2025-05-13T21:59:23-05:00 2024-06-30 ERNST & YOUNG US LLP 2323 VICTORY AVENUE SUITE 2000 DALLAS TX 75219 990 2023-07-01 010603214 Saint Francis Hospital South LLC % DEBORAH DAGE SAIN 9184948418 6600 South Yale Avenue Suite 400 Tulsa OK 741363319 Deborah Dage TREASURER/CFO 9184948418 2025-05-12 true PATRICK SHIELDS P01508556 2149698000 2025-05-09 2023 2025-03-06 01:10:19Z Deborah Dage 6161 S Yale Ave Tulsa OK 741363319 228652647 false X HTTPS://WWW.SAINTFRANCIS.COM/SOUTH X LLC 2002 OK To extend the presence and healing ministry of Christ in all we do. 9 7 1018 88 0 0 486778 8341 213284077 227137185 104806 -177760 325205 219477 214200866 227187243 191888 96691 0 0 65614995 66861976 0 0 0 78287098 85726425 144093981 152685092 70106885 74502151 162456088 249591920 24761059 43124019 137695029 206467901 X TO EXTEND THE PRESENCE AND HEALING MINISTRY OF CHRIST IN ALL WE DO. false false 126808723 96691 227137185 See Schedule O 126808723 true false false false false false false false false false true false false false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true X 0 0 true 1018 true false false false false false false false false false false false false X 9 7 true true false false true true true true true false false true true true true true true true true false OK X DEBORAH DAGE 9184948418 6161 S YALE AVENUE TULSA OK 741363319 X CLIFF A ROBERTSON MD Pres/CEO/Director 1.0 39.0 X X 0 2098173 300986 Barry L Steichen VP/COO/Director 1.0 39.0 X 0 1625394 175326 AJANAKU OLANKUNIE MD PHYSICIAN 1.0 39.0 X 18950 1034437 21150 DEBORAH DAGE TREASURER/CFO 1.0 39.0 X 0 958320 112011 STEPHEN DIXON DO PHYSICIAN 9.0 31.0 X 5000 930481 48432 LEE RAMOS DO PHYSICIAN 2.0 38.0 X 39600 813531 21150 JOHN KING JR MD PHYSICIAN 4.0 36.0 X 70875 704931 42328 Michael J Lissau Secretary 1.0 39.0 X 0 681073 101924 Samuel Pangburn DO Physician 4.0 36.0 X 63000 613488 36563 Eric E Schick Former Treasurer/CFO 0.0 40.0 X 0 606009 0 Sailatha Thomas MD DIRECTOR 0.0 40.0 X 0 337851 23650 William R Lissau Emeritus Director 1.0 0.0 X 0 0 0 MIKE CASE DIRECTOR 1.0 0.0 X 0 0 0 MIKE COOKE JD DIRECTOR 1.0 0.0 X 0 0 0 TOM COOPER DIRECTOR 1.0 0.0 X 0 0 0 FATHER GARY KASTL DIRECTOR 1.0 0.0 X 0 0 0 JUDY KISHNER DIRECTOR 1.0 0.0 X 0 0 0 JOHN-KELLY C WARREN DIRECTOR 1.0 0.0 X 0 0 0 Laura Stuemkey MD Director 0.0 40.0 X 0 0 0 Todd Schuster ADMINISTRATOR 39.0 1.0 X 0 0 0 197425 10403688 883520 0 true true false Crossland Construction Co Inc 833 S East Ave Po Box 45 COLUMBUS KS 66725 Construction Svcs 42386794 GE PRECISION HEALTHCARE LLC PO BOX 96483 CHICAGO IL 60693 HEALTH SVCS 4067137 HELLMUTH OBATA KASSABAUM INC 717 N HARDWOOD ST 3300 DALLAS TX 75201 ARCHITECTURE SCVS 3397919 INTUITIVE SURGICAL INC 50 CALIFORNIA ST FLOOR 12 SAN FRANCISCO CA 94139 Health SVCS 1543446 MEDEFIS INC PO BOX 5068 NEW YORK NY 100875068 Health SVCS 1373450 25 8341 8341 PATIENT SERVICES 621110 210447929 210447929 CAPITATION REVENUE 621300 16689256 16689256 227137185 4094 4094 0 0 563932 1264037 -700105 0 -700105 -700105 19513 201367 -181854 -181854 -181854 0 0 0 0 0 0 0 0 0 AFFILIATE SERVICES 900099 578495 578495 CAFETERIA SALES 722210 213000 213000 GLENPOOL PUBLIC IMP. REIMBURSEMENT 900099 95214 95214 32873 32873 919582 227187243 227137185 0 41717 96691 96691 0 0 0 0 0 56150334 52975440 3174894 2110345 1955235 155110 4772783 4408593 364190 3828514 3547235 281279 0 0 73885 73885 0 0 0 12620616 6008849 6611767 22174 19754 2420 2252930 94700 2158230 2075677 2057704 17973 0 1781334 1699752 81582 37959 24782 13177 0 8708 3065 5643 0 0 6593152 5302095 1291057 2939997 42659 2897338 MEDICAL SUPPLIES 26177795 26157282 20513 BAD DEBT EXPENSE 16784131 16784131 MAINTENANCE 5656138 5464955 191183 MEDICAID SHOPP FEE 6846081 6846081 1855848 165801 1690047 152685092 126808723 25876369 0 640970 648365 0 0 0 0 22252936 24875380 0 0 0 0 0 0 2748597 2757858 3117509 3670829 306391864 89845514 132452659 216546350 0 0 0 0 0 0 0 0 1243417 1093138 162456088 249591920 18894457 33417649 0 0 0 2725130 0 0 0 0 0 0 0 0 0 0 5866602 6981240 24761059 43124019 X 137695029 206467901 0 0 137695029 206467901 162456088 249591920 X 74502151 -5729279 X false true true false X 4693413 4693412 109472739 55697476 53775263 5660260 2965560 2694700 37455071 28324040 9131031 149110382 2858438 146251944 