2019-05-11T10:00:32-05:00 2018-06-30 990 2017-07-01 462847744 Alabama Providence Healthcare Services ALAB 3147338000 6801 Airport Boulevard Mobile AL 36608 Tonya Mershon Tax Officer 2019-05-11 2017 2019-02-21 02:37:17Z JASON ALEXANDER 6801 Airport Boulevard Mobile AL 36608 37263145 false X https://healthcare.ascension.org/Sites-of-Care/Alabama X 2013 AL To improve the health and well-being of all people in the communities we serve. 6 0 397 0 0 4425 0 0 46050461 35949363 20329 0 1722469 1313782 47793259 37263145 0 0 0 40414334 36229546 0 0 0 19953436 15631822 60367770 51861368 -12574511 -14598223 8096297 6566665 11103838 4902956 -3007541 1663709 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. false false 44870974 35949363 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. 44870974 true false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 41 0 true 397 true false false false false false false true false false false X 6 0 false false false false true true true true true false false false true true true true true false false false X SARA OBRIEN 3147338070 11775 BORMAN DRIVE MARYLAND HEIGHTS MO 63146 ROBERT MURPHY CHAIR 1.0 49.0 X X 0 430280 39241 JAMES L WALKER MD CHAIR (END 10/2017) 39.0 1.0 X X 202997 0 13592 JUSTIN LABRATO VICE CHAIR (START 7/2017) 1.0 49.0 X X 0 248844 34866 C SUSAN CORNEJO SECRETARY/TREASURER (START 7/2017) 1.0 49.0 X X 0 703672 37265 APRIL R MURRAY ASSISTANT SECRETARY/TREASURER (START 7/2017) 1.0 49.0 X X 0 75480 22260 TODD S KENNEDY MEMBER 1.0 49.0 X 0 609435 37548 DAVID MACRAE MD MEMBER, PHYSICIAN (START 7/2017) 49.0 1.0 X 269702 0 37393 JASON P ALEXANDER FACHE CEO, MINISTRY MARKET 0.0 50.0 X 0 472184 27767 BRANDON M WILLIAMS CFO, MINISTRY MARKET (START 8/2017) 1.0 53.0 X 0 152113 9142 BILLY G AUGUST MD PHYSICIAN 50.0 0 X 399435 0 35464 WILLIAM S DENSON MD PHYSICIAN 50.0 0 X 399460 0 31970 MICHELLE S JACKSON MD PHYSICIAN 50.0 0 X 410955 0 25812 ERIC C JOHNSON MD PHYSICIAN 50.0 0 X 491030 0 44897 DAVID M PHILLIPS MD PHYSICIAN 50.0 0 X 409810 0 40372 CLARK P CHRISTIANSON FORMER OFFICER (END 9/2015) 0.0 0.0 X 0 323392 2660 SUSAN L DAVIS RN FORMER OFFICER (END 10/2016) 0.0 50.0 X 0 10276391 35873 CHARLES A PINKERT BOARD PRESIDENT & COO/VP (END 06/2017) 0.0 0.0 X 0 174959 22875 2583388 13466751 498997 54 true true false MEDAC INC 804 SCOTT NIXON MEMORIAL DR AUGUSTA GA 30907 MEDICAL SERVICES 245444 BENNETT CONSULTING LLC 999 FORT PICKENS ROAD SUITE 309 PENSACOLA BEACH FL 32561 CONSULTING SERVICES 131732 2 X 0 Net Patient Service Revenue 621990 27890795 27890795 Services to Affiliates 561000 8057449 8057449 Bill Service Revenue 561000 1119 1119 0 0 0 0 35949363 73090 0 0 73090 73090 73090 0 0 Cafeteria/Vending Revenue 722514 147 147 Escheatment Revenue 900099 28 28 1240517 0 0 1240517 1240692 37263145 35949363 0 1313782 523683 505878 17805 31784899 30725525 1059374 665883 643702 22181 1550981 1499286 51695 1704100 1647286 56814 43035 42305 730 3626 3626 179265 171340 7925 0 3123 3123 442214 306543 135671 49885 41678 8207 2107933 1984220 123713 131155 111129 20026 77807 76081 1726 241 241 421215 137422 283793 1042524 754627 287897 Purchased Services 2993707 3438864 -445157 Medical Supplies 2043271 2000572 42699 Management Fee to Affiliate 5188112 5188112 Minor Equipment 214999 168800 46199 689710 612352 77358 0 51861368 44870974 6990394 0 400 400 3448419 3072647 0 0 0 0 0 95525 86435 18786 45025 0 5514035 4779937 666068 734098 0 45000 45000 242267 -737 3562683 2600946 8096297 6566665 2790622 1864723 0 0 8313216 3038233 11103838 4902956 X -3007541 1663709 -3007541 1663709 8096297 6566665 X -14598223 19269473 X false true X true false X 0 12891952 28957438 30926041 47772190 35949363 156496984 0 0 0 12891952 28957438 30926041 47772190 35949363 156496984 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 156496984 0 614 118 5472 73090 79294 0 0 614 118 5472 73090 79294 0 0 19613 9969 740 1240692 1271014 12891952 28977665 30936128 47778402 37263145 157847292 0.9914 0.0005 X Schedule A, Part III, Line 12 Other Income 