ALABAMA PROVIDENCE HEALTHCARE SERVICES: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- ALABAMA PROVIDENCE HEALTHCARE SERVICES (EIN 46-2847744)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-14
- IRS object ID
- 201601369349300100
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-14T23:01:34-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 East Fifth Suite 1900 | AddressLine1Txt |
| City | Cincinnati | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 462847744 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alabama Providence Healthcare Services | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ALAB | BusinessNameControlTxt |
| Phone | 2516331660 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6801 Airport Boulevard | AddressLine1Txt |
| City | Mobile | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 36608 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | C SUSAN CORNEJO | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2016-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Rebecca Lyons | PreparerPersonNm |
| PTIN | P01487105 | PTIN |
| Phone | 5137847100 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | C SUSAN CORNEJO | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6801 Airport Boulevard | AddressLine1Txt |
| City | Mobile | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 36608 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $28,977,665 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PROVIDENCEHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2013 | FormationYr |
| Legal Domicile State | AL | LegalDomicileStateCd |
| Activity Or Mission | TO SERVE ALL PERSONS, WITH SPECIAL ATTENTION TO THOSE THAT ARE POOR AND VULNERABLE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 310 | TotalEmployeeCnt |
| Total Volunteers | 1 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,891,952 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $26,453,486 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $614 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $2,523,565 | CYOtherRevenueAmt |
| PY Total Revenue | $12,891,952 | PYTotalRevenueAmt |
| CY Total Revenue | $28,977,665 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $7,750 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,751,767 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,849,333 | PYOtherExpensesAmt |
| CY Other Expenses | $13,693,237 | CYOtherExpensesAmt |
| PY Total Expenses | $14,849,333 | PYTotalExpensesAmt |
| CY Total Expenses | $32,452,754 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,957,381 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,475,089 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,727,894 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,631,904 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,685,275 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,075,817 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,957,381 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$7,443,913 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OUR MISSION IS TO COMMIT OURSELVES TO SERVICING ALL PERSONS, WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. WE ARE DEDICATED TO SPIRITUALLY CENTERED, HOLISTIC CARE THAT SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $29,895,791 | ExpenseAmt |
| Grant | $7,750 | GrantAmt |
| Revenue | $28,957,438 | RevenueAmt |
| Desc | TO EMPLOY PHYSICIANS AND MANAGE THEIR PRACTICES IN A MANNER WHICH SUPPORTS THE OPERATION AND MISSION OF PROVIDENCE HOSPITAL. THERE WERE 151,817 PHYSICIAN VISITS DURING THE FISCAL YEAR. | Desc |
