Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 01-01-2014 , and ending 12-31-2014
BCheck if applicable:
CName of organization
SISTERS OF CHARITY PROVIDENCE HOSPITALS
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
2435 FOREST DRIVE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
COLUMBIA, SC29204
D Employer identification number

57-0314409
E Telephone number

G Gross receipts $ 337,197,720
F Name and address of principal officer:
JOHN FAULSTICH
2435 FOREST DRIVE
COLUMBIA,SC29204
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.PROVIDENCEHOSPITALS.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet0928
K Form of organization:
 
L Year of formation: 1938
M State of legal domicile: SC
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: SUPPORT OF THE SISTERS OF CHARITY OF ST. AUGUSTINE & EXTEND THE HEALING MINISTRY
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 21
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 20
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 2,546
6 Total number of volunteers (estimate if necessary) ............. 6 134
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 812,715 1,070,913
9 Program service revenue (Part VIII, line 2g) ......... 327,080,889 330,367,487
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,641,782 202,142
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 4,783,956 4,974,544
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 334,319,342 336,615,086
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 121,561 150,241
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 158,056,639 156,900,464
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 189,623,812 189,206,189
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 347,802,012 346,256,894
19 Revenue less expenses. Subtract line 18 from line 12....... -13,482,670 -9,641,808
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 278,709,073 260,878,024
21 Total liabilities (Part X, line 26)............. 194,139,330 182,388,666
22 Net assets or fund balances. Subtract line 21 from line 20..... 84,569,743 78,489,358
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2014)
Form 990 (2014)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: OUR MISSION IS TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITY BY AN EXPRESSION OF CHRISTIAN CONCERN FOR THE SICK, SUFFERING AND DYING; TO MANIFEST LOVE, TRUTH, AND JUSTICE IN HEALTH CARE; AND TO PROMOTE THE ADVANCEMENT AND APPLICATION OF NEW KNOWLEDGE ABOUT HEALTH CARE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 297,602,933 including grants of $ 150,241 ) (Revenue $ 330,367,487 )
SISTERS OF CHARITY PROVIDENCE HOSPITALS (SCPH) PROVIDES QUALITY MEDICAL CARE IN THE COLUMBIA, SOUTH CAROLINA COMMUNITY TO ALL REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN MEETING THIS COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, SCPH OFFERS CHARITY CARE, SUBSIDIZED CARE, AND CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT RATES BELOW COST. SCPH ALSO PROVIDES COMMUNITY HEALTH EDUCATION AND SCREENINGS, AND PARTICIPATES IN OTHER COMMUNITY PROGRAMS AND ACTIVITIES THAT PROMOTE GOOD HEALTH. IN MEETING THIS COMMITMENT, SCPH SERVICED 10,595 INPATIENTS AND PROVIDED CARE TO 58,326 EMERGENCY ROOM PATIENTS.(CONTINUED ON SCHEDULE O)DURING 2014, THE COMMUNITY CONTRIBUTED APPROXIMATELY 25,158 HOURS TOWARD PROVIDING HEALTH CARE AT SCPH. THE VALUE OF THIS CONTRIBUTION IS APPROXIMATELY $ 201,264, WHICH IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN PATIENT SERVICES.IN MEETING ITS COMMITMENT TO PROVIDE HEALTH CARE TO THE ENTIRE COMMUNITY, SCPH PROVIDES CARE TO PERSONS WITHOUT INSURANCE COVERAGE AND ESTABLISHES PAYMENT TERMS BASED ON ABILITY TO PAY. THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER SCPH'S CHARITY CARE POLICY TOTAL APPROXIMATELY $11,333,000 IN 2014.IN ADDITION TO MEDICAL SUPPLIES, SCPH PROVIDES OTHER BENEFIT PROGRAMS TO MEET COMMUNITY AND PATIENT NEEDS. SUCH PROGRAMS WERE OFFERED AT NO COST OR AT REDUCED PRICES AND INCLUDED THE FOLLOWING: SENIOR ASSISTANCE, WOUND TREATMENT SERVICES, SUPPORT GROUPS / SPECIAL PROGRAMS, HEALTH SCREENINGS, COMMUNITY EDUCATION, POISON CENTER, PASTORAL CARE SERVICES, AND WOMEN AND CHILDREN'S SERVICES.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet297,602,933
Form 990 (2014)
Form 990 (2014)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part IIIClick to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
429
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
2,546
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?.........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2014)
Form 990 (2014)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
21
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
20
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
Yes
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
SC
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletTERRENCE KESSLER

2435 FOREST DRIVE
COLUMBIA,SC29204 (803) 256-5315
Form 990 (2014)
Form 990 (2014)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) J MICHAEL KAPP........................................................................
CHAIRMAN
 1.00
.......................   		X   X       0 0 0
(2) M STEVENSON SMITH........................................................................
VICE CHAIR
 1.00
.......................   		X   X       0 0 0
(3) FRAMPTON HENDERSON MD........................................................................
SECRETARY
 1.00
.......................   		X   X       0 0 0
(4) JILL DAVIS........................................................................
TREASURER
 1.00
.......................   		X   X       0 0 0
(5) MELISSA ROGERS........................................................................
ASSISTANT TREASURER
 1.00
.......................   		X   X       0 0 0
(6) DANIEL BOUKNIGHT MD........................................................................
BOARD MEMBER
 1.00
.......................   		X           0 0 0
(7) PETER BROWN........................................................................
BOARD MEMBER
 1.00
.......................   		X           0 0 0
(8) WILLIAM CASON........................................................................
BOARD MEMBER
 1.00
.......................   		X           0 0 0
(9) SR MIRIAM ERB........................................................................
BOARD MEMBER
 1.00
.......................   		X           0 0 0
(10) SR JUDITH ANN KARAM........................................................................
BOARD MEMBER
 1.00
.......................   		X           0 0 0
(11) REV C ALEXANDER MCDONALD........................................................................
BOARD MEMBER
 1.00
.......................   		X           0 0 0
(12) THOMAS MCLEAN JR........................................................................
BOARD MEMBER
 1.00
.......................   		X           0 0 0
(13) J MILTON POPE........................................................................
BOARD MEMBER
 1.00
.......................   		X           0 0 0
(14) MARTHA SCOTT SMITH........................................................................
BOARD MEMBER
 1.00
.......................   		X           0 0 0
(15) DAVID SOJOURNER JR........................................................................
BOARD MEMBER
 1.00
.......................   		X           0 0 0
(16) JOHN STOVER........................................................................
BOARD MEMBER
 1.00
.......................   		X           0 0 0
(17) JP SUTTON III MD........................................................................
BOARD MEMBER
 1.00
.......................   		X           741,721 0 14,152
Form 990 (2014)
Form 990 (2014)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) SUSIE VANHUSS........................................................................
BOARD MEMBER
 1.00
.......................1.00 		X           0 0 0
(19) ANDREW WEISINGER MD........................................................................
BOARD MEMBER
 1.00
.......................   		X           0 0 0
(20) ROBERT WILLIAMS JR........................................................................
BOARD MEMBER
 1.00
.......................   		X           0 0 0
(21) DENNIS WILSON MD........................................................................
BOARD MEMBER
 1.00
.......................   		X           0 0 0
(22) C MICHAEL FRENCH........................................................................
INTERIM CEO
 40.00
.......................   		    X       0 0 0
(23) GEORGE A ZARA........................................................................
PRESIDENT & CEO (THROUGH FEB. '14)
 40.00
.......................1.00 		    X       475,168 0 0
(24) W RYAN HALL........................................................................
VP AND CAO OF ORTHO HOSPIT
 40.00
.......................   		    X       228,688 0 12,633
(25) WAYNE SRIBNICK MD........................................................................
CMO
 40.00
.......................   		    X       335,097 0 21,366
(26) KEN OWENS........................................................................
INTERNAL AUDIT/CCO
 40.00
.......................   		    X       173,672 0 15,064
(27) KEN BEASLEY........................................................................
EXECUTIVE DIRECTOR, AHG
 40.00
.......................   		    X       238,596 0 11,808
(28) STEPHANIE SIMMONDS........................................................................
VP, CAO AND CNO
 40.00
.......................   		    X       245,072 0 12,666
(29) W CARL MARTIN........................................................................
COO
 40.00
.......................   		    X       0 0 0
(30) DAVID B FULTON........................................................................
PHYSICIAN
 40.00
.......................   		        X   1,541,327 0 3,879
(31) MICHAEL W PEELLE........................................................................
PHYSICIAN
 40.00
.......................   		        X   1,406,338 0 13,369
(32) MICKEY F PLYMALE........................................................................
PHYSICIAN
 40.00
.......................   		        X   1,124,346 0 11,841
(33) WILLIAM T FEMLY........................................................................
PHYSICIAN
 40.00
.......................   		        X   1,036,888 0 14,794
(34) ROLAND R CRAFT III........................................................................
PHYSICIAN
 40.00
.......................   		        X   1,019,002 0 12,282
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 8,565,915 0 143,854
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet171
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
CAROLINA CARE

