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SCPH LEGACY CORPORATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SCPH LEGACY CORPORATION (EIN 57-0314409)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-10
IRS object ID
201623159349302857
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-10T13:23:05-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN570314409EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SISTERS OF CHARITY PROVIDENCE HOSPITALSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSISTBusinessNameControlTxt
Phone8038654850PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12435 FOREST DRIVEAddressLine1Txt
CityCOLUMBIACityNm
State AbbreviationSCStateAbbreviationCd
ZIP29204ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMELISSA ROGERSPersonNm
Person TitleCFOPersonTitleTxt
Phone8038654850PhoneNum
Signature2016-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY BIBBYPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMELISSA ROGERSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12435 FOREST DRIVEAddressLine1Txt
CityCOLUMBIACityNm
State AbbreviationSCStateAbbreviationCd
ZIP29204ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$291,219,249GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PROVIDENCEHOSPITALS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1938FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OOUR MISSION IS TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITY BY AN EXPRESSION OF CHRISTIAN CONCERN FOR THE SICK, SUFFERING & DYING; TO MANIFEST LOVE, TRUTH, AND JUSTICE IN HEALTHCARE AND TO PROMOTE THE ADVANCEMENT AND APPLICATION OF NEW KNOWLEDGE ABOUT HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee2582TotalEmployeeCnt
Total Volunteers162TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,070,913PYContributionsGrantsAmt
CY Contributions Grants$173,936CYContributionsGrantsAmt
PY Program Service Revenue$330,367,487PYProgramServiceRevenueAmt
CY Program Service Revenue$285,462,145CYProgramServiceRevenueAmt
PY Investment Income$202,142PYInvestmentIncomeAmt
CY Investment Income-$9,627,869CYInvestmentIncomeAmt
PY Other Revenue$4,974,544PYOtherRevenueAmt
CY Other Revenue$4,266,307CYOtherRevenueAmt
PY Total Revenue$336,615,086PYTotalRevenueAmt
CY Total Revenue$280,274,519CYTotalRevenueAmt
PY Grants And Similar Paid$150,241PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$223,480CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$156,900,464PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$139,876,937CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$189,206,189PYOtherExpensesAmt
CY Other Expenses$182,042,673CYOtherExpensesAmt
PY Total Expenses$346,256,894PYTotalExpensesAmt
CY Total Expenses$322,143,090CYTotalExpensesAmt
PY Revenues Less Expenses-$9,641,808PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$41,868,571CYRevenuesLessExpensesAmt
Total Assets BOY$260,878,024TotalAssetsBOYAmt
Total Assets EOY$178,605,147TotalAssetsEOYAmt
Total Liabilities BOY$182,388,666TotalLiabilitiesBOYAmt
Total Liabilities EOY$142,426,280TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$78,489,358NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$36,178,867NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR MISSION IS TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITY BY AN EXPRESSION OF CHRISTIAN CONCERN FOR THE SICK, SUFFERING AND DYING; TO MANIFEST LOVE, TRUTH, AND JUSTICE IN HEALTH CARE; AND TO PROMOTE THE ADVANCEMENT AND APPLICATION OF NEW KNOWLEDGE ABOUT HEALTH CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$287,783,561ExpenseAmt
Grant$223,480GrantAmt
Revenue$285,462,145RevenueAmt
DescSISTERS OF CHARITY PROVIDENCE HOSPITALS (SCPH) PROVIDES QUALITY MEDICAL CARE IN THE COLUMBIA, SC, COMMUNITY TO ALL REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN MEETING THIS COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, SCPH OFFERS CHARITY CARE, SUBSIDIZED CARE, AND CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT RATES BELOW COST. SCPH ALSO PROVIDES COMMUNITY HEALTH EDUCATION AND SCREENINGS AND PARTICIPATES IN OTHER COMMUNITY PROGRAMS AND ACTIVITIES THAT PROMOTE GOOD HEALTH. IN MEETING THIS COMMITMENT, SCPH SERVICED 9,873 INPATIENTS AND PROVIDED CARE TO 62,003 EMERGENCY ROOM PATIENTS. (CONTINUED ON SCHEDULE O)DURING 2015 SISTER OF CHARITY PROVIDENCE HOSPITALS PROVIDED THE FOLLOWING OUTREACH ACTIVITIES DURING THE YEAR:HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY SCREENING FOR COLUMBIA AREA ATHLETES AS WELL AS CHESTER COUNTY SCHOOLS. A HEALTH & WELLNESS STAFF MEMBER CONTINUES TO SERVE ON THE METRO BOARD FOR THE YMCA OF COLUMBIA. THIS BOARD OVERSEES 5 LOCAL YMCA BRANCHES. REGULAR PARTICIPATION ON RICHLAND COMMUNITY HEALTH PARTNERS, A COMMUNITY GROUP THAT SHARES INFORMATION AND RESOURCES IN ORDER TO IMPACT THE GREATEST NUMBER OF COMMUNITY MEMBERS POSSIBLE.PROVIDENCE COOKS, A HEART HEALTHY COOKING DEMONSTRATION PROGRAM, WAS ONCE AGAIN OFFERED TO THE COMMUNITY THIS YEAR. THIS PROGRAM IS A PARTNERSHIP BETWEEN DIETARY'S HEAD CHEF AND HEALTH & WELLNESS'S REGISTERED DIETITIAN. THIS WAS A MAJOR SUCCESS! A TOTAL OF 11 CLASSES WERE HELD THIS YEAR WITH 284 PARTICIPANTS. 2015 EMPLOYEE WELLNESS PROGRAM ANNOUNCED. 8 HOURS OF PTO AND DISCOUNT ON INSURANCE PREMIUMS WERE USED AS INCENTIVES. 228 EMPLOYEES COMPLETED THE PROGRAM AND EARNED ADDITIONAL PTO.A LOCAL FARMER WAS INVITED TO BOTH PROVIDENCE HOSPITAL AND PROVIDENCE ORTHOPEDIC HOSPITAL FOR PROVIDE A SMALL FARMERS MARKET FOR EMPLOYEES THROUGHOUT THE YEAR.HEALTH & WELLNESS CONTINUED THE DIETITIAN ON DEMAND PROGRAM THAT ALLOWS COMMUNITY MEMBERS AND EMPLOYEES ACCESS TO A REGISTERED DIETITIAN ON A MINIMAL OR NO FEE BASIS. 229 PEOPLE WERE SEEN IN 2015.FOUR SPEAKING OF YOUR HEALTH PROGRAMS WERE OFFERED WITH 33 PEOPLE ATTENDING.RIGHT CARE RIGHT PLACE PROGRAM: THIS PROGRAM FOCUSES ON MANAGING UNINSURED PATIENTS WITH CHRONIC ILLNESSES WHO FREQUENTLY UTILIZE THE EMERGENCY DEPARTMENT. THIS PROGRAM HELPS PATIENTS RECEIVE THE BEST CARE IN THE BEST LOCATION. UTILIZING OUR AUGUSTINE HEALTH PHYSICIAN PRACTICE, PROVIDENCE INTERNAL MEDICINE DOWNTOWN, THIS PROGRAM IS HELPING 298 PARTICIPANTS. THIS PROGRAM ASSISTS PATIENTS WITH: 1. FINDING QUALITY CARE THEY CAN AFFORD OR AT NO COST 2. GETTING ACCESS TO THE MEDICINES THEY NEED 3. ESTABLISHING A MEDICAL HOME FOR ROUTINE CARE AND CHRONIC ILLNESS MANAGEMENT THE FREE MEDICAL CLINIC PROVIDES FREE MEDICAL SERVICES TO THE POOR WHO CANNOT AFFORD TO PAY FOR HEALTHCARE SERVICES AND HAVE NO INSURANCE. WE VIEW THEM AS A PARTNER WHO HELPS SERVE THIS POPULATION OF PEOPLE. WE CONTRIBUTE TO THIS CLINIC EACH YEAR, AS WELL AS OTHER IN-KIND SERVICES.WELVISTA IS A PHARMACY SERVICE DEDICATED TO PROVIDING PRESCRIPTION MEDICATIONS TO THE POOR, UNINSURED AND UNDERSERVED PATIENTS WHO CANNOT AFFORD THEIR NEEDED MEDICATIONS. THEY PROVIDE ON-SITE SERVICE TO OUR PATIENTS IN NEED. WE MAKE SIZEABLE CONTRIBUTIONS TO THESE EFFORTS.Desc
Total Program Service Expenses$287,783,561TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document381IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2582EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TERRENCE KESSLERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8032565315PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12435 FOREST DRIVEAddressLine1Txt
CityCOLUMBIACityNm
State AbbreviationSCStateAbbreviationCd
ZIP29204ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
J MICHAEL KAPP
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
JILL DAVIS
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
M STEVENSON SMITH
SECRETARY1.00Yes (X)Yes (X)$0$0$0
ROBERT WILLIAMS JR
TREASURER1.00Yes (X)Yes (X)$0$0$0
MELISSA ROGERS
BOARD MEMBER1.00Yes (X)Yes (X)$0$394,107$61,86040.00
DANIEL BOUKNIGHT MD
BOARD MEMBER1.00Yes (X)$0$0$0
PETER BROWN
BOARD MEMBER1.00Yes (X)$0$0$0
WILLIAM CASON
BOARD MEMBER1.00Yes (X)$0$0$0
SR MIRIAM ERB
BOARD MEMBER1.00Yes (X)$0$0$0
SR JUDITH ANN KARAM
BOARD MEMBER1.00Yes (X)$0$0$0
REV C ALEXANDER MCDONALD
