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SAINT FRANCIS HOSPITAL VINITA INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SAINT FRANCIS HOSPITAL VINITA INC (EIN 81-3747248)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-13
IRS object ID
202441349349308004
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)
Return2024-05-13T15:31:18-05:00ReturnTs
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
ZIP74219ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN813747248EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Saint Francis Hospital Vinita IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DEBORAH DAGEInCareOfNm
Business Name ControlSAINBusinessNameControlTxt
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
Phone9184948430PhoneNum
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$28,524,641GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://WWW.SAINTFRANCIS.COM/VINITAWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2016FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionTo extend the presence and healing ministry of Christ in all we do.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee230TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,000PYContributionsGrantsAmt
CY Contributions Grants$536,454CYContributionsGrantsAmt
PY Program Service Revenue$27,565,932PYProgramServiceRevenueAmt
CY Program Service Revenue$27,700,954CYProgramServiceRevenueAmt
PY Investment Income-$14,013PYInvestmentIncomeAmt
CY Investment Income$35,586CYInvestmentIncomeAmt
PY Other Revenue$139,540PYOtherRevenueAmt
CY Other Revenue-$19,824CYOtherRevenueAmt
PY Total Revenue$27,699,459PYTotalRevenueAmt
CY Total Revenue$28,253,170CYTotalRevenueAmt
PY Grants And Similar Paid$20,472PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$21,900CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,815,330PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,430,910CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,245,921PYOtherExpensesAmt
CY Other Expenses$11,338,459CYOtherExpensesAmt
PY Total Expenses$23,081,723PYTotalExpensesAmt
CY Total Expenses$24,791,269CYTotalExpensesAmt
PY Revenues Less Expenses$4,617,736PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,461,901CYRevenuesLessExpensesAmt
Total Assets BOY$30,915,522TotalAssetsBOYAmt
Total Assets EOY$31,307,679TotalAssetsEOYAmt
Total Liabilities BOY$4,678,933TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,650,738TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$26,236,589NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$28,656,941NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO EXTEND THE PRESENCE AND HEALING MINISTRY OF CHRIST IN ALL WE DO.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$20,812,488ExpenseAmt
Grant$21,900GrantAmt
Revenue$27,700,954RevenueAmt
DescSee Schedule ODesc
Total Program Service Expenses$20,812,488TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
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 HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
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
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee230EmployeeCnt
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 Members9GoverningBodyVotingMembersCnt
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 VenturefalseInvestmentInJointVentureInd
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 (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeInd
Cliff A Robertson MD
PRESIDENT/CEO/DIR1.039.0Yes (X)Yes (X)$0$1,925,421$293,636
Barry L Steichen
VP/COO/Director (Term 9/21)1.039.0$0$1,488,152$191,005Yes (X)
Deborah Dage
Treasurer/CFO1.039.0Yes (X)$0$821,905$121,407
Michael J Lissau
Secretary1.040.0Yes (X)$0$584,117$114,049
Eric E Schick
Treasurer/CFO(Term 9/2021)1.039.0$0$608,375$0Yes (X)
Terry Horton MD
Physician1.039.0$24,668$409,979$62,468Yes (X)
Todd Schuster
Administrator1.039.0$0$375,937$82,634Yes (X)
Michael Hitsman MD
Physician1.039.0$35,333$345,510$56,447Yes (X)
Jacob O'Meilia MD
Physician40.00.0$314,008$0$46,304Yes (X)
MELINDA CULP
Executive Director40.01.0$168,955$0$29,585Yes (X)
Laura Strickland
Advanced Practice Provider40.00.0$129,875$0$16,906Yes (X)
William R Lissau
Director (NON-VOTING)1.00.0Yes (X)$0$0$0
Mike Case
Director0.01.0Yes (X)$0$0$0
Mike Cooke JD
Director0.01.0Yes (X)$0$0$0
Tom Cooper
Director0.01.0Yes (X)$0$0$0
Father Gary Kastl
Director0.01.0Yes (X)$0$0$0
Judy Kishner
Director/Trustee0.01.0Yes (X)$0$0$0
Charles W McEntee MD
Director (Term 12/2022)0.01.0Yes (X)$0$0$0
John-Kelly C Warren
TRUSTEE/DIRECTOR1.00.0Yes (X)$0$0$0
Laura Stuemkey MD
Director (Beg 8/2022)1.00.0Yes (X)$0$0$0
Sailatha Thomas MD
Director (Beg 1/2023)1.00.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$672,839TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,559,396TotReportableCompRltdOrgAmt
Total Other Compensation$1,014,441TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
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 Co Inc
833 S E AveCOLUMBUSKS66725Construction Svcs$3,105,083
Emergency Medicine Physicians
4535 Dressler Rd NWCANTONOH447186803Medical Services$708,000
Roark Landscaping Corporation
5809 S 107TH E AveTULSAOK74146Landscaping Services$249,957
DEWBERRY ARCHITECTS INC
100 STERLING PARKWAY SUITE 201MECHANICSBURGPA170502903ARCHITECTURE SERVICE$237,428
MEDEFIS INC
PO BOX 5068NEW YORKNY100875068MEDICAL SERVICES$338,844
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Government Grants$528,454GovernmentGrantsAmt
All Other Contributions$8,000AllOtherContributionsAmt
Total Contributions$536,454TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SVCS, NET OF CONTRACTUAL ADJ.Desc
Business621110BusinessCd
Total Revenue Column$27,700,954TotalRevenueColumnAmt
