ASCENSION PROVIDENCE: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ASCENSION PROVIDENCE (EIN 74-1109636)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-12
IRS object ID
201141329349303084
Schema version
2009v1.7
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-12T15:41:54-07:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11111 BAGBY ST STE 4500AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77002ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN741109636EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE HEALTH SERVICES OF WACOBusinessNameLine1
Business Name Line2dba PROVIDENCE HEALTHCARE NETWORKBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlPROVNameControl
Phone2547514000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16901 MEDICAL PARKWAYAddressLine1
CityWACCity
StateTXState
ZIP Code76712ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKAREN RICHARDSONName
TitleSR. VP-FINANCE/CFOTitle
Date Signed2011-05-12DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKENT A KEAHEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16901 MEDICAL PARKWAYAddressLine1
CityWACOCity
StateTXState
ZIP Code767127910ZIPCode
FieldValueIRS element (for citing)
Gross Receipts237371295GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web SiteWWW.PROVIDENCE.NETWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1908YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionOur Catholic health ministry is dedicated to spiritually centered, holistic care which sustains and improves the health of individuals and communities. In furtherance of its mission and in an effort to reduce the government's financial burden, Providence Health Services of Waco provides essential health care services such as outpatient clinics, and emergency room and ambulatory facilities that serve low income patients as well as community services. Providence Foundation provides funding for capital projects in support of this mission.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees2975TotalNbrEmployees
Total Nbr Volunteers200TotalNbrVolunteers
Total Gross UBI358425TotalGrossUBI
Contributions Grants Prior Year3243268ContributionsGrantsPriorYear
Contributions Grants Current Year2862032ContributionsGrantsCurrentYear
Program Service Revenue Prior Year225204072ProgramServiceRevenuePriorYear
Program Service Revenue CY220232190ProgramServiceRevenueCY
Investment Income Prior Year-6905713InvestmentIncomePriorYear
Investment Income Current Year6276646InvestmentIncomeCurrentYear
Other Revenue Prior Year7044831OtherRevenuePriorYear
Other Revenue Current Year7572831OtherRevenueCurrentYear
Total Revenue Prior Year228586458TotalRevenuePriorYear
Total Revenue Current Year236943699TotalRevenueCurrentYear
Grants And Similar Amnts CY147830GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year98158146SalariesEtcPriorYear
Salaries Etc Current Year103750498SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year120860690OtherExpensePriorYear
Other Expenses Current Year117913890OtherExpensesCurrentYear
Total Expenses Prior Year219018836TotalExpensesPriorYear
Total Expenses Current Year221812218TotalExpensesCurrentYear
Revenues Less Expenses Prior Year9567622RevenuesLessExpensesPriorYear
Revenues Less Expenses CY15131481RevenuesLessExpensesCY
Total Assets BOY247535899TotalAssetsBOY
Total Assets EOY267717527TotalAssetsEOY
Total Liabilities BOY90451589TotalLiabilitiesBOY
Total Liabilities EOY100982601TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY157084310NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY166734926NetAssetsOrFundBalancesEOY
Mission DescriptionOur Catholic health ministry is dedicated to spiritually centered, holistic care which sustains and improves the health of individuals and communities. In furtherance of its mission and in an effort to reduce the government's financial burden, Providence Health Services of Waco provides essential health care services such as outpatient clinics, and emergency room and ambulatory facilities that serve low income patients as well as community services. Providence Foundation provides funding for capital projects in support of this mission.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense188461250Expense
Revenue224084594Revenue
DescriptionSEE STATEMENT 1Description
Total Program Service Expense188461250TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096265NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2975NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKAREN RICHARDSON SR VPCFONamePerson
Telephone Number2547514000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16901 MEDICAL PARKWAYAddressLine1
CityWACOCity
StateTXState
ZIP Code767127910ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekKey EmployeeKeyEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirectorHighest Compensated EmployeeHighestCompensatedEmployeeOfficerOfficer
VICKY CAMPBELL
VP HOME CARE40.00X140368082835
TIMOTHY BARRETT
Executive Direc40.00X266951082259
STEVEN T CATES
Trustee1.00000X
SR MARIE THERESE SEDGWICK DC
Chairman40.001487302246X
Sr JOANNE M VASA DC
Trustee1.00000X
Sr DOROTHEA MOLL DC
Trustee1.00000X
Sr CECILE MATUSHEK DC
VP MISSION AFF40.00X96699014544
SAMUEL E ABERNATHY
PHARMACIST40.00158374053839X
ODIS W NICHOLS
Sr. VP/COO40.00310144082695X
MS DEBORAH K KEEL
Trustee1.00000X
LUCI HANSSON
PHARMACISTS40.00145248020094X
LARRY STEPHENS
VP L/T CARE40.00X130393065995
LARRY LEFEVRE
PHARMACIST0.15163502552X
KRISTIN CRAIG
CRNA40.00139514060276X
KENT A KEAHEY
President & CEO40.00916786057827X
KENNETH HAMPTON
Trustee1.00000X
KEN FLOWERS
PHARMACISTS40.00133481059889X
KAREN RICHARDSON
Sr VP/CFO40.00148191051577X
JONATHON FORD
VP MKTG40.00X145716088933
JOHN GW SCHERLER
VP-SUPPORT SVCS40.00X169940058903
JOE K HOPKINS
VP M.H. SVCS40.00X134343048223
HAL M WHITAKER
Treasurer1.00000X
GARY K BARBIN
Trustee1.00000X
DR RONALD J EPPS
VICE CHAIR1.00000X
DENNIS MICHAELIS
Secretary1.00000X
CHUCK SIVESS
V.P OF H.R.40.00X118868033086
CHERYL SADRO