216546350 0 PROFESSIONAL LIABILITY RESERVE 6439574 OTHER 455969 OPERATING LEASE LIABILITY 85697 6981240 X Part X, Line 2 Accounting 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 South, LLC 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 South, LLC 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. true true X true X 250. true X true true true false true true 8879069 8879069 0.05880 22017551 18347912 3669638 0.02430 30896620 18347912 12548707 0.08310 12621532 11152123 1469408 0.00970 12621532 11152123 1469408 0.00970 43518152 29500035 14018115 0.09280 157208 157208 0.00100 140862 140862 0.00090 47385 47385 0.00030 345455 345455 0.00220 true 16784131 9063431 55615723 69023376 -13407653 X 1 1 SAINT FRANCIS HOSPITAL SOUTH LLC 10501 E 91ST STREET TULSA OK 74133 HTTP://WWW.SAINTFRANCIS.COM/SOUTH 2362 X X X SAINT FRANCIS HOSPITAL SOUTH LLC 1 false false true X X X X X X X X X 22 true true false true X SEE SCHEDULE H, PART V, SECTION C X true 22 true SEE SCHEDULE H, PART V, SECTION C false true X 250. 400. X X X X true true X X X X true X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X SCHEDULE H, PART V SECTION C X X X X X X X true X false X X X X X true X false false Part V, Section B, Line 5 The 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 6a The 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 7a https://www.saintfrancis.com/about-us/commitment-to-community Part V, Section B, Line 10a https://www.saintfrancis.com/about-us/commitment-to-community Part V, Section B, Line 11 The Community Health Needs Assessment (CHNA) identified 11 conditions as community health needs (in order of highest priority) of the primary service area as mental health; heart disease/stroke; access to healthcare; cancer; substance abuse; infant health/family planning; nutrition/physical activity/weight; respiratory disease; potentially disabling conditions; injury/violence; and sexual health. 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 Laureate Psychiatric Clinic and Hospital, 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. - Mental Health - Heart disease/stroke - Access to health care services - Cancer Part V, Section B, Line 13b Patients who have been evaluated and identified to be financial assistance plan-eligible and meet the criteria established by Saint Francis Hospital South, LLC 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, Lines 16a, b and c https://www.saintfrancis.com/patients-and-guests/for-patients/billing-and- insurance/financial-assistance Part V, Section B, Line 16j The 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 20e The 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 22d Amounts 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. Part I, Line 3c Income-based criteria is used as the basis in determining eligibility for free health services. Part I, Line 6a Saint Francis Health System, Inc. 73-1501972, the parent organization of Saint Francis Hospital South, LLC produces a consolidated community benefit report included in an 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 7 Costing 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 South, LLC. Part II: Community-Building Activities Community-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 South, LLC's community-building activities aimed at promoting the health of the community. Part III, Section A, Line 2 Saint Francis Hospital South, LLC has an established process to determine the adequacy of the allowance for uncollectable receivables that relies on several 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 South, LLC utilizes include, but are not limited to, historical cash collection experience, revenue trends by payer classification, and revenue days in accounts receivable. Accounts receivables are written off after collection efforts have been followed in accordance with Saint Francis Hospital South, LLC's policies. Part III, Section A, Line 3 The 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 4 Saint Francis Health System, Inc. 73-1501972, the parent organization of Saint Francis Hospital South, Inc., produces consolidated financials which include the financial position and results of financial operations of Saint Francis Hospital South, 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 8 Costing 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 South, LLC 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 South, LLC. 