2023-05-10T19:07:10+00:00 2022-06-30 990 2021-07-01 730662663 St John Sapulpa Inc STJO 3147338000 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 Tonya Mershon Vice President, Tax 2023-05-10 Tonya Mershon 999009999 2021 2023-04-26 12:10:37Z Ascension St John Sapulpa MICHAEL J CHRISTIAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 23408991 false X https://healthcare.ascension.org/locations/oklahoma/oktul/sapulpa-ascension-st-john-sapulpa X 1956 OK To improve the health and well-being of all people in the communities we serve. 9 7 0 20 0 0 2165018 671291 20819664 22637196 0 0 105523 100504 23090205 23408991 438 876 0 0 0 0 0 0 23733427 25983948 23733865 25984824 -643660 -2575833 13081266 11601830 16753287 4512654 -3672021 7089176 Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually-centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words. false false 19763642 876 22655368 St. John Sapulpa, Inc. is a 25-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2022, St. John Sapulpa, Inc. treated 641 adults and children for a total of 4,611 patient days of service. The hospital also provided services for 27,480 outpatient visits, which included 194 outpatient surgeries and 15,025 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. As part of the Ascension Catholic health ministry, the filing organization served in support of Ascension's commitment to both care for patients and communities and support caregivers and other associates through the challenges of the COVID-19 global pandemic in FY22. 19763642 true false false true false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 21 0 true 0 false false false false false false false false false false false false X 9 7 false false false false true true true true true false false false true true true true true false false false OK X SARA OBRIEN 3147338000 4600 EDMUNDSON ROAD ST LOUIS MO 631343806 ALECIA ANNE SIEGFRIED RN CHAIR 1.0 11.0 X X 0 22610 0 MICHAEL J CHRISTIAN PRESIDENT (START 1/2022) 0.0 50.0 X X 0 201967 35771 SUSAN KIMBALL VICE CHAIR 1.0 2.0 X X 0 0 0 BARBARA BENEDICT DIRECTOR 1.0 2.0 X 0 0 0 CHARLES GEBETSBERGER MD DIRECTOR 1.0 2.0 X 0 0 0 DAVID L PHILLIPS EX-OFFICIO (END 1/2022) 0.0 50.0 X 0 362612 36164 STAN SALLEE DIRECTOR 1.0 2.0 X 0 0 0 STEVE MOWERY DIRECTOR 1.0 2.0 X 0 0 0 WES STOTLER DO DIRECTOR 1.0 2.0 X 0 0 0 WILLIAM BERRY DIRECTOR 1.0 2.0 X 0 0 0 MICHAEL J MCBRIDE REGIONAL PRESIDENT & COO/SECRETARY 0.0 50.0 X 0 896432 38445 REBECCA A TUCKER TREASURER/CFO, MINISTRY MARKET 0.0 50.0 X 0 530577 33183 CHRISTOPHER J LEPAK MD FORMER KEY EMPLOYEE (END 12/2017) 0.0 50.0 X 0 617136 45290 LYN MCKEE FORMER KEY EMPLOYEE (END 12/2017) 0.0 50.0 X 0 154183 21432 MICHAEL MCCULLOUGH FORMER OFFICER (END 11/2020) 0.0 50.0 X 0 746282 32742 RONALD JAMES BRASEL FORMER OFFICER (END 6/2018) 0.0 50.0 X 0 354268 40390 RONNIE L HOFFMAN FORMER OFFICER (END 6/2018) 0.0 50.0 X 0 271619 42500 0 4157686 325917 0 true true false PSYCHIATRIC MEDICAL CARE LLC 605 PLAINFIELD RD KNOXVILLE TN 300672314 MEDICAL SERVICES 471345 1 0 0 0 3401 667890 0 671291 Net Patient Service Revenue 621990 22563119 22563119 Rental Income from Affiliates 531120 58437 58437 State Program Revenue 900099 10092 10092 Shared Savings Revenue 900099 3244 3244 Interest Income from Patient Accounts 900099 2304 2304 0 0 0 0 22637196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria/Vending Revenue 722514 82332 82332 Escheatment Revenue 900099 7563 7563 Insurance Proceeds 900099 3097 3097 7512 7512 0 0 100504 23408991 22655368 0 82332 X 876 876 56545 36550 19995 3940 3940 419188 236303 182885 0 449 449 80544 32477 48067 611549 529868 81681 7165 6331 834 7541 7541 1229389 1065186 164203 1690 1690 Wage & Benefit Allocation 10956529 9493122 1463407 Purchased Services 3680596 1928754 1751842 Physician Fees to Affiliate 3371771 3371771 Management Fee to Affiliate 2243099 2243099 3313953 3054414 259539 0 25984824 19763642 6221182 0 1200 1204 1039 0 0 0 1921688 2089839 0 0 0 0 0 0 503921 599930 684 0 17299955 9731512 8406776 7568443 0 0 0 0 0 12623 2245958 1329791 13081266 11601830 1511890 1474022 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15241397 3038632 16753287 4512654 X -3672021 7089176 0 -3672021 7089176 13081266 11601830 X -2575833 13337030 X false true X true true true X false false false false false false false false true 3940 3940 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to state hospital associations that is specifically allocable to lobbying. ANY OTHER LOBBYING UNDERTAKEN IN FURTHERANCE OF THE HEALTHCARE MISSION OF THE FILING ORGANIZATION THAT IS CONDUCTED BY A RELATED ORGANIZATION IS PROPERLY REPORTED ON THAT RELATED ORGANIZATION'S SCHEDULE C, PART II-B. The filing organization does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 0 1900000 1900000 0 7532337 3839181 3693156 0 369556 160141 209415 0 7313846 5552190 1761656 0 184216 180000 4216 7568443 Due from Affiliates 469441 Estimated 3rd Party Payor Settlements 757159 Right of Use Operating Lease 101226 Other Receivables 1965 1329791 0 OTHER MISC LIABILITIES 253985 ASSET RETIREMENT OBLIGATION 16656 Due to Affiliates 2230101 Estimated 3rd Party Payor Settlement 368835 Recovery Tail Liability 65126 Accrued Sales Tax Liability 2703 Long Term Lease Liability 101226 3038632 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2022. true true X true X 250 true X true false true true 1789782 1789782 0.0689 7064634 4484858 2579776 0.0993 0 0.0 0 0 8854416 4484858 4369558 0.1682 3 0 61701 61701 0.0024 1 15 1969 1969 0.0001 0 0.0 0 0.0 2 0 33468 20000 13468 0.0005 6 15 97138 20000 77138 0.0030 6 15 8951554 4504858 4446696 0.1711 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 734527 0 8544138 9047795 -503657 X true true 1 1 St John Sapulpa 1004 East Bryan Sapulpa OK 740664513 https://healthcare.ascension.org/locations/oklahoma/oktul/sapulpa-ascension-st-john-sapulpa 2310 X X X X St John Sapulpa 1 false false true X X X X X X X X X 21 true true true true X https://healthcare.ascension.org/chna X true 21 true https://healthcare.ascension.org/chna false true X 250.0 400.0 X X X X true true X X X true X https://healthcare.ascension.org/Financial-Assistance X https://healthcare.ascension.org/Financial-Assistance X https://healthcare.ascension.org/Financial-Assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - St. John Sapulpa. RECOGNIZING ITS VITAL IMPORTANCE IN UNDERSTANDING THE HEALTH NEEDS AND ASSETS OF THE COMMUNITY, ST. JOHN SAPULPA TOOK INTO ACCOUNT INPUT FROM INDIVIDUALS AND ORGANIZATIONS REPRESENTING THE PERSPECTIVES OF: 1) PUBLIC HEALTH PRACTICE AND RESEARCH; 2) INDIVIDUALS WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, OR CONSIDERED AMONG THE MINORITY POPULATIONS SERVED BY THE HOSPITAL; AND 3) THE BROADER COMMUNITY AT LARGE AND THOSE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED. MULTIPLE METHODS WERE USED TO GATHER COMMUNITY INPUT, INCLUDING FOCUS GROUPS WITH COMMUNITY RESIDENTS AND INTERVIEWS WITH KEY STAKEHOLDERS, VULNERABLE POPULATION HYBRID ADMINISTRATOR/CLIENT GROUPS, AND CIVIC LEADERS. THESE METHODS PROVIDED ADDITIONAL CONSIDERATIONS ON HOW TO SELECT AND ADDRESS TOP HEALTH ISSUES FACING CREEK COUNTY. THE METHODS AND PROCESSES ARE OUTLINED BELOW. ORGANIZATIONS THAT PROVIDED INPUT ARE LISTED IN APPENDIX C OF THE CHNA REPORT. A SERIES OF FIVE FOCUS GROUPS WERE FACILITATED BY A CONSULTANT, SEVEN RIVERS CONSULTING LLC, TO GATHER FEEDBACK FROM COMMUNITY MEMBERS ON THE HEALTH NEEDS AND ASSETS OF CREEK COUNTY. BECAUSE OF THE COVID-19 PANDEMIC (PARTICULARLY THE OMICRON SPIKE IN EARLY CALENDAR YEAR 2022), FOCUS GROUPS WERE CONDUCTED ENTIRELY ONLINE, USING ZOOM VIDEO CONFERENCES. THIRTEEN INDIVIDUALS PARTICIPATED IN THE FOCUS GROUPS, HELD IN JANUARY AND FEBRUARY 2022. THIS GROUP OF PARTICIPANTS WAS DEFINED AS GENERAL COMMUNITY MEMBERS OF VARIOUS DEMOGRAPHICS RESIDING IN CREEK COUNTY. WHILE THE FOCUS GROUPS DO NOT PORTRAY AN EXACT REPRESENTATION OF THE REGION'S DIVERSE POPULATION, WE ESTIMATE THEY REPRESENTED THE COLLECTIVE SPIRIT OF ASSETS, NEEDS, CONCERNS, AND FEARS AMONG THOSE LIVING IN CREEK COUNTY. ALL INTERVIEWEES RECEIVED AN INCENTIVE FOR THEIR PARTICIPATION: A $20 GIFT CARD TO A LOCAL GAS STATION CHAIN. A SERIES OF 22 INTERVIEWS WERE CONDUCTED BY SEVEN RIVERS CONSULTING TO GATHER FEEDBACK FROM KEY STAKEHOLDERS, VULNERABLE POPULATION HYBRID ADMINISTRATOR/CLIENT GROUPS, AND CIVIC LEADERS ON THE HEALTH NEEDS AND ASSETS OF CREEK COUNTY. THESE GROUPS OF PARTICIPANTS WERE DEFINED AS FOLLOWS: - KEY STAKEHOLDERS: MEMBERS OF AN ORGANIZATION OR AGENCY OPERATING IN AND/OR SERVING PEOPLE FROM CREEK COUNTY - VULNERABLE POPULATION GROUPS: ONE OR MORE LEADERS OF AN ORGANIZATION OR AGENCY WHOSE PRINCIPAL MISSION INCLUDES SERVING VULNERABLE AND/OR HISTORICALLY MARGINALIZED POPULATIONS IN CREEK COUNTY AND ONE OR MORE CLIENTS/PATIENTS SERVED BY THE ORGANIZATION/AGENCY - CIVIC LEADERS: PEOPLE SERVING IN A CIVIC LEADERSHIP ROLE (E.G., MAYOR, CITY COUNCILOR, PUBLIC HEALTH DIRECTOR, ETC.) SOME INDIVIDUALS AND ORGANIZATIONS INTERVIEWED REPRESENTED POPULATIONS BOTH IN AND BEYOND CREEK COUNTY. TWENTY-SIX REPRESENTATIVES FROM 22 DIFFERENT ORGANIZATIONS/AGENCIES PARTICIPATED IN THE INTERVIEWS, HELD BETWEEN OCTOBER 2021 AND JANUARY 2022. NOTES FROM EVERY ENCOUNTER WERE TRANSCRIBED. THE RAW QUALITATIVE TEXT WAS ANALYZED AND SORTED BY THEMES. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - St. John Sapulpa. THE OTHER HOSPITAL FACILITIES WITH WHICH ST. JOHN SAPULPA CONDUCTED ITS CHNA INCLUDE: - ST. JOHN MEDICAL CENTER - OWASSO MEDICAL FACILITY - ST. JOHN BROKEN ARROW - JANE PHILLIPS MEMORIAL MEDICAL CENTER - JANE PHILLIPS NOWATA HEALTH CENTER Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - St. John Sapulpa. THE OTHER ORGANIZATIONS WITH WHICH ST. JOHN SAPULPA CONDUCTED ITS CHNA INCLUDE: - TULSA HEALTH DEPARTMENT Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - St. John Sapulpa - 1. TAX YEAR 2018 IMPLEMENTATION STRATEGY DURING TAX YEAR 2021, ST. JOHN SAPULPA CONTINUED ITS WORK TO ADDRESS THE FOLLOWING SIGNIFICANT NEEDS IDENTIFIED THROUGH THE TAX YEAR 2018 CHNA: ACCESS TO CARE, BEHAVIORAL HEALTH, HEALTHY LIFESTYLES, AND ADVERSE CHILDHOOD EXPERIENCES. THE SUMMARIZED ACTION PLANS BELOW REFLECT THE PROGRESS MADE BY ST. JOHN SAPULPA DURING THIS TIME. THE ACTION PLANS REFLECT THE MODIFICATIONS MADE AS A RESULT OF THE ACUTE COMMUNITY CONCERN ASSESSMENT PERFORMED IN TAX YEAR 2020, WHEN SOME OBJECTIVES WERE ADDED OR ADJUSTED AS A RESULT OF THE COVID-19 PANDEMIC, AS WELL AS EVENTS AND CIVIC UNREST SURROUNDING RACIAL INJUSTICE, THAT OCCURRED THAT YEAR AND CONTINUE TO AFFECT THE COMMUNITY. PRIORITIZED NEED 1: ACCESS TO CARE GOAL 1: REMOVE BARRIERS OF ACCESS TO HEALTHCARE FOR THOSE LIVING IN POVERTY AND/OR OTHERWISE DEEMED VULNERABLE WITHIN OUR SERVICE AREA. GOAL 1 > STRATEGY 1: WORK TO EXPAND MEDICAID TO THE POINT THAT IT INCREASES COVERAGE FOR THOSE MOST VULNERABLE IN OKLAHOMA (MEDICAID EXPANSION). ANTICIPATED IMPACT: - PARTICIPATE AS A COLLABORATING PARTNER WITH THE YES ON 802 CAMPAIGN TO HELP ATTAIN 178,000 SIGNATURES TO PUT A QUESTION ON THE 2020 BALLOT TO EXPAND MEDICAID COVERAGE TO ELIGIBLE RESIDENTS WITH AN INCOME OF UP TO 133 PERCENT OF THE FEDERAL POVERTY LIMIT (FPL). - ADVOCATE FOR VOTERS IN THE STATE OF OKLAHOMA TO ADOPT A BALLOT INITIATIVE TO EXPAND MEDICAID COVERAGE TO ELIGIBLE RESIDENTS WITH AN INCOME OF UP TO 133 PERCENT OF THE FPL. - IF INITIATIVE IS ADOPTED, HELP HEALTHCARE COMMUNITY PREPARE FOR MEDICAID EXPANSION. BY JULY 2021, SOONERCARE WOULD BEGIN OFFERING COVERAGE SERVICES TO NEW RECIPIENTS DUE TO EXPANSION OF MEDICAID COVERAGE WITH AS LIMITED RESTRICTIONS TO ELIGIBILITY AS POSSIBLE. PROGRESS: - INCREASED STAFFING OF TEMPORARY WORKFORCE TO ASSIST WITH THE SURGE IN NEED FOR MEDICAID ENROLLMENT ASSISTANCE. - CONTINUED TO INCREASE PHYSICIAN COVERAGE AS NEEDED IN RESPONSE TO MEDICAID EXPANSION IN A CONCERTED EFFORT TO ASSIST PATIENTS WITH ENROLLMENT. GOAL 1 > STRATEGY 2: CREATE A WELCOMING ENVIRONMENT BY DEVELOPING AND IMPLEMENTING A PLAN TO ASSIST THOSE LIVING IN POVERTY AND/OR POPULATIONS OTHERWISE DEEMED VULNERABLE AS WELL AS THEIR CAREGIVERS WITH NAVIGATING OUR HEALTHCARE FACILITIES. ANTICIPATED IMPACT: - BY THE END OF EACH TAX YEAR (2019-2021), ASSESS IMPROVED TRENDS IN RELATED PATIENT EXPERIENCE MEASURE OUTCOMES FOR TAX YEARS 2019-2021, USING TAX YEAR 2018 AS BASELINE. - ADDED IN TAX YEAR 2020: HELP ADDRESS RACIAL INEQUITIES AND DISPARITIES BY FORMING COMMUNITY PARTNERSHIPS WITH KEY STAKEHOLDERS OF THIS CAUSE. - ADDED IN TAX YEAR 2020: EXPLORE OPTIONS FOR SOCIAL WORK NAVIGATION FOR VULNERABLE POPULATIONS TO HELP ADDRESS BARRIERS TO ACCESSING HEALTHCARE. - ADDED IN TAX YEAR 2020: PARTICIPATE IN THE ACCOUNTABLE HEALTH COMMUNITIES PROGRAM IN PARTNERSHIP WITH MYHEALTH, TULSA HEALTH DEPARTMENT AND MORE THAN 4,800 COMMUNITY SERVICE PROVIDERS. ASSESS RESULTS AT LEAST ANNUALLY. PROGRESS: - ALTHOUGH MEETINGS WERE HELD WITH NATIONAL PFE TEAM IN EARLY TAX YEAR 2021 TO DISCUSS ASSESSMENT PLANS, THE OBJECTIVE TO "ASSESS IMPROVED TRENDS IN RELATED PATIENT EXPERIENCE MEASURE OUTCOMES" WAS PUT ON HOLD DUE TO THE COVID-19 PANDEMIC AND HOSPITAL RECOVERY. - WHILE THE OBJECTIVE TO "ASSESS APPLICABLE BIAS REPORTING SUBMITTED THROUGH VARIANCE PROCESS TO QUALITY/RISK MANAGEMENT WITH TAX YEAR 2018 AS BASELINE" WAS NOTED AS EXCUSED IN TAX YEAR 2020 DUE TO THE COVID-19 PANDEMIC, THE REVIEW WAS RE-INITIATED. A TEAM MET IN DECEMBER 2021 TO EXPLORE HOW POTENTIAL BIAS IN VARIANCE REPORTING COULD BE IDENTIFIED AND MONITORED ON AN ANNUAL BASIS. - THE COMMUNITY BENEFIT TEAM AND LOCAL ABIDE COMMITTEE CONTINUED TO WORK WITH THE 1921 TULSA RACE MASSACRE CENTENNIAL COMMISSION ON PARTNERSHIP OPPORTUNITIES. - TWO-YEAR FUNDING CONTINUED FOR SOCIAL WORK NAVIGATOR DEDICATED TO HELPING DISCHARGE HOSPITAL PATIENTS WITH A PRIMARY DIAGNOSIS OF A PSYCHIATRIC CONDITION OR SUBSTANCE ABUSE. NAVIGATOR TRACKED REFERRAL SITES TO HELP DETERMINE RATIO OF ATTEMPTED REFERRALS TO SUCCESSFUL REFERRALS. - AHC PROGRAM DELIVERY AND RESPONSE RATES AND TOTAL NUMBER OF IDENTIFIED SOCIAL NEEDS WERE ASSESSED AT THE END OF THE YEAR AND COMPARED WITH STATE AVERAGES. - IN OCTOBER 2021, ST. JOHN HEALTH SYSTEM, INC. BEGAN OFFERING NAVIGATION SERVICES TO UNINSURED PATIENTS WITH SOCIAL NEEDS, REGARDLESS OF PAST EMERGENCY ROOM VISITS (COMPARED WITH THE PAST MODEL, WHICH WAS FOR MEDICARE AND MEDICAID PATIENTS WITH AT LEAST TWO ER VISITS IN THE LAST 12 MONTHS). GOAL 2: REDUCE REGIONAL INEQUITY IN ACCESSING HEALTHCARE PROVIDERS, SERVICES AND RESOURCES. GOAL 2 > STRATEGY 1: TARGET SPECIFIC ZIP CODES IN THE COMMUNITIES WE SERVE IDENTIFIED AS EXPERIENCING HEALTH DISPARITIES AND POOR HEALTH OUTCOMES FOR POSSIBLE DEVELOPMENT OF TELEMEDICINE SERVICES. ANTICIPATED IMPACT: - COMPLETE RESEARCH ON OTHER TELEMEDICINE PROGRAMS BY THE END OF TAX YEAR 2019. - DEVELOP A PLAN FOR REACHING PATIENTS, THE SERVICES TO BE DELIVERED, AND THE PROVIDERS OF THE SERVICES BY THE END OF TAX YEAR 2019. - MAKE THE GO / NO GO DECISION BY THE END OF THE FIRST QUARTER OF TAX YEAR 2020 (09/30/21). - DEVELOP THE PILOT IMPLEMENTATION PLAN OR THE ALTERNATIVE PLAN BY THE END OF FY 2022. PROGRESS: - PLAN DEVELOPMENT FOR A SCHOOL-BASED TELEHEALTH PROGRAM WAS DELAYED IN SUMMER 2021 DUE TO A SURGE IN COVID-19 AND HOSPITAL RECOVERY EFFORTS. HOWEVER, RESEARCH WAS COMPLETED AS PLANNED. - A TELEMEDICINE TASK FORCE WAS DEVELOPED. FACILITY-TO-FACILITY TELEMEDICINE CONSULTS WERE IMPLEMENTED FOR ADDITIONAL SPECIALTIES: NEUROLOGY, CARDIOLOGY AND INFECTIOUS DISEASE (FOLLOWING BEHAVIORAL HEALTH, WHICH WAS IMPLEMENTED DURING THE PRIOR TAX YEAR). GOAL 2 > STRATEGY 2: PROMOTE AWARENESS OF, AND ACCESS TO, HEALTHCARE FOR UNDERSERVED POPULATIONS WITHIN COMMUNITIES WE SERVE THROUGH MEDICAL MISSION AT HOME (MM@H) EVENTS AND OTHER OPPORTUNITIES TO REACH THOSE IN NEED. ANTICIPATED IMPACT: - PLAN AND HOST AT LEAST THREE MEDICAL MISSION AT HOME (MM@H) EVENT TO ADDRESS HEALTHCARE NEEDS OF VULNERABLE COMMUNITIES, AS IDENTIFIED IN THE CHNAS, BY THE END OF TAX YEAR 2019. - OBTAIN SURVEY FEEDBACK FROM AT LEAST 25 PERCENT OF PATIENTS AND VOLUNTEERS TO DETERMINE EFFECTIVENESS OF SERVICES OFFERED BY END OF TAX YEAR 2019. - SUBMIT A LIST OF ACTIVITIES PERFORMED WITHIN THE HEALTH SYSTEM TO PROMOTE ACCESS TO CARE TO THE ASCENSION VP OF MISSION INTEGRATION AND CBISA TASK FORCE BY THE END OF EACH FISCAL YEAR. - ENTER FY TAX YEAR 2019 MM@H SURVEY DATA INTO SPREADSHEET FOR EVALUATION BY MM@H STEERING COMMITTEE; PLAN AND IMPLEMENT MM@H BY END OF TAX YEAR 2020. - ENTER TAX YEAR 2020 MM@H SURVEY DATA INTO SPREADSHEET FOR EVALUATION BY MM@H STEERING COMMITTEE; PLAN AND IMPLEMENT MM@H BY END OF FY TAX YEAR 2021. PROGRESS: - ACTIVITIES PERFORMED WITHIN THE HEALTH SYSTEM TO PROMOTE ACCESS TO CARE WERE PRESENTED TO THE MISSION COMMITTEE OF THE MINISTRY MARKET BOARD (INCLUDING THE CHIEF MISSION INTEGRATION OFFICER) AND REPORTED IN THE CBISA COMMUNITY BENEFIT REPORTING DATABASE AS APPLICABLE THROUGHOUT THE TAX YEAR. - ALL OTHER OBJECTIVES WERE COMPLETED IN TAX YEARS 2019 AND 2020. PRIORITIZED NEED 2: BEHAVIORAL HEALTH GOAL 1: ASSESS THE OPPORTUNITY FOR AND/OR IMPLEMENT INTENSIVE OUTPATIENT GERIATRIC PSYCHIATRIC PROGRAMS, IF VIABLE, FOR SENIORS 65+ WITH BEHAVIORAL HEALTH ISSUES IN AREAS OF NEED IN NORTHEASTERN OKLAHOMA. GOAL 1 > STRATEGY 1: IMPLEMENT INTENSIVE OUTPATIENT GERIATRIC PSYCHIATRIC PROGRAM IN CREEK COUNTY. ANTICIPATED IMPACT: - ROLL-OUT INTENSIVE OUTPATIENT GERIATRIC PSYCHIATRIC PROGRAM AT ST. JOHN SAPULPA. - MARKET INTENSIVE OUTPATIENT GERIATRIC PSYCHIATRIC PROGRAM INTERNALLY WITHIN ST. JOHN HEALTH SYSTEM, INC. AS WELL AS TO 10 POTENTIAL COMMUNITY REFERRAL SOURCES WITHIN SERVICE AREA. - COMPLETE ANNUAL REVIEW OF ST. JOHN SAPULPA INTENSIVE OUTPATIENT GERIATRIC PSYCHIATRIC PROGRAM. IMPLEMENT MODIFICATIONS TO PROGRAM AS NECESSARY BASED ON FINDINGS FROM ANNUAL REVIEW. PROGRESS: - ALL OBJECTIVES WERE COMPLETED IN TAX YEARS 2019 AND 2020. GOAL 2: ADVANCE ST. JOHN HEALTH SYSTEM, INC. AND HOSPITAL ENGAGEMENT IN COMMUNITY COALITIONS AND COLLABORATIVES TO PROMOTE BEHAVIORAL HEALTH WELLNESS IN THE COMMUNITIES WE SERVE. GOAL 2 > STRATEGY 1: IDENTIFY COMMUNITY COALITIONS AND OTHER COLLABORATIVES WITH PARTNERSHIP OPPORTUNITIES TO PROMOTE BEHAVIORAL HEALTH WELLNESS; ENCOURAGE HEALTH SYSTEM AND HOSPITAL REPRESENTATION/INVOLVEMENT BY ASSOCIATES AS DEEMED APPROPRIATE. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - St. John Sapulpa - 2. ANTICIPATED IMPACT: - BY END OF TAX YEAR 2019 ENSURE ONE ASSOCIATE PER CHNA-DEFINED COUNTY IS ENGAGED WITH A COMMUNITY COALITION OR COLLABORATIVE. - INCREASE OVERALL ST. JOHN HEALTH SYSTEM, INC. AND HOSPITAL ASSOCIATE PARTICIPATION BY 5% WITH BEHAVIORAL HEALTH COALITIONS AND COLLABORATIVES IN THE COMMUNITIES WE SERVE, AND WHICH ST. JOHN HEALTH SYSTEM, INC. AND THE HOSPITAL ARE NOT CURRENTLY IN PARTNERSHIP BY THE END OF FY 2022. PROGRESS: - ASSOCIATES FROM ALL FOUR COUNTIES SERVED BY ST. JOHN HEALTH SYSTEM, INC. CONTINUE TO SERVE ON COMMUNITY COMMITTEES OR COALITIONS WORKING TO ADDRESS LOCAL MENTAL/BEHAVIORAL HEALTH ISSUES. - THE BEHAVIORAL HEALTH TEAM ESTABLISHED A WORKING RELATIONSHIP WITH CHESS HEALTH FOR STREAMLINED COMMUNITY RESOURCE REFERRALS. - THE CHIEF ADVOCACY OFFICER AND BEHAVIORAL HEALTH LEAD JOINED A PARKSIDE COMMITTEE FOCUSED ON ADOLESCENT MENTAL/BEHAVIORAL HEALTH. - THE CHIEF ADVOCACY OFFICER AND BEHAVIORAL HEALTH LEAD JOINED A COLLABORATION WITH SAINT FRANCIS HEALTH SYSTEM AND HEALTHY MINDS. - TWO-YEAR FUNDING CONTINUED FOR SOCIAL WORK NAVIGATOR DEDICATED TO HELPING DISCHARGE HOSPITAL PATIENTS WITH A PRIMARY DIAGNOSIS OF A PSYCHIATRIC CONDITION OR SUBSTANCE ABUSE. NAVIGATOR TRACKED REFERRAL SITES TO HELP DETERMINE RATIO OF ATTEMPTED REFERRALS TO SUCCESSFUL REFERRALS. PRIORITIZED NEED 3: HEALTHY LIFESTYLES GOAL 1: ADDRESS FOOD INSECURITY THROUGH COMMUNITY COLLABORATION AND STRENGTHENING OF COMMUNITY RESOURCES. GOAL 1 > STRATEGY 1: EXPLORE COLLABORATIVE OPPORTUNITIES TO DEVELOP AN INITIATIVE(S) TO ADDRESS FOOD INSECURITY IN COMMUNITIES WE SERVE IN NORTHEASTERN OKLAHOMA. IF VIABLE, DEVELOP AND IMPLEMENT INITIATIVE(S). ANTICIPATED IMPACT: - MEET WITH 5-10 POTENTIAL COMMUNITY PARTNERS (ENCOMPASSES COMMUNITIES SURROUNDING ALL SIX ST. JOHN HEALTH SYSTEM, INC. HOSPITALS) BY 12/31/19. - DEVELOP ASSESSMENT PLAN TO OUTLINE RESEARCH ON EVIDENCE-BASED PROGRAMS AND TRACK PARTNERSHIP OPPORTUNITIES BY THE END OF TAX YEAR 2019. - IF DEEMED VIABLE, DEVELOP AND IMPLEMENT INITIATIVE(S) FOR IDENTIFIED OPPORTUNITIES ON A PILOT BASIS DURING TAX YEAR 2020. - DURING TAX YEAR 2021, PERFORM ASSESSMENT OF PILOT AND DEVELOP PLAN TO EXPAND THROUGHOUT THE ST. JOHN HEALTH SYSTEM, INC. IF VIABLE. PROGRESS: - CONDUCTED A PROGRAM ASSESSMENT OF THE INTERNAL ASSOCIATE FOOD VOUCHER PROGRAM TO HELP ADDRESS FOOD INSECURITY AMONG ST. JOHN HEALTH SYSTEM, INC. ASSOCIATES IN OCTOBER 2021. DUE TO DECLINING PARTICIPATION SINCE IMPLEMENTATION AS A RESPONSE TO THE COVID-19 PANDEMIC, THE PROGRAM SUNSETTED JUNE 30, 2022. - THE COMMUNITY BENEFIT TEAM MET SEVERAL TIMES DURING Q2 AND Q3 WITH A NATIONAL LEAD REGARDING "LISTENING SESSIONS" WITH PARTICIPANTS OF THE ASSOCIATE FOOD VOUCHER PROGRAM, AS WELL AS PLANS TO OFFER LOW-COST, HEALTHY MEAL OPTIONS ON SITE DURING MARCH 2022 AS A PILOT OF THE HEALTHY FOOD ACCESS INITIATIVE. AS OF THE END OF TAX YEAR 2021, PLANS TO EXPAND THE PROGRAM ARE STILL TO BE DETERMINED. - CONTINUED PARTNERSHIPS WITH AND FUNDING SUPPORT OF VARIOUS COMMUNITY ORGANIZATIONS WORKING TO ADDRESS FOOD INSECURITY, INCLUDING FRESH RX, COMMUNITY FOOD BANK OF EASTERN OKLAHOMA, MARY MARTHA OUTREACH, FOOD ON THE MOVE, CARING COMMUNITY FRIENDS, AND OTHERS. YEAR-END REPORTS FOR THOSE SUPPORTED FINANCIALLY WERE COLLECTED AND ASSESSED. - INITIAL IMPLEMENTATION STRATEGY PLANS TO EXPLORE OPTIONS FOR ON-SITE FOOD PANTRIES WERE CANCELED DUE TO THE COVID-19 PANDEMIC AND HOSPITAL RECOVERY EFFORTS. GOAL 2: REDUCE THE HEALTH IMPACT OF TOBACCO USE IN COMMUNITIES WE