PROVIDENCE HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: PROVIDENCE HOSPITAL (EIN 53-0196636)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-13
IRS object ID: 201901339349307840
Schema version: 2017v2.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-13T19:05:48-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	530196636	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Providence Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PROV	BusinessNameControlTxt
Phone	3147338000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1150 Varnum Street NE	AddressLine1Txt
City	Washington	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20017	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Tonya Mershon	PersonNm
Person Title	Tax Officer	PersonTitleTxt
Signature	2019-05-13	SignatureDt

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Keith Vander Kolk	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1150 Varnum Street NE	AddressLine1Txt
City	Washington	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20017	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$183,844,183	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.provhosp.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1864	FormationYr
Legal Domicile State	DC	LegalDomicileStateCd
Activity Or Mission	To improve the health and well-being of all people in the communities we serve.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1751	TotalEmployeeCnt
Total Volunteers	204	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$9,756	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,036,194	PYContributionsGrantsAmt
CY Contributions Grants	$1,412,177	CYContributionsGrantsAmt
PY Program Service Revenue	$211,749,016	PYProgramServiceRevenueAmt
CY Program Service Revenue	$178,841,383	CYProgramServiceRevenueAmt
PY Investment Income	$119,754	PYInvestmentIncomeAmt
CY Investment Income	$34,913	CYInvestmentIncomeAmt
PY Other Revenue	$4,964,110	PYOtherRevenueAmt
CY Other Revenue	$3,555,710	CYOtherRevenueAmt
PY Total Revenue	$217,869,074	PYTotalRevenueAmt
CY Total Revenue	$183,844,183	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$88,589,120	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$83,400,857	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$158,322,548	PYOtherExpensesAmt
CY Other Expenses	$133,272,591	CYOtherExpensesAmt
PY Total Expenses	$246,911,668	PYTotalExpensesAmt
CY Total Expenses	$216,673,448	CYTotalExpensesAmt
PY Revenues Less Expenses	-$29,042,594	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$32,829,265	CYRevenuesLessExpensesAmt
Total Assets BOY	$196,822,518	TotalAssetsBOYAmt
Total Assets EOY	$185,588,473	TotalAssetsEOYAmt
Total Liabilities BOY	$193,867,141	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$124,763,038	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,955,377	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$60,825,435	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	Yes (true)	SignificantChangeInd
Expense	$183,184,355	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$179,377,673	RevenueAmt
Desc	PROVIDENCE HOSPITAL is a 370-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, PROVIDENCE HOSPITAL treated 6,353 adults and children for a total of 118,656 patient days of service. The hospital also provided services for 53,055 outpatient visits, which included 4,417 outpatient surgeries and 47,026 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.	Desc
Total Program Service Expenses	$183,184,355	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	201	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1751	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	DC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SARA OBRIEN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3147338070	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11775 BORMAN DRIVE	AddressLine1Txt
City	MARYLAND HEIGHTS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63146	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOEL BOWERS MD
SECRETARY	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
DARCY BURTHAY
PRESIDENT & CEO (END 4/2018)	18.0	22.0	Yes (X)	Yes (X)	$767,659	$0	$22,737
MICHAEL FITZGERALD
VICE-CHAIRMAN	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
SISTER TERESA GEORGE DC
TREASURER	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
STEVE STRAZZELLA
CHAIRMAN	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
NALINI N JAIRATH PHD
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
DEREK P LEEBAERT PHD
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
JOHN K MULLINS CPA
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
VERA VASWANI CHAWLA
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
RODERIC L WOODSON ESQ
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
SCOTT M FURNISS
CFO, MINISTRY MARKET	23.0	27.0		Yes (X)	$0	$542,107	$34,459
KEITH VANDER KOLK
PRESIDENT & CEO (START 5/2018)	16.0	33.0		Yes (X)	$0	$897,651	$17,732
MARC EDELMAN
CHIEF OPERATING OFFICER (END 1/2017)	40.0	0			$150,906	$0	$3,109	Yes (X)
MOURINE EVANS