BOARD MEMBER1.00Yes (X)$0$0$0
THOMAS MCLEAN JR
BOARD MEMBER1.00Yes (X)$0$0$0
J MILTON POPE
BOARD MEMBER1.00Yes (X)$0$0$0
MARTHA SCOTT SMITH
BOARD MEMBER1.00Yes (X)$0$0$0
DAVID SOJOURNER JR
BOARD MEMBER1.00Yes (X)$0$0$0
JOHN STOVER
BOARD MEMBER1.00Yes (X)$0$0$0
JP SUTTON III MD
BOARD MEMBER40.00Yes (X)$776,991$0$17,552
SUSIE VANHUSS
BOARD MEMBER1.00Yes (X)$0$0$01.00
ROLAND R CRAFT III
BOARD MEMBER40.00Yes (X)$1,243,118$0$15,618
FRAMPTON HENDERSON MD
BOARD MEMBER1.00Yes (X)$0$0$0
DENNIS WILSON MD
BOARD MEMBER1.00Yes (X)$0$0$0
TERRANCE KESSLER
INTERIM PRESIDENT & CEO1.00Yes (X)$0$651,367$45,06040.00
JOAN BUMPUS
VP OF MISSION AND MINISTRY40.00Yes (X)$0$133,354$18,306
JOHN FAULSTICH
SVP AND CFO40.00Yes (X)$180,000$0$0
KEN OWENS
INTERNAL AUDIT/CCO40.00Yes (X)$145,143$0$24,000
KEN BEASLEY
EXECUTIVE DIRECTOR, AHG40.00Yes (X)$391,498$0$17,605
STEPHANIE SIMMONDS
VP, CAO AND CNO40.00Yes (X)$384,681$0$21,451
DAVID B FULTON
PHYSICIAN40.00$846,775$0$821Yes (X)
PAUL DEHOLL
PHYSICIAN40.00$778,777$0$18,011Yes (X)
EDWARD M LEPPARD
PHYSICIAN40.00$767,887$0$10,7131.00Yes (X)
WILLIAM YARBOURGH
PHYSICIAN40.00$763,479$0$17,825Yes (X)
ROBERT ZURCHER
PHYSICIAN40.00$762,406$0$19,797Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,040,755TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,178,828TotReportableCompRltdOrgAmt
Total Other Compensation$288,619TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K165IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ANESTHESIOLOGY PROFESSIONAL
PO BOX 90824COLUMBIASC29290ANESTHESIA MANAGEMENT$7,787,608
CAROLINA CARE
215 RED BAY ROADELGINSC29045ED MANAGEMENT$5,775,750
BERKELEY RESEARCH GROUP LLC
2200 POWELL ST SUITE 1200EMERYVILLECA94608CONSULTING FEES$1,946,216
EDWARDS LIFESCIENCES LLC
PO BOX 978722DALLASTX75397MEDICAL EQUPMENT$1,842,970
NEXSEN PRUET JACOBS & PO
1230 MAIN STREETCOLUMBIASC29201LEGAL$1,701,270
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K126CntrctRcvdGreaterThan100KCnt
Government Grants$165,632GovernmentGrantsAmt
All Other Contributions$8,304AllOtherContributionsAmt
Total Contributions$173,936TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE621400$284,251,367$284,251,367
EHR INCENTIVE PAYMENT621400$1,210,778$1,210,778
FieldValueIRS element (for citing)
Total Program Service Revenue$285,462,145TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$534,605TotalRevenueColumnAmt
Exclusion$534,605ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$187,997RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$187,997RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$187,997TotalRevenueColumnAmt
Exclusion$187,997ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$782,256OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$10,944,730OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$10,162,474OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$10,162,474TotalRevenueColumnAmt
Exclusion-$10,162,474ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
OTHER REVENUES900099$2,799,497$2,799,497
FOOD SERVICES722210$1,278,813$1,278,813
FieldValueIRS element (for citing)
Other Revenue Total$4,078,310OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$280,274,519TotalRevenueColumnAmt
Related Or Exempt Func Income$285,462,145RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$5,361,562ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$210,288TotalAmt
Program Services$210,288ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$13,192TotalAmt
Program Services$13,192ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,941,316TotalAmt
Program Services$794,543ProgramServicesAmt
Management And General$1,146,773ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$113,766,510TotalAmt
Program Services$105,059,152ProgramServicesAmt
Management And General$8,707,358ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,996,245TotalAmt
Program Services$3,655,909ProgramServicesAmt
Management And General$340,336ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,139,380TotalAmt
Program Services$12,020,379ProgramServicesAmt
Management And General$1,119,001ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,033,486TotalAmt
Program Services$6,434,487ProgramServicesAmt
Management And General$598,999ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,274,756TotalAmt
Management And General$2,274,756ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$111,500TotalAmt
Management And General$111,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$38,507,928TotalAmt
Program Services$31,646,203ProgramServicesAmt
Management And General$6,861,725ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,035,863TotalAmt
Program Services$1,035,863ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$32,038,968TotalAmt
Program Services$19,883,587ProgramServicesAmt
Management And General$12,155,381ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,749,101TotalAmt
Program Services$2,749,101ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,936,025TotalAmt
Program Services$10,936,025ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$394,899TotalAmt
Program Services$394,899ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$88,075TotalAmt
Program Services$88,075ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,515,337TotalAmt
Program Services$3,515,337ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,419,625TotalAmt
Program Services$16,419,625ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,130,986TotalAmt
Program Services$3,106,486ProgramServicesAmt
Management And General$24,500ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$47,833,129$47,833,129
BAD DEBT EXPENSE$17,818,759$17,818,759
MEMBERSHIP ASSESSMENT$5,096,000$4,076,800$1,019,200
RECRUITMENT$91,722$91,722

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$322,143,090TotalAmt
Program Services$287,783,561ProgramServicesAmt
Management And General$34,359,529ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt
EOY$1,000EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$17,918,625BOYAmt
EOY$17,482,883EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$48,839,287BOYAmt
EOY$32,848,998EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,617,685BOYAmt
EOY$4,254,317EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,079,399BOYAmt
EOY$1,752,691EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$363,387,493LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$246,314,369LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$138,040,146BOYAmt
EOY$117,073,124EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$39,168,063BOYAmt
EOY$1,441,033EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$233,024BOYAmt
EOY$233,024EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$4,088,696BOYAmt
EOY$1,200,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,892,099BOYAmt
EOY$2,318,077EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$260,878,024BOYAmt
EOY$178,605,147EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$25,696,474BOYAmt
EOY$18,864,133EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$108,740,000BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$78,005,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$47,952,192BOYAmt
EOY$45,557,147EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$182,388,666BOYAmt
EOY$142,426,280EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$77,722,534BOYAmt
EOY$35,699,648EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$766,824BOYAmt
EOY$479,219EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$78,489,358BOYAmt
EOY$36,178,867EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$260,878,024BOYAmt
EOY$178,605,147EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$41,868,571ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$419,035NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts-$76,037DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets$53,152OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$11,335OtherActivitiesAmt
