PROVIDENCE HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- PROVIDENCE HOSPITAL (EIN 53-0196636)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-13
- IRS object ID
- 201121339349303662
- Schema version
- 2009v1.7
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-13T15:22:42-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 East Fifth Street Suite 1900 | AddressLine1 |
| City | Cincinnati | City |
| State | OH | State |
| ZIP Code | 45202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 530196636 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Providence Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PROV | NameControl |
| Phone | 2022697000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1150 Varnum Street NE | AddressLine1 |
| City | Washington | City |
| State | DC | State |
| ZIP Code | 20017 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Amy Freeman | Name |
| Title | CEO | Title |
| Phone | 2022697000 | Phone |
| Date Signed | 2011-05-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5137847100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Amy E Freeman | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1150 Varnum Street NE | AddressLine1 |
| City | Washington | City |
| State | DC | State |
| ZIP Code | 20017 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 235124883 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c | X | Organization501c |
| Web Site | www.provhosp.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1864 | YearFormation |
| State Legal Domicile | DC | StateLegalDomicile |
| Activity Or Mission Description | Inpatient & outpatient health care services to the community. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 4652 | TotalNbrEmployees |
| Total Nbr Volunteers | 42 | TotalNbrVolunteers |
| Total Gross UBI | 56615 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3187437 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3055422 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 229059187 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 225542101 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 807740 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2945177 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3516321 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3582183 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 236570685 | TotalRevenuePriorYear |
| Total Revenue Current Year | 235124883 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 122534244 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 127285898 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 120951084 | OtherExpensePriorYear |
| Other Expenses Current Year | 99710101 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 243485328 | TotalExpensesPriorYear |
| Total Expenses Current Year | 226995999 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -6914643 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 8128884 | RevenuesLessExpensesCY |
| Total Assets BOY | 179651942 | TotalAssetsBOY |
| Total Assets EOY | 188374433 | TotalAssetsEOY |
| Total Liabilities BOY | 119783770 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 118040526 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 59868172 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 70333907 | NetAssetsOrFundBalancesEOY |
| Mission Description | Rooted in the loving ministry of Jesus as healer, our organization serves all persons with joy, care, and respect, giving special attention to persons who are poor and vulnerable. Our Catholic health ministry improves the health of individuals and of our community with compassion and justice. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 208575434 | Expense |
| Revenue | 228513981 | Revenue |
| Description | Providence Hospital is a 408 licensed bed acute care hospital with a 252 bed hospital-based skilled nursing home. During 2010, the Hospital had 15,923 admissions, 71,854 patient days, 46,628 Emergency Room visits, delivered 2,484 newborn infants, and performed 8,238 outpatient surgical procedures and 2,615 inpatient surgical procedures. The unreimbursed cost of traditional charity care was $5,467,578, including free and discounted services. Providence Hospital provided care to: Medicaid patients at an unreimbursed cost of $2,357,620; patients covered by other Hospital-sponsored programs that provided $5,010,233 in free care; the program for the General Community that provided $4,152,947 in free care; and the program to cover Medicare Shortfalls that provided $1,619,352. See Schedule H for Community Benefit Report. | Description |
| Total Program Service Expense | 208575434 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 263 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 4652 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | DC | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rick Talento | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2022697232 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1150 Varnum Street NE | AddressLine1 |
| City | Washington | City |
| State | DC | State |
| ZIP Code | 20017 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Frank E Samuel Jr | |||||||||
| Chairman | 1.00 | X | 0 | 0 | 0 | ||||
| Sister Mary Sheehan | |||||||||
| Secretary/Treasurer | 1.00 | X | 0 | 0 | 0 | ||||
| Sister Mary Bader | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Bill Cox | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Nalini N Jairath | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Derek Leebaert D Phil | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Sr Elizabeth Ann Lingg | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Joseph A Quash MD | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Sister Elyse Staab | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Steve Strazzella | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Judi Teske | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Karen N Walker Esq | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Sister Jean Rhoads | |||||||||
| Ex-Officio | 1.00 | X | 0 | 0 | 0 | ||||
| Julius D Spears Jr | |||||||||
| President & CEO (end 10/09) | 40.00 | X | 877899 | 0 | 36900 | X | |||
| Amy E Freeman | |||||||||
| President & CEO (start 3/10) | 40.00 | X | 0 | 0 | 0 | X | |||
| Cheryl A Sadro | |||||||||
| Sr. VP Finance & CFO (start 9/09) | 40.00 | 448468 | 0 | 9042 | X | ||||
| Paul R Grenaldo | |||||||||
| Exec VP & COO (end 3/10) | 40.00 | 265345 | 0 | 33639 | X | ||||
| Robert L Simmons MD | |||||||||
| Sr. VP Medical Affairs | 40.00 | 414632 | 0 | 22190 | X | ||||
| Deborah A Morrison | |||||||||
| VP QI/Risk Management | 40.00 | 190690 | 0 | 14591 | X | ||||
| Michael D Thompson | |||||||||
| VP Mktg/Bus Development | 40.00 | 170339 | 0 | 8893 | X | ||||
| Matthew R Lukasiak | |||||||||
| VP Mission | 40.00 | 149492 | 0 | 7097 | X | ||||
| Mariea R Cromer | |||||||||
| VP-Gen'l. Counsel (end 7/10) | 40.00 | 207539 | 0 | 13245 | X | ||||
| Allen Dorsey Jr | |||||||||
| VP-Revenue Cycle (end 12/09) | 40.00 | 169345 | 0 | 7796 | X | ||||
| Robert K Snyder | |||||||||
| VP-Corp. Controller | 40.00 | 207336 | 0 | 18136 | X | ||||
| Cezar A Koev MD | |||||||||
| Director Anesthesiology | 40.00 | 468616 | 0 | 11797 | X | ||||
| Tahir Manzoor MD | |||||||||
| Anesthesiologist | 40.00 | 423201 | 0 | 10935 | X | ||||
| Andreas Kotzur MD | |||||||||
| Anesthesiologist | 40.00 | 416272 | 0 | 6586 | X | ||||
| Gary A Coke MD | |||||||||
| Anesthesiologist | 40.00 | 383874 | 0 | 6282 | X | ||||
| Mina Nakbeen MD | |||||||||
| Anesthesiologist | 40.00 | 334385 | 0 | 42114 | X | ||||
| David G Sparks | |||||||||
| Sr. VP Finance & CFO (end 2/09) | 0.00 | 121962 | 0 | 3011 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5099903 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 245157 | TotalOtherCompensation |
| Number Individuals GT100 K | 158 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Quest Diagnostics | |||||
| 14225 Newbrook Drive | Chantilly | VA | 201512224 | Laboratory Diagnostics | 6501425 |
| Royam OBGYN Services LLC | |||||
| 9421 Thorndike Drive | Gaithersburg | MD | 20882 | OB/GYN Medical Svcs | 2244040 |
| Georgetown Univ Hosp Dept of Family Med | |||||
| 3750 Reservoir Road NW | Washington | DC | 20007 | Family Medicine Physicians | 1092792 |
| BMA-NE Washington | |||||
| PO Box 64771 | Baltimore | MD | 212644741 | Dialysis Services | 1078140 |
| Medical Staffing-TX | |||||
| PO Box 840416 | Dallas | TX | 752840416 | Agency Nursing Staff | 480589 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 39 | NumberOfContractorsGT100K |
| Related Organizations | 2789172 | RelatedOrganizations |
| All Other Contributions | 266250 | AllOtherContributions |
| Total Contributions | 3055422 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Hospital Net Revenue | 621990 | 197645240 | 197645240 |
| Nursing Home Net Rev. | 623110 | 27896861 | 27896861 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 225542101 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2945177 | TotalRevenueColumn |
| Exclusion | $2,945,177 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 553688 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 553688 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 553688 | TotalRevenueColumn |
| Exclusion | $553,688 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Cafeteria Revenue | 722320 | 1174861 | 1174861 | |
| Income from JVs | 523000 | 640362 | 640362 | |
| Security Services | 531310 | 56615 | 56615 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1156657 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1156657 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3028495 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 235124883 | TotalRevenueColumn |
| Related Or Exempt Function Income | 228513981 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 56615 | UnrelatedBusinessRevenue |
| Exclusion | $3,498,865 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4065109 | Total |
| Program Services | 3322484 | ProgramServices |
| Management And General | 742625 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 99237456 | Total |
| Program Services | 87922530 | ProgramServices |
| Management And General | 11314926 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6924588 | Total |
| Program Services | 6232129 | ProgramServices |
| Management And General | 692459 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8286051 | Total |
| Program Services | 7457446 | ProgramServices |
| Management And General | 828605 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8772694 | Total |
| Program Services | 7895425 | ProgramServices |
| Management And General | 877269 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 577048 | Total |
| Program Services | 548196 | ProgramServices |
| Management And General | 28852 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 499503 | Total |
| Program Services | 449553 | ProgramServices |
| Management And General | 49950 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18712750 | Total |
| Program Services | 18712750 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 352052 | Total |
| Program Services | 246436 | ProgramServices |
| Management And General | 105616 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 547460 | Total |
| Program Services | 410595 | ProgramServices |
| Management And General | 136865 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8636652 | Total |
| Program Services | 6909322 | ProgramServices |
| Management And General | 1727330 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5964317 | Total |
| Program Services | 5069669 | ProgramServices |
| Management And General | 894648 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 209486 | Total |
| Program Services | 146640 | ProgramServices |
| Management And General | 62846 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54980 | Total |
| Program Services | 27490 | ProgramServices |
| Management And General | 27490 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1692032 | Total |
| Program Services | 1664839 | ProgramServices |
| Management And General | 27193 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1361251 | Total |