CFO/part yr40.00178516036412X
BRENDA P DAVIS
VP-CLINICAL SVC40.00X169692061489
ANNETTE F AYERS
VP NURSING40.00X173166038495
FieldValueIRS element (for citing)
Total Reportable Comp From Org3842898TotalReportableCompFromOrg
Total Other Compensation1002169TotalOtherCompensation
Number Individuals GT100 K18NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WOUND CARE CENTERS INC
PO BOX 1450MINNEAPOLISMN554858356WOUND CARE SVCS & MG981900
MCLENNAN COUNTY MEDICAL EDUCATION & RESEARCH
1600 PROVIDENCE DRWACOTX767072291Resident Medical Svc809967
MCLENNAN COUNTY HOSPITALISTS
PO BOX 23548WACOTX767023548HOSPITALISTS1078461
MCLENNAN COUNTY EMERGENCY PHYSICIANS
PO BOX 23548WACOTX767023548EMERGENCY PHYSICIANS8279717
HEART OF TEXAS PERFUSION INC
6007 CALDWELL DRWACOTX767102621PERFUSIONISTS1164307
FieldValueIRS element (for citing)
Number Of Contractors GT100 K25NumberOfContractorsGT100K
Fundraising Events182186FundraisingEvents
Related Organizations2679699RelatedOrganizations
All Other Contributions147AllOtherContributions
Noncash Contributions69547NoncashContributions
Total Contributions2862032TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SVCS REVDescription
Business Code624100BusinessCode
Total Revenue Column220232190TotalRevenueColumn
Related Or Exempt Function Income220232190RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue220232190TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6288321TotalRevenueColumn
Exclusion$6,288,321ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1066942Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1066942Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1066942TotalRevenueColumn
Exclusion$1,066,942ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1500Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities13175Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-11675Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-11675TotalRevenueColumn
Exclusion-$11,675ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events63016GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events182186CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses153709FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-90693TotalRevenueColumn
Exclusion-$90,693ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory381919GrossSalesOfInventory
Cost Of Goods Sold260712CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column121207TotalRevenueColumn
Exclusion$121,207ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
PHARMACY SALES90009926502282650228
MISC OTHER900099697934697934
CAFETERIA SALES9000992264546$2,264,546

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column862667TotalRevenueColumn
Related Or Exempt Function Income504242RelatedOrExemptFunctionIncome
Unrelated Business Revenue358425UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue6475375TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column236943699TotalRevenueColumn
Related Or Exempt Function Income224084594RelatedOrExemptFunctionIncome
Unrelated Business Revenue358425UnrelatedBusinessRevenue
Exclusion$9,638,648ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total147830Total
Program Services147830ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2312542Total
Management And General2312542ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total82801380Total
Program Services71961034ProgramServices
Management And General10840346ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3530588Total
Program Services3248141ProgramServices
Management And General282447ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8966999Total
Program Services7980629ProgramServices
Management And General986370ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6138989Total
Program Services5463700ProgramServices
Management And General675289ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total305371Total
Program Services1833ProgramServices
Management And General303538ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total231814Total
Management And General231814ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total23062688Total
Program Services17301679ProgramServices
Management And General5761009ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total846889Total
Management And General846889ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total60997451Total
Program Services60898868ProgramServices
Management And General98583ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3915682Total
Program Services3896182ProgramServices
Management And General19500ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total573450Total
Program Services374594ProgramServices
Management And General198856ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total1646151Total
Management And General1646151ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11172609Total
Program Services9496718ProgramServices
Management And General1675891ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1661191Total
Management And General1661191ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
RECRUITMENT/RETENTION EXPENSES548658548658
OTHER EXPENSES538119723808813000316
MAINTENANCE & REPAIRS404968918390572210632
FACILITATING PT DISCHARGE659736659736
EQUIPMENT RENT & MAINT.14694991684501301049

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1391815Total
Program Services518309ProgramServices
Management And General873506ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total221812218Total
Program Services188461250ProgramServices
Management And General33350968ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY16019626BOY
EOY17339481EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY32414893BOY
EOY32274245EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3247243BOY
EOY2732035EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5649718BOY
EOY4882227EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1451494BOY