CHIEF NURSING OFFICER	40.0	0			$284,832	$0	$18,763	Yes (X)
FRANCISCO F HOYOS MD
CO CHIEF MEDICAL OFFICER	20.0	20.0			$0	$719,429	$42,220	Yes (X)
RUTH POLLARD
CSO	40.0	0			$190,382	$0	$27,449	Yes (X)
OLUSOLA MALOMO
MEDICAL DIRECTOR	40.0	0			$266,292	$0	$37,680		Yes (X)
RACHEL MALONEY
AVP - FINANCE - CONTROLLER	40.0	0			$194,242	$0	$27,153		Yes (X)
PAUL O ORIAIFO
MEDICAL DIRECTOR	40.0	0			$254,634	$0	$37,345		Yes (X)
EUGENIA POWELL
VP - PATIENT SAFETY & QUALITY	40.0	0			$210,825	$0	$13,723		Yes (X)
TAISHA WILLIAMS
MEDICAL DIRECTOR	40.0	0			$222,176	$0	$26,985		Yes (X)
AMY E FREEMAN
FORMER OFFICER (END 12/2015)	0.0	50.0			$0	$1,044,282	$26,595			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,541,947	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,203,470	TotReportableCompRltdOrgAmt
Total Other Compensation	$335,950	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	97	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
QUEST DIAGNOSTICS LLC
12436 COLLECTION CENTER DRIVE	CHICAGO	IL	606930124	LABORATORY SERVICES	$7,933,141
CEP AMERICA LLC
2100 POWELL ST STE 900	EMERYVILLE CA	CA	94608	MEDICAL SERVICES	$2,607,472
ALLIED SECURITY HOLDINGS LLC
3606 HORIZON DR	KING OF PRUSSIA	PA	19406	SECURITY SERVICES	$1,988,703
CALIFORNIA EMERGENCY PHYSICIANS MEDICAL
2100 POWELL ST 9TH FlOOR	EMERYVILLE	CA	94608	MEDICAL SERVICES	$1,697,842
CEP AMERICA KANSAS LLC
2100 POWELL ST STE 900	EMERYVILLE	CA	946081844	MEDICAL SERVICES	$667,733

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	16	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$1,402,177	RelatedOrganizationsAmt
Government Grants	$0	GovernmentGrantsAmt
All Other Contributions	$10,000	AllOtherContributionsAmt
Total Contributions	$1,412,177	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue	621990	$178,989,304	$178,989,304
Contracted Services Revenue	900099	$657,292	$657,292
Income from Joint Ventures	621990	-$805,213	-$805,213

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$178,841,383	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34,913	TotalRevenueColumnAmt
Exclusion	$34,913	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,800,723	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,800,723	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,800,723	TotalRevenueColumnAmt
Exclusion	$1,800,723	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria/Vending Revenue	722514	$1,164,466	$1,164,466
Community Service	900099	$95,820		$95,820
Medical Records Fees	900099	$21,052	$21,052

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$473,649	TotalRevenueColumnAmt
Related Or Exempt Func Income	$440,470	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$33,179	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,754,987	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$183,844,183	TotalRevenueColumnAmt
Related Or Exempt Func Income	$179,377,673	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,054,333	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,465,837	TotalAmt
Management And General	$1,465,837	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$67,413,361	TotalAmt
Program Services	$57,954,351	ProgramServicesAmt
Management And General	$9,459,010	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,459,254	TotalAmt
Program Services	$2,973,874	ProgramServicesAmt
Management And General	$485,380	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,477,950	TotalAmt
Program Services	$4,709,319	ProgramServicesAmt
Management And General	$768,631	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,584,455	TotalAmt
Program Services	$4,703,632	ProgramServicesAmt
Management And General	$880,823	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$29,320	TotalAmt
Management And General	$29,320	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$125,637	TotalAmt
Management And General	$125,637	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$59,013	TotalAmt
Management And General	$59,013	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$3,570	TotalAmt
Management And General	$3,570	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,326,151	TotalAmt
Program Services	$941,463	ProgramServicesAmt
Management And General	$1,384,688	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$9,750	TotalAmt
Program Services	$2,454	ProgramServicesAmt
Management And General	$7,296	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$609,505	TotalAmt
Program Services	$321,487	ProgramServicesAmt
Management And General	$288,018	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$57,923	TotalAmt
Program Services	$32,163	ProgramServicesAmt
Management And General	$25,760	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,225,247	TotalAmt
Program Services	$3,802,722	ProgramServicesAmt
Management And General	$422,525	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$101,863	TotalAmt
Program Services	$26,600	ProgramServicesAmt
Management And General	$75,263	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$77,582	TotalAmt
Program Services	$45,532	ProgramServicesAmt
Management And General	$32,050	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,800,976	TotalAmt