215 RED BAY ROAD
ELGIN,SC29045 		ED MANAGEMENT 6,698,226
ANESTHESIOLOGY PROFESSIONAL

PO BOX 90824
COLUMBIA,SC29290 		ANESTHESIA MANAGEMENT 5,251,572
LCK CONSTRUCTION SERVICES

1301 GERVAIS STREET
COLUMBIA,SC29211 		GENERAL CONTRACTOR 4,839,516
JANNX MEDICAL SYSTEMS INC

12166 OLD BIG BEND RD
KIRKWOOD,MO63122 		BIOMED CONTRACTOR 1,526,524
NEXSEN PRUET JACOBS & PO

1230 MAIN STREET
COLUMBIA,SC29201 		LEGAL 1,101,988
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet48
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e 95,000
f All other contributions, gifts, grants, and
similar amounts not included above1f 		975,913
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 1,070,913
Program Service RevenueAmt Business Code
2a NET PATIENT REVENUE 621400 327,865,559 327,865,559    
b EHR INCENTIVE PAYMENT 621400 2,501,928 2,501,928    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 330,367,487
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 653,174     653,174
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents 156,755  
b Less: rental expenses 131,602  
c Rental income or (loss) 25,153  
d Net rental income or (loss).......MediumBullet 25,153     25,153
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses 451,032  
c Gain or (loss) -451,032  
d Net gain or (loss)..........MediumBullet -451,032     -451,032
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a OTHER REVENUES 900099 3,849,284     3,849,284
b FOOD SERVICES 722210 1,100,107     1,100,107
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 4,949,391
12 Total revenue. See Instructions......MediumBullet 336,615,086 330,367,487 0 5,176,686
Form 990 (2014)
Form 990 (2014)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 150,241 150,241
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ....    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............    
4 Benefits paid to or for members ....    
5 Compensation of current officers, directors, trustees, and key employees .... 1,619,036 755,873 863,163  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages .... 130,004,744 118,653,556 11,351,188  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 4,386,425 3,979,376 407,049  
9 Other employee benefits ....... 12,988,044 11,782,787 1,205,257  
10 Payroll taxes ........... 7,902,215 7,168,910 733,305  
11 Fees for services (non-employees):        
a Management ...... 5,089,309   5,089,309  
b Legal ......... 1,175,230   1,175,230  
c Accounting ........... 120,131   120,131  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) .... 36,185,393 24,868,482 11,316,911  
12 Advertising and promotion .... 1,053,252 448,481 604,771  
13 Office expenses ....... 36,681,164 20,929,960 15,751,204  
14 Information technology ...... 2,226,824 2,226,824    
15 Royalties ..        
16 Occupancy ........... 11,442,306 11,442,306    
17 Travel ............ 479,616 479,616    
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 154,285 154,285    
20 Interest ........... 4,080,556 4,080,556    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 16,389,270 16,389,270    
23 Insurance .............. 3,187,681 3,151,238 36,443  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 51,123,547 51,123,547    
b BAD DEBT EXPENSE 19,700,503 19,700,503    
c RECRUITMENT 117,122 117,122    
d
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 346,256,894 297,602,933 48,653,961 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2014)
Form 990 (2014)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 1,001 1 1,000
2 Savings and temporary cash investments ......... 18,244,865 2 17,918,625
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 47,884,220 4 48,839,287
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 3,745,728 8 3,617,685
9 Prepaid expenses and deferred charges .......... 1,966,887 9 1,079,399
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 419,163,580
b Less: accumulated depreciation ..... 10b 281,123,434 145,885,753 10c 138,040,146
11 Investments—publicly traded securities .......... 50,363,761 11 39,168,063
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 ..... 233,024 13 233,024
14 Intangible assets ............... 4,032,310 14 4,088,696
15 Other assets. See Part IV, line 11 ........... 6,351,524 15 7,892,099
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 278,709,073 16 260,878,024
Liabilities 17 Accounts payable and accrued expenses ......... 28,221,772 17 25,696,474
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities ............. 112,350,000 20 108,740,000
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 53,567,558 25 47,952,192
26 Total liabilities. Add lines 17 through 25......... 194,139,330 26 182,388,666
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 83,326,554 27 77,722,534
28 Temporarily restricted net assets ........... 1,243,189 28 766,824
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 84,569,743 33 78,489,358
34 Total liabilities and net assets/fund balances ........ 278,709,073 34 260,878,024
Form 990 (2014)
Form 990 (2014)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
336,615,086
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
346,256,894
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-9,641,808
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
84,569,743
5
Net unrealized gains (losses) on investments ...............
5
257,812
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
3,303,611
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
78,489,358
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? .................
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
SISTERS OF CHARITY PROVIDENCE HOSPITALS
 
Employer identification number

57-0314409
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
a
b
c
d
e
f
Enter the number of supported organizations .............................  
g
Provide the following information about the supported organization(s).
(i)Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total    

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support Add lines 7 through 10.  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Part IV
Supporting Organizations (continued)

Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 6
Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1.   Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors (explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7   Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 7
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		  
9 Distributable amount for 2014 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2014 		(iii)
Distributable
Amount for 2014
1 Distributable amount for 2014 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2014
(reasonable cause required--see instructions)		  
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2014 distributable amount  
i Carryover from 2009 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2014 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2014 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2014, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)		  
6 Remaining underdistributions for 2014. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)		  
7 Excess distributions carryover to 2015. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......  
e From 2014.......  
Schedule A (Form 990 or 990-EZ) (2014)
Schedule A (Form 990 or 990-EZ) 2014
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Name of the organization
SISTERS OF CHARITY PROVIDENCE HOSPITALS
 
Employer identification number

57-0314409
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 2
Name of organization
SISTERS OF CHARITY PROVIDENCE HOSPITALS
  		Employer identification number

