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SAINT FRANCIS HOSPITAL MUSKOGEE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
SAINT FRANCIS HOSPITAL MUSKOGEE INC (EIN 81-4322087)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-11
IRS object ID
202311319349307781
Schema version
2021v4.2
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)
Return2023-05-11T20:05:09-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12323 VICTORY AVENUE SUITE 2000AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75219ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN814322087EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Saint Francis Hospital Muskogee 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 Avenue Suite 400AddressLine1Txt
CityTulsaCityNm
State AbbreviationOKStateAbbreviationCd
ZIP741363319ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDeborah DagePersonNm
Person TitleTreasurer/CFOPersonTitleTxt
Phone9184948418PhoneNum
Signature2023-05-11SignatureDt
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

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2021TaxYr
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$193,918,024GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://WWW.SAINTFRANCIS.COM/MUSKOGEEWebsiteAddressTxt
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 Body8VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee1200TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,070,098PYContributionsGrantsAmt
CY Contributions Grants$750,000CYContributionsGrantsAmt
PY Program Service Revenue$167,075,479PYProgramServiceRevenueAmt
CY Program Service Revenue$191,548,723CYProgramServiceRevenueAmt
PY Investment Income-$127,908PYInvestmentIncomeAmt
CY Investment Income$123,585CYInvestmentIncomeAmt
PY Other Revenue$782,781PYOtherRevenueAmt
CY Other Revenue$937,182CYOtherRevenueAmt
PY Total Revenue$174,800,450PYTotalRevenueAmt
CY Total Revenue$193,359,490CYTotalRevenueAmt
PY Grants And Similar Paid$104,670PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$30,826CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$69,423,522PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$83,920,584CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$83,087,638PYOtherExpensesAmt
CY Other Expenses$91,586,790CYOtherExpensesAmt
PY Total Expenses$152,615,830PYTotalExpensesAmt
CY Total Expenses$175,538,200CYTotalExpensesAmt
PY Revenues Less Expenses$22,184,620PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$17,821,290CYRevenuesLessExpensesAmt
Total Assets BOY$129,303,401TotalAssetsBOYAmt
Total Assets EOY$140,731,129TotalAssetsEOYAmt
Total Liabilities BOY$18,992,740TotalLiabilitiesBOYAmt
Total Liabilities EOY$22,736,599TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$110,310,661NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$117,994,530NetAssetsOrFundBalancesEOYAmt
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$161,562,701ExpenseAmt
Grant$30,826GrantAmt
Revenue$191,548,723RevenueAmt
DescSee Schedule ODesc
Total Program Service Expenses$161,562,701TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other 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
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document126IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1200EmployeeCnt
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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 AVENUEAddressLine1Txt
CityTULSACityNm
State AbbreviationOKStateAbbreviationCd
ZIP741363319ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeInd
Jake Henry Jr
Former Pres./CEO/Director1.039.0Yes (X)$0$3,759,482$46,316
Barry L Steichen
Vice President/COO/Director1.039.0$0$1,464,798$188,354Yes (X)
Eric E Schick
Treasurer/CFO (Termed 9/2021)1.039.0$0$1,247,675$54,265Yes (X)
Cliff A Robertson MD
President/Director(Beg 7/2021)1.039.0$0$1,124,072$0Yes (X)Yes (X)
Seyed Hassany MD
Physician1.039.0$5,550$716,114$58,193Yes (X)
Ziad Hawa MD
Physician39.01.0$694,267$25,653$57,437Yes (X)
Michael J Lissau
Secretary1.039.0$0$650,648$111,398Yes (X)
David Polizzi MD
Physician1.039.0$372,013$345,009$43,173Yes (X)
Olankunie Ajanaku MD
Physician39.01.0$699,191$7,200$35,540Yes (X)
Selamawit Negusse MD
Physician1.039.0$50,004$581,805$56,693Yes (X)
Deborah D Dage
Treasurer (Beg 1/2022)1.039.0$0$661,163$0Yes (X)
Michele Keeling
President40.00.0$409,638$0$87,900Yes (X)
Thomas G Neff
Former Secretary0.040.0Yes (X)$0$441,007$44,419
William R Lissau
Director (Non-Voting)1.00.0$0$0$0Yes (X)
JUDY KISHNER
Director (Beg 1/2022)1.00.0$0$0$0Yes (X)
Charles W McEntee MD
Director (Beg 1/2022)1.00.0$0$0$0Yes (X)
JOHN-KELLY C WARREN
Director (Beg 1/2022)1.00.0$0$0$0Yes (X)
Mike Cooke JD
Director (Beg 1/2022)1.00.0$0$0$0Yes (X)
Tom Cooper
Director (Beg 1/2022)1.00.0$0$0$0Yes (X)
Mike Case
Director (Beg 1/2022)1.00.0$0$0$0Yes (X)
Father Gary Kastl
Director (Beg 1/2022)1.00.0$0$0$0Yes (X)
Ashley Gable MD
Director (Termed 5/2022)1.00.0$0$0$0Yes (X)
Jonathan Baldwin MD
Physician39.01.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,230,663TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$11,024,626TotReportableCompRltdOrgAmt
Total Other Compensation$783,688TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K82IndivRcvdGreaterThan100KCnt
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
Po Box 45 833 S East AveCOLUMBUSKS66725Construction Svcs$6,876,416
Medefis Inc
PO BOX 5068NEW YORKNY100875068Contract Staff Svcs$5,694,372
Emergency Medicine Physicians
4535 Dressler Rd NWCANTONOH447186803Healthcare Svcs$2,510,750
Intuitive Surgical Inc
1020 Kifer RdSUNNYVALECA94086Healthcare Svcs$1,986,567
Northstar Anesthesia
6225 N State Hwy 161 Ste 200IRVINGTX75038Healthcare Svcs$1,877,367
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K34CntrctRcvdGreaterThan100KCnt
Government Grants$750,000GovernmentGrantsAmt
Total Contributions$750,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SVCS, NET OF CONTRACTUAL ADJ.Desc
Business621110BusinessCd
Total Revenue Column$191,548,723TotalRevenueColumnAmt
Related Or Exempt Func Income$191,548,723RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$191,548,723TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,580TotalRevenueColumnAmt
Exclusion$12,580ExclusionAmt