Management And General	$4,800,976	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,694,556	TotalAmt
Program Services	$3,004,031	ProgramServicesAmt
Management And General	$5,690,525	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,377,874	TotalAmt
Program Services	$1,122,683	ProgramServicesAmt
Management And General	$4,255,191	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Purchased Services	$39,524,436	$35,571,992	$3,952,444
Management Fee to Affiliate	$27,484,834	$27,484,834
Medical Supplies	$21,340,172	$21,079,409	$260,763
Physican Fees to Affilate	$9,066,640	$9,066,640

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,357,542	TotalAmt
Program Services	$10,341,169	ProgramServicesAmt
Management And General	-$983,627	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$216,673,448	TotalAmt
Program Services	$183,184,355	ProgramServicesAmt
Management And General	$33,489,093	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,609	BOYAmt
EOY	$3,609	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$9,394,224	BOYAmt
EOY	$8,000,309	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$28,884,781	BOYAmt
EOY	$20,755,064	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,473,914	BOYAmt
EOY	$2,586,351	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$703,006	BOYAmt
EOY	$752,010	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$231,585,564	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$176,561,217	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$48,044,544	BOYAmt
EOY	$55,024,347	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,281,918	BOYAmt
EOY	$1,476,706	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,835,267	BOYAmt
EOY	$4,446,843	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$97,201,255	BOYAmt
EOY	$92,543,234	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$196,822,518	BOYAmt
EOY	$185,588,473	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,593,002	BOYAmt
EOY	$15,920,805	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$176,274,139	BOYAmt
EOY	$108,842,233	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$193,867,141	BOYAmt
EOY	$124,763,038	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,955,377	BOYAmt
EOY	$60,815,435	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$10,000	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,955,377	BOYAmt
EOY	$60,825,435	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$196,822,518	BOYAmt
EOY	$185,588,473	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$32,829,265	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$90,699,323	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$3,570	OtherActivitiesAmt
Total Lobbying Expenditures	$3,570	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	Lobbying expenses represent the portion of dues paid to national and state hospital associations that are specifically allocable to lobbying. Providence 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, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	Lobbying expenses represent the portion of dues paid to national and state hospital associations that are specifically allocable to lobbying. Providence 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 D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,585,094	OtherCostOrOtherBasisAmt
Book Value	$2,585,094	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$153,725,973	OtherCostOrOtherBasisAmt
Depreciation	$117,361,080	DepreciationAmt
Book Value	$36,364,893	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$767,621	OtherCostOrOtherBasisAmt
Depreciation	$204,655	DepreciationAmt
Book Value	$562,966	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$62,106,980	OtherCostOrOtherBasisAmt
Depreciation	$56,522,940	DepreciationAmt
Book Value	$5,584,040	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,399,896	OtherCostOrOtherBasisAmt
Depreciation	$2,472,542	DepreciationAmt
Book Value	$9,927,354	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$55,024,347	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
Other Current Assets	$178,574
Total Deferred Compensation Asset
Advances to Affiliates	$83,339,775
Miscellaneous Current Assets
Due from Affiliates	$6,532,595
Other Receivables	$1,200,204
Deferred Compensation/Retirement/Pension Asset	$53,599
Deposit	$15,260
Estimated 3rd Party Payor Settlements	$1,223,227

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$92,543,234	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
Asset Retirement Obligation	$215,023
Other Miscellaneous Liabilities
Due to Affiliates	$21,524,528
Deferred Compensation/Retirement/Pension Liability	$53,599
Savings Plan Liability
Estimated 3rd Party Payor Settlement	$4,964,290
Recovery Tail Liability	$849,064
Accrued Tax Liability	$46,545
Debt with Ascension Health Alliance	$81,189,184

Field	Value	IRS element (for citing)
Total Liability	$108,842,233	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	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, 2018.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,330,550	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,330,550	NetCommunityBenefitExpnsAmt
