TY 2014 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Hal M Whitaker Chairman	1.00 .......................0	X	X			0	0
(2) Ronald J Epps DVM Vice Chairman	1.00 .......................0	X	X			0	0
(3) Dennis L Michaelis Ed D Secretary	1.00 .......................0	X	X			0	0
(4) SR Marie Therese Sedgwick DC Treasurer	1.00 .......................0	X	X			0	0
(5) BRETT A ESROCK CEO	40.00 .......................4.00	X	X			792,301	29,952
(6) Deborah K Keel Trustee	1.00 .......................0	X				0	0
(7) Kenneth Hampton Trustee	1.00 .......................0	X				0	0
(8) SR Ellen LaCapria DC Trustee	1.00 .......................0	X				0	0
(9) SR Mary Jo Stein DC Trustee	.......................1.00	X				0	0
(10) Kelley Reynolds MD Trustee	1.00 .......................0	X				0	0
(11) Todd Moffatt MD Trustee	1.00 .......................0	X				0	0
(12) KAREN RICHARDSON CFO	40.00 .......................5.00		X			358,498	23,451
(13) TIMOTHY M BARRETT CMO	40.00 .......................0			X		540,805	30,712
(14) ROBERT E BUCK VP	40.00 .......................0			X		270,132	16,024
(15) STEVEN PROVINCE COO	40.00 .......................0			X		160,515	9,845
(16) SAMUEL E ABERNATHY PHARMACIST	40.00 .......................0				X	176,188	21,539
(17) KURT W KURTZ PHARMACIST	40.00 .......................0				X	170,372	23,803

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 ....	14,369,682	14,369,682
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 ....	3,023,246		3,023,246
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 ....	85,885,292	74,720,204	11,165,088
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,641,230	1,509,932	131,298
9	Other employee benefits .......	12,705,045	11,307,490	1,397,555
10	Payroll taxes ...........	6,521,881	5,804,474	717,407
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	203,050		203,050
c	Accounting ...........	1,322,636		1,322,636
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) ....	40,534,379	37,819,132	2,715,247	0
12	Advertising and promotion ....	1,457,928		1,457,928
13	Office expenses .......	44,505,683	43,170,512	1,335,171
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	4,692,609	4,692,609
17	Travel ............	429,512	249,117	180,395
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	168,064	97,477	70,587
20	Interest ...........	1,616,258		1,616,258
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	11,025,103	6,394,560	4,630,543
23	Insurance ..............	1,769,175		1,769,175
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	Other Operating Expenses	6,072,811	6,072,811
b	Maintenance & Repair	1,981,194	1,981,194
c	Equipment	1,954,710	1,954,710
d
e	All other expenses	2,450,381	0	2,450,381	0
25	Total functional expenses. Add lines 1 through 24e	244,329,869	210,143,904	34,185,965	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 if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............		1
2	Savings and temporary cash investments .........	994,477	2	409,386
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	39,458,282	4	41,746,890
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
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
		0	6
7	Notes and loans receivable, net .............	1,452,096	7	965,976
8	Inventories for sale or use ..............	4,568,417	8	5,284,655
9	Prepaid expenses and deferred charges ..........	1,243,184	9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	239,209,246
b	Less: accumulated depreciation .....	10b	146,247,535	99,771,173	10c	92,961,711
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 .....	0	12
13	Investments—program-related. See Part IV, line 11 .....	0	13
14	Intangible assets ...............	5,762,013	14	6,530,239
15	Other assets. See Part IV, line 11 ...........	276,391,465	15	243,365,915
16	Total assets. Add lines 1 through 15 (must equal line 34)......	429,641,107	16	391,264,772
	17	Accounts payable and accrued expenses .........	20,686,220	17	21,558,686
18	Grants payable .................		18
19	Deferred revenue ................	2,662,820	19	2,260,811
20	Tax-exempt bond liabilities .............		20
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..........	0	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....................	133,673,245	25	71,833,783
26	Total liabilities. Add lines 17 through 25.........	157,022,285	26	95,653,280
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	271,997,172	27	294,985,132
28	Temporarily restricted net assets ...........	621,650	28	626,360
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	272,618,822	33	295,611,492
34	Total liabilities and net assets/fund balances ........	429,641,107	34	391,264,772

- TIN:

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.
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Attach to Form 990 or Form 990-EZ.
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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

Providence Health Services of Waco

Employer identification number

74-1109636

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


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

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)		(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)		(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.

Gross receipts from related activities, etc. (see instructions) ..................

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

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

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)		(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)		(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.)..

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

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

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

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.

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).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

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.

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.

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.

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....

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.

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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

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.

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) .

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).

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.

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.

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.

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

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

Has the organization accepted a gift or contribution from any of the following persons?

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

A family member of a person described in (a) above?

11b

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

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

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.

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

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?

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).

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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

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.

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.

Parent of Supported Organizations. Answer (a) and (b) below.

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.

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.

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

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:	14000329
Software Version:	2014v1.0

- TIN:

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

Providence Health Services of Waco

Employer identification number

74-1109636

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

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

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ......................................	Yes No

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

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)

Yes

(b)

Amount

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:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

8,462

Total. Add lines 1c through 1i ...............................

8,462

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

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

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

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."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

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
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. PROVIDENCE HEALTH SERVICES OF WACO DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OR STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

Providence Health Services of Waco

Employer identification number

74-1109636

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 ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

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)? .......................................

Yes No

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.

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.

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

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:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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 ....	1,201,804	1,155,656	1,068,368	1,080,115	965,256
b	Contributions ........	23,278	14,939	32,149	38,475	32,020
c	Net investment earnings, gains, and losses	-534	83,967	57,721	-46,644	84,587
d	Grants or scholarships .....	0	46,750
e	Other expenditures for facilities and programs ........	0	6,008	2,582	3,578	1,748
f	Administrative expenses ....	0
g	End of year balance ......	1,224,548	1,201,804	1,155,656	1,068,368	1,080,115

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

100 %

Temporarily restricted endowment SchDMd Bullet

0 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

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		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	11,394,446		11,394,446
b	Buildings ................	152,083,671	87,139,856	64,943,815
c	Leasehold improvements ............	758,616	758,616	0
d	Equipment ................	73,709,234	58,349,063	15,360,171
e	Other .................	1,263,279		1,263,279
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				92,961,711

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther 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.)

Part VIII

InvestmentsProgram 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.)

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
(1) Deferred Compensation Asset				8,812,575
(2) Other Current Assets				105,558
(3) Intercompany Receivable				19,224,866
(4) Settlements from Third Parties				23,806,314
(5) Interest in Investments Held by Ascension Health Alliance				177,473,003
(6) Investment in Unconsolidated Entities				12,576,724
(7) Restricted Donations				785,180
(8) Investments in Prop, Plant Equip				581,695

Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				243,365,915

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
Other Non-Current Liabilities		743,750
Pension & Other Post-Retirement Benefits		7,545,709
General & Professional Trust Fund		13,410
Other Liabilities		500,000
Deferred Compensation Liability		8,812,575
Intercompany Payable
Self Insurance Liability		2,129,334
Intercompany Debt with Ascension Health		51,076,844
Accrued prepaid expenses		1,012,161
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		71,833,783
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

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
Schedule D, Part V, Line 4 Intended uses of endowment funds	All endowment funds are held by Providence Foundation Inc., a related organization. The funds are administered for the benefit of Providence Health Services of Waco, including the funding of various programs and services. These programs and services are detailed in the narrative provided for Part III, Line 4a, Program Service Accomplishments, which continues in Schedule H, Part VI, Supplemental Information.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of Providence Health Services of Waco: The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2015.

Return Reference

Explanation

Schedule D, Part V, Line 4 Intended uses of endowment funds

All endowment funds are held by Providence Foundation Inc., a related organization. The funds are administered for the benefit of Providence Health Services of Waco, including the funding of various programs and services. These programs and services are detailed in the narrative provided for Part III, Line 4a, Program Service Accomplishments, which continues in Schedule H, Part VI, Supplemental Information.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of Providence Health Services of Waco: The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2015.