| Total Program Service Expenses | $29,895,791 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 310 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | C SUSAN CORNEJO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2516331660 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6801 AIRPORT BLVD | AddressLine1Txt |
| City | MOBILE | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 36608 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| W BRADLEY BEARD JR | ||||||||
| BOARD CHAIR | 2.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CLARK P CHRISTIANSON | ||||||||
| PRESIDENT & CEO | 2.00 | 38.00 | Yes (X) | Yes (X) | $0 | $1,225,186 | $41,753 | |
| IJAZ IQBAL MD | ||||||||
| VICE CHAIR | 38.00 | 2.00 | Yes (X) | Yes (X) | $0 | $312,793 | $30,081 | |
| JAMES L WALKER MD | ||||||||
| SECRETARY/TREASURER | 36.00 | 4.00 | Yes (X) | Yes (X) | $501,804 | $0 | $44,704 | |
| ALLISON B DOUGLAS MD | ||||||||
| DIRECTOR | 36.00 | 4.00 | Yes (X) | $136,919 | $0 | $27,060 | ||
| THOMAS MYERS MD | ||||||||
| DIRECTOR | 36.00 | 2.00 | Yes (X) | $247,887 | $0 | $29,772 | ||
| L PAGE STALCUP | ||||||||
| BOARD MEMBER | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHELLE DUDLEY | ||||||||
| CFO | 20.00 | 20.00 | Yes (X) | $0 | $141,350 | $27,147 | ||
| CHARLES A PINKERT | ||||||||
| COO | 20.00 | 20.00 | Yes (X) | $0 | $157,034 | $26,691 | ||
| ROBERT W ISRAEL MD | ||||||||
| PHYSICIAN | 38.00 | 2.00 | $453,697 | $0 | $35,063 | Yes (X) | ||
| MICHELLE S JACKSON MD | ||||||||
| PHYSICIAN | 40.00 | 0 | $386,791 | $0 | $31,741 | Yes (X) | ||
| DAVID N PATE MD | ||||||||
| PHYSICIAN | 40.00 | 0 | $330,413 | $0 | $33,387 | Yes (X) | ||
| JAMES KNOX SIMPSON MD | ||||||||
| PHYSICIAN | 40.00 | 0 | $604,707 | $0 | $38,515 | Yes (X) | ||
| ERIC C JOHNSON MD | ||||||||
| PHYSICIAN | 40.00 | 0 | $370,048 | $0 | $37,242 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,032,266 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,836,363 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $403,157 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 45 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| Government Grants | $0 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621110 | $26,453,238 | $26,453,238 |
| MEDICAL RECORDS | 621990 | $248 | $248 |
| $0 | $0 | ||
| $0 | $0 | ||
| $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $26,453,486 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $614 | TotalRevenueColumnAmt |
| Exclusion | $614 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| EQUIPMENT RENTAL | 621990 | $19,613 | $19,613 | |
| MISCELLANEOUS REVENUE | 621990 | $2,503,952 | $2,503,952 | |
| $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,523,565 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,977,665 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,957,438 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $20,227 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,750 | TotalAmt |
| Program Services | $7,750 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $988,146 | TotalAmt |
| Program Services | $988,146 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,620 | TotalAmt |
| Program Services | $139,620 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,212,219 | TotalAmt |
| Program Services | $15,212,219 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,173,931 | TotalAmt |
| Program Services | $1,173,931 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $320,021 | TotalAmt |
| Program Services | $320,021 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $917,830 | TotalAmt |
