PROVIDENCE MEDICAL CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: PROVIDENCE MEDICAL CENTER INC (EIN 48-0784446)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-15
IRS object ID: 201113199349304196
Schema version: 2010v3.4
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 I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-15T11:35:34-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	190 CARONDELET PLAZA SUITE 1300	AddressLine1
City	CLAYTON	City
State	MO	State
ZIP Code	63105	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	480784446	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	PROV	NameControl
Phone	9135964000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8929 PARALLEL PARKWAY	AddressLine1
City	KANSAS CITY	City
State	KS	State
ZIP Code	66112	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	RANDALL G NYP	Name
Title	PRESIDENT & CEO	Title
Date Signed	2011-11-11	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3142901000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Mike Dorsey	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	8929 Parallel Parkway	AddressLine1
City	Kansas City	City
State	KS	State
ZIP Code	66112	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	171127901	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.PROVIDENCE-HEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1971	YearFormation
State Legal Domicile	KS	StateLegalDomicile
Activity Or Mission Description	WE WILL, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	1407	TotalNbrEmployees
Total Nbr Volunteers	126	TotalNbrVolunteers
Total Gross UBI	3580496	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	582684	ContributionsGrantsPriorYear
Contributions Grants Current Year	51888	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	142598776	ProgramServiceRevenuePriorYear
Program Service Revenue CY	170581397	ProgramServiceRevenueCY
Investment Income Prior Year	466248	InvestmentIncomePriorYear
Investment Income Current Year	353361	InvestmentIncomeCurrentYear
Other Revenue Prior Year	90166	OtherRevenuePriorYear
Other Revenue Current Year	106531	OtherRevenueCurrentYear
Total Revenue Prior Year	143737874	TotalRevenuePriorYear
Total Revenue Current Year	171093177	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	77275	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	72890930	SalariesEtcPriorYear
Salaries Etc Current Year	72986199	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	76059538	OtherExpensePriorYear
Other Expenses Current Year	114825435	OtherExpensesCurrentYear
Total Expenses Prior Year	148950468	TotalExpensesPriorYear
Total Expenses Current Year	187888909	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-5212594	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-16795732	RevenuesLessExpensesCY
Total Assets BOY	104109078	TotalAssetsBOY
Total Assets EOY	72255991	TotalAssetsEOY
Total Liabilities BOY	45384568	TotalLiabilitiesBOY
Total Liabilities EOY	31810360	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	58724510	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	40445631	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	WE WILL, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	160341768	Expense
Revenue	170687928	Revenue
Description	AS PART OF THE HEALING MISSION OF THE CATHOLIC CHURCH, THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AND ITS AFFILIATES WITNESS TO THE GOSPEL OF JESUS BY STRIVING TO PROVIDE QUALITY HEALTH CARE IN A SPIRIT OF JUSTICE AND CHARITY. 1. IT IS THE PHILOSOPHY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AND AFFILIATED HOSPITALS TO TREAT PATIENTS IN A NON-DISCRIMINATORY MANNER, MINIMIZE HUMAN SUFFERING AS MUCH POSSIBLE; CREATE A PREFERENTIAL OPTION FOR THE POOR; AND PROVIDE ASSISTANCE TO THOSE PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. THE HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAM AND AS SUCH PROVIDES CARE AT REIMBURSEMENT LEVELS LOWER THAN CHARGES. THE DIFFERENCE BETWEEN REIMBURSEMENT FROM THESE PROGRAMS AND CHARGES AT ESTABLISHED RATES AMOUNTED TO $164,162,403. 2. INCLUDED IN THE HOSPITAL MISSION IS SERVICE TO COMMUNITY WHICH IT OPERATES. TO THAT END, THE HOSPITAL HAS INSTITUTED AND PARTICIPATES IN THE FOLLOWING COMMUNITY BENEFIT ACTIVITIES: PROVIDES LABORATORY, RADIOLOGICAL, AND PHARMACEUTICAL SERVICE AT DUCHESNE CLINIC. DUCHESNE CLINIC IS A CLINIC FOR THE CARE OF THE MEDICALLY INDIGENT. COMMUNITY HEALTH SERVICES PROVIDED AT MINIMAL OR NO CHARGE: CHOLESTEROL SCREENING BLOOD SUGAR SCREENING SIBLING PREPARATION LAMAZE CHILDBIRTH CLASSES CANCER SUPPORT GROUP STROKE SUPPORT GROUP BREAST FEEDING SUPPORT HEARING SCREENING CESAREAN BIRTH CLASSES FREEDOM FROM SMOKING COLORECTAL SCREENING NUTRITIONAL COUNSELING HOSPITAL CARE: INPATIENT DAYS OF CARE 37,034 INPATIENT ADMISSIONS 8,173 NEWBORN DELIVERIES 1,010 OUPATIENT REGISTRATIONS 33,430 EMERGENCY ROOM VISITS 34,224 CLINIC VISITS 51,160	Description
Total Program Service Expense	160341768	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	false	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	136	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1407	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	true	LocalChapters
Policies Reference Chapters	true	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DAVID DULNY	NamePerson
Telephone Number	9135964835	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	8929 PARALLEL PARKWAY	AddressLine1
City	KANSAS CITY	City
State	KS	State
ZIP Code	66112	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
MICHAEL A DORSEY
PRESIDENT/CEO/ASST SECRETARY	28.5	X	X	0	428871	41097
IRENE CAUDILLO
BOARD MEMBER	0.0	X		0	0	0
SISTER MARY RACHEL FLYNN
BOARD MEMBER	0.0	X		0	0	0
PETER CRISTIANO MD
BOARD MEMBER	0.0	X		0	0	0
MARY JO GREGORY
BOARD MEMBER	0.0	X		0	0	0
WILLIAM D PETRIE
CHAIRMAN	0.0	X	X	0	0	0
DIANE MARIE STEELE
BOARD MEMBER	0.0	X		0	0	0
ROY L ROBINSON
VICE CHAIRMAN	0.0	X	X	0	0	0
PASTOR RICKY D TURNER
SECRETARY/TREASURER	0.0	X	X	0	0	0
SISTER PAM HINKLE
BOARD MEMBER	0.0	X		0	0	0
BERNICE COGBURN
BOARD MEMBER	0.0	X		0	0	0
DR MICHAEL PARRA MD
BOARD MEMBER	0.0	X		0	0	0
DANIEL CRABTREE
BOARD MEMBER	0.0	X		0	0	0
CLAY PATTERSON
BOARD MEMBER	0.0	X		0	0	0
JOE JEANS
CHIEF FINANCIAL OFFICER	30.0		X	0	191248	31615
JUANITA ROY
EXEC VP & CHIEF OPER OFFICER	30.0			0	313707	34539	X
DR MARIA JAVAID MD
PHYSICIAN	40.0			399365	0	0		X
DR MICHAEL MEURER MD
PHYSICIAN	40.0			383923	0	0		X
DR BARRY SOLOMON MD
CHIEF MEDICAL OFFICER	30.0			0	307525	54966		X
DR JASON WILTSHIRE MD
PHYSICIAN	40.0			274981	0	0		X
DR FRANK SLOVICK MD
PHYSICIAN	40.0			240590	0	0		X
JAMES PAQUETTE
FORMER CEO	0.0			0	768909	97940			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1298859	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2010260	TotalReportableCompFrmRltdOrgs
Total Other Compensation	260157	TotalOtherCompensation
Number Individuals GT100 K	40	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
SISTERS OF CHARITY OF LEAVENWORTH
9801 RENNER BOULEVARD	LENEXA	KS	66219	MANAGEMENT & IT FEES	5001944
MIDWEST CARDIOLOGY ASSOCIATES
8919 PARALLEL PARKWAY	KANSAS CITY	KS	66112	CARDIOLOGY SERVICES	3321040
ANESTHESIA CHARTERED
1715 DEER TRACKS TRAIL	ST LOUIS	MO	63131	ANESTHESIA SVCS	3541283
COVENANT GROUP
14400 COLLEGE BLVD STE 100	OVERLAND PARK	KS	66215	ER PHYSICIANS	966912
SIEMENS
7850 COLLECTIONS DR	CHICAGO	IL	60693	SOFTWARE MGMT	1192915

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	29	NumberOfContractorsGT100K
Related Organizations	51888	RelatedOrganizations
Total Contributions	51888	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
PATIENT REV-NET	621500	165200391	165200391
FOOD SERVICE FROM RELATED PARTIES	722320	626423		626423
CAFETERIA/VENDING	722210	566611			$566,611
PHARMACY SALES	900099	5300			$5,300
RENTAL INCOME	531120	671123			$671,123

