TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) JIM VANTIFLIN CHAIR (START 1/2019)	1.0 ................. 2.0	X	X	0	0	0
(2) RAO GUDIPATI MD VICE CHAIR (START 1/2019)	1.0 ................. 2.0	X	X	0	0	0
(3) JOHN FREEL SECRETARY/TREASURER	1.0 ................. 4.0	X	X	0	0	0
(4) JANET JACOB RN PRESIDENT & CAO	50.0 ................. 0.0	X	X	120,630	0	26,007
(5) JOSEPH R IMPICCICHE JD DIRECTOR (END 12/2018)	0.0 ................. 50.0	X		0	2,106,319	69,242
(6) ANTHONY J SPERANZO DIRECTOR (END 12/2018)	0.0 ................. 50.0	X		0	3,145,336	48,995
(7) JAMES GIORDANO DIRECTOR (END 12/2018)	1.0 ................. 3.0	X		0	0	0
(8) PATRICIA A MARYLAND DRPH DIRECTOR (END 12/2018)	0.0 ................. 50.0	X		0	4,144,836	46,988
(9) STEPHANIE J DUGGAN MD DIRECTOR	0.0 ................. 50.0	X		0	698,947	41,256
(10) ELAYNE ARTERBERY MD DIRECTOR (START 1/2019)	1.0 ................. 2.0	X		0	0	0
(11) PAUL FURLO DIRECTOR (START 1/2019)	1.0 ................. 4.0	X		0	0	0
(12) RAMAKRISHNAYYA GADAM MD DIRECTOR (START 1/2019)	1.0 ................. 3.0	X		0	0	0
(13) ANNGE HORNING DIRECTOR (START 1/2019)	1.0 ................. 2.0	X		0	0	0
(14) LUCIA KINACHTCHOUK MD DIRECTOR (START 1/2019)	1.0 ................. 2.0	X		0	0	0
(15) KAREN MCNISH DIRECTOR (START 1/2019)	1.0 ................. 2.0	X		0	0	0
(16) DEBORAH MORGAN DIRECTOR (START 1/2019)	1.0 ................. 4.0	X		0	0	0
(17) JEFF SANDERS DIRECTOR (END 12/2018)	1.0 ................. 1.0	X		0	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) REVERAND DAVE SAUNDERS DIRECTOR (START 1/2019)	1.0 .......................2.0	X				0	0	0
(19) MALIHA SHAIKH MD DIRECTOR (START 1/2019)	1.0 .......................2.0	X				0	0	0
(20) NANCY A HAYWOOD CFO	0.0 .......................50.0		X			0	369,875	40,299
(21) DIANA ENNES MD PHYSICIAN	50.0 .......................0			X		395,530	0	23,237
(22) MICHAEL WAGNER MD PHYSICIAN	50.0 .......................0			X		317,893	0	28,037
(23) CHRISTOPHER LANDREY MD PHYSICIAN	50.0 .......................0			X		304,397	0	43,353
(24) SYLVIA BOLOCZKO MD PHYSICIAN	50.0 .......................0			X		298,487	0	16,813
(25) CHRISTOPHER J ORAVITZ MD PHYSICIAN	50.0 .......................0			X		297,658	0	9,090
(26) ANN BALFOUR FORMER OFFICER (END 4/2018)	0.0 .......................0.0				X	412,494	0	8,586
(27) SHARON LEAMAN-CASE FORMER KEY EMPLOYEE (END 12/2017)	0.0 .......................50.0				X	0	283,207	17,609
(28) PAMELA KISER FORMER KEY EMPLOYEE (END 12/2017)	0.0 .......................50.0				X	0	246,435	15,685
(29) BERNARD J JORE RN FORMER KEY EMPLOYEE (END 12/2017)	0.0 .......................50.0				X	0	240,177	35,624
(30) CLARK J HEADRICK MD FORMER KEY EMPLOYEE (END 12/2017)	0.0 .......................50.0				X	0	317,182	39,103
(31) TIMOTHY R YOUNG MD FORMER KEY EMPLOYEE (END 12/2017)	0.0 .......................50.0				X	0	576,479	37,070
(32) RAGHURAM SARVEPALLI MD FORMER KEY EMPLYEE (END 4/2018)	0.0 .......................50.0				X	0	413,259	41,119

(A) Name and business address	(B) Description of services	(C) Compensation
AHSA LLC 10126 E Cherry Bend Rd PO BOX 945 Traverse City,MI49684	Nursing Staff	2,007,080
DEGARA PLLC 2370 SILVER POINT DR WATERFORD,MI483281730	PHYSICIANS SERVICES	689,795
ARUP LABORATORIES 500 S CHIPETA WAY SALT LAKE CITY,UT84108	LABORATORY SERVICES	207,259
Valley ENT Associates PC 2551 McLeod Drive Saginaw,MI48604	ENT Physicians	159,000
Community Hospital Services 1321 Cumberland St Saginaw,MI48601	Linen Services	134,908
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 5

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

ASCENSION ST JOSEPH HOSPITAL

Employer identification number

38-1443395

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

ASCENSION ST JOSEPH HOSPITAL

Employer identification number

38-1443395

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization ASCENSION ST JOSEPH HOSPITAL

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization ASCENSION ST JOSEPH HOSPITAL		Employer identification number 38-1443395

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization ASCENSION ST JOSEPH HOSPITAL			Employer identification number 38-1443395
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

ASCENSION ST JOSEPH HOSPITAL

Employer identification number

38-1443395

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................
d	Other exempt purpose expenditures ........................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

2,369

Total. Add lines 1c through 1i ....................................................................................................

2,369

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
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. ASCENSION ST. JOSEPH HOSPITAL does not participate in or intervene in (including the publishing or distributing or statements) any political campaign on behalf of (or in opposition to) any candidate for public office.

Schedule C (Form 990 or 990EZ) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

ASCENSION ST JOSEPH HOSPITAL

Employer identification number

38-1443395

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	3,233,100	754,927	652,608	689,677	670,550
b	Contributions ...		2,127,142	1,142	442	857
c	Net investment earnings, gains, and losses	98,287	351,031	101,177	-37,511	18,270
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	3,331,387	3,233,100	754,927	652,608	689,677

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

86.51 %

Temporarily restricted endowment SchDMd Bullet

13.49 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	1,430,428		1,430,428
b	Buildings ....	35,197,115	27,944,639	7,252,476
c	Leasehold improvements	156,966	155,503	1,463
d	Equipment ....	16,055,967	14,082,365	1,973,602
e	Other .....	3,162,827	1,525,258	1,637,569
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				12,295,538

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) Investment Held by Ascension Health Alliance				396,198
(2) Due from Affiliates				3,330,488
(3) Other Receivables				446,556
(4) Estimated 3rd Party Payor Settlements				820,975
(5) Deferred Tax				7,399
(6) other assets				1,739
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				5,003,355

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
Due to Affiliates	7,634,756
Estimated 3rd Party Payor Settlement	1,449,282
Recovery Tail Liability	61,942
Accrued Tax Liability
Debt with Ascension Health Alliance	16,747,513
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	25,893,493
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Schedule D, Part V, Line 4 Intended uses of endowment funds	ENDOWMENT FUNDS ARE HELD AT ASCENSION ST. JOSEPH FOUNDATION and the use of all endowed funds supports capital equipment purchases and new service line expansion at Ascension St. Joseph Hospital.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2019.

Schedule D (Form 990) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

ASCENSION ST JOSEPH HOSPITAL

Employer identification number

38-1443395

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 25000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			916,367		916,367	1.70 %
b	Medicaid (from Worksheet 3, column a) . . . . .			10,097,994	9,334,625	763,369	1.41 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .					0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	11,014,361	9,334,625	1,679,736	3.11 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	11		76,993		76,993	0.14 %
f	Health professions education (from Worksheet 5) . . .	1		7,142		7,142	0.01 %
g	Subsidized health services (from Worksheet 6) . . . .	1		649		649	0 %
h	Research (from Worksheet 7) .					0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	2	48	17,340		17,340	0.03 %
j	Total. Other Benefits . .	15	48	102,124	0	102,124	0.19 %
k	Total. Add lines 7d and 7j .	15	48	11,116,485	9,334,625	1,781,860	3.30 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing					0	0 %
2	Economic development					0	0 %
3	Community support					0	0 %
4	Environmental improvements					0	0 %
5	Leadership development and training for community members					0	0 %
6	Coalition building			11,578		11,578	0.02 %
7	Community health improvement advocacy					0	0 %
8	Workforce development					0	0 %
9	Other					0	0 %
10	Total	0	0	11,578	0	11,578	0.02 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

933,470

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

266,991

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

10,596,662

Enter Medicare allowable costs of care relating to payments on line 5.....

11,662,692

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-1,066,030

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	ASCENSION ST JOSEPH HOSPITAL 200 Hemlock Road Tawas City,MI48763 https://healthcare.ascension.org/Locations/Michigan/MITAW/Tawas-City-Ascension-St-Joseph-Hospital L470734	X	X	X

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	ASCENSION ST JOSEPH HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): https://healthcare.ascension.org/CHNA

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): https://healthcare.ascension.org/CHNA

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ASCENSION ST JOSEPH HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.0% and FPG family income limit for eligibility for discounted care of 400.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

https://healthcare.ascension.org/Financial-Assistance

The FAP application form was widely available on a website (list url):

https://healthcare.ascension.org/Financial-Assistance

A plain language summary of the FAP was widely available on a website (list url):
https://healthcare.ascension.org/Financial-Assistance