Total Lobbying Expenditures$11,335TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS A MEMBER OF THE SOUTH CAROLINA HOSPITAL ASSOCIATION. EACH YEAR, THESE ORGANIZATIONS ENGAGE IN LOBBYING ACTIVITIES ON BEHALF OF THEIR MEMBERSHIP BODIES, AND A PORTION OF DUES PAID TO THE ASSOCIATIONS IS ALLOCATED TO THOSE EXPENDITURES. FOR 2015, APPROXIMATELY $11,335 IS ALLOCABLE TO LOBBYING EXPENDITURES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,168,124OtherCostOrOtherBasisAmt
Book Value$10,168,124BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$136,099,855OtherCostOrOtherBasisAmt
Depreciation$60,922,283DepreciationAmt
Book Value$75,177,572BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,976,272OtherCostOrOtherBasisAmt
Depreciation$5,465,326DepreciationAmt
Book Value$510,946BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$210,319,464OtherCostOrOtherBasisAmt
Depreciation$179,926,760DepreciationAmt
Book Value$30,392,704BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$823,778OtherCostOrOtherBasisAmt
Book Value$823,778BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$117,073,124TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
INTEREST RATE SWAP INSTRUMENTS$13,773,840
ESTIMATED THIRD PARTY SETTLEMENTS$890,841
PAYABLE TO SISTERS OF CHARITY OF ST. AUGUSTINE HEALTH SYSTEM$30,892,466
FieldValueIRS element (for citing)
Total Liability$45,557,147TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2015.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,030,483TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,030,483NetCommunityBenefitExpnsAmt
Total Expense0.02640TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,044,032TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,123,475DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,920,557NetCommunityBenefitExpnsAmt
Total Expense0.00630TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,074,515TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,123,475DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,951,040NetCommunityBenefitExpnsAmt
Total Expense0.03270TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served7158PersonsServedCnt
Total Community Benefit Expns$867,855TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$867,855NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served913PersonsServedCnt
Total Community Benefit Expns$1,759,668TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,759,668NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$963,026TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$963,026NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Total Community Benefit Expns$291,704TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$291,704NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs19ActivitiesOrProgramsCnt
Persons Served8071PersonsServedCnt
Total Community Benefit Expns$3,882,253TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,882,253NetCommunityBenefitExpnsAmt
Total Expense0.01290TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs19ActivitiesOrProgramsCnt
Persons Served8071PersonsServedCnt
Total Community Benefit Expns$35,956,768TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,123,475DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,833,293NetCommunityBenefitExpnsAmt
Total Expense0.04560TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs258ActivitiesOrProgramsCnt
Persons Served207PersonsServedCnt
Total Community Benefit Expns$271,944TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$271,944NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs258ActivitiesOrProgramsCnt
Persons Served207PersonsServedCnt
Total Community Benefit Expns$271,944TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$271,944NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$17,818,759BadDebtExpenseAmt
Bad Debt Expense Attributable$8,030,483BadDebtExpenseAttributableAmt
Reimbursed By Medicare$82,359,652ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$114,002,161CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$31,642,509MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
PROVIDENCE HOSPITAL
12435 FOREST DRIVECOLUMBIASC29204WWW.YOURPROVIDENCEHEALTH.COMYes (X)Yes (X)Yes (X)Yes (X)A
PROVIDENCE HOSPITAL NORTHEAST
2120 GATEWAY CORPORATE BOULEVARDCOLUMBIASC29203WWW.YOURPROVIDENCEHEALTH.COMYes (X)Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FACILITY REPORTING GROUP - ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
OtherYes (X)OtherInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE DISCLOSUREOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE DISCLOSUREStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE DISCLOSUREFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE DISCLOSUREFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE DISCLOSUREFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: PROVIDENCE HOSPITAL, - FACILITY 2: PROVIDENCE HOSPITAL NORTHEAST
GROUP A-FACILITY 2 -- PROVIDENCE HOSPITAL NORTHEAST PART V, SECTION B, LINE 5:THE FOLLOWING METHODS WERE USED TO GATHER INPUT FROM THE COMMUNITY:1. THIRTY-FIVE ONE ON ONE INTERVIEWS WITH ELECTED OFFICIALS, COMMUNITY STAKEHOLDERS, AND OTHER PROVIDERS. 2. A TOWN HALL MEETING ON APRIL 24, 2013.3. A SURVEY ADMINSTERED ONLINE AND IN PERSON.
GROUP A-FACILITY 2 -- PROVIDENCE HOSPITAL NORTHEAST PART V, SECTION B, LINE 6A:PALMETTO HEALTH
GROUP A-FACILITY 2 -- PROVIDENCE HOSPITAL NORTHEAST PART V, SECTION B, LINE 11:OUR IMPLEMENTATION STRATEGY HAD TWO MAIN AREAS OF FOCUS: CREATING GREAT ACCESS TO CARE AND IMPROVING POPULATION HEALTH. CREATING GREATER ACCESS:1. THE HEALTH CARE COLLABORATIVE: WHILE DENTAL CARE WAS FOUND TO BE A HIGH NEED PROVIDENCE HOSPITALS HAD NOT INTENDED TO ADDRESS DENTAL CARE. HOWEVER, WE BECAME A SIGNIFICANT COMMUNITY PARTNER BOTH IN PLANNING AND FINANCIAL SUPPORT TO CREATE YEAR-ROUND FULL TIME ACCESS TO FREE DENTAL AND VISION CARE FOR THE POOR AN UNDERSERVED. 2. WE INCREASED OUR FINANCIAL SUPPORT TO THE FREE MEDICAL CLINIC TO HELP INCREASE THEIR CAPACITY TO PROVIDE MEDICAL SERVICES TO THE POOR AND UNINSURED.3. PROVIDENCE HOSPITALS CONTINUED AND EXPANDED ONE OF ITS OWN PRIMARY CARE PRACTICES DESIGNED AS A HYBRID PRACTICE CARING FOR BOTH INSURED AND UNINSURED POOR INDIVIDUALS TO PROVIDE THEM A MEDICAL HOME AND MANAGE THE HEALTH NEEDS.4. WE FULLY PARTICIPATE IN THE STATE'S HEALTHY OUTCOMES PROGRAM IDENTIFYING OUR HIGH ER USERS, WITH CHRONIC ILLNESS AND NO INSURANCE AND NO MEDICAL HOME. WE HAVE PROVIDED THEM WITH A MEDICAL HOME AND MANAGE THEIR ILLNESSES REDUCING THEIR NEED TO GO TO THE ER AND INCREASING THEIR QUALITY OF LIFE. WE TRY TO IDENTIFY THEIR SOCIAL, MENTAL HEALTH, INSURANCE ETC. BARRIERS TO ACCESSING CARE AND TRY TO COLLABORATIVE ASSIST IN SOLVING THE BARRIER.5. WE HAD INTENDED AND STRIVED FOR CREATING AN URGENT CARE CENTER ADJACENT TO OUR NORTH EAST HOSPITAL FACILITY TO PROVIDE AN OPTION FOR INDIVIDUALS TO SEEK THE RIGHT CARE AT THE MOST APPROPRIATE AND AFFORDABLE PLACE FOR THEM. WE WERE NOT ABLE TO FOLLOW-THRU ON THIS DESIRE AS WE FACED MANY BARRIERS TO GETTING THIS ACCOMPLISHED.6. WE CONTINUE TO PROVIDE CHARITY CARE TO THOSE WITH URGENT NEEDS WHO ARE POOR AND UNINSURED.IMPROVING POPULATION HEALTH: THIS STRATEGY FOCUSED ON THREE AREAS1. CORPORATE WELLNESS: KEEPING STAFF OF OTHER CORPORATIONS WELL BY OFFERING ONE-ON-ONE LIFESTYLE COACHING THROUGH WELLNESS SCREENING, CONSULTATION AND OFFERING TARGETED EDUCATION AND PROGRAMS.2. EMPLOYEE WELLNESS BY OFFERING A ROBUST WELLNESS PROGRAM TO OUR OWN EMPLOYEES FOCUSED ON HEALTH OUTCOMES.3. COMMUNITY AT -LARGE BY PROVIDING:A: EDUCATION ADDRESSING THE CHNA IDENTIFIED HEALTH NEEDS SUCH AS HIGH BLOOD PRESSURE, DEPRESSION AND ANXIETY, OBESITY, AND DIABETES.B: VASCULAR SCREENINGS: ECHOCARDIOGRAM, CAROTID ULTRASOUND, ANKLE-BRACHIAL INDEX.C: HOCM SCREENINGS FOR STUDENT ATHLETESD: HEALTHY EATING CLASSES, DEMONSTRATIONS, ABOUT THE ACTUAL MEAL THAT IS PROVIDED TO PARTICIPANTS.THE HOSPITAL FACILITY WAS NOT FINANCIALLY ABLE TO PROVIDE THE COMMUNITY GARDENING PROJECT AS HOPED FOR TO PROVIDE ACCESS TO HEALTHY FRUITS AND VEGETABLES.