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3511549	TotalRevenueColumn
Related Or Exempt Function Income	30384	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2954073	UnrelatedBusinessRevenue
Exclusion	$527,092	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	170581397	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	364624	TotalRevenueColumn
Exclusion	$364,624	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	23461	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	34724	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-11263	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-11263	TotalRevenueColumn
Exclusion	-$11,263	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MEDICAL STAFF REVENUE	Description
Business Code	541900	BusinessCode
Total Revenue Column	106531	TotalRevenueColumn
Related Or Exempt Function Income	106531	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	106531	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	171093177	TotalRevenueColumn
Related Or Exempt Function Income	165337306	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3580496	UnrelatedBusinessRevenue
Exclusion	$2,123,487	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	77275	Total
Program Services	77275	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1044089	Total
Management And General	1044089	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	58099171	Total
Program Services	53004039	ProgramServices
Management And General	5095132	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3413885	Total
Program Services	3181367	ProgramServices
Management And General	232518	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6153018	Total
Program Services	5566422	ProgramServices
Management And General	586596	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4276036	Total
Program Services	3898696	ProgramServices
Management And General	377340	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	2746172	Total
Management And General	2746172	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	193547	Total
Management And General	193547	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	17500	Total
Management And General	17500	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	12657	Total
Management And General	12657	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	34469727	Total
Program Services	30482861	ProgramServices
Management And General	3986866	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1157834	Total
Management And General	1157834	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	588002	Total
Program Services	491330	ProgramServices
Management And General	96672	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1264587	Total
Program Services	1000352	ProgramServices
Management And General	264235	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1098789	Total
Program Services	962707	ProgramServices
Management And General	136082	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	163649	Total
Program Services	75371	ProgramServices
Management And General	88278	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	56134	Total
Program Services	50667	ProgramServices
Management And General	5467	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	494655	Total
Management And General	494655	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	8098354	Total
Management And General	8098354	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1352119	Total
Program Services	108503	ProgramServices
Management And General	1243616	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBTS	27595121	27595121
ORTHOPEDIC SUPPLIES	6025103	6025103
OTHER MEDICAL SUPPLIES	7945197	7938636	6561
PHARMACEUTICALS	6363154	6363125	29
OTHER NON-MEDICAL SUPPLIES	2393341	2333852	59489

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	12789793	Total
Program Services	11186341	ProgramServices
Management And General	1603452	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	187888909	Total
Program Services	160341768	ProgramServices
Management And General	27547141	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1733705	BOY
EOY	-27814400	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	20877610	BOY
EOY	30140245	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3641015	BOY
EOY	3746626	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	711604	BOY
EOY	1538764	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	174342391	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	115747060	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	59026872	BOY
EOY	58595331	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	17260941	BOY
EOY	4106136	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	491751	BOY
EOY	823213	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	365580	BOY
EOY	1120076	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	104109078	BOY
EOY	72255991	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	29637100	BOY
EOY	27861301	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	15747468	BOY
EOY	3949059	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	45384568	BOY
EOY	31810360	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	58724510	BOY
EOY	40445631	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	58724510	BOY
EOY	40445631	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	104109078	BOY
EOY	72255991	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-16795732	ReconcilationRevenueExpenses
Reconcilation Other Changes	-1483147	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$12,657	OtherActivitiesAmount
Total Lobbying Expenditures IIB	12657	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	OTHER ACTIVITIES	Identifier
Return Reference	SCHEDULE C, PART II-B, LINE 1I	ReturnReference
Explanation	A PORTION OF PROVIDENCE MEDICAL CENTER'S KANSAS HOSPITAL ASSOCIATION DUES IS RELATED TO LOBBYING ACTIVITIES AND AMOUNTED TO $12,657.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	871512	BeginningOfYearBalance
Contributions	3900	Contributions
Investment Earnings Or Losses	88300	InvestmentEarningsOrLosses
Other Expenditures	37105	OtherExpenditures
End Of Year Balance	926607	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	736128	BeginningOfYearBalance
Contributions	1250	Contributions
Investment Earnings Or Losses	138884	InvestmentEarningsOrLosses
Other Expenditures	4750	OtherExpenditures
End Of Year Balance	871512	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	953198	BeginningOfYearBalance
Contributions	1850	Contributions
Investment Earnings Or Losses	-209520	InvestmentEarningsOrLosses
Grants Or Scholarships	9400	GrantsOrScholarships
End Of Year Balance	736128	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.78950	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.21050	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1572067	OtherCostOrOtherBasis
Book Value	1572067	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	94142564	OtherCostOrOtherBasis
Depreciation	56296998	Depreciation
Book Value	37845566	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	607827	OtherCostOrOtherBasis
Depreciation	218236	Depreciation
Book Value	389591	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	74755853	OtherCostOrOtherBasis
Depreciation	56460879	Depreciation
Book Value	18294974	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3264080	OtherCostOrOtherBasis
Depreciation	2770947	Depreciation
Book Value	493133	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	58595331	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	LONG-TERM NOTES PAYABLE- SCLHS	Description
Amount	$3,949,059	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	3949059	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE D, PART V, LINE 4	Identifier
Return Reference	ENDOWMENT FUNDS	ReturnReference
Explanation	Retained endowment funds are intended to support indigent care, provide nursing scholarships, and to be used for the general support of the hospital at the discretion of the board. Endowment funds are held by Providence/Saint John Foundation.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	17188	PersonsServed
Total Community Benefit Expense	8149498	TotalCommunityBenefitExpense
Net Community Benefit Expense	8149498	NetCommunityBenefitExpense
Percent Of Total Expense	0.05080	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	14923	PersonsServed
Total Community Benefit Expense	23776028	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19611393	DirectOffsettingRevenue
Net Community Benefit Expense	4164635	NetCommunityBenefitExpense
Percent Of Total Expense	0.02600	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	32111	PersonsServed
Total Community Benefit Expense	31925526	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19611393	DirectOffsettingRevenue
Net Community Benefit Expense	12314133	NetCommunityBenefitExpense
Percent Of Total Expense	0.07680	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	23	NumberOfActivitiesOrPrograms
Persons Served	5480	PersonsServed
Total Community Benefit Expense	16086	TotalCommunityBenefitExpense
Direct Offsetting Revenue	520	DirectOffsettingRevenue
Net Community Benefit Expense	15566	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	2443	PersonsServed
Total Community Benefit Expense	19627	TotalCommunityBenefitExpense
Net Community Benefit Expense	19627	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	29	NumberOfActivitiesOrPrograms
Persons Served	7923	PersonsServed
Total Community Benefit Expense	35713	TotalCommunityBenefitExpense
Direct Offsetting Revenue	520	DirectOffsettingRevenue
Net Community Benefit Expense	35193	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	29	NumberOfActivitiesOrPrograms
Persons Served	40034	PersonsServed
Total Community Benefit Expense	31961239	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19611913	DirectOffsettingRevenue
Net Community Benefit Expense	12349326	NetCommunityBenefitExpense
Percent Of Total Expense	0.07700	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$7,908,741	BadDebtExpenseAmount
Amount Reimbursed By Medicare	40315613	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	47623705	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-7308092	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
Kansas City Imaging
Outpatient Imaging Center	0.50000	0.00000	0.50000
HEART OF AMERICA SUR
Outpatient Surgery	0.50000	0.00000	0.50000
Hospital Linen Svcs
Laundry Service Cooperative	0.11000	0.00000	0.00000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Providence Medical Center	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	8929 Parallel Parkway	AddressLine1
City	Kansas City	City
State	KS	State
ZIP Code	66112	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Providence Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	18	NumberOfOtherFacilities

