PROVIDENCE HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: PROVIDENCE HOSPITAL (EIN 63-0288861)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-13
IRS object ID: 201731339349300523
Schema version: 2015v3.0
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	2017-05-13T10:07:32-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	630288861	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	2516331080	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6801 Airport Boulevard	AddressLine1Txt
City	Mobile	CityNm
State Abbreviation	AL	StateAbbreviationCd
ZIP	36608	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	C SUSAN CORNEJO	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2017-05-13	SignatureDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TODD KENNEDY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6801 Airport Boulevard	AddressLine1Txt
City	Mobile	CityNm
State Abbreviation	AL	StateAbbreviationCd
ZIP	36608	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$232,783,022	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PROVIDENCEHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1858	FormationYr
Legal Domicile State	AL	LegalDomicileStateCd
Activity Or Mission	PROVIDENCE HOSPITAL IS A FULL SERVICE 349 BED MEDICAL/SURGICAL FACILITY.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	2092	TotalEmployeeCnt
Total Volunteers	200	TotalVolunteersCnt
Total Gross UBI	$684,775	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$162,164	PYContributionsGrantsAmt
CY Contributions Grants	$478,249	CYContributionsGrantsAmt
PY Program Service Revenue	$226,837,642	PYProgramServiceRevenueAmt
CY Program Service Revenue	$227,832,905	CYProgramServiceRevenueAmt
PY Investment Income	$6,945,209	PYInvestmentIncomeAmt
CY Investment Income	-$112,608	CYInvestmentIncomeAmt
PY Other Revenue	$4,810,912	PYOtherRevenueAmt
CY Other Revenue	$4,445,168	CYOtherRevenueAmt
PY Total Revenue	$238,755,927	PYTotalRevenueAmt
CY Total Revenue	$232,643,714	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	$89,151,264	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$90,880,124	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$130,101,770	PYOtherExpensesAmt
CY Other Expenses	$131,434,609	CYOtherExpensesAmt
PY Total Expenses	$219,253,034	PYTotalExpensesAmt
CY Total Expenses	$222,314,733	CYTotalExpensesAmt
PY Revenues Less Expenses	$19,502,893	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,328,981	CYRevenuesLessExpensesAmt
Total Assets BOY	$447,113,177	TotalAssetsBOYAmt
Total Assets EOY	$345,091,659	TotalAssetsEOYAmt
Total Liabilities BOY	$169,677,457	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$122,366,102	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$277,435,720	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$222,725,557	NetAssetsOrFundBalancesEOYAmt
Mission	ROOTED IN THE LOVING MINISTRY OF JESUS AS A HEALER, WE COMMIT OURSELVES TO SERVING ALL PERSONS WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. OUR CATHOLIC HEALTH MINISTRY IS DEDICATED TO SPIRITUALLY CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES OF A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$184,176,596	ExpenseAmt
Revenue	$227,205,193	RevenueAmt
Desc	PROVIDENCE HOSPITAL PROVIDES A LARGE PORTION OF ITS SERVICES TO THE ELDERLY AND POOR. DURING THE FISCAL YEAR ENDING JUNE 30, 2016, APPROXIMATELY 53% OF ADMISSIONS WERE ELDERLY PATIENTS ENROLLED IN THE MEDICARE PROGRAM. APPOXIMATELY $15 MILLION IN SERVICES WERE PROVIDED TO PERSONS WHO WERE POOR OR VULNERABLE UNDER STATE, COUNTY, OR PROVIDENCE HOSPITAL GUIDELINES.	Desc
Total Program Service Expenses	$184,176,596	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
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	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	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	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	90	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2092	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
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	false	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	10	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	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	Yes (true)	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	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	C SUSAN CORNEJO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2516331670	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6801 Airport Boulevard	AddressLine1Txt
City	MOBILE	CityNm
State Abbreviation	AL	StateAbbreviationCd
ZIP	36608	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 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
CLARK P CHRISTIANSON
PRESIDENT & CEO (ENDED 9/4/15)	32.0	8.0	Yes (X)	Yes (X)	$2,190,715	$0	$49,911
C SUSAN CORNEJO
CFO	10.0	31.0	Yes (X)	Yes (X)	$148,972	$595,888	$48,496
G TIMOTHY GASTON
CHAIR (START 1/2016)	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
TODD STEVEN KENNEDY
PRESIDENT	40.0	5.0	Yes (X)	Yes (X)	$419,288	$0	$34,893
HENRY J KOCH MD
SECRETARY/TREASURER	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
L PAGE STALCUP
CHAIR (END 12/2015)	1.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
CHRISTOPHER S BROWN MD
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
LAWRENCE RUSS G FORD JR
Board Member	1.0	3.0	Yes (X)		$0	$0	$0
CAROL M HARRISON EDD RN
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
R MICHAEL HUDDLE MD
BOARD MEMBER	40.0	1.0	Yes (X)		$126,514	$0	$15,131
CONNIE L HUDSON RN
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
ROBERT W ISRAEL MD
BOARD MEMBER	1.0	39.0	Yes (X)		$0	$479,876	$32,033
BETH L ROUSE RN
BOARD MEMBER (END 12/2015)	1.0	1.0	Yes (X)		$0	$0	$0
WILLIAM M LIGHTFOOT MD
VP MEDICAL STAFF	11.5	28.5			$159,823	$396,082	$48,366	Yes (X)
PETER JOSEPH LINDQUIST
CHIEF NURSING OFFICER	40.0	0			$264,268	$0	$20,883	Yes (X)
JOHN E STONE JR MD
VP MEDICAL INFORMATICS	40.0	0			$257,061	$0	$44,854	Yes (X)
DANIEL C HARRISON MD
PHYSICIAN	40.0	0			$416,838	$0	$35,464		Yes (X)
PRESTON T SPEAKMAN MD
PHYSICIAN	40.0	0			$419,288	$0	$31,043		Yes (X)
JAMES J STEINHAUER MD
PHYSICIAN	40.0	0			$416,626	$0	$30,548		Yes (X)
ASTON G ARCHIBALD MD
PHYSICIAN	40.0	0			$416,135	$0	$36,206		Yes (X)
DAVID C BRASWELL MD
PHYSICIAN	40.0	0			$428,945	$0	$38,005		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,664,473	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,471,846	TotReportableCompRltdOrgAmt
Total Other Compensation	$465,832	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	75	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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
MOBILE BAY LITHOTRIPSY LLC
300 Townpark Dr NW Ste 260	Kennesaw	GA	30144	Medical Services	$826,000
WL GORE & ASSOCIATES INC
PO Box 2400	Flagstaff	AZ	86003	Medical Services	$793,224
SYNTHES USA SALES LLC
1101 Synthese Ave	Monument	CO	80132	Medical Services	$611,885
ZAVATION LLC
400 Liberty Park Dr	Flowood	MS	39232	Medical Services	$341,545
ARUP LABORATORIES
500 S Chipeta Wat	Salt Lake City	UT	84108	Laboratory Services	$265,617

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	11	CntrctRcvdGreaterThan100KCnt
Related Organizations	$284,477	RelatedOrganizationsAmt
Government Grants	$9,854	GovernmentGrantsAmt
All Other Contributions	$183,918	AllOtherContributionsAmt
Total Contributions	$478,249	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service Revenue	621990	$94,126,383	$94,126,383
Medicare/Medicaid	921990	$133,070,722	$133,070,722
Reference Laboratory	621500	$627,712		$627,712
Community Education	611710	$8,088	$8,088

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	$227,832,905	TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$57,063	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$57,063	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$57,063	TotalRevenueColumnAmt
