Civic Intelligence

Henry Ford Health Providence Foundation

990 • Fiscal year 2015 • EIN 38-3526629

Jul 01, 2014 to Jun 30, 2015 • Filed on May 14, 2016

22101 MorossDetroit, MI 48236

(586) 753-0455

Siviq Scores

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

Liabilities / Assets

21st percentile

0.03x

Higher debt load relative to assets than 21% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Liabilities / Revenue

51st percentile

0.25x

Higher debt load relative to revenue than 51% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Net Margin

6th percentile

-41%

Higher net margin than 6% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Top Officer Pay

96th percentile

$955,196

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 31.4% of source-year revenue.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Asset Growth

11th percentile

-8.1%

Faster asset growth than 11% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Revenue Growth

10th percentile

-28%

Faster revenue growth than 10% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Assets

Down

$22,401,694

Down $1,977,216 (-8.1%) from 2014

Net Assets

Down

$21,631,041

Down $1,914,431 (-8.1%) from 2014

Liabilities

Down

$770,653

Down $62,785 (-7.5%) from 2014

Revenue

Down

$3,038,998

Down $1,174,009 (-28%) from 2014

Expenses

Up

$4,296,417

Up $1,370,257 (+47%) from 2014

Net Income

Down

-$1,257,419

Down $2,544,266 (-198%) from 2014

Historical Trend

Balance Sheet Trend

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

$30M$20M$10M$0Assets 2010: $18,874,149Liabilities 2010: $43,181Net Assets 2010: $18,830,9682010Assets 2011: $18,159,865Liabilities 2011: $52,108Net Assets 2011: $18,107,7572011Assets 2012: $19,438,257Liabilities 2012: $43,233Net Assets 2012: $19,395,0242012Assets 2013: $21,690,847Liabilities 2013: $483,127Net Assets 2013: $21,207,7202013Assets 2014: $24,378,910Liabilities 2014: $833,438Net Assets 2014: $23,545,4722014Assets 2015: $22,401,694Liabilities 2015: $770,653Net Assets 2015: $21,631,0412015Assets 2016: $21,659,143Liabilities 2016: $42,992Net Assets 2016: $21,616,1512016Assets 2017: $25,651,344Liabilities 2017: $272,432Net Assets 2017: $25,378,9122017Assets 2018: $25,511,476Liabilities 2018: $247,008Net Assets 2018: $25,264,4682018Assets 2019: $24,696,862Liabilities 2019: $325,677Net Assets 2019: $24,371,1852019Assets 2020: $24,149,681Liabilities 2020: $420,282Net Assets 2020: $23,729,3992020Assets 2021: $25,786,185Liabilities 2021: $759,522Net Assets 2021: $25,026,6632021Assets 2022: $27,902,323Liabilities 2022: $409,476Net Assets 2022: $27,492,8472022Assets 2023: $21,676,749Liabilities 2023: $146,161Net Assets 2023: $21,530,5882023Assets 2024: $23,586,179Liabilities 2024: $181,855Net Assets 2024: $23,404,3242024

Highlighted filing

2015

Assets$22,401,694
Liabilities$770,653
Net Assets$21,631,041

Operations Trend

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

$15M$10M$5.0M$0-$5.0M-$10MExpenses 2010: $3,712,5222010Expenses 2011: $2,932,0622011Expenses 2012: $2,714,4022012Revenue 2013: $3,151,482Expenses 2013: $2,649,071Net Income 2013: $502,4112013Revenue 2014: $4,213,007Expenses 2014: $2,926,160Net Income 2014: $1,286,8472014Revenue 2015: $3,038,998Expenses 2015: $4,296,417Net Income 2015: -$1,257,4192015Revenue 2016: $2,067,590Expenses 2016: $1,531,794Net Income 2016: $535,7962016Revenue 2017: $6,546,511Expenses 2017: $1,302,400Net Income 2017: $5,244,1112017Revenue 2018: $3,022,298Expenses 2018: $4,729,118Net Income 2018: -$1,706,8202018Revenue 2019: $5,692,771Expenses 2019: $4,160,025Net Income 2019: $1,532,7462019Revenue 2020: $3,167,883Expenses 2020: $3,958,488Net Income 2020: -$790,6052020Revenue 2021: $4,059,548Expenses 2021: $4,564,846Net Income 2021: -$505,2982021Revenue 2022: $5,777,675Expenses 2022: $4,113,348Net Income 2022: $1,664,3272022Revenue 2023: $4,844,341Expenses 2023: $10,376,716Net Income 2023: -$5,532,3752023Revenue 2024: $3,987,195Expenses 2024: $3,151,331Net Income 2024: $835,8642024

Highlighted filing

2015

Revenue$3,038,998
Expenses$4,296,417
Net Income-$1,257,419
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
May 14, 2016
Return Version
2014v6.0
Gross Receipts
$3,234,374
Mission and Program Overview

Mission

Rooted in the loving ministry of jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our catholic health ministry is dedicated to spiritually-centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words.