Other Facilities OtherFacilities (18 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
HEART OF AMERICA SURGERY CENTER
8935 STATE AVENUE	KANSAS CITY	KS	66112	OUTPATIENT SURGERY CENTER
OUTPATIENT REHAB CENTER
8919 PARALLEL PARKWAY SUITE 455	KANSAS CITY	KS	66112	OUTPATIENT REHAB SERVICES
PAIN TREATMENT CENTER
8919 PARALLEL PARKWAY SUITE 416	KANSAS CITY	KS	66112	PAIN TREATMENT
WYANDOT MEDICAL OFFICE BUILDING
8919 PARALLEL PARKWAY	KANSAS CITY	KS	66112	MEDICAL OFFICE BUILDING
LIVING WATER CLINIC
8919 PARALLEL PARKWAY SUITE 440	KANSAS CITY	KS	66112	PRIMARY CARE CLINIC
GENERAL SURGERY PRACTICE
8919 PARALLEL PARKWAY SUITE 206	KANSAS CITY	KS	66112	GENERAL SURGERY SERVICES
PROVIDENCE CARDIOTHORACIC
8919 PARALLEL PARKWAY SUITE 455	KANSAS CITY	KS	66112	CARDIOTHORACIC SURGICAL SERVICES
BONNER SPRINGS CLINIC
913 SHEIDLEY	BONNER SPRINGS	KS	66012	PRIMARY CARE CLINIC
OBGYNECOLOGY PRACTICE
8919 PARALLEL PARKWAY SUITE 580	KANSAS CITY	KS	66112	OBGYN SERVICES
ONCOLOGY CLINIC
8919 PARALLEL PARKWAY SUITE 455	KANSAS CITY	KS	66112	HEMATOLOGY, ONCOLOGY CLINIC
TONGANOXIE CLINIC
508 EAST 4TH STREET	TONGANOXIE	KS	66086	PRIMARY CARE CLINIC
MIDTOWN CLINIC
1202 NORTH 38TH STREET	KANSAS CITY	KS	66102	PRIMARY CARE CLINIC
CARDIOLOGY PRACTICE
5701 STATE AVENUE	KANSAS CITY	KS	66102	CARDIOLOGY SERVICES
CARDIOVASCULAR PRACTICE
712 FIRST TERRACE SUITE C	LANSING	KS	66043	CARDIOVASCULAR SERVICES
INTENSIVE DIABETES MANAGEMENT
8919 PARALLEL PARKWAY SUITE 403	KANSAS CITY	KS	66112	DIABETES CLINIC
KANSAS CITY IMAGING CENTER
11011 HASKELL AVENUE	KANSAS CITY	KS	66112	OUTPATIENT IMAGING CENTER
DIABETES PROGRAM
8919 PARALLEL PARKWAY SUITE 560	KANSAS CITY	KS	66112	DIABETES CARE AND EDUCATION
WESTGLEN CLINIC
7255 RENNER ROAD	SHAWNEE	KS	66203	PRIMARY CARE CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
PART I, LINE 3C	N/A PART I, LINE 6A N/A PART I, LINE 7 METHODOLOGY FOR COMPUTING THE COST OF CHARITY AND UNREIMBURSED MEDICAID COST WAS BASED ON THE CATHOLIC HOSPITAL ASSOCIATION GUIDE FOR PLANNING AND REPORTING OF COMMUNITY BENEFITS, APPENDIX D, WORKSHEET 2. THIS METHODOLOGY COMPUTES A COST TO CHARGE RATIO USING TOTAL OPERATING EXPENSES INCLUDING BAD DEBT EXPENSE AND EXCLUDING MEDICAID PROVIDER TAXES. THIS AMOUNT IS REDUCED BY OTHER OPERATING REVENUE TO ARRIVE AT NET EXPENSE. NET EXPENSE AS A PERCENTAGE OF GROSS PATIENT REVENUE IS THE PERCENTAGE USED TO COMPUTE THE COST OF CHARITY AND UNREIMBURSED MEDICAID COST. OTHER BENEFITS (INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS) ARE CALCULATED BASED ON THE ACTUAL COST TO DELIVER THESE SERVICES. FOR DONATIONS OTHER THAN MONETARY (IE STAFF TIME AND IN-KIND DONATIONS), THE COSTS ARE DETERMINED BASED ON FAIR MARKET VALUE OF THE DONATION. THIS INFORMATION IS TRACKED ON CBISA, A SOFTWARE DATABASE EXCLUSIVELY USED TO TRACK COMMUNITY BENEFIT REPORTING. NET COMMUNITY BENEFIT EXPENSE IS CALCULATED AS A PERCENTAGE OF TOTAL EXPENSES EXCLUDING BAD DEBT OF $27,595,121.
PART II	OUR COMMUNITY BUILDING EXPENSES ARE THOSE IDENTIFIED IN OUR COMMUNITY HEALTH ASSESSMENT AS CONTRIBUTING TO THE HEALTH OF THE COMMUNITY, BUT NOT DIRECTLY PROVIDING HEALTH SERVICES.
PART III, LINE 4	THE COSTING METHODOLOGY USED TO CALCULATE THE COST OF GROSS BAD DEBT EXPENSE WAS BASED ON THE COSTING METHODOLOGY IN THE INSTRUCTIONS TO SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES. LINE 11 OF WORKSHEET 2 (RATIO OF PATIENT CARE COST TO CHARGES) WAS MULTIPLIED AGAINST THE GROSS BAD DEBT EXPENSE TO ARRIVE AT THE COST OF BAD DEBT EXPENSE. BAD DEBT EXPENSE REPRESENTS THE UNPAID PORTION OF THE GROSS CHARGES (AT ESTABLISHED RATES) LESS PAYMENTS FROM 3RD PARTY PAYORS AND THE PATIENT AND ANY CONTRACTUAL ADJUSTMENTS. THE HOSPITAL DOES NOT PROVIDE ANY PROMPT PAY DISCOUNTS FOR PAYING THE PATIENT PORTION OF THE BALANCE OF THEIR ACCOUNT WITHIN A SPECIFIED TIMEFRAME. SOME ACCOUNTS WRITTEN OFF TO BAD DEBTS WHICH ARE SENT TO THE HOSPITAL'S COLLECTION AGENCIES ARE SUBSEQUENTLY RECLASSIFIED TO CHARITY. ACCOUNTS THAT ARE CLOSED BY THE COLLECTION AGENCY BASED ON THE AGENCY'S ASSESSMENT OF THE PATIENT AND\OR GUARANTOR'S FINANCIAL POSITION (I.E. UNEMPLOYED, NO ASSETS, ETC.) ARE RECLASSIFIED TO CHARITY EXPENSE ONCE THAT DETERMINATION IS MADE. ACCOUNTS WRITTEN OFF TO BAD DEBT EXPENSE IN CY 2010 AND SUBSEQUENTLY RECLASSIFIED TO CHARITY IN CY 2011 WERE NOT QUANTIFIED AT DECEMBER 31, 2010. THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. WITHIN THE FINANCIAL STATEMENTS OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, BAD DEBT EXPENSE IS INCLUDED WITHIN OPERATING EXPENSES, AT THE VALUE OF UNCOLLECTED AND ESTIMATED UNCOLLECTIBLE CHARGES AFTER CONTRACTUAL ALLOWANCES AND SELF-PAY DISCOUNTS ARE APPLIED.
PART III, LINE 8	THE MEDICARE ALLOWABLE COSTS WERE ARRIVED AT FROM VARIOUS WORKSHEETS C, D AND E OF THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED DECEMBER 31, 2010. THE MEDICARE SHORTFALL INDICATED IN PART III, LINE 7 WAS NOT INCLUDED IN PART I, LINE 7, COMMUNITY BENEFIT.
PART III, LINE 9B	AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WE MAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TO THOSE WHO NEED IT MOST, AND TO ENSURE THAT WE MANAGE OUR RESOURCES SO THAT WE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. PROVIDENCE MEDICAL CENTER NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION, DISCHARGE AND IN COMMUNICATION REGARDING PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED.
