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        <ReportableCompFromOrganization>169692</ReportableCompFromOrganization>
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        <OtherCompensation>61489</OtherCompensation>
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        <NamePerson>ANNETTE F AYERS</NamePerson>
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        <ReportableCompFromOrganization>173166</ReportableCompFromOrganization>
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        <OtherCompensation>38495</OtherCompensation>
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      <TotalOtherCompensation>1002169</TotalOtherCompensation>
      <NumberIndividualsGT100K>18</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>WOUND CARE CENTERS INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 1450</AddressLine1>
            <City>MINNEAPOLIS</City>
            <State>MN</State>
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        </AddressOfContractor>
        <DescriptionOfServices>WOUND CARE SVCS &amp; MG</DescriptionOfServices>
        <Compensation>981900</Compensation>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MCLENNAN COUNTY MEDICAL EDUCATION &amp; RESEARCH</BusinessNameLine1>
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          <AddressUS>
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        </AddressOfContractor>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MCLENNAN COUNTY HOSPITALISTS</BusinessNameLine1>
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          <AddressUS>
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          <NameBusiness>
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        <TotalRevenueColumn>220232190</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>220232190</RelatedOrExemptFunctionIncome>
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        <ExclusionAmount>-11675</ExclusionAmount>
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      <TotalRevenue>
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      <GrantsToDomesticOrgs>
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      <GrantsToDomesticIndividuals>
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      <CompDisqualPersons>
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      <FeesForServicesAccounting>
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      <FeesForServicesLobbying>
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      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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      <TravelEntrtnmntPublicOfficials>
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      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
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      <Interest>
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        <ManagementAndGeneral>1646151</ManagementAndGeneral>
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      <PaymentsToAffiliates>
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      <OtherExpenses>
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      <OtherExpenses>
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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>false</AuditCommittee>
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    </IRS990>
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        <ReturnReference>Part II-B, Line 1i - Other Activities Description</ReturnReference>
        <Explanation>Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying.</Explanation>
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      <Equipment>
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      <OtherAssets>
        <Description>SETTLEMENTS FROM 3RD PARTIES</Description>
        <BookValue>2899642</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>RESTRICTED DONATIONS</Description>
        <BookValue>850074</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER ASSETS</Description>
        <BookValue>40876</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>INVESTMENT IN COMMUNITY HOSPICE OF TX</Description>
        <BookValue>5210208</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>INVESTMENT IN ASC JV - FISHPOND</Description>
        <BookValue>1141791</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>HSD-EXCESS OPERATING FUND</Description>
        <BookValue>39530048</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>HSD - PENSION PREFUNDING INVESTMENT</Description>
        <BookValue>2858515</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEFERRED COMPENSATION ASSET</Description>
        <BookValue>3082129</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>97816148</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>THIRD PARTY SETTLEMENTS</Description>
        <Amount>2089857</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PENSION &amp; OTHER POST-RETIREMENT BENEFITS</Description>
        <Amount>15169238</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER NON CURRENT LIABILITIES</Description>
        <Amount>358031</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>4099575</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>GENERAL &amp; PROFESSIONAL TRUST FUND LIAB</Description>
        <Amount>2245613</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED COMPENSATION LIABILITY</Description>
        <Amount>3082129</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>27044443</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>Part X</Identifier>
        <ReturnReference>Part X : FIN48 Footnote</ReturnReference>
        <Explanation>Effective 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>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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      <AgreementRefFundraising>false</AgreementRefFundraising>
      <EventsInformation>
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        <OtherDirectExpensesEvent1>51710</OtherDirectExpensesEvent1>
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        <GrossRevenueEvent2>25041</GrossRevenueEvent2>
        <OtherDirectExpensesEvent2>18642</OtherDirectExpensesEvent2>
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        <GrossReceiptsTotal>240846</GrossReceiptsTotal>
        <CharitableContributionsTotal>182186</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>58660</GrossRevenueTotalEvents>
        <NonCashPrizesTotalEvents>69547</NonCashPrizesTotalEvents>
        <OtherDirectExpensesTotalEvents>82373</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>151920</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-93260</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="09000047" softwareVersion="2009v1.7">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>false</FPGReferenceDiscountedCare>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>false</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>false</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>20256409</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>20256409</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.09130</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>24384083</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>16652434</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>7731649</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03490</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>44640492</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>16652434</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>27988058</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.12620</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>216253</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>216253</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00100</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>19018</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>19018</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>120450</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>120450</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>54161</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>54161</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>409882</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>409882</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00180</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>45050374</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>16652434</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>28397940</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.12800</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <EconomicDevelopment>
        <TotalCommunityBuildingExpense>253550</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>253550</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00110</PercentOfTotalExpense>
      </EconomicDevelopment>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>22782</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>22782</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CommunitySupport>
      <LeadershipDevelopment>
        <TotalCommunityBuildingExpense>788</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>788</NetCommunityBuildingExpense>
      </LeadershipDevelopment>
      <WorkforceDevelopment>
        <TotalCommunityBuildingExpense>811789</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>811789</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00370</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Total>