| Program Services | $917,830 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,290 | TotalAmt |
| Program Services | $6,290 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,805 | TotalAmt |
| Program Services | $6,805 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $627,082 | TotalAmt |
| Program Services | $627,082 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,840 | TotalAmt |
| Program Services | $34,840 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,677 | TotalAmt |
| Program Services | $252,677 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,126 | TotalAmt |
| Program Services | $6,126 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,158,831 | TotalAmt |
| Program Services | $2,158,831 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,536 | TotalAmt |
| Program Services | $61,536 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,191 | TotalAmt |
| Program Services | $18,191 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3 | TotalAmt |
| Program Services | $3 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,529 | TotalAmt |
| Program Services | $52,529 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,591 | TotalAmt |
| Program Services | $72,591 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $5,037,432 | $5,037,432 | $0 | $0 |
| BAD DEBT | $720,303 | $720,303 | $0 | $0 |
| CORP. OFFICE ALLOCATION | $2,556,963 | $0 | $2,556,963 | $0 |
| PURCHASED SERVICES | $1,576,662 | $1,576,662 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $504,376 | TotalAmt |
| Program Services | $504,376 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,452,754 | TotalAmt |
| Program Services | $29,895,791 | ProgramServicesAmt |
| Management And General | $2,556,963 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,068,922 | BOYAmt |
| EOY | $1,821,821 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $151,379 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,875 | BOYAmt |
| EOY | $55,520 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,867 | BOYAmt |
| EOY | $21,918 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,315,639 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,779,373 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,503 | BOYAmt |
| EOY | $536,266 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $45,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $468,727 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,727,894 | BOYAmt |
| EOY | $2,631,904 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,145,299 | BOYAmt |
| EOY | $2,110,631 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,539,976 | BOYAmt |
| EOY | $7,965,186 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,685,275 | BOYAmt |
| EOY | $10,075,817 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,957,381 | BOYAmt |
| EOY | -$7,443,913 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,957,381 | BOYAmt |
| EOY | -$7,443,913 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,727,894 | BOYAmt |
| EOY | $2,631,904 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,475,089 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$2,011,443 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $12,891,952 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,453,486 | CurrentTaxYearAmt |
| Total | $39,345,438 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,891,952 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,453,486 | CurrentTaxYearAmt |