SERVE. (ST. JOHN HEALTH SYSTEM, INC. AND HOSPITAL ACKNOWLEDGE THE TRADITIONAL AND SACRED USE OF TOBACCO AMONG AMERICAN INDIAN PEOPLE LIVING IN OKLAHOMA). GOAL 2 > STRATEGY 1: ASSESS OPPORTUNITIES FOR SYSTEMATIC SCREENING AND INTERVENTION FOR PATIENTS IDENTIFIED AS TOBACCO USERS IN AMBULATORY AND INPATIENT SETTINGS IN COMMUNITIES WE SERVE. ANTICIPATED IMPACT: - BY END OF TAX YEAR 2019: DEVELOP ASSESSMENT PLAN TO OUTLINE RESEARCH ON EVIDENCE-BASED TOBACCO SCREENING AND INTERVENTION PROGRAMS. - BY END OF TAX YEAR 2020: ASSESS AND COMPLETE INFORMATICS NEEDED FOR SCREENING AND INTERVENTION SERVICES, IF VIABLE, TO ENABLE SYSTEMATIC SCREENING AND INTERVENTION FOR TOBACCO USERS IN FACILITIES. - BY END OF TAX YEAR 2021: IMPLEMENT AND/OR ADVANCE SYSTEMATIC SCREENING AND INTERVENTION IN INPATIENT AND AMBULATORY SETTINGS BASED ON YEAR 1 FINDINGS. PROGRESS: - A 12-MINUTE TOBACCO CESSATION EDUCATION/TRAINING VIDEO PROVIDED BY HOSPITALS HELPING PATIENTS QUIT (HHPQ) WAS UPLOADED INTO THE ONLINE TRAINING/EDUCATION PLATFORM FOR ASSOCIATES. - RE-INITIATED A PROJECT IN Q1 THAT WOULD ALLOW E-REFERRALS DIRECTLY FROM THE ELECTRONIC MEDICAL RECORD AND PRODUCE A RESULTS MESSAGE FROM THE OKLAHOMA TOBACCO HELPLINE (1-800-QUIT). THE HOSPITAL MADE PLANS TO ENGAGE ASCENSION MEDICAL GROUP ST. JOHN TO STREAMLINE A PROCESS ACROSS ALL FACILITIES. AMBULATORY SERVICES WOULD ALSO BE ABLE TO UTILIZE THE E-REFERRALS. - INTERFACE TESTING ON THE EON SOFTWARE TOOK PLACE IN SEPTEMBER 2021. THE RADIOLOGY PROJECT TEAM CONTINUED TO MEET WEEKLY. GOAL 2 > STRATEGY 2: EXPLORE OPPORTUNITIES TO HELP IDENTIFY AND WORK WITH OUR ASSOCIATES REQUESTING ASSISTANCE WITH TOBACCO CESSATION. ANTICIPATED IMPACT: - BY END OF TAX YEAR 2019: DEVELOP ASSESSMENT PLAN TO OUTLINE RESEARCH ON EVIDENCE-BASED PROGRAMS. - BY END OF TAX YEAR 2020: IF OPPORTUNITIES AVAILABLE, PRESENT FINDINGS TO HEALTH SYSTEM AND HOSPITAL LEADERSHIP TO ADVOCATE FOR PROGRAM IMPLEMENTATION. - IF VIABLE, IMPLEMENT PROGRAM IN TAX YEAR 2021. PROGRESS: - FOLLOWING REVIEW OF THE SMARTHEALTH HEALTH RISK ASSESSMENT, THE VP OF HUMAN RESOURCES AND PHYSICIAN RELATIONS TEAM CONNECTED WITH SMARTHEALTH TO REQUEST ADDITIONAL QUESTIONS ABOUT SMOKING DETAILS AND WHETHER THE INDIVIDUAL HAS HAD A LUNG CANCER SCREENING IN THE PAST YEAR TO HELP IDENTIFY TOBACCO USERS MOST AT RISK. THE ASCENSION MANAGER OF ASSOCIATE HEALTH BROUGHT FORTH THE RECOMMENDATION TO THE QUESTIONNAIRE VENDOR, VIRGIN PULSE. GOAL 3: ADVANCE HOSPITAL ENGAGEMENT IN COMMUNITY COALITIONS AND COLLABORATIVES TO PROMOTE HEALTHY LIFESTYLES AND CHRONIC DISEASE PREVENTION IN THE COMMUNITIES WE SERVE. GOAL 3 > STRATEGY 1: IDENTIFY COMMUNITY COALITIONS AND COLLABORATIVES WITH PARTNERSHIP OPPORTUNITIES TO PROMOTE HEALTHY LIFESTYLES AND CHRONIC DISEASE PREVENTION. ENCOURAGE ST. JOHN HEALTH SYSTEM, INC. AND HOSPITAL REPRESENTATION/INVOLVEMENT BY ASSOCIATES AS DEEMED APPROPRIATE. ANTICIPATED IMPACT: - ENSURE AT LEAST ONE ASSOCIATE PER HOSPITAL FACILITY (ENCOMPASSES ALL SIX ST. JOHN HEALTH SYSTEM, INC. HOSPITALS) IS INVOLVED WITH A COMMUNITY COALITION OR SIMILAR ORGANIZATION IN THE RESPECTIVE COMMUNITY SERVED BY THE END OF TAX YEAR 2019. - INCREASE OVERALL TRACKED PARTICIPATION BY ASSOCIATES WITH COMMUNITY ORGANIZATIONS AND EVENTS BY 5% FROM TAX YEAR 2018 TO TAX YEAR 2019 (ENCOMPASSES ALL SIX ST. JOHN HEALTH SYSTEM, INC. HOSPITALS). - INCREASE OVERALL TRACKED PARTICIPATION BY ASSOCIATES WITH COMMUNITY ORGANIZATIONS AND EVENTS BY ANOTHER 5% FROM TAX YEAR 2019 TO TAX YEAR 2020 (ENCOMPASSES ALL SIX ST. JOHN HEALTH SYSTEM, INC. HOSPITALS). PROGRESS: - ALL OBJECTIVES WERE COMPLETED IN TAX YEARS 2019 AND 2020. - CONTINUED TO RELAY TO COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) REPORTERS AND SENIOR LEADERS THAT PARTICIPATION OF ASSOCIATES WITH COMMUNITY ORGANIZATIONS, IF MEETING ALL COMMUNITY BENEFIT GUIDELINES, SHOULD BE REPORTED. PRIORITIZED NEED 4: ADVERSE CHILDHOOD EXPERIENCES (ACES) GOAL 1: COMBAT HUMAN TRAFFICKING IN THE COMMUNITIES WE SERVE THROUGH EFFORTS TO SUPPORT THE NEEDS OF HUMAN TRAFFICKING VICTIMS OR THOSE AT RISK OF BEING TRAFFICKED IN A TRAUMA-INFORMED MANNER, TAKING INTO CONSIDERATION THE CORRELATION BETWEEN ACES AND HUMAN TRAFFICKING. GOAL 1 > STRATEGY 1: INCREASE COMMUNITY AWARENESS ON THE CORRELATION BETWEEN HIGH ACE SCORES AND HUMAN TRAFFICKING AS WELL AS THE IMPACT OF ACES ON HEALTH OUTCOMES. ANTICIPATED IMPACT: - BY THE END OF THE SECOND QUARTER OF TAX YEAR 2019, MEET WITH THE OKLAHOMA COALITION AGAINST HUMAN TRAFFICKING TO IDENTIFY EDUCATION NEEDS IN THE COMMUNITY. - CONDUCT EDUCATION ON ACES AND HUMAN TRAFFICKING TO AT LEAST 15 COMMUNITY AGENCIES OR ORGANIZATIONS BY THE END OF FY 2022. PROGRESS: - ALL OBJECTIVES WERE COMPLETED IN TAX YEARS 2019 AND 2020. - IN TAX YEAR 2021, EDUCATION ACES AND HUMAN TRAFFICKING IN THE COMMUNITY CONTINUED, INCLUDING PRESENTATIONS TO: QUIKTRIP FUNDERS ROUNDTABLE (AUGUST 2021), PRIMARY CARE PHYSICIAN CONFERENCE (OCTOBER 2021), OKLAHOMA HOSPITAL ASSOCIATION (JANUARY 2022), THREE SESSIONS WITH HILLCREST HEALTH SYSTEM CHAPLAINS (FEBRUARY, MARCH AND APRIL 2022), IDABEL MEDICAL GROUP (APRIL 2022), AND THE SPRING (APRIL 2022). Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - St. John Sapulpa - 3. GOAL 1 > STRATEGY 2: ADVANCE THE ST. JOHN HEALTH SYSTEM, INC. HUMAN TRAFFICKING EDUCATION AND RESPONSE PROGRAM TO SERVE VICTIMS OF HUMAN TRAFFICKING. ANTICIPATED IMPACT: - DEVELOP AT LEAST THREE ADDITIONAL COMMUNITY PARTNERSHIPS TO STRENGTHEN COMMUNITY AWARENESS AND COLLABORATION TO COMBAT HUMAN TRAFFICKING IN THE COMMUNITIES WE SERVE BY THE END OF TAX YEAR 2019. - CONDUCT AT LEAST TWO HUMAN TRAFFICKING EDUCATION/AWARENESS EVENTS FOR EACH OF THE SIX ST. JOHN HEALTH SYSTEM, INC. HOSPITAL FACILITIES AND OUTPATIENT CLINICS BY THE END OF TAX YEAR 2019. - COMPLETE DISSEMINATION OF ASSESSMENT POCKET TOOLS TO KEY ENTRY POINTS AT ST. JOHN HEALTH SYSTEM, INC. HOSPITALS BY THE END OF TAX YEAR 2019. - COMPLETE DISSEMINATION OF ASSESSMENT POCKET TOOLS TO OUTPATIENT CLINICS BY THE END OF FY 2022. PROGRESS: - DISTRIBUTED HUMAN TRAFFICKING ASSESSMENT POCKET TOOLS TO CLINICS AS PART OF CLINICAL EDUCATION. - ALL OTHER OBJECTIVES WERE COMPLETED IN TAX YEARS 2019 AND 2020. GOAL 2: ADDRESS AND MITIGATE ADVERSE HEALTH OUTCOMES PRENATALLY AND BIRTH TO 18 YEARS OF AGE IN COMMUNITIES WE SERVE. GOAL 2 > STRATEGY 1: EXPAND THE ST. JOHN HEALTH SYSTEM, INC. AND HOSPITAL SUSPECTED CHILD ABUSE AND NEGLECT (SCAN) COMMITTEE TO INCLUDE COMMUNITY EXPERTS AND/OR LIAISONS, AS WELL AS HOSPITAL REPRESENTATION. ANTICIPATED IMPACT: - EXPLORE OPPORTUNITIES FOR THE EXPANSION OF THE SCAN COMMITTEE, AS EVIDENCED BY COMMITTEE MEETING MINUTES BY THE END OF TAX YEAR 2019. - IMPLEMENT OPPORTUNITIES FOR SCAN COMMITTEE IMPROVEMENT, AS IDENTIFIED IN TAX YEAR 2019 AND AS EVIDENCED BY A REVISED SCAN COMMITTEE CHARTER, IF APPROPRIATE, BY THE END OF TAX YEAR 2020. - IF APPROPRIATE, DEFINE A REPORTING STRUCTURE OF THE QUALITY METRICS RELATED TO SCAN BY THE END OF FY 2022. PROGRESS: - SCAN COMMITTEE MET MONTHLY WITH INTERDISCIPLINARY TEAMS TO REVIEW CASES. - PEDIATRICIAN ON SCAN COMMITTEE ASSISTED WITH MEDICAL STAFF CREDENTIALING FOR UNIVERSITY OF OKLAHOMA COMMUNITY CHILD ABUSE PEDIATRICIAN AND OU PEDIATRICS FELLOWS. - NEW SOCIAL WORKER AND NEW PEDIATRIC CLINICAL NURSE SPECIALIST JOINED SCAN COMMITTEE IN FALL 2021. - REVIEWED OKLAHOMA MOTHERS AND NEWBORNS AFFECTED BY OPIOIDS (OMNO) DATA REPORT FOR POTENTIAL STANDARDS FOR QUALITY METRICS. HOWEVER, A REPORTING STRUCTURE WAS NOT DEFINED; THEREFORE, THE OBJECTIVE WAS DELAYED DUE TO STAFF TURNOVER. GOAL 2 > STRATEGY 2: SUSTAIN AND/OR EXPAND CURRENT SERVICES AND PARTNERSHIPS TARGETING CARE OF PREGNANT WOMEN AND CHILDREN BIRTH TO 3 YEARS OF AGE THROUGHOUT ST. JOHN HEALTH SYSTEM, INC. AND HOSPITAL. ANTICIPATED IMPACT: - ASSESS CURRENT PROGRAMS, ACTIVITIES AND COMMUNITY PARTNERSHIPS THROUGHOUT ST. JOHN HEALTH SYSTEM, INC., INCLUDING BUT NOT LIMITED TO CAPACITY, UTILIZATION AND OPPORTUNITY FOR EXPANSION TO OTHER AREAS OF ST. JOHN HEALTH SYSTEM, INC. TO SUPPORT THE CARE OF PREGNANT WOMEN AND CHILDREN BIRTH TO 3 YEARS OF AGE AND DEVELOP AN ACTION PLAN BY THE END OF TAX YEAR 2019. - IF VIABLE, IMPLEMENT PILOT AND/OR EXPANSION OF COLLABORATION WITH COMMUNITY PARTNERS TO SUPPORT THE CARE OF PREGNANT WOMEN AND CHILDREN BIRTH TO 3 YEARS OF AGE BY THE END OF TAX YEAR 2021. PROGRESS: - BEGAN PARTICIPATION IN INITIATIVES TARGETING OPIOID EXPOSURE PRENATALLY AND AFTER BIRTH. WORKED TO GET AGREEMENT IN PLACE FOR COUNSELING SERVICES AND OTHER BEHAVIORAL HEALTH SUPPORT FOR FAMILIES IMPACTED. - EXPLORED AN OPPORTUNITY TO PARTICIPATE IN THE BIRTH THROUGH EIGHT STRATEGY FOR TULSA (BEST) RESEARCH STUDY. BEST IS A COLLABORATIVE APPROACH FOR SEAMLESS, MULTI-SECTOR CONTINUUM OF HIGH-QUALITY PROGRAMS AND SERVICES FOR YOUNG CHILDREN AND FAMILIES. THE AMERICAN INSTITUTES FOR RESEARCH (AIR) IS CONDUCTING A SIX-YEAR STUDY OF THE BEST APPROACH TO LEARN ABOUT PARENTS' EXPERIENCES AND THEIR CHILDREN'S DEVELOPMENT. THE OPPORTUNITY WAS PUT ON HOLD DUE TO A THIRD COVID-19 SURGE, HOSPITAL RECOVERY EFFORTS, AND STAFF TURNOVER, BUT IS EXPECTED TO BE REVISITED IN THE FUTURE. GOAL 3: STRENGTHEN ST. JOHN HEALTH SYSTEM, INC. AND HOSPITAL ASSOCIATE AWARENESS OF THE ROLE OF ACES IN HEALTH OUTCOMES, AS WELL AS TO HOW BEST TO RESPOND TO THE NEEDS OF THOSE MOST VULNERABLE. GOAL 3 > STRATEGY 1: PARTNER WITH COMMUNITY AGENCIES AND COALITIONS TO INCREASE ST. JOHN HEALTH SYSTEM, INC. ASSOCIATE AWARENESS OF THE ROLE OF ACES IN ADVERSE HEALTH OUTCOMES AND HOMELESSNESS AND HOW BEST TO RESPOND TO THE NEEDS OF INDIVIDUALS EXPERIENCING OR AT RISK FOR HOMELESSNESS THROUGH COLLABORATIVE CARE COORDINATION AND LINKAGE TO COMMUNITY RESOURCES AND SUPPORT. ANTICIPATED IMPACT: - EXPLORE OPPORTUNITIES FOR COMMUNITY PARTNERSHIP AND COLLABORATION TO ADDRESS ACES IN THE COMMUNITIES SERVED BY ST. JOHN HEALTH SYSTEM, INC. PROGRESS: - OBJECTIVE WAS COMPLETED IN TAX YEAR 2020. GOAL 4: IMPLEMENT EDUCATION AND ASSESSMENT TOOLS TO RAISE AWARENESS OF THE IMPACT OF ACES ON ST. JOHN HEALTH SYSTEM, INC. AND HOSPITAL ASSOCIATES AND THEIR FAMILIES IN SUPPORT THE WHOLE PERSON AND A MODEL COMMUNITY OF ENGAGED ASSOCIATES. GOAL 4 > STRATEGY 1: PROVIDE EDUCATION TO ST. JOHN HEALTH SYSTEM, INC. AND HOSPITAL LEADERS ON THE PREVALENCE OF ACES, THEIR IMPACT ON HEALTH AND OTHER OUTCOMES, AND HOW TO IDENTIFY RISK FACTORS AND AVAILABLE RESOURCES TO SUPPORT ASSOCIATES WHO EXPERIENCE OR ARE AT RISK OF ADVERSE OUTCOMES AS RESULT OF ACES. ANTICIPATED IMPACT: - PARTICIPATE IN ASCENSION THRIVE PROGRAM DESIGNED TO DEVELOP SOLUTIONS TO ADDRESS GENERAL BENEFIT NEEDS, SOCIAL DETERMINANTS OF HEALTH, AND ECONOMIC ISSUES EXPERIENCED BY ECONOMICALLY VULNERABLE ASSOCIATES, SOME OF WHOM EXPERIENCE OR ARE AT RISK OF ADVERSE OUTCOMES AS A RESULT OF ACES. PROGRESS: - THE VP OF HUMAN RESOURCES FROM ST. JOHN HEALTH SYSTEM, INC. PARTICIPATED ON THE ASCENSION THRIVE TEAM, WHICH LOOKED AT WAYS TO UNDERSTAND BARRIERS AND IMPROVE HOW THE ORGANIZATION COMMUNICATES