EOY1074183EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis215343161LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec103743953LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY117728542BOY
EOY111599208EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY71024383BOY
EOY97816148EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY247535899BOY
EOY267717527EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY14606976BOY
EOY20135190EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY54349035BOY
EOY53802968EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY21495578BOY
EOY27044443EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY90451589BOY
EOY100982601EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY155835797BOY
EOY165884852EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1248513BOY
EOY850074EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY157084310BOY
EOY166734926EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY247535899BOY
EOY267717527EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$9,391GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB9391TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationLobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2681695InvestmentCostOrOtherBasis
Other Cost Or Other Basis6613994OtherCostOrOtherBasis
Book Value9295689BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis134643423OtherCostOrOtherBasis
Depreciation59663092Depreciation
Book Value74980331BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5521238OtherCostOrOtherBasis
Depreciation3597414Depreciation
Book Value1923824BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis65882811OtherCostOrOtherBasis
Depreciation40483447Depreciation
Book Value25399364BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings111599208TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
SETTLEMENTS FROM 3RD PARTIES2899642
RESTRICTED DONATIONS850074
OTHER ASSETS40876
INVESTMENT IN COMMUNITY HOSPICE OF TX5210208
INVESTMENT IN ASC JV - FISHPOND1141791
HSD-EXCESS OPERATING FUND39530048
HSD - PENSION PREFUNDING INVESTMENT2858515
DEFERRED COMPENSATION ASSET3082129
FieldValueIRS element (for citing)
Total Book Value Other Assets97816148TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
THIRD PARTY SETTLEMENTS$2,089,857
PENSION & OTHER POST-RETIREMENT BENEFITS$15,169,238
OTHER NON CURRENT LIABILITIES$358,031
OTHER LIABILITIES$4,099,575
GENERAL & PROFESSIONAL TRUST FUND LIAB$2,245,613
DEFERRED COMPENSATION LIABILITY$3,082,129
FieldValueIRS element (for citing)
Total Of Amounts27044443TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XIdentifier
Return ReferencePart X : FIN48 FootnoteReturnReference
ExplanationEffective FY07, Providence Health Services of Waco adopted FIN 48. The adoption of FIN 48 did not have a material impact on Providence Health Services of Waco's consolidated financial position or results of operations. The financial statements of Providence Health Services of Waco were audited on a consolidated basis, as part of the consolidated financial statements of Ascension Health. An audit committee has been delegated the responsibility to oversee the audited financial statements and the selection of the independent accountants that audited the financial statements.Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1STYLE SHOWNameOfEvent1
Gross Receipts Event1198946GrossReceiptsEvent1
Charitable Contributions Event1182186CharitableContributionsEvent1
Gross Revenue Event116760GrossRevenueEvent1
Non Cash Prizes Event169547NonCashPrizesEvent1
Other Direct Expenses Event151710OtherDirectExpensesEvent1
Name Of Event2JEWELRY SALENameOfEvent2
Gross Receipts Event225041GrossReceiptsEvent2
Gross Revenue Event225041GrossRevenueEvent2
Other Direct Expenses Event218642OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events16859GrossReceiptsOtherEvents
Gross Revenue Other Events16859GrossRevenueOtherEvents
Other Direct Expenses Other Events12021OtherDirectExpensesOtherEvents
Gross Receipts Total240846GrossReceiptsTotal
Charitable Contributions Total182186CharitableContributionsTotal
Gross Revenue Total Events58660GrossRevenueTotalEvents
Non Cash Prizes Total Events69547NonCashPrizesTotalEvents
Other Direct Expenses Total Events82373OtherDirectExpensesTotalEvents
Direct Expense Summary Events151920DirectExpenseSummaryEvents
Net Income Summary-93260NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport
Report Publically AvailablefalseReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense20256409TotalCommunityBenefitExpense
Net Community Benefit Expense20256409NetCommunityBenefitExpense
Percent Of Total Expense0.09130PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense24384083TotalCommunityBenefitExpense
Direct Offsetting Revenue16652434DirectOffsettingRevenue
Net Community Benefit Expense7731649NetCommunityBenefitExpense
Percent Of Total Expense0.03490PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense44640492TotalCommunityBenefitExpense
Direct Offsetting Revenue16652434DirectOffsettingRevenue
Net Community Benefit Expense27988058NetCommunityBenefitExpense
Percent Of Total Expense0.12620PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense216253TotalCommunityBenefitExpense
Net Community Benefit Expense216253NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense19018TotalCommunityBenefitExpense
Net Community Benefit Expense19018NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense120450TotalCommunityBenefitExpense
Net Community Benefit Expense120450NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense54161TotalCommunityBenefitExpense
Net Community Benefit Expense54161NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense409882TotalCommunityBenefitExpense
Net Community Benefit Expense409882NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense45050374TotalCommunityBenefitExpense
Direct Offsetting Revenue16652434DirectOffsettingRevenue
Net Community Benefit Expense28397940NetCommunityBenefitExpense
Percent Of Total Expense0.12800PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense253550TotalCommunityBuildingExpense