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$405,179RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$335,858RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$69,321RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$69,321TotalRevenueColumnAmt
Exclusion$69,321ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$333,681OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$222,676OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$111,005OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$111,005TotalRevenueColumnAmt
Exclusion$111,005ExclusionAmt
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
CAFETERIA SALES722210$762,310$762,310
PHARMACY446110$92,144$92,144
ALL OTHER REVENUE900099$13,407$13,407
FieldValueIRS element (for citing)
Other Revenue Total$867,861OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$193,359,490TotalRevenueColumnAmt
Related Or Exempt Func Income$191,548,723RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,060,767ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$30,826TotalAmt
Program Services$30,826ProgramServicesAmt

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$512,331TotalAmt
Management And General$512,331ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$71,089,325TotalAmt
Program Services$69,398,461ProgramServicesAmt
Management And General$1,690,864ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,176,414TotalAmt
Program Services$2,985,976ProgramServicesAmt
Management And General$190,438ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,816,790TotalAmt
Program Services$4,455,629ProgramServicesAmt
Management And General$361,161ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,325,724TotalAmt
Program Services$3,993,276ProgramServicesAmt
Management And General$332,448ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$184,373TotalAmt
Program Services$35ProgramServicesAmt
Management And General$184,338ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$38,750TotalAmt
Management And General$38,750ManagementAndGeneralAmt

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$10,607,423TotalAmt
Program Services$10,612,294ProgramServicesAmt
Management And General-$4,871ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$62,738TotalAmt
Program Services$58,025ProgramServicesAmt
Management And General$4,713ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,654,381TotalAmt
Program Services$2,545,799ProgramServicesAmt
Management And General$108,582ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,607,427TotalAmt
Program Services$1,607,129ProgramServicesAmt
Management And General$298ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,163,959TotalAmt
Program Services$293,526ProgramServicesAmt
Management And General$1,870,433ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$179,586TotalAmt
Program Services$176,490ProgramServicesAmt
Management And General$3,096ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$72,337TotalAmt
Program Services$56,375ProgramServicesAmt
Management And General$15,962ManagementAndGeneralAmt

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$8,130,403TotalAmt
Program Services$8,235,182ProgramServicesAmt
Management And General-$104,779ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,600,508TotalAmt
Program Services$72,289ProgramServicesAmt
Management And General$1,528,219ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$39,898,137$39,844,019$54,118
BAD DEBT EXPENSE$9,742,539$9,742,539$0
MAINTENANCE$5,816,203$5,703,370$112,833
MEDICAID SHOPP FEE$3,140,692$0$3,140,692

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,687,334TotalAmt
Program Services$1,751,461ProgramServicesAmt
Management And General$3,935,873ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$175,538,200TotalAmt
Program Services$161,562,701ProgramServicesAmt
Management And General$13,975,499ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$80,937BOYAmt
EOY$82,133EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,612,960BOYAmt
EOY$18,628,186EOYAmt