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 9b Saint Francis Hospital South, LLC's debt collection policy is to pursue collections of patient balances from patients who can pay for the services. Saint Francis Hospital South, LLC applies its collections efforts consistently and fairly to all patients regardless of insurance. Saint Francis Hospital South, LLC works with those individuals who do not have the financial resources to pay outstanding balances to qualify for Saint Francis Hospital South, LLC's financial assistance policy. Charges to patients qualifying for charity care under the Saint Francis Hospital South, LLC financial assistance policy are written off up to 100 percent. Part VI, Line 2 Needs 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 3 Patient 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 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 4 Promotion of community health The Primary Service Area (PSA) of Saint Francis Hospital South, LLC consists primarily of 20 zip codes, where a significant majority of inpatient admissions originate in Tulsa, Rogers, Wagoner, Creek, Muskogee and Mayes Counties. 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 most recent 2023 US Census report identified approximately 909,265 people in the PSA. The PSA is comprised of the following representation: . 61% Caucasian . 7% Native-American . 8% African American . 15% Two or more races . 3% Asian . 6% Other races In 2023, the median household income for the PSA counties was $60,773, about 14% below the US median. The per capita income for the six counties is almost 19 percent below the national median and slightly lower than the average for Oklahoma. In 2023, approximately 13 percent of the PSA's population under the age of 65 lived in poverty. 11 percent of households in the PSA counties received food stamps/Supplemental Nutrition Assistance Program (SNAP) benefits. During Oklahoma's 2022 fiscal year, there were 1,075,881 unduplicated Medicaid enrollees; meaning over 25 percent of the state's population was enrolled in the Medicaid program at some point in time. The PSA was home to 236,408 of those unduplicated enrollees, or approximately 26 percent of the PSA's population. Part VI, Line 5 Promotion of community health Saint Francis Hospital South, LLC 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 South, LLC is dedicated to giving back to the community in which its employees live and work. Saint Francis Health System, Inc. and Saint Francis Hospital South, LLC'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 South, LLC 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 South, LLC provides financial assistance in the form of charity care to patients who are indigent and satisfy certain requirements. Additionally, Saint Francis Hospital South, LLC 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 enrollment assistance to these government programs or extends financial assistance in the form of charity care through the organization's Financial Assistance Policy. Saint Francis Hospital South, LLC reinvests its net operating income back into the facility to improve patient care, to benefit society and to allow Saint Francis Hospital South, LLC to carry out its vision to be the regional leader in the delivery of quality Catholic healthcare services. Part VI, Line 6 Affiliated health care system Saint Francis Hospital South, LLC is part of Saint Francis Health System, Inc. Approximately 31,000 patients were seen in the hospital's emergency room. Additionally, Saint Francis Hospital South, LLC admitted approximately 6,900 patients; provided ancillary and diagnostic services on an outpatient basis to an additional 68,000 patients and delivered over 700 newborns. See Schedule O for additional information regarding Saint Francis Hospital South, LLC's role within Saint Francis Health System, Inc. Part VI, Line 7 State filing of community benefit report Saint Francis Health System, Inc., which includes Saint Francis Hospital South, LLC publishes a community