57-0314409
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 

   
 
 
  ,    

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 3
Name of organization
SISTERS OF CHARITY PROVIDENCE HOSPITALS
  		Employer identification number

57-0314409
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 4
Name of organization
SISTERS OF CHARITY PROVIDENCE HOSPITALS
  		Employer identification number

57-0314409
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
SISTERS OF CHARITY PROVIDENCE HOSPITALS
 
Employer identification number

57-0314409
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2014

Schedule C (Form 990 or 990-EZ) 2014
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2014


Schedule C (Form 990 or 990-EZ) 2014
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
9,308
j
Total. Add lines 1c through 1i ...............................
9,308
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF THE SOUTH CAROLINA HOSPITAL ASSOCIATION. EACH YEAR, THESE ORGANIZATIONS ENGAGE IN LOBBYING ACTIVITIES ON BEHALF OF THEIR MEMBERSHIP BODIES, AND A PORTION OF DUES PAID TO THE ASSOCIATIONS IS ALLOCATED TO THOSE EXPENDITURES. FOR 2014, APPROXIMATELY $9,308 IS ALLOCABLE TO LOBBYING EXPENDITURES.
Schedule C (Form 990 or 990EZ) 2014

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
SISTERS OF CHARITY PROVIDENCE HOSPITALS
 
Employer identification number

57-0314409
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   10,168,124 10,168,124
b Buildings ................   189,899,882 103,680,952 86,218,930
c Leasehold improvements ............   5,944,633 5,294,520 650,113
d Equipment ................   208,463,705 172,147,962 36,315,743
e Other .................   4,687,236   4,687,236
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 138,040,146
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
INTEREST RATE SWAP INSTRUMENTS 15,702,242
ESTIMATED THIRD PARTY SETTLEMENTS 208,734
PAYABLE TO SISTERS OF CHARITY OF ST. AUGUSTINE HEALTH SYSTEM 32,041,216






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 47,952,192
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2014. FISCAL YEARS ENDING ON OR AFTER DECEMBER 31, 2011 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
Schedule D (Form 990) 2014

Additional Data


Software ID:  
Software Version:  




SCHEDULE H (Form 990)
Department of the TreasuryInternal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
SISTERS OF CHARITY PROVIDENCE HOSPITALS
 