Unrelated Business Revenue	$57,063	UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$26,700	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$95,983	SecuritiesAmt
Other	$43,325	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$95,983	SecuritiesAmt
Other	-$16,625	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$112,608	TotalRevenueColumnAmt
Exclusion	-$112,608	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
Cafeteria/Vending	722210	$1,192,347	$1,192,347
Medical Record	621990	$11,679	$11,679
Miscellaneous Revenue	621990	$3,184,079	$3,184,079

Miscellaneous Revenue MiscellaneousRevenueGrp

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)
Other Revenue Total	$4,388,105	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$232,643,714	TotalRevenueColumnAmt
Related Or Exempt Func Income	$227,205,193	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$684,775	UnrelatedBusinessRevenueAmt
Exclusion	$4,275,497	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,758,150	TotalAmt
Management And General	$3,758,150	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$74,359,525	TotalAmt
Program Services	$68,575,026	ProgramServicesAmt
Management And General	$5,784,499	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	-$1,285,310	TotalAmt
Program Services	-$1,051,432	ProgramServicesAmt
Management And General	-$233,878	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,767,890	TotalAmt
Program Services	$7,804,630	ProgramServicesAmt
Management And General	$963,260	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,279,869	TotalAmt
Program Services	$4,646,285	ProgramServicesAmt
Management And General	$633,584	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$65,241	TotalAmt
Management And General	$65,241	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$592,401	TotalAmt
Management And General	$592,401	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$423,167	TotalAmt
Management And General	$423,167	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,050,787	TotalAmt
Program Services	$3,564,693	ProgramServicesAmt
Management And General	$486,094	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$250,752	TotalAmt
Management And General	$250,752	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$888,226	TotalAmt
Management And General	$888,226	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$15,902,470	TotalAmt
Program Services	$13,994,174	ProgramServicesAmt
Management And General	$1,908,296	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,875,203	TotalAmt
Program Services	$3,410,179	ProgramServicesAmt
Management And General	$465,024	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$261,918	TotalAmt
Program Services	$230,488	ProgramServicesAmt
Management And General	$31,430	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$146,012	TotalAmt
Program Services	$128,491	ProgramServicesAmt
Management And General	$17,521	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,142,036	TotalAmt
Program Services	$1,884,992	ProgramServicesAmt
Management And General	$257,044	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,869,386	TotalAmt
Program Services	$10,445,060	ProgramServicesAmt
Management And General	$1,424,326	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,842,766	TotalAmt
Program Services	$2,842,766	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Purchased Services	$23,563,283	$20,735,689	$2,827,594
Patient Related Supplies	$51,289,337	$45,134,617	$6,154,720
Provider Tax	$11,191,011		$11,191,011
Equipment Lease	$973,281	$856,487	$116,794

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,107,332	TotalAmt
Program Services	$974,451	ProgramServicesAmt
Management And General	$132,881	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$222,314,733	TotalAmt
Program Services	$184,176,596	ProgramServicesAmt
Management And General	$38,138,137	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
EOY	$5,071	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,068,015	BOYAmt
EOY	$12,715,979	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$26,169,591	BOYAmt
EOY	$30,273,715	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$3,005,737	BOYAmt
EOY	$26,955	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,396,882	BOYAmt
EOY	$5,416,103	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,272,852	BOYAmt
EOY	$565,476	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$237,896,828	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$183,471,590	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$55,662,924	BOYAmt
EOY	$54,425,238	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	$167,586,479	BOYAmt
EOY	$142,887,528	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,871,120	BOYAmt
EOY	$9,253,656	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$183,079,577	BOYAmt
EOY	$89,521,938	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$447,113,177	BOYAmt
EOY	$345,091,659	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$55,711,674	BOYAmt
EOY	$13,108,583	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,634,224	BOYAmt
EOY	$2,048,896	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$112,331,559	BOYAmt
EOY	$107,208,623	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$169,677,457	BOYAmt
EOY	$122,366,102	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$277,049,979	BOYAmt
EOY	$222,267,316	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$385,741	BOYAmt
EOY	$458,241	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$277,435,720	BOYAmt
EOY	$222,725,557	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$447,113,177	BOYAmt
EOY	$345,091,659	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$10,328,981	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$5,297,186	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$59,741,958	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

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

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	$1,902	OtherActivitiesAmt
Total Lobbying Expenditures	$1,902	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 is 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 is 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	$8,400,308	OtherCostOrOtherBasisAmt
Book Value	$8,400,308	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$56,635,351	OtherCostOrOtherBasisAmt
Depreciation	$45,503,835	DepreciationAmt
Book Value	$11,131,516	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$166,093	OtherCostOrOtherBasisAmt
Depreciation	$136,905	DepreciationAmt
Book Value	$29,188	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$160,279,855	OtherCostOrOtherBasisAmt
Depreciation	$132,240,016	DepreciationAmt
Book Value	$28,039,839	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,415,221	OtherCostOrOtherBasisAmt
Depreciation	$5,590,834	DepreciationAmt
Book Value	$6,824,387	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$54,425,238	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	CONTROL POOL INVESTMENT	Desc
Book Value	$142,887,528	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$142,887,528	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED COMPENSATION	$9,087,874
DUE FROM AFFILIATES	$72,818,962
DONOR RESTRICTED	$458,241
OTHER MISC RECEIVABLES	$3,651,462
ESTIMATED SETTLEMTNS FROM THIRD PARTY PAYORS	$3,219,935
OTHER CURRENT ASSETS	-$10,575
PHYSICIAN GUARANTEES	$296,039
ACCRETIVE RECEIVABLE

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$89,521,938	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
ESTIMATED SETTLEMENTS TO THIRD PARTY PAYORS	$1,342,619
PENSION AND OTHER POST RETIREMENT BENEFITS	$509,824
DEFERRED COMPENSATION	$9,087,874
SELF INSURANCE LIABILITY	$2,381,132
INTERCOMPANY DEBT TO ASCENSION HEALTH ALLIANCE	$68,319,439