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	ASCENSION ST JOSEPH HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	ASCENSION ST JOSEPH HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 3E	TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. 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 , 1	Facility , 1 - ASCENSION ST. JOSEPH HOSPITAL. IN PARTNERSHIP WITH THE MICHIGAN HEALTH IMPROVEMENT ALLIANCE (MIHIA) AND IN ALIGNMENT WITH THE IRS AND BEST PRACTICE STANDARDS, ASCENSION ST. JOSEPH HOSPITAL COMPLETED ITS TAX YEAR 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS AN EXTENSION OF MIHIA'S 2019-2021 REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT. THE REGIONAL CHNA INCORPORATED INPUT AND DATA FROM PEOPLE AND ORGANIZATIONS THAT REPRESENT THE BROAD INTEREST OF IOSCO COUNTY, INCLUDING THOSE WITH EXPERTISE IN PUBLIC HEALTH, COMMUNITY LEADERS, REPRESENTATIVES AND MEMBERS OF THE MEDICALLY UNDERSERVED AND LOW INCOME POPULATIONS. THE FOLLOWING LIST REPRESENTS THE CHNA PARTICIPATING ORGANIZATIONS: - INTERNAL MINISTRY MEMBERS INCLUDING MANAGERS, DIRECTORS, COORDINATORS AND ADMINISTRATORS FROM COMMUNITY HEALTH AND FINANCE. EXTERNAL TEAM AND COMMUNITY PARTNERS: - ALCONA HEALTH CENTER - AU SABLE VALLEY COMMUNITY MENTAL HEALTH - DISTRICT HEALTH DEPARTMENT NO. 2* - IOSCO RESA LETTUCE LIVE WELL* - MEDILODGE OF TAWAS CITY - MICHIGAN HEALTH IMPROVEMENT ALLIANCE, INC. (MIHIA) - MICHIGAN STATE UNIVERSITY EXTENSION OFFICE* - OSCODA SCHOOLS - 211 NORTHEAST MICHIGAN* *ORGANIZATIONS SERVING ON MIHIA'S POPULATION HEALTH STRATEGY TEAM IN AUGUST 2017, THE MIHIA REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT STEERING TEAM (RCHNA), CO-FACILITATED BY MIHIA'S POPULATION HEALTH TEAM LEADER, WAS FORMED AND A CHARTER DEVELOPED. TEAM MEMBERS WERE ASSIGNED TO SERVE ON THE TWO TEAMS WHICH SOUGHT TO COMPLETE DATA COLLECTION AND ANALYSIS ALLOWING THE REGION TO IDENTIFY DATA-DRIVEN PRIORITIES FOR A REGIONAL COMMUNITY HEALTH IMPROVEMENT PLAN. THE QUALITATIVE DATA TEAM COLLECTED FEEDBACK FROM COMMUNITY STAKEHOLDERS AND THE GENERAL PUBLIC ABOUT THE HEALTH AND HEALTH NEEDS IN THE REGION BY DESIGNING AND ADMINISTERING A COMPREHENSIVE QUALITATIVE ASSESSMENT OF THE RESPONSES GATHERED THROUGH SURVEYS, FOCUS GROUPS, AND INTERVIEWS THIS TEAM IS TAKING THE PULSE OF COMMUNITY HEALTH. THIS TEAM WAS RESPONSIBLE FOR TAKING THE PULSE OF THE HEALTH OF THE COMMUNITIES WE SERVE. MIHIA AND ASCENSION ST. JOSEPH HOSPITAL ASSOCIATES ALSO CONDUCTED SEVERAL KEY ACTIVITIES IN IOSCO COUNTY: - FOCUS GROUP SESSIONS: MIHIA CONDUCTED A SERIES OF FOCUS GROUPS WITHIN THE REGION TO OBTAIN THE DATA. THE NUMBER OF PARTICIPANTS IN THE FOCUS GROUPS AS FOLLOWS: - SEPTEMBER 24, 2018 - IOSCO COUNTY, 14 PARTICIPANTS - APRIL 9, 2019 -ST. JOSEPH MISSION TEAM MEETING, 10 PARTICIPANTS - ELECTRONIC SURVEY: THE ELECTRONIC SURVEY WAS DISTRIBUTED VIA EMAIL TO AN ESTIMATED 1,000 STAKEHOLDERS THROUGHOUT THE 14-COUNTY MIHIA REGION. HOSPITAL SYSTEMS, HEALTH DEPARTMENTS, SOCIAL SERVICE ORGANIZATIONS, PAYERS, EMPLOYERS, AND LOCAL NON-PROFIT ORGANIZATIONS THAT MAKE UP THE MIHIA NETWORK WERE CHOSEN AS THE POOL OF ELIGIBLE PARTICIPANTS. 316 RESPONSES WERE COLLECTED DURING THE THREE-WEEK COLLECTION PERIOD: A TREMENDOUS RESPONSE RATE OF OVER 30%. - JUNE 10 - JULY 15, 2018 - INITIAL REGIONAL CHNA SURVEY - NOVEMBER 1 - 15, 2018 - REGIONAL CHIP PRIORITIZATION SURVEY - MARCH 12 - APRIL 12, 2018 - IOSCO COUNTY CHIP PRIORITIZATION SURVEY
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - ASCENSION ST. JOSEPH HOSPITAL. THE TAX YEAR 2015 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED THE FOLLOWING HEALTH CHALLENGES AND ISSUES AS THE HIGHEST PRIORITY NEEDS FOR IOSCO COUNTY: CHRONIC DISEASE MANAGEMENT; HEALTH & LIFESTYLE EDUCATION; BEHAVIORAL HEALTH; AND TRANSPORTATION. LISTED BELOW ARE EACH PRIORITY AREA AND THE ASSOCIATED IMPACT THAT ST. JOSEPH MADE OVER THE PREVIOUS THREE YEARS: - PRIORITIZED NEED: CHRONIC DISEASE MANAGEMENT -TO SUPPORT HEALTH CARE TRANSFORMATION AND POPULATION HEALTH, ASCENSION ST. JOSEPH LEVERAGED THE STRENGTHS OF ASCENSION MID-MICHIGAN'S CURRENT CHRONIC DISEASE MANAGEMENT PROGRAMS AND SERVICES THROUGHOUT THE REGION TO DEVELOP THE CAPACITY TO OFFER SERVICES AND SPECIALIZED DISEASE SPECIFIC EDUCATION AND PROGRAMMING INCLUDING DIABETES, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), AND CONGESTIVE HEART FAILURE (CHF) ASCENSION ST. JOSEPH HAS SECURED A PARTNERSHIP WITH MIHIA AND GOOD MEASURES VIRTUAL DIABETES PREVENTION PROGRAM (DPP) TO OFFER DPP IOSCO COUNTY RESIDENTS IN FISCAL YEAR 2019. - PRIORITIZED NEED: HEALTH & LIFESTYLE EDUCATION -ASCENSION ST. JOSEPH LEVERAGED THE STRENGTHS OF ASCENSION MID-MICHIGAN'S CURRENT POPULATION HEALTH PROGRAMS AND SERVICES THROUGHOUT THE REGION, WE WILL DEVELOP THE CAPACITY (MEET PEOPLE WHERE THEY ARE) TO OFFER SERVICES AND EDUCATIONAL PROGRAMMING TO INCREASE PATIENT KNOWLEDGE, AND SELF- MANAGEMENT/ADOPTION OF HEALTHY BEHAVIORS TO IMPROVE NUTRITION (ACCESS TO AND CONSUMPTION OF HEALTHY FOOD), WEIGHT (OPTIMAL WEIGHT FOR YOUTH AND ADULTS), AND PHYSICAL ACTIVITY. ST. JOSEPH COLLABORATED WITH TAWAS SCHOOL DISTRICT TO BEGIN A BACKPACK PROGRAM; FRIDAY FOLDER PROGRAM; FIT KIDS PROGRAM; HEALTHY KIDS ROCK PROGRAM. THESE PROGRAMS BEGAN IN EARLY FY18 BUT HAVE SINCE BEEN PLACED ON HOLD FOR REEVALUATION. - PRIORITIZED NEED: BEHAVIORAL HEALTH -ASCENSION ST. JOSEPH LEVERAGED THE STRENGTHS OF ASCENSION MID-MICHIGAN'S CURRENT POPULATION HEALTH PROGRAMS AND SERVICES THROUGHOUT THE REGION, WE WILL DEVELOP THE CAPACITY (MEET PEOPLE WHERE THEY ARE) TO OFFER THERAPEUTIC SERVICES AND EDUCATIONAL PROGRAMMING TO INCREASE PATIENT KNOWLEDGE AND ADOPTION OF HEALTHY BEHAVIORS TO IMPROVE MENTAL HEALTH, AND MITIGATE SUBSTANCE ABUSE, ABUSE, AND VIOLENT BEHAVIOR. ASCENSION ST. JOSEPH OFFERED EDUCATION TO STAFF THROUGH A MENTAL HEALTH FIRST AID PROGRAM AND PROVIDED A DE-ESCALATION TRAINING FOR ER STAFF TO PROMOTE A SAFER ENVIRONMENT FOR STAFF, ASSOCIATES, AND PATIENTS. ASCENSION ST. JOSEPH SENT OVER 20 LETTERS TO COMMUNITY HEALTH CENTERS, PHYSICIAN AND DENTAL OFFICES, TO OBTAIN BROAD COMMUNITY SUPPORT AND PARTICIPATION IN MICHIGAN'S AUTOMATED PRESCRIPTION SYSTEM (MAPS) TO PROTECT PROVIDERS AND REDUCE PRESCRIPTION DRUG ABUSE. -CONTINUED WORK WILL BE DONE TO COLLABORATE WITH COMMUNITY MENTAL HEALTH TO EXPAND AND ENHANCE LIMITED MENTAL HEALTH SERVICES VIA TELEMEDICINE UTILIZING EXISTING TELEHEALTH EQUIPMENT. - PRIORITIZED NEED: TRANSPORTATION -ASCENSION ST. JOSEPH DID NOT DIRECTLY ADDRESS THE TRANSPORTATION HEALTH NEED IDENTIFIED WITHIN THE TAX YEAR 2015 CHNA. ADDITIONALLY, WHILE ACCESS IS NOT SPECIFICALLY CALLED OUT AS A STRATEGY, IT IS EMBEDDED IN EACH IMPLEMENTATION STRATEGY. WHILE CRITICALLY IMPORTANT TO OVERALL COMMUNITY HEALTH, THE TRANSPORTATION PRIORITY DID NOT MEET INTERNALLY DETERMINED CRITERIA THAT PRIORITIZED ADDRESSING NEEDS BY EITHER CONTINUING OR EXPANDING CURRENT PROGRAMS, SERVICES AND INITIATIVES TO STEWARD RESOURCES AND ACHIEVE THE GREATEST COMMUNITY IMPACT. -FOR THE AREA NOT CHOSEN, THERE ARE OTHER SERVICE PROVIDERS IN THE COMMUNITY BETTER RESOURCED TO ADDRESS THIS PRIORITY. ASCENSION ST. JOSEPH HEALTH HOSPITAL WILL WORK COLLABORATIVELY WITH THESE ORGANIZATIONS AS APPROPRIATE TO ENSURE OPTIMAL SERVICE COORDINATION AND UTILIZATION. IN PARTNERSHIP WITH THE MICHIGAN HEALTH IMPROVEMENT ALLIANCE (MIHIA) AND IN ALIGNMENT WITH THE IRS AND BEST PRACTICE STANDARDS, ASCENSION ST. JOSEPH HOSPITAL COMPLETED ITS TAX YEAR 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS AN EXTENSION OF MIHIA'S 2019-2021 REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT, THUS ELIMINATING DUPLICATION OF DATA COLLECTION EFFORTS, SPENDING ON ASSESSMENT COSTS, AND ENSURING HEALTH SYSTEM TIMELINES WERE MET. MIHIA IS A 501(C)(3) NOT-FOR PROFIT ORGANIZATION SERVING AS A REGIONAL MULTI-STAKEHOLDER, COMMUNITY COLLABORATIVE FOR 14-COUNTIES, INCLUDING IOSCO, IN MID-CENTRAL MICHIGAN. WITH THE RESULTS OF THE DATA TAKEN INTO CONSIDERATION, THE TAX YEAR 2018 CHNA HAS IDENTIFIED TWO HEALTH FOCUS AREAS OF ALIGNMENT FOR IOSCO COUNTY BUT ALSO THE BROADER-REGION. THESE FOCUS AREAS ARE BASED ON THE MAGNITUDE OF THE ISSUES AFFECTING THE COMMUNITY AND REGION, INPUT FROM COMMUNITY MEMBERS AND KEY STAKEHOLDERS, INCLUDING PERSONS WITH EXPERTISE IN PUBLIC HEALTH, AS WELL AS TRENDING OF THE MOST CURRENT DATA. PRIORITY AREAS FOR IOSCO COUNTY INCLUDE: 1. OBESITY-RELATED ADVERSE HEALTH CONDITIONS 2. ADVERSE CHILDHOOD EXPERIENCES (ACES) IN ADDITION TO THE PRIORITY AREAS FOR IOSCO COUNTY IDENTIFIED IN THE TAX YEAR 2018 CHNA REPORT, ASCENSION ST. JOSEPH HOSPITAL WILL CONTINUE TO ADDRESS NATIONAL HEALTH SYSTEM PRIORITIES INCLUDING: 3. ACCESS TO HEALTHCARE AND 4. HUMAN TRAFFICKING ASCENSION ST. JOSEPH HOSPITAL WILL ADDRESS THE PRIORITY NEEDS IN THE TAX YEAR 2018 CHNA AS FOLLOWS: 1. PRIORITIZED NEED: OBESITY-RELATED ADVERSE HEALTH CONDITIONS (AHCS) -GOAL: REDUCE OBESITY RELATED ADVERSE HEALTH CONDITIONS IN IOSCO COUNTY -STRATEGY: IMPLEMENT A VIRTUAL DIABETES PREVENTION PROGRAM TO REDUCE A1C LEVELS FOR INDIVIDUALS AT RISK OF DEVELOPING TYPE 2 DIABETES - BY 10/2019, SCHEDULE MEETING WITH GOOD MEASURES TO LEARN MORE ABOUT THE VIRTUAL DIABETES PREVENTION PROGRAM (DPP) - BY 12/2019, INFORM PHYSICIANS ABOUT VIRTUAL DPP AT AN ASCENSION ST. JOSEPH MEDICAL STAFF MEETING. PROVIDE DPP TOOLKITS TO MEETING ATTENDEES. - BY 1/2020, SCHEDULE MEETING WITH ASCENSION MEDICAL GROUP LEADERSHIP TO DISCUSS VIRTUAL DPP. PROVIDE DPP TOOLKITS TO MEETING ATTENDEES. - BY 2/2020, EDUCATE STAFF AT ALL ASCENSION MEDICAL GROUP PRIMARY CARE LOCATIONS ABOUT DPP AND HOW TO REFER PATIENTS. - EVALUATE LOCAL REFERRAL PROGRAM TO VIRTUAL DPP ON AN ANNUAL BASIS. - CONTINUE TO EDUCATE AMG STAFF ON DPP IN 2021/2022 2. PRIORITIZED NEED: ADVERSE CHILDHOOD EXPERIENCES (ACES) -GOAL: INCREASE AWARENESS OF ADVERSE CHILDHOOD EXPERIENCES (ACES) -STRATEGY: PROVIDE TRAUMA INFORMED CARE AWARENESS, EDUCATION AND TRAINING TO ASCENSION ST JOSEPH HOSPITAL ASSOCIATES - BY 12/2019, IDENTIFY COMMUNITY PARTNERS TO ASSIST WITH TRAUMA INFORMED CARE AND ACES TRAINING. - BY 03/2020, HOST MEETING WITH COMMUNITY SUBJECT MATTER EXPERTS/PARTNERS ON ACES EDUCATION FOR PHYSICIANS, CLINICAL PARTNERS, ETC - BY 05/2020, CREATE ACES CURRICULUM - BY 07/2021, SELECT ONLINE EDUCATIONAL MODULE FOR ASCENSION ST JOSEPH ASSOCIATES. - BY 10/2021, CREATE IN-PERSON EDUCATIONAL TRAINING FOR ASCENSION MEDICAL GROUP ASSOCIATES. - BY 01/2022, UNIVERSAL SCREENING FOR ACES IMPLEMENTED AT ASCENSION MEDICAL GROUP PRACTICES; BEST PRACTICES SCREENING TOOL/RESOURCES IMPLEMENTATION - EVALUATION OF INTERNAL SCREENING USE 3. PRIORITIZED NEED: HEALTHCARE ACCESS -GOAL: INCREASE ACCESS TO HEALTHCARE IN IOSCO COUNTY -STRATEGY: COLLABORATE WITH COMMUNITY MENTAL HEALTH TO EXPAND, ENHANCE, OR CREATE PROGRAMMING TO INCREASE ACCESS TO HEALTHCARE, SPECIFICALLY TO BEHAVIORAL HEALTH POPULATION. - BY 09/2019, SCHEDULE INTERNAL PRE-MEETING TO IDENTIFY RELEVANT COMMUNITY BEHAVIORAL HEALTH PARTNERS. - BY 10/2019, TELE BEHAVIORAL HEALTH IMPLEMENTED - BY 11/2019, SCHEDULE PLANNING MEETING WITH BEHAVIORAL HEALTH PARTNERS. - BY 01/2020, ESTABLISH NEEDS AND PRIORITIZE PLAN 4. PRIORITIZED NEED: HUMAN TRAFFICKING -GOAL: RAISE HUMAN TRAFFICKING AWARENESS IN IOSCO COUNTY -STRATEGY: HOST A FOLLOW UP HUMAN TRAFFICKING EVENT FOR THE COMMUNITY - BY THE END OF CY2020, SCHEDULE A PLANNING MEETING WITH KEY STAKEHOLDERS AROUND ELEMENTS OF HUMAN TRAFFICKING NEEDS - BY 03/2021, ESTABLISH EVENT LOGISTICS (DATE, TIME, LOCATION) - BY 05/2021, ESTABLISH THE EVENT CONTENT, AGENDA AND SPEAKERS - BY 08/21, BEGIN MARKETING THE EVENT - BY THE END OF CY 2021, CONDUCT A HUMAN TRAFFICKING EDUCATIONAL EVENT FOR OUR COMMUNITY WITH INCREASED PARTICIPATION FROM 2019 EVENT - BY THE END OF CY 2021, CONDUCT POST EVENT EVALUATION ALL SIGNIFICANT IDENTIFIED NEEDS IN THE TAX YEAR 2018 CHNA WILL BE ADDRESSED.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - ASCENSION ST. JOSEPH HOSPITAL. In accordance with our mission and values, ASCENSION ST. JOSEPH HOSPITAL is committed to caring for all people regardless of their ability to pay, with special attention to those who are poor and vulnerable. ASCENSION ST. JOSEPH HOSPITAL offers financial counseling and assistance to help address any financial concerns patients or families may have regarding their care. Our financial aid policies, which can be found on ASCENSION ST. JOSEPH HOSPITAL's website, reflect ASCENSION ST. JOSEPH HOSPITAL's dedication to working together with our patients in a compassionate and caring manner to identify options for resolving their financial obligations. Help is available by contacting (989) 984-3796 or in person at any of our facilities.

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?8
Name and address		Type of Facility (describe)
1	Harbor Health Center 110 Beech Street Ste B Tawas City,MI48763	Rehab Services, Physician Offices, Pediatrics
2	Medical Arts Building 295 Maple Street Tawas City,MI48763	Physician Offices
3	Oscoda Health Park 5939 N Huron Road Tawas City,MI48763	Physician Offices
4	Huron Family Medicine 700 German Street Tawas City,MI48763	Physician Offices
5	St Joseph Women's Clinic 25 M-55 Tawas City,MI48763	Physician Offices
6	Hale St Joseph Medical Center 116 S Church Street Hale,MI48739	Physician Offices
7	Huron Shores Walk In Clinic 325 M-55 Tawas City,MI487640659	Walk In Clinic
8	AuGres Family Medicine 3210 E Huron Road AuGres,MI48703	Physician Offices
9
10

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Schedule H, Part I, Line 3c actors other than fpg	Patients with demonstrated financial needs with income greater than 400% of the FPL may be eligible for consideration under a "Means Test" for some discount of their charges for services from the Organization based on a substantive assessment of their ability to pay. Ascension Mid-Michigan Region providers will consider Medical Indigence for applicants exceeding 400% of the FPL. When the total outstanding medical debt exceeds the gross household income for the past year the patient will be eligible for financial assistance not to exceed 95% write off. A Patient eligible for the "Means Test" discount will not be charged more than the calculated AGB charges.
Schedule H, Part V, Section B Hospital Websites	Part V, Section B: During the course of the tax year and/or prior to the filing of the return for the taxable year, the filing organization, which is part of a larger health system, transitioned from a separately hosted website (or websites), to being a part of the health system's centrally hosted hospital website. This transition was intended to facilitate public access to information, including enabling the health system to better manage and monitor compliance requirements that IRC Section 501(r) information be made widely available to the public. During and as a result of the migration of hospital facility information to the new central website, it is possible that there may have been brief instances of web access interruption. If so, the filing organization believes that any such interruptions would have been minor and inadvertent, and due to reasonable cause, and that any such instances would have been immediately addressed when identified. The filing organization and health system have established procedures in place as part of its centralized monitoring and management processes that are reasonably designed to address, monitor and promote compliance with the requirements of IRC Section 501(r). In an effort to be fully transparent, the filing organization has chosen to pro-actively disclose on this Form 990 this possibility of very minor and inadvertent web access interruptions that could have occurred in the normal course of migrating locally maintained hospital facility information to an improved centrally managed website. In so disclosing, the organization is not reporting that interruptions in the nature of a Section 501(r) violation in fact occurred. Rather, the organization is pro-actively disclosing that the migration process was undertaken and that, in completing that process, it is possible that brief interruptions in web access may have occurred as the hospital facility data was relocated to the central website.
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	RESEARCH SHOWS THAT SOCIAL DETERMINANTS OF HEALTH AND QUALITY OF LIFE PLAY A MAJOR ROLE IN THE HEALTH STATUS OF INDIVIDUALS AND COMMUNITIES. COMMUNITY BUILDING ACTIVITIES, WHICH FOCUS ON IMPROVING THE QUALITY OF LIFE AND SOCIAL DETERMINANTS OF HEALTH WITHIN A COMMUNITY, ULTIMATELY INFLUENCE AND IMPROVE HEALTH STATUS.
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 2019 WAS $1,944,730 AT CHARGES, ($933,470 AT COST).
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL EXPERIENCE, ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, INCLUDING THOSE AMOUNTS NOT COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE ORGANIZATION IS PART OF THE ASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSES THE BAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 18-20.
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 EXPENSE TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT. 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 MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	ASCENSION ST. JOSEPH 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 QUALIFYINGDOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED. 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.
Schedule H, Part V, Section B, Line 16a FAP website	- ASCENSION ST. JOSEPH HOSPITAL: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- ASCENSION ST. JOSEPH HOSPITAL: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- ASCENSION ST. JOSEPH HOSPITAL: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance;
Schedule H, Part VI, Line 2 Needs assessment	ASCENSION ST. JOSEPH HOSPITAL USES RELIABLE, THIRD PARTY REPORTS, INCLUDING DATA FROM GOVERNMENT SOURCES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THESE REPORTS PROVIDE INFORMATION ABOUT KEY HEALTH, SOCIOECONOMIC, AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED AND INCLUDE BUT ARE NOT LIMITED TO REPORTS FROM: - LOCAL AND STATE DEPARTMENT'S OF HEALTH - LOCAL GOVERNMENT PLANNING DEPARTMENTS - US CENSUS BUREAU - ECONOMIC IMPACT STUDIES ASCENSION ST. JOSEPH HOSPITAL UTILIZES INFORMATION FROM THESE SECONDARY SOURCES TO DEVELOP PROGRAMS AND PROVIDE SERVICES THROUGHOUT THE REGION. IN ADDITION, ASCENSION ST. JOSEPH HOSPITAL CONSIDERS THE HEALTH CARE NEEDS OF THE OVERALL COMMUNITY WHEN EVALUATING INTERNAL FINANCIAL AND OPERATIONAL.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	ASCENSION ST. JOSEPH HOSPITAL IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL (OR HEALTH SYSTEM), 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 ST. JOSEPH 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 ST. JOSEPH HOSPITAL PROVIDES FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 400% OF THE FEDERAL POVERTY LEVEL. ASCENSION ST. JOSEPH 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/MITAW/Tawas-City-Ascension-St-Joseph-Hospital ASCENSION ST. JOSEPH 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 ST. JOSEPH 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 ST. JOSEPH 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	ASCENSION ST. JOSEPH HOSPITAL HAS DEFINED ITS PRIMARY SERVICE AREA AND POPULATION AS IOSCO COUNTY, MICHIGAN. THE HOSPITAL IS LOCATED IN TAWAS CITY, WHICH SERVES AS THE COUNTY SEAT. WHILE SERVICES SPAN A FIVE COUNTY EXPANSE (ALCONA COUNTY TO THE NORTH, ARENAC COUNTY TO THE SOUTH, OGEMAW COUNTY TO THE WEST, AND LAKE HURON TO THE EAST), MARKET SHARE DATA SHOWS THAT THE MAJORITY OF THOSE SERVED LIVE OR WORK IN IOSCO COUNTY AND COME FROM THE FOLLOWING ZIP CODES: 48730, 48763 AND 48750. APPROXIMATELY 8% OF THE TOTAL POPULATION IN IOSCO COUNTY IS UNINSURED COMPARED TO THE STATE (6%) AVERAGE. IOSCO COUNTY'S MEDIAN HOUSEHOLD DOLLARS IS $39,947, WHICH IS SIGNIFICANTLY LOWER THAN THE STATE AVERAGE ($52,668.00). CONSIDERED RURAL, IOSCO COUNTY IS IN THE NORTHEAST QUARTER OF THE LOWER PENINSULA OF MICHIGAN IN THE HEART OF LAKE HURON'S "SUNRISE SIDE." THE NAME, IOSCO COUNTY MEANS "WATER OF LIGHT" IN THE CHIPPEWA TONGUE. ACCORDING TO THE US CENSUS BUREAU, IOSCO COUNTY HAS A TOTAL AREA OF 1,891 SQUARE MILES OF WHICH 549 SQUARE MILES IS LAND AND 1,342 SQUARE MILES (70.96%) IS WATER. APPROXIMATELY 60% OF THE COUNTY IS HELD IN PUBLIC OWNERSHIP (HURON NATIONAL FOREST AND STATE FORESTLANDS.) IOSCO COUNTY HAS AN ESTIMATED POPULATION OF 25,162 AND 96.6% OF COUNTY RESIDENTS ARE WHITE (NOT HISPANIC OR LATINO). FROM THE STANDPOINT OF POLITICAL SUBDIVISIONS, THE COUNTY CONSISTS OF ELEVEN TOWNSHIPS AND THREE CITIES. THE MAJORITY OF THE LOCAL POPULATION RESIDES ALONG THE LAKE HURON SHORELINE NEAR US-23, EAST TAWAS, TAWAS CITY, AND OSCODA. THE REMAINING POPULATION CONCENTRATIONS AND EMPLOYMENT OPPORTUNITIES ARE FOUND TO THE WEST, WHERE M-65 CONNECTS HALE, PLAINFIELD TOWNSHIP AND WHITTEMORE. THE GENDER DISTRIBUTION IN IOSCO COUNTY IS COMPARABLE TO THE STATE AND NATIONAL AVERAGES WITH 50.20% FEMALE AND 49.80% MALE. - FEMALE POPULATION: IOSCO COUNTY - 50.20%; MICHIGAN - 50.8% - MALE POPULATION: IOSCO COUNTY - 49.80%; MICHIGAN - 49.2% - SOURCE: HEALTH STATISTICS UPDATE 2017, IOSCO COUNTY GOVERNMENT, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, 2017, UNITES STATES CENSUS BUREAU, 2010 ESTIMATES THE AGE DISTRIBUTION IN IOSCO COUNTY IS COMPARABLE TO THE STATE AND NATIONAL AVERAGES. - POPULATION (AGE < 18): IOSCO COUNTY - 16.70%; MICHIGAN - 21.80% - POPULATION 18 TO 44 YEARS: IOSCO COUNTY - 23.70%; MICHIGAN - 34.10% - POPULATION 45 TO 64 YEARS: IOSCO COUNTY - 30.50%; MICHIGAN - 27.30% - POPULATION (AGE > 65) : IOSCO COUNTY - 29.10%; MICHIGAN - 16.70% - SOURCE: HEALTH STATISTICS UPDATE 2017, IOSCO COUNTY GOVERNMENT, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, 2017, UNITES STATES CENSUS BUREAU, 2010 ESTIMATES THE RACE AND ETHNICITY DISTRIBUTION IN IOSCO COUNTY ARE COMPARABLE TO THE STATE AND NATIONAL AVERAGES. - WHITE (NOT HISPANIC OR LATINO): IOSCO COUNTY - 96.90%; MICHIGAN - 80.60% - BLACK OR AFRICAN AMERICAN: IOSCO COUNTY - 1.20%; MICHIGAN - 15.00% - NATIVE AMERICAN: IOSCO COUNTY - 1.10%; MICHIGAN - 0.90% - PACIFIC ISLANDER: IOSCO COUNTY - 0.80%; MICHIGAN - 3.50%
Schedule H, Part VI, Line 5 Promotion of community health	THE ASCENSION BOARD OF TRUSTEES FOR NORTHERN MICHIGAN SERVES AS THE GOVERNING BODY FOR ASCENSION ST. JOSEPH HOSPITAL. THIS BOARD GOVERNS MULTIPLE HOSPITALS ACROSS THE REGION AND INCLUDES MEMBER REPRESENTATION FROM ALL AREAS SERVED, INCLUDING IOSCO COUNTY. ASCENSION ST. JOSEPH HOSPITAL EMPLOYEES, INDEPENDENT CONTRACTORS AND FAMILY MEMBERS DO NOT SERVE ON THIS BOARD.THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. ASCENSION ST JOSEPH HOSPITAL APPLIES SURPLUS FUNDS TO FUND IMPROVEMENTS IN PATIENT CARE (AND/OR) MEDICAL EDUCATION (AND/OR) RESEARCH BY DONATIONS TO OR PARTNERING WITH NUMEROUS COMMUNITY HEALTH AND ECONOMIC DEVELOPMENT ORGANIZATIONS AND ADVISORY BOARDS AND COALITIONS.
Schedule H, Part VI, Line 6 Affiliated health care system	ASCENSION ST JOSEPH HOSPITAL IS AN AFFILIATE OF ASCENSION HEALTH. ASCENSION HEALTH'S AFFILIATES ARE LARGE MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT MINISTRIES INCLUDING HOSPITAL AND NON-HOSPITAL MINISTRIES (PHYSICIAN GROUP PRACTICES, HOSPITAL ORGANIZATIONS, RESEARCH, HOME HEALTH, DURABLE MEDICAL EQUIPMENT AND SENIOR FACILITIES). THESE MINISTRIES WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF SERVING AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS ESPECIALLY THOSE WHO ARE VULNERABLE. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION AND RESEARCH. THE ORGANIZATIONS WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, STATE AND NATIONAL LEVEL. 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, LOCATED IN more than 20 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ORGANIZATIONS/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.