| Program Services | 1361251 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7646107 | Total |
| Program Services | 7646107 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6570500 | Total |
| Program Services | 6552742 | ProgramServices |
| Management And General | 17758 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Supplies Expenses | 33669545 | 32996154 | 673391 | 0 |
| Bad Debts | 6994925 | 6994925 | 0 | 0 |
| Agency Staff | 3146967 | 3047996 | 98971 | 0 |
| District of Columbis Pr | 1331112 | 1331112 | ||
| Maintenance - Outside S | 1137708 | 1023937 | 113771 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 605706 | Total |
| Program Services | 605706 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 226995999 | Total |
| Program Services | 208575434 | ProgramServices |
| Management And General | 18420565 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 325079 | BOY |
| EOY | 356349 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6548911 | BOY |
| EOY | 4370003 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34190616 | BOY |
| EOY | 31859958 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3140215 | BOY |
| EOY | 2885068 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 828916 | BOY |
| EOY | 751714 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 183429083 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 132794947 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56703087 | BOY |
| EOY | 50634136 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2711582 | BOY |
| EOY | 2901944 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75203536 | BOY |
| EOY | 94615261 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 179651942 | BOY |
| EOY | 188374433 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28761084 | BOY |
| EOY | 26646540 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 202321 | BOY |
| EOY | 152809 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90820365 | BOY |
| EOY | 91241177 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119783770 | BOY |
| EOY | 118040526 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59690129 | BOY |
| EOY | 70155864 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 178043 | BOY |
| EOY | 178043 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59868172 | BOY |
| EOY | 70333907 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 179651942 | BOY |
| EOY | 188374433 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $21,300 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 21300 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1179759 | OtherCostOrOtherBasis |
| Book Value | 1179759 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 126976118 | OtherCostOrOtherBasis |
| Depreciation | 94026924 | Depreciation |
| Book Value | 32949194 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 25249 | OtherCostOrOtherBasis |
| Depreciation | 24903 | Depreciation |
| Book Value | 346 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 52656928 | OtherCostOrOtherBasis |
| Depreciation | 36536773 | Depreciation |
| Book Value | 16120155 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2591029 | OtherCostOrOtherBasis |
| Depreciation | 2206347 | Depreciation |
| Book Value | 384682 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 50634136 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Advances to Affiliates | 33662673 |
| Other Current Assets | 1175512 |
| Restricted Assets | 178043 |
| Other Miscellaneous Assets | 4094306 |
| Health System Depository Account | 52854713 |
| Third Party Settlements | 686581 |
| Construction-In-Progress | 1963433 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 94615261 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (8 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Third Party Settlement | $826,243 |
| Self Insurance Liability | $2,820,349 |
| Deferred Compensation | $3,682,649 |
| Pension Refunding Payable | $16,224,951 |
| Ascension Health Pension Restoration | $18,972,387 |
| Deferred Gain or Loss on Sale of Assets | $518,416 |
| Intercompany Debt to Ascension Health | $48,037,006 |
| Noncurrent Asset Retirement | $159,176 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 91241177 | TotalOfAmounts |
| Total Revenue | 235124883 | TotalRevenue |
| Total Expenses | 226995999 | TotalExpenses |
| Excess Or Deficit For Year | 8128884 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 2732841 | NetUnrealizedGLOnInvestments |
| Other | -$395,990 | OtherAmount |
| Total Adjustments | 2336851 | TotalAdjustments |
| Excess Or Deficit Per FS | 10465735 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | Per the financial statements of Ascension Health (which include the activity of Providence Hospital), there is no ASC 740 (fka FIN 48) footnote for the current year. |
| Part XI, Line 8 - Other Adjustments: | Transfers to Ascension: -1548597. Pension Adjustment: 1897127. Strategic & New York Net Asset Transfer: -907000. Operations Transfers from Providence Health Foundation: 104505. Capital Transfers from Prov. Health Foundation: 243370. Health System Depository Principal Adjustment:: -185395. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4331592 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4331592 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01970 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 61335029 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 58860009 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2475020 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01130 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5010233 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5010233 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02280 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 70676854 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 58860009 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11816845 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05380 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4152947 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4152947 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01890 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3976931 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2643600 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1333331 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00610 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5010235 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4998212 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12023 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 467491 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 133037 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 334454 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13607604 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7774849 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5832755 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02660 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 84284458 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 66634858 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17649600 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08040 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1162984 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 985160 | DirectOffsettingRevenue |
| Net Community Building Expense | 177824 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1162984 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 985160 | DirectOffsettingRevenue |
| Net Community Building Expense | 177824 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $6,994,925 | BadDebtExpenseAmount |
| Amount Attributable To | 2661477 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 27986296 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 26214196 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1772100 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|
| Providence Hospital | ||||||||
| 1150 Varnum Street NE | Washington | DC | 20017 | X | X | X | X | |
| Carroll Manor Nursing & Rehab Center | ||||||||
| 1150 Varnum Street NE | Washington | DC | 20017 | Skilled Nursing & Rehabilitation Center | ||||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Costing Method Used | Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with the Catholic Health Association (CHA) guidelines. The organization uses a cost accounting system that addresses all patient segments, i.e. inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, and uninsured (self-pay). The best available data was used to calculate the amounts reported in the table. As applicable for information in the table, cost-to-charge ratios were calculated and applied. | CostingMethodUsed |
| Subsidized Health Services Expln | Part I, Line 7g: Providence Hospital has not included costs attributable to a physician clinic, as part of subsidized health services. | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | Part I, Line 7f: The amount of bad debt expense reported on Form 990, Part IX, Line 25, column (A), but subtracted for purposes of calculating the percentages in Part I, Line 7, column (f) is $6,994,925. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: The provision for bad debts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of allowance for uncollectible accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for bad debts to establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the organization follows established guidelines for placing certain past due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts, as determined by the organization. Accounts receivable are written-off after collection efforts have been followed in accordance with the Organization's policies. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: Providence Hospital follows the Catholic Health Association (CHA) guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: Providence Hospital has a written debt collection policy that also includes a provision to address the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity care or financial assistance, certain collection practices do not apply. | DebtCollectionPolicy |
| Number Of Facility Type Expln | Part V: Providence Hospital has two senior citizen health centers and one family medicine health center. Providence Hospital's skilled nursing facility (listed on Form 990, Schedule H, Part V, Line 2) is required by District of Columbia law to be licensed. | NumberOfFacilityTypeExpln |
| Needs Assessment | Part VI, Line 2: See Schedule O, Community Benefit Report, beginning on page 8, "Overview of the Community Assessment." | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: In all of the Providence Hospital Community Benefit Programs, education is a primary focus. In the Organization's community assessment, several areas of need were highlighted, and programs that have been developed to address each area of need include extensive educational protocols. Included in Schedule O, Community Benefit Report, pages 8 through 23, "Community Benefit Programs," there are illustrations of the educational emphasis for HIV/AIDS, Breast Cancer, Senior Care, Neonatal Health Issues, and Infant Mortality. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: The Washington DC metropolitan area encompasses a broad and diverse area that includes the District of Columbia, communities in suburban Northern Virginia, and Maryland counties North and East of the District of Columbia. The 2010 Census Bureau recorded counts of 601,723 residents in the city of Washington, DC, with 5.4 million residents in the immediate surrounding metropolitan area. The Hospital's diverse population community includes people and cultures from all over the world, with some living here temporarily and others moving back and forth within the region. Among the diverse population, there is a substantial population of African-Americans and Latin-Americans that reside in the Washington, DC metropolitan area. Located in Ward 5 of Washington, DC and in the Catholic University/Brookland neighborhood, the patient population served by Providence Hospital consists primarily of District of Columbia residents and residents of Prince George's County, Maryland. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: Providence Hospital's Wellness Institute provides community health improvement advocacy in a variety of settings and in numerous ways. The Wellness Institute is the primary provider of Breast Cancer programs and Senior Citizen health and wellness programs. In addition, the Wellness institute provides health screenings at various locations, participates in "Take a Loved One to the Doctor" day, promotes and participates in the Komen walk for the Cure, provides health screening to local high school students who plan to participate in sports programs, plus so many other programs and educational offerings to the public. | CommunityBuildingActivities |