DUE TO AFFILIATES	$22,998,185
AH SAVINGS PLAN	$973,183
OTHER MISC LIABILITIES	$805,657
RECEIVABLES SOLD WITH RECOURSE	$790,710
valuation allowance

Field	Value	IRS element (for citing)
Total Liability	$107,208,623	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part XI, Line 2 FIN 48 (ASC 740) FOOTNOTE	FormAndLineReferenceDesc
Explanation	FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE ("THE SYSTEM") (WHICH INCLUDE THE ACTIVITY OF PROVIDENCE HOSPITAL): THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITION 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, 2016.	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	false	ExpensesExceedBudgetInd
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	$8,754,233	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,754,233	NetCommunityBenefitExpnsAmt
Total Expense	0.0394	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,418,839	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,418,839	NetCommunityBenefitExpnsAmt
Total Expense	0.0244	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$14,173,072	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,173,072	NetCommunityBenefitExpnsAmt
Total Expense	0.0638	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	37	ActivitiesOrProgramsCnt
Persons Served	3352	PersonsServedCnt
Total Community Benefit Expns	$1,030,308	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,175	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,011,133	NetCommunityBenefitExpnsAmt
Total Expense	0.0045	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	12	PersonsServedCnt
Total Community Benefit Expns	$818,076	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$818,076	NetCommunityBenefitExpnsAmt
Total Expense	0.0037	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	38	ActivitiesOrProgramsCnt
Persons Served	789	PersonsServedCnt
Total Community Benefit Expns	$144,756	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,400	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$143,356	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	82	ActivitiesOrProgramsCnt
Persons Served	4153	PersonsServedCnt
Total Community Benefit Expns	$1,993,140	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,575	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,972,565	NetCommunityBenefitExpnsAmt
Total Expense	0.0089	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	82	ActivitiesOrProgramsCnt
Persons Served	4153	PersonsServedCnt
Total Community Benefit Expns	$16,166,212	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,575	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,145,637	NetCommunityBenefitExpnsAmt
Total Expense	0.0726	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$2,223	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,223	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	18	PersonsServedCnt
Total Community Benefit Expns	$23,801	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,801	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	19	PersonsServedCnt
Total Community Benefit Expns	$26,024	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,024	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$9,074,077	BadDebtExpenseAmt
Bad Debt Expense Attributable	$6,035,342	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$111,106,608	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$111,260,836	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$154,228	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	6801 AIRPORT BLVD	AddressLine1Txt
City	MOBILE	CityNm
State Abbreviation	AL	StateAbbreviationCd
ZIP	36608	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://www.providencehospital.org/?S=FIANANCIAL%20ASSISTANCE%20APPLICATION	WebsiteAddressTxt
State License	H4905	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
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
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.providencehospital.org/about/community-outreach/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.providencehospital.org/about/community-outreach/	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
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	https://www.providencehospital.org/financial-assistance-policy-2/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.providencehospital.org/patient-information/financial-assistance/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.providencehospital.org/financial-assistance-summary/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule H, Part V, Section B, Line 5 Facility , 1

Facility , 1 - Providence Hospital. From September 2015 through March 2016, Providence Hospital ("Providence"), in collaboration with other community organizations and agencies, conducted a community health needs assessment ("assessment") for Mobile County. This needs assessment is for Mobile County, Alabama, the county of residence for approximately 83 percent of Providence inpatients. Input from the community included persons with a broad knowledge of the community, health and human services providers, stakeholders and representatives of the public. Special attention was given to obtaining input from the medically underserved and vulnerable populations. Key informants included individuals with public health expertise, state and local officials, community leaders and healthcare consumers. Quantitative data were obtained from county, state, and national sources in order to develop a social, economic, and health assessment of Mobile County. The indicators included public health surveillance data, such as deaths and births. Sixty-six health indicators for Mobile County were compared and contrasted to those for the state and surrounding counties. In addition, local data were compared to previous years' data from Mobile County, highlighting improvements and statistical trends. To identify the issues of greatest priority for the community, the indicator results were evaluated using the County Health Rankings Model created by the University of Wisconsin Population Health Institute and the Robert Wood Johnson Foundation. The model emphasizes factors that, when improved, can help improve the overall health of a community. This model has three major components: Health Outcomes, Health Factors, Programs and Policies. Of the 66 health status indicators, Mobile County was worse than the state average on 44 indicators. Prioritization of the community health issues was a multi-step process that included: Review and discussion of all of the top health concerns and associated indicator data. Identification and discussion of consequences of not addressing the issue. Consideration of key criteria for impacting change. Through the assessment process described in further detail in this report, the top priority health issues identified for Mobile County are: Access to Care Weight Mental Health and Substance Abuse

Schedule H, Part V, Section B, Line 11 Facility , 1