Schedule D (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

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

Providence Health Services of Waco

Employer identification number

74-1109636

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other %

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: .........

Yes

200% 250% 300% 350% 400% Other %

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.

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"? ..............

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

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? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

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) ..			20,925,709		20,925,709	8.56 %
b	Medicaid (from Worksheet 3, column a) ....			32,287,014	47,146,630	-14,859,616	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .					0	0 %
d	Total Financial Assistance and Means-Tested Government Programs .	0	0	53,212,723	47,146,630	6,066,093	8.56 %
Other Benefits				1,881,385		1,881,385	0.77 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..			1,881,385		1,881,385	0.77 %
f	Health professions education (from Worksheet 5) ..			1,059,882		1,059,882	0.43 %
g	Subsidized health services (from Worksheet 6) ..			84,715		84,715	0.03 %
h	Research (from Worksheet 7)			20,232	114,483	-94,251	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)			11,680,000		11,680,000	4.78 %
j	Total. Other Benefits ..	0	0	14,726,214	114,483	14,611,731	6.02 %
k	Total. Add lines 7d and 7j .	0	0	67,938,937	47,261,113	20,677,824	14.58 %

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					0	0 %
2	Economic development			361,552		361,552	0.15 %
3	Community support			7,905		7,905	0 %
4	Environmental improvements					0	0 %
5	Leadership development and training for community members			1,125		1,125	0 %
6	Coalition building					0	0 %
7	Community health improvement advocacy					0	0 %
8	Workforce development					0	0 %
9	Other					0	0 %
10	Total	0	0	370,582	0	370,582	0.15 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

8,160,547

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. ......

1,632,109

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

Enter total revenue received from Medicare (including DSH and IME).....

75,442,864

Enter Medicare allowable costs of care relating to payments on line 5.....

75,726,842

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-283,978

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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.......................

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 %
1COMMUNITY HOSPICE OF TEXAS	HOSPICE SERVICES	25 %
2FPSC II LLC	SURGERY CENTER	46 %
3
4
5
6
7
8
9
10
11
12
13

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)					Other (describe)	Facility reporting group
1	PROVIDENCE HEALTH CENTER 6901 MEDICAL PARKWAY WACO,TX76712 http://www.providence.net 000040	X	X	X	FREE STANDING	A
2	DEPAUL CENTER 301 LONDONDERRY DR WACO,TX76712 http://providence.net/depaul 000040	X			FREE STANDING PSYCHIATRIC HOSPITAL	A

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)

	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

Community Health Needs Assessment

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?.......................

Yes

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..........

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....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

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 .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

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. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): https://www.providence.net/patients/2013-CHNA.html

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): https://www.providence.net

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

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

Page

Part VFacility Information (continued)

	A
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 2.0%
and FPG family income limit for eligibility for discounted care of 3.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	A
Name of hospital facility or letter of facility reporting group

Yes

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?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

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? ................................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

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)

	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

Community Health Needs Assessment

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?.......................

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....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

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. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://WWW.PROVIDENCE.NET/PATIENTS/2013-CHNA.HTML

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): https://www.providence.net

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

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

Page

Part VFacility Information (continued)

	A
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 2.0%
and FPG family income limit for eligibility for discounted care of 3.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	A
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