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$4,345,119BOYAmt
EOY$5,146,784EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$860,978BOYAmt
EOY$1,917,606EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$150,775,816LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$36,415,598LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$108,836,185BOYAmt
EOY$114,360,218EOYAmt

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$567,222BOYAmt
EOY$596,202EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$129,303,401BOYAmt
EOY$140,731,129EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$16,102,268BOYAmt
EOY$20,411,861EOYAmt

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$2,890,472BOYAmt
EOY$2,324,738EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,992,740BOYAmt
EOY$22,736,599EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$110,310,661BOYAmt
EOY$117,994,530EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$110,310,661BOYAmt
EOY$117,994,530EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$129,303,401BOYAmt
EOY$140,731,129EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$17,821,290ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$10,137,421OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

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

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule 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$9,280,000OtherCostOrOtherBasisAmt
Book Value$9,280,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$84,605,047OtherCostOrOtherBasisAmt
Depreciation$13,699,777DepreciationAmt
Book Value$70,905,270BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,380,806OtherCostOrOtherBasisAmt
Depreciation$1,243,399DepreciationAmt
Book Value$3,137,407BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$43,938,726OtherCostOrOtherBasisAmt
Depreciation$21,453,399DepreciationAmt
Book Value$22,485,327BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,571,237OtherCostOrOtherBasisAmt
Depreciation$19,023DepreciationAmt
Book Value$8,552,214BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$114,360,218TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPROFESSIONAL LIABILITY RESERVEDesc
Amt$2,324,738Amt
FieldValueIRS element (for citing)
Total Liability$2,324,738TotalLiabilityAmt
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 Muskogee, 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 Muskogee, 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 Muskogee, 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 Muskogee, 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 Other225.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
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$1,682,779TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,682,779NetCommunityBenefitExpnsAmt
Total Expense0.01010TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,567,594TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$40,336,359DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,231,235NetCommunityBenefitExpnsAmt
Total Expense0.00740TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,250,373TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$40,336,359DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,914,014NetCommunityBenefitExpnsAmt
Total Expense0.01750TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,320,123TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,491,704DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,828,419NetCommunityBenefitExpnsAmt
Total Expense0.03510TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,320,123TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,491,704DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,828,419NetCommunityBenefitExpnsAmt
Total Expense0.03510TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$70,570,496TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$61,828,063DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,742,433NetCommunityBenefitExpnsAmt
Total Expense0.05260TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$283,302TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$283,302NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$47,500TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$47,500NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$330,802TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$330,802NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$9,742,539BadDebtExpenseAmt
Bad Debt Expense Attributable$6,819,777BadDebtExpenseAttributableAmt
Reimbursed By Medicare$80,061,203ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$60,962,683CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$19,098,520MedicareSurplusOrShortfallAmt