Facility , 1 - Providence Hospital. THE PROVIDENCE HOSPITAL FY2015-2016 IMPLEMENTATION STRATEGY SPECIFICALLY ADDRESSES THE FOLLOWING THREE SYSTEM WIDE HEALTH IMPROVEMENT PRIORITIES: From the most recent CHNA (2015-2016), the top issues considered to be of greatest need in the community were as follows: 1. Access to Care 2. Weight 3. Mental Health/Substance Abuse. USING THE CHNA COMPLETED IN FISCAL YEAR 2012, THE HOSPITAL DEVELOPED AN IMPLEMENTATION STRATEGY TO ADDRESS PRIORITY COMMUNITY HEALTH NEEDS. THESE STRATEGIES INCLUDE: Strategies adopted to address the needs outlined in the previous CHNA (2012) included the establishment of a community garden; the development of a disease management program for indigent, diabetic clients; the development of the CARE program to assist individuals with accessing and enrolling in healthcare coverage; support for cardiac health education services; and increased support and education related to mental illness. Harvests from the Garden have been given to the Penelope House, which provides services for victims of domestic violence. Staff from the Diabetes Center have given 2 lectures at annual programs and packed and distributed 400 boxes of food to low income communities. Financial Counselors worked with 189 referrals from the CARE line with enrollment in medication assistance, Medicaid applications, insurance coverage and community resources. This ministry has also offered community wide tobacco cessation and preventions programs at a reduced rate and offered congestive heart failure education to community members. Social workers and ED managers have been sent to a train the trainer course regarding the mentally ill. NEEDS THAT WILL NOT BE ADDRESSED: The hospital will be addressing all needs that were identified.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Guadalupe Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3810 Wulff Road E	AddressLine1Txt
City	Semmes	CityNm
State Abbreviation	AL	StateAbbreviationCd
ZIP	365755256	ZIPCd

Field	Value	IRS element (for citing)
Facility	Medical Clinic	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a Community Benefit Report	This report illustrates the significant degree to which Providence Hospital contributes to the positive health status of the people and communities it serves. As a member of Ascension Health, the nation's largest Catholic healthcare system, Providence Hospital continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. The goal of Providence Hospital is to perpetuate the healing mission of the Church. Providence Hospital advances this goal through the delivery of patient services, care to the elderly and indigent, patient education and health awareness programs for the community, and medical research. Our concern for all human life and the dignity of each person leads the organization to provide medical and social services to all people in the community without regard to the patient's race, creed, national origin, economic status, or ability to pay. Providence Hospital has engaged in many activities to ensure that our mission is accomplished some of which are highlighted in this report. Unreimbursed Services Provided to the Elderly and the Poor: Providence Hospital provides a large portion of its services to the elderly and poor. During the fiscal year ending June 30, 2015, approximately 52% of admissions were elderly patients enrolled in the Medicare program, and approximately $10.8 million in services were provided to persons who were poor or vulnerable under state, county, or Providence Hospital guidelines. In the spirit of principles adopted by Ascension Health, Providence Hospital has taken proactive steps to address those issues that will affect accessibility, the financing and the delivery of healthcare to all persons, especially the uninsured, underinsured, and the under served. Patient Services: During the fiscal year ending June 30, 2015, Providence Hospital treated 15,503 inpatient adults and children in the community for a total of 777,555 patient days of service. Our health ministry also provided services for 146,244 outpatient visits, including 10,202 outpatient surgery visits, and 51,448 emergency department visits. For over 160 years the Daughters of Charity and Providence Hospital have cared for the medically needy in Mobile and the surrounding area. Over time, the needs of our community and the way we meet those needs have changed, but our compassion for those in need has never wavered. We remain committed to sharing our mission, our vision, our values and our gifts with our community. As caregivers we see the devastating impact acute and chronic illnesses have on our patients, our family members and our community. Coordinating and participating in local and national fundraisers is one of the ways we contribute towards research and financial assistance for those suffering from these illnesses. In the past year Providence has supported the ALS "Ice Bucket Challenge, the Kidney Foundation Walk, the American Cancer Society Vintage Affair, Colors for a Cause, Ozanam Charitable Pharmacy and others. Our Diabetes Center staff collaborated with Bay Area Food Bank to offer the "Diabesity Conference" to patients and professionals in addition to providing free screenings and education classes on an ongoing basis. They are also offering a "Living Well" series to help community members learn to live with Diabetes. Our Vision: We envision a strong, vibrant Catholic health ministry in the United States which will lead to the transformation of healthcare. We will ensure service that is committed to health and well-being for our communities and that responds to the needs of individuals throughout the life cycle. We will expand the role of laity, in both leadership and sponsorship, to ensure a Catholic health ministry of the future. Our Values: - Service of the Poor: Generosity of spirit, especially for persons most in need - Reverence: Respect and compassion for the dignity and diversity of life - Integrity: Inspiring trust through personal leadership - Wisdom: Integrating excellence and stewardship - Creativity: Courageous innovation - Dedication: Affirming the hope and joy of our ministry Our People & Our Gifts: Providence Hospital, like the Daughters of Charity, is committed to serving the needs of the poor and vulnerable in our community. The Guadalupe Center and the Senior Center continue to serve the needs of low income Hispanics and seniors and we have expanded our outreach program in south Mobile County to include a full-time client navigator who assists residents with both social and health related needs. Staff members from the USDA, Gulf Coast PPO, Franklin Clinic, and a local disability attorney use the office free of charge so that clients in this rural area can better access their services. The Pastoral Care Department collaborated with Goodwill Easter Seals to offer clothes to patients in need through the Sister Mary Louise Clothes Closet. When Providence employees donate to Goodwill, the resulting credit allows the Pastoral Care staff to purchase clothes for the closet. This program also allows the hospital to give vouchers to needy patients and clients who use these vouchers to obtain clothes and household items. Assessment of Community Needs: Providence Hospital is in the process of conducting an assessment of the health needs of our community. Community leaders from the Mobile County Health Department, area hospitals, and local civic and social service organizations were invited to participate in the process as were staff members, participants in local health screenings, and other community residents. As it was in 2013, the information collected will be presented to the Providence Hospital Board for their review and for the development of future goals and implementation strategies. The top five issues considered to be of greatest need in the community were as follows: 1. Good Nutrition/Obesity Prevention 2. Diabetes Education and Support 3. Free/Subsidized Healthcare Services 4. Cardiac Health Education and Support 5. Mental Health Access and Support Strategies adopted to address these needs included the establishment of a community garden; the development of a disease management program for indigent, diabetic clients; the development of the CARE program to assist individuals with accessing and enrolling in healthcare coverage; support for cardiac health education services; and increased support and education related to mental illness. We believe that healing is ultimately the work of God and that our involvement in health care is a participation in the healing ministry of Christ, a mission that we share with all those who assist in this work.