Related Or Exempt Func Income$27,700,954RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$27,700,954TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,786TotalRevenueColumnAmt
Exclusion$24,786ExclusionAmt

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$149,622RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$267,907RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$118,285RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$118,285TotalRevenueColumnAmt
Exclusion-$118,285ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$14,364OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$3,564OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$10,800OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,800TotalRevenueColumnAmt
Exclusion$10,800ExclusionAmt
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 ColumnTotalRevenueColumnAmtExclusionExclusionAmt
THIRD PARTY FOOD SVC722210$52,995$52,995
THIRD PARTY RENT900099$24,068$24,068
WELLNESS CENTER900099$12,160$12,160

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,238TotalRevenueColumnAmt
Exclusion$9,238ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$98,461OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,253,170TotalRevenueColumnAmt
Related Or Exempt Func Income$27,700,954RelatedOrExemptFuncIncomeAmt
Exclusion$15,762ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$21,900TotalAmt
Program Services$21,900ProgramServicesAmt

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$210,103TotalAmt
Management And General$210,103ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,969,314TotalAmt
Program Services$9,788,093ProgramServicesAmt
Management And General$1,181,221ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$541,719TotalAmt
Program Services$491,525ProgramServicesAmt
Management And General$50,194ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$937,778TotalAmt
Program Services$843,107ProgramServicesAmt
Management And General$94,671ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$771,996TotalAmt
Program Services$692,980ProgramServicesAmt
Management And General$79,016ManagementAndGeneralAmt

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$12,878TotalAmt
Management And General$12,878ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$1,300,819TotalAmt
Program Services$1,071,350ProgramServicesAmt
Management And General$229,469ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,924TotalAmt
Program Services$855ProgramServicesAmt
Management And General$3,069ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$408,542TotalAmt
Program Services$322,775ProgramServicesAmt
Management And General$85,767ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$533,282TotalAmt
Program Services$130,091ProgramServicesAmt
Management And General$403,191ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$374,323TotalAmt
Program Services$97,349ProgramServicesAmt
Management And General$276,974ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$90,261TotalAmt
Program Services$74,945ProgramServicesAmt
Management And General$15,316ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$1,725,519TotalAmt
Program Services$1,271,880ProgramServicesAmt
Management And General$453,639ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$156,050TotalAmt
Program Services$5,655ProgramServicesAmt
Management And General$150,395ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
BAD DEBT EXPENSE$2,130,012$2,130,012$0$0
MEDICAL SUPPLIES$2,092,261$2,090,361$1,900$0
MAINTENANCE$1,716,298$1,677,811$38,487$0
MEDICAID SHOPP FEE$631,627$0$631,627$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$162,663TotalAmt
Program Services$101,799ProgramServicesAmt
Management And General$60,864ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$24,791,269TotalAmt
Program Services$20,812,488ProgramServicesAmt
Management And General$3,978,781ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$77,538BOYAmt
EOY$80,616EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,000,000BOYAmt
EOY$1,000,000EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,165,835BOYAmt
EOY$2,550,299EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$675,259BOYAmt
EOY$473,376EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$272,625BOYAmt
EOY$293,492EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$34,472,141LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,598,466LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$26,670,988BOYAmt
EOY$26,873,675EOYAmt

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$53,277BOYAmt
EOY$36,221EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$30,915,522BOYAmt
EOY$31,307,679EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,240,173BOYAmt
EOY$2,101,987EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,438,760BOYAmt
EOY$548,751EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,678,933BOYAmt
EOY$2,650,738EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$26,236,589BOYAmt
EOY$28,656,941EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,236,589BOYAmt
EOY$28,656,941EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$30,915,522BOYAmt
EOY$31,307,679EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,461,901ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$1,041,549OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
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 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$3,823,470OtherCostOrOtherBasisAmt
Book Value$3,823,470BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,085,467OtherCostOrOtherBasisAmt
Depreciation$3,563,413DepreciationAmt
Book Value$13,522,054BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,726,687OtherCostOrOtherBasisAmt
Depreciation$271,642DepreciationAmt
Book Value$1,455,045BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,924,983OtherCostOrOtherBasisAmt