Net Community Building Expense253550NetCommunityBuildingExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense22782TotalCommunityBuildingExpense
Net Community Building Expense22782NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense788TotalCommunityBuildingExpense
Net Community Building Expense788NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense811789TotalCommunityBuildingExpense
Net Community Building Expense811789NetCommunityBuildingExpense
Percent Of Total Expense0.00370PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense1088909TotalCommunityBuildingExpense
Net Community Building Expense1088909NetCommunityBuildingExpense
Percent Of Total Expense0.00490PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$8,732,608BadDebtExpenseAmount
Amount Attributable To2811900AmountAttributableTo
Amount Reimbursed By Medicare83932336AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare83603221CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall329115MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnership
FPSC II LLC
SURGERY CENTER0.42000
COMMUNITY HOSPICE OF TEXAS
HOSPICE SERVICES0.25000

Form990 Schedule H Part V Form990ScheduleHPartV (3 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalOtherOtherGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24Hours
Depaul Center
301 Londonderry DrWacoTX76712XFree Standing Psychiatric Hospital
Providence Park
300 W State Hwy 6WacoTX76712Long Term Care Facility
Providence Health Center
6901 Medical ParkwayWacoTX76712XXX

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaThe organization provides medically necessary care to all patients,regardless of race, color, creed, ethnic origin, gender, disability or economic status. The organization uses a percentage of Federal Poverty Level (FPL) to determine free and discounted care. At a minimum, patients with income less than or equal to 200% of the FPL, which may be adjusted for cost of living utilizing the local wage index compared to national wage index, will be eligible for 100% charity care write off of charges for services that have been provided to them. Also, at a minimum, uninsured patients that do not fall within the 200% FPL may be eligible for a charity care adjustment. An assessment of the patient's personal and financial information based on the United Stated Census Bureau and Internal Revenue Service guidelines is performed by Providence Healthcare Network to determine the charity care discount.IncomeBasedCriteria
Costing Method UsedThe 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 certain categories in the table, this was a cost accounting system; in other categories, a specific cost-to-charge ratio was applied.CostingMethodUsed
Subsidized Health Services ExplnThe organization employs its physicians at physician clinics, so the associated costs and charges relating to those physician services are included in all relevant categories in Part I.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnThe amount of bad debt expense reported on Form 990, Part IX, Line 25, column (A), but subtracted for purposes of calculating the percentages in Part I, Line 7, column (f) is $27,654,274.PercentOfTotalExpenseExpln
Bad Debt FootnoteThe organization's share of bad debt expense for fiscal year 2010 was $27,654,274 at charges ($8,732,608 at cost)The organization is part of the Ascension Health System' consolidated audit. The footnote that references bad debt expense in the 2010 consolidated audit is as follows:"The provision for bad debts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in the health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of allowance for uncollectible 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 bad debts to establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the organization 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 organization. Accounts receivable are written off after collection efforts have been followed in accordance with the Organization's policies."BadDebtFootnote
Shortfall As Community BenefitAscension 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.ShortfallAsCommunityBenefit
Debt Collection PolicyThe 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.DebtCollectionPolicy
Number Of Facility Type ExplnOne Durable Medical Equipment (DME) Store, One Breast Health Diagnostic CenterNumberOfFacilityTypeExpln
Needs AssessmentOur Community Needs Assessment is conducted every three years, most recently in July 2010. Our Ministry collaborates with Hillcrest Baptist Medical Center and the Waco-McLennan County Public Health District (WMCPHD) to provide a comprehensive and unbiased profile of McLennan County. The survey is jointly funded by all three entities. During the months of August and September 2009, our needs assessment survey was administered to the residents of the Waco-McLennan County Public Health District, Texas. The survey was a third citizen survey conducted by the University of North Texas Survey Research Center (SRC) for the WMCPHD. Many of the questions in the survey were modeled after the Behavioral Risk Factor Surveillance System Questionnaire (BRFSS). Survey questions included:-Perceptions of public health preparedness-General physical and emotional health status-Health care access issues-Health care awareness of several health conditions-Behaviors that affect health-Women's health issues The needs assessment included a random sample of 24 geographic areas within our county and a telephone survey of 1,000 landline households and 211 cell-phone-only households. The SRC provided statistical analysis of the survey data to help identify local health needs, to determine priority health needs for McLennan County and to assist in developing a plan of action. The 2010 Community Needs Assessment of McLennan County revealed that the majority of respondents (77.3%) are in good or better health as compared to CDC national data. Diabetes was identified as a specific need in the 2010 Community Needs Assessment and our Ministry is taking steps to address this need.NeedsAssessment