Schedule H (Form 990) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

ASCENSION ST JOSEPH HOSPITAL

Employer identification number

38-1443395

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JOSEPH R IMPICCICHE JD DIRECTOR (END 12/2018)	(i) (ii)	0 ------------- 756,431	0 ------------- 1,083,300	0 ------------- 266,588	0 ------------- 24,177	0 ------------- 45,065	0 ------------- 2,175,561	0 ------------- 0
2ANTHONY J SPERANZO DIRECTOR (END 12/2018)	(i) (ii)	0 ------------- 1,013,601	0 ------------- 1,630,125	0 ------------- 501,610	0 ------------- 27,017	0 ------------- 21,978	0 ------------- 3,194,331	0 ------------- 0
3PATRICIA A MARYLAND DRPH DIRECTOR (END 12/2018)	(i) (ii)	0 ------------- 1,157,282	0 ------------- 2,149,974	0 ------------- 837,580	0 ------------- 17,875	0 ------------- 29,113	0 ------------- 4,191,824	0 ------------- 0
4STEPHANIE J DUGGAN MD DIRECTOR	(i) (ii)	0 ------------- 560,510	0 ------------- 50,227	0 ------------- 88,209	0 ------------- 15,125	0 ------------- 26,131	0 ------------- 740,202	0 ------------- 0
5ANN BALFOUR FORMER OFFICER (END 4/2018)	(i) (ii)	54,608 ------------- 0	0 ------------- 0	357,886 ------------- 0	3,830 ------------- 0	4,756 ------------- 0	421,080 ------------- 0	0 ------------- 0
6NANCY A HAYWOOD CFO	(i) (ii)	0 ------------- 332,399	0 ------------- 0	0 ------------- 37,476	0 ------------- 17,875	0 ------------- 22,424	0 ------------- 410,174	0 ------------- 0
7SHARON LEAMAN-CASE FORMER KEY EMPLOYEE (END 12/2017)	(i) (ii)	0 ------------- 219,393	0 ------------- 25,000	0 ------------- 38,814	0 ------------- 14,300	0 ------------- 3,309	0 ------------- 300,816	0 ------------- 0
8PAMELA KISER FORMER KEY EMPLOYEE (END 12/2017)	(i) (ii)	0 ------------- 122,253	0 ------------- 0	0 ------------- 124,182	0 ------------- 8,028	0 ------------- 7,657	0 ------------- 262,121	0 ------------- 0
9BERNARD J JORE RN FORMER KEY EMPLOYEE (END 12/2017)	(i) (ii)	0 ------------- 186,947	0 ------------- 25,200	0 ------------- 28,030	0 ------------- 12,534	0 ------------- 23,090	0 ------------- 275,801	0 ------------- 0
10CLARK J HEADRICK MD FORMER KEY EMPLOYEE (END 12/2017)	(i) (ii)	0 ------------- 293,463	0 ------------- 0	0 ------------- 23,719	0 ------------- 16,500	0 ------------- 22,603	0 ------------- 356,285	0 ------------- 0
11TIMOTHY R YOUNG MD FORMER KEY EMPLOYEE (END 12/2017)	(i) (ii)	0 ------------- 464,414	0 ------------- 59,936	0 ------------- 52,129	0 ------------- 17,875	0 ------------- 19,195	0 ------------- 613,549	0 ------------- 0
12RAGHURAM SARVEPALLI MD FORMER KEY EMPLYEE (END 4/2018)	(i) (ii)	0 ------------- 380,747	0 ------------- 0	0 ------------- 32,512	0 ------------- 17,875	0 ------------- 23,244	0 ------------- 454,378	0 ------------- 0
13DIANA ENNES MD PHYSICIAN	(i) (ii)	379,979 ------------- 0	4,731 ------------- 0	10,820 ------------- 0	17,875 ------------- 0	5,362 ------------- 0	418,768 ------------- 0	0 ------------- 0
14MICHAEL WAGNER MD PHYSICIAN	(i) (ii)	273,489 ------------- 0	40,444 ------------- 0	3,960 ------------- 0	17,875 ------------- 0	10,162 ------------- 0	345,930 ------------- 0	0 ------------- 0
15CHRISTOPHER LANDREY MD PHYSICIAN	(i) (ii)	300,237 ------------- 0	3,150 ------------- 0	1,010 ------------- 0	15,215 ------------- 0	28,137 ------------- 0	347,750 ------------- 0	0 ------------- 0
16SYLVIA BOLOCZKO MD PHYSICIAN	(i) (ii)	232,803 ------------- 0	64,982 ------------- 0	702 ------------- 0	13,525 ------------- 0	3,288 ------------- 0	315,301 ------------- 0	0 ------------- 0
17CHRISTOPHER J ORAVITZ MD PHYSICIAN	(i) (ii)	268,519 ------------- 0	26,650 ------------- 0	2,489 ------------- 0	5,403 ------------- 0	3,687 ------------- 0	306,748 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	A RELATED ORGANIZATION OF ASCENSION ST. JOSEPH HOSPITAL, USES 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.
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 2018: ANN BALFOUR - $121,324 PAMELA KISER - $105,393
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 payment from the supplemental nonqualified retirement plan in calendar year 2018.

Schedule J (Form 990) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

ASCENSION ST JOSEPH HOSPITAL

Employer identification number

38-1443395

Return Reference	Explanation
Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENTS	The activity of ASCENSION ST. JOSEPH HOSPITAL is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of ASCENSION ST. JOSEPH HOSPITAL is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of ASCENSION ST. JOSEPH HOSPITAL.
Form 990, Part IV, Line 24a tax exempt bonds	Ascension St. Joseph Hospital is a health facility that is part of Ascension Health System. Ascension Health Alliance is the borrower for tax exempt hospital revenue bonds. Ascension St. Joseph Hospital holds an intercompany note payable with Ascension Health Alliance, and this information is reported in the balance sheet.
Form 990, Part VI, Line 15a Process For Determining Compensation of Top Management Official	The process for determining compensation of the organization's CEO, Executive Director, or Top Management Official is performed by a related organization. The process includes review and approval by independent persons of the related organization's compensation committee, use of comparability data, and contemporaneous substantiation of the deliberation and decision regarding the compensation arrangement. The compensation committee is charged with overseeing the process in a manner designed to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.
Form 990, Part VI, Line 4 Significant changes to organizational documents	THE ORGANIZING DOCUMENTS WERE AMENDED ON OCTOBER 5, 2018 TO CHANGE THE NAME TO ASCENSION ST. JOSEPH HOSPITAL, AS WELL AS CHANGE THE SOLE CORPORATE MEMBER FROM ASCENSION HEALTH TO ASCENSION MICHIGAN.
Form 990, Part VI, Line 6 Classes of members or stockholders	ASCENSION ST. JOSEPH HOSPITAL HAS A SINGLE CORPORATE MEMBER, ASCENSION MICHIGAN.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	ASCENSION ST. JOSEPH HOSPITAL HAS A SINGLE CORPORATE MEMBER, ASCENSION MICHIGAN, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF THE ASCENSION ST. JOSEPH HOSPITAL.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	All decisions that have a material impact to ASCENSION ST. JOSEPH 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 conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Line 19 Required documents available to the public	The organization will provide any documents open to public inspection upon request.
Form 990, Part VII, Section A RELATED ENTITIES	THE ORGANIZATION UTILIZES AN AFFILIATE AS THE COMMON PAY AGENT. EMPLOYEES REPORTED IN PART VII MAY HAVE DUTIES THAT IMPACT MULTIPLE RELATED ENTITIES. TOTAL AVERAGE HOURS WORKED AND COMPENSATION AND BENEFITS PAID ARE REPORTED. IN DOING SO, IF AVAILABLE, A COMMON LAW EMPLOYER ANALYSIS IS USED TO DETERMINE WHETHER THE HOURS AND COMPENSATION/BENEFITS ARE REPORTABLE AS ATTRIBUTABLE DIRECTLY TO THE FILING ORGANIZATION OR ANOTHER ENTITY; OTHERWISE, THE BEST AVAILABLE INFORMATION HAS BEEN USED AS THE BASIS FOR ALLOCATIONS UTILIZED IN THE REPORTING.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Miscellaneous Revenue - Total Revenue: 19630, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 19630;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFERS WITH ALPHA FUND - 1626706; Transfers with Affiliates - 52044;
Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant	ASCENSION ST. JOSEPH HOSPITAL 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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