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; 364717 311134 53583 131895 131895 0 4785326 4335653 449673 232097 1255 230842 734098 NR Physicians Due from Affiliates 1665251 Other Receivables 935695 2600946 Other Liabilities Due to Affiliates 2818497 Deferred Compensation/Retirement/Pension Liability Recovery Tail Liability 219736 3038233 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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. true true false false false false false false false CHARLES A PINKERT BOARD PRESIDENT & COO/VP (END 06/2017) 0 131170 0 34064 0 9726 0 10352 0 12523 0 197835 0 0 ROBERT MURPHY CHAIR 0 312324 0 91776 0 26180 0 13500 0 25741 0 469521 0 0 JAMES L WALKER MD CHAIR (END 10/2017) 174301 0 5286 0 23410 0 11640 0 1951 0 216588 0 0 0 JUSTIN LABRATO VICE CHAIR (START 7/2017) 0 198070 0 42580 0 8194 0 13018 0 21848 0 283710 0 0 C SUSAN CORNEJO SECRETARY/TREASURER (START 7/2017) 0 401722 0 248229 0 53721 0 16200 0 21065 0 740937 0 0 TODD S KENNEDY MEMBER 0 330401 0 228379 0 50655 0 16200 0 21348 0 646983 0 0 DAVID MACRAE MD MEMBER, PHYSICIAN (START 7/2017) 187809 0 78147 0 3746 0 17391 0 20002 0 307095 0 0 0 CLARK P CHRISTIANSON FORMER OFFICER (END 9/2015) 0 0 0 0 0 323392 0 0 0 2660 0 326052 0 17423 SUSAN L DAVIS RN FORMER OFFICER (END 10/2016) 0 763052 0 1101437 0 8411902 0 16200 0 19673 0 10312263 0 8189093 JASON P ALEXANDER FACHE CEO, MINISTRY MARKET 0 414474 0 0 0 57710 0 11406 0 16361 0 499951 0 0 BRANDON M WILLIAMS CFO, MINISTRY MARKET (START 8/2017) 0 119738 0 30000 0 2376 0 3231 0 5911 0 161255 0 0 BILLY G AUGUST MD PHYSICIAN 130491 0 216157 0 52788 0 17219 0 18244 0 434899 0 47062 0 WILLIAM S DENSON MD PHYSICIAN 302808 0 91900 0 4752 0 13500 0 18470 0 431429 0 0 0 MICHELLE S JACKSON MD PHYSICIAN 174661 0 233950 0 2345 0 7107 0 18705 0 436768 0 0 0 ERIC C JOHNSON MD PHYSICIAN 172574 0 313575 0 4881 0 17550 0 27347 0 535927 0 0 0 DAVID M PHILLIPS MD PHYSICIAN 173920 0 223517 0 12374 0 16375 0 23997 0 450182 0 0 0 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 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. 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 true PROVIDENCE FOUNDATION 6801 AIRPORT BLVD MOBILE AL 36608 630915493 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 7 GULF COAST HEALTH SYSTEM true SETON MEDICAL MANAGEMENT 6801 AIRPORT BLVD MOBILE AL 36608 630937704 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) Type II GULF COAST HEALTH SYSTEM true PROVIDENCE BUILDING CORPORATION 6801 AIRPORT BLVD MOBILE AL 36608 630914564 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(2) GULF COAST HEALTH SYSTEM 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 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 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 true SACRED HEART FOUNDATION INC 5151 N 9TH AVENUE PENSACOLA FL 32504 592436597 FOUNDATION FL 501(c)(3) 7 SACRED HEART HEALTH SYSTEM true 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 PROVIDENCE PARK Inc PO BOX 850429 MOBILE AL 36685 630886846 REAL ESTATE AL NA C Corporation true MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC 6801 AIRPORT BLVD MOBILE AL 36608 461130426 HEALTHCARE SERVICES MS NA C Corporation true GULF COAST DIVERSIFIED INC 5154 NORTH 9TH AVENUE PENSACOLA FL 32507 592432798 INVESTMENT FL NA C Corporation true false false false false false false false false false false true true true true true true true true false PROVIDENCE BUILDING CORPORATION K 856167 FAIR MARKET VALUEFMV PROVIDENCE BUILDING CORPORATION Q 54654 FAIR MARKET VALUE PROVIDENCE HOSPITAL L 5188112 FAIR MARKET VALUE PROVIDENCE HOSPITAL M 6830074 FAIR MARKET VALUE PROVIDENCE HOSPITAL O 95065 FAIR MARKET VALUE PROVIDENCE HOSPITAL P 886898 FAIR MARKET VALUE PROVIDENCE HOSPITAL R 541719 FAIR MARKET VALUE SETON MEDICAL MANAGEMENT INC M 729188 FAIR MARKET VALUE SETON MEDICAL MANAGEMENT INC O 74948 FAIR MARKET VALUE SETON MEDICAL MANAGEMENT INC P 127026 FAIR MARKET VALUE MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC L 125346 FAIR MARKET VALUE