Patient Education AssistanceProvidence Healthcare Network is prepared to educate and qualify patients for financial assistance as needed. Financial assistance counselors meet with all self pay patients and screen them for potential government benefits. They assist them with the charity care applications as well as work with them to establish eligibility for governmental benefits. Our counselors receive extensive training on how to qualify patients for assistance under federal, state or local government programs. They are also bi-lingual in both English and Spanish. A summary of our charity care policy is provided to patients during the intake and discharge process.PatientEducationAssistance
Community InformationProvidence Healthcare Network is located in Waco, Texas and serves McLennan County (pop. 233,378) and the six contiguous counties which include Hill (pop. 39,761), Bosque (pop. 20,232), Limestone (pop. 22,287), Falls (pop. 20,452), Bell (pop. 294,101) and Coryell (pop. 98,538). Waco (pop. 126,217), known as the education and consumer center of Texas, is our primary service area and is located along Interstate 35 in Central Texas, equidistant from Dallas/Ft. Worth and Austin (90 miles). Waco is served by two not for profit hospitals, Providence Healthcare Network and Hillcrest Baptist Medical Center.In McLennan County, 27% of households live at or below federal poverty guidelines; median income is $43,063; 14.4% of families are on Medicaid or other assistance; uninsured and underinsured persons comprise 24% of the population; and 25.8% of our county are minority and 17.4% speak a language other than English at home, with Spanish being the predominant other language. In FY10, our Ministry served 18,845 patients and provided $16.6m in traditional charity care, and $1.2m in unpaid costs of public programs.CommunityInformation
Community Building ActivitiesProvidence Healthcare Network provided the following community building activities in FY10:Partners in Education (PIE) - Our Ministry partners with Brook Avenue Elementary School enabling us to support children in their most influential years of development. Our employees participate in several events/activities during the school year which include tutoring, mentoring, presentation of life skills, math, science, and literacy activities. The students benefit from a broad spectrum of knowledge and resources as our employees serve as strong, positive role models and our employees are fulfilled by knowing that we are making a difference one child at a time. Our partnership has flourished for the past twenty five years.Cord Blood Program - Providence Health Center (PHC) is a collection site for the Texas Cord Blood Bank, a network of maternity hospitals and a central laboratory who are working together to develop an inventory of cord blood units for use in hematopoietic stem cell transplantation. The goal of the bank is to collect blood units that represent the rich ethnic diversity of Texas. PHC is the only collection site between Austin and Dallas. Information about each banked sample is entered into the database of the National Marrow Donor Program. That allows physicians around the globe to search available units to see if they are a match for patients needing stem cell transplants. Pharmaceutical Assistance Program (PAP) - This program is available through pharmaceutical companies as a resource to those patients who qualify to receive free or low cost medications. Our Ministry identified the need for the PAP Program through our admissions process to the hospital. This service is important to our Ministry as it decreases the amount of re-admissions. It also has an important impact on the community as it lessens the financial stress on those that could not otherwise afford the necessary medications needed to improve their health thus enabling them to become productive members of society. Diabetes Program- The Providence Diabetes Management Center provides diabetes education and self management training to persons with diabetes and their families. It is estimated that 25,000 people in McLennan County have diabetes. Our hospital identified this community need from our Community Needs Assessment and our program is designed to address this chronic disease. Our diabetic educators provide education, training, support groups and participate in community health fairs with area schools and businesses. Our Ministry's goal is to improve the quality of life and prevent complications for persons with diabetes. No-Cost Mammograms Program - The goal of the Providence Breast Health Center (PBHC) is to ensure that all Central Texas women (and men), and especially the underserved and uninsured, receive the best quality breast care available throughout the continuum of breast care offered by our network. Central Texas is home to large minority groups who are often our most vulnerable populations. Central Texas women as a whole are undereducated about breast disease and fail to have their yearly mammogram for many reasons, including financial restrictions of having no insurance or the inability to pay the required deductibles. (Less than half of women age 40 and over in Texas receive yearly screening mammograms.) PBHC is able to provide subsidized screening mammograms and diagnostic services for those who cannot otherwise afford them. We are able to accomplish this through our program -Screening Mammograms, Diagnostic Imaging, and Breast Biopsies for the Underserved - funded by generous grants from entities such as Susan G. Komen Race for the Cure and Daughters of Charity. PBHC serves as the fiscal agent for the program.CommunityBuildingActivities
Other InformationProvidence Healthcare Network provides a wide variety of benefits to the community which includes:-Social service and support counseling for patients and families-Pastoral care-Space for community groups to use at no charge-Employee and Administration active involvement on community boards and associations-Mentoring children through year round partnerships with local elementary schools-Ongoing clinical research to help advance medical care-Ongoing educational programs for internal and external medical/clinical staff-Comprehensive and interactive website-Charitable financial support of many local and national non for profit organizations-Collaboration with health department and other local hospital to identify community needs and address community problems-Free mammograms for uninsured and underinsured women -Trained financial assistance counselors available to identify eligibility for government benefits-Hospital volunteers receive extensive training by AARP to provide free tax preparation to the needy and underserved in our community-Free or no-cost medications provided to those persons that qualify-Flu shots offered at reduced prices for the general community and free to employees and their families-Disaster readiness support provided locally and globally-Year round CPR Life Support Course provided for free to the community - Active Volunteer Services Department providing the opportunity for persons in the community to come together and combine their compassion, skills and talent to make a difference in the lives of our patients and families, employees, physicians and clinical staff -Annual free health screeningsThrough each of these diverse community outreach support efforts, Providence Healthcare Network provides a significant impact on the overall well-being of the community while increasing access to health care services and reducing health care costs.OtherInformation
Affiliated Health Care SystemProvidence Healthcare Network proudly serves as a member of Ascension Health, the nation's largest Catholic and largest nonprofit health system. Since being founded by the Daughters of Charity in 1905 as a ministry to the suffering, Providence Healthcare Network and its affiliated Divisions have been dedicated to providing accessible, safe and quality healthcare to all patients regardless of their ability to pay. Providence is a comprehensive healthcare network that operates several facilities including the Health Center, DePaul Center, Home Care, Durable Medical Equipment, Providence Park and 13 clinics in Waco, Texas. Network wide, in FY10 our Ministry provided more than $29 million in community health services, professional education, subsidized health care, research, financial contributions and other community building activities.AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
Waco Symphony Association Inc
PO Box 1201WacoTX76703746062658501(c)(3)100000Special Event
Providence Foundation
6901 Medical ParkwayWacoTX76712742683112501(c)(3)117500Special Events
Heart OTexas Fair & Rodeo
4601 Bosque BlvdWacoTX76710741172561501(c)(3)76000Special Event
Family Health Center
1600 Providence DrWacoTX76707742446071501(c)(3)104800Gala Event
Daughters of Charity
PO Box 45998St LoiusMO63145430887104501(c)(3)100000Haiti Earthquake Relief
American Heart Association Inc
10900-B Stonelake BlvdAustinTX78759135613797501(c)(3)800000Special Events
American Cancer Society
1700 Lake Success DrWacoTX76710756198499501(c)(3)180000Cattle Baron's Ball
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants7TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationWhen grant or sponsorship requests are submitted, each request is reviewed by the marketing team to determine if the request meets one or more of the following criteria:~How does the request fit with our mission of providing charity care to our community?~How does the request support health related issues within our community?~Will this request be financially sustainable from year to year?~Is the organization/company making the request a member of the Greater Waco Chamber of Commerce?For approved requests, the appropriate forms are filled out and signed by the vice president of marketing. The documents are then forwarded to accounting for processing. Records are maintained of amounts spent and are regularly reviewed to ensure compliance.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
VICKY CAMPBELL
120543568314142243755846022320338001
TIMOTHY BARRETT
22133313650319683261749642349210
SAMUEL E ABERNATHY
13978418590269651143212213
ODIS W NICHOLS
2573201398038844327884990739283913069
LUCI HANSSON
1365218727254417550165342
LARRY STEPHENS
106411602017962170384895719638812599
LARRY LEFEVRE
127464241712552154187
KRISTIN CRAIG
1313618153247857798199790
KENT A KEAHEY
413005197885305896490052927974613
KEN FLOWERS
1282105271141858471193370
KAREN RICHARDSON
13224715944252149056199768
JONATHON FORD
13241064456861304065852723464924329
JOHN GW SCHERLER
1589137630339722858675228843
JOE K HOPKINS
121873387285981175236471182566
CHUCK SIVESS
1025086095102651695816128151954
CHERYL SADRO
170027848925473386521492812038
BRENDA P DAVIS
15246280049226285258637231181
ANNETTE F AYERS
15996280045200182036675211661

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Sch J, Part I, Line 7Part I, Line 7: Non-Fixed payments not listed aboveOfficers of the Providence Health Services of Waco Management Council received a bonus in FY10. A bonus schedule was presented and approved by the board prior to distribution. No formal bonus plan is documented or in use.
Sch J, Part I, Line 1aPart I, Line 1a: Relevant information in regards to selections on 1a.Providence Healthcare Network utilizes an Accountable Plan to guide its activities in the reimbursement of business expenses for employees, officers, and board members. The Accountable Plan, in all material respects, conforms to the rules and regulations of the Internal Revenue Service.The CEO is eligible for travel reimbursement for companions, as well as reimbursement of health or social club dues or initiations fees. The benefits are treated as taxable compensation to each eligible person pursuant to the organization's accountable plan.