Employer identification number

57-0314409
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    11,332,898   11,332,898 3.470 %
b Medicaid (from Worksheet 3,
column a) .... 		    22,493,600 21,041,667 1,451,933 0.440 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		           
d Total Financial Assistance
and Means-Tested
Government Programs . 		    33,826,498 21,041,667 12,784,831 3.910 %
Other Benefits
 15 22,422 836,339 860 835,479 0.260 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		2 990 1,284,342   1,284,342 0.390 %
g Subsidized health services
(from Worksheet 6) .. 		1   672,651   672,651 0.210 %
h Research (from Worksheet 7)            
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		5 557 148,469   148,469 0.050 %
j Total. Other Benefits .. 23 23,969 2,941,801 860 2,940,941 0.910 %
k Total. Add lines 7d and 7j . 23 23,969 36,768,299 21,042,527 15,725,772 4.820 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development 1 303 115,440   115,440 0.040 %
9 Other            
10 Total 1 303 115,440   115,440 0.040 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
19,700,503
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
9,850,252
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
93,138,821
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
121,200,446
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-28,061,625
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?2
Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 PROVIDENCE HOSPITAL
2435 FOREST DRIVE
COLUMBIA,SC29204 		X X   X     X     A
2 PROVIDENCE HOSPITAL NORTHEAST
120 GATEWAY CORPORATE BOULEVARD
COLUMBIA,SC29203 		X X   X     X     A
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................ 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PART V, SECTION B FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: PROVIDENCE HOSPITAL, - FACILITY 2: PROVIDENCE HOSPITAL NORTHEAST
GROUP A-FACILITY 2 -- PROVIDENCE HOSPITAL NORTHEAST PART V, SECTION B, LINE 5: THE FOLLOWING METHODS WERE USED TO GATHER INPUT FROM THE COMMUNITY:1. THIRTY-FIVE ONE ON ONE INTERVIEWS WITH ELECTED OFFICIALS, COMMUNITY STAKEHOLDERS, AND OTHER PROVIDERS. 2. A TOWN HALL MEETING ON APRIL 24, 2013.3. A SURVEY ADMINSTERED ONLINE AND IN PERSON.
GROUP A-FACILITY 2 -- PROVIDENCE HOSPITAL NORTHEAST PART V, SECTION B, LINE 6A: PALMETTO HEALTH
GROUP A-FACILITY 2 -- PROVIDENCE HOSPITAL NORTHEAST PART V, SECTION B, LINE 11: MENTAL HEALTH - THE ORGANIZATION FOCUSES ON ORTHOPEDICS AND DOESN'T POSSESS THE EXPERTISE NOR HAVE THE SERVICES TO ADDRESS THIS HEALTH NEED.TOPICS OF EDUCATION - THE COMMUNITY EXPRESSED A NEED FOR EDUCATION ON CANCER, PEDIATRIC NUTRITION, PEDIATRIC DENTAL HYGIENE, AND DRUG ABUSE. THE ORGANIZATION DOESN'T OFFER ONCOLOGY SERVICES AND THUS NOT EQUIPPED TO PROVIDE EDUCATION ON CANCER. ALSO, THE ORGANIZATION DOESN'T OFFER PEDIATRIC SERVICES AND DOESN'T POSSESS EXPERTISE TO OFFER EDUCATION.THE ORGANIZATION WILL COLLABORATE WITH ELECTED OFFICIALS, COMMUNITY LEADERS, AND OTHER ORGANIZATIONS TO HELP FULFILL THESE HEALTH NEEDS.
GROUP A-FACILITY 1 -- PROVIDENCE HOSPITAL PART V, SECTION B, LINE 5: THE FOLLOWING METHODS WERE USED TO GATHER INPUT FROM THE COMMUNITY:1. THIRTY-FIVE ONE ON ONE INTERVIEWS WITH ELECTED OFFICIALS, COMMUNITY STAKEHOLDERS, AND OTHER PROVIDERS. 2. A TOWN HALL MEETING ON APRIL 24, 2013.3. A SURVEY ADMINSTERED ONLINE AND IN PERSON.
GROUP A-FACILITY 1 -- PROVIDENCE HOSPITAL PART V, SECTION B, LINE 6A: PALMETTO HEALTH
GROUP A-FACILITY 1 -- PROVIDENCE HOSPITAL PART V, SECTION B, LINE 11: MENTAL HEALTH - THE ORGANIZATION FOCUSES ON CARDIOLOGY AND ORTHOPEDICS AND DOESN'T POSSESS THE EXPERTISE NOR HAVE THE SERVICES TO ADDRESS THIS HEALTH NEED.TOPICS OF EDUCATION - THE COMMUNITY EXPRESSED A NEED FOR EDUCATION ON CANCER, PEDIATRIC NUTRITION, PEDIATRIC DENTAL HYGIENE, AND DRUG ABUSE. THE ORGANIZATION DOESN'T OFFER ONCOLOGY SERVICES AND THUS NOT EQUIPPED TO PROVIDE EDUCATION ON CANCER. ALSO, THE ORGANIZATION DOESN'T OFFER PEDIATRIC SERVICES AND DOESN'T POSSESS EXPERTISE TO OFFER EDUCATION.THE ORGANIZATION WILL COLLABORATE WITH ELECTED OFFICIALS, COMMUNITY LEADERS, AND OTHER ORGANIZATIONS TO HELP FULFILL THESE HEALTH NEEDS.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?3
Name and address Type of Facility (describe)
1 AUGUSTINE HEALTH GROUP LLC
2435 FOREST DRIVE
COLUMBIA,SC29204 		OB/GYN, FAMILY CARE, INTERNAL MED.
2 MOORE CLINIC
2435 FOREST DRIVE
COLUMBIA,SC29204 		ORTHOPEDIC CLINIC
3 PROVIDENCE PULMONARY SPECIALISTS
2435 FOREST DRIVE
COLUMBIA,SC29204 		RESPIRATORY, INT. MED., CRITICAL CARE
4
5
6
7
8
9
10
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LN 7 COL(F): THE AMOUNT OF TOTAL EXPENSE ON FORM 990, PART XI, LINE 25 INCLUDES AN AMOUNT FOR BAD DEBT EXPENSE OF $19,700,503 THAT HAS BEEN REMOVED FOR THE CALCULATION OF COMMUNITY BENEFIT FOR PART I, LINE 7, COLUMN (F).
PART I, LN 7, ROW E: SISTERS OF CHARITY PROVIDENCE HOSPITALS PROVIDES THE FOLLOWING PROGRAMS RELATED TO PROMOTING HEALTH AND COMMUNITY BENEFIT OPERATIONS:NAME OF CLASS/EVENT # PERSONS SERVED NET BENEFIT-CPR/FIRST-AID CLASSES 8,888 $ 177,557 -FITNESS/EXERCISE 35 1,408 -HEALTH FAIRS 12,384 34,122-HEART DISEASE EDUCATION 37 2,208-NUTRITION/WEIGHT MANAGEMENT 800 45,113 -SPEAKERS BUREAU 84 5,006 -SUPPORT GROUP/CARDIAC 127 6,775 -WORKSITE HEALTH EDUCATION PROGRAMS 55 275-IMMUNIZATION/ADULT 617-SCREENING/WORKSITE BASED 12 21,666 -COMMUNITY HEALTH IMPROVEMENT ADVOCACY 209,341 -DISCOUNTED/FREE PRESCRIPTION DRUGS 137,327 -IN-HOME SERVICES/HOME CARE (NON-BILLED) 6,588 -TRANSPORTATION/BUS TOKENS, CAB FARE, ETC. 8,127 -DEDICATED STAFF 179,349TOTALS 22,385 $ 835,479
PART III, LINE 4: BECAUSE THE PROVISION FOR BAD DEBTS WAS DISCLOSED SEPARATELY AS AN EXPENSE ON THE INCOME STATEMENT, NO FOOTNOTE WAS PREPARED TO DESCRIBE BAD DEBT. AN ACCOUNT WILL BE CLASSIFIED AS BAD DEBT WHEN IT IS PLACED WITH A COLLECTION AGENCY. ACCOUNTS CLASSIFIED AS "PATIENT RESPONSIBILITY" WILL BEGIN CURRENT PATIENT RESPONSIBILITY CUSTOMER SERVICE AND COLLECTION AT FINAL BILL (REGISTERED) OR AT TIME OF FINAL INSURANCE PAYMENT (RESIDUAL). BETWEEN 120-150 DAYS FOLLOWING ORIGINAL COLLECTION EFFORTS, PAYMENT ARRANGEMENTS ARE DOCUMENTED AND THE ACCOUNT IS PLACED WITH A COLLECTION AGENCY AND DEEMED AS BAD DEBT. ACCOUNTS RETURNING FROM THE 3RD-PARTY COLLECTION AGENCY WILL BE CONSIDERED WORTHLESS AND COLLECTION EFFORTS WILL CEASE. THE ACCOUNT WILL BE ADJUSTED OFF TO ZERO. AT NO TIME WILL AN ACCOUNT BE WRITTEN OFF TO BAD DEBT PRIOR TO THE END OF THE APPLICATION PERIOD REQUIRED BY REG. SECTION 1.501(R)-6.THE ORGANIZATION ESTIMATES THAT APPROXIMATELY 50% OF ITS TOTAL BAD DEBT EXPENSE MAY BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. THROUGH EXPERIENCE, THE ORGANIZATION ESTIMATES THAT SELF-PAY PATIENTS THAT FREQUENT THE EMERGENCY ROOM AND USE IT FOR THEIR PRIMARY SOURCE OF HEALTH CARE WOULD QUALIFY FOR FINANCIAL ASSISTANCE IF ALL INFORMATION WAS AVAILABLE. IN 2012, THE ER HAD BAD DEBTS OF APPROXIMATELY $19.4 MILLION, $16.0 OF WHICH WAS DUE TO SELF-PAY PATIENTS.
PART III, LINE 9B: THE ENTIRE OUTSTANDING BALANCE FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE IS WRITTEN OFF AS CHARITY. FOR THIS REASON THE ORGANIZATION DOES NOT HAVE A SEPERATE WRITTEN DEBT COLLECTION POLICY. HOWEVER, DETAILS PERTAINING TO DEBT COLLECTIONS ARE INCLUDED IN THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.THE REMAINING BALANCE OF THE DISCOUNTS APPLIED IN ACCORDANCE WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY CAN BE PURSUED FOR COLLECTION OF PAYMENT. THE ORGANIZATION'S BILLING AND COLLECTION POLICY DOES NOT PERMIT THE USE OF ANY EXTRAORDINARY COLLECTION PRACTICES AS DEFINED IN 501(R).
PART VI, LINE 2: A COMMUNITY NEEDS ASSESSMENT IS COMPLETED BY SISTERS OF CHARITY PROVIDENCE HOSPITALS IN COLLABORATION WITH SISTERS OF CHARITY FOUNDATION OF SC (FOUNDATION), PALMETTO HEALTH RICHLAND HOSPITALS, THE COLUMBIA HOUSING AUTHORITY, ZAREPHATH MINISTRIES, AND THE UNIVERSITY OF SC COLLEGE OF SOCIAL WORK. THE MOST CURRENT ASSESSMENT WAS CONDUCTED FROM 2011 TO 2013 AND WAS COMPLETED AND PUBLICIZED IN 2013. THE FOUNDATION, A MINISTRY OF THE SISTERS OF CHARITY HEALTH SYSTEM, STRIVES TO IMPACT THE LIVES OF THE POOR AND BE A VOICE FOR THE UNDERSERVED IN ALL 46 SOUTH CAROLINA COUNTIES. THIS COLLABORATIVE ASSESSMENT IN THE PAST HAS REVEALED ONE OF THE HIGHEST CONCERNS OF RESIDENTS IN THE MIDLANDS IS THAT OF ACCESS TO AFFORDABLE HEALTH CARE. SCPH IS LOCATED WITHIN RICHLAND COUNTY WHICH HAS AN UNINSURED RATE IN EXCESS OF 17%. STUDIES HAVE SHOWN EMERGENCY ROOM CARE IS THE CHOICE FOR THOSE WHO DO NOT HAVE HEALTH CARE OR CANNOT AFFORD CARE. PART OF THE MISSION OF THE HOSPITAL IS TO PROVIDE QUALITY MEDICAL CARE TO ALL REGARDLESS ABILITY TO PAY. SCPH ALSO RELIES ON THE HEALTHY PEOPLE INITIATIVE, MANAGED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, TO DEVELOP PROGRAMS TO IMPROVE HEALTH. COMMUNITY DEMOGRAPHICS ALSO PLAY A PART IN DETERMINING WHICH OUTREACH SERVICES TO OFFER. THE GOAL OF OUR OUTREACH SERVICES IS TO PROMOTE A HEALTHIER LIFESTYLE WITHIN OUR IMMEDIATE AND SURROUNDING COMMUNITIES. WE ARE TEACHING THE COMMUNITY TO FIGHT OBESITY, DIABETES, HEART DISEASE AND STROKE BY SIMPLE LIFESTYLE CHANGES.
PART VI, LINE 3: AS PART OF ITS MISSION, THE HOSPITAL MAKES ITS CHARITY CARE APPLICATIONS AVAILABLE TO ANYONE WHO REQUESTS THEM. THE HOSPITAL ALSO POSTS NOTICES AS REQUIRED BY LAW REGARDING THE AVAILABILITY OF CHARITY CARE. PATIENTS RECEIVING INPATIENT CARE OR EMERGENT MEDICAL CARE RECEIVE PRIORITY CONSIDERATION FOR CHARITY CARE. THOSE PATIENTS THOUGHT TO REQUIRE SUCH CARE ARE REFERRED FOR FINANCIAL COUNSELING. THE HOSPITAL COMPLETES A SERIES OF DUE DILIGENCE STEPS WHICH INCLUDE VERIFICATION OF ALL FINANCIAL RESOURCES AVAILABLE TO THE PATIENT, INCLUDING PRIVATE HEALTH INSURANCE, PUBLIC ASSISTANCE, MEDICARE AND MEDICAID, AND LEGAL SETTLEMENTS. ONCE IT HAS BEEN PROVED THAT THE PATIENT DOES NOT HAVE SUFFICIENT INCOME TO COVER THE OUTSTANDING BALANCE FOR RECEIVED MEDICAL CARE AND THE APPLICATION HAS BEEN COMPLETED AND APPROVED, THE REMAINING BALANCE IS ADJUSTED TO $0. DETERMINATION OF ELIGIBILITY FOR CHARITY CARE ALSO COVERS SUBSEQUENT EMERGENT AND NON-ELECTIVE SERVICES FOR A PERIOD OF SIX (6) MONTHS.
PART VI, LINE 4: SISTERS OF CHARITY PROVIDENCE HOSPITALS (SCPH) IS LOCATED IN COLUMBIA, SC WHICH IS IN THE SEAT OF RICHLAND COUNTY. THE US CENSUS BUREAU ESTIMATES THE POPULATION OF RICHLAND COUNTY TO BE 393,830 IN THE YEAR 2012. THIS IS A 2.4% INCREASE FROM 2010. THE MEDIAN HOUSEHOLD INCOME IS $48,485 COMPARED TO SOUTH CAROLINA'S $44,587. 15.9% OF INDIVIDUALS ARE BELOW THE POVERTY LEVEL IN RICHLAND COUNTY COMPARE TO SOUTH CAROLINA'S 17.0%. 17% OF INDIVIDUALS ARE UNINSURED COMPARED WITH 20% OF INDIVIDUALS IN SOUTH CAROLINA. THE UNEMPLOYMENT RATE IS 9.2%. RICHLAND COUNTY HAS 1 PRIMARY CARE PHYSICIAN FOR EVERY 1,213 INDIVIDUALS.
PART VI, LINE 5: SISTERS OF CHARITY PROVIDENCE HOSPITALS (SCPH) PROVIDES QUALITY MEDICAL CARE IN THE COLUMBIA, SOUTH CAROLINA COMMUNITY TO ALL REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN MEETING THIS COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, SCPH OFFERS CHARITY CARE, SUBSIDIZED CARE, AND CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT RATES BELOW COST. SCPH ALSO PROVIDES COMMUNITY HEALTH EDUCATION AND SCREENINGS AND PARTICIPATES IN OTHER COMMUNITY PROGRAMS AND ACTIVITIES THAT PROMOTE GOOD HEALTH. IN MEETING ITS COMMITMENT TO THE COMMUNITY, SCPH SERVICED 10,595 INPATIENTS AND PROVIDED CARE TO 58,326 EMERGENCY ROOM PATIENTS.DURING 2014, THE COMMUNITY CONTRIBUTED APPROXIMATELY 25,158 HOURS TOWARD PROVIDING HEALTH CARE AT SCPH. THE VALUE OF THIS CONTRIBUTION IS APPROXIMATELY $201,264 WHICH IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN PATIENT SERVICES.IN ADDITION TO TRADITIONAL MEDICAL SUPPLIES, SCPH PROVIDES OTHER BENEFIT PROGRAMS TO MEET COMMUNITY AND PATIENT NEEDS. SUCH PROGRAMS WERE OFFERED AT NO COST OR AT REDUCED PRICES AND INCLUDED THE FOLLOWING: SENIOR ASSISTANCE, WOUND TREATMENT SERVICES, SUPPORT GROUPS / SPECIAL PROGRAMS, HEALTH SCREENINGS, COMMUNITY EDUCATION, POISON CENTER, PASTORAL CARE SERVICES, AND WOMEN AND CHILDREN'S SERVICES.
PART VI, LINE 6: SCPH IS AFFILIATED WITH THE SISTERS OF CHARITY OF ST. AUGUSTINE HEALTH SYSTEM (SCHS) WHICH IS HEADQUARTERED IN CLEVELAND, OH. SCHS PROVIDES OVERSIGHT TO ORGANIZATIONS LOCATED IN CANTON AND CLEVELAND, OH AND COLUMBIA, SC AND IS DEDICATED TO MEETING THE NEEDS OF EACH COMMUNITY IT SERVES. WHILE SCPH BELONGS TO THE SCHS SYSTEM, ITS OPERATIONS AND MEETING OF COMMUNITY NEEDS ARE DIRECTED LOCALLY BY THOSE LIVING AND SERVING THE MIDLANDS OF SC COMMUNITY ON A DAILY BASIS.
PART VI, LINE 7, REPORTS FILED WITH STATES SC
Schedule H (Form 990) 2014
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
SISTERS OF CHARITY PROVIDENCE HOSPITALS
 
