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
2017
Open to Public
Inspection
Name of the organization
ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH (FKA ST JOHN COMMUNITY HEALTH
INVESTMENT CORPORATION)
Employer identification number

38-2262856
Return Reference Explanation
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL In determining compensation of the organization's President & CEO, the process, performed by Ascension Health, a related organization of ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH F/K/A ST. JOHN COMMUNITY HEALTH INVESTMENT CORPORATION, included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. The health system's compensation committee reviewed and approved the compensation. In the review of the compensation, the President & CEO was compared to the individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Individual was not present when his compensation was decided.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS In determining compensation of other officers of the organization, the process performed by St. John Providence, a related organization of ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH F/K/A ST. JOHN COMMUNITY HEALTH INVESTMENT CORPORATION, and its subsidiary organizations, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensation, the other officers of the organization were compared to individuals who work at similarly sized organizations as well as organizations similar in complexity of operations, revenues and job responsibilities across the nation. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes.
Form 990, Part VI, Line 6 Classes of members or stockholders ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH F/K/A ST. JOHN COMMUNITY HEALTH INVESTMENT CORPORATION has a single corporate member, St. John Providence.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH F/K/A ST. JOHN COMMUNITY HEALTH INVESTMENT CORPORATION has a single corporate member, St. John Providence, who has the ability to elect members to the governing body of ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH F/K/A ST. JOHN COMMUNITY HEALTH INVESTMENT CORPORATION.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH F/K/A ST. JOHN COMMUNITY HEALTH INVESTMENT CORPORATION financial information or corporation as a whole are subject to approval by its sole corporate member, St. John Providence.
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 INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS 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, officer, key employee or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, officer, key employee 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 XI, Line 9 Other changes in net assets or fund balances Transfers with ALPHA - 523023; Transfer Restricted Funds to Foundation - -762120;
Form 990, Part XII, Line 2b Audited Financial Statements The activity of ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH F/K/A ST. JOHN COMMUNITY HEALTH INVESTMENT CORPORATION is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH F/K/A ST. JOHN COMMUNITY HEALTH INVESTMENT CORPORATION is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH F/K/A ST. JOHN COMMUNITY HEALTH INVESTMENT CORPORATION.
Form 990, Part XII, Line 2c Audit Committee ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH F/K/A ST. JOHN COMMUNITY HEALTH INVESTMENT CORPORATION is included in the consolidated financial statements of Ascension. The Finance and Audit committee of Ascension's Board assumes responsibility for the consolidated organization as a whole.
Schedule A, Part I, Line 3 EXPLANATION FOR NOT FILING SCHEDULE H ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH F/K/A ST. JOHN COMMUNITY HEALTH INVESTMENT CORPORATION is exempt as a hospital under Internal Revenue Code Section 170(b)(1)(A)(iii); however it is not a hospital as defined by Form 990, Schedule H instructions. Per Schedule H instructions, a hospital is a facility that is or is required to be, licensed, registered, or similarly recognized by a state as a hospital, and ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH F/K/A ST. JOHN COMMUNITY HEALTH INVESTMENT CORPORATION does not meet any of those criteria.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2017


Additional Data


Software ID: 17005876
Software Version: 2017v2.2