| Affiliated Health Care System | Part VI, Line 7: Providence Hospital is a member of Ascension Health. Ascension Health is a Catholic, national health system consisting primarily of nonprofit corporations that own and operate local health care facilities, or Health Ministries, located in 20 of the United States and the District of Columbia. Ascension Health is sponsored by the Northeast, Southeast, East Central, and West Central Provinces of the Daughters of Charity of St. Vincent de Paul, the Congregation of St. Joseph, and the Sisters of St. Joseph of Carondelet (CSJ).Providence Hospital, located in Washington D.C., is a nonprofit acute care hospital. The Medical Center provides inpatient, outpatient, and emergency care services for the residents of Washington D.C. and Prince Georges County, Maryland. Admitting physicians are primarily practitioners in the local area. Providence Hospital is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of Ascension Health and its sponsored organizations are related to providing health care services.Mission:Ascension Health directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with Ascension Health's mission of service to those who are poor and vulnerable, each Health Ministry accepts patients regardless of their ability to pay. Ascension Health uses four categories to identify the resources utilized for the care of persons who are poor and community benefit programs:-Traditional charity care includes the cost of services provided to persons who cannot afford health care because of inadequate resources and/or who are uninsured or underinsured.-Unpaid cost of public programs represents the unpaid cost of services provided to persons covered by public programs for the poor.-Cost of other programs for the poor includes unreimbursed costs of programs intentionally designed to serve the poor and vulnerable of the community, including substance abusers, the homeless, victims of child abuse, and persons with acquired immune deficiency syndrome.-Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the poor, including health promotion and education, health clinics and screenings, and medical research.Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons who are poor and community benefit programs. The cost of providing care of persons who are poor and community benefit programs is estimated using internal cost data. | AffiliatedHealthCareSystem |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Julius D Spears Jr | |||||||||||||
| 383458 | 0 | 210896 | 0 | 283545 | 0 | 18235 | 0 | 18665 | 0 | 914799 | 0 | 0 | 0 |
| Cheryl A Sadro | |||||||||||||
| 79586 | 0 | 206633 | 0 | 162249 | 0 | 908 | 0 | 8134 | 0 | 457510 | 0 | 0 | 0 |
| Paul R Grenaldo | |||||||||||||
| 244063 | 0 | 0 | 0 | 21282 | 0 | 20219 | 0 | 13420 | 0 | 298984 | 0 | 0 | 0 |
| Robert L Simmons MD | |||||||||||||
| 359056 | 0 | 0 | 0 | 55576 | 0 | 21400 | 0 | 790 | 0 | 436822 | 0 | 0 | 0 |
| Deborah A Morrison | |||||||||||||
| 185577 | 0 | 0 | 0 | 5113 | 0 | 3676 | 0 | 10915 | 0 | 205281 | 0 | 0 | 0 |
| Michael D Thompson | |||||||||||||
| 166900 | 0 | 0 | 0 | 3439 | 0 | 3380 | 0 | 5513 | 0 | 179232 | 0 | 0 | 0 |
| Mariea R Cromer | |||||||||||||
| 206288 | 0 | 0 | 0 | 1251 | 0 | 4160 | 0 | 9085 | 0 | 220784 | 0 | 0 | 0 |
| Allen Dorsey Jr | |||||||||||||
| 169017 | 0 | 0 | 0 | 328 | 0 | 3525 | 0 | 4271 | 0 | 177141 | 0 | 0 | 0 |
| Robert K Snyder | |||||||||||||
| 206521 | 0 | 0 | 0 | 815 | 0 | 4320 | 0 | 13816 | 0 | 225472 | 0 | 0 | 0 |
| Cezar A Koev MD | |||||||||||||
| 466965 | 0 | 0 | 0 | 1651 | 0 | 4900 | 0 | 6897 | 0 | 480413 | 0 | 0 | 0 |
| Tahir Manzoor MD | |||||||||||||
| 422707 | 0 | 0 | 0 | 494 | 0 | 3910 | 0 | 7025 | 0 | 434136 | 0 | 0 | 0 |
| Andreas Kotzur MD | |||||||||||||
| 415976 | 0 | 0 | 0 | 296 | 0 | 0 | 0 | 6586 | 0 | 422858 | 0 | 0 | 0 |
| Gary A Coke MD | |||||||||||||
| 383651 | 0 | 0 | 0 | 223 | 0 | 4900 | 0 | 1382 | 0 | 390156 | 0 | 0 | 0 |
| Mina Nakbeen MD | |||||||||||||
| 333999 | 0 | 0 | 0 | 386 | 0 | 21400 | 0 | 20714 | 0 | 376499 | 0 | 0 | 0 |
| David G Sparks | |||||||||||||
| 95548 | 0 | 0 | 0 | 26414 | 0 | 2450 | 0 | 561 | 0 | 124973 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | An officer received payments that were grossed-up to include all federal and state taxes. These amounts were reported as taxable income. |
| Part I, Line 4a | Severance Payments: Julius D. Spears, Jr. - $88,000 Part I, Line 4b: These executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The filing organization that paid the salaries of the individual listed in Schedule J, Part II, paid out of the supplemental nonqualified retirement plan in the amounts as noted: Julius D. Spears, Jr. - $41,286 Paul R. Grenaldo - $18,170 Robert L. Simmons, MD - $29,699 David G. Sparks - $43,054 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (17 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 4 | Organizations that were related to Providence Hospital have been restructured. The restructure has caused changes to the Providence Hospital organizational documents. Mission Resources, Inc. was dissolved & its assets & liabilities were merged into the two owners - DePaul Foundation, Inc. (75%) & Providence Health Foundation, Inc. (25%). DePaul Foundation, Inc. was dissolved & merged into Providence Hospital. Providence Health Foundation, Inc., which was 100% owned by DePaul Foundation, Inc., became a wholly-owned subsidiary of Providence Hospital. Resource Pharmacies, Inc., which was 100% owned by Mission Resources, Inc., became a wholly-owned subsidiary of Providence Hospital. Providence Health Services, Inc., which was 100% owned by DePaul Foundation, Inc., became a wholly-owned subsidiary of Providence Hospital. | |
| Form 990, Part VI, Section A, line 6 | Providence Hospital has a single corporate member, Ascension Health. | |
| Form 990, Part VI, Section A, line 7a | Providence Hospital has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of the Providence Hospital. | |
| Form 990, Part VI, Section A, line 7b | Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. | |
| Form 990, Part VI, Section B, line 11 | 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 and answer any questions. 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, Section B, line 12c | Providence Hospital regularly & 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 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 conflicts of interest exist. Each director, principal officer, & member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, and understands that the organization is charitable & in order to maintain its Federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. | |
| Form 990, Part VI, Section B, line 15 | In determining compensation of Providence Hospital's CEO, the process included a review and approval by independent persons, comparability data, & contemporaneous substantiation of the deliberation and decision. The audit committee reviewed & approved the compensation. In the review of compensation, the CEO was compared to other organizations in the area that hold the same title. During the review & approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when her compensation was decided. In determining compensation of other officers or key employees of Providence Hospital, the process included a review & approval by independent persons, comparability data, & contemporaneous substantiation of the deliberation and decision. The audit committee reviewed & approved the compensation. In the review of compensations, the other officers & key employees of Providence Hospital were compared to other organizations' employees in the area that hold the same titles. During the review & approval of the compensation, documentation of the decision was recorded in the board minutes. | |
| Form 990, Part VI, Section C, line 19 | The organization will provide any documents open to public inspection upon request. | |
| Form 990, Part XI, Line 2: | Financial statements of Providence Hospital fall under the specific scope audit. The activity of Providence Hospital and other members of Providence Hospital are reported in the consolidated financial statements of Ascension Health. No individual audit of Providence Hospital is completed. | Explanation of Audited Financial Statements: |
| Form 990,Part II, Line 4a: | For the Fiscal Year 2010 Executive Summary This report illustrates the significant degree to which Providence Hospital contributes to the positive health status of the communities it serves. As a member of Ascension Health, the nation's largest Catholic healthcare system, Providence Hospital continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. The goal of Providence Hospital is to continue the healing mission of the church, recognizing and serving the particular needs of those who are poor and vulnerable. Providence Hospital serves its community through the delivery of patient services, care to the elderly and indigent, patient education and health awareness programs for the community, and the conduct of health research. The Hospital's concern for all human life and the dignity of each person is the basis for the organization's pledge to provide medical services to all people in the community without regard to the patient's ability to pay. Ascension Health directs its governance and management activities toward strong, vibrant, Catholic health ministries that are united in service and healing and that are dedicated to employing its resources toward spiritually centered care, because it is spiritually centered care that sustains and improves the health of the individuals and the community served by the Hospital. Providence Hospital provides many services and conducts many projects that benefit the community, and the following sections of this report highlight many of those services and endeavors: - HIV/AIDS Routine Testing in the Emergency Department - Cancer Outreach and Screening - Senior Care - Neonatal Health and the Center for Life - Community-Based Primary Healthcare Clinics In addition, Providence Hospital continues to invest in the future of the community it serves through community building efforts such as the one listed below: - The Planning and Inception of the Center for Perinatal Advocacy Providence Hospital Background Chartered by President Abraham Lincoln in 1861, Providence Hospital is the longest continuously-operating hospital in Washington, DC and will celebrate its 150th anniversary in June of 2011. Providence Hospital is a 408 licensed bed acute care hospital that also operates Carroll Manor Nursing and Rehabilitation Center, a separate 252 bed hospital-based skilled nursing facility. Both facilities are located in the Northeast metropolitan Washington, DC area which borders Prince George's County, Maryland. Providence Hospital serves its community by providing a 24-hour emergency department; a wide spectrum of diagnostic services that include CT scans, MRI imaging, and cardiac catheterization; a comprehensive list of offered outpatient services that include outpatient surgeries, physical medicine, and rehabilitation medicine; and obstetric services to low-income patients through its Center for Life. Providence Hospital is also committed to setting the standard for quality, holistic care with uncomplicated access to Hospital services for the public it serves. Providence Hospital shares the spirit of its founders, the Daughters of Charity, and all who serve in Ascension Health, caring for those most in need through the following mission and core values: Mission: Rooted in the loving ministry