Employer identification number
57-0314409
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) HEALTHY LEARNERS
2749 LAUREL STREET
COLUMBIA,SC29204 		57-1127197 501(C)3 45,851       FINANCIAL SUPPORT
(2) PILOT CLUB OF COLUMBIA FOUNDATION
PO BOX 50231
COLUMBIA,SC29250 		57-0732600 501(C)3 35,836       FINANCIAL SUPPORT
(3) UNITED WAY OF THE MIDLANDS - SC MISSION 2014
1800 MAIN STREET
COLUMBIA,SC29201 		57-0314396 501(C)3 18,099       FINANCIAL SUPPORT
(4) LIFEVEST
2435 FOREST DRIVE
COLUMBIA,SC29204 		55-5555555 501(C)3 6,000       FINANCIAL SUPPORT
















2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
4
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PART I, LINE 2: GRANTS AND ASSISTANCE PAYMENTS ARE APPROVED BY OFFICERS OF THE ORGANIZATION AND ARE PROVIDED TO OTHER NONPROFIT ORGANIZATIONS WHOSE EXEMPT PURPOSES ALLIGN CLOSELY WITH THE CORE VALUES AND MISSION OF SISTERS OF CHARITY PROVIDENCE HOSPITALS.
Schedule I (Form 990) 2014