To raise funds to benefit Providence Hospital and Providence Park Hospital.

Balance Sheet Detail
LineBeginningEndChange
Assets
Pledges and Grants Receivable$4,866,110$3,865,729▼ $1,000,381
Investments in Publicly Traded Securities$2,144,194$2,160,843▲ $16,649
Land, Buildings, and Equipment, Net$770$202▼ $568
Receivable From Disqualified Prsn$0--
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0--
Total Assets$24,378,910$22,401,694▼ $1,977,216
Other Assets Total$17,367,836$16,374,920▼ $992,916
Liabilities
Other Liabilities$783,309$724,527▼ $58,782
Accounts Payable and Accrued Expenses$50,129$46,126▼ $4,003
Total Liabilities$833,438$770,653▼ $62,785
Net Assets / Fund Balance
Temporarily Rstr Net Assets$16,568,299$14,923,845▼ $1,644,454
Unrestricted Net Assets$5,754,117$5,415,340▼ $338,777
Permanently Rstr Net Assets$1,223,056$1,291,856▲ $68,800
Total Net Assets Fund Balance$23,545,472$21,631,041▼ $1,914,431
Total Liabilities and Net Assets / Fund Balance$24,378,910$22,401,694▼ $1,977,216

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$202$80,723$80,925
Buildings$0$21,230$21,230
Other Assets Org$16,374,920--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$1,436,211$68,800▲ $61,961$32,095$1,534,877
2014$1,371,465$3,570▲ $71,276$10,100$1,436,211
2013$1,346,671$4,300▲ $68,729$48,235$1,371,465
2012$1,304,703$19,001▲ $66,117$43,150$1,346,671
2011$1,304,485$21,798▲ $64,261$85,841$1,304,703
Compensation and Service Providers

Board Members and Trustees

NameTitle
-Chairperson
-President Sjhs Foundation
-Vice Chairperson
-Board Member
-Secretary
-Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$2,657,116
Program Service Revenue
$0
Investment Income
$441,575
Other Revenue
$-59,693
All Other Contributions
$2,327,885
Change in Net Assets
$-1,257,419
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$2,939,899
Total Fundraising Expense$1,340,013
Salaries, Compensation, and Employee Benefits$1,061,783
Other Expenses$294,735
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$2,939,899--$2,939,899
Other Salaries and Wages--$887,615$887,615
Other Employee Benefits--$98,783$98,783
Office Expenses--$78,397$78,397
Payroll Taxes--$60,302$60,302
Occupancy--$47,025$47,025
All Other Expenses$0$0$23,864$23,864
Travel--$21,294$21,294
Pension Plan Contributions--$15,083$15,083
Insurance-$12,720-$12,720
Depreciation Depletion-$2,551$600$3,151
Interest--$2,597$2,597
Fees for Services Management-$1,234-$1,234
Other Expenses--$148$148
Total Functional Expenses$2,939,899$16,505$1,340,013$4,296,417
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Providence HospitalSouthfield, MI501(c)(3)General Support$2,939,899
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$195,376
Fundraising Gross Income$135,683
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Outing$167,082$58,115$5,670$52,445
Friends Ball$190,313$54,168$36,676$17,492
Total Events$464,914$135,683$195,376$-59,693
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

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

Other Reported Liabilities

LiabilityAmount
Intercompany Payable$724,527
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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 2 Family/business relationships amongst interested persons

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 ENTITY BOARDS. - Business relationship

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

Providence Health Foundation has a single corporate member, St. John Health.

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

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

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

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

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

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 questions.

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, 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, 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.

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 B, Line 1 Independent Contractor Reporting

Compensation of independent contractors is paid by and reported on the Form 1096, Annual Summary and Transmittal of U.S. Information Returns, of Ascension Health EIN 31-1662309. Expenses are allocated to and reimbursed by the filing organization to Ascension Health. As such, the organization has not reported independent contractors paid on Form 990, Part VII, Section B.