ASCENSION ST JOSEPH HOSPITAL

Employer identification number

38-1443395

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)AFFINITY HEALTH SYSTEM 1506 Oneida St Appleton,WI54915 39-1568866	HEALTH SYSTEM	IL	501(c)(3)	Type II	MINISTRY HEALTH CARE INC	Yes
(2)AGAPE COMMUNITY CENTER OF MILWAUKEE INC 6100 NORTH 42ND STREET MILWAUKEE,WI53209 39-1641846	COMMUNITY CENTER	WI	501(c)(3)	7	MINISTRY HEALTH CARE INC	Yes
(3)ALABAMA PROVIDENCE HEALTHCARE SERVICES 6801 AIRPORT BLVD MOBILE,AL36608 46-2847744	SUPPORT PROVIDENCE HOSPITAL	AL	501(c)(3)	10	GULF COAST HEALTH SYSTEM	Yes
(4)Alexian Brothers - AHS Midwest Region Health Co 2601 Navistar Drive Lisle,IL60532 47-2360513	Joint Operating Company	IL	501(c)(3)	Type II	NA		No
(5)Alexian Brothers Ambulatory Group 2601 Navistar Drive Lisle,IL60532 36-4336931	Physician services	IL	501(c)(3)	3	Alexian Brothers Health System	Yes
(6)Alexian Brothers Behavioral Health Hospital 1650 Moon Lake Blvd Hoffman Estates,IL60169 36-4251848	Behavioral health hospital	IL	501(c)(3)	3	Alexian Brothers Health System	Yes
(7)Alexian Brothers Bonaventure House 825 Wellington Avenue Chicago,IL60657 36-3527899	Housing and supportive care services for persons with HIV/AIDS	IL	501(c)(3)	10	Alexian Brothers Health System	Yes
(8)Alexian Brothers Center for Mental Health 3436 N Kennicott Avenue Arlington Heights,IL60004 36-3045007	Outpatient community mental health services	IL	501(c)(3)	10	Alexian Brothers Health System	Yes
(9)Alexian Brothers Community Services 12250 Weber Hill Rd Ste 200 St Louis,MO63127 36-4344423	PACE- Comprehensive & Coordinated Community Based Services	TN	501(c)(3)	10	Ascension Health Senior Care	Yes
(10)Alexian Brothers Health System 200 South Wacker Drive Chicago,IL60606 36-3260495	Supports the provision of healthcare services for related corporations for which it is a member	IL	501(c)(3)	Type III-FI	Ascension Health	Yes
(11)Alexian Brothers Hospital Network 2601 Navistar Drive Lisle,IL60532 36-3276552	Supports the provision of healthcare services for related corporations	IL	501(c)(3)	Type III-FI	Alexian Brothers Health System	Yes
(12)ALEXIAN BROTHERS LANSDOWNE VILLAGE 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 43-1470362	SKILLED NURSING FACILITY	MO	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(13)Alexian Brothers Medical Care Group NFP 2601 Navistar Drive Lisle,IL60532 47-1930457	Physician services	IL	501(c)(3)	3	Alexian Brothers Health System	Yes
(14)Alexian Brothers Medical Center 800 Biesterfield Road Elk Grove Village,IL60007 36-2596381	Acute care hospital	TX	501(c)(3)	3	Alexian Brothers Health System	Yes
(15)Alexian Brothers Medical Group Specialty Care 2601 Navistar Drive Lisle,IL60532 81-1110738	SPECIALTY PHYSICIAN PRACTICE GROUP	IL	501(c)(3)	3	ALEXIAN BROTHERS HEALTH SYSTEM	Yes
(16)Alexian Brothers of San Jose Inc 2601 Navistar Drive Lisle,IL60532 94-1530037	Acute care hospital (sold in 1998)	TX	501(c)(3)	Type I	Alexian Brothers Health System	Yes
(17)Alexian Brothers Senior Ministries 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 36-4484290	Supports the provision of healthcare for related corporations	IL	501(c)(3)	Type II	Alexian Brothers Health System	Yes
(18)Alexian Brothers Services Inc 3040 W Salt Creek Ln Arlington Heights,IL60005 43-1295333	HUD housing	MO	501(c)(3)	10	Alexian Brothers Health System	Yes
(19)ALEXIAN BROTHERS SHERBROOKE VILLAGE 12250 Weber Hill Rd Ste 200 St Louis,MO63127 43-1592502	SKILLED NURSING FACILITY	MO	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(20)Alexian Brothers Specialty Group 2601 Navistar Drive Lisle,IL60532 80-0710751	Specialty physician practice group	IL	501(c)(3)	3	Alexian Brothers Health System	Yes
(21)ALEXIAN VILLAGE OF MILWAUKEE INC 12250 Weber Hill Rd Ste 200 St Louis,MO63127 39-1351584	CONTINUING CARE RETIREMENT COMMUNITY	WI	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(22)ALEXIAN VILLAGE OF TENNESSEE 12250 Weber Hill Rd Ste 200 St Louis,MO63127 62-1136742	CONTINUING CARE RETIREMENT COMMUNITY	TN	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(23)ALVERNO PROVENA HOSPITAL LABORATORIES INC 2434 Interstate Plaza Drive Hammond,IN46234 20-3238867	HEALTH CARE	IN	501(c)(3)	3	Presence Central & Suburban Hospitals Network AND PRESENCE CHICAGO HOSPITAL S NETWORK	Yes
(24)AMERICAN SPORTS MEDICINE INSTITUTE 2660 10TH AVENNUE SOUTH NO 505 BIRMINGHAM,AL35205 63-0952490	SPORTS MEDICINE	AL	501(c)(3)	7	ST VINCENT'S BIRMINGHAM	Yes
(25)ARTHUR MERKLE - CLARA KNIPPRATH NURSING HOME 1190 E 2900 N ROAD CLIFTON,IL60927 36-2841358	RETIREMENT COMMUNITY	IL	501(c)(3)	10	PRESENCE LIFE CONNECTIONS	Yes
(26)ASCENSION MICHIGAN CMG 28000 DEQUINDRE ROAD WARREN,MI48092 38-2601348	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes
(27)ASCENSION ALL SAINTS HOSPITAL INC 3801 SPRING STREET RACINE,WI53405 39-1264986	HOSPITAL	WI	501(c)(3)	3	WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC	Yes
(28)ASCENSION ARIZONA 2202 N FORBES BLVD TUCSON,AZ85745 86-0455920	HOSPITAL	AZ	501(c)(3)	3	ASCENSION HEALTH	Yes
(29)ASCENSION BORGESS FOUNDATION 1521 GULL ROAD KALAMAZOO,MI49048 23-7222558	FUNDRAISING	MI	501(c)(3)	Type III-FI	ASCENSION BORGESS HOSPITAL	Yes
(30)ASCENSION BORGESS HOSPITAL 1521 GULL ROAD KALAMAZOO,MI49048 38-1360526	HEALTHCARE SERVICES	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(31)ASCENSION BORGESS LEE FOUNDATION 420 W HIGH STREET DOWAGIAC,MI49047 38-2860459	FUNDRAISING	MI	501(c)(3)	Type III-FI	ASCENSION BORGESS-LEE HOSPITAL	Yes
(32)ASCENSION BORGESS-LEE HOSPITAL 420 WEST HIGH STREET DOWAGIAC,MI49047 38-1490190	HEALTHCARE SERVICES	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(33)ASCENSION BRIGHTON CENTER FOR RECOVERY 12851 GRAND RIVER BRIGHTON,MI48116 38-1576680	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(34)ASCENSION CALUMET HOSPITAL INC 614 MEMORIAL DRIVE CHILTON,WI53014 39-0905385	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(35)Ascension Care Management Insurance Holdings (FKA Global Health Partnership )101 South Hanley Ste 450 St Louis,MO63105 46-1121862	Health care	MO	501(c)(3)	7	Ascension Health Alliance	Yes
(36)ASCENSION EAGLE RIVER HOSPITAL INC 201 HOSPITAL ROAD EAGLE RIVER,WI54521 39-0985690	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(37)ASCENSION EASTWOOD BEHAVIORAL HEALTH 28000 DEQUINDRE ROAD WARREN,MI48092 38-1958763	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes
(38)ASCENSION GENESYS FOUNDATION ONE GENESYS PARKWAY GRAND BLANC,MI484398065 38-3591148	FOUNDATION	MI	501(c)(3)	Type I	GENESYS HEALTH SYSTEM	Yes
(39)ASCENSION GENESYS HOSPITAL ONE GENESYS PARKWAY GRAND BLANC,MI484398065 38-2377821	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(40)ASCENSION GOOD SAMARITAN HOSPITAL INC 601 SOUTH CENTER AVENUE MERRILL,WI54452 39-0808503	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(41)ASCENSION HEALTH PO BOX 45998 ST LOUIS,MO63145 31-1662309	NATIONAL HEALTH	MO	501(c)(3)	Type I	ASCENSION HEALTH ALLIANCE		No
(42)ASCENSION HEALTH - IS INC PO BOX 45998 ST LOUIS,MO63145 65-1257719	SUPPORTING ORGANIZATION	MO	501(c)(3)	Type I	ASCENSION HEALTH ALLIANCE	Yes
(43)ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS,MO63145 45-3358926	NATIONAL HEALTH SYSTEM	MO	501(c)(3)	Type I	NA		No
(44)ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE T RUST4600 EDMUNDSON RD ST LOUIS,MO63134 36-7046706	SUPPORTING ORGANIZATION	MO	501(c)(3)	Type I	ASCENSION HEALTH ALLIANCE	Yes
(45)ASCENSION HEALTH GLOBAL MISSION 101 SOUTH HANLEY SUITE 450 ST LOUIS,MO63105 65-1205990	SUPPORTING ORGANIZATION	MO	501(c)(3)	Type I	ASCENSION HEALTH ALLIANCE	Yes
(46)ASCENSION HEALTH SENIOR CARE 12250 Weber Hill Road St Louis,MO63127 43-1227406	PARENT COMPANY	MO	501(c)(3)	Type I	ASCENSION HEALTH	Yes
(47)ASCENSION WELFARE BENEFITS TRUST PO BOX 46944 ST LOUIS,MO63146 43-1601369	TRUST	MO	501(c)(9)		ASCENSION HEALTH	Yes
(48)ASCENSION LIVING - LAKESHORE AT SIENA INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 82-4710412	RETIREMENT COMMUNITY	WI	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(49)ASCENSION MACOMB OAKLAND HOSPITAL 28000 DEQUINDRE ROAD WARREN,MI48092 38-3322109	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(50)ASCENSION MEDICAL GROUP MICHIGAN 28000 Dequnidre Rd WARREN,MI48092 38-3494637	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes
(51)ASCENSION MEDICAL GROUP PROMED 1521 GULL ROAD KALAMAZOO,MI49048 38-3193801	HEALTHCARE SERVICES	MI	501(c)(3)	10	BORGESS HEALTH ALLIANCE INC	Yes
(52)ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC 1570 APPLETON RD MENASHA,WI54952 39-1127163	CLINICAL HEALTHCARE SERVICES	WI	501(c)(3)	3	AFFINITY HEALTH SYSTEM	Yes
(53)ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC 824 ILLINOIS AVENUE STEVENS POINT,WI54481 39-1965593	MEDICAL GROUP	WI	501(c)(3)	Type III-FI	MINISTRY HEALTH CARE INC	Yes
(54)ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC 400 WEST RIVER WOODS PARKWAY GLENDALE,WI53212 39-1791586	MEDICAL GROUP	WI	501(c)(3)	3	WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC	Yes
(55)ASCENSION MICHIGAN 28000 DEQUINDRE ROAD WARREN,MI48092 38-2631907	HEALTH CARE	MI	501(c)(3)	Type I	ASCENSION HEALTH	Yes
(56)ASCENSION MINISTRY AND MISSION FUND PO BOX 45998 ST LOUIS,MO63145 27-3174701	SUPPORTING ORGANIZATION	MO	501(c)(3)	Type I	ASCENSION HEALTH ALLIANCE	Yes
(57)ASCENSION NE WISCONSIN INC 1506 S ONEIDA STREET APPLETON,WI54915 39-0816818	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(58)ASCENSION OUR LADY OF VICTORY HOSPITAL INC 1120 PINE STREET STANLEY,WI54768 39-0807065	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(59)ASCENSION PROVIDENCE 6901 MEDICAL PARKWAY WACO,TX76712 74-1109636	HEALTHCARE SERVICES	TX	501(c)(3)	3	ASCENSION TEXAS	Yes
(60)ASCENSION PROVIDENCE FOUNDATION 22101 MOROSS DETROIT,MI48236 38-3526629	FUNDRAISING	MI	501(c)(3)	Type III-FI	ST JOHN PROVIDENCE	Yes
(61)ASCENSION PROVIDENCE HOSPITAL 16001 WEST NINE MILE ROAD SOUTHFIELD,MI48037 38-1358212	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(62)ASCENSION PROVIDENCE ROCHESTER FOUNDATION FKA CRITTENTON HOSPITAL MEDICAL C ENTER FOUNDATION1101 WEST UNIVERSITY DR ROCHESTER,MI48307 38-2627336	SUPPORTING	MI	501(c)(3)	Type I	ASCENSION PROVIDENCE ROCHESTER HOSPITAL	Yes
(63)ASCENSION PROVIDENCE ROCHESTER HOSPITAL 1101 W UNIVERSITY DR ROCHESTER,MI48307 38-1359247	GENERAL HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(64)ASCENSION RIVER DISTRICT HOSPITAL 4100 RIVER ROAD EAST CHINA,MI48054 38-3160564	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(65)ASCENSION SACRED HEART-STMARY'S HOSPITALS INC PO BOX 347 STEVENS POINT,WI54481 39-1390638	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(66)ASCENSION SE WISCONSIN HOSPITAL INC 5000 WEST CHAMBERS STREET MILWAUKEE,WI53210 39-0816857	HOSPITAL	WI	501(c)(3)	3	WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC	Yes
(67)ASCENSION SETON 1345 PHILOMENA STREET AUSTIN,TX78723 74-1109643	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	3	ASCENSION TEXAS	Yes
(68)ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH 28000 DEQUINDRE ROAD WARREN,MI48092 38-2262856	HEALTH CARE	MI	501(c)(3)	3	ST JOHN PROVIDENCE	Yes
(69)ASCENSION ST CLARE'S HOSPITAL INC 3400 MINISTRY PARKWAY WESTON,WI54476 72-1531917	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(70)ASCENSION ST FRANCIS HOSPITAL INC 3237 SOUTH 16TH STREET MILWAUKEE,WI53215 39-0907740	HOSPITAL	WI	501(c)(3)	3	WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC	Yes
(71)ASCENSION ST JOHN FOUNDATION 22101 MOROSS DETROIT,MI48236 20-2961579	FUNDRAISING	MI	501(c)(3)	7	ST JOHN PROVIDENCE	Yes
(72)ASCENSION ST JOHN HOSPITAL 28000 DEQUINDRE ROAD WARREN,MI48092 38-1359063	HEALTH CARE	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(73)ASCENSION ST JOSEPH FOUNDATION 200 HEMLOCK ROAD TAWAS CITY,MI48763 01-0790428	FUNDRAISING	MI	501(c)(3)	Type I	ASCENSION ST JOSEPH'S HOSPITAL	Yes
(74)ASCENSION ST MARY'S FOUNDATION 800 S WASHINGTON AVENUE SAGINAW,MI48601 38-2246366	FUNDRAISING	MI	501(c)(3)	Type II	ASCENSION ST MARY'S HOSPITAL	Yes
(75)ASCENSION ST MARY'S HOSPITAL 800 S WASHINGTON AVENUE SAGINAW,MI48601 38-0997730	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(76)ASCENSION ST MICHAEL'S HOSPITAL INC 900 ILLINOIS AVENUE STEVENS POINT,WI54481 39-0808443	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(77)ASCENSION STANDISH HOSPITAL 805 WEST CEDEAR STREET STANDISH,MI48658 38-1671120	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(78)ASCENSION TEXAS 1345 PHILOMENA STREET AUSTIN,TX78723 45-4364243	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	Type I	ASCENSION HEALTH	Yes
(79)ASCENSION VIA CHRISTI HEALTH PARTNERS INC 8200 E THORN DRIVE WICHITA,KS67226 48-0958974	MANAGEMENT COMPANY	KS	501(c)(3)	10	ASCENSION VIA CHRISTI HEALTH INC	Yes
(80)ASCENSION VIA CHRISTI HEALTH INC 8200 E THORN DRIVE WICHITA,KS67226 48-1172107	HEALTH SYSTEM PARENT	KS	501(c)(3)	Type III-FI	ASCENSION HEALTH	Yes
(81)ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC 1823 COLLEGE AVENUE MANHATTAN,KS66502 48-1186704	HOSPITAL	KS	501(c)(3)	3	ASCENSION VIA CHRISTI HEALTH INC	Yes
(82)ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC 1 MT CARMEL WAY PITTSBURG,KS66762 48-0543778	HOSPITAL	KS	501(c)(3)	3	ASCENSION VIA CHRISTI HEALTH INC	Yes
(83)ASCENSION VIA CHRISTI HOSPITAL WICHITA ST TERESA INC 14800 W ST TERESA WICHITA,KS67235 27-1965272	HOSPITAL	KS	501(c)(3)	3	ASCENSION VIA CHRISTI HEALTH INC	Yes
(84)ASCENSION VIA CHRISTI HOSPITALS WICHITA INC 929 N SAINT FRANCIS WICHITA,KS67214 48-1172106	HOSPITAL	KS	501(c)(3)	3	ASCENSION VIA CHRISTI HEALTH INC	Yes
(85)ASCENSION VIA CHRISTI PROPERTY SERVICES INC 8200 E THORN DRIVE WICHITA,KS67226 48-0948571	PROPERTY MANAGEMENT	KS	501(c)(4)		ASCENSION VIA CHRISTI HOSPITALS WICHITA INC	Yes
(86)ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC 1151 N ROCK ROAD WICHITA,KS67206 48-1158274	REHABILITATION HOSPITAL	KS	501(c)(3)	3	ASCENSION VIA CHRISTI HOSPITALS WICHITA INC	Yes
(87)ASCENSION WISCONSIN LABORATORIES INC 3237 SOUTH 16TH STREET MILWAUKEE,WI53215 39-1701402	LABORATORY	WI	501(c)(3)	10	WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC	Yes
(88)ASCENSION WISCONSIN PHARMACYINC 19525 WEST NORTH AVENUE BROOKFIELD,WI53005 39-1613624	PHARMACY	WI	501(c)(3)	10	WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC	Yes
(89)BAPTIST HEALTH CARE AFFILIATES INC 2000 CHURCH STREET NASHVILLE,TN37236 58-1509251	COMMUNITY HEALTH PROMOTION	TN	501(c)(3)	Type I	SAINT THOMAS NETWORK	Yes
(90)BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC 2000 CHURCH STREET NASHVILLE,TN37236 58-1861378	INACTIVE	TN	501(c)(3)	Type I	SAINT THOMAS MIDTOWN HOSPITAL	Yes
(91)BLUE LADIES MINERALS INC 1345 PHILOMENA STREET AUSTIN,TX78723 74-2971975	OWN OIL AND MINERAL RIGHTS, REAL ESTATE	TX	501(c)(3)	Type III-FI	SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC	Yes
(92)BORGESS AMBULATORY CARE CORPORATION 1521 GULL ROAD KALAMAZOO,MI49048 38-2468823	HOLDING COMPANY	MI	501(c)(3)	3	BORGESS HEALTH ALLIANCE INC	Yes
(93)BORGESS HEALTH ALLIANCE INC 1521 GULL ROAD KALAMAZOO,MI49048 38-2335286	HEALTH SYSTEM PARENT	MI	501(c)(3)	Type III-FI	ASCENSION MICHIGAN	Yes
(94)BORGESS NURSING HOME INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 38-2555589	SKILLED NURSING FACILITY	MI	501(c)(3)	3	ASCENSION HEALTH SENIOR CARE	Yes
(95)CARONDELET FOUNDATION INC 2202 N FORBES BLVD TUSCON,AZ85716 86-0749574	FOUNDATION	AZ	501(c)(3)	Type I	ASCENSION ARIZONA	Yes
(96)CARONDELET HEALTH 1000 CARONDELET DRIVE KANSAS CITY,MO63145 43-1276738	HEALTH SYSTEM PARENT	MO	501(c)(3)	Type III-FI	ASCENSION HEALTH	Yes
(97)CARONDELET HEART & VASCULAR INSTITUTE 2202 N FORBES BLVD TUCSON,AZ85745 56-1943271	INACTIVE HOSPITAL	AZ	501(c)(3)	3	ASCENSION ARIZONA	Yes
(98)CARONDELET LONG-TERM CARE FACILITIES INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 74-2505427	SKILLED NURSING FACILITY	MO	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(99)CARONDELET REGIONAL MEDICAL PC 427 GUY PARK AVE AMSTERDAM,NY12010 81-4769136	MEDICAL GROUP	NY	501(c)(3)	3	ST MARY'S HEALTHCARE	Yes
(100)CATALPA HEALTH INC N4642 COUNTY N APPLETON,WI54914 45-4681563	BEHAVIORAL HEALTH SERVICES	WI	501(c)(3)	3	AFFINITY HEALTH SYSTEM	Yes
(101)CENTER FOR GERONTOLOGY 5455 ALI DRIVE DEPT200 GRAND BLANC,MI484395195 38-2514708	ADULT DAY CARE	MI	501(c)(3)	Type I	GENESYS AMBULATORY HEALTH SERVICES	Yes
