ALABAMA PROVIDENCE HEALTHCARE SERVICES: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- ALABAMA PROVIDENCE HEALTHCARE SERVICES (EIN 46-2847744)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-11
- IRS object ID
- 201931319349300213
- Schema version
- 2017v2.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-11T10:00:32-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 462847744 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alabama Providence Healthcare Services | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ALAB | BusinessNameControlTxt |
| Phone | 3147338000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6801 Airport Boulevard | AddressLine1Txt |
| City | Mobile | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 36608 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Tonya Mershon | PersonNm |
| Person Title | Tax Officer | PersonTitleTxt |
| Signature | 2019-05-11 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JASON ALEXANDER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6801 Airport Boulevard | AddressLine1Txt |
| City | Mobile | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 36608 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $37,263,145 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://healthcare.ascension.org/Sites-of-Care/Alabama | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2013 | FormationYr |
| Legal Domicile State | AL | LegalDomicileStateCd |
| Activity Or Mission | To improve the health and well-being of all people in the communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 397 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $4,425 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $46,050,461 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $35,949,363 | CYProgramServiceRevenueAmt |
| PY Investment Income | $20,329 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,722,469 | PYOtherRevenueAmt |
| CY Other Revenue | $1,313,782 | CYOtherRevenueAmt |
| PY Total Revenue | $47,793,259 | PYTotalRevenueAmt |
| CY Total Revenue | $37,263,145 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $40,414,334 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $36,229,546 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $19,953,436 | PYOtherExpensesAmt |
| CY Other Expenses | $15,631,822 | CYOtherExpensesAmt |
| PY Total Expenses | $60,367,770 | PYTotalExpensesAmt |
| CY Total Expenses | $51,861,368 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$12,574,511 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$14,598,223 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,096,297 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,566,665 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,103,838 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,902,956 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$3,007,541 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,663,709 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $44,870,974 | ExpenseAmt |
| Revenue | $35,949,363 | RevenueAmt |
| Desc | TO EMPLOY PHYSICIANS AND MANAGE THEIR PRACTICES IN A MANNER WHICH SUPPORTS THE OPERATION AND MISSION OF PROVIDENCE HOSPITAL. THERE WERE 134,296 PHYSICIAN VISITS DURING THE FISCAL YEAR. | Desc |
| Total Program Service Expenses | $44,870,974 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 41 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 397 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | Yes (true) | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SARA OBRIEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3147338070 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11775 BORMAN DRIVE | AddressLine1Txt |
| City | MARYLAND HEIGHTS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63146 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| ROBERT MURPHY | |||||||||
| CHAIR | 1.0 | 49.0 | Yes (X) | Yes (X) | $0 | $430,280 | $39,241 | ||
| JAMES L WALKER MD | |||||||||
| CHAIR (END 10/2017) | 39.0 | 1.0 | Yes (X) | Yes (X) | $202,997 | $0 | $13,592 | ||
| JUSTIN LABRATO | |||||||||
| VICE CHAIR (START 7/2017) | 1.0 | 49.0 | Yes (X) | Yes (X) | $0 | $248,844 | $34,866 | ||
| C SUSAN CORNEJO | |||||||||
| SECRETARY/TREASURER (START 7/2017) | 1.0 | 49.0 | Yes (X) | Yes (X) | $0 | $703,672 | $37,265 | ||