benefit report in Oklahoma. A written report that is included in an issue of the Saint Francis Health System, Inc. magazine "Presence" which is distributed across eastern Oklahoma and to all Saint Francis Health System, Inc. locations for display and pickup to help educate the community on the benefits that Saint Francis Hospital South, LLC 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. true MEDICAL SUPPLIES NETWORK 1123 ERIE AVE TULSA OK 741125307 731507095 501(C)(3) 82374 BROKEN ARROW CHAMBER 210 N MAIN ST BROKEN ARROW OK 74012 730534499 501(C)(6) 10000 2 Schedule I, Part I, Line 2 Saint Francis Hospital South, LLC provides charitable contributions to other 501(c)(3) exempt organizations that further the exempt purposes of Saint Francis Hospital South, LLC. The Saint Francis Health System, Inc. executive director of corporate communications and marketing arranges the sponsorships each year as determined by the communities in which Saint Francis Hospital South, LLC has a presence. Saint Francis Hospital South, LLC does not monitor the use of charitable contributions since contributions are only made to section 501(c)(3) public charities that further the exempt purpose of Saint Francis Hospital South, LLC. X X X X false true false false false false false false false Barry L Steichen VP/COO/Director 0 829674 0 752607 0 43113 0 0 0 0 0 1625394 0 0 Eric E Schick Former Treasurer/CFO 0 0 0 606009 0 0 0 0 0 0 0 606009 0 0 Michael J Lissau Secretary 0 430742 0 211232 0 39099 0 0 0 0 0 681073 0 0 Todd Schuster ADMINISTRATOR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CLIFF A ROBERTSON MD Pres/CEO/Director 0 1283304 0 768076 0 46793 0 280350 0 20636 0 2399159 0 0 DEBORAH DAGE TREASURER/CFO 0 606928 0 311830 0 39562 0 0 0 0 0 958320 0 0 AJANAKU OLANKUNIE MD PHYSICIAN 18950 1034437 0 0 0 0 0 0 0 0 18950 1034437 0 0 JOHN KING JR MD PHYSICIAN 70875 704931 0 0 0 0 0 0 0 0 70875 704931 0 0 STEPHEN DIXON DO PHYSICIAN 5000 930481 0 0 0 0 0 0 0 0 5000 930481 0 0 LEE RAMOS DO PHYSICIAN 39600 813531 0 0 0 0 0 0 0 0 39600 813531 0 0 Sailatha Thomas MD DIRECTOR 0 337851 0 0 0 0 0 0 0 0 0 337851 0 0 Samuel Pangburn DO Physician 63000 613488 0 0 0 0 0 0 0 0 63000 613488 0 0 Part I, Line 4b A 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, All Saints Home Medical, 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. Form 990, Part III, Line 4a Statement of Accomplishments Saint Francis Hospital South, LLC 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 South, LLC'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 Broken Arrow and Tulsa, Oklahoma and surrounding areas and operating a healthplex in Glenpool, Oklahoma that provides a variety of outpatient services as well as a full-service emergency room. In fiscal year 2024, Saint Francis Hospital South, LLC provided approximately $8,879,069 of charity care (measured at established rates) and $3,669,638 in unreimbursed Medicaid services (measured at established rates). Recognition: In the following, you will see many ways Saint Francis Health System, Inc. and Saint Francis Hospital South, LLC distinguish themselves through Recognition by national associations and publications. Saint Francis Hospital South, LLC is committed to continual improvement in both patient service and clinical quality in order to better serve our community. Quality commendations received in the fiscal year include: US News and World Report recognized Saint Francis Hospital South, LLC in its 2023-2024 Best Hospitals rankings. Saint Francis Hospital South, LLC was recognized as high performing in treating three specialties: Kidney Failure, Pneumonia and Maternity Care. The American Heart Associations' Get with the Guidelines Achievement Awards were awarded to Saint Francis South for treatment of Heart Failure and Diabetes. Healthgrades, a website devoted to providing independent ratings and assessments of healthcare providers, recognized Saint Francis Hospital South, LLC with five-star ratings on its website for the conditions and procedures: Sepsis, Pneumonia, and Respiratory Failure. Form 990, Part V, Line 2b Saint 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 15 Common 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, Section A, Line 1a The