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F9901800NoncashContribsRptdF990
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9905576NoncashContribsRptdF990
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions6NumberOfContributions
Noncash Contribs Rptd F9901028NoncashContribsRptdF990
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (7 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XOTHER2042819SELLING PRICE
XBEAUTY ITEMS83905SELLING PRICE
XMEMBERSHIPS42020SELLING PRICE
XEVENT TICKETS3330SELLING PRICE
XTRAVEL/HOTEL95105SELLING PRICE
XJEWELRY92054SELLING PRICE
XGIFTCARDS294910SELLING PRICE
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableOrganization provides governing documents, conflict of interest policy, and financial statements to the public upon request.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesPOLICY:The executive Compensation Committee of the Board of Trustees of Ascension Health has been delegated the responsibility and authority to oversee the Executive Compensation Program, in accordance with the Committee Charter and the Board approved Executive Compensation Responsibility/Authority Matrix. The Committee is charged with overseeing the Program in a manner designed to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations. The Providence Healthcare Network Wage Plan is reviewed and appropriately revised at least annually, and is maintained as required between reviews.A salary survey is completed in the market for positions at points over the complete range of the wage scale for all levels of employment including key personnel. The proposed wage plan shall be approved by the President and distributed by the Human Resources Department and to Hospital Administration. Actual employee pay increases are reviewed and approved by Hospital Administration.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsPROCEDURES:Duty to Disclose: In connection with any actual or possible conflicts of interest, an interested person must disclose the existence of his or her financial interest and all material facts to the Trustees, or to the members of a committee with board delegated powers, considering the proposed transaction or arrangement. Such disclosure shall be made either through the annual questionnaire required under "Annual Statements" or when a conflict not disclosed on the questionnaire otherwise arises. The annual statements are reviewed by the compliance department to ensure no conflicts of interest exist.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe review process for the 990 Informational Return:Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form to the Board, or a designated committee, to review. 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 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyProvidence Health Services of Waco has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of the Providence Health Services of Waco.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderAscension Health is the single entity member of the organization.
Client Note1PROVIDENCE HEALTH SERVICES OF WACO, INC. 74-1109636FORM 990 - RETURN OF ORGANIZATION EXEMPT FROM INCOME TAXSUPPORTING STATEMENT FYE 6/30/2010PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSProvidence Healthcare Network provides a full range of care, including: outpatient care, inpatient care, emergency services, long-term care, mental health care, chemical dependency treatment, child care and senior adult care services and more. Providence Health Alliance Inc. is the part of Providence Healthcare Network that operates ten physician clinics that serve Waco and the six surrounding counties. The Providence Clinics accept all payors to provide complete health care for individuals and families. The clinics' team of dedicated health professionals provides a diverse range of services; from routine physicals and preventive medicine, to more complex matters of illness and injury. The clinic specialties include Family Practice, Internal Medicine, Obstetrics/Gynecology, Psychiatry, Psychotherapy and Geriatric (senior adult) Medicine. Providence Healthcare Network also includes Providence Health Services of Waco Inc. (74-1109636) which operates Providence Health Center (acute care), Providence Park (residential, skilled nursing, and long-term care), DePaul Center (psychiatric care) and Providence Home Care. Providence Healthcare Network also includes Providence Foundation, Inc. (74-2683112), which is the fund-raising division of Providence Healthcare Network and is responsible for the acquisition of capital equipment and advanced technology. Providence Health Services of Waco, Inc. and Providence Foundation, Inc. file separate IRS Forms 990. The following information pertains to Providence Healthcare Network:This report illustrates the significant degree to which Providence Healthcare Network contributes to the positive health status of the communities it serves. As a member of Ascension Health, the nation's largest Catholic healthcare system, Providence Healthcare Network continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. Ascension Health 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 communities it serves. In accordance with Ascension Health's mission of service to those who are poor and vulnerable, each Health Ministry accepts patients regardless of their ability to pay. Providence Healthcare Network has engaged in the following activities to ensure that our mission is accomplished:Unreimbursed Services Provided to the Elderly and the Poor:Providence Healthcare Network provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2010, approximately 48.4% of the values of services rendered were to elderly patients under the Medicare program, and approximately 13.7% of the services were provided to patients who were deemed indigent under state, county, or Medical Center Guidelines. In the spirit of principles adopted by Ascension Health, Providence Healthcare Network 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 underserved. During the fiscal year ending June 30, 2010, the estimated unreimbursed cost of services provided to the