Return of Organization Exempt from Income
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l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493134016994 Return of Organization Exempt From Income Tax OMB No 1545-0047 Form 990 Under section 501 (c), 527, or 4947( a)(1) of the Internal Revenue Code ( except black lung 2 benefit trust or private foundation) 201 Department of the Treasury Internal Revenue Service 1-The organization may have to use a copy of this return to satisfy state reporting requirements A For the 2012 calendar year, or tax year beginning 07-01-2012 , 2012, and ending 06-30-2013 C Name of organization B Check if applicable D Employer identification number St John Hospital & Medical Center F Address change 38-1359063 Doing Business As F Name change 1 Initial return Number and street (or P 0 box if mail is not delivered to street address) Room/suite E Telephone number 28000 Dequindre Road F_ Terminated (586)753-0305 (- Amended return City or town, state or country, and ZIP + 4 Warren, MI 480922468 F_ Application pending G Gross receipts $ 731,223,490 F Name and address of principal officer H(a) Is this a group return for David Brooks affiliates? fl Yes F No 28000 Dequindre Road Warren, MI 480922468 H(b) Are all affiliates included? F Yes (- No If "No," attach a list (see instructions) I Tax-exempt status F 501(c)(3) 1 501(c) ( ) I (insert no ) (- 4947(a)(1) or F_ 527 H(c) Group exemption number 0- 3 Website : 0- www stjohn org K Form of organization F Corporation 1 Trust F_ Association (- Other 0- L Year of formation 1948 M State of legal domicile MI Summary 1 Briefly describe the organization's mission or most significant activities Our Catholic Health Ministry is dedicated to spiritually centered, holistic care w 2 Check this box if the organization discontinued its operations or disposed of more than 25% of its net assets 3 Number of voting members of the governing body (Part VI, line 1a) . 3 15 4 Number of independent voting members of the governing body (Part VI, line 1b) . 4 12 5 Total number of individuals employed in calendar year 2012 (Part V, line 2a) . 5 5,338 6 Total number of volunteers (estimate if necessary) 6 400 7aTotal unrelated business revenue from Part VIII, column (C), line 12 . 7a 13,859,613 b Net unrelated business taxable income from Form 990-T, line 34 . 7b 1,486,901 Prior Year Current Year 8 Contributions and grants (Part VIII, line 1h) . 2,489,296 2,055,585 9 Program service revenue (Part V I I I , l i n e 2g) . 709,699,085 704,539,495 N 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) . 9,351,528 8,551,477 11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 14,886,931 14,178,529 12 Total revenue-add lines 8 through 11 (must equal Part VIII, column (A), line 12) . 736,426,840 729,325,086 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3 ) . 0 0 14 Benefits paid to or for members (Part IX, column (A), line 4) . 0 0 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) 306,573,112 293,110,367 16a Professional fundraising fees (Part IX, column (A), line 11e) 0 0 b Total fundraising expenses (Part IX, column (D), line 25) 0-2,892,709 LLJ 17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) . 408,472,748 412,257,527 18 Total expenses Add lines 13-17 (must equal Part IX, column (A), line 25) 715,045,860 705,367,894 19 Revenue less expenses Subtract line 18 from line 12 21,380,980 23,957,192 Beginning of Current End of Year Year 20 Total assets (Part X, line 16) . 792,863,513 812,047,199 % 21 Total liabilities (Part X, line 26) . 302,345,739 296,841,522 ZLL 22 Net assets or fund balances Subtract line 21 from line 20 490,517,774 515,205,677 lijaW Signature Block Under penalties of perjury, I declare that I have examined this return, includin my knowledge and belief, it is true, correct, and complete Declaration of preps preparer has any knowledge Signature of officer Sign Here Tomasine Marx VP Finance & CFO Type or print name and title Print/Type preparer's name Preparers signature Alicia Janisch Paid Firm's name 1- Deloitte Tax LLP Pre pare r Use Only Firm's address -250 East Fifth Street Suite 1900 Cincinnati, OH 45202 May the IRS discuss this return with the preparer shown above? (see instructs For Paperwork Reduction Act Notice, see the separate instructions. Form 990 (2012) Page 2 Statement of Program Service Accomplishments Check if Schedule 0 contains a response to any question in this Part III .(- 1 Briefly describe the organization's mission St John Hospital & Medical Center, as a Catholic Health Ministry, is committed to providing spiritually centered, holistic care which sustains and improves the health of individuals in the communities we serve, with special attention to the poor and vulnerable 2 Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? . fl Yes F No If"Yes,"describe these new services on Schedule 0 3 Did the organization cease conducting, or make significant changes in how it conducts, any program services? . F Yes F7 No If"Yes,"describe these changes on Schedule 0 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported 4a (Code ) (Expenses $ 663,189,919 including grants of $ ) (Revenue $ 701,908,798 St John Hospital & Medical Center, as a Catholic Health Ministry, is committed to providing spiritually centered, holistic care which sustains and improves the health of individuals in the communities we serve, with special attention to the poor and vulnerable St John Hospital & Medical Center is a regional- referral teaching hospital (affiliated with Wayne State University) with 772 licensed beds, a 1,300+ member medical staff and more than 50 medical and surgical specialties It is also the largest acute-care provider and the only designated Emergency Trauma Center on Detroit's east side See Community Benefit Report on Schedule H 4b (Code ) (Expenses $ including grants of $ ) (Revenue $ 4c (Code ) (Expenses $ including grants of $ ) (Revenue $ 4d Other program services (Describe in Schedule 0 (Expenses $ including grants of $ ) (Revenue $ 4e Total program service expenses 1- 663,189,919 Form 990 (2012) Form 990 (2012) Page 3 Checklist of Required Schedules Yes No 1 Is the organization described in section 501(c)(3) or4947(a)(1) (other than a private foundation)? If "Yes," Yes complete Schedule As . 1 2 Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? . 2 Yes 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to No candidates for public office? If "Yes,"complete Schedule C, Part Is . 4 Section 501 ( c)(3) organizations . Did the organization engage in lobbying activities, or have a section 501(h) Yes election in effect during the tax year? If "Yes , "complete Schedule C, Part II . 4 5 Is the organization a section 501 (c)(4), 501 (c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, N o Part HIS . 5 6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes,"complete N o Schedule D, Part I . 6 7 Did the organization receive or hold a conservation easement, including easements to preserve open space, No the environment, historic land areas, or historic structures? If "Yes,"complete Schedule D, Part IIS . 7 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," N o complete Schedule D, Part 111 19 . 8 9 Did the organization report an amount in Part X, line 21 for escrow or custodial account liability, serve as a custodian for amounts not listed in Part X, or provide credit counseling, debt management, credit repair, or debt No negotiation services? If "Yes,"complete Schedule D, Part IV . 9 10 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, 10 Yes permanent endowments, or quasi-endowments? If "Yes,"complete Schedule D, Part V . 11 If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? Yes If "Yes,"complete Schedule D, Part VI. lla b Did the organization report an amount for investments-other securities in Part X, line 12 that is 5% or more of No its total assets reported in Part X, line 16? If "Yes, "complete Schedule D, Part VIIS . llb c Did the organization report an amount for investments-program related in Part X, line 13 that is 5% or more of No its total assets reported in Part X, line 16? If "Yes, "complete Schedule D, Part VIII .