        <TotalCommunityBuildingExpense>1088909</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>1088909</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00490</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>8732608</BadDebtExpenseAmount>
      <AmountAttributableTo>2811900</AmountAttributableTo>
      <AmountReimbursedByMedicare>83932336</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>83603221</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>329115</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>FPSC II LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>SURGERY CENTER</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.42000</OrganizationProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>COMMUNITY HOSPICE OF TEXAS</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>HOSPICE SERVICES</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.25000</OrganizationProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Depaul Center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>301 Londonderry Dr</AddressLine1>
          <City>Waco</City>
          <State>TX</State>
          <ZIPCode>76712</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>Free Standing Psychiatric Hospital</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Providence Park</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>300 W State Hwy 6</AddressLine1>
          <City>Waco</City>
          <State>TX</State>
          <ZIPCode>76712</ZIPCode>
        </Address>
        <Other>Long Term Care Facility</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Providence Health Center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>6901 Medical Parkway</AddressLine1>
          <City>Waco</City>
          <State>TX</State>
          <ZIPCode>76712</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <IncomeBasedCriteria>The 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>
        <CostingMethodUsed>The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a costing accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For certain categories in the table, this was a cost accounting system; in other categories, a specific cost-to-charge ratio was applied.</CostingMethodUsed>
        <SubsidizedHealthServicesExpln>The 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>
        <PercentOfTotalExpenseExpln>The 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>
        <BadDebtFootnote>The 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>
        <ShortfallAsCommunityBenefit>Ascension Health and related health ministries follow the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply.</DebtCollectionPolicy>
        <NumberOfFacilityTypeExpln>One Durable Medical Equipment (DME) Store, One Breast Health Diagnostic Center</NumberOfFacilityTypeExpln>
        <NeedsAssessment>Our 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>
        <PatientEducationAssistance>Providence 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>
        <CommunityInformation>Providence 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>
        <CommunityBuildingActivities>Providence 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>
        <OtherInformation>Providence 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>
        <AffiliatedHealthCareSystem>Providence 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>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="09000047" softwareVersion="2009v1.7">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Waco Symphony Association Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 1201</AddressLine1>
          <City>Waco</City>
          <State>TX</State>
          <ZIPCode>76703</ZIPCode>
        </AddressUS>
        <EINOfRecipient>746062658</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Special Event</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Providence Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>6901 Medical Parkway</AddressLine1>
          <City>Waco</City>
          <State>TX</State>
          <ZIPCode>76712</ZIPCode>
        </AddressUS>
        <EINOfRecipient>742683112</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>11750</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Special Events</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Heart OTexas Fair &amp; Rodeo</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>4601 Bosque Blvd</AddressLine1>
          <City>Waco</City>
          <State>TX</State>
          <ZIPCode>76710</ZIPCode>
        </AddressUS>
        <EINOfRecipient>741172561</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>7600</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Special Event</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1>Family Health Center</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1600 Providence Dr</AddressLine1>
          <City>Waco</City>
          <State>TX</State>
          <ZIPCode>76707</ZIPCode>
        </AddressUS>
        <EINOfRecipient>742446071</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10480</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Gala Event</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1>Daughters of Charity</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 45998</AddressLine1>
          <City>St Loius</City>
          <State>MO</State>
          <ZIPCode>63145</ZIPCode>
        </AddressUS>
        <EINOfRecipient>430887104</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Haiti Earthquake Relief</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>American Heart Association Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>10900-B Stonelake Blvd</AddressLine1>
          <City>Austin</City>
          <State>TX</State>
          <ZIPCode>78759</ZIPCode>
        </AddressUS>
        <EINOfRecipient>135613797</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>80000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Special Events</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>American Cancer Society</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1700 Lake Success Dr</AddressLine1>
          <City>Waco</City>
          <State>TX</State>
          <ZIPCode>76710</ZIPCode>
        </AddressUS>
        <EINOfRecipient>756198499</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>18000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Cattle Baron's Ball</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>7</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>Grantmaker's Description of How Grants are Used</Identifier>
        <Explanation>When 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>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="09000047" softwareVersion="2009v1.7">
      <TravelForCompanions>X</TravelForCompanions>
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>VICKY CAMPBELL</NamePerson>
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        <OtherCompensationFilingOrg>14142</OtherCompensationFilingOrg>
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        <CompReportPrior990FilingOrg>38001</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TIMOTHY BARRETT</NamePerson>
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        <NamePerson>SAMUEL E ABERNATHY</NamePerson>
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        <NamePerson>ODIS W NICHOLS</NamePerson>
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        <NamePerson>ANNETTE F AYERS</NamePerson>
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        <Identifier>Sch J, Part I, Line 7</Identifier>
        <ReturnReference>Part I, Line 7: Non-Fixed payments not listed above</ReturnReference>
        <Explanation>Officers 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.</Explanation>
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        <Identifier>Sch J, Part I, Line 1a</Identifier>
        <ReturnReference>Part I, Line 1a: Relevant information in regards to selections on 1a.</ReturnReference>
        <Explanation>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.</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Organization provides governing documents, conflict of interest policy, and financial statements to the public upon request.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>POLICY: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.</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>PROCEDURES: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.</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The 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.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>Providence 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.</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>Ascension Health is the single entity member of the organization.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>Client Note1</ReturnReference>
        <Explanation>PROVIDENCE 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 &amp; 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 &amp; 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</Explanation>
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        <TransactionType>i</TransactionType>
        <AmountInvolved>323293</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Providence Foundation Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>50000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Providence Foundation Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>283380</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Providence Foundation Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>2679699</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>