(102)CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC 2001 W 86TH STREET INDIANAPOLIS,IN46260 35-1869951	FREESTANDING OUTPATIENT CENTER	IN	501(c)(3)	Type III-FI	ST VINCENT HEALTH INC	Yes
(103)CMC FOUNDATION OF CENTRAL TEXAS 1345 PHILOMENA STREET AUSTIN,TX78723 20-0468031	FUNDRAISING	TX	501(c)(3)	Type I	ASCENSION TEXAS	Yes
(104)COLUMBIA COLLEGE OF NURSING Inc 4425 NORTH PORT WASHINGTON ROAD GLENDALE,WI53212 39-1596986	COLLEGE	WI	501(c)(3)	2	COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC	Yes
(105)COLUMBIA ST MARY'S FOUNDATION INC 400 W RIVER WOODS PKWY GLENDALE,WI53212 39-1494981	FOUNDATION	WI	501(c)(3)	7	COLUMBIA ST MARY'S INC	Yes
(106)COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC 4425 NORTH PORT WASHINGTON ROAD GLENDALE,WI53212 39-0806315	HOSPITAL	WI	501(c)(3)	3	COLUMBIA ST MARY'S INC	Yes
(107)COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC 4425 NORTH PORT WASHINGTON ROAD GLENDALE,WI53212 39-0807063	HOSPITAL	WI	501(c)(3)	3	COLUMBIA ST MARY'S INC	Yes
(108)COLUMBIA ST MARY'S HOSPITAL INC 400 WEST RIVER WOODS PARKWAY GLENDALE,WI53212 39-1834639	HEALTH SYSTEM	WI	501(c)(3)	Type I	ASCENSION HEALTH	Yes
(109)CORNERSTONE ASSISTED LIVING INC 2622 W Central Suite 100 Wichita,KS67203 48-1241079	RETIREMENT COMMUNITY	KS	501(c)(3)	10	VIA CHRISTI VILLAGES INC	Yes
(110)CRITTENTON CANCER CENTER 1101 WEST UNIVERSITY DR ROCHESTER,MI48307 38-3239057	CANCER TREATMENT	MI	501(c)(3)	10	ASCENSION PROVIDENCE ROCHESTER HOSPITAL	Yes
(111)DELL CHILDREN'S MEDICAL GROUP 1345 PHILOMENA STREET AUSTIN,TX78723 74-2800601	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	10	SETON CLINICAL ENTERPRISE CORPORATION	Yes
(112)DR KATE NEWCOMB CONVALESCENT CENTER INC PO BOX 829 WOODRUFF,WI54568 39-1357365	NURSING/ASSISTED LIVING SERVICES	WI	501(c)(3)	10	HOWARD YOUNG HEALTH CARE INC	Yes
(113)FIELD NEUROSCIENCES INSTITUTE 800 S WASHINGTON AVENUE SAGINAW,MI48601 38-2790703	MEDICAL RESEARCH ORGANIZATION	MI	501(c)(3)	10	ASCENSION ST MARY'S HOSPITAL	Yes
(114)FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC 3400 MINISTRY PARKWAY WESTON,WI54476 75-3193633	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION ST CLARE'S HOSPITAL INC	Yes
(115)FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD Inc 611 SAINT JOSEPH AVENUE MARSHFIELD,WI54449 39-1684957	FOUNDATION	WI	501(c)(3)	Type I	SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC	Yes
(116)GENESYS AMBULATORY HEALTH SERVICES 5455 ALI DR DEPT 200 GRAND BLANC,MI484395195 38-2371754	HEALTH SRVCS/STAFFING/PROP MNGT	MI	501(c)(3)	Type II	GENESYS HEALTH SYSTEM	Yes
(117)GENESYS CONVALESCENT CENTER 8481 HOLLY ROAD GRAND BLANC,MI484391812 38-2317364	CONVALESCENT CENTER	MI	501(c)(3)	3	GENESYS AMBULATORY HEALTH SERVICES	Yes
(118)GENESYS HEALTH SYSTEM ONE GENESYS PARKWAY GRAND BLANC,MI484398065 38-3339703	HEALTH SYSTEM PARENT	MI	501(c)(3)	Type II	ASCENSION MICHIGAN	Yes
(119)GLOBAL SOLIDARITY FUND 101 SOUTH HANLEY SUITE 200 ST LOUIS,MO63105 83-1078006	SUPPORTING ORGANIZATION	MO	501(c)(3)	Type I	ASCENSION HEALTH ALLIANCE	Yes
(120)GOOD SAMARITAN HEALTH CENTER FOUNDATION OF MERRILL WISCONSIN INC 601 SOUTH CENTER AVENUE MERRILL,WI54452 39-1627755	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION GOOD SAMARITAN HOSPITAL INC	Yes
(121)GULF COAST HEALTH SYSTEM 6801 AIRPORT BLVD MOBILE,AL36608 63-0934712	HEALTH SYSTEM	AL	501(c)(3)	Type III-FI	ST VINCENT'S HEALTH SYSTEM	Yes
(122)HAVEN OF OUR LADY OF PEACE INC 5151 N 9TH AVENUE PENSACOLA,FL32504 59-3620346	NURSING HOME	FL	501(c)(3)	10	SACRED HEART HEALTH SYSTEM	Yes
(123)HEALTHCARE COLLABORATIVE 1345 PHILOMENA STREET AUSTIN,TX78723 27-3220767	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	10	SETON CLINICAL ENTERPRISE CORPORATION	Yes
(124)HOWARD YOUNG FOUNDATION INC 240 MAPLE STREET WOODRUFF,WI54568 39-1521169	CHARITABLE FOUNDATION	WI	501(c)(3)	7	HOWARD YOUNG HEALTH CARE INC	Yes
(125)HOWARD YOUNG HEALTH CARE INC 240 MAPLE STREET WOODRUFF,WI54568 39-1499115	HOME OFFICE	WI	501(c)(3)	Type II	MINISTRY HEALTH CARE INC	Yes
(126)JANE PHILLIPS MEMORIAL MEDICAL CENTER 3500 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 73-0606129	HEALTH CARE	OK	501(c)(3)	3	ST JOHN HEALTH SYSTEM INC	Yes
(127)JANE PHILLIPS NOWATA HOSPITAL INC 237 SOUTH LOCUST NOWATA,OK74048 73-1440267	HEALTH CARE	OK	501(c)(3)	3	ST JOHN HEALTH SYSTEM INC	Yes
(128)LaVerna Terrace Housing Corporation 18927 HICKORY CREEK DRIVE SUITE 300 MOKENA,IL60448 36-3438977	LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED INDIVIDUALS	IL	501(c)(3)	10	PRESENCE LIFE CONNECTIONS	Yes
(129)LOURDES FOUNDATION 520 NORTH 4TH AVENUE PASCO,WA99301 91-1528577	FUNDRAISING	WA	501(c)(3)	Type I	OUR LADY OF LOURDES HOSPITAL AT PASCO	Yes
(130)Lourdes Realty Corporation Inc 169 Riverside Drive Binghamton,NY13905 22-2873637	Rental of Health Care Facilities	NY	501(c)(2)		Our Lady of Lourdes Memorial Hospital Inc	Yes
(131)MEDICAL SERVICES ENHANCEMENT INC 427 GUY PARK AVE AMSTERDAM,NY12010 14-1776546	MEDICAL OFFICE BUILDING	NY	501(c)(25)		ST MARY'S HEALTHCARE	Yes
(132)MEDICARE VALUE PARTNERS 2380 E Dempster Street DES PLAINES,IL60016 36-3495969	HEALTH CARE	IL	501(c)(3)	10	Presence Health Partners Services	Yes
(133)MERCY HEALTH FOUNDATION INC PO BOX 3370 OSHKOSH,WI54903 23-7140261	FOUNDATION	WI	501(c)(3)	10	AFFINITY HEALTH SYSTEM	Yes
(134)METRO PHYSICIANS INC 400 WEST RIVER WOODS PARKWAY GLENDALE,WI53212 94-3436893	Medical Group	WI	501(c)(3)	3	ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC	Yes
(135)MINISTRY HEALTH CARE INC 10925 W LAKE PARK DR STE 100 MILWAUKEE,WI53224 39-1490371	PARENT CORPORATION	WI	501(c)(3)	Type II	ASCENSION HEALTH	Yes
(136)MINISTRY WEIGHT MANAGEMENT INC 2251 NORTH SHORE DRIVE RHINELANDER,WI54501 39-1829015	SPECIALTY HEALTH SERVICES	WI	501(c)(3)	3	ASCENSION SACRED HEART-STMARY'S HOSPITALS INC	Yes
(137)OUR LADY OF LOURDES HOSPITAL AT PASCO 520 NORTH 4TH AVENUE PASCO,WA99301 91-0349750	HEALTHCARE	WA	501(c)(3)	3	ASCENSION HEALTH	Yes
(138)OUR LADY OF LOURDES MEMORIAL HOSPITAL INC 169 RIVERSIDE DRIVE BINGHAMTON,NY13905 15-0532221	HOSPITAL	NY	501(c)(3)	3	ASCENSION HEALTH	Yes
(139)OUR LADY OF PEACE INC 5285 Lewiston Road Lewiston,NY14092 16-1608735	SKILLED NURSING FACILITY	NY	501(c)(3)	3	ASCENSION HEALTH SENIOR CARE	Yes
(140)OWASSO MEDICAL FACILITY INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 20-3700131	HEALTH CARE	OK	501(c)(3)	3	ST JOHN HEALTH SYSTEM INC	Yes
(141)PRESENCE AMBULATORY SERVICES 2380 E Dempster Street DES PLAINES,IL60016 36-4286236	HEALTH CARE	IL	501(c)(3)	10	Presence Care Transformation Corporation	Yes
(142)PRESENCE BEHAVIORAL HEALTH 1820 SOUTH 25TH AVENUE BROADVIEW,IL60155 36-2709982	HEALTH CARE	IL	501(c)(3)	10	Presence Care Transformation Corporation	Yes
(143)PRESENCE CARE HOME 18927 HICKORY CREEK DR 300 MOKENA,IL60448 46-0483587	HEALTH CARE	IL	501(c)(3)	10	PRESENCE CARE TRANSFORMATION CORPORATION	Yes
(144)PRESENCE CARE TRANSFORMATION CORPORATION 200 South Wacker Drive Chicago,IL60606 36-3366652	MGMT SUPPORT	IL	501(c)(3)	Type III-FI	Alexian Brothers Health System	Yes
(145)PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK 200 South Wacker Drive Chicago,IL60606 36-4195126	HEALTH CARE	IL	501(c)(3)	3	Presence Care Transformation Corporation	Yes
(146)PRESENCE CHICAGO HOSPITALS NETWORK 200 SOUTH WACKER DRIVE CHICAGO,IL60606 36-2235165	HEALTH CARE	IL	501(c)(3)	3	Presence Care Transformation Corporation	Yes
(147)PRESENCE HEALTH FOUNDATION BOARD OF TRUSTEES 200 SOUTH WACKER DRIVE CHICAGO,IL60606 36-3330929	FUNDRAISING	IL	501(c)(3)	7	Alexian Brothers Health System	Yes
(148)PRESENCE HEALTH PARTNERS SERVICES 2380 E DEMPSTER AVE STE 236 DES PLAINES,IL60016 36-2644178	HEALTH CARE	IL	501(c)(3)	Type II	Alexian Brothers Health System	Yes
(149)PRESENCE HEALTHCARE SERVICES 2380 E Dempster Street DES PLAINES,IL60016 36-3330928	HEALTH CARE	IL	501(c)(3)	3	Presence Care Transformation Corporation	Yes
(150)PRESENCE HOME CARE 18927 HICKORY CREEK DR 300 MOKENA,IL60448 46-0483581	HEALTH CARE	IL	501(c)(3)	10	PRESENCE CARE TRANSFORMATION CORPORATION	Yes
(151)PRESENCE LIFE CONNECTIONS 18927 HICKORY CREEK DRIVE 300 MOKENA,IL60448 37-1127787	RETIREMENT COMMUNITY	IL	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(152)PRESENCE SENIOR SERVICES CHICAGOLAND 100 NORTH RIVER ROAD DES PLAINES,IL60016 23-7061646	RETIREMENT COMMUNITY	IL	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(153)PRIMARY PHYSICIAN NETWORK LLC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 20-8775914	DORMANT	IN	501(c)(3)	10	ST MARY'S HEALTH INC	Yes
(154)PROVIDENCE BUILDING CORPORATION 6801 AIRPORT BLVD MOBILE,AL36608 63-0914564	SUPPORT PROVIDENCE HOSPITAL	AL	501(c)(2)		GULF COAST HEALTH SYSTEM	Yes
(155)PROVIDENCE FOUNDATION 6801 AIRPORT BLVD MOBILE,AL36608 63-0915493	SUPPORT PROVIDENCE HOSPITAL	AL	501(c)(3)	7	GULF COAST HEALTH SYSTEM	Yes
(156)PROVIDENCE FOUNDATION INC 6901 MEDICAL PARKWAY WACO,TX76712 74-2683112	SUPPORT CHARITABLE PURPOSE OF ASCENSION PROVIDENCE	TX	501(c)(3)	Type I	ASCENSION PROVIDENCE	Yes
(157)PROVIDENCE HEALTH ALLIANCE 6901 MEDICAL PARKWAY WACO,TX76712 74-2696970	PHYSICIAN PRACTICES	TX	501(c)(3)	3	ASCENSION PROVIDENCE	Yes
(158)PROVIDENCE HEALTH FOUNDATION INC 1150 VARNUM STREET NE WASHINGTON,DC20017 52-1275583	FUNDRAISING ORGANIZATION	DC	501(c)(3)	Type I	PROVIDENCE HOSPITAL	Yes
(159)PROVIDENCE HEALTH SERVICES INC 1150 VARNUM STREET NE WASHINGTON,DC20017 52-1275587	PHYSICIAN PRACTICES	DC	501(c)(3)	Type I	PROVIDENCE HOSPITAL	Yes
(160)PROVIDENCE HOSPITAL 6801 AIRPORT BLVD MOBILE,AL36608 63-0288861	HOSPITAL	AL	501(c)(3)	3	GULF COAST HEALTH SYSTEM	Yes
(161)PROVIDENCE HOSPITAL 1150 VARNUM STREET NE WASHINGTON,DC20017 53-0196636	HOSPITAL	DC	501(c)(3)	3	ASCENSION HEALTH	Yes
(162)PROVIDENCE PARK INC 300 W Highway 6 Waco,TX76712 61-1759304	SKILLED NURSING FACILITY	TX	501(c)(3)	3	ASCENSION HEALTH SENIOR CARE	Yes
(163)RAINBOW HOSPICE AND PALLIATIVE CARE 1550 BISHOP COURT MOUNT PROSPECT,IL60056 36-3296367	HEALTH CARE	IL	501(c)(3)	10	Presence Care Transformation Corporation	Yes
(164)SACRED HEART FOUNDATION INC 5151 N 9TH AVENUE PENSACOLA,FL32504 59-2436597	FOUNDATION	FL	501(c)(3)	7	SACRED HEART HEALTH SYSTEM	Yes
(165)SACRED HEART HEALTH SYSTEM INC 5151 N 9TH AVENUE PENSACOLA,FL32504 59-0634434	HOSPITAL	FL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM INC	Yes
(166)SACRED HEART HEALTH VENTURES INC 5151 N 9TH AVENUE PENSACOLA,FL32504 57-1183283	INVESTMENT	FL	501(c)(3)	Type I	SACRED HEART HEALTH SYSTEM	Yes
(167)SACRED HEART REHABILITATION INSTITUTE Inc 4425 NORTH PORT WASHINGTON ROAD GLENDALE,WI53212 39-0902199	REHAB SERVICES	WI	501(c)(3)	3	COLUMBIA ST MARY'S INC	Yes
(168)SAINT ELIZABETH'S HOSPITAL OF WABASHA INC 1200 GRANT BLVD WEST WABASHA,MN55981 41-0693877	HOSPITAL	MN	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(169)SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC 611 SAINT JOSEPH AVENUE MARSHFIELD,WI54449 39-0847631	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(170)SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC 900 ILLINOIS AVENUE STEVENS POINT,WI54481 39-1657410	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION ST MICHAEL'S HOSPITAL INC	Yes
(171)SAINT THOMAS HEALTH 4220 HARDING ROAD NASHVILLE,TN37205 58-1716804	SYSTEM PARENT	TN	501(c)(3)	Type III-FI	ASCENSION HEALTH	Yes
(172)SAINT THOMAS HEALTH FOUNDATIONS PO BOX 380 NASHVILLE,TN37202 58-1663055	OPERATES FOUNDATION	TN	501(c)(3)	7	SAINT THOMAS NETWORK	Yes
(173)SAINT THOMAS HICKMAN HOSPITAL 135 EAST SWAN STREET CENTERVILLE,TN37033 58-1737573	HOSPITAL	TN	501(c)(3)	3	BAPTIST HEALTH CARE AFFILIATES INC	Yes
(174)SAINT THOMAS HOME HEALTH 135 EAST SWAN STREET CENTERVILLE,TN37033 62-1836937	HOME HEALTH CARE	TN	501(c)(3)	10	SAINT THOMAS HICKMAN HOSPITAL	Yes
(175)SAINT THOMAS MEDICAL PARTNERS 2000 CHURCH STREET NASHVILLE,TN37236 62-1529858	HEALTHCARE PROVIDER	TN	501(c)(3)	10	SAINT THOMAS NETWORK	Yes
(176)SAINT THOMAS MIDTOWN HOSPITAL 4220 HARDING ROAD NASHVILLE,TN37205 62-1869474	ACUTE CARE HOSPITAL	TN	501(c)(3)	3	SAINT THOMAS HEALTH	Yes
(177)SAINT THOMAS NETWORK 4220 HARDING ROAD NASHVILLE,TN37205 62-1284994	HEALTH INVESTMENT ENTITY	TN	501(c)(3)	10	SAINT THOMAS HEALTH	Yes
(178)SAINT THOMAS REGIONAL HOSPITALS 4220 HARDING PIKE NASHVILLE,TN37205 47-4063046	HOSPITALS	TN	501(c)(3)	3	SAINT THOMAS HEALTH	Yes
(179)SAINT THOMAS RUTHERFORD FOUNDATION 1700 MEDICAL CENTER PARKWAY MURFREESBORO,TN37219 62-1167917	FOUNDATION	TN	501(c)(3)	Type I	SAINT THOMAS RUTHERFORD HOSPITAL	Yes
(180)SAINT THOMAS RUTHERFORD HOSPITAL 1700 MEDICAL CENTER PARKWAY MURFREESBORO,TN37219 62-0475842	HOSPITAL	TN	501(c)(3)	3	SAINT THOMAS HEALTH	Yes
(181)SAINT THOMAS WEST HOSPITAL 4220 HARDING ROAD NASHVILLE,TN37205 62-0347580	HOSPITAL	TN	501(c)(3)	3	SAINT THOMAS HEALTH	Yes
(182)SALINA REGIONAL HOME MEDICAL SERVICES LLC 520 SOUTH SANTA FE AVE SALINA,KS67401 43-1948057	MEDICAL EQUIPMENT	KS	501(c)(3)	10	ASCENSION VIA CHRISTI HEALTH PARTNERS INC	Yes
(183)Savelli Properties Inc 2601 Navistar Drive Lisle,IL60532 36-3308965	Owns or leases properties where healthcare services are delivered	IL	501(c)(2)		Alexian Brothers Health System	Yes
(184)SETON CLINICAL ENTERPRISE CORPORATION 1345 PHILOMENA STREET AUSTIN,TX78723 45-4364681	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	Type I	ASCENSION TEXAS	Yes
(185)SETON FAMILY OF DOCTORS 1345 PHILOMENA STREET AUSTIN,TX78723 26-4562522	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	10	SETON CLINICAL ENTERPRISE CORPORATION	Yes
(186)SETON FAMILY OF PEDIATRIC SURGEONS 1345 PHILOMENA STREET AUSTIN,TX78723 27-1311790	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	10	SETON CLINICAL ENTERPRISE CORPORATION	Yes
(187)SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC 1345 PHILOMENA STREET AUSTIN,TX78723 74-2212968	FUNDRAISING	TX	501(c)(3)	Type I	ASCENSION TEXAS	Yes
(188)SETON HAYS FOUNDATION 1345 PHILOMENA STREET AUSTIN,TX78723 26-2842608	FUNDRAISING	TX	501(c)(3)	Type I	ASCENSION TEXAS	Yes
(189)SETON HEALTH CORPORATION OF SOUTHEAST MICHIGAN 28000 DEQUINDRE WARREN,MI48092 38-2820107	HEALTH CARE	MI	501(c)(3)	10	ST JOHN PROVIDENCE	Yes
(190)SETON HOSPITALIST SERVICE 1345 PHILOMENA STREET AUSTIN,TX78723 45-2498998	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	10	ASCENSION SETON	Yes
(191)SETON INSURANCE SERVICES CORPORATION 1345 PHILOMENA STREET AUSTIN,TX78723 45-4364813	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	Type I	ASCENSION TEXAS	Yes
(192)SETON MANOR INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 23-2960726	SKILLED NURSING FACILITY	PA	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(193)SETON MEDICAL GROUP INC 900 CATON AVENUE BALTIMORE,MD21229 39-2064992	PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY	MD	501(c)(3)	10	ASCENSION MEDICAL GROUP LLC	Yes
(194)SETON MEDICAL MANAGEMENT 6801 AIRPORT BLVD MOBILE,AL36608 63-0937704	SUPPORT PROVIDENCE HOSPITAL	AL	501(c)(3)	Type II	GULF COAST HEALTH SYSTEM	Yes
(195)SETON ORAL & MAXILLOFACIAL SURGERY 1345 PHILOMENA STREET AUSTIN,TX78723 42-1670843	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	10	SETON CLINICAL ENTERPRISE CORPORATION	Yes
(196)SETON PROPERTY CORPORATION OF NORTH ALABAMA 810 ST VINCENTS DRIVE BIRMINGHAM,AL35205 23-7326976	REAL ESTATE	AL	501(c)(2)		ST VINCENT'S HEALTH SYSTEM	Yes
(197)SETON WILLIAMSON FOUNDATION 1345 PHILOMENA STREET AUSTIN,TX78723 20-5330986	FUNDRAISING	TX	501(c)(3)	Type I	ASCENSION TEXAS	Yes
(198)SETONUT DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP 1345 PHILOMENA STREET AUSTIN,TX78723 74-2869762	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	10	SETON CLINICAL ENTERPRISE CORPORATION	Yes
(199)SJRMC INC 415 6TH STREET LEWISTON,ID83501 82-0204264	HOSPITAL	ID	501(c)(3)	3	ASCENSION HEALTH	Yes
(200)SOUTHERN TIER MEDICAL CARE - NY PC 169 RIVERSIDE DRIVE BINGHAMTON,NY13905 82-1103087	HEALTHCARE	NY	501(c)(3)	3	OUR LADY OF LOURDES MEMORIAL HOSPITAL INC	Yes
(201)ST VINCENT'S AMBULATORY CARE INC 4205 BELFORT ROAD SUITE 4020 JACKSONVILLE,FL32216 59-2292041	PHYSICIAN PRACTICE	FL	501(c)(3)	10	ASCENSION MEDICAL GROUP LLC	Yes
(202)ST AGNES FOUNDATION 900 CATON AVENUE BALTIMORE,MD21229 52-1415083	FUNDRAISING	MD	501(c)(3)	Type I	ST AGNES HEALTHCARE	Yes
(203)ST AGNES HEALTHCARE INC 900 CATON AVENUE BALTIMORE,MD21229 52-0591657	HOSPITAL	MD	501(c)(3)	3	ASCENSION HEALTH	Yes