GROUP A-FACILITY 2 -- PROVIDENCE HOSPITAL NORTHEAST PART V, SECTION B, LINE 22D:THE ORGANIZATION PROVIDED A 50% DISCOUNT THAT MET THE AMOUNTS GENERALLY BILLED STANDARD.
GROUP A-FACILITY 1 -- PROVIDENCE HOSPITAL PART V, SECTION B, LINE 5:THE FOLLOWING METHODS WERE USED TO GATHER INPUT FROM THE COMMUNITY:1. THIRTY-FIVE ONE ON ONE INTERVIEWS WITH ELECTED OFFICIALS, COMMUNITY STAKEHOLDERS, AND OTHER PROVIDERS. 2. A TOWN HALL MEETING ON APRIL 24, 2013.3. A SURVEY ADMINSTERED ONLINE AND IN PERSON.
GROUP A-FACILITY 1 -- PROVIDENCE HOSPITAL PART V, SECTION B, LINE 6A:PALMETTO HEALTH
GROUP A-FACILITY 1 -- PROVIDENCE HOSPITAL PART V, SECTION B, LINE 11:OUR IMPLEMENTATION STRATEGY HAD TWO MAIN AREAS OF FOCUS: CREATING GREAT ACCESS TO CARE AND IMPROVING POPULATION HEALTH. CREATING GREATER ACCESS:1. THE HEALTH CARE COLLABORATIVE: WHILE DENTAL CARE WAS FOUND TO BE A HIGH NEED PROVIDENCE HOSPITALS HAD NOT INTENDED TO ADDRESS DENTAL CARE. HOWEVER, WE BECAME A SIGNIFICANT COMMUNITY PARTNER BOTH IN PLANNING AND FINANCIAL SUPPORT TO CREATE YEAR-ROUND FULL TIME ACCESS TO FREE DENTAL AND VISION CARE FOR THE POOR AN UNDERSERVED. 2. WE INCREASED OUR FINANCIAL SUPPORT TO THE FREE MEDICAL CLINIC TO HELP INCREASE THEIR CAPACITY TO PROVIDE MEDICAL SERVICES TO THE POOR AND UNINSURED.3. PROVIDENCE HOSPITALS CONTINUED AND EXPANDED ONE OF ITS OWN PRIMARY CARE PRACTICES DESIGNED AS A HYBRID PRACTICE CARING FOR BOTH INSURED AND UNINSURED POOR INDIVIDUALS TO PROVIDE THEM A MEDICAL HOME AND MANAGE THE HEALTH NEEDS.4. WE FULLY PARTICIPATE IN THE STATE'S HEALTHY OUTCOMES PROGRAM IDENTIFYING OUR HIGH ER USERS, WITH CHRONIC ILLNESS AND NO INSURANCE AND NO MEDICAL HOME. WE HAVE PROVIDED THEM WITH A MEDICAL HOME AND MANAGE THEIR ILLNESSES REDUCING THEIR NEED TO GO TO THE ER AND INCREASING THEIR QUALITY OF LIFE. WE TRY TO IDENTIFY THEIR SOCIAL, MENTAL HEALTH, INSURANCE ETC. BARRIERS TO ACCESSING CARE AND TRY TO COLLABORATIVE ASSIST IN SOLVING THE BARRIER.5. WE HAD INTENDED AND STRIVED FOR CREATING AN URGENT CARE CENTER ADJACENT TO OUR NORTH EAST HOSPITAL FACILITY TO PROVIDE AN OPTION FOR INDIVIDUALS TO SEEK THE RIGHT CARE AT THE MOST APPROPRIATE AND AFFORDABLE PLACE FOR THEM. WE WERE NOT ABLE TO FOLLOW-THRU ON THIS DESIRE AS WE FACED MANY BARRIERS TO GETTING THIS ACCOMPLISHED.6. WE CONTINUE TO PROVIDE CHARITY CARE TO THOSE WITH URGENT NEEDS WHO ARE POOR AND UNINSURED.IMPROVING POPULATION HEALTH: THIS STRATEGY FOCUSED ON THREE AREAS1. CORPORATE WELLNESS: KEEPING STAFF OF OTHER CORPORATIONS WELL BY OFFERING ONE-ON-ONE LIFESTYLE COACHING THROUGH WELLNESS SCREENING, CONSULTATION AND OFFERING TARGETED EDUCATION AND PROGRAMS.2. EMPLOYEE WELLNESS BY OFFERING A ROBUST WELLNESS PROGRAM TO OUR OWN EMPLOYEES FOCUSED ON HEALTH OUTCOMES.3. COMMUNITY AT -LARGE BY PROVIDING:A: EDUCATION ADDRESSING THE CHNA IDENTIFIED HEALTH NEEDS SUCH AS HIGH BLOOD PRESSURE, DEPRESSION AND ANXIETY, OBESITY, AND DIABETES.B: VASCULAR SCREENINGS: ECHOCARDIOGRAM, CAROTID ULTRASOUND, ANKLE-BRACHIAL INDEX.C: HOCM SCREENINGS FOR STUDENT ATHLETESD: HEALTHY EATING CLASSES, DEMONSTRATIONS, ABOUT THE ACTUAL MEAL THAT IS PROVIDED TO PARTICIPANTS.THE HOSPITAL FACILITY WAS NOT FINANCIALLY ABLE TO PROVIDE THE COMMUNITY GARDENING PROJECT AS HOPED FOR TO PROVIDE ACCESS TO HEALTHY FRUITS AND VEGETABLES.
GROUP A-FACILITY 1 -- PROVIDENCE HOSPITAL PART V, SECTION B, LINE 22D:THE ORGANIZATION PROVIDED A 50% DISCOUNT THAT MET THE AMOUNTS GENERALLY BILLED STANDARD.
PART V, LINES 7A, 10A, AND 16A/B/CTHE HOSPITAL FACILITY WAS PURCHASED BY A THIRD PARTY IN JANUARY 2016. THE ORGANIZATION NO LONGER CONTROLS THE WEBSITE ASSOCIATED WITH THE HOSPITAL FACILITY. THE THIRD PARTY REMOVED THE CHNA AND IMPLEMENTATION STRATEGY FROM THE WEBSITE.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - AUGUSTINE HEALTH GROUP LLC
2435 FOREST DRIVECOLUMBIASC29204OB/GYN, FAMILY CARE, INTERNAL MED.
2 - MOORE CLINIC
2435 FOREST DRIVECOLUMBIASC29204ORTHOPEDIC CLINIC
3 - PROVIDENCE PULMONARY SPECIALISTS
2435 FOREST DRIVECOLUMBIASC29204RESPIRATORY, INT. MED., CRITICAL CARE
4 - SOUTH CAROLINA HEART CENTER
2001 LAUREL STCOLUMBIASC29204CARDIOLOGY

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LN 7 COL(F):THE AMOUNT OF TOTAL EXPENSE ON FORM 990, PART XI, LINE 25 INCLUDES AN AMOUNT FOR BAD DEBT EXPENSE OF $17,818,759 THAT HAS BEEN REMOVED FOR THE CALCULATION OF COMMUNITY BENEFIT FOR PART I, LINE 7, COLUMN (F).