| APRIL R MURRAY | |||||||||
| ASSISTANT SECRETARY/TREASURER (START 7/2017) | 1.0 | 49.0 | Yes (X) | Yes (X) | $0 | $75,480 | $22,260 | ||
| TODD S KENNEDY | |||||||||
| MEMBER | 1.0 | 49.0 | Yes (X) | $0 | $609,435 | $37,548 | |||
| DAVID MACRAE MD | |||||||||
| MEMBER, PHYSICIAN (START 7/2017) | 49.0 | 1.0 | Yes (X) | $269,702 | $0 | $37,393 | |||
| JASON P ALEXANDER FACHE | |||||||||
| CEO, MINISTRY MARKET | 0.0 | 50.0 | Yes (X) | $0 | $472,184 | $27,767 | |||
| BRANDON M WILLIAMS | |||||||||
| CFO, MINISTRY MARKET (START 8/2017) | 1.0 | 53.0 | Yes (X) | $0 | $152,113 | $9,142 | |||
| BILLY G AUGUST MD | |||||||||
| PHYSICIAN | 50.0 | 0 | $399,435 | $0 | $35,464 | Yes (X) | |||
| WILLIAM S DENSON MD | |||||||||
| PHYSICIAN | 50.0 | 0 | $399,460 | $0 | $31,970 | Yes (X) | |||
| MICHELLE S JACKSON MD | |||||||||
| PHYSICIAN | 50.0 | 0 | $410,955 | $0 | $25,812 | Yes (X) | |||
| ERIC C JOHNSON MD | |||||||||
| PHYSICIAN | 50.0 | 0 | $491,030 | $0 | $44,897 | Yes (X) | |||
| DAVID M PHILLIPS MD | |||||||||
| PHYSICIAN | 50.0 | 0 | $409,810 | $0 | $40,372 | Yes (X) | |||
| CLARK P CHRISTIANSON | |||||||||
| FORMER OFFICER (END 9/2015) | 0.0 | 0.0 | $0 | $323,392 | $2,660 | Yes (X) | |||
| SUSAN L DAVIS RN | |||||||||
| FORMER OFFICER (END 10/2016) | 0.0 | 50.0 | $0 | $10,276,391 | $35,873 | Yes (X) | |||
| CHARLES A PINKERT | |||||||||
| BOARD PRESIDENT & COO/VP (END 06/2017) | 0.0 | 0.0 | $0 | $174,959 | $22,875 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,583,388 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $13,466,751 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $498,997 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 54 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| MEDAC INC | ||||||
| 804 SCOTT NIXON MEMORIAL DR | AUGUSTA | GA | 30907 | MEDICAL SERVICES | $245,444 | |
| BENNETT CONSULTING LLC | ||||||
| 999 FORT PICKENS ROAD | PENSACOLA BEACH | FL | 32561 | CONSULTING SERVICES | $131,732 | SUITE 309 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 621990 | $27,890,795 | $27,890,795 |
| Services to Affiliates | 561000 | $8,057,449 | $8,057,449 |
| Bill Service Revenue | 561000 | $1,119 | $1,119 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $35,949,363 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | $73,090 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $73,090 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $73,090 | TotalRevenueColumnAmt |
| Exclusion | $73,090 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Cafeteria/Vending Revenue | 722514 | $147 | $147 |
| Escheatment Revenue | 900099 | $28 | $28 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,240,517 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,240,517 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,240,692 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,263,145 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $35,949,363 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,313,782 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $523,683 | TotalAmt |
| Program Services | $505,878 | ProgramServicesAmt |
| Management And General | $17,805 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,784,899 | TotalAmt |
| Program Services | $30,725,525 | ProgramServicesAmt |
| Management And General | $1,059,374 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $665,883 | TotalAmt |
| Program Services | $643,702 | ProgramServicesAmt |
| Management And General | $22,181 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,550,981 | TotalAmt |
| Program Services | $1,499,286 | ProgramServicesAmt |
| Management And General | $51,695 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,704,100 | TotalAmt |
| Program Services | $1,647,286 | ProgramServicesAmt |
| Management And General | $56,814 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,035 | TotalAmt |
| Program Services | $42,305 | ProgramServicesAmt |
| Management And General | $730 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,626 | TotalAmt |
| Management And General | $3,626 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,265 | TotalAmt |
| Program Services | $171,340 | ProgramServicesAmt |
| Management And General | $7,925 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,123 | TotalAmt |