Organization delegates its governance to the Saint Francis Health System, Inc. Board of Directors. Saint Francis Health System, Inc.'s Board of Directors is comprised of 9 directors, 6 of which are independent. The Board of Trustees, are made up of five individuals, all of which are independent. Form 990, Part VI, Section A, Line 2 Description of 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. Bishop David Konderla, a Trustee, serves on other boards outside of Saint Francis Health System, Inc. with William R. Lissau, a director. William R. Lissau, a director, is the father of Michael Lissau, an officer, have a family relationship. Form 990, Part VI, Section A, Line 3 The director functions are delegated to the Saint Francis Health System, Inc. board of directors. Form 990, Part VI, Section A, Line 6 Saint Francis Health System, Inc., is the sole member of Saint Francis Hospital South, LLC. Form 990, Part VI, Section A, Line 7a Saint Francis Health System, Inc., the sole member of Saint Francis Hospital South, LLC appoints the managers. Form 990, Part VI, Section A, Line 7b As the sole member of Saint Francis Hospital South, LLC, Saint Francis Health System, Inc., has 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 11b The 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 12c A request for information on potential conflicts is solicited annually from Directors, Trustees and all employees that are 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. Conflicts are regularly disclosed and addressed. Form 990, Part VI, Section B, Line 15a and 15b Compensation of officers and senior level management is reviewed annually and approved by the compensation committee with guidance from independent consultants and the use of comparative data. Form 990, Part VI, Section C, Line 19 These requests are determined on a case-by-case basis. Form 990, Part VII, Section A The 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 9 The change in fund balance of ($5,729,279) was a net equity transfer with the broader Saint Francis Health System. Saint Francis Hospital Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 730700090 Health Svcs OK 501(c)(3) 3 SFHS true Laureate Psychiatric Clinic & Hosp Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 731308273 Health Svcs OK 501(c)(3) 3 SFHS true The Children's Hosp Fdn at Saint Francis 6600 S Yale Ave Ste 400 Tulsa OK 74136 202843418 Health Svcs OK 501(c)(3) 12A Type I SFHS true Warren Clinic Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 731310891 Health Svcs OK 501(c)(3) 3 SFHS true Saint Francis Hospital Vinita Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 813747248 Health Svcs OK 501(c)(3) 3 SFHS true SAINT FRANCIS HOSPITAL MUSKOGEE INC 6600 S YALE AVE STE 400 TULSA OK 74136 814322087 HEALTH SVCS OK 501(C)(3) 3 SFHS true SAINT FRANCIS HEALTH SYSTEM INC 6600 S YALE AVE STE 400 TULSA OK 74136 731501972 HEALTH SVCS OK 501(C)(3) 12B TYPE II NA false Saint Francis Payroll Services LLC 6600 S Yale Ave Ste 400 Tulsa OK 741363319 450470422 Common Pay Agent OK SFHS C Corp 0 0 true Saint Francis Hlth Sys Gen-Prof Lia PO Box 3038 Milwaukee WI 53215 756583874 Insurance OK SFHS Trust 0 0 true Arrowhead Ridge Owners Association 6600 S Yale Ave Ste 400 Tulsa OK 741363319 522418279 ADMIN SVCS OK SFH South C Corp 0 0 1.00000 true Xavier Insurance Company Inc 76 St Paul St Ste 500 Burlington VT 054014477 030333599 Captive Insurance VT SFHS C Corp 0 0 true false false false false false false false false false true false true true false false true true true true Saint Francis Hospital Inc J 97350 Trans Review Saint Francis Hospital Inc L 90812 Trans Review Saint Francis Hospital Inc m 5250811 Trans Review Saint Francis Hospital Inc p 217129050 Trans Review Saint Francis Hospital Inc q 219655520 Trans Review Saint Francis Hospital Inc s 9945774 Trans Review WARREN CLINIC INC J 337692 Trans Review WARREN CLINIC INC M 290897 Trans Review WARREN CLINIC INC P 14967210 Trans Review WARREN CLINIC INC Q 13461218 Trans Review SAINT FRANCIS HOSPITAL VINITA INC P 88363 Trans Review SAINT FRANCIS HOSPITAL VINITA INC Q 184669 Trans Review SAINT FRANCIS HOSPITAL MUSKOGEE INC P 199974 Trans Review SAINT FRANCIS HOSPITAL MUSKOGEE INC Q 685301 Trans Review