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
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - PROVIDENCE HEALTH CENTER. Facility 1 -- Providence Health Center The hospital facility took into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge or expertise in public health. These persons include: Hammad Akram - Epidemiologist - Waco McLennan County Public Health District Sherry Williams - Director - Waco McLennan county Public Health District Mayor Malcolm Duncan - Mayor - McLennan County Clement Milam - Development Director - Family Health Center Christine Reeves - Director - Heart of Texas Regional Advisory Council Ashley Allison - Director - Waco Foundation Felicia Goodman - Director - Cooper Foundation These persons were considered subject matter experts in the area of community health needs and current status of community health related activities. They were consulted through face-to-face meetings. These people are part of organizations that represent a good cross section of our community.
Schedule H, Part V, Section B, Line 5 Facility A, 2	Facility A, 2 - DEPAUL CENTER. Facility 2 -- DePaul Center The hospital facility took into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge or expertise in public health. These persons include: Hammad Akram - Epidemiologist - Waco McLennan County Public Health District Sherry Williams - Director - Waco McLennan County Public Health District Mayor Malcolm Duncan - Mayor - McLennan County Clement Milam - Development Director - Family Health Center Christine Reeves - Director - Heart of Texas Regional Advisory Council Ashley Allison - Director - Waco Foundation Felicia Goodman - Director - Cooper Foundation These persons were considered subject matter experts in the area of community health needs and current status of community health related activities. They were consulted through face-to-face meetings. These people are part of organizations that represent a good cross section of our community.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - PROVIDENCE HEALTH CENTER. The other hospital facilities with which Providence Health Center, DePaul Center, and Providence Park conducted its CHNA include the Family Health Center, the Heart of Texas Regional Advisory Council (HOTRAC), Hillcrest Baptist Medical Center - Scott and White Healthcare, and Waco-McLennan County Public Health District.
Schedule H, Part V, Section B, Line 6a Facility A, 2	Facility A, 2 - DEPAUL CENTER. The other hospital facilities with which Providence Health Center, DePaul Center, and Providence Park conducted its CHNA include the Family Health Center, the Heart of Texas Regional Advisory Council (HOTRAC), Hillcrest Baptist Medical Center - Scott and White Healthcare, and Waco-McLennan County Public Health District.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. USING THE CHNA COMPLETED IN FISCAL YEAR 2013, THE HOSPITAL DEVELOPED, ADOPTED, AND WORKED ON EXECUTING A 2014-2016 COMMUNITY-WIDE IMPLEMENTATION STRATEGY TO ADDRESS PRIORITY COMMUNITY HEALTH NEEDS. AS PART OF THE IMPLEMENTATION, A COMMUNITY BENEFIT SECTION WAS INCLUDED IN OPERATIONAL PLANS AND A BUDGET FOR PROVISION OF THE SERVICES THAT ADDRESSED THE NEEDS IDENTIFIED WAS ADOPTED. THE ORGANIZATION IS WORKING TO ADDRESS THE FOLLOWING NEEDS: DIABETES OUR GOAL IS TO STANDARDIZE AND EXPAND OUR CURRENT DIABETES CARE THROUGHOUT MCLENNAN AND THE SURROUNDING SIX COUNTIES BY THE UTILIZATION OF THE NEW DIABETES SELF-MANAGEMENT EDUCATION (DSME), A MULTIDISCIPLINARY APPROACH TO CARE WHICH INCLUDES BI-LINGUAL PHYSICIANS, NURSE PRACTITIONERS AND DIABETIC EDUCATORS. WOMEN'S HEALTH PROVIDENCE IS WRITING A GRANT REQUEST TO SECURE $50,000 A YEAR FOR TWO YEARS TO FUND A NEW OUTREACH PROGRAM THAT WILL PROVIDE FREE TRANSPORTATION, EDUCATION AND MAMMOGRAMS FOR THE UNINSURED, PARTICULARLY IN THE POOREST ZIP CODES IN MCLENNAN COUNTY. RECEIVING THIS GRANT WILL NOT ONLY FUND FREE MAMMOGRAMS FOR THE UNDER SERVED FOR TWO YEARS, BUT WILL ALSO HEAL US COLLECT RESULTS-DRIVEN DATA THAT WE MAY THEN USE TO BUILD OUR CASE FOR SUPPORT THROUGH A SUSTAINABLE FUNDRAISING PROGRAM. THE NEEDS BELOW ARE NOT BEING ADDRESSED DIRECTLY BY THE ORGANIZATION IN ITS CURRENT YEAR AS PART OF ITS IMPLEMENTATION STRATEGY, FOR THE FOLLOWING REASONS: HEALTHCARE ACCESS PROVIDENCE WILL CONTINUE TO PROVIDE CHARITY CARE WHEN PEOPLE NEED EMERGENT CARE. WE WILL CONTINUE TO COLLABORATE WITH THE MCLENNAN COUNTY CHAT, THE CITY OF WACO AND MCLENNAN COUNTY TO ADVOCATE FOR TEXAS MEDICAID EXPANSION. DENTAL CARE ACCESS PROVIDENCE DOES NOT OFFER DENTAL SERVICES. OTHER RESOURCES ARE CONVENIENTLY AVAILABLE WITH FOUR FAMILY HEALTH CENTER DENTAL CLINIC LOCATIONS. IMMUNIZATIONS PROVIDENCE HOME CARE OFFERED WEEKEND CLINIC AND "DRIVE THROUGH" FLU SHOT OPTIONS; THEY WERE NOT WELL ATTENDED. FLU SHOTS ARE OFFERED IN ALL GROCERY STORES AND PHARMACIES AT COMPETITIVE PRICES. ACCESS HAS INCREASED TO MEET COMMUNITY NEEDS. PROVIDENCE PROVIDES FLU VACCINE FOR ALL ASSOCIATES AT NO COST. PROVIDENCE ALSO EDUCATES PHYSICIAN OFFICES OF THE IMPORTANCE OF ANNUAL FLU VACCINES. HEALTH STATUS PROVIDENCE FEELS THAT OTHER APPROPRIATE COMMUNITY RESOURCES ARE CONVENIENTLY LOCATED AND ACCESSIBLE TO PEOPLE IN OUR COUNTY. ILLNESS PROVIDENCE FEELS THAT BY EXPANDING OUR DIABETES PROGRAM OT HELP PEOPLE CONTROL AND IMPROVE GLYCEMIC LEVELS AS WELL AS TEACH NECESSARY SELF-MANAGEMENT SKILLS, A POSITIVE IMPACT WILL BE MADE ON VARIOUS ILLNESSES.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - DePaul Center. FACILITY 2 -- DEPAUL CENTER THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. THESE PERSONS INCLUDE: HAMMAD AKRAM - EPIDEMIOLOGIST - WACO MCLENNAN COUNTY PUBLIC HEALTH DISTRICT SHERRY WILLIAMS - DIRECTOR - WACO MCLENNAN COUNTY PUBLIC HEALTH DISTRICT MAYOR MALCOLM DUNCAN - MAYOR - MCLENNAN COUNTY CLEMENT MILAM - DEVELOPMENT DIRECTOR - FAMILY HEALTH CENTER CHRISTINE REEVES - DIRECTOR - HEART OF TEXAS REGIONAL ADVISORY COUNCIL ASHLEY ALLISON - DIRECTOR - WACO FOUNDATION FELICIA GOODMAN - DIRECTOR - COOPER FOUNDATION THESE PERSONS WERE CONSIDERED SUBJECT MATTER EXPERTS IN THE AREA OF COMMUNITY HEALTH NEEDS AND CURRENT STATUS OF COMMUNITY HEALTH RELATED ACTIVITIES. THEY WERE CONSULTED THROUGH FACE-TO-FACE MEETINGS. THESE PEOPLE ARE PART OF ORGANIZATIONS THAT REPRESENT A GOOD CROSS SECTION OF OUR COMMUNITY
Schedule H, Part V, Section B, Line 5 Facility A, 2	Facility A, 2 - Providence Health Center. FACILITY 1 -- PROVIDENCE HEALTH CENTER THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. THESE PERSONS INCLUDE: HAMMAD AKRAM - EPIDEMIOLOGIST - WACO MCLENNAN COUNTY PUBLIC HEALTH DISTRICT SHERRY WILLIAMS - DIRECTOR - WACO MCLENNAN COUNTY PUBLIC HEALTH DISTRICT MAYOR MALCOLM DUNCAN - MAYOR - MCLENNAN COUNTY CLEMENT MILAM - DEVELOPMENT DIRECTOR - FAMILY HEALTH CENTER CHRISTINE REEVES - DIRECTOR - HEART OF TEXAS REGIONAL ADVISORY COUNCIL ASHLEY ALLISON - DIRECTOR - WACO FOUNDATION FELICIA GOODMAN - DIRECTOR - COOPER FOUNDATION THESE PERSONS WERE CONSIDERED SUBJECT MATTER EXPERTS IN THE AREA OF COMMUNITY HEALTH NEEDS AND CURRENT STATUS OF COMMUNITY HEALTH RELATED ACTIVITIES. THEY WERE CONSULTED THROUGH FACE-TO-FACE MEETINGS. THESE PEOPLE ARE PART OF ORGANIZATIONS THAT REPRESENT A GOOD CROSS SECTION OF OUR COMMUNITY.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - Providence Health Center. THE OTHER HOSPITAL FACILITIES WITH WHICH PROVIDENCE HEALTH CENTER, DEPAUL CENTER, AND PROVIDENCE PARK CONDUCTED ITS CHNA INCLUDE THE FAMILY HEALTH CENTER, THE HEART OF TEXAS REGIONAL ADVISORY COUNCIL (HOTRAC), HILLCREST BAPTIST MEDICAL CENTER - SCOTT AND WHITE HEALTHCARE, AND WACO-MCLENNAN COUNTY PUBLIC HEALTH DISTRICT.
Schedule H, Part V, Section B, Line 6a Facility A, 2	Facility A, 2 - DePaul Center. THE OTHER HOSPITAL FACILITIES WITH WHICH PROVIDENCE HEALTH CENTER, DEPAUL CENTER, AND PROVIDENCE PARK CONDUCTED ITS CHNA INCLUDE THE FAMILY HEALTH CENTER, THE HEART OF TEXAS REGIONAL ADVISORY COUNCIL (HOTRAC), HILLCREST BAPTIST MEDICAL CENTER - SCOTT AND WHITE HEALTHCARE, AND WACO-MCLENNAN COUNTY PUBLIC HEALTH DISTRICT.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - FACILITY GROUP REPORTING A. USING THE CHNA COMPLETED IN FISCAL YEAR 2013, THE HOSPITAL DEVELOPED, ADOPTED, AND WORKED ON EXECUTING A 2014-2016 COMMUNITY-WIDE IMPLEMENTATION STRATEGY TO ADDRESS PRIORITY COMMUNITY HEALTH NEEDS. AS PART OF THE IMPLEMENTATION, A COMMUNITY BENEFIT SECTION WAS INCLUDED IN OPERATIONAL PLANS AND A BUDGET FOR PROVISION OF THE SERVICES THAT ADDRESSED THE NEEDS IDENTIFIED WAS ADOPTED. THE ORGANIZATION IS WORKING TO ADDRESS THE FOLLOWING NEEDS: DIABETES OUR GOAL IS TO STANDARDIZE AND EXPAND OUR CURRENT DIABETES CARE THROUGHOUT MCLENNAN AND THE SURROUNDING SIX COUNTIES BY THE UTILIZATION OF THE NEW DIABETES SELF-MANAGEMENT EDUCATION (DSME), A MULTIDISCIPLINARY APPROACH TO CARE WHICH INCLUDES BI-LINGUAL PHYSICIANS, NURSE PRACTITIONERS AND DIABETIC EDUCATORS. WOMEN'S HEALTH PROVIDENCE IS WRITING A GRANT REQUEST TO SECURE $50,000 A YEAR FOR TWO YEARS TO FUND A NEW OUTREACH PROGRAM THAT WILL PROVIDE FREE TRANSPORTATION, EDUCATION AND MAMMOGRAMS FOR THE UNINSURED, PARTICULARLY IN THE POOREST ZIP CODES IN MCLENNAN COUNTY. RECEIVING THIS GRANT WILL NOT ONLY FUND FREE MAMMOGRAMS FOR THE UNDER SERVED FOR TWO YEARS, BUT WILL ALSO HEAL US COLLECT RESULTS-DRIVEN DATA THAT WE MAY THEN USE TO BUILD OUR CASE FOR SUPPORT THROUGH A SUSTAINABLE FUNDRAISING PROGRAM. THE NEEDS BELOW ARE NOT BEING ADDRESSED DIRECTLY BY THE ORGANIZATION IN ITS CURRENT YEAR AS PART OF ITS IMPLEMENTATION STRATEGY, FOR THE FOLLOWING REASONS: HEALTHCARE ACCESS PROVIDENCE WILL CONTINUE TO PROVIDE CHARITY CARE WHEN PEOPLE NEED EMERGENT CARE. WE WILL CONTINUE TO COLLABORATE WITH THE MCLENNAN COUNTY CHAT, THE CITY OF WACO AND MCLENNAN COUNTY TO ADVOCATE FOR TEXAS MEDICAID EXPANSION. DENTAL CARE ACCESS PROVIDENCE DOES NOT OFFER DENTAL SERVICES. OTHER RESOURCES ARE CONVENIENTLY AVAILABLE WITH FOUR FAMILY HEALTH CENTER DENTAL CLINIC LOCATIONS. IMMUNIZATIONS PROVIDENCE HOME CARE OFFERED WEEKEND CLINIC AND "DRIVE THROUGH" FLU SHOT OPTIONS; THEY WERE NOT WELL ATTENDED. FLU SHOTS ARE OFFERED IN ALL GROCERY STORES AND PHARMACIES AT COMPETITIVE PRICES. ACCESS HAS INCREASED TO MEET COMMUNITY NEEDS. PROVIDENCE PROVIDES FLU VACCINE FOR ALL ASSOCIATES AT NO COST. PROVIDENCE ALSO EDUCATES PHYSICIAN OFFICES OF THE IMPORTANCE OF ANNUAL FLU VACCINES. HEALTH STATUS PROVIDENCE FEELS THAT OTHER APPROPRIATE COMMUNITY RESOURCES ARE CONVENIENTLY LOCATED AND ACCESSIBLE TO PEOPLE IN OUR COUNTY. ILLNESS PROVIDENCE FEELS THAT BY EXPANDING OUR DIABETES PROGRAM OT HELP PEOPLE CONTROL AND IMPROVE GLYCEMIC LEVELS AS WELL AS TEACH NECESSARY SELF-MANAGEMENT SKILLS, A POSITIVE IMPACT WILL BE MADE ON VARIOUS ILLNESSES.

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?0
Name and address		Type of Facility (describe)
1	PROVIDENCE HOME CARE 528 MEADOW LAKE CENTER WACO,TX76622	FULL SERVICE HOME CARE FACILITY AND DURABLE MEDICAL EQUIPMENT STORE
2	PROVIDENCE BREAST CENTER 6600 FISH POND RD STE 104 WACO,TX76710	WOMEN'S BREAST HEALTH CENTER
3	PROVIDENCE PARK 300 W STATE HIGHWAY 6 WACO,TX76712	LONG-TERM CARE FACILITY
4
5
6
7
8
9
10

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
Schedule H, Part I, Line 7 CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST - PART I	Unreimbursed Services Provided to the Elderly and the Poor Providence Healthcare Network provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2015, approximately 49% of the values of services rendered were to elderly patients under the Medicare program, and approximately 9 % of the services were provided to patients who were deemed indigent under state, county, or Health Center Guidelines. In the spirit of principles adopted by Ascension, Providence Healthcare Network has taken proactive steps to address those issues that will affect accessibility, the financing, and the delivery of healthcare to all persons, especially the uninsured, under insured, and the under served. During the fiscal year ending June 30, 2015, the estimated unreimbursed cost of services provided to the elderly, uninsured, and underinsured totaled $21 million before state uncompensated pool reimbursements. Patient Services Providence Healthcare Network provides the following inpatient and outpatient medical services to Waco and the surrounding communities: Bronchial Thermoplasty Cancer Care Cardiac Services Cardio Pulmonary Rehab daVinci Robotic Surgery Diabetes Management Center Durable Medical Equipment Education Emergency Care Endocrinologist Care Geriatric Mental care Home Care Hospice Care Lung Nodule Clinic Midwifery/Centering Program Neuroscience Orthopedics Pain Management Pediatric Care Pharmacy Physician Clinical Services Psychiatric Care/Behavioral Health Radiology Research Rehabilitative Services Senior Care: Independent, Assisted, Long-term Care, and Sub-Acute Care Sleep Center Sports Therapy Support Groups Certified Primary Stroke Center Volunteer Services Wound Care Center Women & Newborns Center Some of the services listed above operate at a loss in order to ensure that all services are available to meet community health care needs. These include physician clinical services, and certain acute care departments. During the fiscal year ending June 30, 2015, Providence Health Center treated 15,093 adults and children in the community for a total of 62,727 patient days of service. The Health Center also provided outpatient services including 4,942 outpatient surgery patients, 75,500 emergency and minor care visits, and 886 homebound patients, 3,721 psychiatric care visits, and 182,375 physician office visits. Community Outreach Activities Providence Healthcare Network seeks to improve the physical, mental, social and spiritual health status of its surrounding community. In addition to providing health care services to all individuals who require medical attention, our Ministry has developed the following programs to help achieve its mission. Expanding Awareness, Education, and Health Promotion Providence Healthcare Network believes that it is essential to educate people regarding the types of behavior that improve their chances of living a healthy life. Providence Healthcare Network has invested significantly in unique, top quality health education programs and materials to accomplish its goals. Support Group Cancer Support Group Cardiac Support Group Childbirth Classes Community Cancer Screenings Community Health Screenings DePaul Mental Health and Addiction Support Groups Diabetes Support Group Pulmonary Support Group Website Educational Materials. All of the above listed support groups are posted on our website www.providence.net. Additionally, we have several service lines that have dedicated websites in order to provide a more convenient way to better educate their patients. Also, several of our service lines highlight preventative educational material. Providence Breast Health Center Our website www.providencebhc.com provides resources that encourage women to be proactive in maintaining their breast health. It includes such information as facts and figures and credible links to national organizations with preventative breast cancer information. Providence DePaul Center Our psychiatric and substance abuse treatment division posts the schedule for monthly education seminars on mental health topics and posts supports groups offered to assist in mental health. Providence Stroke Center Our Stroke Center website page highlights the signs & symptoms of a stroke, the risk factors and also provides links to other important national organizations that provide additional in-depth preventative information. Providence Joint Camp Joint Camp is a comprehensive and coordinated effort that involves everyone from admission clerks and lab personnel to nurses and dietary staff. From the very first pre-surgery visit to the actual surgery, and on to recovery, the Joint Camp at Providence provides comprehensive care that patients can trust.
Schedule H, Part I, Line 7 COMMUNITY BENEFIT OVERVIEW	Providence Healthcare Network provides a full range of care, including: outpatient care, inpatient care, emergency services, long-term care, mental health care, chemical dependency treatment, pediatric care and senior adult care services and more. Providence Health Alliance Inc. is the part of Providence Healthcare Network that operates nineteen physician clinics that serve Waco and the six surrounding counties. The Providence Clinics accept all payors to provide complete health care for individuals and families. The clinics' team of dedicated health professionals provides a diverse range of services; from routine physicals and preventive medicine, to more complex matters of illness and injury. The clinic specialties include Family Practice, Internal Medicine, Obstetrics/Gynecology, Psychiatry, Pulmonary, Psychotherapy, Pain Management, Neuro, Urgent Care and Pediatric Medicine. Providence Healthcare Network also includes Providence Health Services of Waco Inc. (74-1109636) which operates Providence Health Center (acute care), Providence Park (residential, skilled nursing, and long-term care), and DePaul Center (psychiatric care). Providence Healthcare Network also includes Providence Foundation, Inc. (74-2683112), which is the fundraising division of Providence Healthcare Network and is responsible for the acquisition of capital equipment and advanced technology. Providence Health Services of Waco, Inc. and Providence Foundation, Inc. file separate IRS Forms 990. The following information pertains to Providence Healthcare Network: This report illustrates the significant degree to which Providence Healthcare Network contributes to the positive health status of the communities it serves. As a member of Ascension, the largest nonprofit health system in the U.S. and the world's largest Catholic health system, Providence Healthcare Network continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. Ascension directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing, and dedicates its resources to spiritually-centered care which sustains and improves the health of the communities it serves. In accordance with Ascension's mission of service to those who are poor and vulnerable, each Health Ministry accepts patients regardless of their ability to pay.
Schedule H, Part I, Line 7 CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST - PART II	Providence Diabetes Management Center Our mission is supported through a diabetic self-care program that is easily accessed, promotes knowledge, behavioral changes and skills necessary for lifestyle alteration. Our website highlights the following services provided by our Diabetes team: Diabetes Self-Management Training, Individual Consultations o Insulin Therapy Initiation, Medical Nutrition Therapy, Gestational Diabetes Education, Diabetes Support Group Charitable Contributions to Community Organizations Providence Healthcare Network provides charitable support to many various organizations within our community. Our mission directs us to serve all persons, particularly the poor and vulnerable, toward improving the health of individuals and communities. We feel it is our calling to support those organizations that serve this same purpose. Listed below are just a few of those organizations that receive charitable contributions from our Ministry. Advocacy Center for Crime Alzheimer's Association, American Cancer Society, American Heart Association, Avance Baylor University Care, Net Pregnancy Center, Caritas of Waco, Compassion Ministries Family Health Center, Family Abuse Center, Girl Scouts of America, Greater Waco Interfaith, Greater Waco Chamber of Commerce, Greater Hewitt Chamber of Commerce, March of Dimes, McLennan County Medical Society, Midway ISD, Mended Hearts Mission Waco, St. Louis Catholic Church, Waco ISD Education Foundation, Waco Senior League. Participation in Charitable or Public Benefit Programs Providence Healthcare Network associates actively participate year round with several organizations in our community. Listed below are several ways the associates at our Ministry get involved. American Heart Association - As the Presenting Sponsor American Heart Association Heart Walk, Providence provides substantial financial support which aides their fight against our country's No.1 and No. 3 causes of death: heart disease and stroke. Furthermore, our participation in the annual Heart Walk not only raises awareness, but also raises significant funds to support a variety of AHA research and educational programs. Carter Blood Care - Providence hosts and Providence associates participate in six onsite blood drives throughout the year. The blood units that Carter Blood Care collects supports patient care both at Providence and in surrounding communities. Partners in Education - For over 30 years, Providence has partnered with Brook Avenue Elementary to provide positive role models that help to grow students' confidence and inspire them to succeed. From career days, health fairs, and incentive programs, to Storybook Christmas, caroling, field day and a Pen Pal Program, our associates participate year-round with the 4th grade students to assist in their developmental success in school work and social skills. American Cancer Society - Providence has an associate team at the local Relay for Life event. March of Dimes - Providence associates participate with several teams at the March for Babies Walk each year in the spring. Mission Waco Toy Drive - Associates donate new, unwrapped toys to the toy drive each year which benefits families in need during the holiday season. Food for Families Food Drive - Providence associates donate thousands of pounds of non-perishable food items each year. These generous donations help stock the shelves of the Caritas food pantry which provides food to those in need year-round. Storybook Christmas - Providence donates new, age-appropriate books to our partner school, Brook Avenue Elementary. Pharmaceutical Assistance Program - Providence coordinates free medications and assistance with co-pays to those that qualify. Medications and support donated by various pharmaceutical companies. National Red Ribbon Week - Each year, Providence Healthcare Network partnering with Region 12 Service Center sponsor National Red Ribbon Week in our community schools. It is our goal is to assist schools in helping all students grade PK through 12 to be aware of the dangers of drugs and the benefits of living a healthy, drug-free lifestyle. The Red Ribbon Wrist bands are an effective way of reminding kids to "Band Together Against Drugs." 70,000 red ribbon wrist bands are distributed to approximately 300 schools in McLennan and contiguous counties each year.
Schedule H, Part I, Line 7 CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST - PART III	Medical Research Providence Healthcare Network furthers its Mission by contributing funds and personnel to support eight clinical trials that help advance medical care. The M. Brian Aynesworth Research Center posts its research projects and their general purpose on the Providence Healthcare Network website www.providence.net . Research projects include: ARTEMIS, BIOFLEX-1, Liberty 360, PACE-MI, SILVER - AMI, Gloria A - FIB, IN.PACT SFA11, and MACE Medical Education. Providence Healthcare Network believes that, in order to provide the best health care to the community, its clinical personnel must receive ongoing medical education. Listed below are classes, seminars, and materials that our Ministry has provided to its medical residents and staff: Clinical Staff activities- In honor of James W. Jolliff M.D., this annual memorial endowment seminar is free of charge and is designed for healthcare professionals in the mental health field including: physicians, psychologists, licensed professional counselors, social workers, registered nurses and other mental health professionals. Through a lecture presentation, followed by a question and answer session and evaluation, the information provided during the seminars is intended to broaden the healthcare professional's knowledge to improve psychotherapeutic interventions, resulting in quality healthcare to the patient. Information about the seminar is sent to mental health professionals in McLennan and contiguous counties. Average of 120-150 people attend each year in the fall. Summary: Providence Healthcare Network furthers its charitable purposes by providing a broad array of services to meet the healthcare needs of patients and organizations in the community. We provide essential medical services to the community, train and recruit healthcare professionals to serve the needs of the broader community, provide appropriate charity services to those patients who are not able to pay for their own healthcare needs, provide services to other organizations that allow them to provide quality services to their patients or constituents, and present education information classes and activities to the community in order to improve its overall health status.
Schedule H, Part I, Line 7g Subsidized Health Services	THE ORGANIZATION EMPLOYS ITS PHYSICIANS AT PHYSICIAN CLINICS, SO THE ASSOCIATED COSTS AND CHARGES RELATING TO THOSE PHYSICIAN SERVICES ARE INCLUDED IN ALL RELEVANT CATEGORIES IN PART I.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COST OF PROVIDING CHARITY CARE, MEANS TESTED GOVERNMENT PROGRAMS, AND COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE: INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF-PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR CERTAIN CATEGORIES IN THE TABLE, THIS WAS A COST ACCOUNTING SYSTEM; IN OTHER CATEGORIES, A SPECIFIC COST-TO-CHARGE RATIO WAS APPLIED.
Schedule H, Part II Community Building Activities	PROVIDENCE HEALTHCARE NETWORK ACTIVELY PARTICIPATES YEAR ROUND WITH SEVERAL ORGANIZATIONS IN OUR COMMUNITY. OUR MINISTRY BELIEVES THAT IT'S ESSENTIAL TO SUPPORT LOCAL ORGANIZATIONS FINANCIALLY AS WELL AS ENSURING THAT OUR ASSOCIATES ARE ENGAGED WITH THEM ACTIVELY. BY HAVING OUR ASSOCIATES ENGAGED AND ON-SITE AT EVENTS, WE LEAD BY EXAMPLE THAT LIVING A HEALTHY LIFESTYLE IS CRITICAL TO OUR COMMUNITY'S FUTURE. OUR ASSOCIATES ARE PASSIONATE ABOUT ADDRESSING THE MOST BASIC NEEDS IN OUR COMMUNITY AND FEEL THAT GETTING INVOLVED ALLOWS THEM A WAY TO AFFECT THE MOST PEOPLE. WE ARE PROMOTING GOOD, HEALTHY LIFESTYLES IN THE COMMUNITY THAT WE SERVE AND ALSO LIVE IN WHEN ACTIVELY PARTICIPATING AND CAN BETTER IDENTIFY OTHER AREAS OF NEED THAT NEED TO BE ADDRESSED. EXAMPLES OF ORGANIZATIONS WE ARE ACTIVELY INVOLVED WITH AS WELL AS PROGRAMS WE INITIATE THAT PROVIDE DIRECT SUPPORT TO OUR COMMUNITY ARE LISTED BELOW: -AMERICAN HEART ASSOCIATION -CARTER BLOOD CARE -AMERICAN CANCER SOCIETY -MARCH OF DIMES -AARP TAX AIDE -FOOD FOR FAMILIES -MISSION WACO TOY DRIVE -STORY BOOK CHRISTMAS -NATIONAL RED RIBBON WEEK -LEADERSHIP WACO
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. AFTER APPLYING THE COST-TO-CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE IN FISCAL YEAR 2015 WAS $34,114,343 AT CHARGES ($11,037,613 AT COST).
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING ECONOMIC CONDITIONS, HISTORICAL EXPERIENCE, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, INCLUDING THOSE AMOUNTS NOT COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE SYSTEM.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE ORGANIZATION IS PART OF THE ASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSES THE BAD DEBT EXPENSE IS LOCATED ON PAGE 19.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	THE ORGANIZATION HAS A WRITTEN DEBT COLLECTION POLICY THAT ALSO INCLUDES A PROVISION ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, CERTAIN COLLECTION PRACTICES DO NOT APPLY.
Schedule H, Part VI, Line 2 Needs assessment	OUR COMMUNITY NEEDS ASSESSMENT IS CONDUCTED EVERY THREE YEARS, MOST RECENTLY IN APRIL 2013. IN AN EFFORT TO UNDERSTAND THE HEALTH NEEDS OF RESIDENTS OF MCLENNAN COUNTY, OUR MINISTRY PARTNERED WITH OTHER HEALTHCARE ENTITIES TO PROVIDE A COMPREHENSIVE AND UNBIASED PROFILE OF MCLENNAN COUNTY. THIS HEALTHCARE PARTNERSHIP INCLUDED THE FAMILY HEALTH CENTER, THE HEART OF TEXAS REGIONAL ADVISORY COUNCIL (HOTRAC), HILLCREST BAPTIST MEDICAL CENTER - SCOTT AND WHITE HEALTHCARE, PROVIDENCE HEALTHCARE NETWORK, AND WACO-MCLENNAN COUNTY PUBLIC HEALTH DISTRICT. ON BEHALF OF THIS HEALTHCARE PARTNERSHIP, HOTRAC CONTRACTED WITH THE UNIVERSITY OF NORTH TEXAS SURVEY RESEARCH CENTER TO CONDUCT A SURVEY OF MCLENNAN COUNTY RESIDENTS. THE SURVEY WAS DESIGNED TO PROVIDE INFORMATION ON A NUMBER OF HEALTH-RELATED CONCERNS IN THE FOLLOWING TOPIC AREAS: - GENERAL, PHYSICAL, MENTAL, AND EMOTIONAL HEALTH STATUS; - HEALTHCARE ACCESS ISSUES SUCH AS HEALTH INSURANCE, DENTAL INSURANCE, AS WELL AS CHILD CARE ISSUES; - HEALTH AWARENESS OF SEVERAL HEALTH CONDITIONS; - BEHAVIORS THAT AFFECT HEALTH; AND - EMERGENCY PREPAREDNESS. MANY OF THE QUESTIONS IN THE SURVEY WERE MODELED AFTER THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM QUESTIONNAIRE (BRFSS) AND OTHER QUESTIONNAIRE SOURCES. DURING THE MONTHS OF JANUARY AND FEBRUARY 2013, A NEEDS ASSESSMENT SURVEY WAS ADMINISTERED TO RESIDENTS OF MCLENNAN COUNTY. THE SURVEY WAS THE FOURTH SURVEILLANCE SURVEY CONDUCTED BY THE UNIVERSITY OF NORTH TEXAS SURVEY RESEARCH CENTER OF MCLENNAN COUNTY (SRC). PREVIOUS SURVEYS WERE CONDUCTED IN 2001, 2006 AND 2009. FOR THE SECOND TIME, A CELL PHONE SAMPLING FRAME WAS INCLUDED. WEIGHTS WERE APPLIED TO THE 2013 DATA AND REVISED FOR 2009 DUE TO METHODOLOGICAL ADVANCEMENTS IN DUAL-FRAME WEIGHTING PROCEDURES. A TOTAL OF 730 INTERVIEWS WERE CONDUCTED AND ANALYZED - 371 WITH PEOPLE USING A LANDLINE AND 359 WITH PEOPLE USING A CELL PHONE. THE SRC PROVIDED STATISTICAL ANALYSIS OF THE SURVEY DATA TO HELP IDENTIFY LOCAL HEALTH NEEDS, TO DETERMINE PRIORITY HEALTH NEEDS FOR MCLENNAN COUNTY AND TO ASSIST IN DEVELOPING A PLAN OF ACTION. OVERALL, THE 2013 COMMUNITY NEEDS ASSESSMENT FOR MCLENNAN COUNTY REVEALED THAT THE MAJORITY OF RESPONDENTS (78.9 PERCENT) ARE IN GOOD OR BETTER HEALTH, AND IT REVEALED THREE KEY FINDINGS. THESE AREAS OF SPECIFIC NEEDS INCLUDED DENTAL AND INSURANCE COVERAGE LAPSES, A DECLINE IN PREVENTATIVE TESTS DESIGNED TO PROMOTE WOMEN'S HEALTH, AND DIABETES CARE AND MANAGEMENT. OUR MINISTRY IS TAKING STEPS TO ADDRESS THESE NEEDS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Providence Healthcare Network is prepared to educate and qualify patients for financial assistance as needed. Financial assistance counselors meet with all self-pay patients and screen them for potential government benefits. They assist them with the charity care application as well as work with them to establish eligibility for governmental benefits. Our counselors receive extensive training on how to qualify patients for assistance under federal, state or local government programs. They are also bi-lingual in both English and Spanish. A summary of our charity care policy is provided to patients during the intake and discharge process.
Schedule H, Part VI, Line 4 Community information	Providence Healthcare Network is located in Waco, Texas and serves McLennan County (pop. 243,441) and the six contiguous counties which include Hill (pop. 34,848), Bosque (pop. 17,780), Limestone (pop. 23,524), Falls (pop. 17,493), Bell (pop. 329,140), and Coryell (pop. 75,562). Waco (pop. 130,194), known as the education and consumer center of Texas, is our primary service area and is located along Interstate 35 in Central Texas, equidistant from Dallas/Ft. Worth and Austin (90 miles). Waco is served by two not for profit hospitals, Providence Healthcare Network and Hillcrest Baptist Medical Center. In McLennan County, 19.7%* of households live at or below federal poverty guidelines; median income is $42,544; uninsured and under-insured persons comprise 23.2% of the population; and 42.7%* of our county's population is minority and 19.3%* speak a language other than English at home, with Spanish being the predominant other language. In FY15, our Ministry served 15,093 patients and provided $20.5 million in traditional charity care, and $12 million in unpaid costs of public programs. *source: U.S. Census Bureau
Schedule H, Part VI, Line 5 Promotion of community health	Providence Healthcare Network strives to improve the physical, mental, social, and spiritual health status of its surrounding community. Along with providing healthcare services to all that require medical attention, our ministry believes that it is crucial to educate the community on the types of behavior that improves their chances of living a healthy life. Providence Healthcare Network has invested significantly in unique, top quality community health improvement/education programs and materials to accomplish its goals which include: - Social service and support counseling for patients and families - Pastoral care - Space for community groups to use at no charge - Annual free health screenings - Employee and Administration active involvement on community boards and associations - Mentoring children through year round partnerships with local elementary schools - Ongoing clinical research to help advance medical care - Ongoing educational programs for internal and external medical/clinical staff - Comprehensive and interactive website - Charitable financial support of many local and national non-profit organizations - Collaboration with health department and other local hospitals to identify community needs and address community problems - Free mammograms for uninsured and underinsured women - Trained financial assistance counselors available to identify eligibility for government benefits - Hospital volunteers receive extensive training by AARP to provide free tax preparation to the needy and underserved in our community - Free or no-cost medications provided to those persons that qualify - Flu shots offered at reduced prices for the general community and free to employees and their families - Disaster readiness support provided locally and globally - Year round CPR Life Support Course provided for free to the community - Active volunteer Services Department providing the opportunity for persons in the community to come together and combine their compassion, skills and talent to make a difference in the lives of our patients and families, employees, physicians and clinical staff Through each of these diverse community outreach support efforts, Providence Healthcare Network provides a significant impact on the overall well-being of the community while increasing access to health care services and reducing health care costs.
Schedule H, Part VI, Line 6 Affiliated health care system	Providence Healthcare Network proudly serves as a member of Ascension Health, the nation's largest Catholic and largest not-for-profit health system. Since being founded by the Daughters of Charity in 1905 as a ministry to the suffering, Providence Healthcare Network and its affiliated divisions have been dedicated to providing accessible, safe, and quality healthcare to all patients regardless of their ability to pay. Providence is a comprehensive healthcare network that operates several facilities including the Health Center, DePaul Center, Home Care/Durable Medical Equipment, Providence Park and 17 clinics in the Waco, Texas area. Network-wide in FY15, our Ministry provided almost $10 million in community health services, professional education, subsidized health care, research, financial contributions, and other community building activities.

Schedule H (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

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
Providence Health Services of Waco

Employer identification number
74-1109636

Part I

General Information on Grants and Assistance

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? ....................................

Yes No

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	(h) Purpose of grant or assistance
(1) American Cancer Society Inc N19 W24350 Riverwood Dr Waukesha,WI53188	13-1788491	501(c)(3)	6,000	SPECIAL EVENT
(2) American Cancer Society Midwest Division 1700 Lake Success Dr Waco,TX76710	41-0724036	501(c)(3)	18,000	Special Event
(3) American Heart Association Inc 10900-B Stonelake Blvd Austin,TX78759	13-5613797	501(c)(3)	36,500	Special Event
(4) Diocese of Austin 6625 E Highway 290 Austin,TX78723	74-1542827	501(c)(3)	10,000	Special Event
(5) Extraco Events Center 4601 Bosque Blvd Waco,TX76710	74-1172561	501(c)(3)	8,450	Special Event-H.O.T. Fair
(6) Greater Waco Collective Impact Initiative 4901 Bosque Blvd Waco,TX76710	46-5714986	501(c)(3)	25,000	Special Event
(7) Junior League of Waco Inc 2600 Austin Ave Waco,TX767107420	74-6046993	501(c)(3)	5,000	Special Event
(8) Providence Foundation Inc 6901 Medical Pkwy Waco,TX76712	74-2683112	501(c)(3)	10,600	Operating Support
(9) Texas Museums and Halls of Fame Foundation 1108 S University Parks Dr Waco,TX76706	74-2603242	501(c)(3)	25,000	Special Event
(10) Waco Chamber of Commerce PO Box 1220 Waco,TX76703	74-0967440	501(c)(3)	62,555	Special Event
(11) Waco Family Practice Foundation 1600 Providence Dr Waco,TX76707	74-2446071	501(c)(3)	14,150	Special Event
(12) YMCA of Central Texas 6800 Harvey Dr Waco,TX76710	74-2668685	501(c)(3)	11,000	Special Event
(13) SOCT 2950 50th Street Lubbock,TX79413	32-0316424	501(C)(3)	14,137,427	COMMUNITY GRANTS

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

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

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

Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds

When grant or sponsorship requests are submitted, each request is reviewed by the marketing team to determine if the request meets one or more of the following criteria: - How does the request fit with our mission of providing charity care to our community? - How does the request support health related issues within our community? - Will this request be financially sustainable from year to year? - Is the organization/company making the request a member of the Greater Waco Chamber of Commerce? For approved requests, the appropriate forms are filled out and signed by the Vice President of Marketing. The documents are then forwarded to accounting for processing. Records are maintained of amounts spent and are regularly reviewed to ensure compliance.

Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.

Schedule I (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

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

Providence Health Services of Waco

Employer identification number

74-1109636

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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....

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? ..

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

Yes

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 .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1BRETT A ESROCK CEO	(i) (ii)	421,000 ............................... 0	214,540 ............................... 0	156,762 ............................... 0	7,800 ............................... 0	22,152 ............................... 0	822,254 ............................... 0	0 ............................... 0
2KAREN RICHARDSON CFO	(i) (ii)	250,751 ............................... 0	33,495 ............................... 0	74,252 ............................... 0	6,953 ............................... 0	16,499 ............................... 0	381,949 ............................... 0	0 ............................... 0
3TIMOTHY M BARRETT CMO	(i) (ii)	319,722 ............................... 0	42,759 ............................... 0	178,324 ............................... 0	7,800 ............................... 0	22,912 ............................... 0	571,517 ............................... 0	0 ............................... 0
4ROBERT E BUCK VP	(i) (ii)	187,907 ............................... 0	12,961 ............................... 0	69,264 ............................... 0	5,707 ............................... 0	10,317 ............................... 0	286,156 ............................... 0	0 ............................... 0
5STEVEN PROVINCE COO	(i) (ii)	127,676 ............................... 0	0 ............................... 0	32,839 ............................... 0	3,600 ............................... 0	6,245 ............................... 0	170,360 ............................... 0	0 ............................... 0
6SAMUEL E ABERNATHY PHARMACIST	(i) (ii)	175,268 ............................... 0	0 ............................... 0	920 ............................... 0	5,361 ............................... 0	16,178 ............................... 0	197,727 ............................... 0	0 ............................... 0
7KURT W KURTZ PHARMACIST	(i) (ii)	157,537 ............................... 0	5,000 ............................... 0	7,835 ............................... 0	4,840 ............................... 0	18,964 ............................... 0	194,175 ............................... 0	0 ............................... 0
8TERRY J RATLIFF PHARMACIST	(i) (ii)	165,701 ............................... 0	0 ............................... 0	2,995 ............................... 0	4,892 ............................... 0	18,958 ............................... 0	192,546 ............................... 0	0 ............................... 0
9CHARLES E SIVESS VP-CHRO-MINISTRY	(i) (ii)	160,775 ............................... 0	16,233 ............................... 0	43,704 ............................... 0	4,550 ............................... 0	18,733 ............................... 0	243,995 ............................... 0	0 ............................... 0
10LUCI ZAHRAY PHARMACIST	(i) (ii)	164,522 ............................... 0	0 ............................... 0	505 ............................... 0	4,917 ............................... 0	7,652 ............................... 0	177,596 ............................... 0	0 ............................... 0

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
Schedule J, Part I, Line 3 USED TO ESTABLISH CEO COMPENSATION	ASCENSION HEALTH, A RELATED ORGANIZATION OF PROVIDENCE HEALTH SERVICES OF WACO, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/PRESIDENT: - COMPENSATION COMMITTEE - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	Eligible executives participate in various non-qualified deferred compensation plans organized under code 457(f). Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid.
Schedule J, Part I, Line 7 Non-fixed payments	Officers of the Providence Health Services of Waco Management Council received a bonus in FY15. A bonus schedule was presented and approved by the board prior to distribution. No formal bonus plan is documented or in use.

Schedule J (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (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

Providence Health Services of Waco

Employer identification number

74-1109636

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2014

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) JANA WHITAKER	FAMILY MEMBER OF BOARD CHAIR	107,893	EMPLOYMENT		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
Schedule L, Part V RELATIONSHIP TO INTERESTED PERSON	JANA WHITAKER IS A FAMILY MEMBER TO HAL M. WHITAKER (BOARD CHAIR) AND IS EMPLOYED BY PROVIDENCE HEALTH SERVICES OF WACO.

Schedule L (Form 990 or 990-EZ) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

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

Providence Health Services of Waco

Employer identification number

74-1109636

Return Reference	Explanation
Form 990, Part V, Line 1a Independent Contractor Reporting	Compensation of independent contractors is paid by and reported on the Form 1096, Annual Summary and Transmittal of U.S. Information Returns, of Ascension Health (31-1662309). Expenses are allocated to and reimbursed by the filing organization to Ascension Health. As such, the organization has not reported independent contractors paid on Form 990, Part VII, Section B.
Form 990, Part VI, Line 15a COMPENSATION REVIEW PROCESS	IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS, PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF PROVIDENCE HEALTH SERVICES OF WACO, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 6 Classes of members or stockholders	Providence Health Services of Waco has a single corporate member, Ascension Health.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	Providence Health Services of Waco has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of Providence Health Services of Waco.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	All decisions that have a material impact to Providence Health Services of Waco's financial information or corporation as a whole are subject to approval by its sole corporate member, Ascension Health.
Form 990, Part VI, Line 11b Review of form 990 by governing body	Due to time constraints caused by unexpected delays in receiving certain critical filing information, the return was reviewed by system leadership in lieu of the traditional review by the Board Members.
Form 990, Part VI, Line 12c Conflict of interest policy	DUTY TO DISCLOSE: IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE TRUSTEES, OR TO THE MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS, CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. SUCH DISCLOSURE SHALL BE MADE EITHER THROUGH THE ANNUAL QUESTIONNAIRE REQUIRED UNDER "ANNUAL STATEMENT" OR WHEN A CONFLICT NOT DISCLOSED ON THE QUESTIONNAIRE OTHERWISE ARISES. The annual statements are reviewed by the compliance department to ensure no conflicts of interest exist.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	Compensation determinations of Providence Health Services of Waco's other officers and key employees are made by Providence Health Services of Waco's management. In determining compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review of the compensation, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same position.
Form 990, Part VI, Line 19 Required documents available to the public	Organization provides governing documents, conflict of interest policy, and financial statements to the public upon request.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	All Other - Total Revenue: 331154, Related or Exempt Function Revenue: 331154, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Purchased Services - Medical - Total Expense: 2715247, Program Service Expense: , Management and General Expenses: 2715247, Fundraising Expenses: ; Purchased Services - Non-Medical - Total Expense: 21968817, Program Service Expense: 21968817, Management and General Expenses: , Fundraising Expenses: ; Other Professional Fees - Total Expense: 15850315, Program Service Expense: 15850315, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Change in Pension/Retirement Cost - -5562303; Transfer to/From Affiliates I/C Co - -5654761; Other Net Asset Activity - 737847;

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:	14000329
Software Version:	2014v1.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach 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

Providence Health Services of Waco

Employer identification number

74-1109636

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

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?
(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	Yes	No
(1) PROVIDENCE FOUNDATION INC 6901 MEDICAL PKWY WACO,TX76712 74-2683112	SUPPORT CHARITABLE PURPOSE OF PHSW	TX	501(c)(3	Type I	PROVIDENCE HEALTH SERVICES OF WACO	Yes
(2) PROVIDENCE HEALTH ALLIANCE 6901 MEDICAL PKWY WACO,TX76712 74-2696970	PHYSICIAN PRACTICES	TX	501(c)(3	3	PROVIDENCE HEALTH SERVICES OF WACO	Yes
(3) ASCENSION HEALTH PO BOX 45998 SAINT LOUIS,MO63145 31-1662309	HEALTHCARE	MO	501(c)(3	Type I	ASCENSION HEALTH ALLIANCE		No
(4) ASCENSION HEALTH ALLIANCE PO BOX 45998 SAINT LOUIS,MO63145 45-3358926	NATIONAL HEALTH SYSTEM	MO	501(c)(3	Type I	NA		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

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	(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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No

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

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 . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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
(1) Providence Health Alliance	J	436,525	FMV
(2) Ascension Health	R	5,654,763	FMV
(3) Providence Foundation	S	482,599	FMV

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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

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

Software ID:	14000329
Software Version:	2014v1.0

1	Briefly describe the organization’s mission or most significant activities: Our Catholic health ministry is dedicated to spiritually centered, holistic care which sustains and improves the health of individuals and communities. In furtherance of its mission and in an effort to reduce the government's financial burden, Providence Health Services of Waco provides essential health care services such as outpatient clinics, emergency room and ambulatory facilities that serve low income patients as well as community services. Providence Foundation provides funding for capital projects in support of this mission.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	2,629
6	Total number of volunteers (estimate if necessary) .............	6	10
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	327,638
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	47,232

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	59,770	49,797
9	Program service revenue (Part VIII, line 2g) .........	251,550,464	271,078,855
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	7,596,114	6,523,777
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	8,600,503	7,696,598
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	267,806,851	285,349,027
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	8,325,664	14,369,682
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)	106,259,993	109,776,694
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	129,989,254	120,183,493
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	244,574,911	244,329,869
19	Revenue less expenses. Subtract line 18 from line 12.......	23,231,940	41,019,158
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	429,641,107	391,264,772
21	Total liabilities (Part X, line 26).............	157,022,285	95,653,280
22	Net assets or fund balances. Subtract line 21 from line 20.....	272,618,822	295,611,492

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 210,143,904 including grants of $ 14,369,682 ) (Revenue $ 275,852,976 )
	PROVIDENCE HEALTHCARE NETWORK PROVIDES A FULL RANGE OF CARE, INCLUDING: OUTPATIENT CARE, INPATIENT CARE, EMERGENCY SERVICES, LONG-TERM CARE, MENTAL HEALTH CARE, CHEMICAL DEPENDENCY TREATMENT, PEDIATRIC CARE, SENIOR ADULT CARE SERVICES, AND MORE. PLEASE SEE SCHEDULE H FOR THE FULL COMMUNITY BENEFIT REPORT.

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 expenses210,143,904

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	3,023,246	0	215,030

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)		(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
(A) Name and Title
(18) TERRY J RATLIFF PHARMACIST	40.00 .......................0	X	168,696	0	23,850
(19) CHARLES E SIVESS VP-CHRO-MINISTRY	40.00 .......................0	X	220,712	0	23,283
(20) LUCI ZAHRAY PHARMACIST	40.00 .......................0	X	165,027	0	12,569

(A) Name and business address	(B) Description of services	(C) Compensation





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 0

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e		49,797

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			49,797
			Business Code
2a	Net Patient Revenue		624100	271,078,855	270,751,217	327,638
b
c
d
e
f	All other program service revenue .			0	0	0	0
g	Total. Add lines 2a–2f........			271,078,855
3	Investment income (including dividends, interest, and other similar amounts).......			6,622,812			6,622,812
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	577,409
b	Less: rental expenses
c	Rental income or (loss)	577,409	0
d	Net rental income or (loss).......			577,409			577,409
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		148,028
b	Less: cost or other basis and sales expenses		247,063
c	Gain or (loss)	0	-99,035
d	Net gain or (loss)..........			-99,035			-99,035
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..
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...
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..
Miscellaneous Revenue			Business Code
11a	Pharmacy Sales		900099	2,939,582	2,939,582
b	Cafeteria Sales		900099	2,017,430			2,017,430
c	Misc. Other		900099	1,831,023	1,831,023
d	All other revenue ....			331,154	331,154	0	0
e	Total. Add lines 11a–11d ......			7,119,189
12	Total revenue. See Instructions......			285,349,027	275,852,976	327,638	9,118,616


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............				1
2	Savings and temporary cash investments .........			994,477	2	409,386
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			39,458,282	4	41,746,890
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
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
				0	6
7	Notes and loans receivable, net .............			1,452,096	7	965,976
8	Inventories for sale or use ..............			4,568,417	8	5,284,655
9	Prepaid expenses and deferred charges ..........			1,243,184	9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	239,209,246
b	Less: accumulated depreciation .....	10b	146,247,535	99,771,173	10c	92,961,711
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 .....			0	13
14	Intangible assets ...............			5,762,013	14	6,530,239
15	Other assets. See Part IV, line 11 ...........			276,391,465	15	243,365,915
16	Total assets. Add lines 1 through 15 (must equal line 34)......			429,641,107	16	391,264,772
17	Accounts payable and accrued expenses .........			20,686,220	17	21,558,686
18	Grants payable .................				18
19	Deferred revenue ................			2,662,820	19	2,260,811
20	Tax-exempt bond liabilities .............				20
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..........			0	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....................			133,673,245	25	71,833,783
26	Total liabilities. Add lines 17 through 25.........			157,022,285	26	95,653,280
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			271,997,172	27	294,985,132
28	Temporarily restricted net assets ...........			621,650	28	626,360
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........			272,618,822	33	295,611,492
34	Total liabilities and net assets/fund balances ........			429,641,107	34	391,264,772