Civic Intelligence

St John Providence

990 • Fiscal year 2022 • EIN 38-2244034

Jul 01, 2021 to Jun 30, 2022 • Filed on May 12, 2023

C/O Tax Department PO Box 45998St Louis, MO 63145-5998

(314) 733-8000

Siviq Scores

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

Liabilities / Assets

100th percentile

7.88x

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

2022 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2022

Liabilities / Revenue

89th percentile

4.14x

Higher debt load relative to revenue than 89% of similar nonprofits.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2022

Net Margin

45th percentile

3.8%

Higher net margin than 45% of similar nonprofits.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2022

Top Officer Pay

91st percentile

$1,958,423

Higher top officer pay than 91% of similar nonprofits.

Top officer pay equals 1.2% of source-year revenue.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2022

Asset Growth

28th percentile

-7.4%

Faster asset growth than 28% of similar nonprofits.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2021 to 2022

Revenue Growth

14th percentile

-23%

Faster revenue growth than 14% of similar nonprofits.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2021 to 2022

Assets

Down

$87,278,457

Down $6,949,729 (-7.4%) from 2021

Net Assets

Up

-$600,396,305

Up $175,094,933 (+23%) from 2021

Liabilities

Down

$687,674,762

Down $182,044,662 (-21%) from 2021

Revenue

Down

$166,287,001

Down $49,729,587 (-23%) from 2021

Expenses

Down

$160,011,396

Down $50,761,259 (-24%) from 2021

Net Income

Up

$6,275,605

Up $1,031,672 (+20%) from 2021

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

2022

Assets$87,278,457
Liabilities$687,674,762
Net Assets-$600,396,305

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

2022

Revenue$166,287,001
Expenses$160,011,396
Net Income$6,275,605
Jump To
Filing Snapshot
Filing Period
Jul 1, 2021 to Jun 30, 2022
Signed
May 12, 2023
Return Version
2021v4.2
Gross Receipts
$166,287,001
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$35,770,911$33,437,572▼ $2,333,339
Intangible Assets$7,513,720$5,561,686▼ $1,952,034
Inventories for Sale or Use$2,376,280$2,496,829▲ $120,549
Savings and Temporary Cash Investments$2,745,177$2,258,840▼ $486,337
Investments Program Related$1,308,518$1,324,300▲ $15,782
Cash and Non-Interest-Bearing Accounts$222,419$0▼ $222,419
Accounts Receivable$1,223$28▼ $1,195
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $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
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$94,228,186$87,278,457▼ $6,949,729
Other Assets Total$44,289,938$42,199,202▼ $2,090,736
Liabilities
Other Liabilities$851,904,572$671,746,038▼ $180,158,534
Accounts Payable and Accrued Expenses$17,814,852$15,925,724▼ $1,889,128
Deferred Revenue$0$3,000▲ $3,000
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$869,719,424$687,674,762▼ $182,044,662
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$-775,491,238$-600,396,305▲ $175,094,933
Total Net Assets Fund Balance$-775,491,238$-600,396,305▲ $175,094,933
Total Liabilities and Net Assets / Fund Balance$94,228,186$87,278,457▼ $6,949,729

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$15,602,135$30,622,744$46,224,879
Buildings$6,634,930$15,941,399$22,576,329
Other Land Buildings$9,501,437$3,782,317$13,283,754
Land$1,600,000-$1,600,000
Leasehold Improvements$99,070$203,692$302,762
Other Assets Org$1,808,014--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-Former Officer (end 8/2019)-$500,000$500,000$500,000
-VP, Research and Academic AffairsFT$256,485$120,415$376,900
-VP, Foundation DevelopmentFT$266,185$93,692$359,877
-VP, OperationsFT$239,874$118,332$358,206
-VP, Community HealthFT$219,785$122,951$342,736
-Rn, TravelerFT$294,379$6,394$300,773

Board Members and Trustees

NameTitle
-Chair
-Regional President & CEO
-Vice Chair
-Director
-CFO, Ministry Market
-Ex-officio
-Former Key Employee (end 12/2017)
-Former Key Employee (end 12/2018)
-Former Key Employee (end 12/2019)
-Secretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Medspeed LLCHealthcare Courier Services140 INDUSTRIAL DRIVE, Elmhurst, IL 60126$4,797,021
Change Healthcare LLCHealthcare Consulting5995 WINDWARD PARKWAY, Alpharetta, GA 30005$2,512,073
Arup LaboratoriesDiagnostic Lab Services500 S CHIPETA WAY, Salt Lake City, UT 84108$2,031,965
Trinity Health MichiganMedical ServicesPO BOX 74008662, Chicago, IL 60674-8662$647,320
Executive Consulting Group LLCConsulting Services11512 EL CAMINO REAL STE 200, San Diego, CA 92130$519,165
Revenue and Support