| Total | $39,345,438 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $39,345,438 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $614 | CurrentTaxYearAmt |
| Total | $614 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $614 | CurrentTaxYearAmt |
| Total | $614 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,523,565 | CurrentTaxYearAmt |
| Total | $2,523,565 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,891,952 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $28,977,665 | CurrentTaxYearAmt |
| Total | $41,869,617 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - EQUIPMENT RENTAL, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 19613.0, COLUMN F - 19613.0; DESCRIPTION - MISC. REVENUE, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 2503952.0, COLUMN F - 2503952.0; | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Book Value | $0 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $387,715 | OtherCostOrOtherBasisAmt |
| Depreciation | $206,004 | DepreciationAmt |
| Book Value | $181,711 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $257,827 | OtherCostOrOtherBasisAmt |
| Depreciation | $254,071 | DepreciationAmt |
| Book Value | $3,756 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,338,842 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,318,043 | DepreciationAmt |
| Book Value | $20,799 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $331,255 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,255 | DepreciationAmt |
| Book Value | $330,000 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $536,266 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATE | $5,037,503 |
| SELF INSURANCE LIABILITY | $71,586 |
| PENSION AND POST RETIREMENT LIABILITY | $2,636,007 |
| AH SAVINGS PLAN | $220,090 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,965,186 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE AND ITS MEMBER ORGANIZATIONS ("THE SYSTEM") WHICH INCLUDE THE ACTIVITY OF ALABAMA PROVIDENCE HEALTHCARE SERVICES: THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX PROVISIONS 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, 2015. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLARK P CHRISTIANSON | ||||||||||||||
| PRESIDENT & CEO | $0 | $403,517 | $0 | $614,442 | $0 | $207,227 | $0 | $15,000 | $0 | $26,753 | $0 | $1,266,939 | $0 | $0 |
| IJAZ IQBAL MD | ||||||||||||||
| VICE CHAIR | $0 | $198,779 | $0 | $113,744 | $0 | $270 | $0 | $13,716 | $0 | $16,365 | $0 | $342,874 | $0 | $0 |
| JAMES L WALKER MD | ||||||||||||||
| SECRETARY/TREASURER | $407,485 | $0 | $41,252 | $0 | $53,067 | $0 | $16,900 | $0 | $27,804 | $0 | $546,508 | $0 | $0 | $0 |
| ALLISON B DOUGLAS MD | ||||||||||||||
| DIRECTOR | $107,159 | $0 | $29,643 | $0 | $117 | $0 | $9,341 | $0 | $17,720 | $0 | $163,980 | $0 | $0 | $0 |
| THOMAS MYERS MD | ||||||||||||||
| DIRECTOR | $119,494 | $0 | $127,387 | $0 | $1,006 | $0 | $15,788 | $0 | $13,983 | $0 | $277,659 | $0 | $0 | $0 |
| MICHELLE DUDLEY | ||||||||||||||
| CFO | $0 | $116,209 | $0 | $18,759 | $0 | $6,383 | $0 | $9,205 | $0 | $17,941 | $0 | $168,497 | $0 | $0 |
| CHARLES A PINKERT | ||||||||||||||
| COO | $0 | $129,368 | $0 | $20,187 | $0 | $7,478 | $0 | $9,810 | $0 | $16,881 | $0 | $183,725 | $0 | $0 |
| ROBERT W ISRAEL MD | ||||||||||||||
| PHYSICIAN | $370,632 | $0 | $80,483 | $0 | $2,582 | $0 | $16,900 | $0 | $18,163 | $0 | $488,760 | $0 | $0 | $0 |
| MICHELLE S JACKSON MD | ||||||||||||||
| PHYSICIAN | $259,612 | $0 | $126,790 | $0 | $389 | $0 | $15,600 | $0 | $16,141 | $0 | $418,532 | $0 | $0 | $0 |
| DAVID N PATE MD | ||||||||||||||
| PHYSICIAN | $326,214 | $0 | $1,369 | $0 | $2,830 | $0 | $16,900 | $0 | $16,487 | $0 | $363,800 | $0 | $0 | $0 |