OFFERINGS TO ASSOCIATES. LISTENING SESSIONS WITH ASSOCIATES WERE HELD IN SEPTEMBER 2021 TO UNDERSTAND BETTER THEIR AWARENESS OF CURRENT BENEFIT PROGRAMS, COMMUNICATION PREFERENCES, AND UNIQUE SOCIAL AND ECONOMIC ISSUES. TARGETED COMMUNICATIONS DESIGNED TO RECRUIT LISTENING SESSION PARTICIPANTS WERE DISTRIBUTED TO A SMALL NUMBER OF ASSOCIATES WITHIN THE MARKET. INFORMATION GATHERED DURING LISTENING SESSIONS IS BEING USED TO INFORM STRATEGIES FOR DESIGNING, COMMUNICATING, AND DEPLOYING CURRENT AND FUTURE BENEFIT PROGRAMS. TAX YEAR 2021 IMPLEMENTATION STRATEGY IN ST. JOHN SAPULPA'S MOST RECENT CHNA, THE FOLLOWING SIGNIFICANT NEEDS WERE IDENTIFIED FOR CREEK COUNTY: - MENTAL AND BEHAVIORAL HEALTH - ACCESS TO CARE: BARRIERS TO PRIMARY CARE - DIET AND EXERCISE: ACCESS TO HEALTHY FOOD - ALCOHOL AND DRUG USE: ACCESS TO TREATMENT AND RECOVERY SERVICES - COVID-19 - HOUSING AND TRANSIT: RELIABLE TRANSPORTATION - EDUCATION: HEALTH LITERACY ROUNDING DISCUSSIONS WITH MARKET AND HOSPITAL LEADERS, AS WELL AS OTHER KEY STAKEHOLDERS, FURTHER DELINEATED COMMON THEMES AMONG THE SETS OF NEEDS. ACCORDINGLY, IT WAS DETERMINED THAT A MARKETWIDE APPROACH TO ADDRESS TOGETHER THE MOST PRESSING NEEDS OF THE COMMUNITY WOULD BE MOST EFFECTIVE AND IMPACTFUL. HEALTH EQUITY AND SOCIAL JUSTICE ARE INTENTIONAL AND UNIVERSAL THEMES WITHIN THE CHNA PROCESS. OUR COMMITMENT TO ADDRESSING HEALTH NEEDS FLOWS FROM A CHARITABLE MISSION TO PROVIDE ALL PERSONS THE OPPORTUNITY FOR HEALTH AND WELL-BEING, ESPECIALLY VULNERABLE INDIVIDUALS AND HISTORICALLY MARGINALIZED POPULATIONS - BOTH INSIDE HOSPITAL AND CLINIC WALLS AND THROUGHOUT THE COMMUNITY. THAT MEANS WORKING CLOSELY WITH EACH COMMUNITY WE SERVE, PARTNERING WITH LOCAL ORGANIZATIONS AND KEY STAKEHOLDERS TO EXAMINE DRIVERS OF HEALTH THROUGH A LENS OF COMPASSION AND SOLIDARITY. ACCORDINGLY, IT WAS DETERMINED THAT HEALTH EQUITY AND SOCIAL DETERMINANTS OF HEALTH SHOULD BE UNDERLYING CURRENTS OF ALL STRATEGIES AND TACTICS TO ADDRESS NEEDS OF THE COMMUNITY. IN ADDITION, IT IS TAKEN INTO CONSIDERATION THAT PROFOUND DISPARITIES EMERGED FROM OR WERE EXACERBATED BY THE COVID-19 PANDEMIC AND CONTINUE TO AFFECT THE COMMUNITY. THE SIGNIFICANT NEEDS THAT WERE PRIORITIZED BY THE HOSPITAL TO ADDRESS THROUGH THE THREE-YEAR CHNA IMPLEMENTATION STRATEGY ARE: ACCESS TO CARE, MENTAL AND BEHAVIORAL HEALTH, FOOD SECURITY, AND ALCOHOL AND DRUG USE. Schedule H, Part V, Section B, Line 11 Facility , 4 Facility , 4 - St. John Sapulpa - 4. NEEDS THAT WILL NOT BE ADDRESSED DIRECTLY: ST. JOHN HEALTH SYSTEM, INC. AND THE HOSPITAL ARE COMMITTED TO IMPROVING COMMUNITY HEALTH BY ADDRESSING PRIORITIZED HEALTH NEEDS. THE TAX YEAR 2021 CHNA INEVITABLY IDENTIFIED MORE SIGNIFICANT HEALTH NEEDS THAN THE HEALTH SYSTEM, HOSPITALS AND COMMUNITY PARTNERS CAN OR SHOULD ADDRESS AS PRIORITY HEALTH NEEDS. IT WOULD NOT BE PRUDENT TO SPREAD HOSPITAL AND COMMUNITY RESOURCES ACROSS TOO MANY INITIATIVES. ACCORDINGLY, ST. JOHN HEALTH SYSTEM, INC. AND THE HOSPITAL AND COMMUNITY PARTNERS INSTEAD DECIDED TO FOCUS ATTENTION ON PRIORITY AREAS TO HELP ENSURE SUFFICIENT RESOURCES ARE AVAILABLE. IT WAS DISCUSSED AT LENGTH THAT THESE REMAINING HEALTH TOPICS, WHILE NOT CHOSEN AS PRIORITIES, ARE INTERRELATED TO THE FOUR CHOSEN PRIORITIES AND WILL THEREFORE BE ADDRESSED INDIRECTLY. FURTHERMORE, AND AS AFOREMENTIONED, SOCIAL DETERMINANTS OF HEALTH WERE DEEMED AN UNDERLYING CURRENT OF THE CHOSEN PRIORITIES, WHICH WILL ULTIMATELY CROSS OVER EFFORTS INTO OTHER NEED AREAS. ALL DIRECT AND INDIRECT EFFORTS TO IMPROVE THE COMMUNITY'S HEALTH ARE INTENDED TO UPHOLD THE HEALTH SYSTEM AND HOSPITAL'S MISSION TO SERVE ALL PEOPLE, WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. BASED ON THE PRIORITIZATION CRITERIA, THE HEALTH NEEDS IDENTIFIED THROUGH THE CHNA THAT ST. JOHN SAPULPA DOES NOT PLAN TO ADDRESS AT THIS TIME INCLUDE: - COVID-19: THIS NEED WAS NOT SELECTED BECAUSE IT WAS DETERMINED TO BE AN UNDERLYING CURRENT OF ALL STRATEGIES AND TACTICS TO ADDRESS PRIORITY HEALTH NEEDS. - RELIABLE TRANSPORTATION: THIS NEED WAS NOT SELECTED AS AN INDIVIDUAL NEED ON ITS OWN BECAUSE IT IS ENCOMPASSED WITHIN ACCESS TO CARE. - HEALTH LITERACY: THIS NEED WAS NOT SELECTED BECAUSE IT DID NOT RANK AS HIGH AS OTHER NEEDS. IN ADDITION, STAFF CAPACITY IS EXTREMELY LIMITED, WHICH WOULD BE A MAJOR BARRIER TO HEALTH LITERACY STRATEGIES. ADDITIONAL FACTORS IMPACT THE HOSPITAL'S ABILITY TO FULLY ADDRESS ALL PRIORITY NEEDS, INCLUDING THE FOLLOWING: - NEED BEING ADDRESSED BY OTHERS - INSUFFICIENT RESOURCES (FINANCIAL AND PERSONNEL) TO ADDRESS THE NEED - ISSUE IS NOT A PRIORITY FOR COMMUNITY MEMBERS AND THEREFORE APPROACH IS UNLIKELY TO SUCCEED - LACK OF EVIDENCE-BASED APPROACH FOR ADDRESSING THE PROBLEM - NEED IS NOT AS PRESSING AS OTHER PROBLEMS - NEED IS NOT AS LIKELY TO BE RESOLVED AS OTHER PROBLEMS - HOSPITAL AND/OR HEALTH SYSTEM DOES NOT HAVE EXPERTISE TO EFFECTIVELY ADDRESS THE NEED WHILE COVID-19, RELIABLE TRANSPORTATION, AND HEALTH LITERACY ARE NOT THE FOCUS OF THIS IMPLEMENTATION STRATEGY, ST. JOHN SAPULPA MAY CONSIDER INVESTING RESOURCES IN THESE AREAS AS APPROPRIATE, DEPENDING ON OPPORTUNITIES TO LEVERAGE ORGANIZATIONAL AND COMMUNITY ASSETS. THESE ISSUES DESERVE FURTHER ATTENTION AND STUDY BY HEALTH SYSTEMS, AS THEY REFLECT IMPORTANT FACTORS ADVERSELY AFFECTING CREEK COUNTY. ALSO, THIS REPORT DOES NOT ENCOMPASS A COMPLETE INVENTORY OF EVERYTHING ST. JOHN SAPULPA DOES TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY. THE HOSPITAL UNDERSTANDS THE IMPORTANCE OF ALL COMMUNITY NEEDS AND IS COMMITTED TO PLAYING AN ACTIVE ROLE IN ADDRESSING THEM. TO ADDRESS THE PRIORITIZED NEEDS IDENTIFIED IN THE 2021 CHNA, A SUBSEQUENT IMPLEMENTATION STRATEGY FOR EACH ST. JOHN HEALTH SYSTEM, INC. FACILITY WAS ADOPTED. DUE TO THE TIMING OF THE RECENTLY ADOPTED IMPLEMENTATION STRATEGY, IMPACT WILL BE REPORTED STARTING NEXT YEAR. 0 Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG IN ADDITION TO FPG, THE ORGANIZATION USES MEDICAL INDIGENCY, ASSET TEST, INSURANCE STATUS AND RESIDENCY AS OTHER FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. A Patient may not be eligible for the financial assistance if such Patient is deemed to have sufficient assets to pay pursuant to an "Asset Test." The Asset Test involves a substantive assessment of a Patient's ability to pay based on the categories of assets measured in the FAP Application. A Patient with such assets that exceed 250% of such Patient's FPL amount may not be eligible for financial assistance. AN ASSET TEST APPLIES IF A PATIENT HAS ELIGIBLE LIQUID ASSETS THAT EXCEED 250% OF THE PATIENT'S FPG LEVEL FOR CONSIDERATION OF FINANCIAL ASSISTANCE ELIGIBILITY. LIQUID ASSETS INCLUDE ASSETS THAT CAN BE CONVERTED TO CASH WITHIN 1 YEAR. THESE INCLUDE ITEMS SUCH AS CHECKING ACCOUNTS, SAVINGS ACCOUNTS, TRUST FUNDS AND LUXURY ITEMS SUCH AS RECREATIONAL VEHICLES, BOATS, A SECOND HOME, ETC. Schedule H, Part I, Line 5a BUDGET AMOUNTS FOR FREE OR DISCOUNTED CARE THE ORGANIZATION ADMINISTERS ITS FINANCIAL ASSISTANCE POLICY IN ACCORDANCE WITH THE TERMS OF THE POLICY. Schedule H, Part I, Line 6a Community benefit report prepared by related organization ST. JOHN SAPULPA, INC. REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE FOLLOWING RELATED ORGANIZATION'S ANNUAL COMMUNITY BENEFIT REPORT: St. John Health System EIN 73-1215174 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED. Schedule H, Part II Community Building Activities THERE WERE NO COMMUNITY BUILDING ACTIVITIES TO REPORT THIS YEAR. ALL REPORTED ACTIVITIES QUALIFY AS COMMUNITY BENEFIT AND ARE DESCRIBED IN THE NARRATIVE UNDER SCHEDULE H PART I, LINE 7. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Corporation's policies. After applying the cost-to-charge ratio, the share of the bad debt expense in fiscal year 2022 was $2,825,103 at charges, ($734,527 at cost). Schedule H, Part III, Line 3 Bad Debt Expense Methodology BASED ON THE ORGANIZATION'S ADMINISTRATION OF ITS FINANCIAL ASSISTANCE PROGRAM, NO ESTIMATE FOR BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS IS DEEMED APPLICABLE TO HOSPITAL OPERATIONS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION IS PART OFASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSESBAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 17-20, OF THE AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE GROSS CHARGES TO CALCULATE MEDICARE COSTS, WHICH ARE THEN COMPARED TO MEDICARE PAYMENTS RECEIVED, TO DETERMINE A MEDICARE GAIN OR LOSS. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT A MEDICARE SHORTFALL (LOSS) IS NOT TREATED AS COMMUNITY BENEFIT, EVEN THOUGH THE HOSPITAL HAS INCURRED LOSSES IN PROVIDING CARE TO MEDICARE PATIENTS. THEREFORE, NONE OF THE AMOUNT ON LINE 7 IS TREATED AS COMMUNITY BENEFIT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance ST. JOHN SAPULPA, INC. FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED IF ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED FOR THE AMOUNTS FOR WHICH THE PATIENT QUALIFIES. Schedule H, Part V, Section B, Line 16a FAP website - St. John Sapulpa: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - St. John Sapulpa: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - St. John Sapulpa: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part VI, Line 2 Needs assessment ST. JOHN SAPULPA, INC.USES RELIABLE, THIRD PARTY REPORTS, INCLUDING DATA FROM GOVERNMENT SOURCES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THESE REPORTS PROVIDE INFORMATION ABOUT KEY HEALTH, SOCIOECONOMIC, AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED AND INCLUDE BUT ARE NOT LIMITED TO REPORTS FROM: - LOCAL DEPARTMENTS OF HEALTH - OKLAHOMA STATE DEPARTMENT OF HEALTH - LOCAL GOVERNMENT PLANNING DEPARTMENTS - LOCAL UNIVERSITIES - US CENSUS BUREAU - ECONOMIC IMPACT STUDIES - OKLAHOMA HOSPITAL ASSOCIATION - COMMUNITY SERVICE COUNCIL OF GREATER TULSA - CENTERS FOR MEDICARE & MEDICAID SERVICES - AMERICAN COMMUNITY SURVEY - AMERICAN LUNG ASSOCIATION - ANNIE E. CASEY FOUNDATION - CENTERS FOR DISEASE CONTROL AND PREVENTION - COUNTY HEALTH RANKINGS - FEEDING AMERICA - NATIONAL CANCER INSTITUTE - NATIONAL CENTER FOR EDUCATION STATISTICS - OKLAHOMA STATE BUREAU OF INVESTIGATION - SMALL AREA HEALTH INSURANCE ESTIMATES - THE DARTMOUTH ATLAS OF HEALTHCARE - U.S. BUREAU OF LABOR STATISTICS - U.S. DEPARTMENT OF AGRICULTURE - FOOD ENVIRONMENT ATLAS - U.S. ENVIRONMENTAL PROTECTION AGENCY - ST. JOHN MEDICAL ACCESS PROGRAM AND SAFETY-NET CLINIC PARTNERS - COMMUNITY PARTNER AGENCIES ST. JOHN SAPULPA, INC. UTILIZES INFORMATION FROM THESE SECONDARY SOURCES TO DEVELOP PROGRAMS AND PROVIDE SERVICES THROUGHOUT THE REGION. IN ADDITION, ST. JOHN SAPULPA, INC. CONSIDERS THE HEALTH CARE NEEDS OF THE OVERALL COMMUNITY WHEN EVALUATING INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance ST. JOHN SAPULPA, INC. IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL, IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, ST. JOHN