Depreciation$3,709,287DepreciationAmt
Book Value$4,215,696BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,911,534OtherCostOrOtherBasisAmt
Depreciation$54,124DepreciationAmt
Book Value$3,857,410BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$26,873,675TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO MEDICARE COST REPORT$470,285
PROFESSIONAL LIABILITY INSURANCE$78,466
FieldValueIRS element (for citing)
Total Liability$548,751TotalLiabilityAmt
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, Saint Francis Hospital Vinita, 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. Saint Francis Hospital Vinita, Inc. has determined that the position on uncertain tax positions is more likely than not to be fully sustained upon examination. Therefore, no liability or asset for uncertain tax positions needs to be recorded. The Tax Cuts and Jobs Act (the Act) was enacted on December 22, 2017. The provisions of the Act do not have a material effect on Saint Francis Hospital Vinita, Inc.'s consolidated financial statements. Certain regulatory guidance provides for a measurement period of up to one year during which accounting for the tax effects of the Act may be completed. Saint Francis Hospital Vinita, Inc. will continue to evaluate the impact of the Act and may record adjustments as additional information and guidance are released by the Internal Revenue Service.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$911,505TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$911,505NetCommunityBenefitExpnsAmt
Total Expense0.04020TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,280,355TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,892,008DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,388,347NetCommunityBenefitExpnsAmt
Total Expense0.06130TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,191,860TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,892,008DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,299,852NetCommunityBenefitExpnsAmt
Total Expense0.10150TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,136,036TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$968,002DirectOffsettingRevenueAmt
Net Community Benefit Expns$168,034NetCommunityBenefitExpnsAmt
Total Expense0.00740TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,136,036TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$968,002DirectOffsettingRevenueAmt
Net Community Benefit Expns$168,034NetCommunityBenefitExpnsAmt
Total Expense0.00740TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,327,896TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,860,010DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,467,886NetCommunityBenefitExpnsAmt
Total Expense0.10890TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,747TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,747NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,900TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,900NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,647TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$24,647NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$2,130,012BadDebtExpenseAmt
Bad Debt Expense Attributable$852,005BadDebtExpenseAttributableAmt
Reimbursed By Medicare$15,109,846ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$19,897,530CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,787,684MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Saint Francis Hospital Vinita IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1735 N Foreman StAddressLine1Txt
CityVinitaCityNm
State AbbreviationOKStateAbbreviationCd
ZIP74301ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTPS://WWW.SAINTFRANCIS.COM/VINITAWebsiteAddressTxt
State License2182StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Saint Francis Hospital Vinita IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Schedule H, Part V, Section COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSee Schedule H, Part V, Section CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SCHEDULE H, PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SCHEDULE H, PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SCH H, PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Section B, Line 5The most recent Community Health Needs Assessment (CHNA) completed by Saint Francis Health System, Inc. to reassess the health needs of the communities served by the hospital components of its health system: Saint Francis Hospital, Inc., Laureate Psychiatric Clinic and Hospital, Inc., Saint Francis Hospital Muskogee, Inc., Saint Francis Hospital South, LLC, and Saint Francis Hospital Vinita, Inc., included the collection and analysis of both quantitative (over 140 public health indicators and quantitative survey methods) and qualitative (organization and community representative interviews and qualitative survey methods) data to identify and create a comprehensive list of health needs for each community. Community input was obtained from a broad range of community members through key informant interviews, focus groups and a multi-modal consumer survey of over 600 community residents. Individuals with knowledge, information and expertise relevant to the health needs in the community were consulted including representatives from county and state public health departments as well as leaders, representatives and members of vulnerable populations and other individuals with strong expertise in local health needs. The names of the organizations providing input is provided in Appendix A: CHNA Data Sources and Dates and Appendix B: List of Organizations Represented in Key Informant Interviews and Community Feedback of the CHNA located at https://www.saintfrancis.com/about-us/commitment-to-community.
Part V, Section B, Line 6aThe hospital facilities included in the CHNA included Saint Francis Hospital, Inc., Saint Francis Hospital South, LLC, Laureate Psychiatric Clinic and Hospital, Inc., Saint Francis Hospital Vinita, Inc. and Saint Francis Hospital Muskogee, Inc.
Part V, Section B, Line 7ahttps://www.saintfrancis.com/about-us/commitment-to-community
Part V, Section B, Line 10ahttps://www.saintfrancis.com/about-us/commitment-to-community
Part V, Section B, Line 11The Community Health Needs Assessment (CHNA) identified 13 conditions as community health needs (in order of highest priority) of the primary service area as lack of access to healthcare services; diabetes; heart disease/stroke; mental health; respiratory disease; cancer; tobacco use; nutrition/physical activity/weight; oral health; substance abuse; infant health/family planning; potentially disabling conditions; and injury/violence. After prioritizing the health needs identified, a final list of priority needs was selected by considering additional criteria, such as Saint Francis Health System, Inc.'s scope of services as a health provider and its ability to effectively address the priority health need. Saint Francis Health System Inc.'s entities, including Saint Francis Hospital Vinita, Inc., are addressing the following significant health needs identified as referenced in its Community Health Needs Assessment and Implementation Strategy that is made widely available on the website listed in Schedule H, Part V, Section B, Line 10a. - Access to health care services - Diabetes - Heart disease/stroke - Mental Health
Part V, Section B, Line 13bPatients who have been evaluated and identified to be financial assistance plan-eligible and meet the criteria established by Saint Francis Hospital Vinita, Inc. according to relevant circumstances regarding income, assets, or other resources available to the patient or patient's family, are considered charity and therefore, by hospital policy, are not billed for any services.
Part V, Section B, Line 16a, b, and chttps://www.saintfrancis.com/patients-and-guests/for-patients/billing-and- insurance/financial-assistance
Part V, Section B, Line 16jThe billing statement includes information regarding financial assistance availability. Additionally, MyChart, a secure online tool that allows patients to connect with their personal health information 24/7, provides a link which takes the patient to the financial assistance letter and application form.
Part V, Section B, Line 20eThe following actions are completed prior to initiating collection actions: - Proactive phone calls - Statements are sent - Messages are sent to MyChart users
Part V, Section B, Line 22dAmounts generally billed (AGB) are determined under the prospective method using Medicaid reimbursement rates. Additionally, a self-pay discount of 60 percent is provided on all charges for uninsured patients.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3cIncome-based criteria is used as the basis in determining eligibility for free health services.
Part I, Line 6aSaint Francis Health System, Inc. 73-1501972, the parent organization of Saint Francis Hospital Vinita, Inc. produces a consolidated community benefit report included in an annual issue of the Saint Francis Health System magazine "Presence" that is made available to the public through the organization's website at https://www.saintfrancis.com/about-us/media/presence-magazine
Part I, Line 7Costing Methodology: A ratio of patient care cost to charges, as determined in Worksheet 2, was used to report the amounts in Part I, Lines 7a - 7c. For amounts reported on lines 7e - 7i, actual expenses for each community benefit activity are tracked and reported using the organization's accounting general ledger and are not based on a cost to charge ratio. The number reflected on line 7, column (f) excludes bad debt expense. The supplemental hospital offset payment program (SHOPP) was created and implemented in calendar year 2011 for the purpose of assuring access to quality care for Oklahoma Medicaid members. The program is designed to assess Oklahoma hospitals, unless exempt, a supplemental hospital offset payment program fee. The collected fees are placed in pools and then allocated to hospitals based on Medicaid revenues as directed by legislation. The Oklahoma Health Care Authority (OHCA) does not guarantee that allocation will equal or exceed the amount of the supplemental hospital offset payment program fees that were paid by Saint Francis Hospital Vinita, Inc.
Part II: Community-Building ActivitiesCommunity-building activities improve the community's health and safety by addressing the root cause of health problems. These activities strengthen the community's capacity to promote the health and well-being of its residents by offering the expertise and resources of the healthcare organization. Costs for these activities include cash donations and expenses for the development of a variety of community-building programs and partnerships. See Schedule O for additional information regarding Saint Francis Health System, Inc.'s and Saint Francis Hospital Vinita, Inc.'s community-building activities aimed at promoting the health of the community.
Part III, Section A, Line 2Saint Francis Hospital Vinita, Inc. has an established process to determine the adequacy of the allowance for uncollectable receivables that relies on a number of analytical tools and benchmarks to arrive at a reasonable allowance. No single statistic or measurement determines the adequacy of the allowance for uncollectable receivables. Some of the analytical tools that Saint Francis Hospital Vinita, Inc. utilizes include, but are not limited to, historical cash collection experience, revenue trends by payer classification, and revenue days in accounts receivable. Accounts receivable are written off after collection efforts have been followed in accordance with Saint Francis Hospital Vinita, Inc.'s policies.
Part III, Section A, Line 3The bad debt expense attributable to patients eligible under the organization's financial assistance policy is calculated from a sample review of all bad debt accounts and subsequent information.
Part III, Section A, Line 4Saint Francis Health System, Inc. 73-1501972, the parent organization of Saint Francis Hospital Vinita, Inc., produces consolidated financials which include the financial position and results of financial operations of Saint Francis Hospital Vinita, Inc. The consolidated financial statements are audited on an annual basis. Saint Francis Health System, Inc's audited consolidated financial statements provide a separate footnote addressing the organization's net patient accounts receivables on pages 7, 8, and 9. Saint Francis Health System, Inc. reports bad debt in accordance with Generally Accepted Accounting Principles (GAAP).
Part III, Section B, Line 8Costing Methodology: Medicare allowable costs were calculated using a cost-to-charge ratio and the Medicare filed cost report. The shortfall on Schedule H, Part III, Section B, Line 7 is considered community benefit. Saint Francis Hospital Vinita, Inc. provides services to many low-income Medicare recipients. The Medicare losses sustained at the hospital are a result of Medicare reimbursing at less than operating costs. The Supplemental Hospital Offset Payment Program (SHOPP) was created and implemented in calendar year 2011 for the purpose of assuring access to quality care for Oklahoma Medicaid members. The program is designed to assess Oklahoma hospitals, unless exempt, a supplemental hospital offset payment program fee. The collected fees are placed in pools and then allocated to hospitals based on Medicaid revenues as directed by legislation. The Oklahoma Health Care Authority (OHCA) does not guarantee that allocation will equal or exceed the amount of the supplemental hospital offset payment program fees that were paid by Saint Francis Hospital Vinita, Inc. IRS Rev. Rul. 69-545 established the community benefit standard for hospitals and considers a hospital that serves patients covered by governmental health benefits (including Medicare) as operating to promote the health of the community and furtherance of its exempt purposes. Accordingly, treating Medicare patients is considered a community benefit.
Part III, Section C, Line 9bSaint Francis Hospital Vinita, Inc.'s debt collection policy is to pursue collections of patient balances from patients who have the ability to pay for the services. Saint Francis Hospital Vinita, Inc. applies its collections efforts consistently and fairly to all patients regardless of insurance. Saint Francis Hospital Vinita, Inc. works with those individuals who do not have the financial resources to pay outstanding balances to qualify for Saint Francis Hospital Vinita, Inc.'s financial assistance policy. Charges to patients qualifying for charity care under the Saint Francis Hospital Vinita, Inc. financial assistance policy are written off 100 percent.
Part VI, Line 2Needs Assessment The Community Health Needs Assessment (CHNA), an essential function for Saint Francis Health System, Inc. and its hospitals, helps identify the major health needs of the community and offers insight into the services to be offered to address those needs. Saint Francis Health System, Inc. developed the community health implementation plan based upon prioritization of the community health needs assessment. Saint Francis Health System, Inc. and its hospitals have the common goal of increasing health education and preventative care provided in the community setting through partnership with community organizations, faith-based organizations and other institutions. The CHNA and implementation strategies information is available to the public and posted on the Saint Francis Health System, Inc. website at https://www.saintfrancis.com/about-us/commitment-to-community.
Part VI, Line 3Patient education of eligibility for assistance Saint Francis Health System, Inc. and its entities are committed to promoting health in the community including providing or finding financial assistance programs to assist patients. Saint Francis Health System makes every effort to educate patients on its charity, financial assistance policy and about their eligibility for assistance under Federal, State, or local government programs during registration, pre-registration, post-registration and following discharge in languages appropriate for the population being served. This includes several ways including, but not limited to, the following: - A brochure titled "Patient Financial Policy" on financial rights and responsibility is provided to every patient at the time of their registration and is available on the Saint Francis Health System, Inc. website. The brochure provides financial assistance program details. - The financial assistance policy, plain language summary, and application are posted on the Saint Francis Health System, Inc. website in English and the Limited English Proficiency languages of the Primary Service Area (PSA). - Saint Francis Health System, Inc. prints a phone number on the back of billing invoices where patients can obtain information about financial assistance. - Self-pay patients are visited by a financial counselor upon admission to verify their self-pay status. The financial counselor works with the self-pay patients to determine if the patient may qualify for assistance under a government-sponsored plan. If the patient does not qualify for a government-sponsored plan then the financial counselor works with the patient to determine if they qualify for charity care based on Saint Francis Health System, Inc.'s financial assistance policy. - Saint Francis Health System, Inc. offers the financial assistance policy, as well as payment options as part of the patient responsibility during the follow-up collection calls.
Part VI, Line 4Community Information The Primary Service Area (PSA) of Saint Francis Hospital Vinita, Inc. consists primarily of Craig County, where a significant majority of inpatient admissions originate. Additional information regarding the community can also be found below, and in the community health needs assessment and implementation strategy located on the organization's website at https://www.saintfrancis.com/about-us/commitment-to-community. The PSA is comprised of the following representation: - 64% Caucasian - 22% Native-American - 6% Two or more races - 4% Hispanic or Latino - 3% African-American - 1% Asian As of November 2023, the median household income for the PSA was $46,207, (about 47 percent below the US median of $69,021) and the mean household income was $57,829 (about 32 percent below the US average of $97,196). The per capita income in 2023 for the PSA is 39 percent below the national median and 26 percent lower than the average for Oklahoma. Approximately 17 percent of the PSA's population lived in poverty, with the number falling to 5 percent for those under 18. 15 percent of households in the PSA received food stamps/Supplemental Nutrition Assistance Program (SNAP) benefits in 2023. In 2023, the uninsured rate in the PSA was approximately 17 percent. Of those in the PSA that do have insurance, 56 percent hold private insurance policies. When narrowing focus to the PSA civilian population age 19 to 64 that participates in the labor force, the uninsured rate rises to nearly 21 percent. During the 2023 fiscal year, there were 1,075,881 unduplicated Medicaid enrollees; meaning almost 27 percent of the state's population was enrolled in the Medicaid program at some point in time. The PSA had a population of roughly 74,452 was home to approximately 19,357 of those unduplicated enrollees, or approximately 26 percent of the PSA's population.
Part VI, Line 5Promotion of community health Saint Francis Hospital Vinita, Inc. is part of an integrated healthcare delivery system with the mission of extending the presence and healing ministry of Christ in all we do. Saint Francis Health System, Inc., as a Catholic organization, seeks to reflect the presence of Christ in every personal and corporate encounter. Saint Francis Hospital Vinita, Inc. is dedicated to giving back to the community in which its employees live and work. Saint Francis Health System, Inc. and Saint Francis Hospital Vinita, Inc.'s governing body is comprised of community representatives on the Board of Directors that provide leadership and governance for the organization. The Board of Directors has the overall responsibility for the charitable contributions and the mission of Saint Francis Hospital Vinita, Inc. and the other entities that are part of Saint Francis Health System, Inc. The members of the Board of Directors are selected based on their areas of expertise and experience including such areas as education, research, business and government. The members of the governing body contribute their wisdom, insights, and expertise to ensure the organization is fulfilling its mission and charitable purpose while providing efficient administrative support services and direction for Saint Francis Health System, Inc. Saint Francis Hospital Vinita, Inc. provides financial assistance in the form of charity care to patients who are indigent and satisfy certain requirements. Additionally, Saint Francis Hospital Vinita, Inc. is committed to treating patients who are eligible for means-tested government programs such as Medicaid and other government-sponsored programs including Medicare, with care being provided regardless of the reimbursement shortfall, and thereby relieves the state and federal government of the burden of paying the full cost of care for those patients. Often, patients are unaware of the federal, state and local programs open to them for financial assistance, or they are unable to access them due to the cumbersome enrollment process required to receive these benefits. Saint Francis Health System, Inc. offers assistance in enrollment to these government programs or extends financial assistance in the form of charity care through the organization's Financial Assistance Policy. Saint Francis Hospital Vinita, Inc. reinvests its net operating income back into the facility to improve patient care, to benefit society and to allow Saint Francis Hospital Vinita, Inc. to carry out its vision to be the regional leader in the delivery of quality Catholic healthcare services.
Part VI, Line 6Affiliated health care system Saint Francis Hospital Vinita, Inc., is part of Saint Francis Health System, Inc. Over 11,700 patients were seen in the hospital's emergency room. Additionally, Saint Francis Hospital Vinita, Inc. admitted approximately 1,200 patients; and provided ancillary and diagnostic services on an outpatient basis to an additional 26,200 patients. See Schedule O for additional information regarding Saint Francis Hospital Vinita, Inc.'s role within Saint Francis Health System, Inc.
Part VI, Line 7State filing of community benefit report Saint Francis Health System, Inc., which includes Saint Francis Hospital Vinita, Inc., publishes a community benefit report annually. A written report that is included in an annual issue of the Saint Francis Health System, Inc. magazine "Presence" which helps educate the community on the benefits that Saint Francis Hospital Vinita, Inc. and Saint Francis Health System, Inc. provide to the communities we serve in return for our not-for-profit status. The report is also made available to the public on the health system's website.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1OK PHYSICIAN MANPOWER TRAINING COMMISSIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1119 North Robinson Avenue Suite 52AddressLine1Txt
CityOklahoma CityCityNm
State AbbreviationOKStateAbbreviationCd
ZIP731024603ZIPCd
FieldValueIRS element (for citing)
IRC SectionGOVTIRCSectionDesc
Cash Grant$21,900CashGrantAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Purpose Of GrantGeneral SupportPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

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 (10 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
VP/COO/Director (Term 9/21)$0$940,504$0$539,867$0$7,781$0$163,863$0$27,142$0$1,679,157$0$0
Eric E Schick
Treasurer/CFO(Term 9/2021)$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
Todd Schuster
Administrator$0$280,519$0$92,766$0$2,652$0$64,989$0$17,645$0$458,571$0$0
MELINDA CULP
Executive Director$132,344$0$35,686$0$925$0$14,053$0$15,532$0$198,540$0$0$0
Deborah Dage
Treasurer/CFO$0$611,574$0$203,660$0$6,671$0$107,906$0$13,501$0$943,312$0$0
Cliff A Robertson MD
PRESIDENT/CEO/DIR$0$1,212,901$0$701,260$0$11,260$0$279,506$0$14,130$0$2,219,057$0$0
Michael Hitsman MD
Physician$35,333$298,374$0$22,167$0$24,969$0$37,556$0$18,891$35,333$401,957$0$0
Terry Horton MD
Physician$24,668$364,518$0$45,461$0$0$0$37,556$0$24,912$24,668$472,447$0$0
Jacob O'Meilia MD
Physician$273,508$0$20,000$0$20,500$0$37,556$0$8,748$0$360,312$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Saint Francis Hospital Vinita, 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.
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., Saint Francis Hospital Muskogee, Inc., AND ALL SAINTS HOME MEDICAL LLC, 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4aStatement of Accomplishment Saint Francis Hospital Vinita, Inc. is a member of Saint Francis Health System, Inc. The Saint Francis Health System, Inc. is a Catholic, not-for-profit health system whose mission is to extend the presence and healing ministry of Christ in all we do. Saint Francis Hospital Vinita, Inc.'s accomplishments include operating an acute care hospital where admitting physicians, who are primarily practitioners in the local area, provide inpatient/outpatient and emergency care services to residents of Vinita and the surrounding areas. In fiscal year 2023, Saint Francis Hospital Vinita, Inc. provided approximately $219,300 of charity care (measured at established rates) and $1,383,300 in unreimbursed Medicaid services (measured at established rates). The emergency services department and inpatient services at Saint Francis Hospital Vinita was recognized with two PRC 4 Star Awards (scores in the top 25 percent of the PRC comparative database). Saint Francis Hospital Vinita was also recognized by the Chartis Group as one of the 100 best-performing rural and community hospitals for 2023.