Total Expense	0.0108	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$81,063,039	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$79,700,123	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,362,916	NetCommunityBenefitExpnsAmt
Total Expense	0.0063	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$83,393,589	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$79,700,123	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,693,466	NetCommunityBenefitExpnsAmt
Total Expense	0.0170	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,349,610	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,349,610	NetCommunityBenefitExpnsAmt
Total Expense	0.0155	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,541,313	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,541,313	NetCommunityBenefitExpnsAmt
Total Expense	0.0163	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$6,890,923	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,890,923	NetCommunityBenefitExpnsAmt
Total Expense	0.0318	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$90,284,512	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$79,700,123	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,584,389	NetCommunityBenefitExpnsAmt
Total Expense	0.0488	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,661,480	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$46,847,179	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$55,189,535	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$8,342,356	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1150 VARMUM STREET NE	AddressLine1Txt
City	Washington	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20017	ZIPCd

Field	Value	IRS element (for citing)
Website Address	http:/www.provhosp.org	WebsiteAddressTxt
State License	HFD01-0212	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.provhosp.org/docs/default-source/Community-Health/2016-dc-chna.pdf?sfvrsn=0	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.provhosp.org/docs/default-source/community-health/community-health-improvement-plan2017-2019_fin	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	http://www.provhosp.org/patients-guests/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	http://www.provhosp.org/patients-guests/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	http://www.provhosp.org/patients-guests/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS IDENTIFIED BY PROVIDENCE HOSPITAL ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. IN THE CHNA THAT WAS CONDUCTED IN 2016 THE FOLLOWING FOUR (4) NEEDS EMERGED AS THE "PRIORITY COMMUNITY NEEDS": MENTAL HEALTH/BEHAVIORAL HEALTH, PLACE-BASED CARE (BRING CARE TO THE COMMUNITY), CARE COORDINATION, HEALTH LITERACY. IN FY18 PROVIDENCE HEALTH SYSTEM IS ADDRESSING THE IDENTIFIED NEEDS CARE COORDINATION AND MENTAL HEALTH VIA THE FOLLOWING STRATEGIES: PRIORITIZED NEEDS CARE COORDINATION-PROVIDENCE IS COLLABORATING WITH OTHER DCHCC ORGANIZATIONS TO IMPROVE IDENTIFICATION OF RESOURCES BY COLLABORATING WITH COMMUNITY BASED ORGANIZATIONS, GOVERNEMNT AGENCIES AND HEALTH CARE ORGANIZATIONS AND EXPANDING USE OF COMMUNITY ASSET MAPS AS WELLS AS IMPLEMENT A MULTI-FACETED INTERVENTION TO IMPROVE CARE COORDINATION ACROSS THE SYSTEMS TO ENSURE THAT HEALTH NEEDS ARE BEING MET AND THAT THE RIGHT CARE IS BEING DELIVERED IN THE RIGHT PLACE, AT THE RIGHT TIME, BY THE RIGHT PERSON TO IMPROVE PATIENT CARE AND HEALTH OUTCOMES. MENTAL HEALTH-PROVIDENCE IS CO-LEADING THE ADVOCACY FOR A DISTRICT-WIDE CAPACITY ASSESSMENT AND EVALUATION OF MENTAL HEALTH SERVICES FOR ADULTS AND CHILDREN; IMPROVING CARE COORDINATION FOR MENTAL HEALTH AND SUBSTANCE ABUSE CO-OCCURING CONDITIONS THROUGH FACILITATION OF DIRECT HAND-OFFS TO THE NEXT LEVEL OF CARE AND TRACKING OF REFERRALS BETWEEN SYSTEMS. PROVIDENCE IS ALSO COLLABORATING WITH OTHER DCHCC ORGANIZATIONS TO ADVOCATE FOR POLICY LEVEL SOLUTIONS TO IMPROVE OUR ABILITY TO PROVIDE MENTAL HEALTH PREVENTION ACTIVITIES AND SCREENINGS AND FOR EQUITABLE DISTRIBUTION OF MENTAL HEALTH SERVICES IN DC. IN ADDITION, PROVIDENCE IS COLLABORATING WITH OTHER DCHCC ORGANIZATIONS TO DEVELOP INTERNAL SYSTEM CHANGES TO IMPROVE HEALTH LITERACY. NEEDS THAT WILL NOT BE ADDRESSED-BRINGING CARE TO THE COMMUNTIY/PLACED-BASED CARE WILL NOT BE DIRECTLY ADDRESSED BY PROVIDENCE. HOWEVER, PROVIDENCE'S STRATEGIES FOR CARE COORDINATION AND BEHAVIORAL HEALTH WILL HAVE COMPONENTS THAT ALIGN WITH THE DEFINITION AND NEED OF PLACE-BASED CARE (VIA TELEHEALTH).