SAPULPA, INC.'S FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES; ST. JOHN HOSPITAL, INC. PROVIDES FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 400% OF THE FEDERAL POVERTY LEVEL. ST. JOHN SAPULPA, Inc. WIDELY PUBLICIZES ITS: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY VIA THE HOSPITAL FACILITY'S WEBSITE - https://healthcare.ascension.org/financial-assistance/oklahoma ST. JOHN SAPULPA, Inc. MAKES PAPER COPIES OF THE: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - AMOUNT GENERALLY BILLED CALCULATION. THE PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. ST. JOHN SAPULPA, Inc. INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION MAY BE FOUND. ST. JOHN SAPULPA, Inc. INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS. Schedule H, Part VI, Line 4 Community information ST. JOHN SAPULPA, INC. IS A GROWING COMMUNITY HOSPITAL WHOSE PRIMARY SERVICE AREA IS CREEK COUNTY, OKLA., AND THE SURROUNDING COUNTIES. HOWEVER, ST. JOHN SAPULPA, INC. SERVES PATIENTS WHO LIVE THROUGHOUT THE NORTHEASTERN OKLAHOMA REGION AND BEYOND. FOR THE PURPOSES OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT, THE COMMUNITY SERVED IS DEFINED AS CREEK COUNTY. THE DECISION TO FOCUS ON THE GEOPOLITICAL DEFINITION OF CREEK COUNTY WAS LARGELY INFLUENCED BY THE FACT THAT A SIGNIFICANT NUMBER OF PATIENTS WHO UTILIZE ST. JOHN SAPULPA, INC.SERVICES RESIDE IN CREEK COUNTY. ST. JOHN SAPULPA, INC. IS BASED OUT OF THE CITY OF SAPULPA. ACCORDINGLY, SAPULPA SERVES AS THE PRIMARY AREA OF FOCUS WITHIN THE CREEK COUNTY COMMUNITY. ST. JOHN SAPULPA, INC.'S COMMUNITY HEALTH IMPROVEMENT EFFORTS THAT RESULT FROM THIS COMMUNITY HEALTH NEEDS ASSESSMENT WILL PRIMARILY CENTER ON SAPULPA. HOWEVER, AN EFFORT WAS MADE TO CONSIDER THE HEALTH NEEDS AND ASSETS OF CREEK COUNTY AS A WHOLE, AND OUR EFFORTS WILL ALSO EXTEND TO OTHER CITIES AND TOWNS WITHIN CREEK COUNTY BASED ON LESSONS LEARNED THROUGH OUR WORK WITH THE SAPULPA COMMUNITY. CREEK COUNTY HAS AN ESTIMATED POPULATION OF 72,029. ACCORDING TO THE 2021 COUNTY HEALTH RANKINGS, CREEK COUNTY RANKS 37TH OUT OF 77 OKLAHOMA COUNTIES IN OVERALL HEALTH OUTCOMES AND 36TH OUT OF 77 OKLAHOMA COUNTIES IN OVERALL HEALTH FACTORS. ROUGHLY 4.6% OF THE POPULATION IN CREEK COUNTY IS HISPANIC/LATINO, 10.8% NATIVE AMERICAN, 2.3% BLACK/AFRICAN AMERICAN, AND 78.9% WHITE/CAUCASIAN. THE MEDIAN HOUSEHOLD INCOME IS LOWER COMPARED TO THE STATE OF OKLAHOMA AT ABOUT $49,578 ANNUALLY; UNEMPLOYMENT RATE IS 4.2% IN CREEK COUNTY WHICH IS LOWER THAN THE STATE, AND THE U.S.; AND ROUGHLY 14% OF CREEK COUNTY FAMILIES ARE LIVING IN POVERTY, WHICH IS LOWER THAN THE STATE, BUT HIGHER THAN THE U.S. CREEK COUNTY'S UNINSURED RATE IS 15.6% WHICH IS ON PAR WITH THE STATE'S RATE, BUT HIGHER THAN THE U.S. CREEK COUNTY IS REPORTED TO HAVE GENERAL MEDICAL/SURGICAL HOSPITAL AND 2 CRITICAL ACCESS HOSPITALS, TO RURAL CLINICS AND A FREE CLINIC, TO A PROVIDER OF INDIAN SERVICES (TRIBAL) AND AN URGENT CARE CENTER. ACCORDING TO THE US HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) DATA WAREHOUSE 2018 REPORT, THERE ARE TWO AREAS DESIGNATED AS MEDICALLY UNDERSERVED AREAS IN CREEK COUNTY. CREEK COUNTY IS CONSIDERED A MEDICALLY UNDERSERVED AREA. Schedule H, Part VI, Line 5 Promotion of community health ST. JOHN SAPULPA, INC.'S GOVERNING BODY IS COMPRISED OF PERSONS REPRESENTING DIVERSE ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF ST. JOHN SAPULPA, INC. GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA; WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. ST. JOHN SAPULPA, INC. APPLIES SURPLUS FUNDS TO FUND IMPROVEMENTS IN COMMUNITY HEALTH AND WELLNESS, MEDICAL ACCESS, PATIENT CARE, MEDICAL EDUCATION AND RESEARCH BY DONATIONS TO OR PARTNERING WITH NON-PROFIT AGENCIES, COMMUNITY ORGANIZATIONS AND UNIVERSITIES. Schedule H, Part VI, Line 6 Affiliated health care system ST. JOHN SAPULPA, INC. IS A MEMBER OF ASCENSION. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 19 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. ST. JOHN SAPULPA, INC. OPERATES A HOSPITAL FACILITY IN CREEK COUNTY AND IS PART OF ST. JOHN HEALTH SYSTEM WHICH OWNS AND OPERATES HEALTH CARE RELATED ENTITIES, INCLUDING JANE PHILLIPS MEMORIAL MEDICAL CENTER, JANE PHILLIPS NOWATA HEALTH CENTER, OWASSO MEDICAL FACILITY, ST. JOHN BROKEN ARROW, ST. JOHN SAPULPA AND ST JOHN MEDICAL CENTER. THE HEALTH SYSTEM PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF EASTERN OKLAHOMA AND SOUTHEASTERN KANSAS. false true false false false false false false false MICHAEL J CHRISTIAN PRESIDENT (START 1/2022) 0 164984 0 34600 0 2383 0 12306 0 23465 0 237738 0 0 DAVID L PHILLIPS EX-OFFICIO (END 1/2022) 0 276685 0 56103 0 29824 0 16650 0 19514 0 398776 0 0 RONALD JAMES BRASEL FORMER OFFICER (END 6/2018) 0 269620 0 82500 0 2148 0 18614 0 21776 0 394658 0 0 RONNIE L HOFFMAN FORMER OFFICER (END 6/2018) 0 226450 0 44000 0 1169 0 18010 0 24490 0 314119 0 0 MICHAEL MCCULLOUGH FORMER OFFICER (END 11/2020) 0 399155 0 288189 0 58938 0 11189 0 21553 0 779024 0 0 MICHAEL J MCBRIDE REGIONAL PRESIDENT & COO/SECRETARY 0 495120 0 325050 0 76262 0 14500 0 23945 0 934877 0 0 REBECCA A TUCKER TREASURER/CFO, MINISTRY MARKET 0 376269 0 59394 0 94914 0 14500 0 18683 0 563760 0 0 LYN MCKEE FORMER KEY EMPLOYEE (END 12/2017) 0 138281 0 14730 0 1172 0 4771 0 16661 0 175615 0 0 CHRISTOPHER J LEPAK MD FORMER KEY EMPLOYEE (END 12/2017) 0 441822 0 133500 0 41814 0 18850 0 26440 0 662426 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation A RELATED ORGANIZATION OF THE FILING ORGANIZATION, USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No individuals received current year distributions. Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENTS THE ACTIVITY OF THE FILING ORGANIZATION IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF THE FILING ORGANIZATION IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF THE FILING ORGANIZATION. Form 990, Part VI, Line 15a PROCESS FOR DETERMINING COMPENSATION OF TOP MANAGEMENT OFFICIAL THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. Form 990, Part VI, Line 15b PROCESS FOR DETERMINING COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. Form 990, Part VI, Line 6 Classes of members or stockholders St. John Sapulpa, Inc. has a single corporate member, St. John Health System, Inc. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body St. John Sapulpa, Inc. has a single corporate member, St. John Health System, Inc., who has the ability to elect members to the governing body of St. John Sapulpa, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to St. John Sapulpa, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, St. John Health System, Inc. Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS WHICH MAY INCLUDE, AS NEEDED, FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO DESIGNATED MANAGEMENT TEAM MEMBERS WITH EXPERIENCE IN TAX IN LIEU OF THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Line 19 Required documents available to the public The Organization will provide any documents open to public inspection upon request. Form 990, Part VII, Section A Related Entities The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Miscellanous Revenue - Total Revenue: 7512, Related or Exempt Function Revenue: 7512, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part IX, Line 11g Other Expenses Medical Supplies - Total Expense: 1801841, Program Service Expense: 1751016, Management and General Expenses: 50825, Fundraising Expenses: ; Minor Equipment - Total Expense: 96017, Program Service Expense: 48694, Management and General Expenses: 47323, Fundraising Expenses: ; Professional Fee to Affiliate - Total Expense: 1105777, Program Service Expense: 1105777, Management and General Expenses: , Fundraising Expenses: ; Equipment Lease - Total Expense: 53569, Program Service Expense: 53569, Management and General Expenses: , Fundraising Expenses: ; Other Non Medical Supplies - Total Expense: 180804, Program Service Expense: 50851, Management and General Expenses: 129953, Fundraising Expenses: ; Maintenance & Repairs - Total Expense: 36364, Program Service Expense: 9499, Management and General Expenses: 26865, Fundraising Expenses: ; Licenses & Permits - Total Expense: 2721, Program Service Expense: 2406, Management and General Expenses: 315, Fundraising Expenses: ; Books & Subscriptions - Total Expense: 143, Program Service Expense: 143, Management and General Expenses: , Fundraising Expenses: ; Ambulance & Patient Transport - Total Expense: 23483, Program Service Expense: 23483, Management and General Expenses: , Fundraising Expenses: ; Other Miscellaneous Expenses - Total Expense: 13234, Program Service Expense: 8976, Management and General Expenses: 4258, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers with Affiliates - 13337030; Form 990, Part XII, Line 2c AUDIT COMMITTEE THE FILING ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. THE FINANCE AND AUDIT COMMITTEE OF ASCENSION HEALTH ALLIANCE'S BOARD ASSUMES RESPONSIBILITY FOR THE CONSOLIDATED ORGANIZATION AS A WHOLE. FORM 990, PAGE 1 PHYSICAL ADDRESS THE PHYSICAL ADDRESS FOR THIS ENTITY IS 1923 SOUTH UTICA AVENUE, TULSA, OK 74104-6502. THE ADDRESS ON PAGE 1 IS FOR MAILING PURPOSES ONLY. AFFINITY HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391568866 HEALTH SYSTEM IL 501(c)(3) Type II MINISTRY HEALTH CARE INC true ALABAMA PROVIDENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 462847744 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 10 GULF COAST HEALTH SYSTEM true ALEXIAN BROTHERS AMBULATORY GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364336931 PHYSICIANS SERVICES IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPTIAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251848 BEHAVIORAL HEALTH HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS BONAVENTURE HOUSE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363527899 HOUSING AND SUPPORTIVE CARE SERVICES FOR PERSONS WITH HIV/AIDS IL 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 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BOX 45998 ST LOUIS MO 631455998 471930457 PHYSICIANS SERVICES IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS MEDICAL CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362596381 ACUTE CARE HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS MEDICAL GROUP SPECIALTY CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 811110738 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 ALEXIAN BROTHERS HEALTH SYSTEM true ALEXIAN BROTHERS OF SAN JOSE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 941530037 ACUTE CARE HOSPITAL (sold in 1998) TX 501(c)(3) Type I Alexian Brothers Health System true ALEXIAN BROTHERS SENIOR MINISTRIES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364484290 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS IL 501(c)(3) Type II Alexian Brothers Health