Schedule H, Part II community building activities	To enhance our mission to service the poor and vulnerable, Providence Hospital established an Outreach Services department in 1999. Since its inception, the department has provided services to the poor and uninsured in our area including diabetes education and medically related advocacy services. Providence Outreach team members collaborate with many local agencies to provide care to the residents of our community. This collaboration has increased awareness of our mission to serve the poor and vulnerable and also led to the development of programs that include the provision of free cataract surgery to a select number of Vocational Rehabilitation clients. Providence also works with our medical staff and a local medical mission, Bayside Medical Mission, to provide life-changing surgeries for children and young adults with deformities. Members of our Outreach team in south Mobile County and the Guadalupe Center work with Osman Charitable Pharmacy to identify and qualify low income individuals for assistance with prescription medications and the Diabetes Center collaborates with Victory Clinic to educate their working, uninsured clients regarding diabetes. Outcome measures used to monitor the program have shown consistent improvement in the Victory clients' A1C, a blood test commonly used to measure blood glucose levels. Recognizing that cancer impacts every facet of life, Providence has developed several programs to support cancer patients both physically and emotionally. Annually, Providence Hospital partners with the Telephone Pioneers to offer Camp Bluebird, a supportive camp for community members who have been diagnosed with cancer. The hospital also has a patient navigator program for our patients with breast cancer. The navigator coordinates the "Breast Friends" support group; helps patients locate resources to assist with the financially-draining aspects of the disease, and collaborates with community groups to hold fundraisers for patients and offer educational programs for patients and their caregivers.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COST OF PROVIDING CHARITY CARE, MEANS TESTED GOVERNMENT PROGRAMS, AND COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES. THE ORGANIZATION USES A COSTING 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 WERE CALCULATED AND APPLIED.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	BAD DEBT ACCOUNTS ARE THOSE ACCOUNTS DETERMINED TO BE DELINQUENT AFTER ALL COLLECTION PROCEDURES HAVE BEEN CONCLUDED WITHOUT PAYMENT OR RESPONSE FROM THE GUARANTOR, THE ACCOUNTS ARE TRANSFERRED TO A COLLECTION AGENCY OR ATTORNEY FOR FURTHER COLLECTION PROCEDURES. EXAMPLES OF BAD DEBT ACCOUNTS: - NON-POOR UNINSURED NOT PAYING BILL - NON-POOR INSURED NOT PAYING COPAY OR DEDUCTIBLE - DEBTORS WITH THE ABILITY TO PAY, BUT ARE UNWILLING TO DO SO
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 IS A PERCENTAGE OF BAD DEBT GIVEN BY THE BUSINESS OFFICER OF PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE (WHICH INCLUDES THE ACTIVITY OF PROVIDENCE HOSPITAL): 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. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE SYSTEM. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE SYSTEM'S POLICIES. THE METHODOLOGY FOR DETERMINING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED WRITE-OFFS ON UNINSURED PATIENT ACCOUNTS HAS REMAINED CONSISTENT WITH THE PRIOR YEAR.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	ASCENSION HEALTH AND 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	THE ORGANIZATION HAS A WRITTEN DEBT COLLECTION POLICY THAT ALSO INCLUDES A PROVISION ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE CERTAIN COLLECTION PRACTICES DO NOT APPLY.
Schedule H, Part V, Section B, Line 16a FAP website	- PROVIDENCE HOSPITAL: Line 16a URL: https://www.providencehospital.org/financial-assistance-policy-2/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- PROVIDENCE HOSPITAL: Line 16b URL: https://www.providencehospital.org/patient-information/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- PROVIDENCE HOSPITAL: Line 16c URL: https://www.providencehospital.org/financial-assistance-summary/;
Schedule H, Part VI, Line 2 Needs assessment	AN INTERNAL HOSPITAL COMMITTEE COMPRISING OF ASSOCIATES FROM OUTREACH SERVICES, PLANNING AND MARKETING, CASE MANAGEMENT, AND MISSION SERVICES COLLABORATED WITH THE ALABAMA QUALITY ASSURANCE FOUNDATION TO CONDUCT A COMMUNITY NEEDS ASSESSMENT. THE PROCESS BEGAN IN 2015 AND WITH REVIEW, INPUT AND APPROVAL BY THE HOSPITAL BOARD IN MAY 2016. LEADERS FROM LOCAL COMMUNITY AGENCIES WERE INTERVIEWED AND ASKED TO IDENTIFY THE TOP FIVE ISSUES IN OUR COMMUNITY. THE RANKINGS ILLUSTRATED BOTH THE GROUPS PERCEIVED LEVEL OF IMPORTANCE OF EACH ITEM AND THE FREQUENCY AT WHICH EACH ATTENDEE THOUGHT A TOPIC WARRANTED OUTREACH EFFORTS. THE TOP ISSUES CONSIDERED TO BE OF GREATEST NEED IN THE COMMUNTITY WERE AS FOLLOWS: ACCESS TO CARE WEIGHT MENTAL HEALTH/SUBSTANCE ABUSE IMPLEMENTATION STRATEGIES TO ADDRESS THESE NEEDS WERE APPROVED BY THE BOARD IN MAY 2016. PROVIDENCE HOSPITAL WILL COLLABORATE WITH COMMUNITY PARTNERS TO BUILD SUPPORT FOR THESE STRATEGIES AND IMPLEMENTATION PLANS WITHIN THE COMMUNITY AND AMONG OTHER HEALTH CARE PROVIDERS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	PATIENTS OR PERSONS WHO MAY BE BILLED FOR PATIENT CARE ARE INFORMED AND EDUCATED ABOUT THEIR POTENTIAL ELIGIBILITY FOR FEDERAL STATE LOCAL OR HOSPITAL ASSISTANCE IN THE FOLLOWING MANNER: - AN EXPLANATION OF THE HOSPITAL'S BILLING PROCESS AND CONTACT INFORMATION FOR FINANCIAL COUNSELORS IS POSTED ON THE HOSPITAL'S WEB SITE AND IN ALL INPATIENT AND OUTPATIENT REGISTRATION AREAS. A SUMMARY OF THE HOSPITAL'S BILLING AND PAYMENT PHILOSOPHY IS INCLUDED IN EVERY PATIENT'S REGISTRATION PACKET. THE INFORMATION IS PROVIDED IN ENGLISH AND SPANISH AND INTERPRETER SERVICES FOR OTHER LANGUAGES ARE AVAILABLE AS NEEDED. - FINANCIAL COUNSELORS VISIT EVERY UNINSURED PATIENT ON THE DAY AFTER THEIR ADMISSION TO EXPLAIN AVAILABLE RESOURCES AND WHEN APPROPRIATE, INITIATE THE APPLICATION PROCESS FOR ASSISTANCE. FINANCIAL COUNSELORS HAVE COMPLETED SPECIFIC TRAINING FOR MEDICAID, CHIPS, SOBRA, AND ALL-KIDS AND WILL RECEIVE ADDITIONAL TRAINING AS THE NEED IS IDENTIFIED. IF THE FINANCIAL COUNSELORS IDENTIFY ADDITIONAL FINANCIAL OR SOCIAL NEEDS THEY WILL REFER THE PATIENT TO A HOSPITAL SOCIAL WORKER. - A LISTING OF COMMUNITY RESOURCES IS INCLUDED IN EACH PATIENT'S DISCHARGE MATERIALS. - WITHIN 24 HOURS OF ADMISSION THE CASE MANAGEMENT DEPARTMENT CONDUCTS A SCREENING FOR POTENTIAL DISCHARGE NEEDS ON EVERY PATIENT. THOSE PATIENTS IDENTIFIED AS NEEDING ASSISTANCE WITH THEIR HOSPITAL BILL OR APPLYING FOR STATE AND FEDERAL ASSISTANCE ARE REFERRED TO THE FINANCIAL COUNSELORS BY THE HOSPITAL SOCIAL WORKERS.