(204)St Alexius Medical Center 1555 Barrington Road Hoffman Estates,IL60194 36-4251846	Acute care hospital	IL	501(c)(3)	3	Alexian Brothers Health System	Yes
(205)ST CATHERINE LABOURE MANOR INC 1750 Stockton Street Jacksonville,FL32204 59-1878316	SKILLED NURSING FACILITY	FL	501(c)(3)	3	ASCENSION HEALTH SENIOR CARE	Yes
(206)ST ELIZABETH HOSPITAL FOUNDATION INC 1506 S ONEIDA STREET APPLETON,WI54915 39-1256677	FOUNDATION	WI	501(c)(3)	7	AFFINITY HEALTH SYSTEM	Yes
(207)ST JOHN AUXILIARY INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-0999759	HEALTH CARE	OK	501(c)(3)	10	ST JOHN HEALTH SYSTEM INC	Yes
(208)ST JOHN BROKEN ARROW INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 38-3833117	HEALTH CARE	OK	501(c)(3)	3	ST JOHN HEALTH SYSTEM INC	Yes
(209)ST JOHN BUILDING CORPORATION 1923 SOUTH UTICA AVENUE TULSA,OK74104 61-1659782	REAL ESTATE	OK	501(c)(2)		ST JOHN HEALTH SYSTEM INC	Yes
(210)ST JOHN HEALTH SYSTEM FOUNDATION INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1133139	HEALTH CARE	OK	501(c)(3)	7	ST JOHN HEALTH SYSTEM INC	Yes
(211)ST JOHN HEALTH SYSTEM INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1215174	SYSTEM PARENT	OK	501(c)(3)	Type I	ASCENSION HEALTH	Yes
(212)ST JOHN MEDICAL CENTER INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-0579286	HEALTH CARE	OK	501(c)(3)	3	ST JOHN HEALTH SYSTEM INC	Yes
(213)ST JOHN PROVIDENCE 28000 DEQUINDRE ROAD WARREN,MI48092 38-2244034	PARENT	MI	501(c)(3)	Type III-FI	ASCENSION MICHIGAN	Yes
(214)ST JOHN SAPULPA INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-0662663	HEALTH CARE	OK	501(c)(3)	3	ST JOHN HEALTH SYSTEM INC	Yes
(215)ST JOHN VILLAS INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1077367	NURSING HOME	OK	501(c)(3)	10	ST JOHN HEALTH SYSTEM INC	Yes
(216)ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC 1907 W SYCAMORE STREET KOKOMO,IN46901 23-7313206	SUPPORTING ORGANIZATION	IN	501(c)(3)	Type I	ST JOSEPH HOSPITAL & HEALTH CENTER INC	Yes
(217)ST JOSEPH HOSPITAL & HEALTH CENTER INC 1907 W SYCAMORE STREET KOKOMO,IN46901 35-0992717	HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(218)ST JOSEPH MEDICAL CENTER FOUNDATION 1000 CARONDELET DRIVE KANSAS CITY,MO63145 43-1388461	FUNDRAISING	MO	501(c)(3)	Type III-FI	CARONDELET HEALTH	Yes
(219)ST JOSEPH REGIONAL MEDICAL CENTER FOUNDATION INC 415 6TH STREET LEWISTON,ID83501 51-0168321	FUNDRAISING	ID	501(c)(3)	Type I	SJRMC Inc	Yes
(220)ST JOSEPH'S MINISTRIES INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 52-1835288	SKILLED NURSING FACILITY	MD	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(221)ST LUKE'S-ST VINCENT'S HEALTHCARE INC 4205 BELFORT ROAD SUITE 4020 JACKSONVILLE,FL32216 26-0479484	HOSPITAL	FL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM INC	Yes
(222)ST MARY'S - ST JOSEPH HEALTH SYSTEM 800 S WASHINGTON AVENUE SAGINAW,MI48601 46-1084363	SUPPORTING ORGANIZATION	MI	501(c)(3)	Type III-FI	ASCENSION MICHIGAN	Yes
(223)ST MARY'S AT HOME INC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 35-1899560	DME/HOME CARE	IN	501(c)(3)	Type I	ST MARY'S HEALTH INC	Yes
(224)ST MARY'S BUILDING CORPORATION 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 23-7248362	REAL ESTATE HOLDING COMPANY	IN	501(c)(2)		ST MARY'S HEALTH INC	Yes
(225)ST MARY'S CARE PARTNERS INC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 35-1899562	TAX-EXEMPT AFFILIATE REIMBURSEMENTS	IN	501(c)(3)	Type I	ST MARY'S HEALTH INC	Yes
(226)ST MARY'S HEALTH FOUNDATION INC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 23-7045370	SUPPORTING ORGANIZATION	IN	501(c)(3)	Type I	ST MARY'S HEALTH INC	Yes
(227)ST MARY'S HEALTH SERVICES INC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 35-1679526	INVESTMENT SERVICES	IN	501(c)(3)	Type III-FI	ST MARY'S HEALTH INC	Yes
(228)ST MARY'S HEALTH INC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 35-0869065	HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(229)ST MARY'S HEALTHCARE 427 GUY PARK AVE AMSTERDAM,NY12010 14-1347719	HOSPITAL	NY	501(c)(3)	3	ASCENSION HEALTH	Yes
(230)ST MARY'S MEDICAL CENTER FOUNDATION 1000 CARONDELET DRIVE KANSAS CITY,MO63145 43-1918107	FUNDRAISING	MO	501(c)(3)	Type III-FI	CARONDELET HEALTH	Yes
(231)ST MARY'S MEDICAL GROUP LLC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 26-1356310	PHYSICIAN PROFESSIONAL SERVICES	IN	501(c)(3)	10	ST VINCENT MEDICAL GROUP INC	Yes
(232)ST MARY'S OHIO VALLEY HEARTCARE LLC 901 ST MARYS DRIVE EVANSVILLE,IN47714 27-3474697	DORMANT	IN	501(c)(3)	Type I	ST MARY'S MEDICAL GROUP LLC	Yes
(233)ST MARY'S WARRICK EMERGENCY MEDICAL SERVICES INC 3700 WASHINGTON AVENUE EVANSVILLE,IN47750 20-5342518	AMBULANCE SERVICES	IN	501(c)(4)		ST MARY'S HEALTH SERVICES INC	Yes
(234)ST MARY'S WARRICK HOSPITAL INC 1116 MILLIS AVENUE BOONVILLE,IN47601 35-1343019	HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(235)ST VINCENT ANDERSON REGIONAL HOSPITAL FOUNDATION INC 2015 JACKSON STREET ANDERSON,IN46016 35-2053693	SUPPORTING ORGANIZATION	IN	501(c)(3)	Type I	ST VINCENT ANDERSON REGIONAL HOSPITAL INC	Yes
(236)ST VINCENT ANDERSON REGIONAL HOSPITAL INC 2015 JACKSON STREET ANDERSON,IN46016 46-0877261	HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(237)ST VINCENT CARMEL HOSPITAL INC 13500 N MERIDIAN STREET CARMEL,IN46032 74-3107055	HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(238)ST VINCENT CLAY HOSPITAL INC 1206 E NATIONAL AVENUE BRAZIL,IN47834 35-2112529	CRITICAL ACCESS HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(239)ST VINCENT DUNN HOSPITAL INC 1600 23RD STREET BEDFORD,IN47421 27-2192831	CRITICAL ACCESS HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(240)ST VINCENT FISHERS HOSPITAL INC 13861 OLIO ROAD FISHERS,IN46037 45-4243702	HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(241)ST VINCENT FRANKFORT HOSPITAL FOUNDATION INC 1300 S JACKSON FRANKFORT,IN46041 35-1531734	SUPPORTING ORGANIZATION	IN	501(c)(3)	Type I	ST VINCENT FRANKFORT HOSPITAL INC	Yes
(242)ST VINCENT FRANKFORT HOSPITAL INC 1300 S JACKSON FRANKFORT,IN46041 35-2099320	CRITICAL ACCESS HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(243)ST VINCENT HEALTH INC 10330 N MERIDIAN STREET STE 430N INDIANAPOLIS,IN46290 35-2052591	PARENT COMPANY	IN	501(c)(3)	Type III-FI	ASCENSION HEALTH	Yes
(244)ST VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC 8333 NAAB ROAD STE 301 INDIANAPOLIS,IN46260 46-1227327	HEALTH AND WELLNESS SERVICES	IN	501(c)(3)	10	ST VINCENT HEALTH INC	Yes
(245)ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC 2001 W 86TH STREET INDIANAPOLIS,IN46260 35-0869066	HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(246)ST VINCENT HOSPITAL FOUNDATION INC 8402 Harcourt Rd Ste 210 INDIANAPOLIS,IN46260 35-6088862	SUPPORTING ORGANIZATION	IN	501(c)(3)	Type I	ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC	Yes
(247)ST VINCENT JENNINGS HOSPITAL FOUNDATION INC 301 HENRY STREET NORTH VERNON,IN47265 84-1703732	DORMANT	IN	501(c)(3)	1	ST VINCENT JENNINGS HOSPITAL INC	Yes
(248)ST VINCENT JENNINGS HOSPITAL INC 301 HENRY STREET NORTH VERNON,IN47265 35-1841606	CRITICAL ACCESS HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(249)ST VINCENT MADISON COUNTY HEALTH SYSTEM INC 1331 SOUTH A STREET ELWOOD,IN46036 35-0876389	HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(250)ST VINCENT MEDICAL GROUP INC 8425 HARCOURT ROAD INDIANAPOLIS,IN46260 27-2039417	PHYSICIAN PROFESSIONAL SERVICES	IN	501(c)(3)	10	ST VINCENT CARMEL HOSPITAL INC	Yes
(251)ST VINCENT MERCY HOSPITAL FOUNDATION INC 1331 SOUTH A STREET ELWOOD,IN46036 31-1066871	SUPPORTING ORGANIZATION	IN	501(c)(3)	Type I	ST VINCENT MADISON COUNTY HEALTH SYSTEM INC	Yes
(252)ST VINCENT RANDOLPH HOSPITAL FOUNDATION INC 473 GREENVILLE AVENUE WINCHESTER,IN47394 35-2133006	SUPPORTING ORGANIZATION	IN	501(c)(3)	Type I	ST VINCENT RANDOLPH HOSPITAL INC	Yes
(253)ST VINCENT RANDOLPH HOSPITAL INC 473 GREENVILLE AVENUE WINCHESTER,IN47394 35-2103153	CRITICAL ACCESS HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(254)ST VINCENT RAS INC 10330 N MERIDIAN STREET STE 400N INDIANAPOLIS,IN46290 47-1289091	RETAIL AMBULATORY SERVICES	IN	501(c)(3)	10	ST VINCENT HEALTH INC	Yes
(255)ST VINCENT SALEM HOSPITAL INC 911 N SHELBY STREET SALEM,IN47167 27-0847538	CRITICAL ACCESS HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(256)ST VINCENT SETON SPECIALTY HOSPITAL INC 8050 TOWNSHIP LINE RD INDIANAPOLIS,IN46260 35-1712001	LONG TERM CARE HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(257)ST VINCENT WILLIAMSPORT HOSPITAL FOUNDATION INC 412 N MONROE STREET WILLIAMSPORT,IN47993 74-3130159	SUPPORTING ORGANIZATION	IN	501(c)(3)	Type I	ST VINCENT WILLIAMSPORT HOSPITAL INC	Yes
(258)ST VINCENT WILLIAMSPORT HOSPITAL INC 412 N MONROE STREET WILLIAMSPORT,IN47993 35-0784551	CRITICAL ACCESS HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes
(259)ST VINCENT'S BIRMINGHAM 810 ST VINCENTS DRIVE BIRMINGHAM,AL35205 63-0288864	HOSPITAL	AL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM	Yes
(260)ST VINCENT'S BLOUNT 150 GILBREATH DRIVE ONEONTA,AL35121 63-0909073	HOSPITAL	AL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM	Yes
(261)ST VINCENT'S COLLEGE INC 2800 MAIN STREET BRIDGEPORT,CT06606 06-1331677	COLLEGE OF HEALTH SCIENCE	CT	501(c)(3)	2	STVINCENT'S MEDICAL CENTER	Yes
(262)ST VINCENT'S DEVELOPMENT INC 95 MERRITT BOULEVARD TRUMBULL,CT06611 22-2554128	REAL ESTATE HOLDINGS	CT	501(c)(25)		ST VINCENT'S HEALTH SERVICES CORP	Yes
(263)ST VINCENT'S EAST 50 MEDICAL PARK EAST DRIVE BIRMINGHAM,AL35235 63-0578923	HOSPITAL	AL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM	Yes
(264)ST VINCENT'S FOUNDATION OF ALABAMA INC 1 Medical Park East Drive BIRMINGHAM,AL35235 63-0868066	FUNDRAISING	AL	501(c)(3)	7	ST VINCENT'S HEALTH SYSTEM	Yes
(265)ST VINCENT'S FOUNDATION INC 4205 BELFORT ROAD SUITE 4020 JACKSONVILLE,FL32216 59-2219923	FUND RAISING	FL	501(c)(3)	7	ST VINCENT'S HEALTH SYSTEM INC	Yes
(266)ST VINCENT'S HEALTH SERVICES CORP 2800 MAIN STREET BRIDGEPORT,CT06606 22-2558134	HOLDING COMPANY	CT	501(c)(3)	Type I	ST VINCENT'S MEDICAL CENTER	Yes
(267)ST VINCENT'S HEALTH SYSTEM 810 ST VINCENTS DRIVE BIRMINGHAM,AL35205 63-0931008	HEALTH SYSTEM	AL	501(c)(3)	Type III-FI	ASCENSION HEALTH	Yes
(268)ST VINCENT'S HEALTH SYSTEM INC 4205 BELFORT ROAD SUITE 4020 JACKSONVILLE,FL32216 59-3650609	PARENT ENTITY	FL	501(c)(3)	Type II	ASCENSION HEALTH	Yes
(269)ST VINCENT'S MEDICAL CENTER 2800 MAIN STREET BRIDGEPORT,CT06606 06-0646886	HOSPITAL AND SYSTEM PARENT	CT	501(c)(3)	3	ASCENSION HEALTH	Yes
(270)ST VINCENT'S MEDICAL CENTER-CLAY COUNTY INC 4205 BELFORT ROAD SUITE 4020 JACKSONVILLE,FL32216 46-1523194	HOSPITAL	FL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM INC	Yes
(271)ST VINCENT'S MEDICAL CENTER FOUNDATION INC 2800 MAIN STREET BRIDGEPORT,CT06606 22-2558132	FUNDRAISING	CT	501(c)(3)	7	ST VINCENT'S HEALTH SERVICES CORP	Yes
(272)ST VINCENT'S MEDICAL CENTER INC 4205 BELFORT ROAD SUITE 4020 JACKSONVILLE,FL32216 59-0624449	HOSPITAL	FL	501(c)(3)	3	ST VINCENT'S HEALTH SYSTEM INC	Yes
(273)ST VINCENT'S MULTISPECIALTY GROUP INC 2800 MAIN STREET BRIDGEPORT,CT06606 80-0458769	PHYSICIAN PRACTICES	CT	501(c)(3)	Type I	ST VINCENT'S MEDICAL CENTER	Yes
(274)ST VINCENT'S SPECIAL NEEDS CENTER INC 95 MERRITT BOULEVARD TRUMBULL,CT06611 06-0702617	PROGRAMS FOR SPECIAL NEEDS INDIVIDUALS	CT	501(c)(3)	10	ST VINCENT'S HEALTH SERVICES CORP	Yes
(275)SVH REAL ESTATE INC 10330 N MERIDIAN STREET STE 430N INDIANAPOLIS,IN46290 20-5002285	REAL ESTATE HOLDING COMPANY	IN	501(c)(3)	Type III-FI	ST VINCENT HEALTH INC	Yes
(276)THE CENTURIONS 2202 N FORBES BLVD TUCSON,AZ85745 85-4088322	FOUNDATION	AZ	501(c)(3)	Type I	CARONDELET FOUNDATION INC	Yes
(277)THE HEALTH SOURCE GROUP 5455 ALI DR DEPT 200 GRAND BLANC,MI484395195 38-2427678	PRG RELATED INVESTMENTS	MI	501(c)(3)	Type I	GENESYS HEALTH SYSTEM	Yes
(278)THE HOWARD YOUNG MEDICAL CENTER INC 240 MAPLE STREET WOODRUFF,WI54568 39-0873606	HOSPITAL	WI	501(c)(3)	3	MINISTRY HEALTH CARE INC	Yes
(279)THE SETON COVE INC 1345 PHILOMENA STREET AUSTIN,TX78723 74-2727509	SPIRITUALITY CENTER	TX	501(c)(3)	Type I	ASCENSION TEXAS	Yes
(280)TRI-COUNTY CLINICAL 1345 PHILOMENA STREET AUSTIN,TX78723 26-4562712	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	10	SETON CLINICAL ENTERPRISE CORPORATION	Yes
(281)TWENTY-SIX DOORS INC 1345 PHILOMENA STREET AUSTIN,TX78723 74-2855201	TO HOLD TITLE TO REAL PROPERTY	TX	501(c)(25)		SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC	Yes
(282)UNIVERSAL HEALTH SERVICES 810 ST VINCENTS DRIVE BIRMINGHAM,AL35205 63-0932323	PHYSICIAN GROUP	AL	501(c)(3)	Type II	ST VINCENT'S HEALTH SYSTEM	Yes
(283)VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 48-1236589	PACE (SNF)	KS	501(c)(3)	10	VIA CHRISTI VILLAGES INC	Yes
(284)VIA CHRISTI VILLAGE GEORGETOWN INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 48-1129325	RETIREMENT COMMUNITY	KS	501(c)(3)	10	VIA CHRISTI VILLAGES INC	Yes
(285)VIA CHRISTI VILLAGE HAYS INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 20-2828680	RETIREMENT COMMUNITY	KS	501(c)(3)	10	VIA CHRISTI VILLAGES INC	Yes
(286)VIA CHRISTI VILLAGE MANHATTAN INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 48-1078862	RETIREMENT COMMUNITY	KS	501(c)(3)	10	VIA CHRISTI VILLAGES INC	Yes
(287)VIA CHRISTI VILLAGE MCLEAN INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 48-1247723	RETIREMENT COMMUNITY	KS	501(c)(3)	10	VIA CHRISTI VILLAGES INC	Yes
(288)VIA CHRISTI VILLAGE PITTSBURG INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 74-3070971	RETIREMENT COMMUNITY	KS	501(c)(3)	10	VIA CHRISTI VILLAGES INC	Yes
(289)VIA CHRISTI VILLAGE PONCA CITY INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 73-1153337	RETIREMENT COMMUNITY	OK	501(c)(3)	10	VIA CHRISTI VILLAGES INC	Yes
(290)VIA CHRISTI VILLAGES INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 48-0559086	MANAGEMENT COMPANY	KS	501(c)(3)	Type III-FI	ASCENSION HEALTH SENIOR CARE	Yes
(291)VOLUNTEERS IN PARTNERSHIP WITH WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS INC 3807 SPRING STREET RACINE,WI53405 93-0838390	FOUNDATION	WI	501(c)(3)	10	ASCENSION ALL SAINTS HOSPITAL INC	Yes
(292)WAMEGO HOSPITAL ASSOCIATION INC 711 Genn Drive Wamego,KS66547 72-1526400	HOSPITAL	KS	501(c)(3)	3	ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC	Yes
(293)WHEATON FRANCISCAN - ELMBROOK MEMORIAL FOUNDATION INC 3237 SOUTH 16TH STREET MILWAUKEE,WI53215 39-2028808	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION SE WISCONSIN HOSPITAL INC	Yes
(294)WHEATON FRANCISCAN - ST JOSEPH FOUNDATION INC 5000 WEST CHAMBERS STREET MILWAUKEE,WI53210 39-1636804	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION SE WISCONSIN HOSPITAL INC	Yes
(295)WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS FOUNDATION INC 3805B SPRING STREET RACINE,WI53405 39-1570877	FOUNDATION	WI	501(c)(3)	7	ASCENSION ALL SAINTS HOSPITAL INC	Yes
(296)WHEATON FRANCISCAN HEALTHCARE - ELMBROOK MEMORIAL AUXILIARY 19333 WEST NORTH AVENUE BROOKFIELD,WI53045 39-6068950	AUXILIARY	WI	501(c)(3)	Type III-FI	ASCENSION SE WISCONSIN HOSPITAL INC	Yes
(297)WHEATON FRANCISCAN HEALTHCARE - FOUNDATION FOR ST FRANCIS AND FRANKLIN INC 3237 SOUTH 16TH STREET MILWAUKEE,WI53215 32-0135258	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION ST FRANCIS HOSPITAL INC	Yes
(298)WHEATON FRANCISCAN HEALTHCARE - TERRACE AT ST FRANCIS INC 12250 Weber Hill Rd Ste 200 ST LOUIS,MO63127 39-1486775	RETIREMENT COMMUNITY	WI	501(c)(3)	10	ASCENSION HEALTH SENIOR CARE	Yes
(299)WHEATON FRANCISCAN HEALTHCARE-CIRCLE OF LIFE FOUNDATION INC 4300 BROWN DEER ROAD SUITE 250 BROWN DER,WI53223 56-2426294	FOUNDATION	WI	501(c)(3)	Type I	ASCENSION WISCONSIN PHARMACY INC	Yes
(300)WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC 400 WEST RIVER WOODS PARKWAY GLENDALE,WI53212 39-1568865	PARENT CORPORATION	IL	501(c)(3)	Type III-FI	ASCENSION HEALTH	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Alexian Rehabilitation Services LLC 935 Beisner Elk Grove Village,IL60007 30-0221481	Rehabilitation hospital	IL	NA	N/A
(2) ALVERNO CLINICAL LABORATORIES LLC 2434 INTERSTATE PLAZA DRIVE HAMMOND,IN46324 20-3240648	MEDICAL SERVICE	IN	NA	N/A
(3) AMBROSE PARKWOOD WEST II LLC 55 MONUMENTAL CIRCLE STE 450 INDIANAPOLIS,IN46204 27-0532924	LAND HOLDINGS	IN	NA	N/A