Revenue Composition

Contributions and Grants
$725,909
Program Service Revenue
$158,918,264
Investment Income
$26,800
Other Revenue
$6,616,028
All Other Contributions
$0
Change in Net Assets
$6,275,605
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$81,293,188
Salaries, Compensation, and Employee Benefits$78,630,091
Grants and Similar Amounts Paid$88,117
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$47,035,051$18,020,051-$65,055,102
Depreciation Depletion$7,101,523$2,677,790-$9,779,313
Other Employee Benefits$3,388,620$1,298,247-$4,686,867
Payroll Taxes$3,140,735$1,184,285-$4,325,020
Pension Plan Contributions$2,690,463$1,030,769-$3,721,232
Office Expenses$478,662$2,337,842-$2,816,504
Occupancy$1,566,009$590,499-$2,156,508
Fees for Services Other$1,245,577$716,913$0$1,962,490
All Other Expenses$1,430,975$423,708$0$1,854,683
Current Officers, Directors, Trustees, and Key Employees$841,870--$841,870
Travel$107,002$37,422-$144,424
Information Technology$86,174$17,222-$103,396
Grants to Domestic Orgs$88,117--$88,117
Conferences and Meetings$70,359$12,285-$82,644
Insurance-$61,981-$61,981
Advertising$22,434$2,520-$24,954
Other Expenses$15,770,392$20,000-$20,000
Fees for Services Lobbying-$12,600-$12,600
Total Functional Expenses$115,855,939$44,155,457$0$160,011,396
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Ascension St John FoundationSt Louis, MO501(c)(3)Holiday Blessings$88,117
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
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
Debt with Ascension Health Alliance$520,674,518
Due to Affiliates$145,627,130
Estimated 3rd Party Payor Settlement$3,621,405
Long Term Operating Lease Liability$1,822,985
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 35% controlled entity
No
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, 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.

Form 990, Part VI, Line 15B Process for Determining Compensation of Other Officers or Key Employees

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.

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

St. John Providence has a single corporate member, 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 VII, Section A HOURS REPORTED

Yatishkumar pastagia, rn worked for multiple organizations during the year and devoted 50 hours per week to each during the portions of the year that the individual worked for each organization.

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

Late Penalty Fees - Total Revenue: 433, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 433; Medical Records Fees - Total Revenue: 1278, Related or Exempt Function Revenue: 1278, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Miscellanous Revenue - Total Revenue: 322973, Related or Exempt Function Revenue: 311625, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 11348;

Filing and Contact Details

Filer

Filer Name
St John Providence
EIN
38-2244034
Phone
3147338000
Address
C/O TAX DEPARTMENT PO BOX 45998, ST LOUIS, MO 63145-5998
Doing Business As
See Schedule O

Signing Officer

Name
Tonya Mershon
Title
Vice President, Tax
Phone
3147338000
Signed
2023-05-12

Organization Details

Formed
1978
Legal Domicile
Mi
Voting Board Members
10
Independent Board Members
7
Employees
2,168
Volunteers
7
Supplemental Narrative

Additional Explanations

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

Transfers with Affiliates - XXX-XX-XXXX; CONTRIBUTION OF CAPITAL FROM JV PARTNER - -87029;

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

The activity of the filing organization is reported in the consolidated financial statements of ascension health alliance. No individual audit of the filing organization is completed. Therefore, the attached audited financial statements are of ascension health alliance and affiliates, which include the activity of the filing organization.

Form 990, Part XII, Line 2C Audit Committee

The filing organization is included in the consolidated financial statements of ascension health alliance. The finance and audit committee of ascension health alliance's board assumes responsibility for the consolidated organization as a whole.

Form 990, Page 1 Physical Address

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

Form 990, Page 1 - Box C Doing Business as

Ascension southeast michigan st. John providence health oncology research consortium

Financial Statement Notes

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, 2022.

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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. As part of the Ascension Catholic health ministry, the filing organization served in support of Ascension's commitment to both care for patients and communities and support caregivers and other associates through the challenges of the COVID-19 global pandemic in FY22.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0VICE CHAIR
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IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10CFO, MINISTRY MARKET
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IRS990/Form990PartVIISectionAGrp/TitleTxt14VP, COMMUNITY HEALTH
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IRS990/Form990PartVIISectionAGrp/TitleTxt18FORMER KEY EMPLOYEE (END 12/2018)
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

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
2022Detailed filing. Detailed filing data is available for this year.$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
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
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2022 filings • 501(c)3 • $100M-$250M nonprofits