Schedule H, Part VI, Line 4 Community information	MOBILE COUNTY IS LOCATED ON THE ALABAMA GULF COAST AND BORDERED BY MISSISSIPPI TO THE WEST AND FLORIDA TO THE EAST. ECONOMIC GROWTH, MILD CLIMATE AND COASTAL APPEAL ENTICE RESIDENTS TO LIVE IN THIS COMMUNITY. IN SUMMER 2013, CONSTRUCTION BEGAN ON A $350 MILLION JETLINER ASSEMBLY PLANT WHICH WILL BRING THOUSANDS OF JOBS TO THE AREA. THE LAND AREA OF THE COUNTY IS 1,233.09 (75%) SQUARE MILES WITH 410.93 (25%) SQUARE MILES OF WATER. ACCORDING TO THE US CENSUS 2010 RESULTS THE POPULATION OF MOBILE COUNTY IS APPROXIMATELY 412,992 PEOPLE FROM 2000 TO 2010, THE MOBILE COUNTY POPULATION GROWTH PERCENTAGE WAS 3.3%. THE COUNTY SHOWS A SLIGHTLY HIGHER PERCENTAGE OF WOMEN AS OPPOSED TO MEN; THIS IS CONSISTENT WITH STATE AND NATIONAL DATA. THE PERCENTAGE OF PERSONS 65 YEAR AND OLDER IS 13.0%, SLIGHTLY LOWER THAN THE STATE'S 14%. THE DOMINANT LANGUAGE IS ENGLISH, WITH 4.8% SPEAKING ANOTHER LANGUAGE IN THE HOME. IN MOBILE, THERE ARE 35,538 VETERANS THE COMMUNITY. THE, POPULATION OF COUNTY IS 60.8% WHITE, 34.9% BLACK, AND 2.9% OTHER WITH 1.4% REPORTING TWO OR MORE RACES. PROVIDENCE HOSPITAL COMMUNITY IS DEFINED BY THE ZIP CODE OF 75% OF THE HOSPITAL'S DISCHARGES AND INCLUDES THE FOLLOWING: 36522 36575 36606 36618 36541 36582 36608 36619 36544 36587 36609 36693 36571 36605 36613 36695 39452.
Schedule H, Part VI, Line 5 Promotion of community health	PROVIDENCE HOSPITAL IS LOCATED AT 6801 AIRPORT BLVD MOBILE, AL 36608. SINCE ITS FOUNDING IN 1854 PROVIDENCE HAS BEEN,HOSPITAL SERVING, CARING FOR AND HEALING THE PEOPLE OF MOBILE COUNTY AND SURROUNDING AREAS. SPONSORED BY ASCENSION HEALTH THE NATION'S LARGEST CATHOLIC NOT FOR PROFIT HEALTHCARE SYSTEM, THE HOSPITAL'S MISSION IS TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO SOUTH ALABAMA AND SOUTHEAST MISSISSIPPI, WITH A SPECIAL CONCERN FOR PERSONS WHO ARE POOR AND VULNERABLE. THE HOSPITAL'S 500-PLUS MEMBER MEDICAL STAFF INCLUDES REPRESENTATIVES FROM EVERY MAJOR MEDICAL SPECIALTY.