| Program Services | $3,123 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $442,214 | TotalAmt |
| Program Services | $306,543 | ProgramServicesAmt |
| Management And General | $135,671 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,885 | TotalAmt |
| Program Services | $41,678 | ProgramServicesAmt |
| Management And General | $8,207 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,107,933 | TotalAmt |
| Program Services | $1,984,220 | ProgramServicesAmt |
| Management And General | $123,713 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,155 | TotalAmt |
| Program Services | $111,129 | ProgramServicesAmt |
| Management And General | $20,026 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,807 | TotalAmt |
| Program Services | $76,081 | ProgramServicesAmt |
| Management And General | $1,726 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $241 | TotalAmt |
| Program Services | $241 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $421,215 | TotalAmt |
| Program Services | $137,422 | ProgramServicesAmt |
| Management And General | $283,793 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,042,524 | TotalAmt |
| Program Services | $754,627 | ProgramServicesAmt |
| Management And General | $287,897 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchased Services | $2,993,707 | $3,438,864 | -$445,157 |
| Medical Supplies | $2,043,271 | $2,000,572 | $42,699 |
| Management Fee to Affiliate | $5,188,112 | $5,188,112 | |
| Minor Equipment | $214,999 | $168,800 | $46,199 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $689,710 | TotalAmt |
| Program Services | $612,352 | ProgramServicesAmt |
| Management And General | $77,358 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,861,368 | TotalAmt |
| Program Services | $44,870,974 | ProgramServicesAmt |
| Management And General | $6,990,394 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $400 | BOYAmt |
| EOY | $400 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,448,419 | BOYAmt |
| EOY | $3,072,647 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $95,525 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,435 | BOYAmt |
| EOY | $18,786 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,025 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,514,035 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,779,937 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $666,068 | BOYAmt |
| EOY | $734,098 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,000 | BOYAmt |
| EOY | $45,000 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $242,267 | BOYAmt |
| EOY | -$737 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,562,683 | BOYAmt |
| EOY | $2,600,946 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,096,297 | BOYAmt |
| EOY | $6,566,665 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,790,622 | BOYAmt |
| EOY | $1,864,723 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,313,216 | BOYAmt |
| EOY | $3,038,233 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,103,838 | BOYAmt |
| EOY | $4,902,956 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,007,541 | BOYAmt |
| EOY | $1,663,709 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,007,541 | BOYAmt |
| EOY | $1,663,709 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,096,297 | BOYAmt |
| EOY | $6,566,665 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$14,598,223 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $19,269,473 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,891,952 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,957,438 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,926,041 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $47,772,190 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35,949,363 | CurrentTaxYearAmt |
| Total | $156,496,984 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,891,952 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,957,438 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,926,041 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $47,772,190 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35,949,363 | CurrentTaxYearAmt |