PART I, LN 7, ROW E:SISTERS OF CHARITY PROVIDENCE HOSPITALS PROVIDES THE FOLLOWING PROGRAMS RELATED TO PROMOTING HEALTH AND COMMUNITY BENEFIT OPERATIONS:NAME OF CLASS/EVENT # PERSONS SERVED NET BENEFIT-CPR/FIRST-AID CLASSES 5,848 $ 185,328 -HEALTH FAIRS 43 1,548-NUTRITION/WEIGHT MANAGEMENT 965 89,460-SPEAKERS BUREAU 208 10,044-SUPPORT GROUP/CARDIAC 74 5,328-IMMUNIZATION/ADULT 971-COMMUNITY HEALTH IMPROVEMENT ADVOCACY 235,094 -DISCOUNTED/FREE PRESCRIPTION DRUGS 163,093-IN-HOME SERVICES/HOME CARE (NON-BILLED) 2,465 -DIABETES EDUCATION 20 1,440TOTALS 7,158 $ 705,031
PART III, LINE 4:BECAUSE THE PROVISION FOR BAD DEBTS WAS DISCLOSED SEPARATELY AS AN EXPENSE ON THE INCOME STATEMENT, NO FOOTNOTE WAS PREPARED TO DESCRIBE BAD DEBT. AN ACCOUNT WILL BE CLASSIFIED AS BAD DEBT WHEN IT IS PLACED WITH A COLLECTION AGENCY. ACCOUNTS CLASSIFIED AS "PATIENT RESPONSIBILITY" WILL BEGIN CURRENT PATIENT RESPONSIBILITY CUSTOMER SERVICE AND COLLECTION AT FINAL BILL (REGISTERED) OR AT TIME OF FINAL INSURANCE PAYMENT (RESIDUAL). BETWEEN 120-150 DAYS FOLLOWING ORIGINAL COLLECTION EFFORTS, PAYMENT ARRANGEMENTS ARE DOCUMENTED AND THE ACCOUNT IS PLACED WITH A COLLECTION AGENCY AND DEEMED AS BAD DEBT. ACCOUNTS RETURNING FROM THE 3RD-PARTY COLLECTION AGENCY WILL BE CONSIDERED WORTHLESS AND COLLECTION EFFORTS WILL CEASE. THE ACCOUNT WILL BE ADJUSTED OFF TO ZERO. AT NO TIME WILL AN ACCOUNT BE WRITTEN OFF TO BAD DEBT PRIOR TO THE END OF THE APPLICATION PERIOD REQUIRED BY REG. SECTION 1.501(R)-6.THE ORGANIZATION ESTIMATES THAT APPROXIMATELY 50% OF ITS TOTAL BAD DEBT EXPENSE MAY BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. THROUGH EXPERIENCE, THE ORGANIZATION ESTIMATES THAT SELF-PAY PATIENTS THAT FREQUENT THE EMERGENCY ROOM AND USE IT FOR THEIR PRIMARY SOURCE OF HEALTH CARE WOULD QUALIFY FOR FINANCIAL ASSISTANCE IF ALL INFORMATION WAS AVAILABLE.
PART III, LINE 9B:THE ENTIRE OUTSTANDING BALANCE FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE IS WRITTEN OFF AS CHARITY. FOR THIS REASON THE ORGANIZATION DOES NOT HAVE A SEPERATE WRITTEN DEBT COLLECTION POLICY. HOWEVER, DETAILS PERTAINING TO DEBT COLLECTIONS ARE INCLUDED IN THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.THE REMAINING BALANCE OF THE DISCOUNTS APPLIED IN ACCORDANCE WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY CAN BE PURSUED FOR COLLECTION OF PAYMENT. THE ORGANIZATION'S BILLING AND COLLECTION POLICY DOES NOT PERMIT THE USE OF ANY EXTRAORDINARY COLLECTION PRACTICES AS DEFINED IN 501(R).
PART VI, LINE 2:A COMMUNITY NEEDS ASSESSMENT IS COMPLETED BY SISTERS OF CHARITY PROVIDENCE HOSPITALS IN COLLABORATION WITH SISTERS OF CHARITY FOUNDATION OF SC (FOUNDATION), PALMETTO HEALTH RICHLAND HOSPITALS, THE COLUMBIA HOUSING AUTHORITY, ZAREPHATH MINISTRIES, AND THE UNIVERSITY OF SC COLLEGE OF SOCIAL WORK. THE MOST CURRENT ASSESSMENT WAS CONDUCTED FROM 2011 TO 2013 AND WAS COMPLETED AND PUBLICIZED IN 2013. THE FOUNDATION, A MINISTRY OF THE SISTERS OF CHARITY HEALTH SYSTEM, STRIVES TO IMPACT THE LIVES OF THE POOR AND BE A VOICE FOR THE UNDERSERVED IN ALL 46 SOUTH CAROLINA COUNTIES. THIS COLLABORATIVE ASSESSMENT IN THE PAST HAS REVEALED ONE OF THE HIGHEST CONCERNS OF RESIDENTS IN THE MIDLANDS IS THAT OF ACCESS TO AFFORDABLE HEALTH CARE. SCPH IS LOCATED WITHIN RICHLAND COUNTY WHICH HAS AN UNINSURED RATE IN EXCESS OF 17%. STUDIES HAVE SHOWN EMERGENCY ROOM CARE IS THE CHOICE FOR THOSE WHO DO NOT HAVE HEALTH CARE OR CANNOT AFFORD CARE. PART OF THE MISSION OF THE HOSPITAL IS TO PROVIDE QUALITY MEDICAL CARE TO ALL REGARDLESS ABILITY TO PAY. SCPH ALSO RELIES ON THE HEALTHY PEOPLE INITIATIVE, MANAGED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, TO DEVELOP PROGRAMS TO IMPROVE HEALTH. COMMUNITY DEMOGRAPHICS ALSO PLAY A PART IN DETERMINING WHICH OUTREACH SERVICES TO OFFER. THE GOAL OF OUR OUTREACH SERVICES IS TO PROMOTE A HEALTHIER LIFESTYLE WITHIN OUR IMMEDIATE AND SURROUNDING COMMUNITIES. WE ARE TEACHING THE COMMUNITY TO FIGHT OBESITY, DIABETES, HEART DISEASE AND STROKE BY SIMPLE LIFESTYLE CHANGES.
PART VI, LINE 3:AS PART OF ITS MISSION, THE HOSPITAL MAKES ITS CHARITY CARE APPLICATIONS AVAILABLE TO ANYONE WHO REQUESTS THEM. THE HOSPITAL ALSO POSTS NOTICES AS REQUIRED BY LAW REGARDING THE AVAILABILITY OF CHARITY CARE. PATIENTS RECEIVING INPATIENT CARE OR EMERGENT MEDICAL CARE RECEIVE PRIORITY CONSIDERATION FOR CHARITY CARE. THOSE PATIENTS THOUGHT TO REQUIRE SUCH CARE ARE REFERRED FOR FINANCIAL COUNSELING. THE HOSPITAL COMPLETES A SERIES OF DUE DILIGENCE STEPS WHICH INCLUDE VERIFICATION OF ALL FINANCIAL RESOURCES AVAILABLE TO THE PATIENT, INCLUDING PRIVATE HEALTH INSURANCE, PUBLIC ASSISTANCE, MEDICARE AND MEDICAID, AND LEGAL SETTLEMENTS. ONCE IT HAS BEEN PROVED THAT THE PATIENT DOES NOT HAVE SUFFICIENT INCOME TO COVER THE OUTSTANDING BALANCE FOR RECEIVED MEDICAL CARE AND THE APPLICATION HAS BEEN COMPLETED AND APPROVED, THE REMAINING BALANCE IS ADJUSTED TO $0. DETERMINATION OF ELIGIBILITY FOR CHARITY CARE ALSO COVERS SUBSEQUENT EMERGENT AND NON-ELECTIVE SERVICES FOR A PERIOD OF SIX (6) MONTHS.