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
SISTERS OF CHARITY PROVIDENCE HOSPITALS
 
Employer identification number

57-0314409
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1JP SUTTON III MDBOARD MEMBER (i)
(ii)		 695,363
...............................
0 		46,358
...............................
0 		0
...............................
0 		0
...............................
0 		14,152
...............................
0 		755,873
...............................
0 		0
...............................
0
2GEORGE A ZARAPRESIDENT & CEO (THROUGH FEB. '14) (i)
(ii)		 82,358
...............................
0 		0
...............................
0 		392,810
...............................
0 		0
...............................
0 		0
...............................
0 		475,168
...............................
0 		0
...............................
0
3W RYAN HALLVP AND CAO OF ORTHO HOSPIT (i)
(ii)		 206,093
...............................
0 		22,595
...............................
0 		0
...............................
0 		0
...............................
0 		12,633
...............................
0 		241,321
...............................
0 		0
...............................
0
4WAYNE SRIBNICK MDCMO (i)
(ii)		 187,611
...............................
0 		0
...............................
0 		147,486
...............................
0 		678
...............................
0 		20,688
...............................
0 		356,463
...............................
0 		0
...............................
0
5KEN OWENSINTERNAL AUDIT/CCO (i)
(ii)		 159,172
...............................
0 		14,500
...............................
0 		0
...............................
0 		1,402
...............................
0 		13,662
...............................
0 		188,736
...............................
0 		0
...............................
0
6KEN BEASLEYEXECUTIVE DIRECTOR, AHG (i)
(ii)		 238,596
...............................
0 		0
...............................
0 		0
...............................
0 		0
...............................
0 		11,808
...............................
0 		250,404
...............................
0 		0
...............................
0
7STEPHANIE SIMMONDSVP, CAO AND CNO (i)
(ii)		 230,072
...............................
0 		15,000
...............................
0 		0
...............................
0 		0
...............................
0 		12,666
...............................
0 		257,738
...............................
0 		0
...............................
0
8DAVID B FULTONPHYSICIAN (i)
(ii)		 985,165
...............................
0 		556,162
...............................
0 		0
...............................
0 		0
...............................
0 		3,879
...............................
0 		1,545,206
...............................
0 		0
...............................
0
9MICHAEL W PEELLEPHYSICIAN (i)
(ii)		 594,609
...............................
0 		811,729
...............................
0 		0
...............................
0 		0
...............................
0 		13,369
...............................
0 		1,419,707
...............................
0 		0
...............................
0
10MICKEY F PLYMALEPHYSICIAN (i)
(ii)		 240,556
...............................
0 		883,790
...............................
0 		0
...............................
0 		0
...............................
0 		11,841
...............................
0 		1,136,187
...............................
0 		0
...............................
0
11WILLIAM T FEMLYPHYSICIAN (i)
(ii)		 825,847
...............................
0 		211,041
...............................
0 		0
...............................
0 		0
...............................
0 		14,794
...............................
0 		1,051,682
...............................
0 		0
...............................
0
12ROLAND R CRAFT IIIPHYSICIAN (i)
(ii)		 781,686
...............................
0 		237,316
...............................
0 		0
...............................
0 		0
...............................
0 		12,282
...............................
0 		1,031,284
...............................
0 		0
...............................
0
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 1A THE BENEFITS ABOVE WERE PROVIDED TO CERTAIN OFFICERS AND BOARD MEMBERS. THESE EXPENDITURES ARE MONITORED REGULARLY AND INCLUDED IN TAXABLE INCOME WHEN APPROPRIATE. ALL EMPLOYEE REIMBURSEMENTS FOLLOW THE ORGANIZATION'S POLICY FOR REIMBURSEMENT OF MONTHLY EXPENSES. THIS ADHERENCE INCLUDES PROPER AUTHORIZATION FROM THE EMPLOYEE'S SUPERVISOR, VP, OR CFO. AUTHORIZATION FOLLOWS THE DOLLAR LIMITS SET FORTH IN THE POLICY AND PROPER DOCUMENTATION MUST BE SUBMITTED PRIOR TO REIMBURSEMENT IN ACCORDANCE WITH IRS REGULATIONS.
PART I, LINES 4A-B DURING THE YEAR THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAY IN THE FOLLOWING AMOUNTS: GEORGE ZARA - $350,024 WAYNE SRIBNICK - $140,620 GEORGE ZARA RECEIVED PAYMENTS IN THE AMOUNT OF $42,786 FOR A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP).
Schedule J (Form 990) 2014

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
SISTERS OF CHARITY PROVIDENCE HOSPITALS
 