Form 990, Part VI, Line 15A COMPENSATION OF TOP MANAGEMENT OFFICIAL

In determining the compensation of the organization's President, the process, performed by St. John Health, a related organization of Providence Health Foundation, included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. Management reviewed and approved the compensation. In the review of the compensation, the President was compared to individuals at other organizations in the area who hold the same title. Wage bands are adjusted annually and wages paid for all positions are within those bands.

Form 990, Part VI, LIne 15B Compensation of Other Officers or Key Employees

This question is more appropriately answered "not applicable" as Providence Health Foundation does not compensate any other officers or key employees.

Filing and Contact Details

Filer

Filer Name
Providence Health Foundation
EIN
38-3526629
Phone
5867530455
Address
22101 Moross, Detroit, MI 48236

Signing Officer

Name
Jean Meyer
Title
President & CEO
Signed
2016-05-14
Discuss with paid preparer
Yes

Organization Details

Formed
1998
Legal Domicile
Mi
Voting Board Members
17
Independent Board Members
13
Employees
0
Volunteers
197

Preparer

Firm
Deloitte Tax Llp
Address
250 EAST FIFTH STREET SUITE 1900, CINCINNATI, OH 45202
Preparer
Meghann Ackley
Phone
5137847100
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A COMMUNITY BENEFIT REPORT - Part I

Providence-Providence Park Hospital Community Benefit Report Fiscal Year Ended June 30, 2015 This report illustrates the significant degree to which Providence Hospital contributes to the positive health status of the communities it serves. As a member of Ascension Health, the nation's largest Catholic healthcare system, Providence Hospital continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. The goal of Providence Hospital is to perpetuate the healing mission of the church. Providence Hospital 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. Organizational Commitment to Providing Community Benefit Providence-Providence Park Hospital is a regional referral teaching hospital with 659 licensed beds, a 1500+ member medical staff and more than 50 medical and surgical specialties. As the largest provider of inpatient care in Michigan, St. John Providence-Providence Park Hospital is also an active participant in community health initiatives through its community-based partnerships with churches, schools, and civic organizations. Providence-Providence Park Hospital: 1. Operates an emergency room that is open to all persons regardless of ability to pay. 2. Has on 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. Medical Research Providence-Providence Park Hospital furthers its mission by contributing funds and personnel to support research that has helped advance medical care. Research projects include various cardiac and interventional cardiac research projects, oncology, pediatric hematology and oncology, internal medicine, obstetrics and gynecology, nephrology, radiology and infectious disease research. Providence-Providence Park Hospital has a wide array of surgical specialties and sub-specialties. Our operating rooms and post-anesthesia units are open 24 hours a day, seven days a week for scheduled and emergency procedures. Providence-Providence Park Hospital seeks to improve the physical, mental, social, and spiritual health status of its surrounding community and has long been known for its excellence in medical care. Our clinical excellence includes: - More than 50 medical and surgical specialties - A Level Two Trauma Center - An Accredited Chest Pain Center - Excellence in maternal/child services - Many minimally invasive and robotic surgery options - Comprehensive cardiac care - Quality neurosciences - A network of oncology specialties - Comprehensive bone and joint care - A thriving medical education program Medical Education & Specialty Areas Providence-Providence Park Hospital believes that in order to provide the best health care to the community, its clinical personnel must receive ongoing medical education. Numerous seminars and classes and continuing education programs are provided to medical residents and staff and are posted on our website www.stjohnprovidence.org/medical professionals/medical education. Along with providing care and treatment in a wide range of areas, Providence-Providence Park Hospital is known for the following specialty areas: - Advanced and Chronic Illness - Behavioral Health and Addiction - Cancer - Community Health and Wellness - Diagnostic Imaging Services - Heart and