of Jesus as healer, we serve all persons with joy, care, and respect, giving special attention to persons who are poor and vulnerable. Our Catholic health ministry improves the health of individuals and our community with compassion and justice. Core Values - Service to those who are poor-generosity of spirit, especially for those 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 Organizational Commitment to Community The Washington DC metropolitan area encompasses a broad and diverse area that includes the District of Columbia, communities in suburban Northern Virginia, and Maryland counties North and East of the District of Columbia. The 2010 US Census Bureau recorded 601,723 residents in the city of Washington, with 5.4 million residents in the immediate surrounding metropolitan area. The Hospital's diverse population community includes people and cultures from all over the world, with some living here temporarily and others moving back and forth within the region. Among the diverse population, there is a substantial population of African-Americans and Latin-Americans that reside in the Washington DC metropolitan area. Located in Ward 5 of Washington DC and in the Catholic University/Brookland neighborhood, the patient population served by Providence Hospital consists primarily of District of Columbia residents and residents of Prince George's County, Maryland. During the Hospital's 2010 fiscal year, 15,923 patients were admitted to the Hospital, and 678 individuals became residents at the Hospital's Carroll Manor Nursing & Rehabilitation Center; these admissions resulted in 160,843 patient days of care provided during the year. The Hospital also performed 3,605 inpatient surgical procedures and 7,248 outpatient surgical procedures during the 2010 fiscal year. Overview of the Community Assessment While Providence Hospital's community assessment has cited specific areas of need that are currently addressed through existing programs, the Hospital also draws upon the expertise of national organizations that have conducted their own community assessments of the metropolitan Washington, DC area. Organizations, such as The Susan G. Komen for the Cure, the DC Department of Health in its annual Medicaid Report, and the US Census provide a wealth of information about the Washington, DC metropolitan area population demographics, the population's health needs, and the availability of health care services. The District of Columbia is home to recognized Federal health care resources and organizations, such as the National Institutes of Health and the Centers for Medicaid and Medicare Services. In addition, Washington, DC is home to leading health associations and organizations, including the Institute of Medicine, the American Red Cross, and the American Public Health Association. The presence of numerous hospitals and primary care facilities throughout the metropolitan area portray an image of widespread access to health care for all residents; and further supporting that image of far-reaching access to health care, Washington, DC boasts the second highest level of insurance coverage among its residents, second only to Massachusetts. However, there is a 6.2% uninsured rate that exists among residents in the metropolitan Washington, DC area, which belies this image. For the uninsured population, particularly those who are poor or who are among the working-poor, reasonable and affordable access to health care related services is difficult to obtain, or in many instances, it simply does not exist. District of Columbia area residents, particularly the poor and those who are vulnerable, rely on state and city sponsored aid or charity care for their health care needs. In the District of Columbia and in nearby Prince George's County, Maryland, the statistical data illustrates the obvious needs of the community and illustrates the wide-spread disparities that exist and persist in a deep-rooted poverty level that exists among the uninsured segment of the area's residents. - The percentage of the population enrolled in Medicaid is higher in the District of Columbia than in any state. - 61% of the District of Columbia children rely on the DC Medicaid program for their health insurance coverage. - In 2009, 30% of the District of Columbia children lived in poverty. Among African American children, the rate increased to 43%, which was an increase of 8% from just one year previously - the 2008 level. For those District of Columbia residents who are uninsured, the options for health services coverage are limited to DC Medicaid for the very low income residents and DC Health Care Alliance for the working poor--those who are employed but who do not have employer-sponsored health insurance coverage or sufficient financial means of obtaining other health care coverage. In addition, there is a portion of the working poor that do not qualify for either DC Medicaid or the DC Medical Alliance program. While other District of Columbia hospitals have discontinued their acceptance of Alliance patients, Providence Hospital has remained steadfast in its commitment to accepting the Alliance patients. An assessment of potential community benefit areas was performed, and certain priority areas of need have been identified: | Community Benefit Report: |
| - HIV/AIDS - According to the District of Columbia, 2008 HIV/AIDS Epidemiology Update, 3 % of all District of Columbia residents are currently "known" to be living with HIV/AIDS; and a 3% level of infection in any population center is considered to be of epidemic proportions, according to the US Centers for Disease Control and Prevention. - Breast Cancer - The 2007 Susan G. Komen for the Cure community assessment, which set the stage for the 2010 Community Action Plan, stated that "special attention must be paid to reaching the underserved populations that may face various and unique barriers, such as language, legal status, income or economic status, lack of health care coverage, and cultural myths about breast cancer." - Senior Care - In a city where disparities are known to exist between the rates at which Caucasian and African-Americans are affected by chronic illnesses, such as hypertension and diabetes, the statistical evidence of those disparities becomes more substantially evident as populations age. - Neonatal Health Issues - Too often because of their economic status and/or their lack of insurance coverage, too many women receive their prenatal care too late. Some women even consciously attempt to control the financial impact of their pregnancy by scheduling a limited number of prenatal care appointments or skipping appointments, which leads to inconsistent prenatal care. Whether it is prenatal care that is too late or prenatal care that is inconsistent because of an individual's choice, those courses of action make a critical difference for those women in maintaining their own health, while also adversely affecting the duration of their pregnancy and the health of their newborn. The resulting impact of their lack of quality prenatal care or inconsistent prenatal care often results in pre-term birth and sub-optimal birth weight. The District of Columbia received a failing grade from March of Dimes because of their high rates of pre-term deliveries and low birth weights. When Providence Hospital conducted its community assessments appraisal, it identified the following areas of potential community building needs. - Infant Mortality - The District of Columbia's 2007 infant mortality rate was 13.1 deaths per 1,000 live births, which was more than two (2) times the national average of 6.5 deaths per 1,000 live births. The need has emerged for a city-wide effort to define and focus the goals and plans to reduce this infant mortality rate. - Primary Care Physician Shortage - The need to recruit and retain primary care physicians in the metropolitan Washington, DC area has been identified, and a strategic goal of Providence Hospital is to recruit and retain physicians in the primary care field of medicine, as well as to recruit and retain physicians in a variety of specialty services. Community Benefit Programs -- HIV/AIDS Testing Needs Assessment The District of Columbia's health statistics have documented the prevalence of HIV/AIDS diagnoses throughout the community that have risen to a level that surpasses the threshold of an epidemic level. Among those statistics that document the rates of infection are the following observations and facts: - There is a cumulative estimate of 19,864 diagnosed cases of HIV/AIDS in the District of Columbia - The annual diagnosis rate of HIV/AIDS is more than seven (7) times the national rate - More than 3% of the total District of Columbia population over the age of 12 is infected with HIV/AIDS, including the following segments of the population: - 7.1% of African-American males - 3.4% of Hispanic males - 2.9% of Caucasian males A particular group of HIV/SIDS-infected persons, known as "late testers," is comprised of individuals who are of special concern, because these individuals progress from an initial HIV diagnosis to a full AIDS presentation in less than twelve (12) months after their initial diagnosis date. Of the 3,143 AIDS cases diagnosed between 2004 and 2008, 61% of those cases were late testers. While it often the circumstances that the "late testers" are very sexually active; they are, therefore, most likely to be infecting others. Providence Hospital Response to the Need Providence Hospital has developed several approaches to address the AIDS epidemic in Washington, DC, with a special focus on prevention through the screening of pregnant women. Providence Hospital delivered 2,311 newborn infants in the 2010 fiscal year, and the Hospital's Center for Life encountered 19,263 visits. Pregnant, women who are seen in the Hospital's Center for Life, where prenatal care is the focus, and/or seen in its Maternal Infant Health Unit, where labor and delivery occur, are tested in their 1st and 3rd trimesters, using the rapid results screening method. This course of therapeutic care identifies infected mothers at an optimal stage in the progression of their infection to initiate a regimen of medication treatments to lower their viral load, and thereby, reduce the probability of infecting their baby. Approximately 1,500 such screenings are conducted annually at Providence Hospital. In the 2010 fiscal year, Providence Hospital's Emergency Department developed and implemented an HIV/AIDS Testing Program in the Emergency Department that was initially supported with funds received from the District of Columbia Department of Health. While this program routinely tests all patients seen in the Emergency Room for HIV/AIDS, the program does allow for patients to decline having the test administered to them. During the 2010 fiscal year, the Hospitals Emergency Department encountered 46,628 emergency visits, which provides a substantial population of individuals that could be tested for HIV/AIDS under this program. In addition to the routine testing of patients that are treated in the Emergency Department, these tests are also offered to the public during certain designated hours each week. Outcome to the Response to the Need When the Hospital's Emergency Department's routine testing for HIV/AIDS was initiated in May, 2010 and routine testing began, the reported number of individuals who declined the test was less than 1%. A total of 392 tests were performed by the end of the June 30, 2010 fiscal year, with no confirmations of "positive" results identified. When positive results from the test procedures do present in an individual, the Emergency Department's established protocols necessitate that direct educational counseling with an appropriate referral for care is provided to the individual. CASE STUDY: In the early summer of 2010, Paul was transported to Providence Hospital's Emergency Department by his wife, Junna. He presented with chills and high fever and was delirious and disoriented. Junna explained to staff that she and her husband had moved recently from Cameroon and that Paul had not been well and she did not know what to do. As part of the routine HIV/AIDS testing program conducted at Providence Hospital's Emergency Department, it was explained to Paul and Junna that among the tests that would be ordered for Paul and administered to him, a screening test for HIV/AIDS would be included, unless they elected to decline having the screening performed. With encouragement from his wife, Paul agreed to all tests. Soon afterward, an Emergency Department technician introduced himself to Paul and administered the "quick oral swab" for HIV screening. Because of his symptoms and condition, Paul was admitted to the hospital and was being treated for his fever and dehydration when he received the results of his HIV/AIDS screening. He was informed that both the preliminary and confirming screening tests yielded negative results. Both Paul and Junna were relieved upon receiving this news, and stated that they had never been tested for HIV/AIDS in Cameroon, even when Paul's symptoms first occurred. She expressed her gratitude to the Hospital's staff for offering to administer the test and was especially grateful for the outcome. She then inquired about an opportunity for her to be tested too. Besides the obvious benefit to the community provided by Providence Hospital's HIV/AIDS testing program in the Emergency Department, the District of Columbia Department of Health's program has acknowledged an additional benefit of this program that has resulted from the training of Public Health students from the University of the District of Columbia as program interns. These interns have been adequately prepared to address issues related to this epidemic and are passionate about their work, having taken the importance of knowing one's HIV/AIDS status back to their campus. | ||
| Community Benefit Programs - Breast Cancer Needs Assessment Approximately one (1) in every eight (8) woman in America will develop breast cancer, according to statistical data issued by the American Cancer Society, but the rate of developing breast cancer among women in the District of Columbia is even higher. According to the 2007 Komen Community Profile for the National Capital Area, Washington, DC has the highest breast cancer mortality rate in the United States. Additionally, a considerable disparity in diagnosis and mortality exists between African-American and Caucasian residents in the District of Columbia. While breast cancer diagnoses in Washington, DC for Caucasian women are 200.3 out of 100,000 and only 147.9 out of 100,000 for African-American women, the mortality rates are inverted with 25.6 out of 100,000 Caucasian women dying as a result of breast cancer, while as many as 33.5 out of 100,000 African-American women succumb to breast cancer. Providence Hospital Response to the Need The Wellness Institute's Breast Cancer Patient Navigation Program at Providence Hospital provides comprehensive, patient-centered breast health services, which specifically address outreach for prevention and improving access to care. The Breast Cancer Navigation Program focuses on all women over the age of forty (40) with "first time" screenings, who have been called back for more intensive diagnostic screenings or procedures. The program also focuses on the newly-diagnosed patient who is often vulnerable and may easily be lost in the follow-up process. Developed and implemented under Providence Hospital's Wellness Institute and Mammography Center, the program provides a continuum of care from prevention to early detection to navigation through the many patient-perceived "system" obstacles to ensure accurate diagnosis and appropriate treatment. Trained Navigators have been essential in supplying the needed support and advocacy for women affected by breast cancer. Too frequently, because of misunderstandings about insurance coverage, pre-authorization obstacles, or confusion regarding the health care system, the patient experiences a time can lag between the initial tests that are critical to establishing an accurate diagnosis and the initiation of treatment. The hiring, training, and deployment of these Navigators was funded through the Ralph Lauren Center for Cancer Cure and Prevention and has made a significant difference for women who fear for their health and are confused by the health care system. Outcome to the Response to the Need - The City-Wide Patient Navigator Research Program -- Providence Hospital's Wellness Institute partnered with George Washington University Cancer Institute to participate in the District of Columbia City-Wide Patient Navigator Research Program, sponsored by the National Cancer Institute. The primary goal of this program has been to evaluate the timeliness and cost-effectiveness of patient navigation in order to reduce the incidence of women in the Washington DC population from experiencing a delay in diagnosis and treatment of breast cancer. Providence Hospital served as a recruitment site in offering patient navigation to women who presented with a suspicious mammography finding or with suspicious physical symptoms. Women were entered into the program at the time of an abnormal finding were followed through to the resolution of the finding. For those women who were diagnosed with breast cancer, their patient navigation continued through their primary treatment. The women who enrolled in the program completed questionnaires and satisfaction surveys at different stages of their participation in the program. One hundred and sixty-one (161) women were enrolled in the 2010 fiscal year, and three (3) of them were diagnosed with breast cancer. - Faith-Based Breast Cancer Health Ministry -- Funded by a grant from Susan G. Komen for the Cure, Providence Hospital developed and implemented a Faith-Based Breast Cancer Health Ministry program. The goal of this program was to engage the Washington, DC communities in Wards 5, 7, and 8, which were previously identified as high-need areas, to support breast cancer education, to support breast screening, and to offer encouragement and support for breast cancer survivors. With the specific goal of imbedding breast cancer advocates in the community, Providence Hospital was able to identify fourteen (14) churches within these wards where advocate church members were trained to discuss, address, or promote breast cancer awareness and prevention. In addition, these advocates were trained to conduct outreach activities, such as health fairs and breast cancer awareness presentations, and were instructed on the most effective and constructive ways to distribute educational materials to the members of their respective churches. - Breast Cancer Patient Navigation Program -- Providence Hospital continues to partner with the Ralph Lauren Center for Cancer Cure and Prevention in furthering the development of the Patient Navigation process and program, currently funded by the Pfizer Foundation Global Health Partnerships program. The continuing goal and current focus of the Navigation Program is to enhance existing interventions and to develop new interventions that further reduce the time from diagnosis of breast cancer to delivery of standard patient care services by assisting patients step by step through treatment. During the 2010 fiscal year, three hundred and eighteen (318) patients were navigated through their respective breast health treatment plans. Because the Navigation Program has allayed most patient fears and has eliminated virtually all system-related obstacles, the surprising number one barrier to treatment that remains, as identified by this group, was their means of transportation to and from treatments. - Cancer Awareness Symposium -- As a member of the American College of Surgeons Commission on Cancer, Providence Hospital sponsored its annual Cancer Awareness Symposium in collaboration with the American Cancer Society. The theme of the symposium was "Survive and Thrive: Arm Yourself with the Shield of Knowledge," which provided participants with both educational and spiritual support, as well as advice regarding nutritional issues related. The speakers shared the latest guidelines regarding cancer screening and detection, as well as treatment options for the uninsured and underinsured. - Take Your Loved One to the Doctor Day -- Providence Hospital hosted "Take Your Loved One to the Doctor Day" on September 28, 2009, which is promoted by nationally-renown, Tom Joyner, as part of the nationwide initiative to increase access to medical services. On this day, numerous health screenings were performed for participants, including clinical breast exams for women attendees. - Breast Cancer Support Group -- Providence Hospital also sponsors a Breast Cancer Support Group that provides an environment where women, who are living with breast cancer, come together to share information, to receive further education, and to encourage each other. CASE STUDY: Abike is a 31-year-old Nigerian-born woman who had just started a new job in early 2010 as an RN; she found that she related well with cancer patients, especially since she had survived a rare form of uterine cancer. Not long after beginning this new phase of her life as a nurse, she noticed an abnormality during a routine self-examination of her breast. Her subsequent appointments with physicians and diagnostic tests confirmed her worst fear - she had cancer again. A mastectomy was recommended and performed, with chemotherapy and radiation that followed. The chemotherapy was especially difficult, resulting in Abike having to resign from her new job, because she required repeated hospitalizations for severe nausea and other side-effects. As a result of having resigned from her nursing position and with the additional financial obligations related to her numerous hospitalizations, Abike began to experience extensive high levels of stress and depression. A Breast Health Navigator with the Wellness Institute and Mammography Center at Providence Hospital provided effectual emotional support for Abike and provided her with multiple sources of potential financial assistance, including the Paul Carey Quality of Life Fund and the Eagle Bank Foundation. In addition, the Breast Health Navigator offered kind and sincere reassurance that she would heal and that she would have so much to look forward to in her life ahead. | ||
| With the support Abike received, her physical well-being and psychological state of mind began to reverse themselves from their obvious "low". Her cancer was eradicated, as indicated by an Oncotype report, and her depression began to become far less of a daily experience and more of something that occurred in her past. She began job hunting, and the Breast Health Navigator observed that she was receiving fewer and fewer telephone calls from Abike. Reconstructive surgery was recommended for Abike, and she has begun this next stage of recovery with abundant evidence of her fortified resilience to face and successfully address the challenges that lie ahead. Clearly, the Breast Health Navigator truly made a difference in Abike's healing and successful outcome. Community Benefit Programs - Community-Based Primary Care Needs Assessment Disparities in health care persist for African-Americans and Hispanics in Washington, DC, particularly in Wards 5, 7, and 8. The ethnic and racial groups in these Wards are disproportionately overrepresented in the poverty level of the Wards and have numerous and various obstacles to receiving adequate health care. Residents of low-income areas of Washington, DC have poorer health-related outcomes, because they lack access to affordable or available health care resources. Such conditions and issues have even more of an adverse affect on the health of the District of Columbia's children, who live in the poverty areas of the city. Too often, these children go without needed care even when parents are employed, because health insurance may not be offered where the parents work or the health insurance may be prohibitively expensive. Inadequate health insurance has been associated with a reduced number of well-child visits, as well as incomplete immunizations that become evident when schools require evidence of required immunizations. Providence Hospital Response to Need Perry Family Health Center (PFHC) is one of two (2) community-based primary care clinics operated by Providence Hospital. PHFC is located on "M" Street in a historic building that previously served as a Washington, DC public school. Pediatric health needs are addressed at Perry Family Health Center through its Children's Health Promotion Program, which is devoted entirely to the care of children. The Children's Health Promotion Program provides a full range of health care services that include prenatal care, immunizations, nutrition education, and the diagnosis and treatment of serious illnesses. The comprehensive primary health care and preventive health care for children includes telephone accessibility to health advice, on site laboratory tests, and free pharmaceutical services when needed. Health education and promotion and chronic disease management for obesity, depression, asthma, and diabetes are available on site. Coordination for support services, such as transportation and interpretive services, are also available. Free transportation is provided by Providence Hospital so families with young children can access routine appointments, outpatient diagnostics, radiology, surgical services, and specialty physicians. Extended services include resources for food, housing, child-care, and parenting training. This multicultural community requires culturally diverse outreach that engages families. PFHC has patients with many special concerns, such as health care for homeless families and support for non-English speaking immigrant parents of adolescents. Access to the Children's Health Promotion Program's comprehensive primary care is essential to this community. Teen mothers and recent immigrants often come to PFHC with their young children, having no family support and little knowledge of child care. PFHC provides them with the extra information and support that allows for positive healthy outcomes for their children. Providers at PHFC have a mutual responsibility and trust among the child, family, and medical home physician. Communication between the health care provider and the family is clear, unbiased, and complete. The medical home private practice model at PFHC utilizes a multi-disciplinary team approach that employs the use of Family Nurse Practitioners as a "bridge" between the disciplines and the family unit, beginning at birth. The medical home private practice team includes the following disciplines: - A Pediatrician, in collaboration with Children's Hospital National Medical Center, provides primary care and coordinates specialty care and surgeries at Children's Hospital. - An ENT Specialist is available three (3) days a week. - A Pediatric Clinical Specialist and an RN Clinical Coordinator manage the chronically-ill pediatric patients who present with diseases such as juvenile diabetes and asthma. - A Nutritionist is available weekly, providing medical nutrition therapy. - A Psychiatric Clinical Nurse Specialist provides support to the Pediatrician for those families requiring additional behavioral health services. - A Community Outreach Worker assists young mothers with external referral arrangements to community specialists and coordinates transportation, completes applications for free prescription medications, and assists with enrollment in DC Medicaid and DC Healthcare Alliance. Outcome to the Response to the Need Perry Family Health Center is known in the Washington, DC metropolitan area as a provider for the underserved and "a safety net within the safety net" that turns no one away. Many families have reported that they learned about PFHC through "word of mouth" from friends and family. Providers throughout the city refer uninsured low-income families to PFHC for prenatal care and well-child visits. Each year nearly 300 newborns delivered at Providence Hospital receive their "first week of life" visit at PFHC. Approximately 6,200 individuals were treated during the 2010 fiscal year at Perry Family Health Center as it encountered a total of 15,933 patient visits. Many of those visits provided well-baby care, immunizations, diabetes checks, and other prevention-oriented health care services. CASE STUDY: Ms. Brown, a single mother who had seven (7) children ranging in ages from four (4) years to fifteen (15) years, utilized the Perry Family Health Center for her family's medical needs for years. Her children were healthy but experienced a variety of difficulties at school and in the community. Ms. Brown worked as a janitor at a downtown DC office building but started to miss work because of stress-related migraines. Her employer was forced to threaten her job status if she continued to have so many absences. Ms. Brown came to Perry Family Health Center (PHFC) for help, where she was seen by a family physician that knew the Brown family and had observed Ms. Brown's struggles with her children. The physician listened as the over-stressed and hard-working woman talked about her current life conditions and environment. The physician treated Ms. Brown for her migraines and referred the family to PHFC Community Health Worker for assistance. The PHFC Community Health Worker interviewed Ms. Brown and observed that she needed help with structure and discipline in the home. The Community Health Worker also noted that two (2) of the older children needed to have follow-up school vision screenings that had not been completed. The Community Health Worker referred Ms. Brown to a YMCA-sponsored class on parenting adolescents, encouraged her to not be afraid to set rules and boundaries, and helped Ms. Brown make the appropriate calls for eye exam follow-ups. As a result of the whole-family treatment and assistance, Ms. Brown gained some much-needed parenting skills, and the children attracted less negative attention in the school and community settings. Community Benefit Programs - Senior Care Needs Assessment Life expectancy in the United States has been increasing steadily for many years, with healthy individuals, who reach the age of sixty-five (65), living vitally and productively into their eighties. With the increase in life expectancy, however, comes an increase in the incidences of individuals developing a chronic disability. In today's health care environment, the good news is that health care resources are available to individuals with a chronic or serious illness so they may regain their health. In the District of Columbia, 17% of the population is over the age of sixty (60), or approximately one (1) out of every six (6) residents. This number will continue to increase dramatically with each wave of baby boomers reaching sixty (60) years of age in the coming years. | ||
| Heart disease, cancer, and hypertension are the three (3) leading causes of death in the District of Columbia, and their overall negative impact on the community has been made worse because of the well-documented historical lack of access to primary care for the uninsured and underinsured. The District of Columbia's health indicators reveal an alarming incidence of death rates from cancer, diabetes, and heart disease that are much higher than the national average in the United States. The high number of occurrences of cancer, diabetes, and heart disease diagnoses and correspondingly high number of related deaths have contributed to the marked differences in life expectancy at birth by race and gender for District of Columbia residents compared to the total population of the United States. According to recent census data, the life expectancy of Washington, DC residents is lower than all the states in the US, with the District of Columbia residents dying eight (8) years younger than the general US population. The District of Columbia's population includes 60% African American and 10% other minorities, and 11.8% of all African Americans and 10.4% of Latinos have diabetes; however, among the African American women of the District of Columbia, 25% if those who are over the age of 55, has diabetes. A substantial number of the District of Columbia's African American population experience complications that result from diabetes, including blindness, amputation, and end-stage renal disease. African American adults are less likely to be diagnosed with heart disease in the District of Columbia, but are 30% more likely to die from heart disease. Although the District of Columbia's African American adults are 40% more likely to have high blood pressure than others in the same population, they are 10% less likely to have their blood pressure under control. Providence Hospital Response to the Need In partnership with the District of Columbia Office on Aging, Providence Hospital sponsors and manages two (2) Senior Wellness Centers for residents of the District of Columbia, who are sixty (60) years of age and older. Research suggests that exercise and physical activity are two important ingredients for older individuals to engage in on a regular basis in order to maintain or partly restore health in four (4) major areas - strength, balance, flexibility, and endurance. Providence Hospital's Wellness Institute designed, developed, and implemented a comprehensive wellness program for senior citizens. Designed to improve the health, well-being, and longevity of the senior population in the District of Columbia and specifically targeting Wards 5 and 8, the program's objectives include increasing the number of participating members in wellness activities, improving upon the access to health care, and offering evidenced-based health promotion, exercise, and quality of life activities. Providence Hospital conducts open dialogue with Senior Wellness Center members and listens to their advice and contributions for continually expanding, supporting, and refining the wellness program. The Senior Wellness Program activities include: - Health promotion activities, including nutrition activities and workshops - Cancer awareness seminars and screenings - Healthy cooking classes and nutrition related field trips - Medication management sessions utilizing pharmacists - "Brown Bag Review" - Diabetes Support Group - Diverse exercise programs to accommodate different exercise levels of its members, i.e., Tai Chi, line dancing, chair exercise, Pilates, ballet, yoga Outcome to the Response to the Need Approximately 77% of participants surveyed reported that health promotion activities increased their awareness of positive health behaviors; led them to adopt one or more positive health habits; and has had a positive impact on their lives. CASE STUDY: George arrived for his first day of exercise at the Congress Heights Wellness Center in a wheelchair and had two canes to use whenever he wanted to get out of the wheelchair. Nonetheless, George was motivated by a wish to improve a poor health profile that included hypertension and circulatory problems, diabetes, and high cholesterol. So he began exercising, which was very challenging initially; but George persevered and was encouraged by the staff at Congress Heights. His mobility improved gradually, and he progressed to where he slowly but eventually gave up his canes. George continued with his persistent drive to improve his health profile; and eventually, he advanced from his wheelchair to a walker. Now with his health and energy greatly improved, George feels wonderful, a lot healthier, and is thankful for the place that the Providence Hospital Wellness Center now provides in his life. CASE STUDY: Flora, 102, and Jeanine, 92, are sisters who have literally gone through life together. Both women never married or had children, and a niece now serves as their guardian. The sisters have looked after and cared for each other in the family home they never left and never wish to leave. In recent years Flora's chronic respiratory problems have worsened, and she appears to be exhibiting some early stage symptoms of Alzheimer's Disease, while Jeanine has suffered some minor strokes. One of primary care physicians in the Medical House Calls program at Providence Hospital worked with Flora and Jeanine to get their medications to the most beneficial therapeutic levels. This physician also explained to the sisters the benefits of hospice care and discussed with them their potential need for hospice care. Subsequently, a referral for hospice services was made, which will provide the sisters with direct care, more consistent care, and supervision while they remain in their home. The sisters smiled with genuine sincerity to know they would be receiving proper care and would be remaining at home. Community Benefit Programs - Improved Birth Outcomes/Healthy Babies Needs Assessment As noted previously in this report, Washington DC has an infant mortality rate that is more than two (2) times the national average in the United States. With 13.1 infants out of 1,000 dying before their first birthday, it is apparent that far too many mothers of newborn in the District of Columbia lack quality, consistent prenatal care, adequate nutrition, and a fundamental education about keeping their newborn safe and well-tended. The presence of these substandard conditions within a segment of the District of Columbia resident population has created the environment that results in high levels of premature birth, low birth weight, or a live birth that ends in tragedy with the subsequent occurrence of Sudden Infant Death Syndrome (SIDS). Providence Hospital Response to the Need The Maternal and Infant Health (MIH) Unit at Providence Hospital has delivered 2,311 babies in the 2010 fiscal year and has cared for a number of women who required hospitalization at varying stages of their pregnancy. The MIH Unit serves all pregnant women, regardless of economic status, with joy, care, and respect; and because the Maternal and Infant Health Unit has Certified Nurse Midwives on staff, a strong influence of the midwife philosophy exists for a natural birthing process that is very supportive of the laboring mother. The influence of the Nurse Midwives natural birthing process integrates very well with the American College of Gynecology guidelines. The result of this collaborative merge of care standards is the establishment of enhanced patient safety standards, a higher quality of care, and a greater flexibility in meeting differing needs the mothers and their newborn infants. For more than thirty-two (32) years, Providence Hospital has provided significant maternity health care for mothers served by its OB/GYN Center for Life (CFL). The Center for Life provides quality prenatal care and specialty gynecological care to disadvantaged women from vulnerable and medically-underserved diverse populations. The majority of these mothers are "working poor" women from families who are employed but cannot afford medical insurance or do not have access to it. The Center for Life developed a special program for teen mothers, who accounted for approximately 10% of the births at Providence Hospital in the 2010 fiscal year. This program includes health assessments, social services, referral services, one-on-one mentoring, and any other necessary follow-up services for one year after their delivery. This Teen Program is well known in the metropolitan Washington, DC area as a quality resource for pregnant teens and new teenage mothers. | ||
| The Center for Life also offers the Centering Pregnancy Program, which is a nationally-recognized program of the Centering Healthcare Institute. The Centering Pregnancy model of health care delivery integrates the provision of health assessment, education, and support within a group format. The primary difference with this program is that the women are assembled into groups led by a nurse-midwife. This program replaces what had been exclusively the traditional ten (10) minute prenatal examination with a comprehensive two (2) hour education and support session in a group format in addition to a prenatal examination. The Center for Life has held Centering Model training sessions for area health care providers and continues to provide technical assistance to the neighboring institutions as the initiate their planning stages for Centering Pregnancy Programs. Outcome to the Response to the Need Positive results have been observed among Providence Hospital's Center for Life (CFL) patients, particularly those patients who are Centering Pregnancy patients. It has been observed and documented that Centering Pregnancy mothers-to-be keep their appointments more consistently than other prenatal patients. Centering Pregnancy patients have also been observed to be developing supportive relationships with other mothers who have due dates approximating their own due date. Additionally, the labor and delivery nurses have observed and reported that the Centering Pregnancy mothers are better prepared for delivery than women receiving traditional prenatal care. Of those newborns of women who completed the CFL Centering Pregnancy program in the 2010 fiscal year and who delivered their babies at Providence Hospital, only 5% were born prematurely compared to the national pre-term delivery rate of 12.5%. In the traditional prenatal setting in the Center for Life, there is a 94% compliance rate for appointments, which is far better than the national average for comparable data; and among the Centering Pregnancy program participants there is a 98% compliance rate. Clearly, Centering Pregnancy program women are receiving more education and their health care providers are able to support them more closely, with nearly 87% of the women who completed the Centering Pregnancy program returning for their six (6) week post-partum visit. The majority of these women who were surveyed described their high level of satisfaction with their prenatal care and stated that they would be staying in contact with their group. This increased social support and sharing has been shown to be indicative of readiness for infant care and effective parenting skills. Providence Hospital's Centering Program has received extensive media coverage, with stories appearing in the Washington Post, on the Washington, DC CBS television affiliate, and on the World Wide Web. In January 2010, the Centering Pregnancy program model was a finalist for the nationally-recognized "Premier Cares Award" for excellence. CASE STUDY: Quanesha, 18, was born and raised in the District of Columbia's 5th Ward and quickly learned that she had little in common with her housemates upon learning that she was pregnant. No one provided any words of comfort or wisdom regarding her pregnancy; and too often her friends told her horror stories about pregnancy and about raising a child as a single parent. It was Quanesha's sister who urged her to try Providence Hospital's Centering Pregnancy program; so Quanesha did register to begin the program but was skeptical about how such a program could help her. Quanesha experienced an abundance of the typical pre-first-appointment jitters, stating, "I thought I would freak out that first day." However, she soon relaxed after getting to know others in her group who were experiencing similar circumstances to her own and after realizing that she was receiving both useful and sound educational information from a Certified Nurse Midwife/Facilitator. In Quanesha's group, like most Centering Pregnancy groups at their initial appointments, everyone was quiet. Within a short time, however, the group members relaxed and became willful and active participants who displayed an eagerness to learn and to share with others. At their scheduled appointments, Quanesha and the other mothers-to-be in her group obtained and recorded each other's weights, measurements, and other vital statistics such as blood pressure readings. Quanesha had high praise for the Nurse Midwife, who answered all of her questions, and helped her to more fully understand her body. Quanesha noted that the Nurse Midwife treated everyone in the group with respect and helped them to realize the enormity of the parenting task ahead. As the group's time together progressed, individuals became even more relaxed in asking questions and sharing experiences. Many specific questions about the labor and delivery processes were answered during a tour of Labor and Delivery Department. Detailed descriptions of the birthing process were answered, as the group progressed on their tour from room to room, which greatly reduced the anxiety levels of the group members. Like Quanesha, members of the group all found the tour to be very helpful and comforting. Now feeling more relaxed, better prepared, and even excited about the impending birth of her son, Quanesha is already looking forward to the reunion of her Centering Pregnancy group in a few months. She expects that she'll remain friends with several of the other mothers in her group, and she is especially grateful to her sister who steered her toward Providence Hospital's Center for Life Centering Pregnancy program. Community Benefit Programs - Infant Mortality Needs Assessment Infant mortality is an important indicator of the health of a nation, state, and city. Despite the dramatic decline in infant mortality during the 20th century, the US infant mortality rate is higher than rates in most other developed countries. According to the most current Center for Disease Control data, the United States infant mortality rate has fallen from 12th in the world in 1960 to thirtieth in 2005. As the U.S. infant mortality rate falls further behind other developed nations, the District of Columbia and Maryland's Prince George's County lag even further behind other states and cities. So the ultimate goal is to reach the 2010 Healthy People goal of 4.5 infant deaths per 1,000 live births. The District of Columbia's infant mortality rate data was presented previously in this report and was documented to be more than twice the national average, while Maryland has shown a decrease in the state's infant mortality rate from 8.0 per 1,000 live births in 2008 to 7.2 in 2009, which is the lowest overall infant mortality rate ever recorded in Maryland. Through its resolute efforts applied toward reducing all infant mortality throughout the state, Maryland's infant mortality rate among Caucasian infants decreased by 20.6 percent; however, the overall infant mortality rate for African American infants increased. Infant mortality statistical trends tracked by District of Columbia Wards over the last five years reveal a great disparity between neighborhoods. For example, in 2007 the infant mortality rate in Ward 3 was 1.3 deaths per 1,000 live births, which exceeds the People 2010 goal of 4.5 deaths per 1,000 live births. However, in the same year, the infant mortality rate in Ward 4 was 17.1 deaths per 1,000 live births; the infant mortality rate in Ward 5 was 16.3 deaths per 1,000 live births; the infant mortality rate in Ward 7 was 19.0 deaths per 1,000 live births, and in Ward 8, the infant mortality rate in 2007 was 18.8 deaths per 1,000 live births. In 2007, Prince George's County accounted for nearly a 25% of Maryland's infant deaths. Two (2) years later, Prince George's County increased and focused its efforts to specifically address the infant mortality rate among the African American population. With an infant mortality rate of 14.9 deaths per 1,000 live births in 2008, the efforts showed positive results with the infant mortality rate among African American babies declining to 11.1 deaths per 1,000 live births in 2009. While Prince George's County has decreased its infant mortality rate, the overall County infant mortality rate of 9.8 deaths per 1,000 live births still lagged behind the entire state statistics, with Prince George's County reporting the third highest infant mortality rate in Maryland, behind Baltimore City at 12.1 deaths per 1,000 live births and Dorchester County which experienced 16.5 deaths per 1,000 live births. | ||
| Providence Hospital Response to the Need In March of 2010, the Center for Perinatal Advocacy at Providence Hospital was created to establish programs to improve both maternal and child health. The Center's mission is to develop and implement programs and services for the community it serves in order to decrease infant mortality in the Washington, DC metropolitan area. The District of Columbia has also established a mission to develop and provide leadership that strengthens the families is serves by providing education, advocacy, and service to safeguard the health and well being of mothers and their infants. Finding ways to decrease infant mortality is a critical step in improving maternal and infant health. The Center is dedicated to promoting desired health outcomes for all mothers, their infants and their families. Outcome to the Response to the Need In May of 2010, Providence Hospital organized and mobilized the work of the Center for Perinatal Advocacy at Providence Hospital to address infant mortality and began employing trained individuals to carry out the mission. While the programs of the Center for Perinatal Advocacy are just taking root in the community, there is evidence that is based upon initial encounters that noticeable, positive results will be achieved from the Center's efforts. Other Community Programs and Services Besides the programs and services offered by Providence Hospital that have been described previously in this report, there are many types of community services provided by Providence Hospital and its subsidiaries that are described more fully below. In addition, the estimated unreimbursed cost of providing these services is summarized at the end of this Section of the Report. Charity Care Charity care is defined as free or discounted healthcare services provided to persons who cannot afford to pay. Providence Hospital provides charity care in accordance with its policies, which ensure access to medically-necessary care for all individuals. These policies include the following key provisions: - Emergency care provided to all persons, regardless of their ability to pay or regardless of their place of residence. - Non-emergency, medically necessary care (except for certain specialty or referral programs), is provided to medically indigent patients. In fiscal year 2010, the unreimbursed cost of traditional charity care was $4,478,633, including free and discounted services. This amount does not include the cost of care provided to the medically indigent through participation in governmental programs, which is described below. Participation in Programs for Uninsured or Underinsured A variety of government programs provide for the indigent, including Medicaid and the District of Columbia's Alliance program. These programs do provide payments for medical care services provided to qualifying patients, but the payments are virtually always well below the cost of providing those services. Medicaid, established under Title XIX of the Social Security Act, provides assistance for the medically indigent, including those who cannot afford to pay for medical care despite being able to afford other living expenses. This assistance also covers the blind and the disabled of any age. The reimbursement that Providence Hospital receives from the Medicaid program is routinely well below the actual cost of services provided. During the 2010 fiscal year, Providence Hospital provided 20,072 days of care to Medicaid patients and Carroll Manor Nursing & Rehabilitation Center provided 75,365 days of care to Medicaid patients, which amounted to $727,275 in unreimbursed cost to the organization. Providence Hospital also provides services to indigent patients who are covered by other Hospital-sponsored programs. For example, the program for Persons Who are Poor provided $5,010,233 worth of free care in fiscal year 2010, while the program for the General Community provided $4,152,947 worth of free care and the program to cover Medicare Shortfalls provided $1,619,352 for the aged whose medical services extended beyond their Medicare coverage or their ability to pay. Other Programs for the Poor Providence Hospital's Perry Family Health Center, Center for Life, and its two (2) senior wellness centers - Model Cities' Wellness Center and Congress Heights Senior Medical Center have been described previously in this report. However, Providence Hospital provides other programs and services to aid and assist those who are in need of medical care but are without financial resources. Two (2) such services are described below. - Medicare Eligibility - Providence Hospital provides a staff of individuals to assist patients in completing Medicaid applications at not cost to the individuals; the cost of this program to Providence Hospital in the 2010 fiscal year was $931,199. - Transportation Service - The Transportation Services Department was started in the 1980s and has grown from a two-vehicle service to a fleet of twelve (12) vehicles that serve the needs of patients, clinic patients, nursing home residents, and physicians. The Transportation Department provided 5,717 transport rides in the 2010 fiscal year at an unreimbursed cost of $687,781. The Department provides free services to the patients, clients, or residents of Carroll Manor Nursing & Rehab Center, the Geriatric Clinic, Perry School Family Health Center, Congress Heights Senior Medical Center, Model Cities' Wellness Center, Providence Hospital Senior Connection, Seton House, the Emergency Department, Case Management services, outpatient rehabilitation, surgery, outpatient infusion center, nursing units, and the Mission Council. Community Health Education and Promotion As part of Providence Hospitals overall health promotion effort in the community, the Hospital sponsors numerous programs, activities, and services designed to improve the health of the community's residents and designed to prevent the onset of illness or disease among the community. - Providence Hospital produces and distributes a number of community health newsletters and other publications, as well as provides the Hospitals website that includes articles on specific health topics and provides information on health services and classes offered to the community. These newsletters were mailed over to more than 125,000 community residents throughout the 2010 fiscal year. - Providence Hospital provides a number of health classes and support groups to its patients, their family members, and community residents on a wide variety of health topics. - Providence Hospital provides other community health education and promotion services, such as health information and healthcare screenings that are provided at Providence Hospital or are provided at local health fairs and other community events. Medical Community Education In keeping with its goal of continually improving patient care, Providence Hospital provides a variety of medical education and training programs for medical residents, students, and physicians. - Providence Hospital's medical education programs offer a variety of clinical settings for training medical residents, nursing students, and other medical students. The residency program at Providence Hospital has approximately sixty (60) residents (medical student graduates). The medical residents and students are primarily from Georgetown and Howard Universities. - As a teaching hospital, Providence Hospital incurs typical, additional costs associated with teaching facilities. Such additional costs include physician teaching fees, resident salaries, and the cost of additional medical diagnostic tests that are ordered in connection with the education and training of residents. During 2010, the total cost associated with the medical education programs at Providence Hospital was $4,022,231. In order to provide the best health care to the community, Providence Hospital provides its clinical staff with the opportunity to receive ongoing medical education. Therefore, Providence Hospital provides the medical residents and staff with a number of sponsored classes and the opportunity and resources to attend seminars throughout the year. Medical Research Providence Hospital provides a variety of essential services to support health-related scientific research. Physicians and other health professionals participate in clinical investigations that lead to advances in medical treatment and patient care. Investigators and sponsors are provided access to a range of facilities and clinical specialties in a hospital setting. The Hospital provides technical and administrative support in the design, conduct, and administration of clinical investigational studies, as well as support in the management of contracts or grants. | ||
| Other Community Activities Providence Hospital provided a variety of other community services in the 20010 fiscal year. On an ongoing basis, Providence makes available its facilities and resources to benefit the community it serves. - The Meals on Wheels program prepares and delivers meals to area residents who cannot prepare their own meals because of a medical condition. Providence Hospital prepared more than 8,000 meals the during the 2010 fiscal year for the program and had them delivered by community volunteers. - Providence Hospital provides Hospice support services throughout the community to those individuals with life-ending medical conditions. This support provides emotional and medical end-of-life comfort to the medically ill and also provides much-needed support to their relative care-takers and other family members of the patient. - Providence Hospital promotes employee volunteerism through its employee volunteer program. The Hospital donates staff salaries, benefits, and other expenses for the administration and collection of funds and goods for sponsored community programs. Providence employees donate their time, personal funds, and other items to sponsored organizations. During 2010, Providence employees participated in the Adopt a Family Christmas Program, clothes and food drives, school partnerships, and a number of other community service programs. - Providence Hospital provides the use of its meeting room spaces and other services to community groups; the Hospital also provides contributions, in-kind donations, and services. The unreimbursed cost of a meeting space includes prorated rental expense, where applicable, and the cost of setup, cleanup, and refreshments in some instances. - Meals are prepared at Providence Hospital and distributed to local agencies, such as Christ House. - During the summer months, Providence Hospital offers job opportunities to District of Columbia high school students through its Summer Intern Program. This program encourages the students to prepare for a work environment that will come later in their lives; it provides the students with first-hand experience what it takes to care for the ill and aged individuals in their community; and it provides positive opportunities for the students to display their talents and work ethic, while making an impressive contribution to society. Through the combination of all the programs and services described in this report and still others that have not been highlighted, Providence Hospital has demonstrated its commitment to serving the Washington, DC metropolitan area community in order to improve the quality of life in its residents with joy, care, and respect for everyone it serves, regardless of their ability to pay. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| Ascension Health | ||||||||||
| PO Box 45998 | St Louis | MO | 63145 | 311662309 | National Health System | MO | Section 501(c)(3) | Schedule A, Line 11a | N/A | |
| DePaul Foundation Inc | ||||||||||
| 1150 Varnum Street NE | Washington | DC | 20017 | 521347245 | Supporting Organization | DC | Section 501(c)(3) | Schedule A, Line 11c | Providence Hospital | |
| Providence Health Services Inc | ||||||||||
| 1150 Varnum Street NE | Washington | DC | 20017 | 521275587 | Physician Practices | DC | Section 501(c)(3) | Schedule A, Line 11a | Providence Hospital | |
| Providence Health Foundation Inc | ||||||||||
| 1150 Varnum Street NE | Washington | DC | 20017 | 521275583 | Fund Raising Organization | DC | Section 501(c)(3) | Schedule A, Line 11a | Providence Hospital | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Providence Medical Building General Partnership | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1140 Varnum Street NE | AddressLine1 |
| City | Washington | City |
| State | DC | State |
| ZIP Code | 20017 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521129539 | EIN |
| Primary Activity | Physician Offices | PrimaryActivity |
| Legal Domicile State | DC | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Mission Resources Inc | ||||||||
| 1150 Varnum Street NE | Washington | DC | 20017 | 521347248 | Holding Company | DC | N/A | C |
| Resource Pharmacies Inc | ||||||||
| 1150 Varnum Street NE | Washington | DC | 20017 | 521410076 | Retail Pharmacy | DC | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Providence Health Services Inc | |
| P | 17400000 |
| Resource Pharmacies Inc | |
| P | 1960000 |
| Providence Health Foundation Inc | |
| P | 1439172 |
| DePaul Foundation Inc | |
| P | 330811 |
| Providence Health Foundation Inc | |
| C | 2835961 |