NEEDS ASSESSMENT	AS PART OF OUR CORE VALUE OF RESPONSE TO NEED, WE TAKE STEPS TO DETERMINE WHERE THERE IS THE MOST NEED IN ORDER TO PROVIDE THE GREATEST GOOD. PROVIDENCE MEDICAL CENTER HAS REGULARLY PARTICIPATED IN NEEDS ASSESSMENT SURVEYS TO IDENTIFY THE ONGOING AND CHANGING NEEDS OF THE COMMUNITY. THE MOST RECENT SURVEY WAS CONDUCTED IN 2010, AND ONE IS SCHEDULED TO BE COMPLETED BY 2012. THIS ASSESSMENT STUDIES A DEFINED COMMUNITY SERVED BY PROVIDENCE MEDICAL CENTER, AND IS DONE BY PARTNERING WITH LOCAL GOVERNMENT AND SOCIAL AGENCIES; COMBINING EFFORTS WITH OTHER LOCAL HOSPITALS AND HEALTH CARE ORGANIZATIONS; AND CONDUCTING SURVEYS AND ASSESSMENTS WITH THE ASSISTANCE OF OUTSIDE CONSULTANTS. WE ALSO CONTINUOUSLY ASSESS THE NEEDS OF THE COMMUNITY THROUGH CLOSE WORKING RELATIONSHIPS AND PARTNERSHIPS WITH SERVICE AGENCIES IN THE COMMUNITY, AND BY EVALUATING STATE AND COUNTY HEATLH STATISTICS. EVERY YEAR AS A COMPONENT OF THE ANNUAL STRATEGIC PLANNING PROCESS, PROVIDENCE MEDICAL CENTER PARTNERS WITH COMMUNITY ORGANIZATIONS INCLUDING SWOPE PARK HEALTH SERVICES, THE WYANDOTTE COUNTY HEALTH DEPARTMENT, THE WYANDOTTE COUNTY ECONOMIC DEVELOPMENT CORPORATION, THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION AND THE UNITED WAY TO REVIEW STATISTICS REGARDING THE POPULATION AND HEALTH-RELATED TRENDS. THE MOST RECENT SURVEY WAS CONDUCTED IN 2010 AND WILL BE UPDATED AS A PART OF THE 2011 PLANNING PROCESS. IN ADDITION, PROVIDENCE MEDICAL CENTER CONDUCTED A PHYSICIAN NEEDS ASSESSMENT OF WYANDOTTE COUNTY IN 2010 UTILIZING QUANTITATIVE RESEARCH METHODS TO DETERMINE GAPS IN PHYSICIAN SPECIALTY COVERAGE IN THE MARKET. WE ALSO CONTINUOUSLY ASSESS THE NEEDS OF THE COMMUNITY THROUGH CLOSE WORKING RELATIONSHIPS AND PARTNERSHIPS WITH SERVICE AGENCIES IN THE COMMUNITY AND BY EVALUATING STATE AND COUNTY HEALTH STATISTICS, INCLUDING THE KANSAS CITY METROPOLITAN HEALTH ACCESS POLICY ASSESSMENT, THE WYANDOTTE COUNTY DEPARTMENT OF HEALTH, THE KANSAS DEPARTMENT OF HEALTH, SG2 AND THOMPSONS/MEDSTAT.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PROVIDENCE MEDICAL CENTER TREATS PATIENTS WITH RESPECT AND DIGNITY REGARDLESS OF THEIR ABILITY TO PAY. PROVIDENCE MEDICAL CENTER HAS A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINS ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE AT VARIOUS LEVELS, INCLUDING A 100% DISCOUNT, AND IS BASED ON FEDERAL POVERTY GUIDELINES. WE WORK WITH PATIENTS TO HELP THEM UNDERSTAND THEIR FINANCIAL RESPONSIBILITY FOR CARE RECEIVED, FINANCIAL ASSISTANCE AVAILABLE TO THEM, AND TO ESTABLISH PAYMENT PROGRAMS IN DEMONSTRATION OF OUR CORE VALUE OF RESPECT. AS PART OF OUR RESPONSIBILITY TO EDUCATE, WE INFORM OUR PATIENTS AND THEIR FAMILIES OF THE AVAILABILITY OF ASSISTANCE, INCLUDING GOVERNMENT PROGRAMS. WE COMMUNICATE THIS IN A VARIETY OF WAYS TO ENSURE THAT MESSAGES REACH MULTIPLE AUDIENCES. BEFORE, DURING AND/OR AFTER ADMISSION, WE ENCOURAGE OUR SELF PAY PATIENTS TO VISIT WITH A FINANCIAL COUNSELOR TO DISCUSS QUALIFICATIONS FOR FINANCIAL ASSISTANCE. THE FINANCIAL COUNSELOR WORKS WITH THE PATIENT TO COMPLETE A FINANCIAL ASSISTANCE FORM TO DETERMINE THE LEVEL OF DISCOUNT FOR WHICH THE PATIENT MAY BE ELIGIBLE. WE POST FINANCIAL ASSISTANCE INFORMATION IN EMERGENCY AND ADMISSIONS AREAS, ON BILLINGS INVOICES, IN VARIOUS AREAS AROUND THE HOSPITAL AND CLINIC SITES AND ON THE HOSPITAL WEBSITE. WE PROVIDE WRITTEN MATERIALS TO PATIENTS THAT DETAIL OUR FINANCIAL ASSISTANCE POLICY AND HOW IT IS ADMINISTERED. THIS COVERS ELIGIBILITY, STEPS TO FOLLOW TO DETERMINE IF A PATIENT QUALIFIES FOR ASSISTANCE, TYPICAL CHARGES A PATIENT MAY EXPECT FOR ROUTINE PROCEDURES, AND ASSISTANCE AVAILABLE BASED ON A PATIENT'S INCOME LEVEL. WE PROVIDE MATERIALS AND EDUCATION WHEN PATIENTS ARE DISCHARGED, AND INCLUDE INFORMATION IN BILLING STATEMENTS, INCLUDING PHONE NUMBERS AND OTHER METHODS TO CONTACT US WITH QUESTIONS. WE ENSURE THAT OUR FINANCIAL COUNSELORS, ADMISSION EMPLOYEES, SOCIAL WORKERS AND OTHER EMPLOYEES UNDERSTAND OUR POLICIES TO BE ABLE TO ASSIST PATIENTS IN THE MOST APPROPRIATE WAY. WE HAVE A PARTNERSHIP WITH THE MIDLAND GROUP TO PROVIDE EXTENDED PAYMENT PLANS. THIS HELPS PATIENTS MEET THEIR FINANCIAL OBLIGATIONS IN A REASONABLE AND DIGNIFIED MANNER BASED ON THEIR ABILITY TO PAY, AND ALLOWS THEM TO CONTINUE TO ENSURE THE ONGOING WELFARE OF THEIR FAMILIES. THIS IS DONE IN ACCORDANCE WITH OUR CORE VALUE OF RESPECT.	SCHEDULE H, PART VI, LINE 3
COMMUNITY INFORMATION	PROVIDENCE MEDICAL CENTER IS PART OF A NATIONAL SYSTEM OF FAITH-BASED HOSPITALS SPONSORED BY THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM LOCATED IN LENEXA, KANSAS. THE HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH OF THE RESIDENTS IN ITS SERVICE AREAS INCLUDING WYANDOTTE, LEAVENWORTH AND NORTHEASTERN JOHNSON COUNTIES IN KANSAS. THE HOSPITAL SERVES A DIVERSE COMMUNITY. ACCORDING TO A REPORT FROM CLARITAS, INC., IN THE HOSPITAL'S PRIMARY SERVICE AREA, THE ETHNIC MIX IS 51.7 PERCENT WHITE; 25.7 PERCENT AFRICAN-AMERICAN; AND 18.2 PERCENT HISPANIC. ADDITIONALLY, HOSPITAL ADMISSIONS REVEAL APPROXIMATELY 40 PERCENT OF INFANTS BORN AT PROVIDENCE MEDICAL CENTER ARE HISPANIC. BASED ON THE KANSAS CITY METROPOLITAN HEALTH ACCESS POLICY ASSESSMENT, GREATER KANSAS CITY'S HEALTH STATUS IS COMPARABLE TO NATIONAL BENCHMARKS, BUT WITH MORE PROFOUND RACIAL DISPARITIES BETWEEN AFRICAN AMERICAN AND WHITE RESIDENTS THAN ARE OBSERVED NATIONALLY. SPECIFICALLY, AFRICAN AMERICANS ARE MORE LIKELY TO LOSE YEARS OF LIFE DUE TO CHRONIC CONDITIONS AND EXPERIENCE WORSE MATERNAL AND CHILD HEALTH OUTCOMES THAN WHITE RESIDENTS. RESEARCH FROM CLARITAS, INC., REVEALS THAT PROVIDENCE MEDICAL CENTER'S PRIMARY SERVICE AREA IS PROJECTED TO SLOWLY DECLINE OVER THE NEXT FIVE YEARS, WITH THE NUMBER OF WOMEN AGE 18 TO 45 MODERATELY DECLINING, LIKELY DIMINISHING THE NEED FOR OBSTETRICS/GYNECOLOGY AND PEDIATRIC SERVICES OVER THE NEXT FIVE YEARS. THE SECONDARY SERVICE AREA, NORTHEAST JOHNSON COUNTY, WILL SEE ITS TOTAL POPULATION GROW MODERATELY OVER THE NEXT FIVE YEARS. SPECIFICALLY, THE POPULATION OF INDIVIDUALS 65 AND OLDER IS EXPECTED TO GROW, INCREASING THE NEED FOR SERVICES TYPICALLY ACCESSED BY THIS DEMOGRAPHIC, INCLUDING CARDIOLOGY, NEUROLOGY, ONCOLOGY, ORTHOPAEDIC SERVICES AND PULMONARY SERVICES. THE KANSAS DEPARTMENT OF LABOR ESTSIMATES THE AVERAGE UNEMPLOYMENT RATE FOR THE KANSAS CITY METROPOLITAN SERVICE AREA IS SLIGHTLY HIGHER THAN THE STATE AVERAGE, CONTRIBUTING TO THE NEED TO PROVIDE CHARITY AND