elderly, uninsured, and underinsured totaled $23 million before state uncompensated pool reimbursements.Patient Services: Providence Healthcare Network provides the following inpatient and outpatient medical services to the community:Emergency CarePsychiatric CareGeriatric CareIndependent LivingAssisted LivingLong-term CareSub-Acute CareHome CareDurable Medical EquipmentWound CareRehabilitative Services- Inpatient and OutpatientMRI CenterWomen & Newborns CenterPhysician Clinical ServicesSome of the services listed above operate at a loss in order to ensure that all services are available to meet community health care needs. These include psychiatric care, physician clinical services, and certain acute care departments. During the fiscal year ending June 30, 2010, our Health Center treated 18,845 adults and children in the community for a total of 183,905 patient days of service. The Health Center also provided outpatient services including 3,558 outpatient surgery patients, 85,638 emergency and minor care visits, and 31,223 homebound patients, 7,114 psychiatric care visits, and 83,934 physician office visits. Community Outreach Activities:Providence Healthcare Network seeks to improve the physical, mental, social and spiritual health status of its surrounding community. In addition to providing health care services to all individuals who require medical attention, our Ministry has developed the following programs to help achieve its mission:Expanding Awareness, Education, and Health PromotionProvidence Healthcare Network believes that it is essential to educate people regarding the types of behavior that improve their chances of living a healthy life. Providence Healthcare Network has invested significantly in unique, top quality health education programs and materials to accomplish its goals. Pulmonary Support GroupCommunity Skin Cancer ScreeningCommunity General Health Screenings (glucose levels, blood pressure, cholesterol)Worksite Wellness ProgramDiabetic Support GroupHealing Grief SeriesInternal Cardioverter Defibrillator training for ICD patients and familiesLiving Livers ClassesCardiac Support GroupOsteoporosis Support GroupBariatric Support GroupSupport Groups for chemical addictions, anxiety/stress, bipolar disorder,depression and compulsive overeating. Website Educational MaterialsAll of the above listed support groups are posted on our website www.providence.net. Additionally, we have several service lines that have dedicated websites in order to provide a convenient way to better educate their patients. Also, several of our service lines highlight preventative educational materials.Comprehensive Bariatric Center at Providence- We post support groups and the dedicated website www.werechanginglives.com provides health resources necessary in determining whether or not to have surgery and lifestyle changes that must occur when you do. Providence Breast Health Center- This website www.providencebhc.com provides resources that encourage women to be proactive in their breast health. It includes such information as Facts and Figures and credible links to other national organizations with preventative breast cancer information.DePaul Center- Our psychiatric and substance abuse treatment division posts the schedule for monthly education seminars on mental health topics and posts support groups offering to assist in mental health.Providence Stroke Center- Our Stroke website page highlights the signs & symptoms of a stroke, the risk factors and also provides links to other important national organizations that provide additional in-depth preventative information. Joint Camp: Joint Camp is a comprehensive program, designed to educate and help patients and their families prepare for joint replacement surgery and recovery. The education process is introduced one week prior to surgery. Patients are introduced to each other as well as the occupational therapists and physical therapists then provided with a notebook filled with pre and post-op expectations, information about medications, and other important guidelines. Following surgery, patients participate in group-focused therapy in an environment created to enhance faster healing and recovery. With a focus of clinical excellence and patient satisfaction, the Joint Camp's team of highly trained clinicians is dedicated to delivering better overall outcomes in patient care. From the very first pre-surgery visit to the actual surgery, and on to recovery, the Joint Camp at Providence provides comprehensive care and education that patients can trust.Charitable Contributions to Community Organizations:Providence Healthcare Network provides charitable support to many various organizations within our community. Our Mission directs us to serve all persons, particularly the poor and vulnerable, toward improving the health of individuals and communities. We feel it is our calling to support those organizations that serve this same purpose. Listed below are just a few of those organizations that receive charitable contributions from our Ministry:Family Abuse CenterJunior League of WacoAmerican Heart AssociationAmerican Cancer SocietyCommunities in SchoolsMission WacoFamily Health CenterCaritas of WacoC.A.S.ACare Net Pregnancy CenterSusan G. Komen FoundationWaco ISD Adopt a School PartnershipMarch of DimesAlzheimer's AssociationCamp Fire USAWaco Senior LeaguePotter's VesselParticipation in Charitable or Public

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Ascension Health
PO Box 45998St LouisMO63145311662309HealthcareMO501(c)(3)11.a Type 1N/A
Providence Health Alliance
6901 Medical ParkwayWacoTX76712742696970Physician PracticesTX501(c)(3)3.HospitalProvidence Health Services of Waco
Providence Foundation Inc
6901 Medical ParkwayWacoTX76712742683112Support charitable purpose of PHSWTX501(c)(3)11.a Type IProvidence Health Services of Waco
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Ascension Health
o3927708
Providence Health Alliance
q6050000
Providence Health Alliance
i323293
Providence Foundation Inc
q50000
Providence Foundation Inc
p283380
Providence Foundation Inc
c2679699

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