| JAMES KNOX SIMPSON MD | ||||||||||||||
| PHYSICIAN | $514,779 | $0 | $78,690 | $0 | $11,239 | $0 | $16,900 | $0 | $21,615 | $0 | $643,223 | $0 | $0 | $0 |
| ERIC C JOHNSON MD | ||||||||||||||
| PHYSICIAN | $265,689 | $0 | $103,741 | $0 | $618 | $0 | $16,900 | $0 | $20,342 | $0 | $407,291 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 3 COMPENSATION | FormAndLineReferenceDesc |
| Explanation | ASCENSION HEALTH, A RELATED ORGANIZATION OF ALABAMA PROVIDENCE HEALTHCARE SERVICES, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT AND CEO: - COMPENSATION COMMITTEE, - INDEPENDENT COMPENSATION CONSULTANT, - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a COMMUNITY BENEFIT REPORT | JUNE 30 2015 ALABAMA PROVIDENCE HEALTHCARE SERVICES IS ONE OF THE REGION'S LARGEST NONPROFIT PHYSICIAN PRACTICE ORGANIZATIONS. WE ARE AFFILIATED WITH PROVIDENCE HEALTH SYSTEM, WHICH IS ONE OF THE OLDEST HEALTHCARE PROVIDERS IN MOBILE ALABAMA, HAVING SERVED ITS CITIZENS SINCE 1854. ON A NATIONAL LEVEL, PROVIDENCE IS A MEMBER OF ASCENSION HEALTH, THE NATION'S LARGEST NONPROFIT CATHOLIC HEALTHCARE SYSTEM. ASCENSION IS DIRECTED BY THE CATHOLIC CHURCH TO CARE FOR THOSE MOST IN NEED. OUR CATHOLIC PHILOSOPHY PERMEATES OUR PROMISE TO PROVIDE HEALTHCARE THAT WORKS, HEALTHCARE THAT IS SAFE, AND HEALTHCARE THAT LEAVES NO ONE BEHIND. - HEALTHCARE THAT WORKS CALLS US TO MEET THE PROMISE OF A CONSISTENT, EXCEPTIONAL ASCENSION HEALTH EXPERIENCE IN EVERY ENCOUNTER WITH THOSE WE SERVE. - HEALTHCARE THAT IS SAFE IS A FOCUS ON PERSON-CENTERED CARE, WHICH HAS INSPIRED AND CONTINUES TO SPARK UNPRECEDENTED IMPROVEMENTS IN HEALTHCARE QUALITY AND SAFETY. - HEALTHCARE THAT LEAVES NO ONE BEHIND REPRESENTS ASCENSION HEALTH'S COMMITMENT TO 100 PERCENT ACCESS AND COVERAGE FOR ALL AMERICANS. MISSION: OUR MISSION IS TO COMMIT OURSELVES TO SERVICING ALL PERSONS, WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. WE ARE DEDICATED TO SPIRITUALLY CENTERED, HOLISTIC CARE THAT SUSTAINS AND, IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS. VISION: OUR VISION IS A STRONG, VIBRANT CATHOLIC HEALTH MINISTRY IN THE UNITED STATES WHICH WILL LEAD TO THE TRANSFORMATION OF HEALTHCARE. WE WILL ENSURE SERVICE THAT IS COMMITTED TO HEALTH AND WELL-BEING OF OUR COMMUNITIES AND THAT RESPONDS TO THE NEEDS OF INDIVIDUALS THROUGHOUT THE LIFE CYCLE. WE WILL EXPAND THE ROLE OF THE LAITY, IN BOTH LEADERSHIP AND SPONSORSHIP, TO ENSURE A CATHOLIC HEALTH MINISTRY OF THE FUTURE. VALUES: WE SHARE A COMMON VISION AND ARE CALLED TO ACT UPON THE FOLLOWING IDEAS AND BELIEFS: SERVICE OF THE POOR - GENEROSITY OF SPIRIT, ESPECIALLY FOR PERSONS MOST IN NEED. REVERENCE - RESPECT AND COMPASSION FOR THE DIGNITY AND DIVERSITY OF LIFE. INTEGRITY - INSPIRING TRUST THROUGH PERSONAL LEADERSHIP. WISDOM - INTEGRATING EXCELLENCE AND STEWARDSHIP. CREATIVITY - COURAGEOUS INNOVATION. DEDICATION - AFFIRMING THE HOPE AND JOY OF OUR MINISTRY. SERVICES: ALABAMA PROVIDENCE HEALTHCARE SERVICES PROVIDES THE FOLLOWING INPATIENT AND OUTPATIENT MEDICAL SERVICES TO THE COMMUNITY: ENDOCRINOLOGY FAMILY PRACTICE GASTROENTEROLOGY INTERNAL MEDICINE INFUSION THERAPY LIPIDOLOGY RHEUMATOLOGY CHARITY CARE: ALABAMA PROVIDENCE HEALTHCARE SERVICES IS DEDICATED TO SERVING THOSE WHO ARE POOR AND VULNERABLE. SERVICES TO CARE FOR THIS POPULATION HAVE BEEN PROVIDED THROUGH OUR NETWORK LOCATIONS. PFP - AIRPORT: $10 PFP - CITRONELLE: $708 PMG - COTTAGE HILL: $109 PFP - DAWES: $283 MOBILE DIAGNOSTIC CENTER: $1,099 WEST MOBILE MEDIAL GROUP: $40 MDC - ANCILLARY SERVICES: $234 COMMUNITY OUTREACH ACTIVITIES: ALABAMA