2024-05-10T21:46:46+00:00 2023-06-30 861065772 Deloitte Tax LLP 695 Town Center Drive Suite 1000 Costa Mesa CA 92626 990 2022-07-01 381358212 ASCENSION PROVIDENCE HOSPITAL ASCE 3147338000 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 Tonya Mershon Vice President, Tax 3147338000 2024-05-11 true Tonya Mershon 999009999 John W Sadoff Jr P00540589 7144367100 2022 2023-04-26 12:10:37Z see schedule o CAROL SCHMIDT C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 883980170 false 0928 X SEE SCHEDULE O X 1922 MI To improve the health and well-being of all people in the communities we serve. 12 10 5258 336 536780 7976 12167513 6066480 846781342 863177004 344051 2285098 7816647 8961820 867109553 880490402 3922228 2329087 0 0 350804253 378875866 0 0 0 530609105 523319602 885335586 904524555 -18226033 -24034153 487424324 477671514 269640195 236540563 217784129 241130951 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. false false 703224370 2329087 869378294 The filing organization is a part of the Ascension Catholic Health Ministry. Ascension is a faith-based healthcare organization that delivers personalized, compassionate care to all, especially to those who need it the most. Ascension Providence Hospital is a 628-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2023, Ascension Providence Hospital treated 33,264 adults and children for a total of 160,571 patient days of service. The hospital also provided services for 870,197 outpatient visits, which included 15,186 outpatient surgeries and 104,973 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. 703224370 true true false true false false false false true true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 393 0 true 5258 true true true false false false false false false false false false false false X 12 10 false false false false true true true true true false false false true true true true true false false true true X SARA OBRIEN 3147338000 4600 EDMUNDSON ROAD ST LOUIS MO 631343806 CAROL L SCHMIDT MINISTRY MARKET EXECUTIVE/PRESIDENT (START 1/2023) 0.0 50.0 X X 0 1547996 37944 JAMES BOLES MD SECRETARY/TREASURER 1.0 15.0 X X 0 0 0 JONATHAN SAMUEL NALLI FACHE INTERIM MARKET PRESIDENT (START 8/2022 - END 12/2022) 0.0 50.0 X X 0 2332003 54191 JOSEPH G CACCHIONE MD FACC INTERIM MARKET PRESIDENT (START 7/2022 - END 8/2022) 0.0 50.0 X X 0 3809601 47680 LESLIE A MURPHY CPA CHAIR 1.0 15.0 X X 0 0 0 RENEE BRANCH CANADY VICE CHAIR 1.0 15.0 X X 0 0 0 AVEC O'BRIEN DIRECTOR 1.0 15.0 X 0 0 0 DAVID SAUNDERS DIRECTOR 1.0 15.0 X 0 0 0 JAMES BAILEY BABEL MD DIRECTOR 1.0 15.0 X 0 6600 0 JEFFERY ZAKS DIRECTOR 1.0 16.0 X 0 0 0 KENNETH STREIBEL DIRECTOR 1.0 15.0 X 0 0 0 PHYLLIS D MEADOWS DIRECTOR 1.0 15.0 X 0 0 0 RAJESH U KOTHARI DIRECTOR 1.0 15.0 X 0 0 0 SUSAN POZO DIRECTOR 1.0 15.0 X 0 0 0 DOUGLAS TODD MYERS CFO, MINISTRY MARKET (START 7/2022 - END 3/2023) 0.0 50.0 X 0 313904 19904 DOUGLAS W WINNER VP, FINANCE (END 7/2022) 0.0 50.0 X 0 533194 33104 MICHAEL MCCULLOUGH CFO, MINISTRY MARKET (START 3/2023) 0.0 50.0 X 0 670046 35511 LYNN M CHIESA RN CHIEF NURSING OFFICER 50.0 0 X 272004 0 38443 MANHAL TOBIA MD CHIEF MEDICAL OFFICER 50.0 0 X 505535 0 19799 MICHAEL A BADALI MD CHIEF OPERATING OFFICER 50.0 50.0 X 263957 67418 44807 KRISTOPHER MAHLON GEORGE MD PHYSICIAN 50.0 0 X 1232143 0 40852 MICHAEL BOUSAMRA MD PHYSICIAN 50.0 0 X 880139 0 40335 MICHAEL WON KYU LEE MD PHYSICIAN 50.0 0 X 906120 0 40019 PHILLIP LORANE ROBINSON MD PHYSICIAN 50.0 0 X 922746 0 18352 REZA ROBERT DABIR MD PHYSICIAN 50.0 0 X 1163350 0 41958 BRANT M RUSSELL FORMER OFFICER (END 4/2022) 0.0 0.0 X 238669 0 0 GARY MICHAEL DRUSKOVICH MD FORMER OFFICER (END 6/2022) 0.0 50.0 X 555955 160005 42927 ROLAND CRUICKSHANK FORMER KEY EMPLYOEE (END 12/2022) 50.0 50.0 X 145322 388098 46053 7085940 9828865 601879 641 true true false CARDOVASCULAR THERAPEUTICS MANAGEMENT 22250 PROVIDENCE DRIVE SUITE 705 SOUTHFIELD MI 480756215 MEDICAL CONSULTING SERVICES 18129746 HEART CARDIOLOGY CONSULTANTS 22250 PROVIDENCE DR SUITE 705 SOUTHFIELD MI 480756215 THERAPY SERVICES 15517268 PSJ ANESTHESIA PC 29155 NORTHWESTERN HWY 549 SOUTHFIELD MI 480341011 medical services 9243412 MICHIGAN EAR INSTITUTE PLLC 30055 NORTHWESTERN HWY STE 101 FARMINGTON HILLS MI 488334326 PHYSICIAN SERVICES 6446322 CONSULTANTS IN CARDIOLOGY PC 31550 NORTHWESTERN HWY STE 220 FARMINGTON HILLS MI 48334 PHYSICIAN SERVICES 5633908 45 0 0 0 5947480 119000 0 6066480 Net Patient Service Revenue 621990 849260019 849260019 Value Based Revenue 900099 7600952 7600952 Income from Joint Ventures 621990 2809890 2809890 Occupational Health Services 621340 2189090 2189090 Rental Income from Affiliates 531120 582688 582688 734365 734365 0 0 863177004 16075 16075 0 0 0 0 3286328 0 3476743 -190415 0 -190415 -190415 0 2282049 0 13025 0 2269024 2269023 2269023 0 0 0 0 0 0 0 0 0 0 0 0 0 Education Revenue 611430 3937888 3937888 Cafeteria/Vending Revenue 722514 2275857 2275857 Research Revenues 541700 1235972 1235972 1702518 1027430 536780 138308 9152235 880490402 869378294 536780 4508848 2327087 2327087 2000 2000 1132240 0 1132240 0 321933105 301248000 20685105 12673007 11858731 814276 20377745 19068418 1309327 22759769 21228712 1531057 2810208 2803608 6600 7990 7990 1611 1611 14653 14653 82816836 77708480 5108356 0 90837 43391 47446 2775952 1937284 838668 1271672 238373 1033299 14733723 13742581 991142 813624 761131 52493 2349173 1511379 837794 27059467 25239168 1820299 675008 675008 Purchased Services 131454217 86421232 45032985 Medical Supplies 128351426 126453688 1897738 Management Fee to Affiliate 110903420 110903420 Maintenance & Repairs 3352258 2108830 1243428 13837527 7847269 5990258 0 904524555 703224370 201300185 0 15117 12465 255882 437541 0 0 102680442 102445428 0 0 0 0 0 0 11505981 11099042 2908479 3133128 893947937 642075344 257174022 251872593 0 0 0 10246460 9919110 69101 121761 102568840 98630446 487424324 477671514 62958765 43712363 0 0 98853 259200 0 0 0 0 0 0 0 0 0 0 206582577 192569000 269640195 236540563 X 217784129 241130951 0 0 0 0 0 0 0 0 217784129 241130951 487424324 477671514 X -24034153 134370 47246605 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 14653 14653 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to state hospital associations that is specifically allocable to lobbying. THE FILING ORGANIZATION does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 7648384 725225 -148316 190119 8035174 7176835 538151 648 67250 7648384 5266660 1799621 258203 18830 128819 7176835 4556228 550716 210854 24440 26698 5266660 3271321 1136124 179290 30507 4556228 0.0 0.96 0.04 false true true 0 23357077 23357077 0 601971751 435128087 166843664 0 9044303 7925745 1118558 0 233996790 189094070 44902720 0 25578016 9927442 15650574 251872593 Due from Affiliates 61406091 Other Receivables 5962655 Security Deposit 6000 Estimated 3rd Party Payor Settlements 7815825 Interest in Investments Held by Ascension Health Alliance 6828323 Right of Use Asset Operating Lease 16611552 98630446 0 Due to Affiliates 145757336 Estimated 3rd Party Payor Settlement 22110048 Recovery Tail Liability 5548126 Deferred Compensation/Retirement/Pension Liability 328362 LONG TERM OPERATING LEASE LIABILITY 16630491 Medicare Advance Payments Other Liabilities 1304639 Real Estate Security Deposit 22190 Valuation Allowance Liability 549888 Accrued Real Estate Tax Liability 317920 192569000 X Schedule D, Part V, Line 4 Intended uses of endowment funds Endowment funds are created to support the healthcare ministry of Ascension Providence Hospital. The distributions from an endowment provide a dependable source of income each year to help Ascension Providence Hospital 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, 2023. true true X true X 250 true X true false true true 2705882 2705882 0.0030 112608591 65178719 47429872 0.0524 0 0.0 0 0 115314473 65178719 50135754 0.0554 12 6053 1764622 1764622 0.0020 6 1458 27243734 27243734 0.0301 0 0.0 0 0.0 7 10488 265990 265990 0.0003 25 17999 29274346 0 29274346 0.0324 25 17999 144588819 65178719 79410100 0.0878 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 11621186 0 366361905 405006278 -38644373 X true true PROVIDENCE VENTURES LLC BONE AND JOINT SURGERY CENTER 0.3716 0.6284 2 1 Ascension Providence Hospital - Southfield 16001 W NINE MILE SOUTHFIELD MI 48037 https://healthcare.ascension.org/Locations/Michigan/MIDET/Southfield-Ascension-Providence-Hospital-S 1060000008 X X X X A 2 Ascension Providence Hospital 47601 GRAND RIVER AVENUE NOVI MI 48374 https://healthcare.ascension.org/Locations/Michigan/MIDET/Novi-Ascension-Providence-Hospital-Novi-Ca 1060000156 X X X X A A false false true X X X X X X X X X 21 true true false true X https://healthcare.ascension.org/CHNA X true 21 true https://healthcare.ascension.org/CHNA false true X 250.0 400.0 X X X X true true X X X true X https://healthcare.ascension.org/Financial-Assistance X https://healthcare.ascension.org/Financial-Assistance X https://healthcare.ascension.org/Financial-Assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E ASCENSION SOUTHEAST MICHIGAN (SEM) HOSPITALS (CONSISTING OF ASCENSION BRIGHTON CENTER FOR RECOVERY, ASCENSION MACOMB-OAKLAND HOSPITAL - WARREN CAMPUS AND MADISON HEIGHTS CAMPUS, ASCENSION ST. JOHN HOSPITAL, ASCENSION PROVIDENCE HOSPITAL - SOUTHFIELD CAMPUS AND NOVI CAMPUS, AND ASCENSION RIVER DISTRICT HOSPITAL) COMPLETED THE 2021 (TAX YEAR) CHNA AND RECEIVED APPROVAL FROM THE ASCENSION SOUTHEAST MICHIGAN BOARD OF TRUSTEES ON JUNE 20, 2022. IN COLLABORATION WITH VARIOUS COMMUNITY PARTNERS AND WITH CONTRACTED ASSISTANCE FROM SOUTHEASTERN MICHIGAN HEALTH ASSOCIATION (SEMHA), THE ASCENSION SEM HOSPITALS UTILIZED THE HANLON METHOD TO PRIORITIZE WHICH OF THE IDENTIFIED NEEDS WERE MOST SIGNIFICANT WITHIN THE DEFINED SOUTHEASTERN MICHIGAN AREA: LIVINGSTON, MACOMB, OAKLAND, ST. CLAIR, AND WAYNE (INCLUDING CITY OF DETROIT) COUNTIES. THE HANLON METHOD IS A LONG TESTED PUBLIC HEALTH TOOL THAT ASSISTS STAKEHOLDERS IN IDENTIFYING PRIORITIES FROM THE MANY HEALTH CHALLENGES FACING COMMUNITIES, AND PROVIDES A FAIR, REASONABLE, AND EASY WAY TO COMPARE DIFFERENT HEALTH PROBLEMS IN A RELATIVE FRAMEWORK, AS EQUALLY AS POSSIBLE, AND IN A SOMEWHAT OBJECTIVE MANNER. THE HANLON METHOD INDIVIDUALLY RECOGNIZES THE A.) SIZE OF THE PROBLEM, B.) THE SERIOUSNESS OF THE PROBLEM, AND C.) THE EFFECTIVENESS OF THE SOLUTION. GIVEN THE SIZE AND SCOPE OF THE SOUTHEAST MICHIGAN SERVICE AREA, THE FOLLOWING THREE ASPECTS OF THIS PROCESS WERE ESSENTIAL IN ARRIVING AT THE MOST SIGNIFICANT NEEDS IDENTIFIED: -UTILIZATION OF THE HANLON PRIORITIZATION METHOD WITH A GROUP OF COMMUNITY STAKEHOLDERS TO RANK THE NEEDS AND DETERMINE THE MOST SIGNIFICANT NEEDS. -THE COLLECTION OF COMMUNITY INPUT (PRIMARY DATA) THROUGH THE 872 SURVEYS. -THE COLLECTION AND COMPILING SECONDARY DATA OR POPULATION HEALTH STATISTICAL DATA IN A FORMAT THAT CAN BE USED TO INFORM OUR UNDERSTANDING OF THE HEALTH NEEDS OF THE COMMUNITY. THROUGH THE PRIORITIZATION PROCESS FOR THE 2021 (TAX YEAR) CHNA, THE SIGNIFICANT NEEDS ARE AS FOLLOWS: CHRONIC DISEASE, INCLUDING DIABETES AND CANCER; DIET AND EXERCISE, INCLUDING OBESITY; MENTAL AND BEHAVIORAL HEALTH; AND ACCESS TO CARE. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - Facility Group A. IN ASCENSION SOUTHEAST MICHIGAN (SEM) HOSPITALS (CONSISTING OF ASCENSION BRIGHTON CENTER FOR RECOVERY, ASCENSION MACOMB-OAKLAND HOSPITAL - WARREN CAMPUS AND MADISON HEIGHTS CAMPUS, ASCENSION ST. JOHN HOSPITAL, ASCENSION PROVIDENCE HOSPITAL - SOUTHFIELD CAMPUS AND NOVI CAMPUS, AND ASCENSION RIVER DISTRICT HOSPITAL) MOST RECENT CHNA CONDUCTED JULY 1, 2021 THROUGH JUNE 30, 2022, MULTIPLE METHODS WERE USED TO GATHER COMMUNITY INPUT. THESE METHODS PROVIDED ADDITIONAL PERSPECTIVES ON HOW TO SELECT AND ADDRESS TOP HEALTH ISSUES FACING SOUTHEAST MICHIGAN. A SUMMARY OF THE PROCESS AND RESULTS IS OUTLINED BELOW: 1. SURVEYS - A SURVEY WAS CONDUCTED BY ASCENSION SEM COMMUNITY HEALTH DEPARTMENT TO GATHER THE PERCEPTIONS, THOUGHTS, OPINIONS, AND CONCERNS OF THE COMMUNITY REGARDING HEALTHY BEHAVIORS, MENTAL HEALTH, PHYSICAL HEALTH, SUBSTANCE USE, SOCIAL DETERMINANTS OF HEALTH (SDOH), ACCESS TO CARE, COVID-19 FOR SOUTHEAST MICHIGAN (WAYNE, INCLUDING CITY OF DETROIT, OAKLAND, MACOMB, LIVINGSTON, AND ST. CLAIR COUNTIES). A TOTAL OF 872 INDIVIDUALS PARTICIPATED IN THE SURVEY, HELD BETWEEN SEPTEMBER 2021 AND NOVEMBER 2021. THE DATA GATHERED AND ANALYZED FROM YOUTH AND THE COMMUNITY PROVIDES VALUABLE INSIGHT INTO THE ISSUES OF IMPORTANCE TO THE COMMUNITY. -THE ADULT (GENERAL) COMMUNITY SURVEY CONTAINED 36 QUESTIONS, AND WAS DISTRIBUTED TO ADULTS AGE 18+ BY EMAIL, PAPER SURVEYS LOCATED IN MEDICAL CENTERS, AND SHARED ELECTRONICALLY THROUGH OUR PARTNER ORGANIZATIONS. 751 RESPONSES WERE RECEIVED. -THE YOUTH COMMUNITY SURVEY CONTAINED 24 QUESTIONS, AND WAS DISTRIBUTED TO STUDENTS IN THE ASCENSION MI SCHOOL BASED HEALTH CENTERS THROUGH ELECTRONIC AND PAPER SURVEYS. 121 RESPONSES WERE RECEIVED. -THE KEY STAKEHOLDER SURVEY CONTAINED 8 QUESTIONS, AND WAS DISTRIBUTED ELECTRONICALLY THROUGH OUR PARTNER ORGANIZATION AND DURING THE KEY STAKEHOLDERS FOCUS GROUP SESSIONS. 23 RESPONSES WERE RECEIVED. 2. KEY STAKEHOLDERS FOCUS GROUPS - KEY STAKEHOLDER FOCUS GROUPS WERE CONDUCTED BY ASCENSION SEM COMMUNITY HEALTH TO GATHER FEEDBACK FROM KEY STAKEHOLDERS ON THE HEALTH NEEDS AND ASSETS OF SOUTHEAST MICHIGAN (WAYNE [CITY OF DETROIT], OAKLAND, MACOMB, LIVINGSTON, AND ST. CLAIR COUNTIES). THE FOCUS GROUPS WERE HELD BETWEEN AUGUST 2021 AND OCTOBER 2021. PARTICIPANTS INCLUDED STAKEHOLDERS WITHIN THE SOUTHEAST MICHIGAN AREA THAT WORKS WITH LOCAL HEALTH DEPARTMENTS, FEDERALLY QUALIFIED HEALTH CLINICS, NONPROFIT AND COMMUNITY ORGANIZATIONS, MENTAL HEALTH ORGANIZATIONS, YOUTH SERVING ORGANIZATIONS, SENIOR SERVING ORGANIZATIONS, EDUCATION LEADERS AND LOCAL SCHOOL DISTRICTS, FAITH-BASED ORGANIZATIONS, LOCAL GOVERNMENT OFFICIALS AND LAW ENFORCEMENT. RECOGNIZING ITS VITAL IMPORTANCE IN UNDERSTANDING THE HEALTH NEEDS AND ASSETS OF THE COMMUNITY, ASCENSION SOUTHEAST MICHIGAN (SEM) HOSPITALS MADE A CONCERTED EFFORT TO ENSURE THAT THE INDIVIDUALS AND ORGANIZATIONS REPRESENTED THE NEEDS AND PERSPECTIVES OF: 1) PUBLIC HEALTH PRACTICE AND RESEARCH 2) INDIVIDUALS WHO ARE MEDICALLY UNDERSERVED, ARE LOW-INCOME, OR CONSIDERED AMONG THE MINORITY POPULATIONS SERVED BY THE HOSPITAL 3) THE BROADER COMMUNITY AT LARGE AND THOSE WHO REPRESENT THE BROAD INTERESTS AND NEEDS OF THE COMMUNITY SERVED. IN 2020, ASCENSION SEM COMMUNITY HEALTH DEPARTMENT ESTABLISHED COMMUNITY ADVISORY COMMITTEES (CAC) COMPOSED OF A DIVERSE GROUP OF KEY STAKEHOLDERS INCLUDING EDUCATORS, BUSINESS AND FAITH LEADERS, NONPROFIT AND PUBLIC AGENCIES SERVING INFANTS, CHILDREN AND SENIORS, TO ESTABLISH, MAINTAIN AND/OR ENHANCE ITS RELATIONSHIPS WITH THE COMMUNITY. THE FOLLOWING LIST REPRESENTS THE ORGANIZATIONS THAT PARTICIPATED IN THE 2021 CHNA PROCESS: * CARE OF SOUTHEASTERN MICHIGAN * CATHOLIC CHARITIES OF SOUTHEAST MICHIGAN * DEIGHTON FAMILY MEDICINE * FAMILY VICTORY FELLOWSHIP CHURCH * HAZEL PARK SCHOOL DISTRICT * HAVEN OF OAKLAND COUNTY * LIVINGSTON COUNTY CATHOLIC CHARITIES * LIVINGSTON COUNTY HEALTH DEPARTMENT * NATIONAL ALLIANCE ON MENTAL ILLNESS * NEW HOPE CENTER OF GRIEF SUPPORT * OAK PARK SCHOOL DISTRICT * OAKLAND COUNTY HEALTH DIVISION * THE ARC LIVINGSTON COUNTY * THE FAMILY CENTER OF GROSSE POINTE/HARPER WOODS * THE HELM LIFE CENTER * THE YOUTH CONNECTION * VISTA MARIA Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - Facility Group A. The community health needs assessment was conducted with the following facilities: 1. Ascension St. John Hospital 2. Ascension Macomb-Oakland Hospital-Warren 3. Ascension Macomb-Oakland Hospital-Madison Heights 4. Ascension St. John Hospital 5. Ascension Brighton Center for Recovery Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Facility Group A PART I. ASCENSION SOUTHEAST MICHIGAN (SEM) HOSPITALS (CONSISTING OF ASCENSION BRIGHTON CENTER FOR RECOVERY, ASCENSION MACOMB-OAKLAND HOSPITAL - WARREN CAMPUS AND MADISON HEIGHTS CAMPUS, ASCENSION ST. JOHN HOSPITAL, ASCENSION PROVIDENCE HOSPITAL - SOUTHFIELD CAMPUS AND NOVI CAMPUS, AND ASCENSION RIVER DISTRICT HOSPITAL) COMPLETED THE TAX YEAR 2021 CHNA AND RECEIVED APPROVAL FROM THE ASCENSION SOUTHEAST MICHIGAN BOARD OF TRUSTEES ON JUNE 20, 2022. IN COLLABORATION WITH VARIOUS COMMUNITY PARTNERS AND WITH CONTRACTED ASSISTANCE FROM SOUTHEASTERN MICHIGAN HEALTH ASSOCIATION (SEMHA), THE ASCENSION SEM HOSPITALS UTILIZED THE HANLON METHOD TO PRIORITIZE WHICH OF THE IDENTIFIED NEEDS WERE MOST SIGNIFICANT WITHIN THE DEFINED SOUTHEASTERN MICHIGAN AREA: LIVINGSTON, MACOMB, OAKLAND, ST. CLAIR, AND WAYNE (INCLUDING CITY OF DETROIT) COUNTIES. THE HANLON METHOD IS A LONG TESTED PUBLIC HEALTH TOOL THAT ASSISTS STAKEHOLDERS IN IDENTIFYING PRIORITIES FROM THE MANY HEALTH CHALLENGES FACING COMMUNITIES, AND PROVIDES A FAIR, REASONABLE, AND EASY WAY TO COMPARE DIFFERENT HEALTH PROBLEMS IN A RELATIVE FRAMEWORK, AS EQUALLY AS POSSIBLE, AND IN A SOMEWHAT OBJECTIVE MANNER. THE HANLON METHOD INDIVIDUALLY RECOGNIZES THE A.) SIZE OF THE PROBLEM, B.) THE SERIOUSNESS OF THE PROBLEM, AND C.) THE EFFECTIVENESS OF THE SOLUTION. GIVEN THE SIZE AND SCOPE OF THE SOUTHEAST MICHIGAN SERVICE AREA, THE FOLLOWING THREE ASPECTS OF THIS PROCESS WERE ESSENTIAL IN ARRIVING AT THE MOST SIGNIFICANT NEEDS IDENTIFIED: 1. UTILIZATION OF THE HANLON PRIORITIZATION METHOD WITH A GROUP OF COMMUNITY STAKEHOLDERS TO RANK THE NEEDS AND DETERMINE THE MOST SIGNIFICANT NEEDS. 2. THE COLLECTION OF COMMUNITY INPUT (PRIMARY DATA) THROUGH THE 872 SURVEYS. 3. THE COLLECTION AND COMPILING SECONDARY DATA OR POPULATION HEALTH STATISTICAL DATA IN A FORMAT THAT CAN BE USED TO INFORM OUR UNDERSTANDING OF THE HEALTH NEEDS OF THE COMMUNITY. THROUGH THE PRIORITIZATION PROCESS FOR THE TAX YEAR 2021 CHNA, THE SIGNIFICANT NEEDS ARE AS FOLLOWS: CHRONIC DISEASE, INCLUDING DIABETES AND CANCER; DIET AND EXERCISE, INCLUDING OBESITY; MENTAL AND BEHAVIORAL HEALTH; AND ACCESS TO CARE. FOLLOWING THE COMPLETION OF THE TAX YEAR 2021 CHNA, ASCENSION SEM HOSPITALS, IN COLLABORATION WITH ASCENSION SEM COMMUNITY HEALTH DEPARTMENT AND ASCENSION MICHIGAN COMMUNITY BENEFIT CENTER OF EXPERTISE, CONSIDERATION WAS GIVEN TO SELECT FACTORS IN DETERMINING THE SIGNIFICANT NEEDS THAT WOULD BE SELECTED AS PRIORITIZED NEEDS. A SELECT GROUP OF SUBJECT MATTER EXPERTS IN THE FORM OF THE CHNA STEERING COMMITTEE CONSIDERED THE FACTORS BELOW: 1. IS THE NEED ONE THAT CAN BE MEASURED/TRACKED OVER TIME? 2. DOES THE NEED ALIGN WITH OVERALL AVAILABLE AND POTENTIALLY AVAILABLE RESOURCES AND PARTNER OPPORTUNITIES? 3. DOES THE NEED ALIGN WITH OVERALL HEALTH SYSTEM STRATEGY AND FOCUS AREAS FOR COMMUNITY IMPACT? FOR THE PURPOSES OF ITS TAX YEAR 2021 IMPLEMENTATION STRATEGY, ASCENSION PROVIDENCE HOSPITAL CHOSE TO FOCUS ITS EFFORTS ON THE PRIORITIES OUTLINED BELOW. CURRENT STATUS AND PROGRESS MADE BETWEEN JULY 1, 2022 THROUGH JUNE 30, 2023 FOR EACH PRIORITY HEALTH NEED'S STRATEGIES ARE ALSO OUTLINED BELOW. 1. MENTAL HEALTH (INCLUDES STRESS, ANXIETY AND DEPRESSION) -INCREASE INVOLVEMENT IN AND SUPPORT OF COMMUNITY HEALTH ACTIVITIES TO ADDRESS MENTAL HEALTH-FOCUSED NEEDS. STATUS: IN PROGRESS. LAUNCHED THE ASCENSION MICHIGAN COMMUNITY INVESTMENT & ENGAGEMENT INITIATIVE TO ENSURE ASCENSION MICHIGAN HOSPITALS CONTINUE TO BE GOOD STEWARDS OF THE RESOURCES ENTRUSTED TO THEM BY INTENTIONALLY AND STRATEGICALLY ALIGNING COMMUNITY INVESTMENTS AND ENGAGEMENTS WITH LOCAL (PRIORITIZED) COMMUNITY NEEDS AND MARKET STRATEGIC AND ORGANIZATIONAL PRIORITIES. THE INITIATIVE FOCUSES ON TWO KEY AREAS: COMMUNITY INVESTMENT, DEFINED BY ASCENSION MICHIGAN AS DOLLARS INVESTED EXTERNALLY TO SUPPORT COMMUNITY HEALTH AND IMPACT PROGRAMS, EVENTS, AND OTHER COMMUNITY-BASED ACTIVITIES. A NEW CENTRALIZED, EXTERNAL-FACING WEB PAGE AND DONATION REQUEST FORM, STANDARDIZED DETERMINATION CRITERIA, AND STREAMLINED PROCESSES FOR PAYMENT AND MARKETING NEEDS WILL BE IMPLEMENTED; AND COMMUNITY ENGAGEMENT, DEFINED BY ASCENSION MICHIGAN, INCLUDES PARTNERSHIPS, COLLABORATIONS AND PARTICIPATION WITH EXTERNAL COMMUNITY GROUPS. AN INTERNAL SURVEY WAS DISTRIBUTED IN FEBRUARY 2023 TO HOSPITAL AND MARKET LEADERS TO BETTER UNDERSTAND CURRENT LEVEL OF COMMUNITY INVOLVEMENT, IDENTIFY GAPS AND OPPORTUNITIES FOR FUTURE ENGAGEMENT. -IMPROVE ACCESS TO BEHAVIORAL HEALTHCARE FOR VULNERABLE POPULATIONS THROUGH A COORDINATED AND TRANSFORMATIONAL APPROACH WITH ASCENSION MICHIGAN HOSPITALS. STATUS: IN PROGRESS. THE ASCENSION MICHIGAN BEHAVIORAL HEALTH DEPARTMENT, WHICH OPERATES AS A STATEWIDE FUNCTION, HAS DEVELOPED A COORDINATED IMPLEMENTATION STRATEGY TO ADDRESS A BROAD SPECTRUM OF OUTPATIENT AND INPATIENT BEHAVIORAL HEALTH SERVICES. TACTICS IMPLEMENTED TO IMPROVE ACCESS TO BEHAVIORAL HEALTHCARE INCLUDE: EXPANDED USE OF THE SCREENING BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT), A DEPRESSION, ANXIETY AND SUBSTANCE ABUSE SCREENING TOOL, WAS IMPLEMENTED IN VARIOUS PRIMARY AND SPECIALTY CARE SETTINGS. ADDITIONALLY, ASCENSION MICHIGAN EFFECTIVELY ESTABLISHED ELECTRONIC HEALTH RECORD PLATFORMS IN PRIMARY CARE SETTINGS FOR CASE MANAGEMENT OF BEHAVIORAL HEALTH PATIENTS. ASCENSION MACOMB-OAKLAND HOSPITAL: WARREN CAMPUS ESTABLISHED BEHAVIORAL HEALTH ANNEX UNITS WITHIN ITS EMERGENCY ROOM. STAFFED BY A CLINICAL SOCIAL WORKER AND PSYCHIATRIST, THE ANNEX UNITS PROVIDE A MORE SUITABLE ENVIRONMENT FOR BEHAVIORAL HEALTH PATIENTS, CHANGING THE QUALITY OF TREATMENT PROVIDED. -INCREASE ACCESS TO MENTAL HEALTH EDUCATION, ASSESSMENT, REFERRAL, AND OTHER SUPPORTS FOR CHILDREN AND ADULTS. STATUS: IN PROGRESS. MANY PROGRAMS AND EDUCATIONAL EVENTS WERE OFFERED THROUGH THE ASCENSION MICHIGAN COMMUNITY HEALTH DEPARTMENT TO ADDRESS MENTAL HEALTH NEEDS. THE ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH DEPARTMENT SUPPORTS COMMUNITY MEMBERS TO IMPROVE THEIR HEALTH AND WELLNESS, REGARDLESS OF ECONOMIC STATUS OR PHYSICAL CONDITION, AND HELPS CONNECT INDIVIDUALS WITH COMMUNITY RESOURCES FOR THEIR SPECIFIC NEEDS. PROGRAMS OFFERED INCLUDED: OPEN ARMS PROGRAM TO HELP VICTIMS AND THEIR FAMILIES PROCESS THEIR INTENSE EMOTIONS, NAVIGATE THROUGH THE CRIMINAL JUSTICE SYSTEM, AND OBTAIN SUPPORTIVE SERVICES AFTER EXPERIENCING ANY ACTS OF VIOLENCE (INCLUDES GRIEF COUNSELING); SCREEN, ASSESS, AND REFER (AS APPROPRIATE) FAMILIES FOR POSTPARTUM DEPRESSION, INFANT MENTAL HEALTH, AND OTHER MENTAL HEALTH RELATED ISSUES; AND HUMAN TRAFFICKING IDENTIFICATION AND TRAINING FOR ASSOCIATES. ASCENSION MICHIGAN COMMUNITY HEALTH DEPARTMENT ALSO PARTNERS WITH MORE THAN 23 SCHOOLS ACROSS OAKLAND, MACOMB, WAYNE, GENESEE, AND ST. JOSEPH COUNTIES TO MANAGE SCHOOL-BASED HEALTH CENTERS. HEALTH CENTER CARE TEAMS PROVIDE STUDENTS WITH PHYSICAL, MENTAL, AND EMOTIONAL SUPPORT. PROGRAMS OFFERED INCLUDE RAPID ASSESSMENT FOR ADOLESCENT PREVENTIVE SERVICES (RAAPS), A RISK SCREENING SYSTEM DEVELOPED ESPECIALLY FOR THE NEEDS OF YOUNG PEOPLE, WITHIN ELEMENTARY, MIDDLE, AND HIGH SCHOOLS. DUE TO OPERATIONAL CHALLENGES, THE RED FLAGS PROGRAM WAS NOT OFFERED. Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - Facility Group A PART II. 2. HEALTHY BEHAVIORS AND CHRONIC DISEASE ISSUES - -INCREASE INVOLVEMENT IN AND SUPPORT OF COMMUNITY HEALTH ACTIVITIES TO ADDRESS MENTAL HEALTH-FOCUSED NEEDS. STATUS: IN PROGRESS. LAUNCHED THE ASCENSION MICHIGAN COMMUNITY INVESTMENT & ENGAGEMENT INITIATIVE TO ENSURE ASCENSION MICHIGAN HOSPITALS CONTINUE TO BE GOOD STEWARDS OF THE RESOURCES ENTRUSTED TO THEM BY INTENTIONALLY AND STRATEGICALLY ALIGNING COMMUNITY INVESTMENTS AND ENGAGEMENTS WITH LOCAL (PRIORITIZED) COMMUNITY NEEDS AND MARKET STRATEGIC AND ORGANIZATIONAL PRIORITIES. THE INITIATIVE FOCUSES ON TWO KEY AREAS: COMMUNITY INVESTMENT, DEFINED BY ASCENSION MICHIGAN AS DOLLARS INVESTED EXTERNALLY TO SUPPORT COMMUNITY HEALTH AND IMPACT PROGRAMS, EVENTS, AND OTHER COMMUNITY-BASED ACTIVITIES. A NEW CENTRALIZED, EXTERNAL-FACING WEB PAGE AND DONATION REQUEST FORM, STANDARDIZED DETERMINATION CRITERIA, AND STREAMLINED PROCESSES FOR PAYMENT AND MARKETING NEEDS WILL BE IMPLEMENTED; AND COMMUNITY ENGAGEMENT, DEFINED BY ASCENSION MICHIGAN, INCLUDES PARTNERSHIPS, COLLABORATIONS AND PARTICIPATION WITH EXTERNAL COMMUNITY GROUPS. AN INTERNAL SURVEY WAS DISTRIBUTED IN FEBRUARY 2023 TO HOSPITAL AND MARKET LEADERS TO BETTER UNDERSTAND CURRENT LEVEL OF COMMUNITY INVOLVEMENT, IDENTIFY GAPS AND OPPORTUNITIES FOR FUTURE ENGAGEMENT. -IMPROVE CHRONIC DISEASE BURDEN THROUGH EDUCATION, REFERRAL, AND OTHER SUPPORTS FOR CHILDREN AND ADULTS. STATUS: IN PROGRESS. MANY PROGRAMS AND EDUCATIONAL EVENTS WERE OFFERED BY THE ASCENSION MICHIGAN COMMUNITY HEALTH DEPARTMENT TO ADDRESS AND IMPROVE CHRONIC DISEASE BURDEN. THE ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH DEPARTMENT SUPPORTS COMMUNITY MEMBERS TO IMPROVE THEIR HEALTH AND WELLNESS, REGARDLESS OF ECONOMIC STATUS OR PHYSICAL CONDITION, AND HELPS CONNECT INDIVIDUALS WITH COMMUNITY RESOURCES FOR THEIR SPECIFIC NEEDS. PROGRAMS OFFERED INCLUDED BLESS YOUR HEART HYPERTENSION PROGRAM, DIABETES EDUCATION PROGRAMS INCLUDING THE CDC DIABETES PREVENTION PROGRAM (DPP), AND VARIOUS FALL REDUCTION & ACTIVITIES VIRTUAL CLASSES FOR OLDER ADULTS. DUE TO OPERATIONAL CHALLENGES, ASTHMA CAMP PROGRAMMING WAS NOT OFFERED AND THE CHRONIC PAIN MANAGEMENT PROGRAM WAS DISCONTINUED. ASCENSION MICHIGAN COMMUNITY HEALTH DEPARTMENT ALSO PARTNERS WITH MORE THAN 23 SCHOOLS ACROSS OAKLAND, MACOMB, WAYNE, GENESEE, AND ST. JOSEPH COUNTIES TO MANAGE SCHOOL-BASED HEALTH CENTERS. HEALTH CENTER CARE TEAMS PROVIDE STUDENTS WITH PHYSICAL, MENTAL, AND EMOTIONAL SUPPORT; THIS INCLUDES OFFERING THE 5-2-1-0 PROGRAM, A NATIONALLY RECOGNIZED AND EVIDENCE-BASED PREVENTION FRAMEWORK TO PROMOTE HEALTHY HABITS. 3. ACCESS TO CARE - -INCREASE INVOLVEMENT IN AND SUPPORT OF COMMUNITY HEALTH ACTIVITIES TO ADDRESS MENTAL HEALTH-FOCUSED NEEDS. STATUS: IN PROGRESS. LAUNCHED THE ASCENSION MICHIGAN COMMUNITY INVESTMENT & ENGAGEMENT INITIATIVE TO ENSURE ASCENSION MICHIGAN HOSPITALS CONTINUE TO BE GOOD STEWARDS OF THE RESOURCES ENTRUSTED TO THEM BY INTENTIONALLY AND STRATEGICALLY ALIGNING COMMUNITY INVESTMENTS AND ENGAGEMENTS WITH LOCAL (PRIORITIZED) COMMUNITY NEEDS AND MARKET STRATEGIC AND ORGANIZATIONAL PRIORITIES. THE INITIATIVE FOCUSES ON TWO KEY AREAS: COMMUNITY INVESTMENT, DEFINED BY ASCENSION MICHIGAN AS DOLLARS INVESTED EXTERNALLY TO SUPPORT COMMUNITY HEALTH AND IMPACT PROGRAMS, EVENTS, AND OTHER COMMUNITY-BASED ACTIVITIES. A NEW CENTRALIZED, EXTERNAL-FACING WEB PAGE AND DONATION REQUEST FORM, STANDARDIZED DETERMINATION CRITERIA, AND STREAMLINED PROCESSES FOR PAYMENT AND MARKETING NEEDS WILL BE IMPLEMENTED; AND COMMUNITY ENGAGEMENT, DEFINED BY ASCENSION MICHIGAN, INCLUDES PARTNERSHIPS, COLLABORATIONS AND PARTICIPATION WITH EXTERNAL COMMUNITY GROUPS. AN INTERNAL SURVEY WAS DISTRIBUTED IN FEBRUARY 2023 TO HOSPITAL AND MARKET LEADERS TO BETTER UNDERSTAND CURRENT LEVEL OF COMMUNITY INVOLVEMENT, IDENTIFY GAPS AND OPPORTUNITIES FOR FUTURE ENGAGEMENT. -PROVIDE OUTREACH SCREENINGS FOR UNDERSERVED POPULATIONS TO IMPROVE ACCESS TO HEALTHCARE SERVICES IN OAKLAND COUNTY. STATUS: IN PROGRESS. ONE LUNG SCREENING, ONE BREAST SCREENING, NINE MOBILE MAMMOGRAPHY SCREENINGS, TWO STROKE SCREENINGS AND SIX EDUCATIONAL EVENTS, AND ONE PROSTATE & CERVICAL SCREENING WERE OFFERED. -STATUS: IN PROGRESS. ASCENSION MICHIGAN'S WOMEN'S HEALTH SERVICE LINE OFFERED A MYRIAD OF SERVICES INCLUDING PRIMARY CARE, CANCER CARE, BREAST HEALTH, OBSTETRICS AND GYNECOLOGY (OB-GYN), UROGYNECOLOGY, MENOPAUSE CARE, EMOTIONAL HEALTH CARE, WEIGHT MANAGEMENT, SKIN CARE, HEART CARE, OSTEOPOROSIS TREATMENT AND MORE. WITHIN 100% OF PRIMARY CARE SETTINGS, A SOCIAL DETERMINANT OF HEALTH (SDOH) SCREENING WAS SUCCESSFULLY IMPLEMENTED WHICH ENABLED HEALTH CARE TEAMS TO IDENTIFY UNMET SOCIAL NEEDS THAT MAY OTHERWISE GO UNDISCOVERED. ADDITIONALLY, THE ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH DEPARTMENT OFFERED THE MATERNAL INFANT HEALTH PROGRAM (MIHP); MIHP PROVIDES ACCESS TO VARIOUS SUPPORT SERVICES FOCUSED ON NUTRITION, PARENTING, INFANT AND CHILD GROWTH AND SAFETY, SUBSTANCE ABUSE, AND DOMESTIC VIOLENCE ISSUES. ASCENSION MICHIGAN COMMUNITY HEALTH DEPARTMENT ALSO PARTNERS WITH MORE THAN 23 SCHOOLS ACROSS OAKLAND, MACOMB, WAYNE, GENESEE, AND ST. JOSEPH COUNTIES TO MANAGE SCHOOL-BASED HEALTH CENTERS. HEALTH CENTER CARE TEAMS PROVIDE STUDENTS WITH PHYSICAL, MENTAL, AND EMOTIONAL SUPPORT. CLINICAL SERVICES, INCLUDING BOTH IN-PERSON AND VIRTUAL MEDICAL AND PSYCHOSOCIAL, DENTAL, AND IMMUNIZATION SERVICES WERE PROVIDED. IT'S IMPORTANT TO NOTE THAT ALL SIGNIFICANT NEEDS WILL BE ADDRESSED AS PRIORITIZED NEEDS WITHIN THE 3-YEAR IMPLEMENTATION STRATEGY. AFTER EVALUATING ASCENSION SEM HOSPITAL'S RESOURCES, PROGRAM STRENGTHS, PARTNERSHIPS, AND CAPACITY TO MAKE AN IMPACT, THE FOUR SIGNIFICANT NEEDS WERE MODIFIED (IN TITLE) AND BECAME THE THREE PRIORITIZED NEEDS, THUS ADDRESSING ALL SIGNIFICANT NEEDS. 17 Providence Medical Building 22250 PROVIDENCE DRIVE SOUTHFIELD MI 48075 Physician Group Farmington Hills Medical Center 30055 Northwestern Hwy Farmington Hills MI 48334 Physician Group Neuro Medical Office Building 26850 Providence Parkway Novi MI 48374 Physician Group Pavilion Office Building 22255 Greenfield Southfield MI 48075 Physician Group Ascension Medical Center Livingston 1225 South Latson Road Howell MI 48843 Physician Group Ambulatory Surgery CenterMission Health 37595 Seven Mile Road Livonia MI 48152 Urgent Care Center Professional Service Building 37650 Professional Center Drive Novi MI 48374 Physician Group Family Health Center 210 N Lafayatte South Lyon MI 48178 Physician Group Ascension Medical Center Livingston - Byron Road Medical 1225 South Latson Road Suite 350 Howell MI 48843 Physician Group Novi Orthopaedic Center 26750 Providence Parkway Suite 210 Novi MI 48374 Physician Group OAKLAND INTERNAL MEDICINE 1435 N MILFORD RD 101 MILFORD CHARTER TWP MI 48381 Physician Group West Oakland Interns 44000 W 12 Mile Road Suite 200 Novi MI 48377 Physician Group ASCENSION MEDICAL CENTER LIVINGSTON - BRIGHTON OBGYN 1225 SOUTH LATSON ROAD SUITE 280 HOWELL MI 48843 Physician Group Dearborn Internal Medicine 23874 Kean Street Dearborn MI 48125 Physician Group Milford Family Practice 1050 Corporate Office Drive Milford MI 48381 Physician Group Dr Alsaadi Internal Medicine 26206 West 12 Mile Suite 105 Southfield MI 48034 Physician Group John B Rasor DO 7960 Grand River Avenue Brighton MI 48115 Physician Group Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG IN ADDITION TO FPG, THE ORGANIZATION USES MEDICAL INDIGENCY, ASSET TEST, INSURANCE STATUS AND RESIDENCY AS OTHER FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. A PATIENT MAY NOT BE ELIGIBLE FOR THE FINANCIAL ASSISTANCE IF SUCH PATIENT IS DEEMED TO HAVE SUFFICIENT ASSETS TO PAY PURSUANT TO AN "ASSET TEST." THE ASSET TEST INVOLVES A SUBSTANTIVE ASSESSMENT OF A PATIENT'S ABILITY TO PAY BASED ON THE CATEGORIES OF ASSETS MEASURED IN THE FAP APPLICATION. A PATIENT WITH SUCH ASSETS THAT EXCEED 250% OF SUCH PATIENT'S FPL AMOUNT MAY NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE. AN ASSET TEST APPLIES IF A PATIENT HAS ELIGIBLE LIQUID ASSETS THAT EXCEED 250% OF THE PATIENT'S FPG LEVEL FOR CONSIDERATION OF FINANCIAL ASSISTANCE ELIGIBILITY. LIQUID ASSETS INCLUDE ASSETS THAT CAN BE CONVERTED TO CASH WITHIN 1 YEAR. THESE INCLUDE ITEMS SUCH AS CHECKING ACCOUNTS, SAVINGS ACCOUNTS, TRUST FUNDS AND LUXURY ITEMS SUCH AS RECREATIONAL VEHICLES, BOATS, A SECOND HOME, ETC. Schedule H, Part I, Line 5a BUDGET AMOUNTS FOR FREE OR DISCOUNTED CARE THE ORGANIZATION ADMINISTERS ITS FINANCIAL ASSISTANCE POLICY IN ACCORDANCE WITH THE TERMS OF THE POLICY. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED. Schedule H, Part II Community Building Activities There were no community building activities to report for FY23 for Ascension Providence Hospital. All reported activities qualify as community benefit and are described in the narrative under Sch H Part 1 Line 7. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. AFTER APPLYING THE COST-TO-CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE IN FISCAL YEAR 2023 WAS $40,658,480 AT CHARGES, ($11,621,186 AT COST). Schedule H, Part III, Line 3 Bad Debt Expense Methodology BASED ON THE ORGANIZATION'S ADMINISTRATION OF ITS FINANCIAL ASSISTANCE PROGRAM, NO ESTIMATE FOR BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS IS DEEMED APPLICABLE TO HOSPITAL OPERATIONS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION IS PART OFASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSESBAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 17-19, OF THE AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE GROSS CHARGES TO CALCULATE MEDICARE COSTS, WHICH ARE THEN COMPARED TO MEDICARE PAYMENTS RECEIVED, TO DETERMINE A MEDICARE GAIN OR LOSS. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT A MEDICARE SHORTFALL (LOSS) IS NOT TREATED AS COMMUNITY BENEFIT, EVEN THOUGH THE HOSPITAL HAS INCURRED LOSSES IN PROVIDING CARE TO MEDICARE PATIENTS. THEREFORE, NONE OF THE AMOUNT ON LINE 7 IS TREATED AS COMMUNITY BENEFIT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance ASCENSION PROVIDENCE HOSPITAL FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED IF ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED FOR THE AMOUNTS FOR WHICH THE PATIENT QUALIFIES. Schedule H, Part V, Section B, Line 16a FAP website A - Ascension Providence Hospital - Southfield: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part V, Section B, Line 16b FAP Application website A - Ascension Providence Hospital - Southfield: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - Ascension Providence Hospital - Southfield: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part VI, Line 2 Needs assessment Ascension Providence Hospital uses internal and external data and reports from third parties, including government sources, to assess the healthcare needs of the communities we serve. These reports provide key information about health, socioeconomic, demographic factors that identify areas of need and inform our strategies that help to meet those needs of our community. These reports include, but are not limited to: *Sg2 Healthcare Intelligence *State Datasets *Internal Data Sets Ascension Providence Hospital utilizes information from these secondary sources to develop programs and provide appropriate services needed throughout the region. In addition, Ascension Providence Hospital considers the health care needs of the overall community when evaluating internal financial and operational decisions. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance ASCENSION PROVIDENCE HOSPITAL IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL, IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, Ascension Providence Hospital'S FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES; ASCENSION PROVIDENCE HOSPITAL PROVIDES FULL FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 250% OF THE FEDERAL POVERTY LEVEL AND SLIDING SCALE ASSISTANCE FOR THOSE UP TO 400% OF THE FEDERAL POVERTY LEVEL. ASCENSION PROVIDENCE HOSPITAL WIDELY PUBLICIZES ITS: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY VIA THE HOSPITAL FACILITY'S WEBSITE - https://healthcare.ascension.org/locations/michigan/midet/southfield-ascension-providence-hospital-southfield-campus/financial-assistance ASCENSION PROVIDENCE HOSPITAL MAKES PAPER COPIES OF THE: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - AMOUNT GENERALLY BILLED CALCULATION. THE PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. ASCENSION PROVIDENCE HOSPITAL INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION MAY BE FOUND. ASCENSION PROVIDENCE HOSPITAL INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS. Schedule H, Part VI, Line 4 Community information The total population of Oakland county is estimated to be 1,305,733 residents in calendar year 2023 and is estimated to increase by 15,555 residents or 1.19% over the next five years (Sg2/Claritas Pop-Facts 2023). There are an estimated 509,589 households. The county is in the metro Detroit area and is urban. There is a federally designated medically underserved area in Oakland County located in Pontiac. The median household income in Oakland county is $81,587, based on the United States Census Bureau (in 2020 dollars, 2016-2020). Approximately 7.8% of the service area persons live below the poverty line. There are 12 acute care hospitals located in Ascension Providence Hospital's primary service area (including 4 Ascension Hospitals - Providence Southfield Campus, Providence Novi Campus, Ascension Providence Rochester Hospital and Ascension Macomb Oakland Madison Heights Campus which borders Macomb County). There are also 3 specialty/surgical hospitals and 2 psychiatric hospitals. Schedule H, Part VI, Line 5 Promotion of community health Ascension Providence Hospital'S GOVERNING BODY IS COMPRISED OF PERSONS REPRESENTING ASCENSION MICHIGAN'S SERVICE AREAS AND INCLUDES MEMBERS WITH DIVERSE ASPECTS AND INTERESTS OF THE SERVICE AREA. MEMBERS OF THE GOVERNING BODY RESIDE IN THE ORGANIZATION'S SERVICE AREA AND ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. ASCENSION PROVIDENCE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. ASCENSION PROVIDENCE HOSPITAL APPLIES SURPLUS FUNDS TO FUND IMPROVEMENTS IN PATIENT CARE. Schedule H, Part VI, Line 6 Affiliated health care system ASCENSION PROVIDENCE HOSPITAL IS A MEMBER OF ASCENSION. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. ASCENSION PROVIDENCE HOSPITAL OPERATES A HOSPITAL FACILITY IN OAKLAND COUNTY MICHIGAN AND IS PART OF ASCENSION HEALTH. ASCENSION ALSO OPERATES HOSPITALS IN THE EASTERN PORTION OF THE STATE INCLUDING ASCENSION ST. JOHN HOSPITAL, ASCENSION RIVER DISTRICT HOSPITAL, ASCENSION MACOMB OAKLAND HOSPITAL WARREN CAMPUS, ASCENSION MACOMB OAKLAND HOSPITAL MADISON HEIGHTS CAMPUS, ASCENSION PROVIDENCE ROCHESTER HOSPITAL, ASCENSION ST. MARY'S HOSPITAL, ASCENSION STANDISH HOSPITAL, ASCENSION ST. JOSEPH HOSPITAL, ASCENSION GENESYS HOSPITAL AND ASCENSION BRIGHTON CENTER FOR RECOVERY. ASCENSION ALSO OWNS AND OPERATES OTHER HEALTH CARE RELATED ENTITIES IN SOUTHWEST MICHIGAN INCLUDING ASCENSION BORGESS ALLEGAN HOSPITAL, ASCENSION BORGESS PIPP HOSPITAL, ASCENSION BORGESS LEE HOSPITAL AND ASCENSION BORGESS HOSPITAL. THE HEALTH SYSTEM PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF ASCENSION PROVIDENCE HOSPITAL'S SERVICE AREA IN SOUTHEASTERN MICHIGAN. true VISTA MARIA 20651 WEST WARREN AVE DEARBORN HEIGHTS MI 48127 381359262 501(C)(3) 20000 SUPPORT OF EXPRESSIVE THERAPIES PROGRAM FOR HUMAN TRAFFICKING SURVIVORS FOUNDATION OF MICHIGAN ASSOCIATION OF PHYSICIANS OF INDIAN HERITAGE 28235 SOUTHFIELD ROAD LATHRUP VILLAGE MI 48076 383032459 501(C)(3) 10000 GENERAL SUPPORT LIVINGSTON COUNTY TREASURER 200 E GRAND RIVER AVE HOWELL MI 48843 386005819 170(b)(1)(A)(v) 33000 HEALTHCARE COLLABORATIVE CONTRIBUTION CHRIST MEDICUS FOUNDATION 2250 BUTTERFIELD DRIVE SUITE 210 TROY MI 48084 383480072 501(C)(3) 50000 SUPPORT OF THE HEART OF CHRIST CLINIC LA CASA GUADALUPANA 4330 CENTRAL STREET DETROIT MI 482102737 320442491 501(C)(3) 10000 HISPANIC COMMUNITY SUPPORT CATHOLIC CHARITIES OF SOUTHEAST MICHIGAN 24445 NORTHWESTERN HWY SUITE 200 SOUTHFIELD MI 48075 453623184 501(C)(3) 50000 SUPPORT OF THE RESIDENCES AT ST. MATTHEW HEALTHY HOUSING Ascension Southeast Michigan Community Health C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382262856 501(C)(3) 1182320 TO SUPPORT THE HEALTH SERVICES AND NEEDS IN THE SOUTHEAST MICHIGAN COMMUNITY ASCENSION PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383526629 501(c)(3) 996592 GENERAL SUPPORT 8 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. GRANTS THAT ARE GIVEN TO ORGANIZATIONS OUTSIDE OF OUR RELATED SYSTEM OR FOR THE BENEFIT OF INDIVIDUALS ARE DONE SO TO CARRY OUT THE ACTIVITIES AND PURPOSES OF THE ASCENSION HEALTH SYSTEM OVERALL. WHEN GRANTS ARE GIVEN TO RELATED TAX EXEMPT ORGANIZATIONS NO MONITORING IS DONE BECAUSE THOSE ORGANIZATIONS HAVE THE SAME MISSION AND EXEMPT PURPOSES AS THE FILING ORGANIZATION. true true false false false false false false false CAROL L SCHMIDT MINISTRY MARKET EXECUTIVE/PRESIDENT (START 1/2023) 0 608724 0 732000 0 207272 0 19825 0 18119 0 1585940 0 0 JONATHAN SAMUEL NALLI FACHE INTERIM MARKET PRESIDENT (START 8/2022 - END 12/2022) 0 972482 0 1119600 0 239921 0 12529 0 41662 0 2386194 0 0 JOSEPH G CACCHIONE MD FACC INTERIM MARKET PRESIDENT (START 7/2022 - END 8/2022) 0 1053026 0 2400000 0 356575 0 16775 0 30905 0 3857281 0 0 GARY MICHAEL DRUSKOVICH MD FORMER OFFICER (END 6/2022) 356730 138481 157500 0 41725 21524 11294 5481 18329 7823 585578 173309 0 0 BRANT M RUSSELL FORMER OFFICER (END 4/2022) 0 0 0 0 238669 0 0 0 0 0 238669 0 0 0 MICHAEL MCCULLOUGH CFO, MINISTRY MARKET (START 3/2023) 0 398339 0 214389 0 57318 0 11015 0 24496 0 705557 0 0 DOUGLAS TODD MYERS CFO, MINISTRY MARKET (START 7/2022 - END 3/2023) 0 215927 0 40000 0 57977 0 6635 0 13269 0 333808 0 0 DOUGLAS W WINNER VP, FINANCE (END 7/2022) 0 373150 0 121350 0 38694 0 18300 0 14804 0 566298 0 0 ROLAND CRUICKSHANK FORMER KEY EMPLYOEE (END 12/2022) 127076 284373 0 79192 18246 24533 5113 4857 11050 25033 161485 417988 0 0 MICHAEL A BADALI MD CHIEF OPERATING OFFICER 202357 66887 60000 0 1600 531 13789 4270 18713 8035 296459 79723 0 0 LYNN M CHIESA RN CHIEF NURSING OFFICER 220812 0 48000 0 3192 0 17943 0 20500 0 310447 0 0 0 MANHAL TOBIA MD CHIEF MEDICAL OFFICER 416913 0 86000 0 2622 0 15250 0 4549 0 525334 0 0 0 MICHAEL BOUSAMRA MD PHYSICIAN 810115 0 62500 0 7524 0 15250 0 25085 0 920474 0 0 0 KRISTOPHER MAHLON GEORGE MD PHYSICIAN 1012274 0 217247 0 2622 0 15250 0 25602 0 1272995 0 0 0 MICHAEL WON KYU LEE MD PHYSICIAN 854018 0 47200 0 4902 0 6100 0 33919 0 946139 0 0 0 REZA ROBERT DABIR MD PHYSICIAN 1147472 0 0 0 15878 0 15250 0 26708 0 1205308 0 0 0 PHILLIP LORANE ROBINSON MD PHYSICIAN 911479 0 0 0 11267 0 7150 0 11202 0 941098 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY, AND -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED. Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING THE CALENDAR YEAR 2022: BRANT M: RUSSELL: $237,077 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS. Form 990, Part IV, Line 20b 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 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 IV, Line 24a TAX EXEMPT BONDS THE ORGANIZATION IS PART OF ASCENSION HEALTH SYSTEM. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION, IS A MISSOURI NONPROFIT CORPORATION. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH. ASCENSION HEALTH ALLIANCE IS EITHER THE BORROWER FOR, OR SECURES, TAX EXEMPT HOSPITAL REVENUE BONDS. THE ORGANIZATION MAY HOLD AN INTERCOMPANY NOTE PAYABLE WITH ASCENSION HEALTH ALLIANCE, AND THIS INFORMATION IS REPORTED ON THE BALANCE SHEET. Form 990, Part VI, Line 15a & 15B - Process For Determining Compensation 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 Ascension Providence Hospital has a single corporate member, Ascension Michigan. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Ascension Providence Hospital has a single corporate member, Ascension Michigan, who has the ability to elect members to the governing body of ASCENSION PROVIDENCE HOSPITAL. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to Ascension Providence Hospital 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 2f Other Program Service Revenue Management Fees - Total Revenue: 231629, Related or Exempt Function Revenue: 231629, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Services to Affiliates - Total Revenue: 416489, Related or Exempt Function Revenue: 416489, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Interest Income from Patient Accounts - Total Revenue: 86247, Related or Exempt Function Revenue: 86247, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Escheatment Revenue - Total Revenue: 288998, Related or Exempt Function Revenue: 288998, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Late Penalty Fees - Total Revenue: 2291, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 2291; Medical Records Fees - Total Revenue: 47270, Related or Exempt Function Revenue: 47270, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Miscellaneous Revenue - Total Revenue: 759179, Related or Exempt Function Revenue: 691162, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 68017; Sponsored Project Revenue - Total Revenue: 68000, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 68000; MEI Income - Total Revenue: 141261, Related or Exempt Function Revenue: , Unrelated Business Revenue: 141261, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Leased Employees - Total Revenue: 395519, Related or Exempt Function Revenue: , Unrelated Business Revenue: 395519, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers with Affiliates - 47516607; FAS 158 Pension Adjustment - -276738; Unconsolidated ASC JV Adjustment - 6736; Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant 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 - ITEM J ENTITY WEBSITE https://healthcare.ascension.org/Locations/Michigan/MIDET/Novi-Ascension-Providence-Hospital-Novi-Campus https://healthcare.ascension.org/locations/michigan/midet/southfield-ascension-providence-hospital-southfield-campus FORM 990, PAGE 1 PHYSICAL ADDRESS THE PHYSICAL ADDRESS FOR THIS ENTITY IS 16001 WEST NINE MILE ROAD, SOUTHFIELD, Michigan 48075. THE ADDRESS ON PAGE 1 IS FOR MAILING PURPOSES ONLY FORM 990, PAGE 1 - BOX C DOING BUSINESS AS ASCENSION MICHIGAN EMPLOYER SOLUTIONS-OCCUPATIONAL HEALTH ASCENSION MICHIGAN LAB SERVICES ASSARIAN CANCER CENTER DEIGHTON FAMILY MEDICAL CENTER DEIGHTON FAMILY MEDICINE CENTER MICHAEL AND ROSE ASSARIAN CANCER CENTER PROVIDENCE CANCER INSTITUTE PROVIDENCE CT CENTER PROVIDENCE-PROVIDENCE PARK HOSPITAL PROVIDENCE-PROVIDENCE PARK HOSPITAL, NOVI PROVIDENCE-PROVIDENCE PARK HOSPITAL, NOVI CAMPUS PROVIDENCE-PROVIDENCE PARK HOSPITAL, SOUTHFIELD PROVIDENCE-PROVIDENCE PARK HOSPITAL, SOUTHFIELD CAMPUS WOMEN'S ULTIMATE HEALTH CARE SERVICES ASCENSION PROVIDENCE HOSPITAL, NOVI CAMPUS AFFINITY HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391568866 HEALTH SYSTEM IL 501(c)(3) Type II MINISTRY HEALTH CARE INC true ALABAMA PROVIDENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 462847744 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 10 GULF COAST HEALTH SYSTEM true ALEXIAN BROTHERS AMBULATORY GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364336931 PHYSICIANS SERVICES IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251848 BEHAVIORAL HEALTH HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS BONAVENTURE HOUSE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363527899 HOUSING AND SUPPORTIVE CARE SERVICES FOR PERSONS WITH HIV/AIDS IL 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363045007 OUTPATIENT COMMUNITY MENTAL HEALTH SERVICES IL 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS COMMUNITY SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364344423 PACE- COMPREHENSIVE & COORDINATED COMMUNITY BASED SERVICES IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363260495 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS FOR WHICH IT IS A MEMBER IL 501(c)(3) Type III-FI ASCENSION HEALTH true ALEXIAN BROTHERS HOSPITAL NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363276552 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS IL 501(c)(3) Type II Alexian Brothers Health System true ALEXIAN BROTHERS LANSDOWNE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431470362 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS MEDICAL CARE GROUP NFP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 471930457 PHYSICIANS SERVICES IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS MEDICAL CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362596381 ACUTE CARE HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS MEDICAL GROUP SPECIALTY CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 811110738 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 ALEXIAN BROTHERS HEALTH SYSTEM true ALEXIAN BROTHERS OF SAN JOSE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 941530037 ACUTE CARE HOSPITAL (sold in 1998) TX 501(c)(3) Type I Alexian Brothers Health System true ALEXIAN BROTHERS SENIOR MINISTRIES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364484290 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS IL 501(c)(3) Type II Alexian Brothers Health System true ALEXIAN BROTHERS SERVICES INC 3040 SALT CREEK LANE ARLINGTON HEIGHTS IL 60005 431295333 HUD HOUSING MO 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS SHERBROOKE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431592502 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS SPECIALTY GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 800710751 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN VILLAGE OF MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391351584 CONTINUING CARE RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN VILLAGE OF TENNESSEE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621136742 CONTINUING CARE RETIREMENT COMMUNITY TN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALVERNO PROVENA HOSPITAL LABORATORIES INC 2434 INTERSTATE PLAZA DRIVE HAMMOND IN 46234 203238867 HEALTH CARE IN 501(c)(3) 3 Presence Central & Suburban Hospitals Network AND PRESENCE CHICAGO HOSPITAL S NETWORK true AMERICAN SPORTS MEDICINE INSTITUTE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630952490 SPORTS MEDICINE AL 501(c)(3) 7 ST VINCENT'S BIRMINGHAM true ARTHUR MERKLE - CLARA KNIPPRATH NURSING HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362841358 RETIREMENT COMMUNITY IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true ASCENSION ALL SAINTS HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391570877 FOUNDATION WI 501(c)(3) 7 ASCENSION ALL SAINTS HOSPITAL INC true ASCENSION ALL SAINTS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391264986 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ALLEGAN PROFESSIONAL HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205800012 SUPPORTING ORGANIZATION MI 501(c)(3) Type II ASCENSION MICHIGAN true ASCENSION ARIZONA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860455920 HOSPITAL AZ 501(c)(3) 3 ASCENSION HEALTH true ASCENSION BORGESS ALLEGAN FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382802463 FUNDRAISING MI 501(c)(3) Type I ASCENSION MICHIGAN true ASCENSION BORGESS ALLEGAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359180 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237222558 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS HOSPITAL true ASCENSION BORGESS HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381360526 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS LEE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382860459 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS-LEE HOSPITAL true ASCENSION BORGESS-LEE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381490190 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BRIGHTON CENTER FOR RECOVERY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381576680 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION CALUMET HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390905385 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION CARE MANAGEMENT INSURANCE HOLDINGS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 461121862 HEALTH CARE MO 501(c)(3) Type I Ascension Care Management LLC true ASCENSION DEPAUL HOLDINGS OF EL PASO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742734755 SUPPORTING ORGANIZATION TX 501(c)(3) Type I ASCENSION HEALTH true ASCENSION EASTWOOD BEHAVIORAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381958763 HEALTH CARE MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 862197504 FOUNDATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION GENESYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383591148 FOUNDATION MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true ASCENSION GENESYS HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382377821 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ASCENSION HEALTH - IS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651257719 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE T RUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 367046706 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH GLOBAL MISSION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651205990 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH SENIOR CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431227406 PARENT COMPANY MO 501(c)(3) Type II ASCENSION HEALTH true ASCENSION LIVING - LAKESHORE AT SIENA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 824710412 RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION LIVING ST VINCENT PACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 872516723 PACE- COMPREHENSIVE & COORDINATED COMMUNITY BASED SERVICES IN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION MACOMB OAKLAND HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383322109 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION MEDICAL GROUP GENESYS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 831617112 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP MICHIGAN true ASCENSION MEDICAL GROUP MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383494637 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP PROMED C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383193801 HEALTHCARE SERVICES MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391127163 CLINICAL HEALTHCARE SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391791586 MEDICAL GROUP WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382631907 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION HEALTH true ASCENSION MICHIGAN CMG C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382601348 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION MINISTRY AND MISSION FUND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273174701 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION NE WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816818 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION PROVIDENCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109636 HEALTHCARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383526629 FUNDRAISING MI 501(c)(3) 7 ASCENSION PROVIDENCE HOSPITAL true ASCENSION PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742683112 SUPPORT CHARITABLE PURPOSE OF ASCENSION PROVIDENCE TX 501(c)(3) Type I ASCENSION PROVIDENCE true ASCENSION PROVIDENCE ROCHESTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382627336 SUPPORTING MI 501(c)(3) Type I ASCENSION PROVIDENCE ROCHESTER HOSPITAL true ASCENSION PROVIDENCE ROCHESTER HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359247 GENERAL HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION RIVER DISTRICT HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383160564 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION SE WISCONSIN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816857 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION SETON C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109643 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION SETON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742212968 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SETON HAYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 262842608 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SETON WILLIAMSON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205330986 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382262856 HEALTH CARE MI 501(c)(3) 3 ST JOHN PROVIDENCE true ASCENSION ST CLARE'S HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 721531917 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION ST ELIZABETH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391256677 FOUNDATION WI 501(c)(3) 7 AFFINITY HEALTH SYSTEM true ASCENSION ST FRANCIS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390907740 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ST JOHN FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 202961579 FUNDRAISING MI 501(c)(3) 7 ASCENSION ST JOHN HOSPITAL true ASCENSION ST JOHN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359063 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST JOSEPH FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 010790428 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST JOSEPH HOSPITAL true ASCENSION ST JOSEPH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381443395 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MARY'S FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382246366 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST MARY'S HOSPITAL true ASCENSION ST MARY'S HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 380997730 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION STANDISH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381671120 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION TEXAS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364243 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION HEALTH true ASCENSION TEXAS CARDIOVASCULAR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273220767 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II SETON CLINICAL ENTERPRISE CORPORATION true ASCENSION VIA CHRISTI HEALTH PARTNERS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480958974 MANAGEMENT COMPANY KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172107 HEALTH SYSTEM PARENT KS 501(c)(3) Type I ASCENSION HEALTH true ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481186704 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480543778 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL ST TERESA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271965272 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITALS WICHITA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172106 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI PROPERTY SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480948571 PROPERTY MANAGEMENT KS 501(c)(4) ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481158274 REHABILITATION HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION WELFARE BENEFITS TRUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431601369 VEBA IL 501(c)(9) ASCENSION HEALTH ALLIANCE true ASCENSION WISCONSIN FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391494981 FOUNDATION WI 501(c)(3) 7 COLUMBIA ST MARY'S INC true ASCENSION WISCONSIN LABORATORIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391701402 LABORATORY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION WISCONSIN PHARMACY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391613624 PHARMACY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true BAPTIST HEALTH CARE AFFILIATES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581509251 COMMUNITY HEALTH PROMOTION TN 501(c)(3) Type I SAINT THOMAS NETWORK true BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581861378 INACTIVE TN 501(c)(3) Type I SAINT THOMAS WEST HOSPITAL true BINGHAMTON HEALTH CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 881655027 HEALTH CARE NY 501(c)(3) 10 OUR LADY OF LOURDES MEMORIAL HOSPITAL INC true BLUE LADIES MINERALS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742971975 OWN OIL AND MINERAL RIGHTS, REAL ESTATE TX 501(c)(3) Type III-FI ASCENSION SETON FOUNDATION true BORGESS AMBULATORY CARE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382468823 HOLDING COMPANY MI 501(c)(3) 3 BORGESS HEALTH ALLIANCE INC true BORGESS HEALTH ALLIANCE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382335286 HEALTH SYSTEM PARENT MI 501(c)(3) 10 ASCENSION MICHIGAN true BORGESS NURSING HOME INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382555589 SKILLED NURSING FACILITY MI 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true CARONDELET FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860749574 FOUNDATION AZ 501(c)(3) Type I ASCENSION ARIZONA true CARONDELET HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431276738 HEALTH SYSTEM PARENT MO 501(c)(3) Type I ASCENSION HEALTH true CARONDELET LONG-TERM CARE FACILITIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742505427 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CARROLL MANOR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 832068871 SKILLED NURSING FACILITY DC 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CATALPA HEALTH INC 4635 WEST COLLEGE AVENUE APPLETON WI 54914 454681563 BEHAVIORAL HEALTH SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true CENTER FOR GERONTOLOGY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382514708 ADULT DAY CARE MI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351869951 FREESTANDING OUTPATIENT CENTER IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true COLUMBIA COLLEGE OF NURSING Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391596986 COLLEGE WI 501(c)(3) 10 COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC true COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390806315 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391834639 HEALTH SYSTEM WI 501(c)(3) Type I ASCENSION HEALTH true CORNERSTONE ASSISTED LIVING INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481241079 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true DELL CHILDREN'S FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 200468031 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true DELL CHILDREN'S MEDICAL GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742800601 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true FIELD NEUROSCIENCES INSTITUTE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382790703 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION ST MARY'S HOSPITAL true GENESYS AMBULATORY HEALTH SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382371754 HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true GENESYS CONVALESCENT CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382317364 CONVALESCENT CENTER MI 501(c)(3) Type I GENESYS AMBULATORY HEALTH SERVICES true GENESYS HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383339703 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true GULF COAST HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630934712 HEALTH SYSTEM AL 501(c)(3) Type III-FI ST VINCENT'S HEALTH SYSTEM true HAVEN OF OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 593620346 NURSING HOME FL 501(c)(3) 10 SACRED HEART HEALTH SYSTEM INC true HUMPHREYS COUNTY COMMUNITY HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 261861676 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true JANE PHILLIPS MEMORIAL MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730606129 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true JANE PHILLIPS NOWATA HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731440267 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true LAVERNA TERRACE HOUSING CORPORATION 18927 HICKORY CREEK DRIVE SUITE 300 MOKENA IL 60448 363438977 LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED INDIVIDUALS IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true LOURDES FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 911528577 FUNDRAISING WA 501(c)(3) Type I OUR LADY OF LOURDES HOSPITAL AT PASCO true LOURDES REALTY COMPANY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 222873637 RENTAL OF HEALTH CARE FACILITIES NY 501(c)(2) OUR LADY OF LOURDES MEMORIAL HOSPITAL INC true MEDICARE VALUE PARTNERS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363495969 HEALTH CARE IL 501(c)(3) 10 Presence Health Partners Services true MERCY HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237140261 FOUNDATION WI 501(c)(3) Type II AFFINITY HEALTH SYSTEM true MINISTRY HEALTH CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391490371 PARENT CORPORATION WI 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF LOURDES HOSPITAL AT PASCO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 910349750 HEALTHCARE WA 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF LOURDES MEMORIAL HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 150532221 HOSPITAL NY 501(c)(3) 3 ASCENSION HEALTH true OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 161608735 SKILLED NURSING FACILITY NY 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true OWASSO MEDICAL FACILITY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 203700131 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true PRESENCE AMBULATORY SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364286236 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE BEHAVIORAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362709982 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483587 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE TRANSFORMATION CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363366652 MGMT SUPPORT IL 501(c)(3) Type III-FI Alexian Brothers Health System true PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364195126 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CHICAGO HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362235165 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE HEALTH PARTNERS SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362644178 HEALTH CARE IL 501(c)(3) Type II Alexian Brothers Health System true PRESENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363330928 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE HOME CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483581 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE LIFE CONNECTIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 371127787 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PRESENCE SENIOR SERVICES CHICAGOLAND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237061646 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PROVIDENCE BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630914564 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(2) GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630915493 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 7 GULF COAST HEALTH SYSTEM true PROVIDENCE HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742696970 PHYSICIAN PRACTICES TX 501(c)(3) 3 ASCENSION PROVIDENCE true PROVIDENCE HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275583 FUNDRAISING ORGANIZATION DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275587 PHYSICIAN PRACTICES DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 530196636 HOSPITAL DC 501(c)(3) 3 ASCENSION HEALTH true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630288861 HOSPITAL AL 501(c)(3) 3 GULF COAST HEALTH SYSTEM true PROVIDENCE PARK INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611759304 SKILLED NURSING FACILITY TX 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true RAINBOW HOSPICE AND PALLIATIVE CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363296367 HEALTH CARE IL 501(c)(3) 7 PRESENCE CARE TRANSFORMATION CORPORATION true SACRED HEART FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 592436597 FOUNDATION FL 501(c)(3) 7 SACRED HEART HEALTH SYSTEM INC true SACRED HEART HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 590634434 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true SACRED HEART HEALTH VENTURES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 571183283 INVESTMENT FL 501(c)(3) Type I SACRED HEART HEALTH SYSTEM INC true SACRED HEART REHABILITATION INSTITUTE Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390902199 REHAB SERVICES WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true SAINT THOMAS HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581716804 SYSTEM PARENT TN 501(c)(3) Type I ASCENSION HEALTH true SAINT THOMAS HEALTH FOUNDATIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581663055 OPERATES FOUNDATION TN 501(c)(3) 7 SAINT THOMAS NETWORK true SAINT THOMAS HICKMAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581737573 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true SAINT THOMAS HOME HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621836937 HOME HEALTH CARE TN 501(c)(3) 10 SAINT THOMAS HICKMAN HOSPITAL true SAINT THOMAS MEDICAL PARTNERS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621529858 HEALTHCARE PROVIDER TN 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SAINT THOMAS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621284994 HEALTH INVESTMENT ENTITY TN 501(c)(3) 10 SAINT THOMAS HEALTH true SAINT THOMAS REGIONAL HOSPITALS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 474063046 HOSPITALS TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS RUTHERFORD FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621167917 FOUNDATION TN 501(c)(3) Type I SAINT THOMAS RUTHERFORD HOSPITAL true SAINT THOMAS RUTHERFORD HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620475842 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS WEST HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620347580 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SALINA REGIONAL HOME MEDICAL SERVICES LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431948057 MEDICAL EQUIPMENT KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH PARTNERS INC true SAVELLI PROPERTIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363308965 OWNS OR LEASES PROPERTIES WHERE HEALTHCARE SERVICES ARE DELIVERED IL 501(c)(2) Alexian Brothers Health System true SETON CLINICAL ENTERPRISE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364681 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II ASCENSION TEXAS true SETON FAMILY OF DOCTORS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 264562522 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON FAMILY OF PEDIATRIC SURGEONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271311790 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382820107 SOCIAL WELFARE MI 501(c)(4) ST JOHN PROVIDENCE true SETON HOSPITALIST SERVICE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 452498998 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION SETON true SETON INSURANCE SERVICES CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364813 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II ASCENSION TEXAS true SETON MANOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 232960726 SKILLED NURSING FACILITY PA 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true SETON MEDICAL GROUP INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 392064992 PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY MD 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SETON MEDICAL MANAGEMENT INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630937704 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) Type II GULF COAST HEALTH SYSTEM true SETON ORAL & MAXILLOFACIAL SURGERY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 421670843 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON PROPERTY CORPORATION OF NORTH ALABAMA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237326976 REAL ESTATE AL 501(c)(2) ST VINCENT'S HEALTH SYSTEM true SETONUT AUSTIN DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742869762 DELIVERY OF HEALTH CARE 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