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - PROVIDENCE HOSPITAL. Providence is committed to conducting a community health needs assessment (CHNA) every three years to understand the health and health care status of DC communities. The assessment guides Providence in targeting its resources to achieve the greatest impact on community health through population health initiatives. We are currently in the process of completing the CHNA to be published in 2019 with DC Healthy Communities.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - PROVIDENCE HOSPITAL. Building on our last community health needs assessment and the information shared on our DC Health Matters website (www.dchealthmatters.org), the 2016 assessment (conducted Fall 2015 through Spring 2016) represents a shift from a focus on individual clinical conditions to larger social determinants of health. In order to achieve this shift in direction, this assessment placed a much larger emphasis on having our community's perspective shape this work. As a result, this report includes community thoughts from the following: 113 online survey respondents, 80 community forum attendees, 60 community-based organizations, 40 focus group participants, 31 key informant interviews, 15 hospitals and community health centers, 11 government agencies, and 8 elected officials, including DC Councilmembers and Advisory Neighborhood Commissioners. According "the 2017-2019 community Health Improvement Plan, The DC Healthy Communities Collaborative is consisted of: www.breadforthecity.org childrensnational.org www.communityofhopedc.org Howard University Hospital Mary's Center Providence Health System Sibley Memorial Hospital Unity Health Care DC Hospital Association (DCHA) dchealthmatters.org 27
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - PROVIDENCE HOSPITAL. PROVIDENCE HOSPITAL, THROUGH ITS MEMBERSHIP IN THE DC HEALTHY COMMUNITIES COLLABORATIVE, CONDUCTED THE CHNA IN PARTNERSHIP WITH THREE OTHER NON-PROFIT HOSPITALS: HOWARD UNIVERSITY HOSPITAL, CHILDREN'S NATIONAL MEDICAL CENTER AND SIBLEY MEMORIAL HOSPITAL. THE DC HEALTHY COMMUNITIES COLLABORATIVE (DCHCC) WORKS TO ELIMINATE HEALTH DISPARITIES AND CREATE HEALTH EQUITY FOR ALL COMMUNITIES IN THE DISTRICT OF COLUMBIA TO REALIZE ONE HEALTHY CAPITAL CITY. WITH THE UNIQUE PERSPECTIVES OF EACH HOSPITAL AND COMMUNITY HEALTH CENTER, DCHCC MEMBERS PROVIDED GUIDANCE AND FEEDBACK RESPECTIVE TO POPULATIONS AND NEIGHBORHOODS SERVED.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - PROVIDENCE HOSPITAL. PROVIDENCE HOSPITAL, THROUGH ITS MEMBERSHIP IN THE DC HEALTHY COMMUNITIES COLLABORATIVE, ALSO CONDUCTED THE CHNA IN PARTNERSHIP WITH THREE COMMUNITY HEALTH CENTERS, TWO OF WHICH ARE FEDERALLY QUALIFIED HEALTH CENTERS, BREAD FOR THE CITY, COMMUNITY OF HOPE, AND UNITY HEALTH CARE, INC. THE DC HEALTHY COMMUNITIES COLLABORATIVE (DCHCC) WORKS TO ELIMINATE HEALTH DISPARITIES AND CREATE HEALTH EQUITY FOR ALL COMMUNITIES IN THE DISTRICT OF COLUMBIA TO REALIZE ONE HEALTHY CAPITAL CITY. WITH THE UNIQUE PERSPECTIVES OF EACH HOSPITAL AND COMMUNITY HEALTH CENTER, DCHCC MEMBERS PROVIDED GUIDANCE AND FEEDBACK RESPECTIVE TO POPULATIONS AND NEIGHBORHOODS SERVED.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - PROVIDENCE HOSPITAL. THE MOST RECENT ASSESSMENT, RELEASED IN JUNE 2016 WAS CONDUCTED IN PARTNERSHIP WITH THE DC HEALTHY COMMUNITIES COLLABORATIVE (DCHCC): A CONSORTIUM OF DC HOSPITALS AND COMMUNITY HEALTH CENTERS WHO HAVE JOINED FORCES TO REDUCE HEALTH DISPARITIES AND INCREASE HEALTH EQUITY FOR MOST VULNERABLE DC POPULATIONS. PROVIDENCE IS A FOUNDING MEMBER OF THE DCHCC.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Providence Hospital. IN THE CHNA THAT WAS CONDUCTED IN 2016 THE FOLLOWING FOUR (4) NEEDS EMERGED AS THE "PRIORITY COMMUNITY NEEDS": MENTAL HEALTH/BEHAVIORAL HEALTH, PLACE-BASED CARE (BRING CARE TO THE COMMUNITY), CARE COORDINATION, AND HEALTH LITERACY. IN FY18 PROVIDENCE HEALTH SYSTEM IS ADDRESSING THE IDENTIFIED NEEDS CARE COORDINATION AND MENTAL HEALTH VIA THE FOLLOWING STRATEGIES: PRIORITIZED NEEDS CARE COORDINATION-PROVIDENCE IS COLLABORATING WITH OTHER DCHCC ORGANIZATIONS TO IMPROVE IDENTIFICATION OF RESOURCES BY COLLABORATING WITH COMMUNITY BASED ORGANIZATIONS, GOVERNMENT AGENCIES AND HEALTH CARE ORGANIZATIONS AND EXPANDING USE OF COMMUNITY ASSET MAPS AS WELLS AS IMPLEMENT A MULTI-FACETED INTERVENTION TO IMPROVE CARE COORDINATION ACROSS THE SYSTEMS TO ENSURE THAT HEALTH NEEDS ARE BEING MET AND THAT THE RIGHT CARE IS BEING DELIVERED IN THE RIGHT PLACE, AT THE RIGHT TIME, BY THE RIGHT PERSON TO IMPROVE PATIENT CARE AND HEALTH OUTCOMES. MENTAL HEALTH-PROVIDENCE IS CO-LEADING THE ADVOCACY FOR A DISTRICT-WIDE CAPACITY ASSESSMENT AND EVALUATION OF MENTAL HEALTH SERVICES FOR ADULTS AND CHILDREN; IMPROVING CARE COORDINATION FOR MENTAL HEALTH AND SUBSTANCE ABUSE CO-OCCURRING CONDITIONS THROUGH FACILITATION OF DIRECT HAND-OFFS TO THE NEXT LEVEL OF CARE AND TRACKING OF REFERRALS BETWEEN SYSTEMS. PROVIDENCE IS ALSO COLLABORATING WITH OTHER DCHCC ORGANIZATIONS TO ADVOCATE FOR POLICY LEVEL SOLUTIONS TO IMPROVE OUR ABILITY TO PROVIDE MENTAL HEALTH PREVENTION ACTIVITIES AND SCREENINGS AND FOR EQUITABLE DISTRIBUTION OF MENTAL HEALTH SERVICES IN DC. IN ADDITION, PROVIDENCE IS COLLABORATING WITH OTHER DCHCC ORGANIZATIONS TO DEVELOP INTERNAL SYSTEM CHANGES TO IMPROVE HEALTH LITERACY. NEEDS THAT WILL NOT BE ADDRESSED-BRINGING CARE TO THE COMMUNITY/PLACED-BASED CARE WILL NOT BE DIRECTLY ADDRESSED BY PROVIDENCE. HOWEVER, PROVIDENCE'S STRATEGIES FOR CARE COORDINATION AND BEHAVIORAL HEALTH WILL HAVE COMPONENTS THAT ALIGN WITH THE DEFINITION AND NEED OF PLACE-BASED CARE (VIA TELEHEALTH).

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Carroll Manor Nursing & Rehab Center
1150 Varnum Street NE	Washington	DC	20017	Skilled Nursing & Rehabilitation Center
Ft Lincoln Family Medicine Center
4151 Bladensburg Road	Colmar Manor	MD	20722	Family Medicine Center
Perry Family Health Center
128 M Street NW Suite 050	Washington	DC	20001	Perry Family Health Center
Model Cities Senior Wellness Center
1901 Evarts Street NE	Washington	DC	20018	Senior Connection Program
Congress Heights Senior Wellness Ctr
3500 Martin Luther King Jr Ave SE	Washington	DC	20032	Senior Connection Program
DC Police and Fire Clinic
920 Varnum Street NE	Washington	DC	20017	Occupational Health Services

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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.
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 expense is located on page 21.
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	PROVIDENCE HOSPITAL FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED. 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	- PROVIDENCE HOSPITAL: Line 16a URL: http://www.provhosp.org/patients-guests/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- PROVIDENCE HOSPITAL: Line 16b URL: http://www.provhosp.org/patients-guests/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- PROVIDENCE HOSPITAL: Line 16c URL: http://www.provhosp.org/patients-guests/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	IN ADDITION TO THE CHNA, PROVIDENCE HOSPITAL IS COLLABORATING WITH OTHER DCHCC ORGANIZATIONS TO DEVELOP INTERNAL SYSTEM CHANGES TO IMPROVE HEALTH LITERACY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	PATIENTS ARE MADE AWARE OF PROVIDENCE HOSPITAL FINANCIAL ASSISTANCE PROGRAMS VIA THE FOLLOWING: -REGISTRAR'S EDUCATION-FACE TO FACE AT TIME OF REGISTRATION. -PACKAGE OF INFORMATION PROVIDED AT TIME OF REGISTRATION TO INCLUDE THE DIFFERENT PROGRAMS AND APPLICATION NEEDED. -PAMPHLETS THAT CAN BE TAKEN HOME TO REVIEW WHICH INCLUDES: TYPES OF THE FINANCIAL ASSISTANCE AVAILABLE AND CHARITY INFORMATION. PROVIDENCE HOSPITAL ALSO INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA WEB ADDRESS WHERE MORE INFORMATION MAY BE FOUND.
Schedule H, Part VI, Line 4 Community information	THE WASHINGTON D.C. METROPOLITAN AREA ENCOMPASSES A BROAD AND DIVERSE AREA THAT INCLUDES THE DISTRICT OF COLUMBIA, COMMUNITIES IN SUBURBAN NORTHERN VIRGINIA, AND MARYLAND COUNTIES NORTH AND EAST OF THE DISTRICT OF COLUMBIA. THE HOSPITAL'S DIVERSE POPULATION COMMUNITY INCLUDES PEOPLE AND CULTURES FROM ALL OVER THE WORLD, WITH SOME LIVING HER TEMPORARILY AND OTHERS MOVING BACK AND FORTH WITHIN THE REGION. AMONG THE DIVERSE POPULATION, THERE IS A SUBSTANTIAL POPULATION OF AFRICAN-AMERICANS AND LATIN-AMERICANS THAT RESIDE IN THE WASHINGTON, D.C. METROPOLITAN AREA. LOCATED IN WARD 5 OF WASHINGTON, D.C. AND IN THE CATHOLIC UNIVERSITY/BROOKLAND NEIGHBORHOOD, THE PATIENT POPULATION SERVED BY PROVIDENCE HOSPITAL CONSISTS PRIMARILY OF DISTRICT OF COLUMBIA RESIDENTS AND RESIDENTS OF PRINCE GEORGE'S COUNTY, MARYLAND. From the US Census Bureau Quick Facts: Median household income (in 2017 dollars), 2013-2017 $77,649. Per capita income in past 12 months (in 2017 dollars), 2013-2017 $50,832. Persons in poverty, 17.4%.