SUBSIDIZED MEDICAL CARE. ACCORDING TO A STUDY COMPLETED BY HEALTH MANAGEMENT ASSOCIATES, IN WYANDOTTE COUNTY KANSAS, PROVIDENCE MEDICAL CENTER'S PRIMARY SERVICE AREA, 15.6 PERCENT OF THE POPULATION IS UNINSURED, WITH 70 PERCENT OF THE UNINSURED POPULATION FALLING UNDER 200 PERCENT OF THE FEDERAL POVERY LEVEL. IN ADDITION, ACCORDING TO THE COMMUNITY HEALTH COUNCIL OF WYANDOTTE COUNTY EXECUTIVE REPORT, APPROXIMATELY 28 PERCENT OF THE VISITS MADE TO KANSAS CITY, KANSAS HOSPITAL EMERGENCY ROOMS WERE MADE BY PEOPLE WITHOUT INSURANCE. BASED ON HOSPITAL ADMISSIONS, 60 PERCENT OF ALL PATIENTS ADMITTED TO PROVIDENCE MEDICAL CENTER COME THROUGH THE HOSPITAL'S EMERGENCY SERVICES DEPARTMENT, MAKING THIS AN IMPORTANT HEALTH SERVICE TO OUR COMMUNITY. WYANDOTTE COUNTY HAS THE HIGHEST INCIDENCE OF DIABETES IN THE 11-COUNTY METROPOLITAN AREA AT 8.8 PERCENT. THE PROVIDENCE DIABETES CENTER IS ONE OF ONLY TWO ACCREDITED PROGRAMS THAT SERVE PATIENTS IN THIS COMMUNITY, WITH COMPREHENSIVE DIABETES EDUCATION PROGRAMS INCLUDING GROUP CLASSES ON BASIC SELF-MANAGEMENT, GESTATIONAL DIABETES, AND NUTRITION/ CARBOHYDRATE COUNTING. DIABETES SUPPORT GROUPS AND WEIGHT MANAGEMENT SUPPORT GROUPS WERE OFFERED MONTHLY AT PROVIDENCE MEDICAL CENTER. ONGOING SUPPORT FOR PERSONS WHO HAVE TAKEN CLASSES AT THE PROVIDENCE DIABETES CENTER WERE PROVIDED THROUGH A MONTHLY NEWSLETTER AND QUARTERLY DIABETES DINING CLUB EVENTS. THE KANSAS CANCER REIGSTRY STATES THAT FROM 1997 TO 2004, WYANDOTTE AND JOHNSON COUNTIES HAD THE HIGHEST INCIDENCE OF BREAST CANCER IN THE STATE OF KANSAS. IN RESPONSE TO THAT NEED, PROVIDENCE MEDICAL CENTER RECENTLY OPENED A BREAST CENTER FOR WOMEN LIVING IN WYANDOTTE COUNTY AND THE SURROUNDING COMMUNITIES. THE PROVIDENCE MEDICAL CENTER BREAST CENTER OFFERS A CENTRALIZED LOCATION WHERE WOMEN CAN RECEIVE THEIR MAMMOGRAMS WITH EASIER AND MORE CONVENIENT ACCESS TO SERVICES. THE CENTER IS LOCATED NEAR THE HOSPITAL'S EMERGENCY SERVICES FACILITY AND FEATURES A DEDICATED WAITING AREA AND PRIVATE CHANGING ROOMS. THE NEW CENTER ALSO PROVIDES CARE FOR THOSE WHO ARE UNDERSERVED AND AT HIGHER RISK FOR THIS DEVASTATING DISEASE.	SCHEDULE H, PART VI, LINE 4
PROMOTION OF COMMUNITY HEALTH	WE ARE AN IMPORTANT PART OF OUR COMMUNITY AND SERVE IN MANY WAYS FROM DELIVERING CORE HEALTH CARE TO PREVENTIVE CARE TO SUPPORT OF OTHER CIVIC GROUPS. IN 2010, WE PROVIDED COMMUNITY BENEFIT TOTALING $12,349,326.00, INCLUDING TRADITIONAL CHARITY CARE AND THE UNPAID COST OF MEDICAID. OUR BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS AND ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY ARE DEEPLY INVOLVED IN OUR NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT PEOPLE KNOW ABOUT SERVICES AVAILABLE TO THEM THROUGH OUR HOSPITAL. WHEN PROVIDENCE HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE WE'LL BE HERE TO CARE FOR FUTURE GENERATIONS. WE EXTEND OUR CARE BEYOND OUR HOSPITAL'S WALLS IN ORDER TO IMPROVE THE HEALTH OF OUR COMMUNITY. OUR COMMUNITY ACTIVITIES DEMONSTRATE THIS COMMITMENT. DURING THIS YEAR, OUR COMMUNITY ACTIVITIES INCLUDED: ATHLETIC TRAINERS-TEAM WORKS IS A PROVIDENCE-SPONSORED PROGRAM THAT WORKS WITH THE KANSAS CITY, KANSAS AREA HIGH SCHOOLS TO PROVIDE CERTIFIED ATHLETIC TRAINERS TO THE SCHOOLS AT LITTLE COST. TEAM WORKS PROVIDES GAME EVENT COVERAGE, INJURY PREVENTION COUNSELING, EFFICIENT RUNNING ASSESSMENT PROGRAMS, PRE-GAME WORKOUTS, WELLNESS PROGRAMS, MANAGEMENT AND TREATMENT OF INJURIES ON THE FIELD, ATHLETIC TRAINING PROGRAMS, A COMPREHENSIVE REHABILITATION/RECONDITIONING PROGRAM FOR INJURIES, HEALTH INFORMATION AND COUNSELING, SPORTS PERFORMANCE/CONDITIONING AND INJURY TRACKING CAPABILITIES. THE PROGRAM'S GOALS INCLUDE EARLY DIAGNOSIS OF CONCUSSIONS ON THE FIELD TO PREVENT LONG-TERM AFFECTS, OR EVEN DEATH; AND TO PREVENT OR REHABILITATE INJURIES EARLY ON IN THESE STUDENTS SO THAT THESE INJURIES DO NOT BECOME LIFETIME HEALTH ISSUES. CANCER SUPPORT GROUPS AND COMMUNITY SCREENINGS-PROVIDENCE'S SERVICE AREA HAS ONE OF THE HIGHEST INCIDENTS OF BREAST CANCER IN THE STATE OF KANSAS. THAT IS WHY PROVIDENCE SPONSORS A BREAST CANCER SUPPORT GROUP THAT MEETS ON A REGULAR BASIS TO ASSIST PATIENTS AS THEY ARE UNDERGOING BREAST CANCER TREATMENT AND RECOVERY. ISSUES COVERED INCLUDE NUTRITION, CANCER-RELATED FATIGUE AND DISEASE RECURRENCE. PROVIDENCE SUPPORTED PINK HEALS, A NEW INITIATIVE TO ENHANCE CANCER AWARENESS IN THE COMMUNITY. COMMUNITY EDUCATION PROVIDED AT HEALTH FAIRS AND OTHER PUBLIC EVENTS ALSO RAISES AWARENESS OF THE NEED TO DETECT CANCER AT ITS EARLIEST STAGES, WHEN IT CAN MOST EFFECTIVELY BE TREATED. CHILDBIRTH PREPARATION COURSES-TO PROVIDE THE COMMUNITY'S NEWEST RESIDENTS WITH THE BEST STARTS POSSIBLE IN LIFE, PROVIDENCE OFFERS A WIDE RANGE OF CHILDBIRTH PREPARATION COURSES, INCLUDING BREASTFEEDING, PREPARED CHILDBIRTH AND SIBLING PREPARATION. THE GOAL IS TO PROMOTE A HEALTHY FAMILY ENVIRONMENT, REDUCE THE RISK OF LOW-BIRTH WEIGHT BABIES AND IMPROVE THE SUCCESS OF BREASTFEEDING FOR NEW MOTHERS AND THEIR INFANTS. THESE INITIATIVES HAVE BEEN PROVEN TO LOWER HEALTH-RELATED COSTS ASSOCIATED WITH CHILDBIRTH, AND RELATED COMPLICATIONS. PROVIDENCE ALSO PROVIDES NEW PARENTS AND THE COMMUNITY WITH FREE CAR SEAT SAFETY CHECKS. STATISTICS SHOW EIGHT OUT OF 10 CAR SEATS ARE IMPROPERLY INSTALLED. THESE CAR SEAT SAFETY CHECKS ARE PERFORMED BY CERTIFIED PASSENGER SAFETY TECHNICIANS FREE OF CHARGE AND REDUCE THE RISK THAT A CHILD WILL BE INJURED IN AN AUTOMOBILE ACCIDENT. DIABETES EDUCATION COURSES-BECAUSE WYANDOTTE COUNTY HAS THE HIGHEST INCIDENCE OF DIABETES IN THE 11-COUNTY METROPOLITAN KANSAS CITY AREA, PROVIDENCE OFFERS COURSES TO REDUCE COMPLICATIONS AND COSTS ASSOCIATED WITH DIABETES, INCLUDING A DIABETES DINING CLUB, DIABETES OUTPATIENT CLASSES AND DIABETES SUPPORT GROUP. THESE OFFERINGS ASSIST PATIENTS WITH SUCCESSFULLY MANAGING THEIR DISEASE, IMPROVING LONG-TERM HEALTH FOR THESE PATIENTS AND THE COMMUNITY. HEART HEALTH EDUCATION-BY