System true ALEXIAN BROTHERS SERVICES INC 3040 Salt Creek Ln Arlington Heights IL 60005 431295333 HUD HOUSING MO 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS SHERBROOKE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431592502 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS SPECIALTY GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 800710751 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN VILLAGE OF MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391351584 CONTINUING CARE RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN VILLAGE OF TENNESSEE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621136742 CONTINUING CARE RETIREMENT COMMUNITY TN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALVERNO PROVENA HOSPITAL LABORATORIES INC 2434 Interstate Plaza Drive Hammond IN 46234 203238867 HEALTH CARE IN 501(c)(3) 3 Presence Central & Suburban Hospitals Network AND PRESENCE CHICAGO HOSPITAL S NETWORK true AMERICAN SPORTS MEDICINE INSTITUTE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630952490 SPORTS MEDICINE AL 501(c)(3) 7 ST VINCENT'S BIRMINGHAM true ARTHUR MERKLE - CLARA KNIPPRATH NURSING HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362841358 RETIREMENT COMMUNITY IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true ASCENSION ALL SAINTS HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391570877 FOUNDATION WI 501(c)(3) 7 ASCENSION ALL SAINTS HOSPITAL INC true ASCENSION ALL SAINTS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391264986 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ALLEGAN PROFESSIONAL HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205800012 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION MICHIGAN true ASCENSION ARIZONA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860455920 HOSPITAL AZ 501(c)(3) 3 ASCENSION HEALTH true ASCENSION BORGESS ALLEGAN FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382802463 FUNDRAISING MI 501(c)(3) Type I ASCENSION MICHIGAN true ASCENSION BORGESS ALLEGAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359180 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237222558 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS HOSPITAL true ASCENSION BORGESS HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381360526 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS LEE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382860459 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS-LEE HOSPITAL true ASCENSION BORGESS-LEE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381490190 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BRIGHTON CENTER FOR RECOVERY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381576680 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION CALUMET HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390905385 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION CARE MANAGEMENT INSURANCE HOLDINGS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 461121862 HEALTH CARE MO 501(c)(3) Type I Ascension Care Management LLC true ASCENSION DEPAUL HOLDINGS OF EL PASO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742734755 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH true ASCENSION EAGLE RIVER HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390985690 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION EASTWOOD BEHAVIORAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381958763 HEALTH CARE MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 862197504 FOUNDATION MO 501(c)(3) Type II ASCENSION HEALTH ALLIANCE true ASCENSION GENESYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383591148 FOUNDATION MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true ASCENSION GENESYS HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382377821 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION GOOD SAMARITAN HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391627755 FOUNDATION WI 501(c)(3) Type II ASCENSION GOOD SAMARITAN HOSPITAL INC true ASCENSION GOOD SAMARITAN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390808503 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ASCENSION HEALTH - IS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651257719 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE T RUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 367046706 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH GLOBAL MISSION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651205990 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH SENIOR CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431227406 PARENT COMPANY MO 501(c)(3) Type II ASCENSION HEALTH true ASCENSION LIVING - LAKESHORE AT SIENA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 824710412 RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION LIVING ST VINCENT PACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 872516723 PACE- COMPREHENSIVE & COORDINATED COMMUNITY BASED SERVICES IN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION MACOMB OAKLAND HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383322109 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION MEDICAL GROUP GENESYS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 831617112 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383494637 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP PROMED C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383193801 HEALTHCARE SERVICES MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391127163 CLINICAL HEALTHCARE SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391965593 MEDICAL GROUP WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391791586 MEDICAL GROUP WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382631907 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION HEALTH true ASCENSION MICHIGAN CMG C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382601348 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION MINISTRY AND MISSION FUND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273174701 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION NE WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816818 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION OUR LADY OF VICTORY HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390807065 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION PROVIDENCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109636 HEALTHCARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383526629 FUNDRAISING MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381358212 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION PROVIDENCE ROCHESTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382627336 SUPPORTING MI 501(c)(3) Type I ASCENSION PROVIDENCE ROCHESTER HOSPITAL true ASCENSION PROVIDENCE ROCHESTER HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359247 GENERAL HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION RIVER DISTRICT HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383160564 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391390638 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION SE WISCONSIN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816857 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION SETON C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109643 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382262856 HEALTH CARE MI 501(c)(3) 3 ST JOHN PROVIDENCE true ASCENSION ST CLARE'S HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 721531917 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION ST ELIZABETH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391256677 FOUNDATION WI 501(c)(3) 7 AFFINITY HEALTH SYSTEM true ASCENSION ST FRANCIS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390907740 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ST JOHN FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 202961579 FUNDRAISING MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION ST JOHN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359063 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST JOSEPH FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 010790428 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST JOSEPH'S HOSPITAL true ASCENSION ST JOSEPH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381443395 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MARY'S FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382246366 FUNDRAISING MI 501(c)(3) Type III-FI ASCENSION ST MARY'S HOSPITAL true ASCENSION ST MARY'S HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 380997730 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MICHAEL'S HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391657410 FOUNDATION WI 501(c)(3) Type I ASCENSION ST MICHAEL'S HOSPITAL INC true ASCENSION ST MICHAEL'S HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390808443 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION STANDISH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381671120 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION TEXAS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364243 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION HEALTH true ASCENSION TEXAS CARDIOVASCULAR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273220767 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II SETON CLINICAL ENTERPRISE CORPORATION true ASCENSION VIA CHRISTI HEALTH PARTNERS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480958974 MANAGEMENT COMPANY KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172107 HEALTH SYSTEM PARENT KS 501(c)(3) Type I ASCENSION HEALTH true ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481186704 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480543778 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL ST TERESA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271965272 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITALS WICHITA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172106 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI PROPERTY SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480948571 PROPERTY MANAGEMENT KS 501(c)(4) ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481158274 REHABILITATION HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION WELFARE BENEFITS TRUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431601369 VEBA MO 501(c)(9) ASCENSION HEALTH ALLIANCE true ASCENSION WISCONSIN FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391494981 FOUNDATION WI 501(c)(3) 7 COLUMBIA ST MARY'S INC true ASCENSION WISCONSIN LABORATORIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391701402 LABORATORY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION WISCONSIN PHARMACY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391613624 