Schedule H, Part VI, Line 5 Promotion of community health	PROVIDENCE HOSPITAL'S GOVERNING BODY IS COMPRISED OF PERSONS REPRESENTING DIVERSE ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF ABC HOSPITAL GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA; WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. THE HOSPITAL MANAGES SETON HOUSE WHICH PROVIDES BEHAVIORAL HEALTH SERVICES INCLUDING COMMUNITY OUTREACH. PROVIDENCE HOSPITAL'S COMMUNITY BASED PERRY HEALTH CENTER AND FORT LINCOLN MEDICINE CENTER PROVIDES A FULL RANGE OF PRIMARY CARE AND SPECIALTY HEALTH SERVICES FOR EVERY MEMBER OF THE FAMILY. PROVIDENCE HOSPITAL OPERATES SENIOR WELLNESS CENTERS IN CONGRESS HEIGHTS AND MODEL CITIES PROVIDING SERVICES TO DC SENIORS THAT PROMOTE HEALTHY LIFESTYLES TO MEMBERS, WHICH IS FREE TO ALL DC RESIDENTS WHO ARE 60 YEARS OF AGE OR OLDER. THE DC POLICE & FIRE CLINIC REPRESENTS A JOINT VENTURE OF PROVIDENCE HOSPITAL AND THE WASHINGTON HOSPITAL CENTER PROVIDING OCCUPATIONAL AND PREVENTIVE MEDICAL SERVICES TO DC'S MORE THAN 5,000 POLICE OFFICERS, FIRE FIGHTERS, US PARK POLICE AND US SECRET SERVICE AGENTS.
Schedule H, Part VI, Line 6 Affiliated health care system	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 23 STATES AND THE DISTRICT OF COLUMBIA. PROVIDENCE HOSPITAL, LOCATED IN WASHINGTON D.C., IS A NONPROFIT ACUTE CARE HOSPITAL. THE MEDICAL HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR THE RESIDENTS OF WASHINGTON D.C. AND PRINCE GEORGES COUNTY, MARYLAND. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. PROVIDENCE HOSPITAL IS RELATED TO ASCENSION HEALTH'S OTHER SPONSORED ORGANIZATIONS THROUGH COMMON CONTROL. SUBSTANTIALLY ALL EXPENSES OF ASCENSION HEALTH AND ITS SPONSORED ORGANIZATIONS ARE RELATED TO PROVIDING HEALTH CARE SERVICES. ASCENSION AND ITS MEMBER ORGANIZATIONS ARE HEREAFTER REFERRED TO COLLECTIVELY AS THE SYSTEM. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. THE SYSTEM DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING, AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH THE SYSTEM'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE SYSTEM USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS: - TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. - UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS. - COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. - COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH. DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED BY REDUCING CHARGES FORGONE BY A FACTOR DERIVED FROM THE RATIO OF EACH ENTITY'S TOTAL OPERATING EXPENSES TO THE ENTITY'S BILLED CHARGES FOR PATIENT CARE.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DARCY BURTHAY
PRESIDENT & CEO (END 4/2018)	$439,609	$0	$222,279	$0	$105,770	$0	$17,550	$0	$5,187	$0	$790,396	$0	$0	$0
AMY E FREEMAN
FORMER OFFICER (END 12/2015)	$0	$421,463	$0	$534,899	$0	$87,920	$0	$14,850	$0	$11,745	$0	$1,070,877	$0	$0
SCOTT M FURNISS
CFO, MINISTRY MARKET	$0	$318,408	$0	$186,115	$0	$37,584	$0	$16,522	$0	$17,937	$0	$576,566	$0	$0
KEITH VANDER KOLK
PRESIDENT & CEO (START 5/2018)	$0	$424,829	$0	$387,626	$0	$85,197	$0	$12,685	$0	$5,048	$0	$915,384	$0	$0
MARC EDELMAN
CHIEF OPERATING OFFICER (END 1/2017)	$3,759	$0	$0	$0	$147,147	$0	$144	$0	$2,965	$0	$154,015	$0	$0	$0
MOURINE EVANS
CHIEF NURSING OFFICER	$247,500	$0	$31,788	$0	$5,544	$0	$13,112	$0	$5,652	$0	$303,595	$0	$0	$0
FRANCISCO F HOYOS MD
CO CHIEF MEDICAL OFFICER	$0	$528,380	$0	$187,953	$0	$3,096	$0	$17,550	$0	$24,670	$0	$761,650	$0	$0
RUTH POLLARD
CSO	$167,270	$0	$22,251	$0	$860	$0	$9,926	$0	$17,524	$0	$217,831	$0	$0	$0
OLUSOLA MALOMO
MEDICAL DIRECTOR	$265,422	$0	$0	$0	$871	$0	$16,200	$0	$21,480	$0	$303,972	$0	$0	$0
RACHEL MALONEY
AVP - FINANCE - CONTROLLER	$181,105	$0	$12,715	$0	$421	$0	$9,754	$0	$17,399	$0	$221,394	$0	$0	$0
PAUL O ORIAIFO
MEDICAL DIRECTOR	$247,517	$0	$0	$0	$7,117	$0	$16,784	$0	$20,561	$0	$291,978	$0	$0	$0
EUGENIA POWELL
VP - PATIENT SAFETY & QUALITY	$184,677	$0	$23,537	$0	$2,611	$0	$10,806	$0	$2,917	$0	$224,548	$0	$0	$0
TAISHA WILLIAMS
MEDICAL DIRECTOR	$222,169	$0	$0	$0	$7	$0	$8,428	$0	$18,556	$0	$249,161	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	Ascension Health, a related organization of Providence Hospital, uses the following to establish the compensation of the organization's President/CEO: - Compensation Committee - Independent Compensation Consultant - Compensation Survey or Study - 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: MARC EDELMAN - $125,000
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	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 distributions from the supplemental non-qualified retirement plan were made in the current year.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 3 Subsequent Event	Prior to the filing of the 2017 tax return, Providence Hospital, located in Washington, DC discontinued its hospital and emergency care services on 4/30/19.