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 VI, Section A, Line 2Governing Body and Management Relationships Many of the persons listed on Part VII have a "business relationship" with each other by virtue of serving on related Saint Francis Health System, Inc. entity boards and other corporation boards. There are also "family relationships" requiring disclosure. 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. with another director, William R. Lissau. 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, and John Kelly C. Warren, a director and chairman of the board. William R. Lissau, a director, is the father of Michael Lissau, an officer, have a family relationship. Bishop David Konderla, a trustee, serves on other boards outside of Saint Francis Health System, Inc. with William R. Lissau, a director. Francis Health System, Inc.
Form 990, Part VI, Section A, Line 3The director functions are delegated to the Saint Francis Health System, Inc. board of directors.
Form 990, Part VI, Section A, Line 6Saint Francis Health System, Inc. is the sole member of Saint Francis Hospital Vinita, Inc.
Form 990, Part VI, Section A, Line 7aSaint Francis Health System, Inc., the sole member of Saint Francis Hospital Vinita, Inc. appoints the governing body.
Form 990, Part VI, Section A, Line 7bAs the sole member of Saint Francis Hospital Vinita, Inc., Saint Francis Health System, Inc., has the authority to follow its bylaws which dictates the following: 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 trustees 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, Section B, 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, Section B, 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. Three directors, one officer/director and two officers and one trustee/director reported potential conflicts that were addressed by the governing body. Conflicts are regularly disclosed and addressed.
Form 990, Part VI, Section B, Lines 15a and 15bCompensation of officers and senior level management is reviewed annually and approved by the compensation committee with guidance from independent consultants and 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 AThe 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 change in fund balance of $(1,041,549) was a net equity transfer.

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 Hospital Inc
6600 S Yale Ave Ste 400TulsaOK74136730700090Health SvcsOK501(c)(3)3SFHSYes (true)
Laureate Psychiatric Clinic & Hosp Inc
6600 S Yale Ave Ste 400TulsaOK74136731308273Health SvcsOK501(c)(3)3SFHSYes (true)
Warren Clinic Inc
6600 S Yale Ave Ste 400TulsaOK74136731310891Health SvcsOK501(c)(3)3SFHSYes (true)
Saint Francis Health System Inc
6600 S Yale Ave Ste 400TulsaOK74136731501972Health SvcsOK501(c)(3)12b Type IINAfalse
The Children's Hosp Fdn at Saint Francis
6600 S Yale Ave Ste 400TulsaOK74136202843418Health SvcsOK501(c)(3)12a Type ISFHSYes (true)
Saint Francis Hospital Muskogee Inc
6600 S Yale Ave Ste 400TulsaOK74136814322087Health SvcsOK501(c)(3)3SFHSYes (true)
Saint Francis Hospital South LLC
6600 S Yale Ave Ste 400TulsaOK74136010603214Health 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 AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationInd
Saint Francis Payroll Services LLC
6600 S Yale Ave Ste 400TulsaOK741363319450470422Common Pay AgentOKSFHSC Corp$0$0Yes (true)
Xavier Insurance Company Inc
76 St Paul St Ste 500BurlingtonVT054014477030333599Captive InsuranceVTSFHSC Corp$0$0Yes (true)
Saint Francis Hlth Sys Gen-Prof Lia
PO Box 3038MilwaukeeWI532013038756583874Self InsuranceOKSFHSTrust$0$0Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
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 ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
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 (11 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Saint Francis Hospital
L$52,969Trans Review
Saint Francis Hospital
M$1,234,676Trans Review
Saint Francis Hospital
P$119,015,163Trans Review
Saint Francis Hospital
Q$121,691,600Trans Review
Saint Francis Hospital
S$125,017Trans Review
SAINT FRANCIS HOSPITAL SOUTH INC
P$125,942Trans Review
LAUREATE PSYCHIATRIC CLINIC & HOSPITAL INC
P$605,261Trans Review
LAUREATE PSYCHIATRIC CLINIC & HOSPITAL INC
Q$303,540Trans Review
Warren Clinic Inc
J$149,622Trans Review
Warren Clinic Inc
P$639,221Trans Review
Warren Clinic Inc
Q$519,812Trans Review