Schedule H, Part VI, Line 6 Affiliated health care system	PROVIDENCE HOSPITAL IS A MEMBER OF ASCENSION HEALTH ALLIANCE ("THE 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. ASCENSION HEALTH ALLIANCE SERVES AS THE MEMBER OR SHAREHOLDER OF VARIOUS SUBSIDIARIES. ASCENSION HEALTH ALLIANCE 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 HOSPITAL, LOCATED IN MOBILE ALABAMA IS A NONPROFIT ACUTE CARE HOSPITAL. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR THE RESIDENTS OF MOBILE. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. THE HOSPITAL IS RELATED TO ASCENSION HEALTH'S OTHER SPONSORED ORGANIZATIONS THROUGH COMMON CONTROL. THE ENTITIES COMPRISING THE HEALTH MINISTRY ARE UNDER COMMON MANAGEMENT AND CONTROL BY ASCENSION HEALTH AND SERVE THE SAME COMMUNITY. THE COMBINED FINANCIAL STATEMENTS INCLUDE THE ACCOUNTS OF THE HOSPITAL, PROVIDENCE AND PROVIDENCE'S MEMBER ENTITIES. ALL SIGNIFICANT INTERCOMPANY ACCOUNTS HAVE BEEN ELIMINATED. MEMBER ENTITIES OF PROVIDENCE INCLUDE: - PROVIDENCE FOUNDATION OF MOBILE (THE FOUNDATION) - ESTABLISHED TO RECEIVE MAINTAIN AND ADMINISTER FUNDS TO BE USED FOR THE DEVELOPMENT AND EXPANSION OF THE HOSPITAL OR ITS RELATED ORGANIZATIONS AND TO SUPPORT THE CORPORATE PURPOSES OF ASCENSION HEALTH. THE FOUNDATION IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. - PROVIDENCE BUILDING CORPORATION OF MOBILE - ESTABLISHED TO HOLD TITLE TO PROPERTY AND TO COLLECT INCOME THEREFROM AND TO SUPPORT THE CORPORATE PURPOSES OF ASCENSION HEALTH. PROVIDENCE BUILDING CORPORATION OF MOBILE IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(2) OF THE INTERNAL REVENUE CODE. - PROVIDENCE HEALTHCARE SERVICES OF MOBILE - ESTABLISHED TO OPERATE AND SUPPORT HEALTHCARE INSTITUTIONS WHICH ARE SPONSORED BY OR AFFILIATED WITH ASCENSION HEALTH. PROVIDENCE HEALTHCARE SERVICES OF MOBILE IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. - PROVIDENCE PARK, INC. - ESTABLISHED TO MAINTAIN AND DEVELOP PROPERTY ADJACENT TO THE HOSPITAL FOR PURPOSES OF ASCENSION HEALTH. PROVIDENCE PARK INC. IS TAXABLE UNDER THE INTERNAL REVENUE CODE. - SETON MEDICAL MANAGEMENT - ESTABLISHED TO OWN AND OPERATE PHYSICIAN PRACTICES. SETON MEDICAL MANAGEMENT IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. - ANESTHESIA SOLUTIONS - ESTABLISHED TO PROVIDE ANESTHESIA SERVICES FOR THE HOSPITAL ANESTHESIA SOLUTIONS IS A TAXABLE ORGANIZATION THE INTERNAL REVENUE CODE. - ALABAMA PROVIDENCE HEALTHCARE SERVICES HAS BEEN FORMED TO EMPLOY PHYSICIANS, MID-LEVEL PROVIDERS, AND PHYSICIAN PRACTICE STAFF AND TO COORDINATE THE PROVISION OF INPATIENT AND OUTPATIENT PHYSICIAN AND RELATED MEDICAL CARE FOR THE PATIENTS AND COMMUNITY MEMBERS SERVED BY ORGANIZATIONS AFFILIATED WITH PROVIDENCE HEALTH SYSTEM IN ALABAMA. THE ENTITY'S APPLICATION FOR TAX-EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE IS PENDING. - MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES HAS BEEN FORMED TO EMPLOY pHYSICIANS, MID-LEVEL PROVIDERS, AND PHYSICIAN PRACTICE STAFF AND TO COORDINATE THE PROVISION OF INPATIENT AND OUTPATIENT PHYSICIAN AND RELATED MEDICAL CARE FOR THE PATIENTS AND COMMUNITY MEMBERS SERVED BY ORGANIZATIONS AFFILIATED WITH PROVIDENCE HEALTH SYSTEM IN MISSISSIPPI. MISSION 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 ROGRAMS. 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)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
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 (12 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
CLARK P CHRISTIANSON
PRESIDENT & CEO (ENDED 9/4/15)	$282,388	$0	$643,906	$0	$1,264,421	$0	$23,225	$0	$26,686	$0	$2,240,625	$0	$0	$0
C SUSAN CORNEJO
CFO	$99,750	$399,001	$37,126	$148,503	$12,096	$48,384	$3,644	$14,575	$6,055	$24,222	$158,671	$634,685	$0	$0
TODD STEVEN KENNEDY
PRESIDENT	$396,300	$0	$22,011	$0	$977	$0	$15,900	$0	$18,993	$0	$454,181	$0	$0	$0
ROBERT W ISRAEL MD
BOARD MEMBER	$0	$371,282	$0	$106,012	$0	$2,582	$0	$17,225	$0	$14,808	$0	$511,909	$0	$0
WILLIAM M LIGHTFOOT MD
VP MEDICAL STAFF	$148,469	$367,944	$5,699	$14,124	$5,655	$14,014	$6,973	$9,510	$9,166	$22,717	$175,962	$428,309	$0	$0
PETER JOSEPH LINDQUIST
CHIEF NURSING OFFICER	$203,304	$0	$47,000	$0	$13,964	$0	$8,165	$0	$12,718	$0	$285,151	$0	$0	$0
JOHN E STONE JR MD
VP MEDICAL INFORMATICS	$204,554	$0	$31,212	$0	$21,295	$0	$29,982	$0	$14,871	$0	$301,915	$0	$0	$0
DANIEL C HARRISON MD
PHYSICIAN	$393,017	$0	$22,011	$0	$1,811	$0	$13,250	$0	$22,214	$0	$452,302	$0	$0	$0
PRESTON T SPEAKMAN MD
PHYSICIAN	$396,300	$0	$22,011	$0	$977	$0	$12,050	$0	$18,993	$0	$450,331	$0	$0	$0
JAMES J STEINHAUER MD
PHYSICIAN	$390,920	$0	$22,011	$0	$3,696	$0	$13,250	$0	$17,298	$0	$447,174	$0	$0	$0
ASTON G ARCHIBALD MD
PHYSICIAN	$392,313	$0	$22,011	$0	$1,811	$0	$13,250	$0	$22,956	$0	$452,341	$0	$0	$0
DAVID C BRASWELL MD
PHYSICIAN	$405,921	$0	$22,011	$0	$1,013	$0	$13,250	$0	$24,755	$0	$466,950	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Travel for companions	AN OFFICER RECEIVE PAYMENTS FOR TRAVEL FOR COMPANIONS. IRS TAX REQUIREMENTS (WHERE APPLICABLE) WERE FOLLOWED.
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 CEO: - 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: Clark P. Christianson - $120,791
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 DISTRIBUTIONS FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WERE MADE IN THE CURRENT YEAR.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICAL	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 HOSPITALS IN THE AREA THAT 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 COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 4 Significant changes to organizational documents	Effective 07/01/2015, the sole corporate member of Providence Hospital changed from Ascension Health to Gulf Coast Health System.
Form 990, Part VI, Line 6 Classes of members or stockholders	PROVIDENCE HOSPITAL HAS A SINGLE CORPORATE MEMBER, Gulf Coast Health System.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	PROVIDENCE HOSPITAL HAS A SINGLE CORPORATE MEMBER, Gulf Coast Health System, 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.