PROVIDENCE HEALTHCARE SERVICES SEEKS TO IMPROVE THE PHYSICAL, MENTAL SOCIAL AND SPIRITUAL HEALTH STATUS OF ITS SURROUNDING COMMUNITY. SERVICES ARE PROVIDED IN THE CLINIC SETTING, AT THE HOSPITAL, AND IN A MOBILE MEDICAL SETTING WITH TWO MOBILE MEDICAL VANS. OUR PHYSICIANS HAVE CONTRIBUTED THEIR SKILLS AND TIME TOWARD CAMP RAP-A HOPE. THE CAMP PROVIDES A WEEK-LONG SUMMER CAMP AND IS OPEN TO CHILDREN BETWEEN THE AGES OF 7 AND 17 WHO HAVE OR HAVE EVER HAD CANCER. THE CAMP IS OFFERED FOR FREE TO THE CAMPERS. ADDITIONALLY, OUR PHYSICIANS PROVIDE EDUCATION TO LOCAL HIGH SCHOOL AND COLLEGE STUDENTS THROUGH JOB SHADOWING. UNDER DIRECT SUPERVISION FROM THE PROVIDER AND CLINICAL STAFF THESE PROGRAMS ALLOW STUDENTS TO LEARN A VARIETY OF CLINICAL SKILLS. THE MEDICAL ASSISTANT EXTERN STUDENTS AT OUR COTTAGE HILL PRACTICE HAD OVER 600 HOURS OF EXPERIENCE WORKING IN A CLINIC SETTING IN FY 15. Our physicians also sponsored and participated in the inaugural One Fit Mobile Event at Cottage Hill Park, which raised money for the community's effort to promote a healthier lifestyle for its citizens. ASSESSMENT OF COMMUNITY NEEDS: LEADERS FROM AN INTERNAL PROVIDENCE HEALTH SYSTEM COMMITTEE AND THE ALABAMA QUALITY ASSURANCE FOUNDATION CONDUCTED A COMMUNITY NEEDS ASSESSMENT IN APRIL OF 2013. THE TOP FIVE ISSUES CONSIDERED TO BE THE GREATEST NEEDS IN THE COMMUNITY WERE DETERMINED TO BE: 1. GOOD NUTRITION/OBESITY PREVENTION 2. DIABETES EDUCATION AND SUPPORT 3. FREE/SUBSIDIZED HEALTHCARE SERVICES 4. CARDIAC HEALTH EDUCATION AND SUPPORT. 5. MENTAL HEALTH ACCESS AND SUPPORT WHILE ALABAMA PROVIDENCE HEALTHCARE SERVICES DOES NOT EMPLOY PHYSICIANS TO PROVIDE CARE FOR ISSUE NUMBERS FOUR AND FIVE, WE DO A TREMENDOUS AMOUNT FOR OUR COMMUNITY TO COMBAT ISSUE NUMBERS ONE, TWO, AND THREE. 1. GOOD NUTRITION/OBESITY PREVENTION APHS PROMOTES HEALTHY EATING AND LIFESTYLE CHOICES TO THEIR PATIENTS. MANY OF OUR PHYSICIANS HAVE BEEN ACTIVE PARTICIPANTS IN WELLNESS EDUCATION PROGRAMS FOR THE COMMUNITY. 2. DIABETES EDUCATION AND SUPPORT OUR PHYSICIANS SEE A LARGE NUMBER OF DIABETES PATIENTS AND HELP TREAT THEM IN A COMPASSIONATE, CARING WAY WHILE ALSO EDUCATING THEM ON STEPS TO MANAGE AND TREAT THEIR DISEASE. WE GIVE FREE SAMPLES OF DIABETES MEDICATIONS TO PATIENTS WHO MAY NEED THEM. 3. FREE/SUBSIDIZED HEALTHCARE SERVICES MANY OF OUR PHYSICIANS PARTICIPATE IN OUTREACH PROGRAMS TO CARE FOR THE INDIGENT AND UNINSURED. SEVERAL OF OUR PHYSICIANS ALSO SEE MEDICAID PATIENTS, MANY OF WHOSE COST OF CARE IS GREATER THAN THE REIMBURSEMENT RECEIVED. |
| Form 990, Part VI, Line 2 BUSINESS RELATIONSHIPS | MANY OF THE PERSON'S LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF EMPLOYMENT FOR PROVIDENCE HEALTH SYSTEM RELATED ENTITIES. |
| Form 990, Part VI, Line 15b COMPENSATION | IN DETERMINING COMPENSATION OF THE ORGANIZATION'S PRESIDENT & CEO, 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 PRESIDENT AND CEO 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 COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. THE BOARD OF DIRECTORS SHALL EXERCISE ALL POWER OF THE CORPORATION NOT OTHERWISE RESERVED TO ASCENSION HEALTH OR TO THE SPONSORS. CLARK P. CHRISTIANSON IS AN EX-OFFICIO MEMBER OF THE BOARD WITH VOTING PRIVILEGES. HE SERVES ON ALL BOARDS WITHIN THE HEALTH MINISTRY AND IS PRESIDENT AND CEO OF PROVIDENCE HOSPITAL. IN DETERMINING COMPENSATION OF THE OTHER OFFICERS OF THE ORGANIZATION, THE PROCESS PERFORMED BY PROVIDENCE HEALTH SYSTEM, 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 OFFICERS OF THE ORGANIZATION 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 COMMITTEE MINUTES. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | ALABAMA PROVIDENCE HEALTHCARE SERVICES HAS A SINGLE CORPORATE MEMBER, PROVIDENCE HEALTH SYSTEM. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | ALABAMA PROVIDENCE HEALTHCARE SERVICES HAS A SINGLE CORPORATE MEMBER, PROVIDENCE HEALTH SYSTEM, 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, PROVIDENCE HEALTH SYSTEM. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | 'ALABAMA PROVIDENCE HEALTHCARE SERVICES 'MANAGEMENT, INCLUDING CERTAIN OFFICERS, WORKS DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES IN A THOROUGH MANNER. MANAGEMENT PRESENTS THE FORM TO THE BOARD, OR A DESIGNATED COMMITTEE, TO REVIEW. PRIOR TO FILING THE RETURN, ALL BOARD MEMBERS ARE PROVIDED THE FORM 990 AND MANAGEMENT TEAM MEMBERS ARE AVAILABLE TO ANSWER ANY BOARD MEMBERS QUESTIONS. |
| Form 990, Part VI, Line 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 MEETING WILL DECIDE IF CONFLICT 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 CONFLICT 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 VIII, Line 2f Other Program Service Revenue | - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | IC Reclasses - 931641; Deferred Pension Cost Ascension - -2814933; Equity Reclass - -128151; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ASCENSION HEALTH ALLIANCE | ||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 453358926 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3 | Type I | NA | false |
| ASCENSION HEALTH | ||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 311662309 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3 | Type I | ASCENSION HEALTH ALLIANCE | false |
| PROVIDENCE HEALTH SYSTEM | ||||||||||
| 6801 AIRPORT BLVD | MOBILE | AL | 36605 | 630934712 | SUPPORT PROVIDENCE HOSPITAL | 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 | ASCENSION HEALTH | false |
| PROVIDENCE FOUNDATION | ||||||||||
| 6801 AIRPORT BLVD | MOBILE | AL | 36608 | 630915493 | SUPPORT PROVIDENCE HOSPITAL | AL | 501(c)(3 | 7 | PROVIDENCE HEALTH SYSTEM | Yes (true) |
| SETON MEDICAL MANAGEMENT | ||||||||||
| 6801 AIRPORT BLVD | MOBILE | AL | 36608 | 630937704 | SUPPORT PROVIDENCE HOSPITAL | AL | 501(c)(2 | PROVIDENCE HEALTH SYSTEM | Yes (true) | |
| PROVIDENCE BUILDING CORPORATION | ||||||||||
| 6801 AIRPORT BLVD | MOBILE | AL | 36608 | 630914564 | SUPPORT PROVIDENCE HOSPITAL | AL | 501(c)(3 | PROVIDENCE HEALTH SYSTEM | Yes (true) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH COAST REAL ESTATE VENTURE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5907 HIGHWAY 90 | AddressLine1Txt |
| City | MOSS POINT | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39563 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455599047 | EIN |
| Primary Activities | OWN REAL ESTATE FOR A PHYSICIAN OFFICE BUILDING | PrimaryActivitiesTxt |
| Legal Domicile State | MS | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | N/A | PredominantIncomeTypeTxt |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PROVIDENCE PARK | ||||||||||||
| PO BOX 850429 | MOBILE | AL | 36685 | 630886846 | REAL ESTATE | AL | NA | C Corporation | $0 | $0 | 0 | false |
| ANESTHESIA SOLUTIONS OF MOBILE INC | ||||||||||||
| 6701 AIRPORT BLVD SUITE D-430B | MOBILE | AL | 36608 | 820547505 | ANESTHESIA SERVICES | AL | NA | C Corporation | $0 | $0 | 0 | false |
| MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC | ||||||||||||
| 6801 AIRPORT BLVD | MOBILE | AL | 36608 | 461130426 | HEALTHCARE SERVICES | MS | NA | C Corporation | $0 | $0 | 0 | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |