STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

WARREN CLINIC INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
WARREN CLINIC INC (EIN 73-1310891)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-13
IRS object ID
202421349349307957
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-13T15:31:19-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12323 VICTORY AVENUE SUITE 2000AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75219ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN731310891EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Warren Clinic IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DEBORAH DAGEInCareOfNm
Business Name ControlWARRBusinessNameControlTxt
Phone9184948418PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16600 S Yale Ave Suite 400AddressLine1Txt
CityTulsaCityNm
State AbbreviationOKStateAbbreviationCd
ZIP741363319ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDeborah DagePersonNm
Person TitleTREASURER/CFOPersonTitleTxt
Phone9184948418PhoneNum
Signature2024-05-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDeborahPersonFirstNm
Person LastDagePersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonStephanie LewPreparerPersonNm
PTINP01080011PTIN
Phone2149698000PhoneNum
Preparation2024-05-02PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDeborah DagePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16161 S Yale AveAddressLine1Txt
CityTulsaCityNm
State AbbreviationOKStateAbbreviationCd
ZIP741363319ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$231,949,459GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://WWW.SAINTFRANCIS.COM/WARRENWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionTo extend the presence and healing ministry of Christ in all we do.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee1885TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$20,000PYContributionsGrantsAmt
CY Contributions Grants$10,000CYContributionsGrantsAmt
PY Program Service Revenue$211,940,195PYProgramServiceRevenueAmt
CY Program Service Revenue$216,023,013CYProgramServiceRevenueAmt
PY Investment Income-$21,341PYInvestmentIncomeAmt
CY Investment Income$1,291,001CYInvestmentIncomeAmt
PY Other Revenue$10,110,004PYOtherRevenueAmt
CY Other Revenue$14,170,674CYOtherRevenueAmt
PY Total Revenue$222,048,858PYTotalRevenueAmt
CY Total Revenue$231,494,688CYTotalRevenueAmt
PY Grants And Similar Paid$6,550PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,550CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$219,556,550PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$235,574,493CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$59,129,180PYOtherExpensesAmt
CY Other Expenses$70,402,024CYOtherExpensesAmt
PY Total Expenses$278,692,280PYTotalExpensesAmt
CY Total Expenses$305,978,067CYTotalExpensesAmt
PY Revenues Less Expenses-$56,643,422PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$74,483,379CYRevenuesLessExpensesAmt
Total Assets BOY$114,266,290TotalAssetsBOYAmt
Total Assets EOY$142,094,545TotalAssetsEOYAmt
Total Liabilities BOY$110,926,850TotalLiabilitiesBOYAmt
Total Liabilities EOY$143,341,345TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,339,440NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,246,800NetAssetsOrFundBalancesEOYAmt
MissionTO EXTEND THE PRESENCE AND HEALING MINISTRY OF CHRIST IN ALL WE DO.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$274,292,705ExpenseAmt
Grant$1,550GrantAmt
Revenue$230,169,255RevenueAmt
DescWarren Clinic, Inc. and its employee providers provide quality medical healthcare regardless of race, creed, sex, national origin, handicap, age or ability to pay. It has a strong commitment to help meet the needs of the communities it serves. Recognizing this commitment, Warren Clinic, Inc. provides services to both Medicaid and indigent patients. The unreimbursed value of providing care to these patients was $22,315,000 in fiscal year 2023. Warren Clinic, Inc. provides physician services to communities which are designated physician shortage areas. Training for medical students is also provided by Warren Clinic, Inc. physicians.Desc
Total Program Service Expenses$274,292,705TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1885EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDEBORAH DAGEPersonNm
Phone9184948418PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16161 S YALE AVEAddressLine1Txt
CityTulsaCityNm
State AbbreviationOKStateAbbreviationCd
ZIP741363319ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndKey EmployeeKeyEmployeeInd
Scott Dull MD
Physician35.05.0Yes (X)$2,145,020$284,425$53,303
Cliff Robertson
President/CEO/Dir/TRUSTEE1.039.0$0$1,925,421$293,636Yes (X)Yes (X)
Robert Garrett MD
Physician35.05.0Yes (X)$1,750,626$64,200$53,561
Muhammed Janjua MD
Physician40.00.0Yes (X)$1,765,395$0$58,797
Barry L Steichen
Vice President/COO1.039.0$0$1,488,152$191,005Yes (X)
Nikhil Mukhi MD
Physician40.00.0Yes (X)$1,592,801$0$37,556
Johnathon Ledet MD
Physician40.00.0Yes (X)$1,553,562$0$56,985
Deborah D Dage
TREASURER/CFO1.039.0$0$821,905$121,407Yes (X)
Michael J Lissau
Secretary1.039.0$0$584,117$114,049Yes (X)
Eric E Schick
Fmr Treasurer/CFO (term 9/21)1.039.0$0$608,375$0Yes (X)
Collin Henry
Administrator40.00.0$393,748$0$87,425Yes (X)
William R Lissau
Emeritas Director1.00.0$0$0$0Yes (X)
William K Warren Jr
Trustee1.00.0$0$0$0Yes (X)
Judy Kishner
Trustee1.00.0$0$0$0Yes (X)
Jeffrey Smith
Trustee1.00.0$0$0$0Yes (X)
John-Kelly C Warren
Trustee1.00.0$0$0$0Yes (X)
Mike Cooke JD
Director1.00.0$0$0$0Yes (X)
Mike Case
Director1.00.0$0$0$0Yes (X)
Father Gary Kastl
Director1.00.0$0$0$0Yes (X)
Charles W McEntee MD
Director (TERM 12/2022)1.00.0$0$0$0Yes (X)
Tom Cooper
Director1.00.0$0$0$0Yes (X)
Laura Stuemkey MD
Director (Beg 8/2022)1.00.0$0$0$0Yes (X)
Sailatha Thomas MD
Director (Beg 1/2023)1.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,201,152TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,776,595TotReportableCompRltdOrgAmt
Total Other Compensation$1,067,724TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K421IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Crossland Construction Company
833 SE AVENUECOLUMBUSKS66725CONSTRUCTION SVCS$1,270,766
WARREN PROFESSIONAL BUILDING CORP
6565 S YALE AVETULSAOK74136BUILDING RENT$1,097,314
UROLOGIC SPECIALISTS OF OKLAHAMA
10901 E 48TH ST SOTULSAOK74146PHYSICIAN SERVICES$939,841
NOVA VASCULAR SPECIALISTS LLC
1319 SPRINGVALE DRBEL AIRMD21015PHYSICIAN SERVICES$518,906
WEATHERBY LOCUMS INC
5003 South Miami Blvd Suite 400DURHAMNC27703HEALTHCARE SERVICES$404,711
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K28CntrctRcvdGreaterThan100KCnt
All Other Contributions$10,000AllOtherContributionsAmt
Total Contributions$10,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHYSICIAN SERVICES621300$214,813,471$214,813,471
RENTAL INCOME FROM AFFILIATES532000$1,209,542$1,209,542
FieldValueIRS element (for citing)
Total Program Service Revenue$216,023,013TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$55,498TotalRevenueColumnAmt
Exclusion$55,498ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$24,432RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$24,432RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,432TotalRevenueColumnAmt
Exclusion$24,432ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,690,274OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$454,771OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$1,235,503OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,235,503TotalRevenueColumnAmt
Exclusion$1,235,503ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
AFFILIATE REVENUE - BUSINESS OFFICE900099$4,242,935$4,242,935
PROVIDER RELIEF FUND900099$9,902,972$9,902,972
AFFILIATE REVENUE - OTHER900099$335$335
FieldValueIRS element (for citing)
Other Revenue Total$14,146,242OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$231,494,688TotalRevenueColumnAmt
Related Or Exempt Func Income$230,169,255RelatedOrExemptFuncIncomeAmt
Exclusion$1,315,433ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,550TotalAmt
Program Services$1,550ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$495,995TotalAmt
Management And General$495,995ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$252,308TotalAmt
Management And General$252,308ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$206,742,941TotalAmt
Program Services$193,627,521ProgramServicesAmt
Management And General$13,115,420ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,539,564TotalAmt
Program Services$9,302,631ProgramServicesAmt
Management And General$236,933ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,985,528TotalAmt
Program Services$7,057,539ProgramServicesAmt
Management And General$1,927,989ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,558,157TotalAmt
Program Services$9,141,954ProgramServicesAmt
Management And General$416,203ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$63,560TotalAmt
Management And General$63,560ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$11,586TotalAmt
Management And General$11,586ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,334,275TotalAmt
Program Services$7,682,306ProgramServicesAmt
Management And General$3,651,969ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$100,597TotalAmt
Program Services$63,406ProgramServicesAmt
Management And General$37,191ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,816,615TotalAmt
Program Services$3,939,327ProgramServicesAmt
Management And General$877,288ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,918,410TotalAmt
Program Services$880,505ProgramServicesAmt
Management And General$3,037,905ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,852,195TotalAmt
Program Services$11,466,801ProgramServicesAmt
Management And General$1,385,394ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$152,583TotalAmt
Program Services$111,929ProgramServicesAmt
Management And General$40,654ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,231,192TotalAmt
Program Services$1,212,004ProgramServicesAmt
Management And General$19,188ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,908,592TotalAmt
Program Services$3,768,673ProgramServicesAmt
Management And General$1,139,919ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,930,833TotalAmt
Program Services$2,636,072ProgramServicesAmt
Management And General$4,294,761ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$13,413,396$12,832,878$580,518
BAD DEBT EXPENSE$4,624,864$4,624,864$0
ADMINISTRATIVE EXPENSE$4,962,336$4,962,302$34
EMPLOYEE EXPENSE$1,069,166$969,569$99,597

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$11,824TotalAmt
Program Services$10,874ProgramServicesAmt
Management And General$950ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$305,978,067TotalAmt
Program Services$274,292,705ProgramServicesAmt
Management And General$31,685,362ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$134,038BOYAmt
EOY$108,389EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$23,704,968BOYAmt
EOY$28,103,510EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,904,788BOYAmt
EOY$16,168,448EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,255,629BOYAmt
EOY$1,106,168EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$276,548BOYAmt
EOY$461,748EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$79,194,049LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$40,093,933LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$37,582,189BOYAmt
EOY$39,100,116EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$35,408,130BOYAmt
EOY$57,046,166EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$114,266,290BOYAmt
EOY$142,094,545EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$70,045,290BOYAmt
EOY$80,831,686EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$417,587BOYAmt
EOY$297,487EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,463,973BOYAmt
EOY$62,212,172EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$110,926,850BOYAmt
EOY$143,341,345EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,339,440BOYAmt
EOY-$1,246,800EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,339,440BOYAmt
EOY-$1,246,800EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$114,266,290BOYAmt
EOY$142,094,545EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$74,483,379ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$69,897,139OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$11,586OtherActivitiesAmt
Total Lobbying Expenditures$11,586TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1iFormAndLineReferenceDesc
ExplanationWarren Clinic, Inc., through the membership dues paid on behalf of physicians to the American Medical Association and Oklahoma State Medical Association, participates in lobbying and grass roots lobbying activity. It is less than a substantial part of the total expenditures in a taxable year. The lobbying and grass roots lobbying activity are related to legislation affecting Warren Clinic, Inc. and operation of the Warren Clinic, Inc. for its charitable purposes, in particular the promotion of health. "Grass roots lobbying activity" means any attempt by the AHA to influence any legislation by affecting the opinions of the general public or any segment thereof. "Lobbying" means any attempt to influence legislation through communications with any member or employee of a legislative body who may participate in the crafting of legislation.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,102,587OtherCostOrOtherBasisAmt
Book Value$3,102,587BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,281,669OtherCostOrOtherBasisAmt
Depreciation$17,998,504DepreciationAmt
Book Value$17,283,165BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,220,537OtherCostOrOtherBasisAmt
Depreciation$4,483,645DepreciationAmt
Book Value$4,736,892BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,473,749OtherCostOrOtherBasisAmt
Depreciation$17,611,784DepreciationAmt
Book Value$6,861,965BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,115,507OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$7,115,507BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$39,100,116TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
OPERATING LEASES$54,364,001
OTHER LONG TERM RECEIVABLES$454,583
DUE FROM CUSTOMERS$418,622
OTHER ACCRUED ACCOUNTS REC.$1,808,960
FieldValueIRS element (for citing)
Total Book Value Other Assets$57,046,166TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
OPERATING LEASE LIABILITY$47,553,918
PROF LIABILITY INSURANCE RESERVE$14,658,254
FieldValueIRS element (for citing)
Total Liability$62,212,172TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2FormAndLineReferenceDesc
ExplanationAccounting Standards Codification Topic (ASC) 740, Income Taxes, provides guidance regarding recognition, de-recognition, measurement, and disclosure of all tax positions. In accordance with the requirements of ASC 740, Warren Clinic, Inc. identifies and documents uncertain tax positions for all open tax years. If uncertain tax positions are identified, they are analyzed to determine the proper unit of account. Next, they are tested to determine whether a tax asset or a tax liability should be recognized. Warren Clinic, Inc. has assessed its uncertain tax positions and determined they are more likely than not to be fully sustained upon examination. Therefore, no liability or asset for uncertain tax positions needs to be recorded.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Barry L Steichen
Vice President/COO$0$940,504$0$539,867$0$7,781$0$163,863$0$27,142$0$1,679,157$0$0
Eric E Schick
Fmr Treasurer/CFO (term 9/21)$0$608,375$0$0$0$0$0$0$0$0$0$608,375$0$0
Michael J Lissau
Secretary$0$427,784$0$151,605$0$4,728$0$90,423$0$23,626$0$698,166$0$0
Collin Henry
Administrator$290,500$0$101,242$0$2,006$0$70,650$0$16,775$0$481,173$0$0$0
Robert Garrett MD
Physician$1,525,626$64,200$225,000$0$0$0$37,556$0$16,005$0$1,804,187$64,200$0$0
Johnathon Ledet MD
Physician$1,533,062$0$0$0$20,500$0$37,556$0$19,429$0$1,610,547$0$0$0
Scott Dull MD
Physician$2,092,583$284,425$0$0$52,437$0$37,556$0$15,747$0$2,198,323$284,425$0$0
Nikhil Mukhi MD
Physician$1,572,301$0$0$0$20,500$0$37,556$0$0$0$1,630,357$0$0$0
Deborah D Dage
TREASURER/CFO$0$611,574$0$203,660$0$6,671$0$107,906$0$13,501$0$943,312$0$0
Cliff Robertson
President/CEO/Dir/TRUSTEE$0$1,212,901$0$701,260$0$11,260$0$279,506$0$14,130$0$2,219,057$0$0
Muhammed Janjua MD
Physician$1,744,895$0$0$0$20,500$0$37,556$0$21,241$0$1,824,192$0$0$0
Todd Schuster
$0$280,519$0$92,766$0$2,652$0$64,989$0$17,645$0$458,571$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3Warren Clinic, Inc. is an entity of the Saint Francis Health System, Inc. Saint Francis Health System, Inc.'s compensation committee reviews and approves the compensation of the officers.
Schedule J, Part I, Line 4bA select group of highly compensated employees of Saint Francis Health System, Inc., and its related entities, Saint Francis Hospital, Inc., Laureate Psychiatric Clinic and Hospital, Inc., Warren Clinic, Inc., Saint Francis Hospital South, LLC, The Children's Hospital Foundation at Saint Francis, Saint Francis Hospital Vinita, Inc., and Saint Francis Hospital Muskogee, Inc., are eligible to participate in a nonqualified deferred compensation plan under Section 457(b) and 457(f) of the Internal Revenue Code of 1986, as amended under the economic growth and tax relief reconciliation act of 2001. Note: None of the individuals listed on schedule J are compensated as board members of the reporting entity. The reported compensation is for services as employees of the reporting entity or related organization.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonMartina Hum MDPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionMarried to Senior VPRelationshipDescriptionTxt
Transaction$252,308TransactionAmt
TransactionPhysician CompensationTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part IV, Line 1FormAndLineReferenceDesc
ExplanationDr. Martina Hum, an employed physician of Warren Clinic, Inc., is married to Thomas G. Neff, former Senior Vice President of STRATEGIC PLANNING. Dr. Hum's compensation and benefits are reported on Form 990, Part IX, Line 6.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 2bSaint Francis Payroll Services, LLC, EIN 45-0470422, has been authorized to act as a common pay agent under Section 3504 of the Internal Revenue Code for Saint Francis Health System, Inc. effective July 1, 2002, in accordance with revenue procedure 70-6, 1970-1 C.B. 420. Saint Francis Payroll Services, LLC assumed reporting obligations for federal income tax, social security, Medicare withholding tax purposes as well as advance payment of earned income credit for Saint Francis Health System, Inc. and year-end reporting effective July 1, 2002.
Form 990, Part V, Line 15Common Law Employees: Individuals listed as officers of the organization that are paid full time by a related organization are common law employees of Saint Francis Health System, Inc., a separate legal entity. It is the intention of Saint Francis Health System, Inc. and the filing organization to make information accessible and transparent, reporting those Saint Francis Health System, Inc. employees who have officer and key employee responsibilities to the filing organization.
Form 990, Part VI, Line 2Many of the persons listed on Part VII have a "Business Relationship" with each other by virtue of serving on related Saint Francis Health Systems, Inc. entity boards. The organization has determined these associations do not present a conflict of interest. Cliff A. Robertson M.D, an officer and director, served on a board outside of Saint Francis Health System, Inc. William K. Warren, Jr., a trustee, is the father of John Kelly C. Warren, a director and chairman of the board, and has a family relationship. William R. Lissau, a director, has business relationships with William K. Warren, Jr., a trustee. William R. Lissau, a director, is the father of Michael Lissau, an officer, and has a family relationship.
Form 990, Part VI, Section A, Line 3The organization by its bylaws and resolution delegates governance of its operations to the directors of Saint Francis Health System, Inc.
Form 990, Part VI, Line 6The organization has five trustees who elect the Board of Directors.
Form 990, Part VI, Line 7aThe organization has five trustees who elect the Board of Directors.
Form 990, Part VI, Line 7bThe organization delegated authority to Saint Francis Health System, Inc. As such, either the Board of Directors and a majority of the trustees or unanimous trustee approval is required for the sale of corporate assets valued at $10,000,000 or more. Additionally, the members have sole authority to: - Amend the certificate of incorporation - Approve mergers or consolidations - Approve the sale, lease or transfer of all, or substantially all, of the assets of the corporation - Amend the bylaws - Appoint board members - Approve dissolution or revocation of dissolution of the corporation
Form 990, Part VI, Line 11bThe finance committee, a sub-committee of the board of directors of Saint Francis Health System, Inc. has access to the password-protected form 990 online prior to filing with the IRS.
Form 990, Part VI, Line 12cThe organization uses the conflict of interest, whistleblower and record-retention policies of Saint Francis Health System, Inc. A request for information on potential conflicts is solicited annually from directors, trustees and all employees at manager level and above to monitor proposed or ongoing transactions for conflicts of interest and dealing with potential or actual conflicts. The Director, Trustees and Officer/Director with potential conflicts recuse themselves from events that would result in a conflict. One director/officer/trustee, two officers, and one key employee reported potential conflicts that were addressed by the governing body. Conflicts are regularly disclosed and addressed.
Form 990, Part VI, Line 15a and 15bCompensation of officials and key employees are annually reviewed and approved by a committee of directors with guidance from independent consultants and the use of comparative data.
Form 990, Part VI, Section C, Line 19These requests are determined on a case-by-case basis.
Form 990, Part VII, Section A, Line 1The hours per week reported on Form 990, Part VII for officers and directors are the hours spent on the filing entity only. The remaining portion of the 40 hours per week of the officers and directors with related compensation is allocated among the entities reported on Schedule R.
Form 990, Part XI, Line 9The other changes in net assets or fund balances of $69,897,139 are made up of equity transfers from/to related parties.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Saint Francis Health System Inc
6600 S Yale Ave Ste 400TulsaOK74136731501972Health SvcsOK501(c)(3)12B TYPE IINAfalse
Saint Francis Hospital Inc
6600 S Yale Ave Ste 400TulsaOK74136730700090Health SvcsOK501(c)(3)3SFHSYes (true)
Saint Francis Hospital South LLC
6600 S Yale Ave Ste 400TulsaOK74136010603214Health SvcsOK501(c)(3)3SFHSYes (true)
Laureate Psychiatric Clinic & Hospital
6600 S Yale Ave Ste 400TulsaOK74136731308273Health SvcsOK501(c)(3)3SFHSYes (true)
The Children's Hosp Fnd at Saint Francis
6600 S Yale Ave Ste 400TulsaOK74136202843418Health SvcsOK501(c)(3)12A Type ISFHSYes (true)
Saint Francis Hospital Vinita Inc
6600 S Yale Ave Ste 400TulsaOK74136813747248Health SvcsOK501(c)(3)3SFHSYes (true)
SAINT FRANCIS HOSPITAL MUSKOGEE INC
6600 S YALE AVE STE 400TULSAOK74136814322087HEALTH SVCSOK501(C)(3)3SFHSYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
Saint Francis Payroll Services LLC
6600 S Yale Ave Ste 400TulsaOK741363319450470422Common Pay AgentOKSFHSC Corp$0$00.00000Yes (true)
Xavier Insurance Company Inc
76 St Paul st Ste 500BurlingtonVT05401030333599Captive InsuranceVTSFHC Corp$0$00.00000Yes (true)
Saint Francis Health Sys Gen-Prof Liab
PO Box 3038MilwaukeeWI53215756583874Self InsuranceOKSFHSTrust$0$00.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (23 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SAINT FRANCIS HOSPITAL INC
I$169,644Trans Review
SAINT FRANCIS HOSPITAL INC
J$1,420,816Trans Review
SAINT FRANCIS HOSPITAL INC
K$1,253,431Trans Review
SAINT FRANCIS HOSPITAL INC
L$6,831,950Trans Review
SAINT FRANCIS HOSPITAL INC
M$11,068,026Trans Review
SAINT FRANCIS HOSPITAL INC
P$620,352,201Trans Review
SAINT FRANCIS HOSPITAL INC
R$190,079Trans Review
SAINT FRANCIS HOSPITAL INC
S$1,423,853Trans Review
SAINT FRANCIS HOSPITAL INC
Q$546,658,441Trans Review
LAUREATE PSYCHIATRIC CLINIC & HOSPITAL INC
L$380,583Trans Review
LAUREATE PSYCHIATRIC CLINIC & HOSPITAL INC
P$22,468,185Trans Review
LAUREATE PSYCHIATRIC CLINIC & HOSPITAL INC
Q$22,768,865Trans Review
SAINT FRANCIS HOSPITAL MUSKOGEE INC
K$334,217Trans Review
SAINT FRANCIS HOSPITAL MUSKOGEE INC
P$16,711,415Trans Review
SAINT FRANCIS HOSPITAL MUSKOGEE INC
Q$21,445,721Trans Review
SAINT FRANCIS HOSPITAL MUSKOGEE INC
L$394,355Trans Review
SAINT FRANCIS HOSPITAL SOUTH LLC
K$330,251Trans Review
SAINT FRANCIS HOSPITAL SOUTH LLC
P$12,659,665Trans Review
SAINT FRANCIS HOSPITAL SOUTH LLC
L$295,379Trans Review
SAINT FRANCIS HOSPITAL SOUTH LLC
Q$15,161,745Trans Review
SAINT FRANCIS HOSPITAL VINITA INC
K$149,622Trans Review
SAINT FRANCIS HOSPITAL VINITA INC
P$519,812Trans Review
SAINT FRANCIS HOSPITAL VINITA INC
Q$639,221Trans Review