| Total | $156,496,984 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $156,496,984 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $614 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $118 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,472 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $73,090 | CurrentTaxYearAmt |
| Total | $79,294 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $614 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $118 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,472 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $73,090 | CurrentTaxYearAmt |
| Total | $79,294 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,613 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,969 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $740 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,240,692 | CurrentTaxYearAmt |
| Total | $1,271,014 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,891,952 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,977,665 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,936,128 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $47,778,402 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $37,263,145 | CurrentTaxYearAmt |
| Total | $157,847,292 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.9914 | PublicSupportCY509Pct |
| Investment Income CY | 0.0005 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - EQUIPMENT RENTAL, COLUMN A - 0.0, COLUMN B - 19613.0, COLUMN C - 9969.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 29582.0; DESCRIPTION - MISC. REVENUE, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 1240517.0, COLUMN F - 1240517.0; DESCRIPTION - ESCHEATMENT REVENUE, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 28.0, COLUMN F - 28.0; DESCRIPTION - CAFETERIA/VENDING, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 740.0, COLUMN E - 147.0, COLUMN F - 887.0; | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $364,717 | OtherCostOrOtherBasisAmt |
| Depreciation | $311,134 | DepreciationAmt |
| Book Value | $53,583 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $131,895 | OtherCostOrOtherBasisAmt |
| Depreciation | $131,895 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,785,326 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,335,653 | DepreciationAmt |
| Book Value | $449,673 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $232,097 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,255 | DepreciationAmt |
| Book Value | $230,842 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $734,098 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| NR Physicians | |
| Due from Affiliates | $1,665,251 |
| Other Receivables | $935,695 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,600,946 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Other Liabilities | |
| Due to Affiliates | $2,818,497 |
| Deferred Compensation/Retirement/Pension Liability | |
| Recovery Tail Liability | $219,736 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,038,233 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2018. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARLES A PINKERT | ||||||||||||||
| BOARD PRESIDENT & COO/VP (END 06/2017) | $0 | $131,170 | $0 | $34,064 | $0 | $9,726 | $0 | $10,352 | $0 | $12,523 | $0 | $197,835 | $0 | $0 |
| ROBERT MURPHY | ||||||||||||||
| CHAIR | $0 | $312,324 | $0 | $91,776 | $0 | $26,180 | $0 | $13,500 | $0 | $25,741 | $0 | $469,521 | $0 | $0 |
| JAMES L WALKER MD | ||||||||||||||
| CHAIR (END 10/2017) | $174,301 | $0 | $5,286 | $0 | $23,410 | $0 | $11,640 | $0 | $1,951 | $0 | $216,588 | $0 | $0 | $0 |
| JUSTIN LABRATO | ||||||||||||||
| VICE CHAIR (START 7/2017) | $0 | $198,070 | $0 | $42,580 | $0 | $8,194 | $0 | $13,018 | $0 | $21,848 | $0 | $283,710 | $0 | $0 |
| C SUSAN CORNEJO | ||||||||||||||
| SECRETARY/TREASURER (START 7/2017) | $0 | $401,722 | $0 | $248,229 | $0 | $53,721 | $0 | $16,200 | $0 | $21,065 | $0 | $740,937 | $0 | $0 |
| TODD S KENNEDY | ||||||||||||||
| MEMBER | $0 | $330,401 | $0 | $228,379 | $0 | $50,655 | $0 | $16,200 | $0 | $21,348 | $0 | $646,983 | $0 | $0 |
| DAVID MACRAE MD | ||||||||||||||
| MEMBER, PHYSICIAN (START 7/2017) | $187,809 | $0 | $78,147 | $0 | $3,746 | $0 | $17,391 | $0 | $20,002 | $0 | $307,095 | $0 | $0 | $0 |
| CLARK P CHRISTIANSON | ||||||||||||||
| FORMER OFFICER (END 9/2015) | $0 | $0 | $0 | $0 | $0 | $323,392 | $0 | $0 | $0 | $2,660 | $0 | $326,052 | $0 | $17,423 |