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 Muskogee IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 Rockefeller DriveAddressLine1Txt
CityMuskogeeCityNm
State AbbreviationOKStateAbbreviationCd
ZIP74401ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTPS://WWW.SAINTFRANCIS.COM/MUSKOGEEWebsiteAddressTxt
State License2177StateLicenseNum
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 Muskogee 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 Adpt19ImplementationStrategyAdptYr
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 Care225.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.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
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 assess 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 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 14 conditions as community health needs (in order of highest priority) of the primary service area as heart disease/stroke; mental health; access to health care services; diabetes; nutrition/physical activity/weight; cancer; substance abuse; respiratory disease; infant health/family planning; tobacco use; injury/violence; potentially disabling conditions; oral health; 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 Saint Francis Hospital Muskogee, 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 - Access to health care services - Diabetes
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 Muskogee, 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 (14 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 Muskogee, 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 Muskogee, Inc. 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 Muskogee, Inc.'s community building activities aimed at promoting the health of the community.
Part III, Section A, Line 2Saint Francis Hospital Muskogee, 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 Muskogee, 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 Muskogee, Inc.'s policies.
Part III, Section A, Line 3The bad debt expense attributable to patients eligible under the organizations 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 Muskogee, Inc., produces consolidated financials which include the financial position and results of financial operations of Saint Francis Hospital Muskogee, 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.
Part III, Line 9bSaint Francis Hospital Muskogee, 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 Muskogee, Inc. applies its collections efforts consistently and fairly to all patients regardless of insurance. Saint Francis Hospital Muskogee, Inc. works with those individuals who do not have the financial resources to pay outstanding balances to qualify for Saint Francis Hospital Muskogee, Inc.'s financial assistance policy. Charges to patients qualifying for charity care under the Saint Francis Hospital Muskogee, Inc. financial assistance policy are written off 100 percent.
Part VI, Line 2Costing 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 Muskogee, Inc. 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 Muskogee, Inc.'s community-building activities aimed at promoting the health of the 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, Inc. makes every effort to educate patients on charity, its 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 the Saint Francis Health System, Inc.'s financial assistance policy. - Saint Francis Health System, Inc. offers the financial assistance policy, as well as payment options during the follow-up collection calls. policy, as well as payment options during the follow up collection calls.
Part VI, Line 4Community Information The Primary Service Area (PSA) of Saint Francis Hospital Muskogee, Inc. consists of Muskogee, Cherokee, Haskell, McIntosh, Okmulgee, Sequoyah and Wagner Counties, 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 most recent 2022 census report identified approximately 305,000 people in the PSA. The PSA is comprised of the following representation: - 61% Caucasian - 21% Native-American - 6% Two or more races - 4% Hispanic or Latino - 7% African-American - 1% Asian In 2022, the median household income for the PSA was $44,200 (about 43 percent below the US median) and the 2022 mean household income was $64,100 (about 48 percent below the US average). The per capita income for the PSA is 48 percent below the national median and 22 percent lower than the average for Oklahoma. In 2022, approximately 32 percent of the PSA's population lives in poverty, with the number falling to 10 percent for those under 18. Over 17 percent of households in the psa received food stamps/Supplemental Nutrition Assistance Program (SNAP) benefits within 2022. The uninsured rate in the PSA is approximately 18 percent. Distressingly, when narrowing focus to the PSA civilian population age 19 to 64 that participates in the labor force, the uninsured rate rises to over 24 percent. During Oklahoma's 2022 fiscal year, there were 1,075,881 unduplicated Medicaid enrollees; meaning nearly 27 percent of the state's population was enrolled in the Medicaid program at some point in time. The PSA was home to 93,412 unduplicated enrollees or approximately 31 percent of the PSA's population.
Part VI, Line 5Promotion of Community Health Saint Francis Hospital Muskogee, 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 Muskogee, 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 Muskogee, 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 Muskogee, 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 Muskogee, Inc. provides financial assistance in the form of charity care to patients who are indigent and satisfy certain requirements. Additionally, Saint Francis Hospital Muskogee, 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 available 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 Muskogee, Inc. reinvests its net operating income back into the facility to improve patient care, to benefit society and to allow Saint Francis Hospital Muskogee, 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 Muskogee, Inc., is part of Saint Francis Health System, Inc. Over 30,700 patients were seen in the hospital's emergency room. Additionally, Saint Francis Hospital Muskogee, Inc. admitted approximately 8,600 patients; provided ancillary and diagnostic services on an outpatient basis to an additional 62,400 patients; and handled approximately 570 births. See Schedule O for additional information regarding Saint Francis Hospital Muskogee, Inc.'s role within Saint Francis Health System, Inc.