PART VI, LINE 4:SISTERS OF CHARITY PROVIDENCE HOSPITALS (SCPH) IS LOCATED IN COLUMBIA, SC WHICH IS IN THE SEAT OF RICHLAND COUNTY. THE POPULATION IDENTIFIED IS RICHLAND AND LEXINGTON COUNTIES. THE US CENSUS BUREAU ESTIMATES THE POPULATION OF EACH COUNTY TO BE THE FOLLOWING IN 2015:RICHLAND COUNTY 407,051LEXINGTON COUNTY 281,833THE MEDIAN HOUSEHOLD INCOME IS: RICHLAND COUNTY $48,674LEXINGTON COUNTY $54,170INDIVIDUALS BELOW THE POVERTY LEVEL: RICHLAND COUNTY 16.1%LEXINGTON COUNTY 13.8%PERSON WITHOUT HEALTH INSURANCE, UNDER AGE 65:RICHLAND COUNTY 13.1%LEXINGTON COUNTY 15.9%STATS FROM WWW.CENSUS.GOV
PART VI, LINE 5:SISTERS OF CHARITY PROVIDENCE HOSPITALS (SCPH) PROVIDES QUALITY MEDICAL CARE IN THE COLUMBIA, SOUTH CAROLINA COMMUNITY TO ALL REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN MEETING THIS COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, SCPH OFFERS CHARITY CARE, SUBSIDIZED CARE, AND CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT RATES BELOW COST. SCPH ALSO PROVIDES COMMUNITY HEALTH EDUCATION AND SCREENINGS AND PARTICIPATES IN OTHER COMMUNITY PROGRAMS AND ACTIVITIES THAT PROMOTE GOOD HEALTH. IN MEETING ITS COMMITMENT TO THE COMMUNITY, SCPH SERVICED 9,873 INPATIENTS AND PROVIDED CARE TO 62,003 EMERGENCY ROOM PATIENTS.DURING 2015, THE COMMUNITY CONTRIBUTED APPROXIMATELY 14,917 HOURS TOWARD PROVIDING HEALTH CARE AT SCPH. THE VALUE OF THIS CONTRIBUTION IS APPROXIMATELY $119,336 WHICH IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN PATIENT SERVICES.IN ADDITION TO TRADITIONAL MEDICAL SUPPLIES, SCPH PROVIDES OTHER BENEFIT PROGRAMS TO MEET COMMUNITY AND PATIENT NEEDS. SUCH PROGRAMS WERE OFFERED AT NO COST OR AT REDUCED PRICES AND INCLUDED THE FOLLOWING: SENIOR ASSISTANCE, WOUND TREATMENT SERVICES, SUPPORT GROUPS / SPECIAL PROGRAMS, HEALTH SCREENINGS, COMMUNITY EDUCATION, POISON CENTER, PASTORAL CARE SERVICES, AND WOMEN AND CHILDREN'S SERVICES.
PART VI, LINE 6:SCPH IS AFFILIATED WITH THE SISTERS OF CHARITY OF ST. AUGUSTINE HEALTH SYSTEM (SCHS) WHICH IS HEADQUARTERED IN CLEVELAND, OH. SCHS PROVIDES OVERSIGHT TO ORGANIZATIONS LOCATED IN CANTON AND CLEVELAND, OH AND COLUMBIA, SC AND IS DEDICATED TO MEETING THE NEEDS OF EACH COMMUNITY IT SERVES. WHILE SCPH BELONGS TO THE SCHS SYSTEM, ITS OPERATIONS AND MEETING OF COMMUNITY NEEDS ARE DIRECTED LOCALLY BY THOSE LIVING AND SERVING THE MIDLANDS OF SC COMMUNITY ON A DAILY BASIS.
PART VI, LINE 7, REPORTS FILED WITH STATESSC

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
HEALTHY LEARNERS
2749 LAUREL STREETCOLUMBIASC29204571127197501(C)3$9,000FINANCIAL SUPPORT
UNITED WAY OF THE MIDLANDS - SC MISSION 2014
1800 MAIN STREETCOLUMBIASC29201570314396501(C)3$60,000FINANCIAL SUPPORT
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVEDALLASTX75231135613797501(C)3$73,800FINANCIAL SUPPORT
THE FREE MEDICAL CLINIC
1875 HARDEN STREETCOLUMBIASC29204570779279501(C)3$51,720FINANCIAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeMEDICAL SUPPLIES FOR INDIGENT PEOPLEGrantTypeTxt
Recipient0RecipientCnt
Cash Grant$13,192CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANTS AND ASSISTANCE PAYMENTS ARE APPROVED BY OFFICERS OF THE ORGANIZATION AND ARE PROVIDED TO OTHER NONPROFIT ORGANIZATIONS WHOSE EXEMPT PURPOSES ALLIGN CLOSELY WITH THE CORE VALUES AND MISSION OF SISTERS OF CHARITY PROVIDENCE HOSPITALS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MELISSA ROGERS
BOARD MEMBER$0$392,793$0$0$0$1,314$0$45,060$0$16,800$0$455,967$0$0
JP SUTTON III MD
BOARD MEMBER$726,991$0$50,000$0$0$0$0$0$17,552$0$794,543$0$0$0
ROLAND R CRAFT III
BOARD MEMBER$655,293$0$587,825$0$0$0$0$0$15,618$0$1,258,736$0$0$0
TERRANCE KESSLER
INTERIM PRESIDENT & CEO$0$644,509$0$0$0$6,858$0$45,060$0$0$0$696,427$0$0
JOAN BUMPUS
VP OF MISSION AND MINISTRY$0$133,354$0$0$0$0$0$11,146$0$7,160$0$151,660$0$0
JOHN FAULSTICH
SVP AND CFO$180,000$0$0$0$0$0$0$0$0$0$180,000$0$0$0
KEN OWENS
INTERNAL AUDIT/CCO$145,143$0$0$0$0$0$24,000$0$0$0$169,143$0$0$0
KEN BEASLEY
EXECUTIVE DIRECTOR, AHG$225,382$0$141,680$0$24,436$0$0$0$17,605$0$409,103$0$0$0
STEPHANIE SIMMONDS
VP, CAO AND CNO$239,901$0$144,780$0$0$0$164$0$21,287$0$406,132$0$0$0
DAVID B FULTON
PHYSICIAN$625,286$0$221,489$0$0$0$0$0$821$0$847,596$0$0$0
PAUL DEHOLL
PHYSICIAN$508,307$0$270,470$0$0$0$0$0$18,011$0$796,788$0$0$0
EDWARD M LEPPARD
PHYSICIAN$717,887$0$50,000$0$0$0$0$0$10,713$0$778,600$0$0$0
WILLIAM YARBOURGH
PHYSICIAN$713,479$0$50,000$0$0$0$0$0$17,825$0$781,304$0$0$0
ROBERT ZURCHER
PHYSICIAN$712,406$0$50,000$0$0$0$0$0$19,797$0$782,203$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationMELISSA ROGERS AND TERRENCE KESSLER PARTICIPATED IN A SERP PLAN WITH A RELATED ORGANIZATION. IN 2015, THE CONTRIBUTION WAS $18,000 PER PARTICIPANT.