revenue - Total Revenue: 1153655, Related or Exempt Function Revenue: 1153655, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

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
2020-05-14

Organization Details

Formed
1978
Legal Domicile
Mi
Voting Board Members
10
Independent Board Members
9
Employees
2,276
Volunteers
9
Supplemental Narrative

Additional Explanations

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

FAS 158 PENSION - -92; Transfers with ALPHA - 73026956; Transfers with Affiliates - 50925663;

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, 2019.

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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
2019Detailed filing. Detailed filing data is available for this year.$135$752$617$213$209$4.12
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$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