Employer identification number

57-0314409
Return Reference Explanation
PART III, LINE 4A SISTER OF CHARITY PROVIDENCE HOSPITALS PROVIDED THE FOLLOWING OUTREACH ACTIVITIES DURING THE YEAR: -HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY SCREENING FOR COLUMBIA AREA ATHLETES AS WELL AS CHESTER COUNTY SCHOOLS. -A HEALTH & WELLNESS STAFF MEMBER CONTINUES TO SERVE ON THE METRO BOARD FOR THE YMCA OF COLUMBIA. THIS BOARD OVERSEES 5 LOCAL YMCA BRANCHES. -REGULAR PARTICIPATION ON RICHLAND COUNTY HEALTH PARTNERS, A COMMUNITY GROUP THAT SHARES INFORMATION AND RESOURCES IN ORDER TO IMPACT THE GREATEST NUMBER OF COMMUNITY MEMBERS POSSIBLE. -A HEALTH & WELLNESS STAFF MEMBER SAT ON THE RACE COMMITTEE FOR THE PROVIDENCE HEART & SOLE WOMEN'S FIVE MILE RACE. THIS YEAR HAD THE GREATEST PARTICIPATION YET, AT OVER 2,200 PEOPLE. MEDICAL SERVICES AT THE EVENT WERE HELD AT THE EXPANDED CAPACITY THIS YEAR DUE TO OUR PARTICIPATION IN THE RACE COMMITTEE. MOORE CLINIC HANDLED THOSE SERVICES. -HEALTH & WELLNESS DEPARTMENT WORKED AT A COMMITTEE LEVEL FOR THE SC MISSION 2014: MIDLANDS TO PROVIDE FREE MEDICAL AND EYE CARE ON AUGUST 8 & 9, 2014 AT THE STATE FAIRGROUNDS. THE GOAL WAS TO MEET THE CRITICAL HEALTH CARE NEEDS OF PEOPLE IN THE COMMUNITY WHO ARE UNINSURED AND UNDERSERVED. THERE WERE MORE THAN 740 PATIENT INTERACTIONS AT THE SC MISSION 2014 ON FRIDAY AND SATURDAY. PATIENTS RECEIVED HEALTHCARE, EYE CARE, PRESCRIPTIONS AND WOMEN'S CARE, INCLUDING PAP SMEARS AND MAMMOGRAMS. THIS YEAR DENTAL WAS NOT OFFERED AT THE EVENT. THE SC MISSION AIMS TO MEET THE NEEDS OF RESIDENTS WHO ARE UNDERSERVED AN UNINSURED. THERE WERE ABOUT 1,000 CLINICAL AND NON-CLINICAL VOLUNTEERS INCLUDING ABOUT 500 HEALTHCARE PROFESSIONALS SUCH AS DOCTORS, NURSES AND OPTOMETRISTS. TOTAL PATIENTS: MEDICAL PATIENTS: 413 EYE CARE PATIENTS: 331 EYEGLASSES: 277 MAMMOGRAM: 101 PRESCRIPTIONS FILLED: 402 PAP SMEARS: 83 PROVIDENCE PROVIDED 240 MAN HOURS, $700 IN FOOD DONATIONS AND $6,522 IN SUPPLIES. THE TOAL COMMUNITY BENEFIT PROVIDED WAS $18,099. -PROVIDENCE COOKS-A HEART HEALTHY COOKING DEMONSTRATION PROGRAM- WAS ONCE AGAIN OFFERED TO THE COMMUNITY THIS YEAR. THIS PROGRAM IS A PARTNERSHIP BETWEEN DIETARYS HEAD CHEF AND HEALTH & WELLNESS'S REGISTERED DIETITIAN. THIS WAS A MAJOR SUCCESS! A TOTAL OF SEVEN CLASSES WERE HELD THIS YEAR WITH 157 PARTICIPANTS. -2013 EMPLOYEE WELLNESS PROGRAM ANNOUNCED. 8 HOURS OF PTO AND DISCOUNT ON INSURANCE PREMIUMS WERE USED AS INCENTIVES. 151 EMPLOYEES COMPLETED THE PROGRAM AND EARNED ADDITIONAL PTO. -CONTINUED THE COMMUNITY SUPPORTED AGRICULTURE PROGRAM FOR EMPLOYEES. ALSO ADDED A FRESH FRUIT AND VEGETABLE DELIVERY SERVICE TO PROVIDENCE, PROVIDENCE NE AND SCHC. -HEALTH & WELLNESS CONTINUED THE DIETITIAN ON DEMAND PROGRAM THAT ALLOWS COMMUNITY MEMBERS AND EMPLOYEES ACCESS TO A REGISTERED DIETITIAN ON A MINIMAL OR NO FEE BASIS. 220 PEOPLE WERE SEEN IN 2013. -16 SPEAKING OF YOUR HEALTH PROGRAMS WERE OFFERED WITH 300 PEOPLE ATTENDING. SISTERS OF CHARITY PROVIDENCE HOSPITALS HAS THE FOLLOWING GOALS FOR THE YEAR: -EIGHT PROVIDENCE COOKS! PROGRAMS ARE SCHEDULED FOR 2014. -PLANS TO COORDINATE AND IMPLEMENT SC MISSION 2014: THE MIDLANDS; CONTINUE EMPHASIS ON MEDICAL HOMES AND SHIFTING PROGRAM TO A PERMANENT CLINIC WITH YEAR-ROUND SERVICES. -CONTINUE COMMUNITY EDUCATION OPPORTUNITIES LIKE SPEAKING OF YOUR HEALTH WITH AN EXPANSION OF THAT PROGRAM TO OUTLYING COMMUNITIES. -CURRENT EVALUATION OF CARDIOVASCULAR ULTRASOUND SCREENING EQUIPMENT TO DETERMINE ONGOING VASCULAR SCREENING PROGRAM. SECURED COMMITMENT FROM CHESTER HEALTHCARE FOUNDATION TO SCREEN CHESTER COUNTY ATHLETES IN MAY OF 2014. CARDIAC CLEARANCES FOR ATHLETES AS WELL AS CARDIAC SCREENINGS FOR ADULTS. -INCREASE EDUCATIONAL AND WELLNESS OPPORTUNITIES FOR OUR EMPLOYEES AND THEIR FAMILIES. IN 2013 THERE WAS NO COLLABORATIVE PLANNING WITH THE CATHOLIC DIOCESE.
FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE INCLUDES THE CHAIRPERSON, THE VICE CHAIRPERSON, AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION, THE SECRETARY, THE TREASURER AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE MEMBER, OR HIS/HER DESIGNEE. AT LEAST ONE MEMBER OF THE EXECUTIVE COMMITTEE IS A SISTER OF CHARITY OF ST. AUGUSTINE. WHEN THE BOARD OF TRUSTEES IS NOT IN SESSION, THE EXECUTIVE COMMITTEE HAS AND EXERCISES ALL OF THE AUTHORITY OF THE BOARD. ALL ACTIONS OF THE COMMITTEE ARE REPORTED TO THE BOARD OF TRUSTEES NOT LATER THAN THE TIME OF ITS NEXT SUCCEEDING MEETING.
FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS THE SISTERS OF CHARITY OF ST. AUGUSTINE HEALTH SYSTEM, AN OHIO NONPROFIT CORPORATION. PLEASE SEE ARTICLE III OF THE BYLAWS FOR DETAILS.
FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER OF SISTERS OF CHARITY PROVIDENCE HOSPITALS MAY ELECT MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B RESERVED POWERS OF THE MEMBER OF THE ORGANIZATION INCLUDE THE POWER AND AUTHORITY TO BORROW OR LEND MONEY, THE PURCHASE AND SALE OF CERTAIN PROPERTY, THE APPOINTMENT OR RENEWAL OF THE REGULATIONS AND ARTICLES OF INCORPORATION, THE ELECTION OF DIRECTORS, AND THE DETERMINATION OF CORPORATE PHILOSOPHY.
FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS MADE AVAILABLE TO BOARD MEMBERS VIA THE BOARD PORTAL FOR REVIEW AND PRESENTED AT A BOARD MEETING WITH TIME FOR DISCUSSION.
FORM 990, PART VI, SECTION B, LINE 12C PROVIDENCE HOSPITALS REQUIRES ITS DIRECTORS, CLINICAL MANAGERS, AND SELECTED PERSONNEL WHO HAVE SIGNIFICANT CONTACT WITH VENDORS AND CONTRACTORS TO ATTEST ANNUALLY THAT NEITHER HE/SHE, NOR ANY MEMBER OF HIS/HER IMMEDIATE FAMILY, HAVE A CONFLICT OF INTEREST WITH THE HOSPITAL. MEMBERS OF THE BOARD OF TRUSTEES, PRESIDENT & CEO, VICE PRESIDENTS AND ASSISTANT VICE PRESIDENTS SIGN A SEPARATE, MORE DETAILED CONFLICT OF INTEREST STATEMENT. THE BOARD OF TRUSTEES OF PROVIDENCE HOSPITALS REQUIRES EACH MEMBER OF THE BOARD AND CORPORATE STAFF TO REVIEW THE HOSPITAL'S CONFLICT OF INTEREST POLICY AND TO DISCLOSE ALL INTERESTS THAT COULD RESULT IN A CONFLICT, ON AN ANNUAL BASIS. ALL DISCLOSURES ARE REPORTED TO THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE OF THE BOARD FOR REVIEW AND FOLLOW-UP, IF DETERMINED TO BE NECESSARY.
FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. SPECIFICALLY, SECTION 2. ARTICLE IX: ADMINISTRATIVE OFFICERS OF THE AMENDED AND RESTATED BYLAWS OF SISTERS OF CHARITY PROVIDENCE HOSPITALS (PAGE 9) STATES: AN EVALUATION OF THE PERFORMANCE OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER SHALL BE CONDUCTED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE SHALL REPORT ITS EVALUATION TO THE BOARD OF TRUSTEES AND TO THE MEMBER. THE EXECUTIVE/COMPENSATION COMMITTEE IS CHAIRED BY THE CHAIR OF THE BOARD OF TRUSTEES. IT CONTAINS SIX OTHER BOARD MEMBERS. ALL COMPENSATION ISSUES ARE REVIEWED BY THIS COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION PROVIDES COPIES OF ITS FORM 990 AND RELATED SCHEDULES UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC IN ITS OFFICE AND UPON REQUEST. ALL POLICIES ARE AVAILABLE TO ORGANIZATION EMPLOYEES VIA THE LOCAL INTRANET.
FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 24,868,482. MANAGEMENT AND GENERAL EXPENSES 11,316,911. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,185,393.
FORM 990, PART XI, LINE 9: UNREALIZED LOSS ON FAIR VALUE OF INTEREST RATE SWAP -3,478,046. LOSS ON DISCONTINUED OPERATIONS -5,968. NET ASSETS RELEASED FROM RESTRICTIONS NET WITH EXPENSES -222,301. CSAHS DEBT FORGIVENESS 6,000,000. EQUITY TRANSFER FROM PROVIDENCE HOSPITALS DEVELOPMENT FOUNDATION 1,009,926.
FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
SISTERS OF CHARITY PROVIDENCE HOSPITALS
 