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III, LINE 4ASISTER OF CHARITY PROVIDENCE HOSPITALS PROVIDED THE FOLLOWING OUTREACH ACTIVITIES DURING THE YEAR: -HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY SCREENING FOR COLUMBIA AREA ATHLETES AS WELL AS CHESTER COUNTY SCHOOLS. -A HEALTH & WELLNESS STAFF MEMBER CONTINUES TO SERVE ON THE METRO BOARD FOR THE YMCA OF COLUMBIA. THIS BOARD OVERSEES 5 LOCAL YMCA BRANCHES. -REGULAR PARTICIPATION ON RICHLAND COUNTY HEALTH PARTNERS, A COMMUNITY GROUP THAT SHARES INFORMATION AND RESOURCES IN ORDER TO IMPACT THE GREATEST NUMBER OF COMMUNITY MEMBERS POSSIBLE. -A HEALTH & WELLNESS STAFF MEMBER SAT ON THE RACE COMMITTEE FOR THE PROVIDENCE HEART & SOLE WOMEN'S FIVE MILE RACE. THIS YEAR HAD THE GREATEST PARTICIPATION YET, AT OVER 2,200 PEOPLE. MEDICAL SERVICES AT THE EVENT WERE HELD AT THE EXPANDED CAPACITY THIS YEAR DUE TO OUR PARTICIPATION IN THE RACE COMMITTEE. MOORE CLINIC HANDLED THOSE SERVICES. -HEALTH & WELLNESS DEPARTMENT WORKED AT A COMMITTEE LEVEL FOR THE SC MISSION 2014: MIDLANDS TO PROVIDE FREE MEDICAL AND EYE CARE ON AUGUST 8 & 9, 2014 AT THE STATE FAIRGROUNDS. THE GOAL WAS TO MEET THE CRITICAL HEALTH CARE NEEDS OF PEOPLE IN THE COMMUNITY WHO ARE UNINSURED AND UNDERSERVED. THERE WERE MORE THAN 740 PATIENT INTERACTIONS AT THE SC MISSION 2014 ON FRIDAY AND SATURDAY. PATIENTS RECEIVED HEALTHCARE, EYE CARE, PRESCRIPTIONS AND WOMEN'S CARE, INCLUDING PAP SMEARS AND MAMMOGRAMS. THIS YEAR DENTAL WAS NOT OFFERED AT THE EVENT. THE SC MISSION AIMS TO MEET THE NEEDS OF RESIDENTS WHO ARE UNDERSERVED AN UNINSURED. THERE WERE ABOUT 1,000 CLINICAL AND NON-CLINICAL VOLUNTEERS INCLUDING ABOUT 500 HEALTHCARE PROFESSIONALS SUCH AS DOCTORS, NURSES AND OPTOMETRISTS. TOTAL PATIENTS: MEDICAL PATIENTS: 413 EYE CARE PATIENTS: 331 EYEGLASSES: 277 MAMMOGRAM: 101 PRESCRIPTIONS FILLED: 402 PAP SMEARS: 83 PROVIDENCE PROVIDED 240 MAN HOURS, $700 IN FOOD DONATIONS AND $6,522 IN SUPPLIES. THE TOAL COMMUNITY BENEFIT PROVIDED WAS $18,099. -PROVIDENCE COOKS-A HEART HEALTHY COOKING DEMONSTRATION PROGRAM- WAS ONCE AGAIN OFFERED TO THE COMMUNITY THIS YEAR. THIS PROGRAM IS A PARTNERSHIP BETWEEN DIETARYS HEAD CHEF AND HEALTH & WELLNESS'S REGISTERED DIETITIAN. THIS WAS A MAJOR SUCCESS! A TOTAL OF SEVEN CLASSES WERE HELD THIS YEAR WITH 157 PARTICIPANTS. -2013 EMPLOYEE WELLNESS PROGRAM ANNOUNCED. 8 HOURS OF PTO AND DISCOUNT ON INSURANCE PREMIUMS WERE USED AS INCENTIVES. 151 EMPLOYEES COMPLETED THE PROGRAM AND EARNED ADDITIONAL PTO. -CONTINUED THE COMMUNITY SUPPORTED AGRICULTURE PROGRAM FOR EMPLOYEES. ALSO ADDED A FRESH FRUIT AND VEGETABLE DELIVERY SERVICE TO PROVIDENCE, PROVIDENCE NE AND SCHC. -HEALTH & WELLNESS CONTINUED THE DIETITIAN ON DEMAND PROGRAM THAT ALLOWS COMMUNITY MEMBERS AND EMPLOYEES ACCESS TO A REGISTERED DIETITIAN ON A MINIMAL OR NO FEE BASIS. 220 PEOPLE WERE SEEN IN 2013. -16 SPEAKING OF YOUR HEALTH PROGRAMS WERE OFFERED WITH 300 PEOPLE ATTENDING. SISTERS OF CHARITY PROVIDENCE HOSPITALS HAS THE FOLLOWING GOALS FOR THE YEAR: -EIGHT PROVIDENCE COOKS! PROGRAMS ARE SCHEDULED FOR 2014. -PLANS TO COORDINATE AND IMPLEMENT SC MISSION 2014: THE MIDLANDS; CONTINUE EMPHASIS ON MEDICAL HOMES AND SHIFTING PROGRAM TO A PERMANENT CLINIC WITH YEAR-ROUND SERVICES. -CONTINUE COMMUNITY EDUCATION OPPORTUNITIES LIKE SPEAKING OF YOUR HEALTH WITH AN EXPANSION OF THAT PROGRAM TO OUTLYING COMMUNITIES. -CURRENT EVALUATION OF CARDIOVASCULAR ULTRASOUND SCREENING EQUIPMENT TO DETERMINE ONGOING VASCULAR SCREENING PROGRAM. SECURED COMMITMENT FROM CHESTER HEALTHCARE FOUNDATION TO SCREEN CHESTER COUNTY ATHLETES IN MAY OF 2014. CARDIAC CLEARANCES FOR ATHLETES AS WELL AS CARDIAC SCREENINGS FOR ADULTS. -INCREASE EDUCATIONAL AND WELLNESS OPPORTUNITIES FOR OUR EMPLOYEES AND THEIR FAMILIES. IN 2013 THERE WAS NO COLLABORATIVE PLANNING WITH THE CATHOLIC DIOCESE.
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE INCLUDES THE CHAIRPERSON, THE VICE CHAIRPERSON, AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION, THE SECRETARY, THE TREASURER AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE MEMBER, OR HIS/HER DESIGNEE. AT LEAST ONE MEMBER OF THE EXECUTIVE COMMITTEE IS A SISTER OF CHARITY OF ST. AUGUSTINE. WHEN THE BOARD OF TRUSTEES IS NOT IN SESSION, THE EXECUTIVE COMMITTEE HAS AND EXERCISES ALL OF THE AUTHORITY OF THE BOARD. ALL ACTIONS OF THE COMMITTEE ARE REPORTED TO THE BOARD OF TRUSTEES NOT LATER THAN THE TIME OF ITS NEXT SUCCEEDING MEETING.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE ORGANIZATION IS THE SISTERS OF CHARITY OF ST. AUGUSTINE HEALTH SYSTEM, AN OHIO NONPROFIT CORPORATION. PLEASE SEE ARTICLE III OF THE BYLAWS FOR DETAILS.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBER OF SISTERS OF CHARITY PROVIDENCE HOSPITALS MAY ELECT MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BRESERVED POWERS OF THE MEMBER OF THE ORGANIZATION INCLUDE THE POWER AND AUTHORITY TO BORROW OR LEND MONEY, THE PURCHASE AND SALE OF CERTAIN PROPERTY, THE APPOINTMENT OR RENEWAL OF THE REGULATIONS AND ARTICLES OF INCORPORATION, THE ELECTION OF DIRECTORS, AND THE DETERMINATION OF CORPORATE PHILOSOPHY.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WAS MADE AVAILABLE TO BOARD MEMBERS VIA THE BOARD PORTAL FOR REVIEW AND PRESENTED AT A BOARD MEETING WITH TIME FOR DISCUSSION.
FORM 990, PART VI, SECTION B, LINE 12CPROVIDENCE HOSPITALS REQUIRES ITS DIRECTORS, CLINICAL MANAGERS, AND SELECTED PERSONNEL WHO HAVE SIGNIFICANT CONTACT WITH VENDORS AND CONTRACTORS TO ATTEST ANNUALLY THAT NEITHER HE/SHE, NOR ANY MEMBER OF HIS/HER IMMEDIATE FAMILY, HAVE A CONFLICT OF INTEREST WITH THE HOSPITAL. MEMBERS OF THE BOARD OF TRUSTEES, PRESIDENT & CEO, VICE PRESIDENTS AND ASSISTANT VICE PRESIDENTS SIGN A SEPARATE, MORE DETAILED CONFLICT OF INTEREST STATEMENT. THE BOARD OF TRUSTEES OF PROVIDENCE HOSPITALS REQUIRES EACH MEMBER OF THE BOARD AND CORPORATE STAFF TO REVIEW THE HOSPITAL'S CONFLICT OF INTEREST POLICY AND TO DISCLOSE ALL INTERESTS THAT COULD RESULT IN A CONFLICT, ON AN ANNUAL BASIS. ALL DISCLOSURES ARE REPORTED TO THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE OF THE BOARD FOR REVIEW AND FOLLOW-UP, IF DETERMINED TO BE NECESSARY.