Form 990, Part VI, Line 11b Review of form 990 by governing body	MANAGEMENT, INCLUDING CERTAIN OFFICERS WORKS DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES IN A THOROUGH MANNER. PRIOR TO FILING THE RETURN ALL BOARD MEMBERS ARE PROVIDED THE FORM 990 AND MANAGEMENT TEAM MEMBERS ARE AVAILABLE TO ANSWER ANY BOARD MEMBERS QUESTIONS.
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 MEETING 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 15b Process to establish compensation of other employees	THE BOARD OF DIRECTORS SHALL EXERCISE ALL POWER OF THE CORPORATION NOT OTHERWISE RESERVED TO ASCENSION HEALTH OR TO THE SPONSORS. Todd Kennedy IS AN EX-OFFICIO MEMBER OF THE BOARD WITH VOTING PRIVILEGES. HE SERVES ON ALL BOARDS WITHIN THE HEALTH MINISTRY AND IS PRESIDENT AND CEO OF PROVIDENCE HOSPITAL. IN DETERMINING COMPENSATION OF THE OTHER OFFICERS OF THE ORGANIZATION, THE PROCESS PERFORMED BY GULF COAST HEALTH SYSTEM, A RELATED ORGANIZATION OF ALABAMA PROVIDENCE HEALTHCARE SERVICES, 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 OFFICERS OF THE ORGANIZATION 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 COMMITTEE MINUTES.
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	Transfer to/from Affiliates - -48426576; Deferred Pension - -11315382;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 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	63145	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
GULF COAST HEALTH SYSTEM
6801 AIRPORT BLVD	MOBILE	AL	36608	630934712	SUPPORT PROVIDENCE HOSPITAL	AL	501(c)(3	Type III-FI	ASCENSION HEALTH	false
PROVIDENCE FOUNDATION
6801 AIRPORT BLVD	MOBILE	AL	36608	630915493	SUPPORT PROVIDENCE HOSPITAL	AL	501(c)(3	7	GULF COAST HEALTH SYSTEM	Yes (true)
SETON MEDICAL MANAGEMENT
6801 AIRPORT BLVD	MOBILE	AL	36608	630937704	SUPPORT PROVIDENCE HOSPITAL	AL	501(c)(3	Type II	GULF COAST HEALTH SYSTEM	Yes (true)
PROVIDENCE BUILDING CORPORATION
6801 AIRPORT BLVD	MOBILE	AL	36608	630914564	SUPPORT PROVIDENCE HOSPITAL	AL	501(c)(2		GULF COAST HEALTH SYSTEM	Yes (true)
SACRED HEART HEALTH SYSTEM INC
5151 N 9TH AVENUE	PENSACOLA	FL	32504	590634434	HOSPITAL - HEALTHCARE	FL	501(c)(3	3	GULF COAST HEALTH SYSTEM	Yes (true)
HAVEN OF OUR LADY OF PEACE INC
5151 N 9TH AVENUE	PENSACOLA	FL	32504	593620346	NURSING HOME	FL	501(c)(3	9	SACRED HEART HEALTH SYSTEM	Yes (true)
SACRED HEART HEALTH VENTURES INC
5151 N 9TH AVENUE	PENSACOLA	FL	32504	571183283	INVESTMENT	FL	501(c)(3	Type I	SACRED HEART HEALTH SYSTEM	Yes (true)
SACRED HEART FOUNDATION INC
5151 N 9TH AVENUE	PENSACOLA	FL	32504	592436597	FOUNDATION	FL	501(c)(3	7	SACRED HEART HEALTH SYSTEM	Yes (true)
ALABAMA PROVIDENCE HEALTHCARE SERVICES
6801 AIRPORT BLVD	MOBILE	AL	36608	462847744	SUPPORT PROVIDENCE HOSPITAL	AL	501(c)(3	Type III-FI	GULF COAST HEALTH SYSTEM	Yes (true)
PROVIDENCE HEALTHCARE SERVICES
6801 AIRPORT BLVD	MOBILE	AL	36608	630937705	SUPPORT PROVIDENCE HOSPITAL	AL	501(c)(3	Type III-FI	GULF COAST HEALTH SYSTEM	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
INTERVENTIONAL REHABILITATION CENTER LLC
1549 AIRPORT BOULEVARD STE 420	PENSACOLA	FL	32503	593673361	MEDICAL SERVICES	FL	NA	N/A
PET LLC
5149 NORTH 9TH AVENUE SUITE 124	PENSACOLA	FL	32504	593788701	MEDICAL SERVICES	FL	NA	N/A
ENDOSCOPY GROUP LLC
4810 NORTH DAVIS HIGHWAY	PENSACOLA	FL	32503	593519881	MEDICAL SERVICES	FL	NA	N/A
SOUTH COAST REAL ESTATE VENTURE LLC
5907 HIGHWAY 90	MOSS POINT	MS	39563	455599047	OWN REAL ESTATE FOR A PHYSICIAN OFFICE BUILDING	MS	NA	N/A
EMERALD COAST RADIATION ONCOLOGY CENTER LLC
5151 NORTH 9TH AVENUE	PENSACOLA	FL	32504	680507481	DORMANT	FL	Na	Related
GULF REGION RADIATION ONCOLOGY MSO LLC
5147 N 9TH AVE	PENSACOLA	FL	32504	261353083	Medical Mngt Services	FL	Na	Related

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
PROVIDENCE PARK
PO BOX 850429	MOBILE	AL	36685	630886846	REAL ESTATE	AL	NA	C Corporation	Yes (true)
MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC
6801 AIRPORT BLVD	MOBILE	AL	36608	461130426	HEALTHCARE SERVICES	MS	NA	C Corporation	Yes (true)
GULF COAST DIVERSIFIED INC
5154 NORTH 9TH AVENUE	PENSACOLA	FL	32507	592432798	INVESTMENT	FL	NA	C Corporation	Yes (true)
ANESTHESIA SOLUTIONS OF MOBILE INC
6701 AIRPORT BLVD SUITE D-430B	MOBILE	AL	36608	820547505	ANESTHESIA SERVICES	AL	NA	C Corporation	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	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	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Providence Building Corp
K	$659,396	FMV
Alabama Providence Healthcare Services
Q	$969,681	FMV
Seton Medical Management
Q	$283,103	FMV
Providence Foundation
C	$284,477	FMV
Providence Healthcare Services
R	$653,603	FMV