| SUSAN L DAVIS RN | ||||||||||||||
| FORMER OFFICER (END 10/2016) | $0 | $763,052 | $0 | $1,101,437 | $0 | $8,411,902 | $0 | $16,200 | $0 | $19,673 | $0 | $10,312,263 | $0 | $8,189,093 |
| JASON P ALEXANDER FACHE | ||||||||||||||
| CEO, MINISTRY MARKET | $0 | $414,474 | $0 | $0 | $0 | $57,710 | $0 | $11,406 | $0 | $16,361 | $0 | $499,951 | $0 | $0 |
| BRANDON M WILLIAMS | ||||||||||||||
| CFO, MINISTRY MARKET (START 8/2017) | $0 | $119,738 | $0 | $30,000 | $0 | $2,376 | $0 | $3,231 | $0 | $5,911 | $0 | $161,255 | $0 | $0 |
| BILLY G AUGUST MD | ||||||||||||||
| PHYSICIAN | $130,491 | $0 | $216,157 | $0 | $52,788 | $0 | $17,219 | $0 | $18,244 | $0 | $434,899 | $0 | $47,062 | $0 |
| WILLIAM S DENSON MD | ||||||||||||||
| PHYSICIAN | $302,808 | $0 | $91,900 | $0 | $4,752 | $0 | $13,500 | $0 | $18,470 | $0 | $431,429 | $0 | $0 | $0 |
| MICHELLE S JACKSON MD | ||||||||||||||
| PHYSICIAN | $174,661 | $0 | $233,950 | $0 | $2,345 | $0 | $7,107 | $0 | $18,705 | $0 | $436,768 | $0 | $0 | $0 |
| ERIC C JOHNSON MD | ||||||||||||||
| PHYSICIAN | $172,574 | $0 | $313,575 | $0 | $4,881 | $0 | $17,550 | $0 | $27,347 | $0 | $535,927 | $0 | $0 | $0 |
| DAVID M PHILLIPS MD | ||||||||||||||
| PHYSICIAN | $173,920 | $0 | $223,517 | $0 | $12,374 | $0 | $16,375 | $0 | $23,997 | $0 | $450,182 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | Ascension Health, a related organization of Alabama Providence Healthcare Services, uses the following to establish the compensation of the organization's President & CEO: - Compensation Committee - Independent Compensation Consultant - Compensation Survey or Study - Approval by the Board or Compensation Committee |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | The following individual(s) received severance payments from the organization or a related organization: CLARK P CHRISTIANSON - $301,344 |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The following individuals received a payment from the supplemental nonqualified retirement plan in the current year. CLARK P CHRISTIANSON - $17,423 SUSAN L DAVIS - $8,189,093 BILLY G AUGUST - $47,062 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL | In determining the compensation of the Organization's Top Management Official, the process performed by Ascension Health, a related organization of Alabama Providence Healthcare Services, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Compensation Committee reviewed and approved the compensation. In the review of the compensation, the Top Management Official was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the Committee minutes. The individual was not present when his compensation was decided. |
| Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES | IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS, THE PROCESS PERFORMED BY GULF COAST HEALTH SYSTEM, INC., A RELATED ORGANIZATION OF ALABAMA PROVIDENCE HEALTHCARE SERVICES, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE GULF COAST HEALTH SYSTEM, INC. EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | ALABAMA PROVIDENCE HEALTHCARE SERVICES HAS A SINGLE CORPORATE MEMBER, GULF COAST HEALTH SYSTEM, INC. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | ALABAMA PROVIDENCE HEALTHCARE SERVICES HAS A SINGLE CORPORATE MEMBER, GULF COAST HEALTH SYSTEM, INC., WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF ALABAMA PROVIDENCE HEALTHCARE SERVICES. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | All decisions that have a material impact to Alabama Providence Healthcare Services' financial information or corporation as a whole are subject to approval by its sole corporate member, Gulf Coast Health System, Inc. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD. |
| Form 990, Part VI, Line 12c Conflict of interest policy | The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. |
| Form 990, Part VII, Section A Related Entities | The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Miscellaneous Revenue - Total Revenue: 1240517, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1240517; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Transfers with Alpha Fund - 19269473; |
| Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTS | The activity of Alabama Providence Healthcare Services is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of Alabama Providence Healthcare Services is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of Alabama Providence Healthcare Services. |
| Form 990, Part XII, Line 2c AUDIT COMMITTEE | Alabama Providence Healthcare Services is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ASCENSION HEALTH ALLIANCE | ||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 453358926 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3) | Type I | NA | false |
| ASCENSION HEALTH | ||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 311662309 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3) | Type I | ASCENSION HEALTH ALLIANCE | false |
| GULF COAST HEALTH SYSTEM | ||||||||||
| 6801 AIRPORT BLVD | MOBILE | AL | 36608 | 630934712 | HEALTH SYSTEM | AL | 501(c)(3) | Type III-FI | ASCENSION HEALTH | false |
| PROVIDENCE HOSPITAL | ||||||||||
| 6801 AIRPORT BLVD | MOBILE | AL | 36608 | 630288861 | HOSPITAL | AL | 501(c)(3) | 3 | GULF COAST HEALTH SYSTEM | Yes (true) |
| PROVIDENCE FOUNDATION | ||||||||||
| 6801 AIRPORT BLVD | MOBILE | AL | 36608 | 630915493 | SUPPORT PROVIDENCE HOSPITAL | AL | 501(c)(3) | 7 | GULF COAST HEALTH SYSTEM | Yes (true) |
| SETON MEDICAL MANAGEMENT | ||||||||||
| 6801 AIRPORT BLVD | MOBILE | AL | 36608 | 630937704 | SUPPORT PROVIDENCE HOSPITAL | AL | 501(c)(3) | Type II | GULF COAST HEALTH SYSTEM | Yes (true) |
| PROVIDENCE BUILDING CORPORATION | ||||||||||
| 6801 AIRPORT BLVD | MOBILE | AL | 36608 | 630914564 | SUPPORT PROVIDENCE HOSPITAL | AL | 501(c)(2) | GULF COAST HEALTH SYSTEM | Yes (true) | |
| SACRED HEART HEALTH SYSTEM INC | ||||||||||
| 5151 N 9TH AVENUE | PENSACOLA | FL | 32504 | 590634434 | HOSPITAL - HEALTHCARE | FL | 501(c)(3) | 3 | GULF COAST HEALTH SYSTEM | Yes (true) |
| HAVEN OF OUR LADY OF PEACE INC | ||||||||||
| 5151 N 9TH AVENUE | PENSACOLA | FL | 32504 | 593620346 | NURSING HOME | FL | 501(c)(3) | 10 | SACRED HEART HEALTH SYSTEM | Yes (true) |
| SACRED HEART HEALTH VENTURES INC | ||||||||||
| 5151 N 9TH AVENUE | PENSACOLA | FL | 32504 | 571183283 | INVESTMENT | FL | 501(c)(3) | Type I | SACRED HEART HEALTH SYSTEM | Yes (true) |
| SACRED HEART FOUNDATION INC | ||||||||||
| 5151 N 9TH AVENUE | PENSACOLA | FL | 32504 | 592436597 | FOUNDATION | FL | 501(c)(3) | 7 | SACRED HEART HEALTH SYSTEM | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| INTERVENTIONAL REHABILITATION CENTER LLC | ||||||||
| 1549 AIRPORT BOULEVARD STE 420 | PENSACOLA | FL | 32503 | 593673361 | MEDICAL SERVICES | FL | NA | N/A |
| PET LLC | ||||||||
| 5149 NORTH 9TH AVENUE SUITE 124 | PENSACOLA | FL | 32504 | 593788701 | MEDICAL SERVICES | FL | NA | N/A |
| ENDOSCOPY GROUP LLC | ||||||||
| 4810 NORTH DAVIS HIGHWAY | PENSACOLA | FL | 32503 | 593519881 | MEDICAL SERVICES | FL | NA | N/A |
| SOUTH COAST REAL ESTATE VENTURE LLC | ||||||||
| 5907 HIGHWAY 90 | MOSS POINT | MS | 39563 | 455599047 | OWN REAL ESTATE FOR A PHYSICIAN OFFICE BUILDING | MS | NA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| PROVIDENCE PARK Inc | |||||||||
| PO BOX 850429 | MOBILE | AL | 36685 | 630886846 | REAL ESTATE | AL | NA | C Corporation | Yes (true) |
| MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC | |||||||||
| 6801 AIRPORT BLVD | MOBILE | AL | 36608 | 461130426 | HEALTHCARE SERVICES | MS | NA | C Corporation | Yes (true) |
| GULF COAST DIVERSIFIED INC | |||||||||
| 5154 NORTH 9TH AVENUE | PENSACOLA | FL | 32507 | 592432798 | INVESTMENT | FL | NA | C Corporation | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PROVIDENCE BUILDING CORPORATION | ||
| K | $856,167 | FAIR MARKET VALUEFMV |
| PROVIDENCE BUILDING CORPORATION | ||
| Q | $54,654 | FAIR MARKET VALUE |
| PROVIDENCE HOSPITAL | ||
| L | $5,188,112 | FAIR MARKET VALUE |
| PROVIDENCE HOSPITAL | ||
| M | $6,830,074 | FAIR MARKET VALUE |
| PROVIDENCE HOSPITAL | ||
| O | $95,065 | FAIR MARKET VALUE |
| PROVIDENCE HOSPITAL | ||
| P | $886,898 | FAIR MARKET VALUE |
| PROVIDENCE HOSPITAL | ||
| R | $541,719 | FAIR MARKET VALUE |
| SETON MEDICAL MANAGEMENT INC | ||
| M | $729,188 | FAIR MARKET VALUE |
| SETON MEDICAL MANAGEMENT INC | ||
| O | $74,948 | FAIR MARKET VALUE |
| SETON MEDICAL MANAGEMENT INC | ||
| P | $127,026 | FAIR MARKET VALUE |
| MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC | ||
| L | $125,346 | FAIR MARKET VALUE |