PHARMACY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true BAPTIST HEALTH CARE AFFILIATES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581509251 COMMUNITY HEALTH PROMOTION TN 501(c)(3) Type I SAINT THOMAS NETWORK true BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581861378 INACTIVE TN 501(c)(3) Type I SAINT THOMAS WEST HOSPITAL true BINGHAMTON HEALTH CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 881655027 HEALTH CARE NY 501(c)(3) 10 OUR LADY OF LOURDES MEMORIAL HOSPITAL INC true BLUE LADIES MINERALS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742971975 OWN OIL AND MINERAL RIGHTS, REAL ESTATE TX 501(c)(3) Type III-FI SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC true BORGESS AMBULATORY CARE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382468823 HOLDING COMPANY MI 501(c)(3) 3 BORGESS HEALTH ALLIANCE INC true BORGESS HEALTH ALLIANCE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382335286 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true BORGESS NURSING HOME INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382555589 SKILLED NURSING FACILITY MI 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true CARONDELET FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860749574 FOUNDATION AZ 501(c)(3) Type I ASCENSION ARIZONA true CARONDELET HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431276738 HEALTH SYSTEM PARENT MO 501(c)(3) Type I ASCENSION HEALTH true CARONDELET LONG-TERM CARE FACILITIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742505427 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CARROLL MANOR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 832068871 SKILLED NURSING FACILITY DC 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CATALPA HEALTH INC N4642 COUNTY N APPLETON WI 54914 454681563 BEHAVIORAL HEALTH SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true CENTER FOR GERONTOLOGY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382514708 ADULT DAY CARE MI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351869951 FREESTANDING OUTPATIENT CENTER IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true CMC FOUNDATION OF CENTRAL TEXAS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 200468031 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true COLUMBIA COLLEGE OF NURSING Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391596986 COLLEGE WI 501(c)(3) 2 COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC true COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390806315 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390807063 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391834639 HEALTH SYSTEM WI 501(c)(3) Type I ASCENSION HEALTH true CORNERSTONE ASSISTED LIVING INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481241079 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true DELL CHILDREN'S MEDICAL GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742800601 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true DR KATE NEWCOMB CONVALESCENT CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391357365 NURSING/ASSISTED LIVING SERVICES WI 501(c)(3) 10 MINISTRY HEALTH CARE INC true FIELD NEUROSCIENCES INSTITUTE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382790703 SUPPORTING ORGANIZATION MI 501(c)(3) Type II ASCENSION ST MARY'S HOSPITAL true GENESYS AMBULATORY HEALTH SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382371754 HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true GENESYS CONVALESCENT CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382317364 CONVALESCENT CENTER MI 501(c)(3) 3 GENESYS AMBULATORY HEALTH SERVICES true GENESYS HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383339703 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true GULF COAST HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630934712 HEALTH SYSTEM AL 501(c)(3) Type III-FI ST VINCENT'S HEALTH SYSTEM true HAVEN OF OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 593620346 NURSING HOME FL 501(c)(3) 10 SACRED HEART HEALTH SYSTEM true HOWARD YOUNG HEALTH CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391499115 HOME OFFICE WI 501(c)(3) Type II MINISTRY HEALTH CARE INC true HUMPHREYS COUNTY COMMUNITY HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 261861676 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true JANE PHILLIPS MEMORIAL MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730606129 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true JANE PHILLIPS NOWATA HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731440267 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true LAVERNA TERRACE HOUSING CORPORATION 18927 HICKORY CREEK DRIVE SUITE 300 MOKENA IL 60448 363438977 LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED INDIVIDUALS IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true LOURDES FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 911528577 FUNDRAISING WA 501(c)(3) Type I OUR LADY OF LOURDES HOSPITAL AT PASCO true LOURDES REALTY COMPANY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 222873637 RENTAL OF HEALTH CARE FACILITIES NY 501(c)(2) OUR LADY OF LOURDES MEMORIAL HOSPITAL INC true MEDICARE VALUE PARTNERS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363495969 HEALTH CARE IL 501(c)(3) 10 Presence Health Partners Services true MERCY HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237140261 FOUNDATION WI 501(c)(3) 10 AFFINITY HEALTH SYSTEM true METRO PHYSICIANS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 943436893 Medical Group WI 501(c)(3) 3 ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC true MINISTRY HEALTH CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391490371 PARENT CORPORATION WI 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF LOURDES HOSPITAL AT PASCO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 910349750 HEALTHCARE WA 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF LOURDES MEMORIAL HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 150532221 HOSPITAL NY 501(c)(3) 3 ASCENSION HEALTH true OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 161608735 SKILLED NURSING FACILITY NY 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true OWASSO MEDICAL FACILITY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 203700131 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true PRESENCE AMBULATORY SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364286236 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE BEHAVIORAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362709982 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483587 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE TRANSFORMATION CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363366652 MGMT SUPPORT IL 501(c)(3) Type III-FI Alexian Brothers Health System true PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364195126 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CHICAGO HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362235165 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE HEALTH PARTNERS SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362644178 HEALTH CARE IL 501(c)(3) Type II Alexian Brothers Health System true PRESENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363330928 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE HOME CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483581 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE LIFE CONNECTIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 371127787 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PRESENCE SENIOR SERVICES CHICAGOLAND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237061646 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PROVIDENCE BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630914564 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(2) GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630915493 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 7 GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742683112 SUPPORT CHARITABLE PURPOSE OF ASCENSION PROVIDENCE TX 501(c)(3) Type I ASCENSION PROVIDENCE true PROVIDENCE HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742696970 PHYSICIAN PRACTICES TX 501(c)(3) 3 ASCENSION PROVIDENCE true PROVIDENCE HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275583 FUNDRAISING ORGANIZATION DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275587 PHYSICIAN PRACTICES DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 530196636 HOSPITAL DC 501(c)(3) 3 ASCENSION HEALTH true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630288861 HOSPITAL AL 501(c)(3) 3 GULF COAST HEALTH SYSTEM true PROVIDENCE PARK INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611759304 SKILLED NURSING FACILITY TX 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true RAINBOW HOSPICE AND PALLIATIVE CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363296367 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true SACRED HEART FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 592436597 FOUNDATION FL 501(c)(3) 7 SACRED HEART HEALTH SYSTEM true SACRED HEART HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 590634434 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true SACRED HEART HEALTH VENTURES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 571183283 INVESTMENT FL 501(c)(3) Type I SACRED HEART HEALTH SYSTEM true SACRED HEART REHABILITATION INSTITUTE Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390902199 REHAB SERVICES WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390847631 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true SAINT THOMAS HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581716804 SYSTEM PARENT TN 501(c)(3) Type I ASCENSION HEALTH true SAINT THOMAS HEALTH FOUNDATIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581663055 OPERATES FOUNDATION TN 501(c)(3) 7 SAINT THOMAS NETWORK true SAINT THOMAS HICKMAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581737573 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true SAINT THOMAS HOME HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621836937 HOME HEALTH CARE TN 501(c)(3) 10 SAINT THOMAS HICKMAN HOSPITAL true SAINT THOMAS MEDICAL PARTNERS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621529858 HEALTHCARE PROVIDER TN 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SAINT THOMAS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621284994 HEALTH INVESTMENT ENTITY TN 501(c)(3) 10 SAINT THOMAS HEALTH true SAINT THOMAS REGIONAL HOSPITALS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 474063046 HOSPITALS TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS RUTHERFORD FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621167917 FOUNDATION TN 501(c)(3) Type I SAINT