Part VI, Line 7 - State filing of community benefit reportSaint Francis Health System, Inc., which includes Saint Francis Hospital Muskogee, Inc., publishes a community benefit report in Oklahoma. A written report that is included in an annual 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 Muskogee, 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 Line1Muskogee Jr Livestock ShowBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2784AddressLine1Txt
CityMuskogeeCityNm
State AbbreviationOKStateAbbreviationCd
ZIP74402ZIPCd
FieldValueIRS element (for citing)
Recipient EIN731325124RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$15,800CashGrantAmt
Purpose Of GrantGeneral SupportPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2FormAndLineReferenceDesc
ExplanationSaint Francis Hospital Muskogee, Inc. provides charitable contributions to other 501(c)(3) exempt organizations that further the exempt purposes of Saint Francis Hospital Muskogee, Inc. 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 Muskogee, Inc. has a presence. Saint Francis Hospital Muskogee, Inc. 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 Muskogee, Inc.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 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
Jake Henry Jr
Former Pres./CEO/Director$0$1,197,607$0$2,557,492$0$4,383$0$37,390$0$8,926$0$3,805,798$0$0
Barry L Steichen
Vice President/COO/Director$0$1,146,365$0$311,418$0$7,015$0$161,747$0$26,607$0$1,653,152$0$0
Thomas G Neff
Former Secretary$0$308,694$0$122,523$0$9,790$0$26,393$0$18,026$0$485,426$0$0
Eric E Schick
Treasurer/CFO (Termed 9/2021)$0$976,426$0$265,473$0$5,776$0$34,782$0$19,483$0$1,301,940$0$0
Michael J Lissau
Secretary$0$507,476$0$138,793$0$4,379$0$88,307$0$23,091$0$762,046$0$0
Michele Keeling
President$324,430$0$79,568$0$5,640$0$69,212$0$18,688$0$497,538$0$0$0
Olankunie Ajanaku MD
Physician$676,287$0$7,800$7,200$15,104$0$35,540$0$0$0$734,731$7,200$0$0
Deborah D Dage
Treasurer (Beg 1/2022)$0$558,188$0$96,942$0$6,033$0$0$0$0$0$661,163$0$0
Cliff A Robertson MD
President/Director(Beg 7/2021)$0$601,678$0$500,000$0$22,394$0$0$0$0$0$1,124,072$0$0
Ziad Hawa MD
Physician$654,100$25,653$20,667$0$19,500$0$35,540$0$21,897$0$751,704$25,653$0$0
David Polizzi MD
Physician$372,013$313,759$0$15,000$0$16,250$35,540$0$7,633$0$415,186$345,009$0$0
Seyed Hassany MD
Physician$5,550$696,614$0$0$0$19,500$0$35,540$0$22,653$5,550$774,307$0$0
Selamawit Negusse MD
Physician$50,004$562,305$0$0$0$19,500$0$35,540$0$21,153$50,004$638,498$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Saint Francis Hospital Muskogee, 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., and Saint Francis Hospital Muskogee, Inc., are eligible to participate in a nonqualified deferred compensation plan under Section 457(b) and 457(f) of the Internal Revenue Code of 1986, as amended under the economic growth and tax relief reconciliation act of 2001. Note: None of the individuals listed on Schedule J are compensated as board members of the reporting entity. The reported compensation is for services as employees of the reporting entity or related organization.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4aSaint Francis Hospital Muskogee, Inc. is a member of Saint Francis Health System, Inc. 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 Muskogee, 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 Muskogee and the surrounding areas. In fiscal year 2022, Saint Francis Hospital Muskogee, Inc. provided approximately $1,683,000 of charity care (measured at established rates) and $1,231,000 in unreimbursed Medicaid services (measured at established rates). Healthgrades, a website devoted to providing independent ratings and assessments of healthcare providers, recognized Saint Francis Hospital Muskogee with five-star ratings on its website for the conditions and procedures: COPD and Respiratory Failure.
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 2Description 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. 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, and has 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.
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 Muskogee, Inc.
Form 990, Part VI, Section A, Line 7aSaint Francis Health System, Inc., the sole member of Saint Francis Hospital Muskogee, Inc. appoints the governing body.
Form 990, Part VI, Section A, Line 7bAs the sole member of Saint Francis Hospital Muskogee, Inc., 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 - appointment of 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. One director, two officer/directors and one officer 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 the use of comparative data.
Form 990, Part VI, Section C, Line 19These requests are determined on a case-by-case basis.
Form 990, Part VII, Section 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 -$10,137,421 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 Vinita Inc
6600 S Yale Ave Ste 400TulsaOK74136813747248Health 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 400TulsaOK74136450470422Common Pay AgentOKSFHSC corp$0$0Yes (true)
Xavier Insurance Company Inc
76 St Paul St Ste 500BurlingtonVT05401030333599Captive InsuranceVTSFHSC corp$0$0Yes (true)
Saint Francis Hlth Sys Gen-Prof Lia
PO Box 3038MilwaukeeWI53215756583874Self 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 ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
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 (14 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Saint Francis Hospital Inc
M$5,712,556Trans Review
Saint Francis Hospital Inc
P$167,231,721Trans Review
Saint Francis Hospital Inc
Q$186,180,104Trans Review
Saint Francis Hospital Inc
S$111,474Trans Review
Saint Francis Hospital South LLC
P$427,894Trans Review
Saint Francis Hospital South LLC
Q$149,992Trans Review
Saint Francis Hospital Vinita Inc
P$111,833Trans Review
Saint Francis Hospital Vinita Inc
I$55,464Trans Review
Laureate Psychiatric Clinic and Hospital Inc
Q$970,677Trans Review
Laureate Psychiatric Clinic and Hospital Inc
P$1,219,643Trans Review
Warren Clinic Inc
J$367,054Trans Review
Warren Clinic Inc
P$16,771,539Trans Review
Warren Clinic Inc
Q$14,839,155Trans Review
Warren Clinic Inc
M$360,991Trans Review