Providence Hospital

“In determining the compensation of the organization's CEO, the process, performed by Ascension Health, a related organization of Providence Hospital, included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. The Compensation Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the committee minutes. The individual was not present when her compensation was decided.”

“Providence Hospital has a single corporate member, Ascension Health.”

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

“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.”

“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 he return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members' questions.”

“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 Conflict 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.”

“In determining the 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 Executive/Compensation Committee reviewed & approved the compensation. In the review of compensation, the other officers & key employees of Providence Hospital were compared to individuals at other organizations in the area who hold the same titles. During the review & approval of the compensation, documentation of the decision was recorded in the Committee minutes.”

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

“Compensation of independent contractors is paid by and reported on the Form 1096, Annual Summary and Transmittal of U.S. Information Returns, of Ascension Health EIN 31-1662309. Expenses are allocated to and reimbursed by the filing organization to Ascension Health. As such, the organization has not reported independent contractors paid on Form 990, Part VII, Section B.”

“MOW - Total Revenue: 15731, Related or Exempt Function Revenue: 15731, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Vending - Total Revenue: 21207, Related or Exempt Function Revenue: 21207, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Beauty/Barbber - Total Revenue: 18596, Related or Exempt Function Revenue: 18596, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Medical records - Total Revenue: 21851, Related or Exempt Function Revenue: 21851, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Community Service - Total Revenue: 450008, Related or Exempt Function Revenue: 450008, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Misc - Total Revenue: 3458166, Related or Exempt Function Revenue: 3458166, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other - Total Revenue: -1079, Related or Exempt Function Revenue: -1079, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Gain/Loss Sale of Asset - Total Revenue: 150, Related or Exempt Function Revenue: 150, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; CDMS Swap - Total Revenue: -6065, Related or Exempt Function Revenue: -6065, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Antenna rents - Total Revenue: 82452, Related or Exempt Function Revenue: 82452, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”

“Contract Labor - Total Expense: 6692641, Program Service Expense: 6692641, Management and General Expenses: , Fundraising Expenses: ; RCM fees - Total Expense: 7030433, Program Service Expense: 7030433, Management and General Expenses: , Fundraising Expenses: ; Revenue Enhancement - Total Expense: 733393, Program Service Expense: 733393, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 1765642, Program Service Expense: 1765642, Management and General Expenses: , Fundraising Expenses: ; Physician - Total Expense: 145492, Program Service Expense: 145492, Management and General Expenses: , Fundraising Expenses: ; Purchased Services-Labor - Total Expense: 19104102, Program Service Expense: 19104102, Management and General Expenses: , Fundraising Expenses: ; Employee Recruitment Fees - Total Expense: 79152, Program Service Expense: 79152, Management and General Expenses: , Fundraising Expenses: ; Other Professional Fees - Total Expense: 418328, Program Service Expense: 418328, Management and General Expenses: , Fundraising Expenses: ; Professional Fees IC Co - Total Expense: 125800, Program Service Expense: 125800, Management and General Expenses: , Fundraising Expenses: ;”

“Sponorship fees - -57558; Project Symphony - -862000; AHIS Net Asset Transfers - -860089; Capital transfer from PHF - 120700; Pension - FAS 158 -- Pension - -12238400; Close Investment Accts - 22501136; Release of Assets - -178043;”