(4) AMBULATORY SURGERY CENTER LP 818 N Emporia Ste 108 WICHITA,KS67214 48-1114690	SURGERY CENTER	KS	NA	N/A
(5) ASCENSION ALPHA FUND LLC 101 SOUTH HANLEY ROAD SUITE 200 ST LOUIS,MO63105 90-0786464	INVESTMENTS	MO	NA	N/A
(6) ASCENSION VIA CHRISTI IMAGING MANHATTAN LLC 1823 College Avenue MANHATTAN,KS66502 48-1251984	RADIOLOGY SERVICES	KS	NA	N/A
(7) ASCENSION WISCONSIN EMERUS JV LLC 8040 EXCELSOIR DRIVE SUITE 400 MADISON,WI53717 38-4118568	ACUTE CARE HOSPITALS	WI	NA	N/A
(8) BAPTIST WOMENS HEALTH CENTER LLC 1900 CHURCH STREET SUITE 300 NASHVILLE,TN37203 62-1772195	OWNS AND OPERATES SPECIALTY HOSPITAL	TN	NA	N/A
(9) BELMONTHARLEM SURGERY CENTER LLC 3101 NORTH HARLEM CHICAGO,IL60634 41-2237162	MEDICAL SERVICE	IL	NA	N/A
(10) Bonaventure Medical Foundation LLC 2601 Navistar Drive Lisle,IL60532 36-3978153	Manages managed care contracts	DE	NA	N/A
(11) Borgess Health Partners LLC 28000 DeQuindre Warren,MI48092 38-2648846	MANAGED CARE	MI	NA	N/A
(12) CARMEL AMBULATORY SURGERY CENTER LLC 13421 OLD MERIDIAN STREET STE 150 CARMEL,IN46032 32-0014795	AMBULATORY SURGERY CENTER	IN	NA	N/A
(13) CENTRAL TEXAS LAUNDRY LLC 4255 PROFIT STREET SAN ANTONIO,TX78219 74-2613749	LAUNDRY SERVICES	TX	NA	N/A
(14) CHV III LP 101 SOUTH HANLEY ROAD ST LOUIS,MO63105 45-4486925	INVESTMENTS	MO	NA	N/A
(15) CHV IV LP 101 SOUTH HANLEY ROAD ST LOUIS,MO63105 81-3953953	INVESTMENTS	DE	NA	N/A
(16) ENDOSCOPY CENTER LLC 13421 OLD MERIDIAN STREET STE 150 CARMEL,IN46032 32-0029881	ENDOSCOPY CENTER	IN	NA	N/A
(17) ENDOSCOPY GROUP LLC 4810 NORTH DAVIS HIGHWAY PENSACOLA,FL32503 59-3519881	MEDICAL SERVICES	FL	NA	N/A
(18) Hospital Consolidated Laboratories LLC 39595 W 10 Mile Rd Novi,MI48375 38-3318428	LAB SERVICES	MI	NA	N/A
(19) INTERVENTIONAL REHABILITATION CENTER LLC 1549 AIRPORT BOULEVARD STE 420 PENSACOLA,FL32503 59-3673361	MEDICAL SERVICES	FL	NA	N/A
(20) KANSAS SURGERY AND RECOVERY CENTER LLC 2770 North Webb Road WICHITA,KS67226 48-1148580	SURGERY CENTER	KS	NA	N/A
(21) KENOSHA DIGESTIVE HEALTH CENTER 1033 N MAYFAIR ROAD SUITE 101 WAUWATUSA,WI53226 84-2167873	DIGESTIVE HEALTH	WI	NA	N/A
(22) Lourdes Health Support LLC 333 Butternut Drive Suite 100 Dewitt,NY13214 16-1611707	Medical Equipment Provider	NY	NA	N/A
(23) MIDDLE TENNESSEE IMAGING LLC 400 N HIGHLAND AVENUE MURFREESBORO,TN37219 01-0570490	DIAGNOSTIC IMAGING CENTER	TN	NA	N/A
(24) MURFREESBORO DIAGNOSTIC IMAGING LLC 400 N HIGHLAND AVENUE MURFREESBORO,TN37219 20-0291952	DIAGNOSTIC IMAGING CENTER	TN	NA	N/A
(25) NAAB ROAD SURGERY CENTER LLC 8260 NAAB ROAD STE 100 INDIANAPOLIS,IN46260 35-1991390	AMBULATORY SURGERY CENTER	IN	NA	N/A
(26) Oklahoma Cancer Specialists Real Estate Company LLC 12697 E 51st St South TULSA,OK74146 61-1774455	REAL ESTATE HOLDING	OK	NA	N/A
(27) Open MRI of Michigan 411 W 13 MILE ROAD MADISON HEIGHTS,MI48071 38-3544539	MRI Center	MI	NA	N/A
(28) ORTHOPEDIC SURGERY CENTER OF THE FOX VALLEY LLC 2223 LIME KILN ROAD SUITE 101 GREEN BAY,WI54311 84-2016212	SURGERY CENTER	WI	NA	N/A
(29) PET LLC 5149 NORTH 9TH AVENUE SUITE 124 PENSACOLA,FL32504 59-3788701	MEDICAL SERVICES	FL	NA	N/A
(30) PREMIER RADIOLOGY WISCONSIN LLC 500 W BROWN DEER ROAD SUITE 202 BAYSIDE,WI53217 83-3180104	RADIOLOGY	WI	NA	N/A
(31) Presence Lakeshore Gastroenterology LLC 150 N River Road Suite 210 Des Plaines,IL60016 81-1750563	Medical Service	IL	NA	N/A
(32) PROFESSIONAL CLINICAL LABORATORIES LLC 113 E 4TH ST MICHIGAN CITY,IN46360 30-0711211	MEDICAL SERVICES	IN	NA	N/A
(33) RADS OF AMERICA LLC PO BOX 249 GOODLETTSVILLE,TN370700249 20-0597581	AMBULATORY SURGERY CENTER	TN	NA	N/A
(34) SAINT THOMAS HOME RECOVERY CARE LLC 49 MUSIC SQUARE WEST SUITE 401 NASHVILLE,TN37203 84-2100096	MEDICAL AND REHABILITATION SERVICES	TN	NA	N/A
(35) SOUTH COAST REAL ESTATE VENTURE LLC 5907 HIGHWAY 90 MOSS POINT,MS39563 45-5599047	OWN REAL ESTATE FOR A PHYSICIAN OFFICE BUILDING	MS	NA	N/A
(36) ST VINCENT'S OUTPATIENT SURGERY SERVICES LLC 810 ST VINCENTS DRIVE BIRMINGHAM,AL35205 20-0708162	OUTPATIENT SURGERY	AL	NA	N/A
(37) ST VINCENT'S SLEEP DISORDER CENTER 810 ST VINCENTS DRIVE BIRMINGHAM,AL35205 63-1282288	SLEEP DISORDER CENTER	AL	NA	N/A
(38) STVINCENT HEART CENTER OF INDIANA LLC 10580 N MERIDIAN STREET INDIANAPOLIS,IN46290 36-4492612	HEART HOSPITAL	IN	NA	N/A
(39) STHS SLEEP CENTER LLC 102 WOODMONT BOULEVARD SUITE 800 NASHVILLE,TN37205 20-3664894	OPERATES A SLEEP CENTER	TN	NA	N/A
(40) The Michigan Institute for Advanced Surgery LLC 1375 S Lapeer Rd 109 Lake Orion,MI48360 03-0444972	OUTPATIENT SERVICES	MI	NA	N/A
(41) TOWNE CENTRE SURGERY CENTER LLC 4599 TOWNE CENTRE SAGINAW,MI48604 20-4943843	OUTPATIENT SERVICES	MI	NA	N/A
(42) TRI-STATE COMMUNITY CLINICS LLC 8601 N KENTUCKY AVENUE STE J EVANSVILLE,IN47711 27-0885968	PRIMARY CARE PHYSICIAN PRACTICES	IN	NA	N/A
(43) VIA CHRISTI MERCY CLINIC LLC 1 Mt Carmel Place Pittsburg,KS66762 81-2927645	MEDICAL SERVICES	KS	NA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) ADVANTAGE HEALTHCO INC 1345 PHILOMENA STREET AUSTIN,TX78723 74-2698151	HEALTH SERVICES	TX	NA	C Corporation				Yes
(2) ADVENT INC 28000 DEQUINDRE WARREN,MI48092 38-2971743	RENTAL REAL ESTATE	MI	NA	C Corporation				Yes
(3) AFFILIATED HEALTH SERVICES INC 28000 DEQUINDRE WARREN,MI48092 38-2292922	MEDICAL SERVICES	MI	NA	C Corporation				Yes
(4) AFFILIATED MEDICAL SERVICES LABORATORY INC 2916 E CENTRAL WICHITA,KS67214 48-1239522	MEDICAL LABORATORY	KS	NA	C Corporation				Yes
(5) AH INCUBATIONS ACCELERATOR INC 101 SOUTH HANLEY ROAD SUITE 450 ST LOUIS,MO63105 45-5078523	MEDICAL SERVICE	MO	NA	C Corporation				Yes
(6) ALEXIAN BROTHERS CORPUS CHRISTI HOUSING PROJECT LLC 3900 SOUTH GRAND ST LOUIS,MO63118 94-3465394	HOUSING	MO	NA	C Corporation				Yes
(7) Alexian Brothers Health Providers Association Inc 2601 Navistar Drive Lisle,IL60532 36-3853286	Messenger model IPA	IL	NA	C Corporation				Yes
(8) Alexian Village of Elk Grove 3040 W Salt Creek Arlington Heights,IL60005 35-2211303	Tax credit financed housing	IL	NA	C Corporation				Yes
(9) AMITA HEALTH CLINICALLY INTEGRATED NETWORK LLC 2601 NAVISTAR DRIVE LISLE,IL60532 80-0967178	MANAGED CARE	IL	NA	C Corporation				Yes
(10) ASCENSION CAPITAL UK LIMITED FOUNTAIN HOUSE 130 FENCHURCH STREET LONDON,ENGLANDEC3M5DJ UK	INSURANCE	UK	NA	C Corporation				Yes
(11) Ascension Care Management Health Partners Tennessee 102 WOODMONT BOULEVARD SUITE 700 NASHVILLE,TN37205 45-2958482	ACCOUTABLE CARE ORGANIZATION	TN	NA	C Corporation				Yes
(12) ASCENSION CARE MANAGEMENT HEALTH PARTNERS INC 101 SOUTH HANLEY ROAD SUITE 200 CLAYTON,MO63105 45-4413419	MEDICAL SERVICE	MO	ASCENSION HEALTH ALLIANCE	C Corporation				Yes
(13) ASCENSION CARE MANAGEMENT HOLDINGS LTD AND SUBSIDIARIES 8220 IRVING STERLING HEIGHTS,MI48312 38-3269272	INSURANCE AND TPA	MI	ASCENSION CARE MANAGEMENT INSURANCE HOLDINGS	C Corporation				Yes
(14) ASCENSION HEALTH INSURANCE LIMITED PO BOX 1159 GRAND CAYMAN,BahamasKY11102 CJ	INSURANCE	CJ	NA	C Corporation				Yes
(15) ASCENSION HEALTH MASTER PENSION TRUST 11775 BORMAN DRIVE SUITE 200 ST LOUIS,MO63146 36-6891022	TRUST	MO	NA	Trust				Yes
(16) ASCENSION HEALTH RISK PURCHASING GROUP 101 SOUTH HANLEY ROAD SUITE 450 ST LOUIS,MO63105 27-4176480	SUPPORTING ORGANIZATION	MO	NA	C Corporation				Yes
(17) ASCENSION MEDICAL GROUP VIA CHRISTI PA 3311 EAST MURDOCK WICHITA,KS67208 48-0993446	PROFESSIONAL ASSOCIATION	KS	NA	C Corporation				Yes
(18) ASCENSION VENTURES CORPORATION 810 ST VINCENTS DRIVE BIRMINGHAM,AL35205 63-1217059	MISC HEALTHCARE SERVICES	AL	NA	C Corporation				Yes
(19) BAPTIST HEALTH CARE VENTURES INC 2000 CHURCH STREET NASHVILLE,TN37236 62-0469214	HOLDING COMPANY	TN	NA	C Corporation				Yes
(20) BAYLEY CONDOMINIUM ASSOCIATION 2121 HIGHLAND AVENUE SOUTH BIRMINGHAM,AL35205 63-1209915	CONDOMINIUM ASSOCIATION	AL	NA	C Corporation				Yes
(21) BEECHER BALLENGER SERVICES ONE GENESYS PARKWAY GRAND BLANC,MI484398065 38-2497922	HOLDING COMPANY	MI	NA	C Corporation				Yes
(22) CARONDELET MEDICAL GROUP INC 2202 N FORBES BLVD TUCSON,AZ85745 86-0836126	MEDICAL GROUP	AZ	NA	C Corporation				Yes
(23) CARONDELET SPECIALIST GROUP INC 2202 N FORBES BLVD TUCSON,AZ85745 28-1558773	PHYSICIAN PRACTICE	AZ	NA	C Corporation				Yes
(24) CLINICAL HOLDINGS CORP 101 SOUTH HANLEY ROAD SUITE 200 CLAYTON,MO63105 45-3802297	HOLDING COMPANY	MO	NA	C Corporation				Yes
(25) CONSOLIDATED PHARMACY SERVICES INC AND SUBSIDIARIES 4205 BELFORT ROAD SUITE 4030 JACKSONVILLE,FL32216 59-3398033	RETAIL PHARMACY & PATIENT TRANSPORT	FL	NA	C Corporation				Yes
(26) Corbett Corporation 169 Riverside Drive Binghamton,NY13905 16-1268267	Property Management	NY	NA	C Corporation				Yes
(27) CRITTENTON DEVELOPMENT CORPORATION 2251 N SQUIRREL RD STE 310 AUBURN HILLS,MI48326 38-2594115	REAL ESTATE	MI	NA	C Corporation				Yes
(28) CRITTENTON MEDICAL PHARMACY INC 1135 West University Dr 105 ROCHESTER,MI48307 20-3773341	PHARMACY SERVICES	MI	NA	C Corporation				Yes
(29) DELL CHILDREN'S HEALTH ALLIANCE 1345 PHILOMENA STREET AUSTIN,TX78723 27-1311909	HEALTH SERVICES	TX	NA	C Corporation				Yes
(30) EASTSIDE VENTURES 810 ST VINCENTS DRIVE BIRMINGHAM,AL35205 63-0846221	MISC HEALTHCARE SERVICES	AL	NA	C Corporation				Yes
(31) FAMILY MEDICINE CENTER CONDOMINIUM ASSOCIATION INC 1 SHIRCLIFF WAY JACKSONVILLE,FL32204 26-1983355	CONDOMINIUM ASSOCIATION	FL	NA	C Corporation				Yes
(32) FRANKLIN MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION INC 400 WEST RIVER WOODS PARKWAY GLENDALE,WI53212 34-1983857	CONDO ASSOCIATION	WI	NA	C Corporation				Yes
(33) GENESYS PRACTICE PARTNERS 5445 ALI DRIVE DEPT 200 GRAND BLANC,MI48439 03-0516871	EMPLOYED PHY PRACTICE	MI	NA	C Corporation				Yes
(34) GULF COAST DIVERSIFIED INC 5154 NORTH 9TH AVENUE PENSACOLA,FL32507 59-2432798	INVESTMENT	FL	NA	C Corporation				Yes
(35) HEALTHNET OF ALABAMA INC PO BOX 830605 BIRMINGHAM,AL352830605 63-1027511	PREFERRED PROVIDER ORGANIZATION	AL	NA	C Corporation				Yes
(36) HOWARD YOUNG CLINICS INC 240 MAPLE STREET WOODRUFF,WI54568 39-1969706	HEALTHCARE	WI	NA	C Corporation				Yes
(37) INDIAN CREEK CENTER INC 101 S Hanley Ste 200 St Louis,MO63105 48-0956627	MANAGEMENT	MO	NA	C Corporation				Yes
(38) INTEGRATED HEALTHCARE SYSTEMS INC 3311 EAST MURDOCK WICHITA,KS67208 48-0941549	CLINIC SERVICES	KS	NA	C Corporation				Yes
(39) MADISON MEDICAL AFFILIATES INC 4425 N PORT WASHINGTON RD GLENDALE,WI53212 39-1855720	HEALTHCARE	WI	NA	C Corporation				Yes
(40) MID-STATE PROPERTIES INC 2000 CHURCH STREET NASHVILLE,TN37236 62-1232018	INACTIVE	TN	NA	C Corporation				Yes
(41) MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC 6801 AIRPORT BLVD MOBILE,AL36608 46-1130426	HEALTHCARE SERVICES	MS	NA	C Corporation				Yes
(42) OMNI MEDICAL GROUP INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1335536	MEDICAL SERVICES	OK	NA	C Corporation				Yes
(43) PHYSICIAN SUPPORT SERVICES INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1437252	MEDICAL SERVICES	OK	NA	C Corporation				Yes
(44) PHYSICIANS OF PASCO CONDOMINIUMS ASSOC 520 NORTH 4TH AVENUE PASCO,WA99301 45-3691641	PROPERTY MANAGEMENT	WA	NA	C Corporation				Yes
(45) PRESENCE PROPERTIES INC 100 NORTH RIVER ROAD DES PLAINES,IL60016 36-3520630	MEDICAL	IL	NA	C Corporation				Yes
(46) PRESENCE SERVICE CORPORATION 2380 E DEMPSTER STREET DES PLAINES,IL60016 36-4314354	MEDICAL	IL	NA	C Corporation				Yes
(47) PRESENCE VENTURES INC 100 NORTH RIVER ROAD DES PLAINES,IL60016 37-1168085	MEDICAL	IL	NA	C Corporation				Yes
(48) PROSPECT MEDICAL COMMONS CONDOMINIUM ASSOCIATION INC 4425 N Port Washington Rd GLENDALE,WI53212 20-8042108	CONDO ASSOCIATION	WI	NA	C Corporation				Yes
(49) PROVIDENCE PARK Inc PO BOX 850429 MOBILE,AL36685 63-0886846	REAL ESTATE	AL	NA	C Corporation				Yes
(50) REGIONAL MEDICAL LABORATORIES INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1131608	MEDICAL SERVICES	OK	NA	C Corporation				Yes
(51) RESOURCE PHARMACIES INC 1150 VARNUM STREET NE WASHINGTON,DC20017 52-1410076	RETAIL PHARMACY	DC	NA	C Corporation				Yes
(52) SETON INSURANCE COMPANY 1345 PHILOMENA STREET AUSTIN,TX78723 47-5395483	HEALTH SERVICES	TX	NA	C Corporation				Yes
(53) SETON ACCOUNTABLE CARE ORGANIZATION INC 1345 PHILOMENA STREET AUSTIN,TX78723 74-2677756	HEALTH SERVICES	TX	NA	C Corporation				Yes
(54) SETON HEALTH ALLIANCE 1345 PHILOMENA STREET AUSTIN,TX78723 45-3047469	HEALTH SERVICES	TX	NA	C Corporation				Yes
(55) SETON HEALTH PLAN INC 1345 PHILOMENA STREET AUSTIN,TX78723 74-2725348	HMO	TX	NA	C Corporation				Yes
(56) SETON MSO INC 1345 PHILOMENA STREET AUSTIN,TX78723 74-2870455	HEALTH SERVICES	TX	NA	C Corporation				Yes
(57) SETON PHARMACY INC 4205 BELFORT ROAD SUITE 4030 JACKSONVILLE,FL32216 59-3001427	RETAIL PHARMACY	FL	NA	C Corporation				Yes
(58) SETON PHYSICIAN HOSPITAL NETWORK 1345 PHILOMENA STREET AUSTIN,TX78723 74-2643825	HEALTH SERVICES	TX	NA	C Corporation				Yes
(59) SOVA INC 102 WOODMONT BOULEVARD SUITE 700 NASHVILLE,TN37205 26-1319638	HEALTH SERVICES	TN	NA	C Corporation				Yes
(60) ST AGNES HEALTH VENTURES INC 900 CATON AVENUE BALTIMORE,MD21229 52-1733632	HOLDING COMPANY	MD	NA	C Corporation				Yes
(61) ST JOHN ANESTHESIA SERVICES INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 20-3690446	MEDICAL SERVICES	OK	NA	C Corporation				Yes
(62) ST JOHN PHYSICIANS INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1321032	MEDICAL SERVICES	OK	NA	C Corporation				Yes
(63) ST JOHN URGENT CARE CLINICS INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 20-4990275	MEDICAL SERVICES	OK	NA	C Corporation				Yes
(64) ST JOSEPH HEALTH ENTERPRISES 200 HEMLOCK ROAD TAWAS CITY,MI48764 38-2686747	OTHER MEDICAL	MI	ascension st joseph hospital	C Corporation	144,748	74,958	100 %	Yes
(65) St Mary's Health 800 S Washington Avenue Saginaw,MI48601 38-3477017	Dormant	MI	NA	C Corporation				Yes
(66) ST MARY'S MEDICAL GROUP INC 3700 WASHINGTON AVE EVANSVILLE,IN47750 35-2076827	INVESTMENT	IN	NA	C Corporation				Yes
(67) St Vincent's Strategic Ventures Inc 4205 Belfort Road Suite 4030 Jacksonville,FL33213 59-3133073	LEASING	FL	NA	C Corporation				Yes
(68) SUNFLOWER ASSURANCE LTD PO BOX 1085 GRAND CAYMAN,BahamasKY11102 CJ	INSURANCE	CJ	NA	C Corporation				Yes
(69) TEXTILE SYSTEMS INC 817 WALBRIDGE KALAMAZOO,MI49007 38-2705047	LAUNDRY SERVICES	MI	NA	C Corporation				Yes
(70) Thelen Corporation 3040 Salt Creek Lane Arlington Heights,IL60005 36-3266316	Owns/ leases property; joint venture partner	IL	NA	C Corporation				Yes
(71) TRAVEL SERVICES CORPORATION PO BOX 45998 ST LOUIS,MO631455998 26-3764978	TRAVEL SERVICES	MO	NA	C Corporation				Yes
(72) US HEALTH HOLDINGS LTD AND SUBSIDIARIES 8220 IRVING STERLING HEIGHTS,MI48312 38-3269272	INSURANCE AND TPA	MI	NA	C Corporation				Yes
(73) UTICA SERVICES INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1057650	MEDICAL SERVICES	OK	NA	C Corporation				Yes
(74) VCH IOWA PC 8200 E THORN DRIVE WICHITA,KS67226 27-3983977	PROFESSIONAL ASSOCIATION	IA	NA	C Corporation				Yes
(75) VCH IOWA PC TRUST 8200 E THORN DRIVE WICHITA,KS67226 27-6937322	BENEFICIARY TRUST	IA	NA	Trust				Yes
(76) VIA CHRISTI CLINIC SERVICES INC 8200 E THORN DRIVE WICHITA,KS67226 27-3984287	CLINIC SERVICES	KS	NA	C Corporation				Yes
(77) VIA CHRISTI HEALTH ALLIANCE IN ACCOUNTABLE CARE INC 8200 E THORN DRIVE WICHITA,KS67226 48-2872857	ACO	KS	NA	C Corporation				Yes
(78) VINCENTIAN VENTURES OF NORTH ALABAMA INC 810 ST VINCENTS DRIVE BIRMINGHAM,AL35205 63-0965456	MISC HEALTHCARE SERVICES	AL	NA	C Corporation				Yes
(79) VINCENTURES INC 95 MERRITT BOULEVARD TRUMBULL,CT06611 06-1211417	INACTIVE	CT	NA	C Corporation				Yes
(80) WHEATON FRANCISCAN ENTERPRISES INC 400 WEST RIVER WOODS PARKWAY GLENDALE,WI53212 39-1985204	HOLDING CO	WI	NA	C Corporation				Yes
(81) WHEATON FRANCISCAN HOLDINGS INC 400 WEST RIVER WOODS PARKWAY GLENDALE,WI53212 39-1836357	HOLDING CO	WI	NA	C Corporation				Yes
(82) WHEATON FRANCISCAN MEDICAL GROUP - SUSSEX INC 400 WEST RIVER WOODS PARKWAY GLENDALE,WI53212 39-1361100	HEALTHCARE	WI	NA	C Corporation				Yes
(83) WHEATON FRANCISCAN PROVIDER NETWORK INC 400 WEST RIVER WOODS PARKWAY GLENDALE,WI53212 39-1952140	PROVIDER CONTRACT	WI	NA	C Corporation				Yes
(84) WHEATON WAY CONDOMINIUM OWNERS ASSOCIATION INC 10101 SOUTH 27TH STREET FRANKLIN,WI53123 30-0659830	CONDO ASSOCIATION	WI	NA	C Corporation				Yes
(85) L GILBRAITH INSURANCE SPC LTD 68 W BAY ROAD PO BOX 1109 GRAND CAYMANKY11120 CJ	INSURANCE	CJ	NA	C Corporation				Yes