THOMAS RUTHERFORD HOSPITAL true SAINT THOMAS RUTHERFORD HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620475842 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS WEST HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620347580 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SALINA REGIONAL HOME MEDICAL SERVICES LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431948057 MEDICAL EQUIPMENT KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH PARTNERS INC true SAVELLI PROPERTIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363308965 OWNS OR LEASES PROPERTIES WHERE HEALTHCARE SERVICES ARE DELIVERED IL 501(c)(2) Alexian Brothers Health System true SETON CLINICAL ENTERPRISE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364681 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION TEXAS true SETON FAMILY OF DOCTORS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 264562522 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON FAMILY OF PEDIATRIC SURGEONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271311790 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742212968 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true SETON HAYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 262842608 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382820107 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true SETON HOSPITALIST SERVICE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 452498998 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 ASCENSION SETON true SETON INSURANCE SERVICES CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364813 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II ASCENSION TEXAS true SETON MANOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 232960726 SKILLED NURSING FACILITY PA 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true SETON MEDICAL GROUP INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 392064992 PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY MD 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SETON MEDICAL MANAGEMENT INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630937704 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) Type II GULF COAST HEALTH SYSTEM true SETON ORAL & MAXILLOFACIAL SURGERY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 421670843 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON PROPERTY CORPORATION OF NORTH ALABAMA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237326976 REAL ESTATE AL 501(c)(2) ST VINCENT'S HEALTH SYSTEM true SETON WILLIAMSON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205330986 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true SETONUT DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742869762 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SJRMC INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 820204264 HOSPITAL ID 501(c)(3) 3 ASCENSION HEALTH true SOUTHERN TIER MEDICAL CARE - NY PC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 821103087 HEALTHCARE NY 501(c)(3) 3 OUR LADY OF LOURDES MEMORIAL HOSPITAL INC true ST AGNES FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521415083 FUNDRAISING MD 501(c)(3) Type I ST AGNES HEALTHCARE INC true ST AGNES HEALTHCARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 520591657 HOSPITAL MD 501(c)(3) 3 ASCENSION HEALTH true ST ALEXIUS MEDICAL CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251846 ACUTE CARE HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ST CATHERINE LABOURE MANOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 591878316 SKILLED NURSING FACILITY FL 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true ST JOHN AUXILIARY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730999759 HEALTH CARE OK 501(c)(3) 10 ST JOHN HEALTH SYSTEM INC true ST JOHN BROKEN ARROW INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383833117 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611659782 REAL ESTATE OK 501(c)(2) ST JOHN HEALTH SYSTEM INC true ST JOHN HEALTH SYSTEM FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731133139 FUNDRAISING OK 501(c)(3) Type I ST JOHN HEALTH SYSTEM INC true ST JOHN HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731215174 SYSTEM PARENT OK 501(c)(3) Type I ASCENSION HEALTH true ST JOHN MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730579286 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN PROVIDENCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382244034 PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237313206 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST JOSEPH HOSPITAL & HEALTH CENTER INC true ST JOSEPH HOSPITAL & HEALTH CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350992717 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST JOSEPH MEDICAL CENTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431388461 FUNDRAISING MO 501(c)(3) Type I CARONDELET HEALTH true ST JOSEPH REGIONAL MEDICAL CENTER FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 510168321 FUNDRAISING ID 501(c)(3) Type I SJRMC Inc true ST JOSEPH'S MINISTRIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521835288 SKILLED NURSING FACILITY MD 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ST LUKE'S-ST VINCENT'S HEALTHCARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 260479484 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true ST MARY'S BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237248362 REAL ESTATE HOLDING COMPANY IN 501(c)(2) ST MARY'S HEALTH INC true ST MARY'S HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237045370 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST MARY'S HEALTH INC true ST MARY'S HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350869065 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST MARY'S MEDICAL CENTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431918107 FUNDRAISING MO 501(c)(3) Type I CARONDELET HEALTH true ST MARY'S MEDICAL GROUP LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 261356310 PHYSICIAN PROFESSIONAL SERVICES IN 501(c)(3) 10 ST VINCENT MEDICAL GROUP INC true ST MARY'S WARRICK HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351343019 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT ANDERSON REGIONAL HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352053693 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT ANDERSON REGIONAL HOSPITAL INC true ST VINCENT ANDERSON REGIONAL HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460877261 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT CARMEL HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 743107055 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT CLAY HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352112529 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT DUNN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 272192831 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT FISHERS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454243702 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT FRANKFORT HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351531734 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT FRANKFORT HOSPITAL INC true ST VINCENT FRANKFORT HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352099320 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352052591 PARENT COMPANY IN 501(c)(3) Type III-FI ASCENSION HEALTH true ST VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 461227327 HEALTH AND WELLNESS SERVICES IN 501(c)(3) 10 ST VINCENT HEALTH INC true ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350869066 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 356088862 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC true ST VINCENT JENNINGS HOSPITAL FOUNDATION INC 301 HENRY STREET NORTH VERNON IN 47265 841703732 INACTIVE IN 501(c)(3) 1 ST VINCENT JENNINGS HOSPITAL INC true ST VINCENT JENNINGS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351841606 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT MADISON COUNTY HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350876389 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT MEDICAL GROUP INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 272039417 PHYSICIAN PROFESSIONAL SERVICES IN 501(c)(3) 10 ST VINCENT CARMEL HOSPITAL INC true ST VINCENT MERCY HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 311066871 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT MADISON COUNTY HEALTH SYSTEM INC true ST VINCENT RANDOLPH HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352133006 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT RANDOLPH HOSPITAL INC true ST VINCENT RANDOLPH HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352103153 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT RAS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 471289091 RETAIL AMBULATORY SERVICES IN 501(c)(3) 10 ST VINCENT HEALTH INC true ST VINCENT SALEM HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 270847538 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT SETON SPECIALTY HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351712001 LONG TERM CARE HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT WILLIAMSPORT HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 743130159 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT WILLIAMSPORT HOSPITAL INC true ST VINCENT WILLIAMSPORT HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350784551 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT'S AMBULATORY CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 592292041 PHYSICIAN PRACTICE FL 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ST VINCENT'S BIRMINGHAM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630288864 HOSPITAL AL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM true ST VINCENT'S BLOUNT C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630909073 HOSPITAL AL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM true ST VINCENT'S COLLEGE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 061331677 INACTIVE CT 501(c)(3) 10 STVINCENT'S MEDICAL CENTER true ST VINCENT'S EAST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630578923 HOSPITAL AL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM true ST VINCENT'S FOUNDATION OF ALABAMA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630868066 FUNDRAISING AL 501(c)(3) 7 ST VINCENT'S HEALTH SYSTEM true ST VINCENT'S FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 592219923 FUND RAISING FL 501(c)(3) 7 ST VINCENT'S HEALTH SYSTEM INC true ST VINCENT'S HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630931008 HEALTH SYSTEM AL 501(c)(3) Type III-FI ASCENSION HEALTH true ST VINCENT'S HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 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