ENCOURAGING COMMUNITY PARTICIPATION IN ACTIVITIES SUCH AS BLOOD PRESSURE SCREENINGS, HEART HEALTH FAIRS, WALKS AND SMOKING CESSATION CLASSES, PROVIDENCE ASSISTS INDIVIDUALS IN MAKING HEALTHIER LIFESTYLE CHOICES (EXERCISE AND SMOKING CESSATION) THAT CAN IMPROVE THEIR INDIVIDUAL HEALTH, AS WELL AS THE COMMUNITY'S HEALTH IN GENERAL. THE HOSPITAL ALSO HAS PARTNERED WITH THE AMERICAN HEART ASSOCIATION TO IMPLEMENT THE SEARCH YOUR HEART PROGRAM IN THE KANSAS CITY, KANSAS COMMUNITY. SEARCH YOUR HEART IS AN EFFORT TO EDUCATE AREA FAITH-BASED CONGREGATIONS ON ISSUES RELATED TO HEART DISEASE AND STROKE. THE HOSPITAL ALSO SPONSORS HEALTH SCREENINGS, COOKING DEMONSTRATIONS AND OTHER AWARENESS ACTIVITIES FOR PARTICIPATING CHURCHES. OTHER COMMUNITY ACTIVITIES WHICH PROVIDENCE MEDICAL CENTER SUPPORTED IN 2010 INCLUDED: AARP 55 ALIVE BEREAVEMENT SUPPORT GROUP BI-NATIONAL HEALTH FAIR BREAST CANCER AWARENESS PROGRAM BREAST CANCER SUPPORT GROUP BREASTFEEDING CLASSES CARDIAC ARRHYTHMIA SCREENINGS CARDIAC DINING CLUB CARDIAC REHAB SUPPORT GROUP CAR SEAT SAFETY CHECKS CHILDBIRTH PREPARATION AND REFRESHER CLASSES CRISTO REY KANSAS CITY HEALTH FAIR COMMUNITY BABY SHOWER CONGESTIVE HEART FAILURE CLASS COVER THE UNINSURED WELLNESS FAIR CRISTO REY HEALTH FAIR CPR CLASSES DIABETES DINING CLUB DIABETES SUPPORT GROUP KANSAS CITY, KANSAS CHAMBER BUSINESS EXPO KANSAS CITY, KANSAS WOMEN'S HEALTH FAIR KAW VALLEY RELAY FOR LIFE KIWANIS BIKE RODEO (WYANDOTTE COUNTY) LYMPHEDEMA SUPPORT GROUP MAYORS' PRAYER BREAKFAST MOTHER/DAUGHTER TEA (PUBERTY AWARENESS) MULTICULTURAL FESTIVAL NATIONAL HEALTH CARE DECISIONS DAY OPERATION TOUCH PARADE OF HEROES (VETERANS) PINK HEALS TOUR (BREAST CANCER AWARENESS) RACE FOR THE CURE "KOMEN" SANTUARY OF HOPE RACE SEASONAL FLU VACCINATIONS SIBLING PREPARATION CLASSES STROKE SUPPORT GROUP TOBACCO FREE (SMOKING CESSTION) CLASSES TONGANOXIE SCHOOL DISTRICT EMPLOYEE HEALTH FAIR UNIFIED GOVERNMENT, KCK AND WYANDOTTE COUNTY EMPLOYEE HEALTH FAIR WEIGHT MANAGEMENT SUPPORT GROUP WE ALSO SUPPORT OUR EMPLOYEES IN VOLUNTEERING FOR COMMUNITY ORGANIZATIONS, INCLUDING SERVING ON COMMUNITY BOARDS AND PROVIDE OPPORTUNITIES FOR THEM TO SUPPORT CAUSES THROUGH HOSPITAL EVENTS SUCH AS: CATHOLIC CHARITIES FOOD SUPPLIES DRIVE CHRISTMAS IN OCTOBER COMMUNITY BLOOD CENTER BLOOD DRIVE CRISTO REY SCHOOL SUPPLIES DRIVE HAITI RELIEF EFFORTS HARVESTERS FOOD DRIVE LENTEN FOOD FOR THOUGHT UNITED WAY CAMPAIGN WE ARE GOOD CITIZENS AND PARTNER WITH OTHER ORGANIZATIONS AND AGENCIES TO SUPPORT A THRIVING COMMUNITY: 68 INSIDE SPORTS AMERICAN CANCER SOCIETY AMERICAN HEART ASSOCIATION ARROWHEAD ELEMENTARY SCHOOL ASSOCIATION OF FUNDRAISING PROFESSIONALS BANK OF BLUE VALLEY BETHANY NEIGHBORHOOD CENTER BIBLE TEMPLE BAPTIST CHURCH BOYS & GIRLS CLUBS OF GREATER KANSAS CITY BUSINESS WEST CAMP MITIOG CANCER ACTION CARITAS CLINICS, INC. CATHOLIC CHARITIES FOUNDATION OF NORTHEAST KANSAS CENTER FOR PRACTICAL BIOETHICS CHRIST THE KING SCHOOL CHURCH OF CHRIST COMMUNITIES IN SCHOOLS-KANSAS CITY, KANSAS COMMUNITY SAFETY NET DELAWARE RIDGE ELEMENTARY DONNELLY COLLEGE EL CENTRO, INC. FRIENDS OF YATES GENESIS CHRISTIAN ACADEMY GREATER KANSAS CITY INTERFAITH COUNCIL GREATER KANSAS CITY MEDICAL SOCIETY HOLY FAMILY CATHOLIC CHURCH INGRAM'S MAGAZINE KANSAS CITY HOSPICE & PALLIATIVE CARE KANSAS CITY, KANSAS CHAMBER KANSAS CITY WIZARDS KBS CONSTRUCTORS KANSAS CITY, KANSAS SCHOOL FOUNDATION LEAVENWORTH ROAD ASSOCIATION LEGENDS OF KANSAS CITY LIVING GRACE FELLOWSHIP MAIN STREET PARKVILLE ASSOCIATION MAKE-A-WISH FOUNDATION MOTHER & CHILD HEALTH COALITION MOUNT SCHOLASTICA BENEDICTINE SISTERS NATIONAL CHILD SAFETY COUNCIL NATIONAL EDUCATION ASSOCIATION, KANSAS CITY, KANSAS OAK RIDGE FREEDOM SCHOOL PLEASANT RIDGE HIGH SCHOOL SAINT JAMES ACADEMY SANCTUARY OF HOPE SERRA CLUBS OF METROPOLITAN KANSAS CITY SHAWNEE MISSION NORTH HIGH SCHOOL SUMNER ALUMNI ASSOCIATION SUNFLOWER HOUSE T-BONES BASEBALL CLUB THE GREATER KANSAS CITY INTERFAITH COUNCIL TONGANOXIE HIGH SCHOOL TONGANOXIE PARENT-TEACHER ASSOCIATION TURNER RECREATION COMMISSION UNITED WAY OF WYANDOTTE COUNTY UNIVERSITY OF KANSAS ENDOWMENT AND ALUMNI ASSOCIATION UNIVERSITY OF SAINT MARY USD 500 KANSAS CITY, KANSAS SCHOOL DISTRICT USD 203 PIPER SCHOOL DISTRICT USD 204 BONNER SCHOOL DISTRICT USD 202 TURNER SCHOOL DISTRICT WARD HIGH SCHOOL YMCA WE PROVIDE FOCUSED SUPPORT FOR CARITAS CLINICS, INC., (DUSCHENE AND SAINT VINCENT CLINICS), THE COMMUNITY'S HEALTH CLINICS FOR THE UNINSURED. WE WORK CLOSELY TOGETHER TO PROVIDE INTEGRATED CARE FOR THOSE WHO COME TO EITHER THE HOSPITAL OR THE CLINICS FOR THEIR HEALTH NEEDS. CARITAS CLINICS PROVIDE QUALITY PRIMARY HEALTH CARE SERVICES FOR UNINSURED, LOW-INCOME PATIENTS REGARDLESS OF ABILITY TO PAY. THE CLINICS ARE COMMITTED TO PROVIDING ACCESS TO COMPASSIONATE AND TRUSTWORTHY CARE FOR THE UNINSURED POOR. SERVICES THE CLINICS PROVIDE INCLUDE PRIMARY CARE, ONGOING MANAGEMENT OF CHRONIC DISEASES AND MEDICATION ASSISTANCE. IN ADDITION TO FINANCIAL SUPPORT PROVIDENCE ASSISTS THE CLINICS IN MANY OTHER WAY	SCHEDULE H, PART VI, LINE 5
AFFILIATED HEALTH CARE SYSTEM	PROVIDENCE MEDICAL CENTER IS A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION "TO REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE." PROVIDENCE MEDICAL CENTER PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. SCLHS SUPPORTS THE EFFORTS OF THE HOSPITAL THROUGH STRATEGIC DIRECTION AND OPERATING OVERSIGHT. SCLHS SUPPLIES OVERHEAD SUPPORT SERVICES TO PROVIDENCE MEDICAL CENTER, INCLUDING INFORMATION TECHNOLOGY SERVICES, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, SUPPLY CHAIN MANAGEMENT, BENEFITS ADMINISTRATION, RISK MANAGEMENT AND INSURANCE AND QUALITY IMPROVEMENT LEADERSHIP.	SCHEDULE H, PART VI, LINE 6
STATE FILING OF COMMUNITY BENEFIT REPORT	THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM FILES A COMMUNITY BENEFIT REPORT IN FOUR STATES: CALIFORNIA, COLORADO, KANSAS AND MONTANA.	SCHEDULE H, PART VI, LINE 7

Schedule I IRS990ScheduleI

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCESAINT JOHN FOUNDATION	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	8929 PARALLEL PARKWAY	AddressLine1
City	KANSAS CITY	City
State	KS	State
ZIP Code	66112	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	480925688	EINOfRecipient
Amount Of Cash Grant	77275	AmountOfCashGrant
Purpose Of Grant	OFFSET OPERATING COSTS AND GENERAL SUPPORT OF FOUNDATION'S MISSION	PurposeOfGrant

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHAEL A DORSEY
0	314954	0	48554	0	65363	0	26077	0	15020	0	469968	0	0
JUANITA ROY
0	254740	0	27230	0	31737	0	19600	0	14939	0	348246	0	0
JAMES PAQUETTE
0	416920	0	66462	0	285527	0	87072	0	10868	0	866849	0	0
JOE JEANS
0	177416	0	2587	0	11245	0	20933	0	10682	0	222863	0	0
DR MARIA JAVAID MD
399365	0	0	0	0	0	0	0	5791	0	405156	0	0	0
DR MICHAEL MEURER MD
383923	0	0	0	0	0	0	0	5567	0	389490	0	0	0
DR BARRY SOLOMON MD
0	280473	0	23715	0	3337	0	48642	0	6324	0	362491	0	0
DR JASON WILTSHIRE MD
274981	0	0	0	0	0	0	0	3987	0	278968	0	0	0
DR FRANK SLOVICK MD
240590	0	0	0	0	0	0	0	3489	0	244079	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier

ExplanationExplanation

FORM 990, SCHEDULE J, PART I, LINE 3

SCLHS EMPLOYS THE EXECUTIVE TEAM AT EACH OF ITS HOSPITAL AFFILIATES. AS PART OF ITS ANNUAL REVIEW PROCESS, SCLHS USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF THOSE IN THESE POSITIONS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -WRITTEN EMPLOYMENT CONTRACTS -COMPENSATION SURVEYS AND STUDIES -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS EXECUTIVES (OFFICERS, KEY EMPLOYEES, ETC.) IS CONSISTENT WITH MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. THE PAY PHILOSOPHY SET BY THE BOARD IS TO PAY AT THE MIDDLE OF THE MARKET FOR EXECUTIVES OF SIMILAR SIZED ORGANIZATIONS OVERALL. SCLHS' EXECUTIVE COMPENSATION IS COMPARABLE TO THAT PROVIDED IN SIMILAR, NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS. FORM 990, SCHEDULE J, PART I, LINE 4B OTHER REPORTABLE COMPENSATION SHOWN IN SCHEDULE J PART II COLUMN (B) (III) CONTAINS AN ANNUAL REPORTING ADJUSTMENT FOR CERTAIN EMPLOYEES WHO PARTICIPATE IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. SCLHS PROVIDES NONQUALIFIED RETIREMENT PLANS FOR EXECUTIVES TO COMPENSATE FOR IRS IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. ON THE ADVICE OF COUNSEL, SCLHS HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THEY ARE EARNED AND VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE ACCRUED AND VESTED IN THE CURRENT YEAR, ARE NOW CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE IRS AS WITHHOLDING ON THE TAXABLE BENEFIT. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2010 WERE: MICHAEL A. DORSEY-$14,220 JUANITA D. ROY-$10,720 JAMES T. PAQUETTE-$108,797

FORM 990, SCHEDULE J, PART II

THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND FOUR CLINICS (AFFILIATES) IN FOUR STATES INCLUDING PROVIDENCE MEDICAL CENTER (PROVIDENCE) IN KANSAS CITY, KANSAS. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. JAMES T. PAQUETTE IS PRESIDENT & CHIEF EXECUTIVE OFFICER OF ST. VINCENT HEALTHCARE (ST. VINCENT) IN BILLINGS, MONTANA WHICH IS AN SCLHS AFFILIATE. AS A FORMER OFFICER OF PROVIDENCE, THIS DISCLOSURE IS REQUIRED FOR 990 REPORTING PURPOSES ONLY. THE COMPENSATION REFLECTED IS THAT OF MR. PAQUETTE'S POSITION AS A ST. VINCENT EXECUTIVE AND IS NOT RELATED TO PROVIDENCE. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 3	DELEGATE CONTROL OVER MANAGEMENT DUTIES	ALTHOUGH THESE SERVICES MAY NOT ALL RISE TO THE LEVEL OF MANAGEMENT CONTROL AS DEFINED IN THE 990 INSTRUCTION, WE HAVE IN THE SPIRIT OF FULL TRANSPARENCY PROVIDED THE FOLLOWING DISCLOSURE. AS A MEMBER OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, THIS PROVIDER MAY HAVE INDIVIDUAL AND/OR SYSTEM CONTRACT(S) THAT HAS DELEGATED CONTROL OVER MANAGEMENT DUTIES IN SOME OR ALL OF THE FOLLOWING AREAS: DIETARY AND FOOD SERVICE HOUSEKEEPING SUPPLY CHAIN REVENUE CYCLE SECURITY FORM 990, PART VI, SECTION A, LINE 6, 7A AND B Board Member Nomination and Approval SISTERS OF CHARITY OF LEAVENWORTH IS THE SOLE CORPORATE MEMBER OF PROVIDENCE MEDICAL CENTER. BOARD MEMBERS ARE NOMINATED BY THE PROVIDENCE MEDICAL CENTER NOMINATING COMMITTEE. THEY ARE THEN APPROVED BY THE CURRENT BOARD MEMBERS TO BE RECOMMENDED TO THE SYSTEM BOARD. THE SYSTEM BOARD THEN APPROVES THEIR ELECTION TO THE BOARD. CURRENT BOARD MEMBERS TO BE RECOMMENDED TO THE SYSTEM BOARD. THE SYSTEM BOARD THEN APPROVES THEIR ELECTION TO THE BOARD.
FORM 990, PART VI, SECTION A, LINE 8A AND B	BOARD MINUTES	MINUTES ARE KEPT, DOCUMENTED, AND FILED FOR ALL BOARD AND COMMITTEE MEETINGS HELD. ALL MAJOR DECISIONS AND DISCUSSIONS ARE DOCUMENTED WITHIN.
FORM 990, PART VI, SECTION B, LINE 11B	990 REVIEW BY THE BOARD OF DIRECTORS	ON OCTOBER 25, 2011 COPIES OF THE 990 WERE DISTRIBUTED TO ALL BOARD MEMBERS FOR THEIR REVIEW PRIOR TO FILING THE RETURN. THE FORM 990 IS ALSO REVIEWED BY FINANCE PERSONNEL AT SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM AND AN INDEPENDENT ACCOUNTING FIRM.
FORM 990, PART VI, SECTION B, LINE 12C	Conflict of Interest Statements	CONFLICT OF INTEREST FORMS ARE SENT OUT ANNUALLY TO ALL BOARD MEMBERS AND KEY EMPLOYEES. THESE STATEMENTS ARE CAREFULLY REVIEWED AND A REPORT PROVIDED TO THE CEO AND COO REGARDING EMPLOYEES AND OFFICERS, AND TO THE CHAIR OF THE BOARD AND CHAIR OF THE GOVERNANCE COMMITTEE REGARDING BOARD MEMBERS. IF A CONFLICT OF INTEREST ARISES, THE CEO DETERMINES ANY ACTION TO BE TAKEN AT THAT TIME.
FORM 990, PART VI, SECTION C, LINE 19	Public Availability of financials, governing documents, and COI policies	SCLHS' GOVERNANCE MANUAL FOR BOARD MEMBERS AND ITS AFFILIATE BOARD MEMBERS IS AVAILABLE TO THE PUBLIC ON THE WEBSITE, WWW.GREATBOARDS.ORG. THE MANUAL SETS FORTH THE STANDARDS AND EXPECTATIONS OF EACH BOARD MEMBER INCLUDING THE FIDUCIARY DUTY OF LOYALTY WHICH REQUIRES THAT EACH MEMBER ABIDE BY SCLHS' CONFLICT OF INTEREST POLICY, DISCLOSE ANY ISSUES WHICH MAY PRESENT A CONFLICT, COMPLETE THE ANNUAL DISCLOSURE STATEMENT, REVIEW POLICIES AND PROCEDURES PERTAINING TO CONFLICTS OF INTEREST, AND PROVIDE OVERSIGHT OF SCLHS' RESPONSIBILITY PROGRAM. PROVIDENCE MEDICAL CENTER'S UNAUDITED FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. PROVIDENCE MEDICAL CENTER IS A MEMBER OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM. THE AUDITED FINANCIAL STATEMENTS FOR THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM ARE AVAILABLE TO THE PUBLIC AT THEIR WEBSITE.
FORM 990, PART XI, LINE 5	OTHER CHANGES IN NET ASSETS OR FUND BALANCES	RECONCILING AMOUNTS INCLUDE EQUITY TRANSFERS AND CONTRIBUTIONS TO/FROM RELATED ORGANIZATIONS OF $1,566,714, UNREALIZED INTEREST INCOME OF $97,952, MISSION FUND EXPENDITURES OF $33,833, MEDICAL STAFF EQUITY ADJUSTMENTS OF $7,326, AND CONTRIBUTIONS TO LONG LIVED ASSETS OF 26,774.
FORM 990, PART VI, SECTION B, LINE 11B		THIS FORM 990 AND ITS ATTACHED SCHEDULES HAVE BEEN REVIEWED BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEMS (CONTROLLING ORGANIZATION) AND AN INDEPENDENT ACCOUNTING FIRM BEFORE FILING.
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MICHAEL A DORSEY TITLE:PRESIDENT/CEO/ASST SECRETARY HOURS:12
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MARY JO GREGORY TITLE:BOARD MEMBER HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOE JEANS TITLE:CHIEF FINANCIAL OFFICER HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JUANITA ROY TITLE:EXEC VP & CHIEF OPER OFFICER HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DR BARRY SOLOMON, MD TITLE:CHIEF MEDICAL OFFICER HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JAMES PAQUETTE TITLE:FORMER CEO HOURS:40

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	KANSAS CITY RADIOSURGERY VENTURE INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	8929 PARALLEL PARKWAY	AddressLine1
City	KANSAS CITY	City
State	KS	State
ZIP Code	66112	ZIPCode

Field	Value	IRS element (for citing)
EIN	201258438	EIN
Primary Activities	EQUIP LEASING	PrimaryActivities
Legal Domicile State	KS	LegalDomicileState
Total Income	212500	TotalIncome
EOY Assets	89293	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (28 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
SISTERS OF CHARITY LEAVENWORTH HLTH SYST
9801 RENNER BLVD STE 100	LENEXA	KS	66219	237379161	SUPPORT MMBRS	KS	501(C)(3)	11B-TYPE II	NA
CARITAS CLINICS INC
818 NORTH 7TH STREET	LEAVENWORTH	KS	66048	481009910	CLINIC SVCS	KS	501(C)(3)	3	NA
MARIAN CLINIC INC
1001 SW GARFIELD	TOPEKA	KS	66604	481046905	CLINIC SVCS	KS	501(C)(3)	3	NA
MARILLAC CLINIC INC
2333 N 6TH STREET	GRAND JUNCTION	CO	81501	841085822	CLINIC SVCS	CO	501(C)(3)	3	NA
ST JOHN HOSPITAL INC
3500 SOUTH FOURTH STREET	LEAVENWORTH	KS	66048	480543768	HEALTHCARE	KS	501(C)(3)	3	NA
BETHANY COMMUNITY PLAZA INC
15 NORTH 12TH STREET	KANSAS CITY	KS	66102	481207407	HEALTHCARE	KS	501(C)(3)	3	NA
PROVIDENCEST JOHN FOUNDATION INC
8929 PARALLEL PARKWAY	KANSAS CITY	KS	661121689	480925688	SUPPORT 501C3	KS	501(C)(3)	7	NA
ST FRANCIS HEALTH CENTER INC
1700 SW 7TH STREET	TOPEKA	KS	66606	480547719	HEALTHCARE	KS	501(C)(3)	3	NA
ST FRANCIS HEALTH CENTER FOUNDATION
1700 SW 7TH STREET	TOPEKA	KS	66606	481092520	SUPPORT 501C3	KS	501(C)(3)	11A-TYPE I	NA
ST MARYS HOSPITAL & MEDICAL CENTER INC
2635 N 7TH STREET	GRAND JUNCTION	CO	81502	840425720	HEALTHCARE	CO	501(C)(3)	3	NA
ST MARYS HOSPITAL FOUNDATION
2635 N 7TH STREET	GRAND JUNCTION	CO	81502	237001007	SUPPORT 501C3	CO	501(C)(3)	11A-TYPE I	NA
SAINT JOSEPH HOSPITAL FOUNDATION
1835 FRANKLIN STREET	DENVER	CO	80218	840735096	SUPPORT 501C3	CO	501(C)(3)	11A-TYPE I	NA
HOLY ROSARY HEALTHCARE
2600 WILSON	MILES CITY	MT	59301	810231792	HEALTHCARE	MT	501(C)(3)	3	NA
HOLY ROSARY HEALTHCARE FOUNDATION INC
2600 WILSON	MILES CITY	MT	59301	202270238	SUPPORT 501C3	MT	501(C)(3)	11A-TYPE I	NA
ST VINCENT HEALTHCARE
1233 NORTH 30TH	BILLINGS	MT	59101	810232124	HEALTHCARE	MT	501(C)(3)	3	NA
ST VINCENT HEALTHCARE FOUNDATION
PO BOX 35200	BILLINGS	MT	591075200	810468034	SUPPORT 501C3	MT	501(C)(3)	7	NA
NORTHWEST RESEARCH & EDUCATION INSTITUTE
315 NORTH 25TH STREET	BILLINGS	MT	59101	201343024	COMM HLTH RES	MT	501(C)(3)	9	NA
ST JAMES HEALTHCARE
400 SOUTH CLARK STREET	BUTTE	MT	597012328	810231785	HEALTHCARE	MT	501(C)(3)	3	NA
ST JAMES HEALTHCARE FOUNDATION
400 SOUTH CLARK STREET	BUTTE	MT	59701	651202190	SUPPORT 501C3	MT	501(C)(3)	11A-TYPE I	NA
SAINT JOHN'S HEALTH CENTER
1328 22ND STREET	SANTA MONICA	CA	90404	951684082	HEALTHCARE	CA	501(C)(3)	3	NA
JOHN WAYNE CANCER INSTITUTE
2000 SANTA MONICA BLVD	SANTA MONICA	CA	90404	954291515	CANCER R&D	CA	501(C)(3)	4	NA
SAINT JOHNS HOSPITAL & HLTH CENTER FNDTN
1328 22ND STREET	SANTA MONICA	CA	904042091	956100079	SUPPORT 501C3	CA	501(C)(3)	11A-TYPE I	NA
EXEMPLA INC FKA LUTHERAN HOSPITAL
2420 W 26TH AVE SUITE 100D	DENVER	CO	80211	841103606	HEALTHCARE	CO	501(C)(3)	3	NA
EXEMPLA LUTHERAN MEDICAL CENTER FNDTN
2480 W 26TH AVESUITE 360B	DENVER	CO	80211	208846152	SUPPORT 501C3	CO	501(C)(3)	7	NA
EXEMPLA GOOD SAMARITAN MEDICAL CTR FNDTN
200 EXEMPLA CIRCLE	LAFAYETTE	CO	80026	841649162	SUPPORT 501C3	CO	501(C)(3)	7	NA
LUTH MED CNTR PRO&GEN LIAB SELF-INS TRST
2480 W 26TH AVESUITE 360B	DENVER	CO	80211	742571584	INSURANCE	CO	501(C)(3)	11A-TYPE I	NA
MEDPARK INC
2480 W 26TH AVESUITE 360B	DENVER	CO	80211	841490379	PARKING	CO	501(C)(3)	7	NA
SAINT JOSEPH HOSPITAL
1835 FRANKLIN STREET	DENVER	CO	80218	840417134	HEALTHCARE	CO	501(C)(3)	3	NA

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType
PAVILION IMAGING LLC
750 WELLINGTON	GRAND JUNCTION	CO	81501	030516198	RADIOLOGY	CO	NA	N/A
GRAND VALLEY SURGICAL CENTER LLC
710 WELLINGTON	GRAND JUNCTION	CO	81501	841505075	OP SURGERY	CO	NA	N/A
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREET	MONTROSE	CO	81401	202856331	OP CANCER	CO	NA	N/A
BILLINGS MRI CENTER LLC
1041 NORTH 29TH STREET	BILLINGS	MT	59101	810450943	MRI-PET SCAN	MT	NA	N/A
LUTHERAN CAMPUS ASC LLC
3455 LUTHRN PKW SUITE 150	WHEATRIDGE	CO	800336028	020749532	OP SURGERY	CO	NA	N/A
COLORADO SURGICAL VENTURES LLC
30 S WACKER DR SUITE 2302	CHICAGO	IL	60605	208038915	OP SURGERY	CO	NA	N/A
COLORADO SURGICAL HOSPITAL LLC
30 S WACKER DR SUITE 2302	CHICAGO	IL	60605	208038977	OP SURGERY	CO	NA	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
CARITAS INC AND SUBSIDIARIES
9801 RENNER BOULEVARD SUITE 100	LENEXA	KS	66219	480941069	OTHER MEDICAL	KS	N/A	C CORP
LEAVEN INSURANCE COMPANY LTD
				980370522	INSURANCE		N/A		23 LIME TREE BAY AVE PO BOX 1051	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
CARITAS INC AND SUBSIDIARIES
O	218367
CARITAS INC AND SUBSIDIARIES
I	517893
CARITAS INC AND SUBSIDIARIES
J	689427
SAINT JOHN HOSPITAL
K	1226000
SAINT JOHN HOSPITAL
N	91690
SAINT JOHN HOSPITAL
M	114679
PROVIDENCESAINT JOHN FOUNDATION
C	51888
PROVIDENCESAINT JOHN FOUNDATION
B	77275