Form 990, Part III, Line 3 Significant changes in program services	Providence Hospital closed two service lines, namely Obstetrics and IP Psych during 2018
Form 990, Part IV, Line 20b Audited Financial Statements	The activity of Providence Hospital is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of Providence Hospital is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of Providence Hospital.
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	In determining the compensation of the organization's CEO, the process, performed by Ascension Health, a related organization of Providence Hospital, included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. The Compensation Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to 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 committee minutes. The individual was not present when her compensation was decided.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES	IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS, THE PROCESS PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF PROVIDENCE HOSPITAL, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE PROVIDENCE HOSPITAL'S EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO 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 MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 6 Classes of members or stockholders	Providence Hospital has a single corporate member, Ascension Health.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	Providence Hospital has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of Providence Hospital.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.
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, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Line 19 Required documents available to the public	The organization will provide any documents open to public inspection upon request.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Education Revenue - Total Revenue: -2389, Related or Exempt Function Revenue: -2389, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Escheatment Revenue - Total Revenue: 23098, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 23098; Miscellaneous Revenue - Total Revenue: 452940, Related or Exempt Function Revenue: 442859, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 10081;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Transfers with ALPHA - 36128746; Transfers with Affiliates - 54570577;
Form 990, Part XII, Line 2c Audit Committee	Providence 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ASCENSION HEALTH ALLIANCE
PO BOX 45998	ST LOUIS	MO	631455998	453358926	NATIONAL HEALTH SYSTEM	MO	501(c)(3)	Type I	NA	false
ASCENSION HEALTH
PO BOX 45998	ST LOUIS	MO	63145	311662309	NATIONAL HEALTH SYSTEM	MO	501(c)(3)	Type I	ASCENSION HEALTH ALLIANCE	false
PROVIDENCE HEALTH SERVICES INC
1150 VARNUM STREET NE	WASHINGTON	DC	20017	521275587	PHYSICIAN PRACTICES	DC	501(c)(3)	Type I	PROVIDENCE HOSPITAL	Yes (true)
PROVIDENCE HEALTH FOUNDATION INC
1150 VARNUM STREET NE	WASHINGTON	DC	20017	521275583	FUNDRAISING ORGANIZATION	DC	501(c)(3)	Type I	PROVIDENCE HOSPITAL	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	RESOURCE PHARMACIES Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1150 VARNUM STREET NE	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20017	ZIPCd

Field	Value	IRS element (for citing)
EIN	521410076	EIN
Primary Activities	RETAIL PHARMACY	PrimaryActivitiesTxt
Legal Domicile State	DC	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Share Of Total Income	$5,209,624	ShareOfTotalIncomeAmt
Share Of EOY Assets	$610,395	ShareOfEOYAssetsAmt
Ownership	1	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PROVIDENCE HEALTH FOUNDATION INC
L	$1,393,054	FAIR MARKET VALUE
PROVIDENCE HEALTH SERVICES INC
L	$9,148,373	FAIR MARKET VALUE
PROVIDENCE HEALTH SERVICES INC
M	$78,534	FAIR MARKET VALUE
PROVIDENCE HEALTH SERVICES INC
P	$69,948,185	FAIR MARKET VALUE
PROVIDENCE HEALTH SERVICES INC
S	$19,634,267	FAIR MARKET VALUE
RESOURCE PHARMACIES INC
S	$3,290,366	FAIR MARKET VALUE
PROVIDENCE HEALTH SERVICES INC
Q	$819,547	FAIR MARKET VALUE
PROVIDENCE HEALTH FOUNDATION INC
C	$1,402,177	FAIR MARKET VALUE