Employer identification number

57-0314409
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) AUGUSTINE HEALTH GROUP LLC
2435 FOREST DRIVE
COLUMBIA,SC29204
90-0074301 		PHYSICIAN PRACTICES SC     SISTERS OF CHARITY PROVIDENCE HOSPITALS
 
(2) MOORE ORTHOPEDIC CLINIC
2435 FOREST DRIVE
COLUMBIA,SC29204
27-0743476 		ORTHOPAEDIC TREATMENTS SC     SISTERS OF CHARITY PROVIDENCE HOSPITALS
 
(3) HEALTHTOUCH LLC
2435 FOREST DRIVE
COLUMBIA,SC29204
57-0314409 		PHYSICAL THERAPY/REHAB SC     SISTERS OF CHARITY PROVIDENCE HOSPITALS
 
(4) PROVIDENCE CARDIOLOGY LLC
2435 FOREST DRIVE
COLUMBIA,SC29204
45-2824804 		HEALTHCARE SC     SISTERS OF CHARITY PROVIDENCE HOSPITALS
 
(5) PROVIDENCE HEALTH NETWORK
2435 FOREST DRIVE
COLUMBIA,SC29204
45-4046409 		HEALTHCARE SC     SISTERS OF CHARITY PROVIDENCE HOSPITALS
 


Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) SISTERS OF CHARITY OF ST AUGUSTINE ROMAN CATHOLIC CHURCH
2351 EAST 22ND STREET

CLEVELAND,OH44115
34-0714763 		RELIGIOUS CONGREGATION OF WOMEN OH 501(C)(3) LINE 1 SISTERS OF CHARITY HEALTH SYSTEM
 
 
No
(2) PROVIDENCE HOSPITALS DEVELOPMENT FOUNDATION
2351 EAST 22ND STREET

CLEVELAND,OH44115
27-1140183 		SUPPORTING ORGANIZATION OH 501(C)(3) LINE 11B, II SISTERS OF CHARITY PROVIDENCE HOSPITALS
 
Yes
 
(3) ST VINCENT CHARITY MEDICAL CENTER
2351 EAST 22ND STREET

CLEVELAND,OH44115
34-0714756 		HOSPITAL OH 501(C)(3) LINE 3 SISTERS OF CHARITY HEALTH SYSTEM
 
 
No
(4) ST VINCENT CHARITY DEVELOPMENT FOUNDATION
2351 EAST 22ND STREET

CLEVELAND,OH44115
27-1602445 		SUPPORTING ORGANIZATION OH 501(C)(3) LINE 11A, I ST VINCENT CHARITY MEDICAL CENTER
 
 
No
(5) ST JOHNS HOSPITAL
2351 EAST 22ND STREET

CLEVELAND,OH44115
34-0714504 		SUPPORTING ORGANIZATION OH 501(C)(3) LINE 11A, I SISTERS OF CHARITY HEALTH SYSTEM
 
 
No
(6) JOSEPH'S HOME
2351 EAST 22ND STREET

CLEVELAND,OH44115
34-1901676 		TEMP HOUSING/HEALTHCARE OH 501(C)(3) LINE 9 SISTERS OF CHARITY HEALTH SYSTEM
 
 
No
(7) SISTERS OF CHARITY FOUNDATION OF CANTON
2351 EAST 22ND STREET

CLEVELAND,OH44115
34-1832697 		SUPPORTING ORGANIZATION OH 501(C)(3) LINE 11A, I SISTERS OF CHARITY HEALTH SYSTEM
 
 
No
(8) SISTERS OF CHARITY FOUNDATION OF CLEVELAND
2351 EAST 22ND STREET

CLEVELAND,OH44115
34-1832698 		SUPPORTING ORGANIZATION OH 501(C)(3) LINE 11A, I SISTERS OF CHARITY HEALTH SYSTEM
 
 
No
(9) SISTERS OF CHARITY FOUNDATION OF SOUTH CAROLINA
2351 EAST 22ND STREET

CLEVELAND,OH44115
57-0708391 		SUPPORTING ORGANIZATION OH 501(C)(3) LINE 11A, I SISTERS OF CHARITY HEALTH SYSTEM
 
 
No
(10) REGINA HEALTH CENTER
5232 BROADVIEW ROAD

RICHFIELD,OH44286
34-1722394 		LONG TERM CARE OH 501(C)(3) LINE 9 SISTERS OF CHARITY HEALTH SYSTEM
 
 
No
(11) SOUTH CAROLINA CENTER FOR FATHERS AND FAMILIES
2351 EAST 22ND STREET

CLEVELAND,OH44115
36-4506347 		SUPPORT FATHERHOOD INITIATIVES OH 501(C)(3) LINE 7 SISTERS OF CHARITY FOUNDATION OF SOUTH CAROLINA
 
 
No
(12) MERCY MEDICAL CENTER INC
1320 MERCY DR NW

CANTON,OH44708
34-1893439 		HOSPITAL OH 501(C)(3) LINE 3 SISTERS OF CHARITY HEALTH SYSTEM
 
 
No
(13) MERCY DEVELOPMENT FOUNDATION
1320 MERCY DR NW

CANTON,OH44708
35-2408321 		SUPPORTING ORGANIZATION OH 501(C)(3) LINE 11A, I MERCY MEDICAL CENTER
 
 
No
(14) HEALTHY LEARNERS
221 N MAIN STREET

COLUMBIA,SC29601
57-1127197 		SUPPORTING ORGANIZATION OH 501(C)(3) LINE 11A, I SISTERS OF CHARITY HEALTH SYSTEM
 
 
No
(15) EARLY CHILDHOOD RESOURCE CENTER
1718 CLEVELAND AVENUE

CANTON,OH44703
34-0714462 		SUPPORTING ORGANIZATION OH 501(C)(3) LINE 11A, I SISTERS OF CHARITY HEALTH SYSTEM
 
 
No
(16) SISTERS OF CHARITY OF ST AUGUSTINE HEALTH SYSTEM INC
2351 EAST 22ND STREET

CLEVELAND,OH44115
34-1379356 		SUPPORTING ORGANIZATION OH 501(C)(3) LINE 11A, I N/A
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No












Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2014
Additional Data


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