Form 990, Part III, Line 4A COMMUNITY BENEFIT REPORT - PART II

Some of the services listed above operate at a loss in order to ensure that all services are available to meet community health care needs. Expanding Awareness, Education and Health Promotion Providence-Providence Park Hospital believes that it is essential to educate people regarding the types of behavior that improve their chances of living a healthy life and has invested significantly in unique, top quality health education and materials to accomplish its goals. Various classes 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 www.stjohnprovidence.org Access To Care Programs Providence-Providence Park Hospital operates many public health clinics. Public clinics range from specialty clinics such as pediatrics to general internal medicine clinics. Our public health clinics provide care for all community residents, regardless of their ability to pay. Services include the full range of preventive and primary health and dental care for adults and children, prenatal care, AIDS/HIV education and management of chronic diseases such as asthma, diabetes and heart disease. Providence-Providence Park Hospital provides clothing and food pantries in various units within the hospital. Our associates have had departmental bake sales and other benefits for individual patients in need. Educating the younger generation is a hallmark of Providence-Providence Park Hospital. To give underserved children an opportunity to learn a healthcare career, our human resources department participates with local Southfield Schools Medical and Natural Sciences Academy to provide employment to students as part of their normal school week. Our emergency department hosts students in the emergency center for several hours of learning and instructional hands-on education. Our physicians and leaders participate regularly in career days for local schools in which they have partnerships Community Outreach Service Providence-Providence Park Hospital provides charitable contributions to a number of community organizations. Providence-Providence Park Hospital has contributed funds for sponsorship in the community by volunteering and giving support to community organizations, parades, neighborhood advocacy and clean-up groups, community orchestras, health walks and marathons, health expos and health fairs, American Red Cross blood drives, churches, schools, career fairs at schools, police office benefits and community foundation outings. Providence-Providence Park Hospital is an active supporting member in community events and partners with many organizations to improve community health, such as American Red Cross, American Heart Association, Multiple Sclerosis Society, Manna Meal Soup Kitchen, Crisis Assistance Program, Physicians Who Care, Parish Nursing program, Shalom Providence Project, American Cancer Society Community service is an important part of our existence. Charity Care Providence-Providence Park Hospital offers a wide variety of health and wellness programs that meet diverse needs, regardless of economic status and physical condition. The uninsured are more likely to seek care in hospital emergency rooms. Providence-Providence Park Hospital had 119,412 emergency department visits in fiscal 2015. Increasingly, patients are experiencing limited abilities to pa

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 Health System Hospitals. The distributions from an endowment provide a dependable source of income each year to help St. John continue to meet the community's healthcare needs.

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

From the consolidated audited financial statements of Ascension Health Alliance ("The System") (which include the activity of Providence Health Foundation): The System accounts for uncertainty in income tax position 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, 2015.

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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0Providence Health Foundation is organized to operate exclusively for the benefit of Providence-Providence Park Hospital. In furtherance of these purposes the organization may undertake the sponsorship of or provide assistance to specific hospital buildings and health related facilities, and hospital and health care equipment, projects and programs to improve the patient care at the hospital and its facilities. In connection with the activities of the hospital the organization promotes the general health of the public and encourages, supports and promotes the hospital's and health care facilities education, training and research programs.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1Providence-Providence Park Hospital would have engaged in these activities to further its philosophy and mission of healing and service to the sick and poor and to promote, support and engage in its religious, charitable, scientific and educational philosophies.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Schedule A, Part IV, Section E, Line 2a Org. Activities Directly Further The Exempt Purposes
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1Schedule A, Part IV, Section E, Line 2b Activities That One Or More Supp. Org. Engaged In
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$23.6$0.18$23.4$3.99$3.15$0.84
2023Detailed filing. Detailed filing data is available for this year.$21.7$0.15$21.5$4.84$10.4$5.53
2022Detailed filing. Detailed filing data is available for this year.$27.9$0.41$27.5$5.78$4.11$1.66
2021Detailed filing. Detailed filing data is available for this year.$25.8$0.76$25.0$4.06$4.56$0.51
2020Detailed filing. Detailed filing data is available for this year.$24.1$0.42$23.7$3.17$3.96$0.79
2019Detailed filing. Detailed filing data is available for this year.$24.7$0.33$24.4$5.69$4.16$1.53
2018Detailed filing. Detailed filing data is available for this year.$25.5$0.25$25.3$3.02$4.73$1.71
2017Detailed filing. Detailed filing data is available for this year.$25.7$0.27$25.4$6.55$1.30$5.24
2016Detailed filing. Detailed filing data is available for this year.$21.7$0.04$21.6$2.07$1.53$0.54
2015Detailed filing. Detailed filing data is available for this year.$22.4$0.77$21.6$3.04$4.30$1.26
2014Detailed filing. Detailed filing data is available for this year.$24.4$0.83$23.5$4.21$2.93$1.29
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$21.7$0.48$21.2$3.15$2.65$0.50
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.4$0.04$19.4$2.71
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.2$0.05$18.1$2.93
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.9$0.04$18.8$3.71