FORM 990, PART VI, SECTION B, LINE 15THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. SPECIFICALLY, SECTION 2. ARTICLE IX: ADMINISTRATIVE OFFICERS OF THE AMENDED AND RESTATED BYLAWS OF SISTERS OF CHARITY PROVIDENCE HOSPITALS (PAGE 9) STATES: AN EVALUATION OF THE PERFORMANCE OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER SHALL BE CONDUCTED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE SHALL REPORT ITS EVALUATION TO THE BOARD OF TRUSTEES AND TO THE MEMBER. THE EXECUTIVE/COMPENSATION COMMITTEE IS CHAIRED BY THE CHAIR OF THE BOARD OF TRUSTEES. IT CONTAINS SIX OTHER BOARD MEMBERS. ALL COMPENSATION ISSUES ARE REVIEWED BY THIS COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION PROVIDES COPIES OF ITS FORM 990 AND RELATED SCHEDULES UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC IN ITS OFFICE AND UPON REQUEST. ALL POLICIES ARE AVAILABLE TO ORGANIZATION EMPLOYEES VIA THE LOCAL INTRANET.
FORM 990, PART IX, LINE 11GOTHER FEES: PROGRAM SERVICE EXPENSES 5,993,615. MANAGEMENT AND GENERAL EXPENSES 6,861,725. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,855,340. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 6,625,744. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,625,744. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 19,026,844. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,026,844.
FORM 990, PART XI, LINE 9:UNREALIZED LOSS ON FAIR VALUE OF INTEREST RATE SWAP 118,401. LOSS ON DISCONTINUED OPERATIONS -287. GOODWILL IMPAIRMENT -1,561,699. EQUITY TRANSFER FROM FOUNDATION 1,496,737.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
AUGUSTINE HEALTH GROUP LLC
2435 FOREST DRIVECOLUMBIASC29204900074301PHYSICIAN PRACTICESSCSISTERS OF CHARITY PROVIDENCE HOSPITALS
MOORE ORTHOPEDIC CLINIC
2435 FOREST DRIVECOLUMBIASC29204270743476ORTHOPAEDIC TREATMENTSSCSISTERS OF CHARITY PROVIDENCE HOSPITALS
HEALTHTOUCH LLC
2435 FOREST DRIVECOLUMBIASC29204570314409PHYSICAL THERAPY/REHABSCSISTERS OF CHARITY PROVIDENCE HOSPITALS
PROVIDENCE CARDIOLOGY LLC
2435 FOREST DRIVECOLUMBIASC29204452824804HEALTHCARESCSISTERS OF CHARITY PROVIDENCE HOSPITALS
PROVIDENCE HEALTH NETWORK
2435 FOREST DRIVECOLUMBIASC29204454046409HEALTHCARESCSISTERS OF CHARITY PROVIDENCE HOSPITALS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
SISTERS OF CHARITY OF ST AUGUSTINE ROMAN CATHOLIC CHURCH
2351 EAST 22ND STREETCLEVELANDOH44115340714763RELIGIOUS CONGREGATION OF WOMENOH501(C)(3)LINE 1SISTERS OF CHARITY HEALTH SYSTEM0
PROVIDENCE HOSPITALS DEVELOPMENT FOUNDATION
2351 EAST 22ND STREETCLEVELANDOH44115271140183SUPPORTING ORGANIZATIONOH501(C)(3)LINE 11B, IISISTERS OF CHARITY PROVIDENCE HOSPITALSYes (1)
ST VINCENT CHARITY MEDICAL CENTER
2351 EAST 22ND STREETCLEVELANDOH44115340714756HOSPITALOH501(C)(3)LINE 3SISTERS OF CHARITY HEALTH SYSTEM0
ST VINCENT CHARITY DEVELOPMENT FOUNDATION
2351 EAST 22ND STREETCLEVELANDOH44115271602445SUPPORTING ORGANIZATIONOH501(C)(3)LINE 11A, IST VINCENT CHARITY MEDICAL CENTER0
ST JOHNS HOSPITAL
2351 EAST 22ND STREETCLEVELANDOH44115340714504SUPPORTING ORGANIZATIONOH501(C)(3)LINE 11A, ISISTERS OF CHARITY HEALTH SYSTEM0
JOSEPH'S HOME
2351 EAST 22ND STREETCLEVELANDOH44115341901676TEMP HOUSING/HEALTHCAREOH501(C)(3)LINE 9SISTERS OF CHARITY HEALTH SYSTEM0
SISTERS OF CHARITY FOUNDATION OF CANTON
2351 EAST 22ND STREETCLEVELANDOH44115341832697SUPPORTING ORGANIZATIONOH501(C)(3)LINE 11A, ISISTERS OF CHARITY HEALTH SYSTEM0
SISTERS OF CHARITY FOUNDATION OF CLEVELAND
2351 EAST 22ND STREETCLEVELANDOH44115341832698SUPPORTING ORGANIZATIONOH501(C)(3)LINE 11A, ISISTERS OF CHARITY HEALTH SYSTEM0
SISTERS OF CHARITY FOUNDATION OF SOUTH CAROLINA
2351 EAST 22ND STREETCLEVELANDOH44115570708391SUPPORTING ORGANIZATIONOH501(C)(3)LINE 11A, ISISTERS OF CHARITY HEALTH SYSTEM0
REGINA HEALTH CENTER
5232 BROADVIEW ROADRICHFIELDOH44286341722394LONG TERM CAREOH501(C)(3)LINE 9SISTERS OF CHARITY HEALTH SYSTEM0
SOUTH CAROLINA CENTER FOR FATHERS AND FAMILIES
2351 EAST 22ND STREETCLEVELANDOH44115364506347SUPPORT FATHERHOOD INITIATIVESOH501(C)(3)LINE 7SISTERS OF CHARITY FOUNDATION OF SOUTH CAROLINA0
MERCY MEDICAL CENTER INC
1320 MERCY DR NWCANTONOH44708341893439HOSPITALOH501(C)(3)LINE 3SISTERS OF CHARITY HEALTH SYSTEM0
MERCY DEVELOPMENT FOUNDATION
1320 MERCY DR NWCANTONOH44708352408321SUPPORTING ORGANIZATIONOH501(C)(3)LINE 11A, IMERCY MEDICAL CENTER0
HEALTHY LEARNERS
221 N MAIN STREETCOLUMBIASC29601571127197SUPPORTING ORGANIZATIONOH501(C)(3)LINE 11A, ISISTERS OF CHARITY HEALTH SYSTEM0
EARLY CHILDHOOD RESOURCE CENTER
1718 CLEVELAND AVENUECANTONOH44703340714462SUPPORTING ORGANIZATIONOH501(C)(3)LINE 11A, ISISTERS OF CHARITY HEALTH SYSTEM0
SISTERS OF CHARITY OF ST AUGUSTINE HEALTH SYSTEM INC
2351 EAST 22ND STREETCLEVELANDOH44115341379356SUPPORTING ORGANIZATIONOH501(C)(3)LINE 11A, I0N/A
LIGHT OF HEARTS VILLA INC
283 UNION STBEDFORDOH441464578341619270ASSISTED LIVING FACILITYOH501(C)(3)LINE 11A, ISISTERS OF CHARITY HEALTH SYSTEM0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
MERCY PROFESSIONAL CARE CORP
1330 MERCY DRIVE NORTHWEST 506CANTONOH44708341873008MEDICAL SERVICESOHMERCY MEDICAL CENTERC-$2,945,753$2,179,9731.00000Yes (1)
ST VINCENT MEDICAL GROUP
11201 SHAKER BLVD 102CLEVELANDOH44104341634990MEDICAL SERVICESOHST VINCENT CHARITY MEDICAL CENTERC-$4,367,121$3,233,0681.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd