Henry Ford Health Providence Foundation

“Many of the persons listed on Part VII have a "business relationship" with each other by virtue of sitting on related St. John Providence Health entity boards.”

“Providence Health Foundation has a single corporate member, St. John Health.”

“Providence Health Foundation has a single corporate member, St. John Health, who has the ability to elect members to the governing body of Providence Health Foundation.”

“All decisions that have a material impact to Providence Health Foundation financial information or corporation as a whole are subject to approval by its sole corporate member, St. John Health.”

“Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all board members are provided the Form 990 and management team members are available to answer any board member questions.”

“The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.”

“In determining the compensation of the organization's President, the process, performed by St. John Health, a related organization of Providence Health Foundation, included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. Management reviewed and approved the compensation. In the review of the compensation, the President was compared to individuals at other organizations in the area who hold the same title. Wage bands are adjusted annually and wages paid for all positions are within those bands. Form 990, Part VI, Section B, Line 15b: This question is more appropriately answered "not applicable" as Providence Health Foundation does not compensate any other officers or key employees.”

“The organization will provide any documents open to public inspection upon request.”

“Where noted with a "(Sch O)" reference, the compensation listed is for services provided to this organization or a related organization in an employee capacity and not for participation in this organization's board.”

“PROVIDENCE HOSPITAL & PROVIDENCE FOUNDATION COMMUNITY BENEFIT REPORT FISCAL YEAR END JUNE 30, 2014 The Foundation's mission is to enhance the delivery of spiritually centered, holistic care to all persons with special attention to the poor and vulnerable through the programs and services of St. John Providence Health System's West Region. Seamless coordination helps make this mission a reality. Providence Health Foundation volunteers and staff work together with the physicians, nurses and associates of Providence and Providence Park Hospitals, with impressive results. The effects are felt far beyond hospital walls. Providence Health Foundation supports philanthropic activities and inspires community collaborations that focus on building a sound capital base, securing innovative technology and funding programs that address the health care needs of our communities. 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 perpetuate the healing mission of the church. Providence Hospital furthers this goal through delivery of patient services, care to the elderly and indigent, patient education and health awareness programs for the community, and medical research. Our concern for all human life and dignity of each person leads the organization to provide medical services to all people in the community without regard to the patient's race, creed, national origin, economic status, or ability to pay. FINANCIAL INFORMATION The financial information presented below was prepared in accordance with the Catholic Health Association's (CHA) community benefit reporting guidelines. These guidelines recommend the following: - Report care of the poor at cost, not charges. - Do not include bad debt, contractual allowances, and quick pay discounts as part of care of the poor expense. - Do not count Medicare shortfall as a community benefit. - Report the net expense for community benefit services, i.e., the total community benefit expense minus any associated revenue from patients, payers, and other external sources. The CHA reporting guidelines reflect a conservative approach to reporting quantifiable community benefit. The goal of the reporting guidelines is to produce community benefit financial reports that reflect true costs and that describe community benefit activities that increase access to health care and improve community health. Providence Hospital information for fiscal year ended June 30, 2014: 1) Care of the poor (at cost) = $6,762,109 2) Government sponsored health care (net expense) = $978,777 3)Unpaid cost of public indigent care programs (includes Medicaid, Schip, and other safety net programs; does not include Medicare shortfalls) = $16,006,650 4) Community benefit programs (net expense) = $13,423,580 Total quantifiable community benefit, as determined in accordance with CHA reporting guidelines = $37,171,116 SUPPLEMENTAL INFORMATION Bad debt costs attributable to charity = $11,293,765 Medicare shortfall = -$2,040,247 Total quantifiable community benefit, including bad debt and Medicare shortfall = $46,424,634 CHARITY CARE The Hospital had 113,044 Emergency Department (ED) visits in fiscal 2014, an increase of 1% over FY13. Increasingly, patients are experiencing limited abilities to pay for health care services or qualify for state and federally funded programs like Medicaid and Medicare programs that cover only a portion of the cost of services provided. Providence Hospital provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2014, approximately 41% of the value of services rendered was to elderly patie”