Schedule R (Form 990) 2018

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) St John Providence	P	1,790,931	FAIR MARKET VALUE
(2) St John Providence	Q	320,377	FAIR MARKET VALUE
(3) Ascension Providence Rochester Hospital	P	90,057	FAIR MARKET VALUE
(4) Ascension St Mary's Hospital	J	76,223	FAIR MARKET VALUE
(5) Ascension St Mary's Hospital	K	63,606	FAIR MARKET VALUE
(6) Ascension St Mary's Hospital	P	277,938	FAIR MARKET VALUE
(7) Ascension St Mary's Hospital	Q	175,159	FAIR MARKET VALUE
(8) ASCENSION MEDICAL GROUP MICHIGAN	P	55,198	FAIR MARKET VALUE
(9) St Joseph Health Enterprises	K	143,778	FAIR MARKET VALUE
(10) ASCENSION ST JOSEPH FOUNDATION	C	385,580	fair market value

Schedule R (Form 990) 2018

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	9,645	398,073
9	Program service revenue (Part VIII, line 2g) .........	52,680,495	53,214,611
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-35,253	10,547
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	221,740	137,849
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	52,876,627	53,761,080
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,446	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	22,459,806	22,030,541
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	33,977,818	31,929,096
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	56,440,070	53,959,637
19	Revenue less expenses. Subtract line 18 from line 12.......	-3,563,443	-198,557
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	19,677,742	24,644,281
21	Total liabilities (Part X, line 26).............	26,418,124	29,903,750
22	Net assets or fund balances. Subtract line 21 from line 20.....	-6,740,382	-5,259,469

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 46,526,511 including grants of $ ) (Revenue $ 53,214,611 )
	ASCENSION ST. JOSEPH HOSPITAL is a 47-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2019, ASCENSION ST. JOSEPH HOSPITAL treated 1,503 adults and children for a total of 3,417 patient days of service. The hospital also provided services for 173,047 outpatient visits, which included 1,522 outpatient surgeries and 17,251 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses46,526,511

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	2,147,090	12,542,051	588,113

1a	Federated campaigns..		1a	0
b	Membership dues..		1b	0
c	Fundraising events..		1c	0
d	Related organizations		1d	385,580
e	Government grants (contributions)		1e	12,493

f	All other contributions, gifts, grants, and similar amounts not included above		1f	0

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		398,073

1	Briefly describe the organization’s mission or most significant activities: To improve the health and well-being of all people in the communities we serve.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
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 2018 (Part V, line 2a) ......	5	365
6	Total number of volunteers (estimate if necessary) .............	6	87
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	106,204
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Business Code
2a	NET PATIENT SERVICE REVENUE	621990	50,295,234	50,189,030	106,204
b	SERVICES TO AFFILIATES	561000	1,427,397	1,427,397
c	PHARMACY REVENUE	446110	1,415,337	1,415,337
d	RENTAL INCOME FROM AFFILIATES	531120	76,223	76,223
e	MANAGEMENT FEES	561000	420	420
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f ....		53,214,611

3 Investment income (including dividends, interest, and othersimilar amounts) ......			10,547			10,547
4 Income from investment of tax-exempt bond proceeds			0			0
5 Royalties...........			0			0
		(ii) Personal	(i) Real
6a	Gross rents	0	5,405
b	Less: rental expenses		0
c	Rental income or (loss)	0	5,405
d	Net rental income or (loss)......			5,405			5,405
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	0	0
b	Less: cost or other basis and sales expenses	0
c	Gain or (loss)	0	0
d	Net gain or (loss).....			0			0
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..			0			0
10a	Gross sales of inventory, less returns and allowances ..
	a		23,039
b	Less: cost of goods sold ..b		24,030
c	Net income or (loss) from sales of inventory..			-991			-991
Business Code			Miscellaneous Revenue
11a	CAFETERIA/VENDING REVENUE		722514	109,213			109,213
b	ESCHEATMENT REVENUE		900099	4,206			4,206
c	MEDICAL RECORDS		900099	386			386
d	All other revenue ....			19,630	0	0	19,630
e	Total. Add lines 11a–11d ......			133,435
12	Total revenue. See Instructions......			53,761,080	53,108,407	106,204	148,396

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	146,637	0	146,637	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	17,761,714	16,735,787	1,025,927
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	894,587	843,796	50,791
9	Other employee benefits .......	2,004,819	1,894,049	110,770
10	Payroll taxes ...........	1,222,784	1,144,383	78,401
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........	11,614		11,614
d	Lobbying ...........	2,369		2,369
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	3,942,543	3,832,857	109,686	0
12	Advertising and promotion ....	9,058	4,189	4,869
13	Office expenses .......	245,595	57,493	188,102
14	Information technology ......	25,590	25,590
15	Royalties ..
16	Occupancy ...........	1,209,420	600,365	609,055
17	Travel ............	77,648	64,570	13,078
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	20,609	19,621	988
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	1,930,382	777,322	1,153,060
23	Insurance ...	71,537	71,405	132
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	8,943,164	8,910,385	32,779
b	MANAGEMENT FEE TO AFFILIATE	6,407,543	6,407,543
c	PURCHASED SERVICES	5,922,620	2,148,173	3,774,447
d	UBI Tax Expense	500	500
e	All other expenses	3,108,904	2,988,483	120,421	0
25	Total functional expenses. Add lines 1 through 24e	53,959,637	46,526,511	7,433,126	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			7,601	1	7,277
2	Savings and temporary cash investments .........			637,283	2	3,664,202
3	Pledges and grants receivable, net ......				3	0
4	Accounts receivable, net .............			2,445,046	4	2,510,162
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
				0	6	0
7	Notes and loans receivable, net ....			-7,120	7	0
8	Inventories for sale or use ........			1,057,244	8	1,013,467
9	Prepaid expenses and deferred charges ......			33,854	9	0
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	56,003,303
b	Less: accumulated depreciation	10b	43,707,765	11,857,050	10c	12,295,538
11	Investments—publicly traded securities .				11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			19,445	13	19,445
14	Intangible assets ...............			293,099	14	130,835
15	Other assets. See Part IV, line 11 ...........			3,334,240	15	5,003,355
16	Total assets. Add lines 1 through 15 (must equal line 34)...			19,677,742	16	24,644,281

17	Accounts payable and accrued expenses .....	4,067,846	17	4,010,257
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	22,350,278	25	25,893,493
26	Total liabilities. Add lines 17 through 25..	26,418,124	26	29,903,750

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	-6,973,692	27	-5,503,201
28	Temporarily restricted net assets ...........	233,310	28	243,732
29	Permanently restricted net assets	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....	0	30	0
31	Paid-in or capital surplus, or land, building or equipment fund ...	0	31	0
32	Retained earnings, endowment, accumulated income, or other funds	0	32	0
33	Total net assets or fund balances ...........	-6,740,382	33	-5,259,469
34	Total liabilities and net assets/fund balances ........	19,677,742	34	24,644,281