STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

WARREN CLINIC INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
WARREN CLINIC INC (EIN 73-1310891)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-12
IRS object ID
202231329349307438
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-12T17:52:53-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12323 VICTORY AVENUE SUITE 2000AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75219ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN731310891EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Warren Clinic IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DEBORAH DAGEInCareOfNm
Business Name ControlWARRBusinessNameControlTxt
Phone9185028126PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDeborah DagePersonNm
Person TitleTREASURER/CFOPersonTitleTxt
Phone9184948418PhoneNum
Signature2022-05-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

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

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonStephanie LewPreparerPersonNm
PTINP01080011PTIN
Phone2149698000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDeborah DagePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16161 S Yale AveAddressLine1Txt
CityTulsaCityNm
State AbbreviationOKStateAbbreviationCd
ZIP741363319ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$208,635,349GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://WWW.SAINTFRANCIS.COM/WARRENWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionTo extend the presence and healing ministry of Christ in all we do.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee1634TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$75PYContributionsGrantsAmt
CY Contributions Grants$20CYContributionsGrantsAmt
PY Program Service Revenue$185,072,884PYProgramServiceRevenueAmt
CY Program Service Revenue$199,724,016CYProgramServiceRevenueAmt
PY Investment Income-$39,588PYInvestmentIncomeAmt
CY Investment Income$76,541CYInvestmentIncomeAmt
PY Other Revenue$7,580,913PYOtherRevenueAmt
CY Other Revenue$8,829,935CYOtherRevenueAmt
PY Total Revenue$192,614,284PYTotalRevenueAmt
CY Total Revenue$208,630,512CYTotalRevenueAmt
PY Grants And Similar Paid$4,281PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$750CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$188,866,603PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$198,763,981CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$58,900,378PYOtherExpensesAmt
CY Other Expenses$57,334,811CYOtherExpensesAmt
PY Total Expenses$247,771,262PYTotalExpensesAmt
CY Total Expenses$256,099,542CYTotalExpensesAmt
PY Revenues Less Expenses-$55,156,978PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$47,469,030CYRevenuesLessExpensesAmt
Total Assets BOY$105,634,991TotalAssetsBOYAmt
Total Assets EOY$122,713,415TotalAssetsEOYAmt
Total Liabilities BOY$99,490,329TotalLiabilitiesBOYAmt
Total Liabilities EOY$112,404,382TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,144,662NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,309,033NetAssetsOrFundBalancesEOYAmt
MissionTO EXTEND THE PRESENCE AND HEALING MINISTRY OF CHRIST IN ALL WE DO.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$231,768,396ExpenseAmt
Grant$750GrantAmt
Revenue$208,515,223RevenueAmt
DescWarren Clinic, Inc. and its employee providers provide quality medical healthcare regardless of race, creed, sex, national origin, handicap, age or ability to pay. It has a strong commitment to help meet the needs of the communities it serves. Recognizing this commitment, Warren Clinic, Inc. provides services to both Medicaid and indigent patients. The unreimbursed value of providing care to these patients was $18,877,000 in fiscal year 2021. Warren Clinic, Inc. provides physician services to communities which are designated physician shortage areas. Training for medical students is also provided by Warren Clinic, Inc. physicians.Desc
Total Program Service Expenses$231,768,396TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document149IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1634EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDEBORAH DAGEPersonNm
Phone9184948418PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndKey EmployeeKeyEmployeeInd
Jake Henry Jr
President/CEO/Director/Trustee1.039.0Yes (X)Yes (X)$0$2,518,780$52,908
Robert Garrett MD
Physician35.05.0$2,250,471$102,000$48,820Yes (X)
Johnathon Ledet MD
Physician40.00.0$1,672,365$0$56,496Yes (X)
Scott Dull MD
Physician35.05.0$1,591,433$69,000$22,985Yes (X)
Hassan Kaleem MD
Physician40.00.0$1,413,122$0$56,675Yes (X)
Nikhil Mukhi MD
Physician40.00.0$1,408,608$0$0Yes (X)
Barry L Steichen
Vice President/COO1.039.0Yes (X)Yes (X)$0$1,146,432$173,865
Eric E Schick
Treasurer/CFO1.039.0Yes (X)$0$923,696$154,584
Michael J Lissau
Secretary1.039.0Yes (X)$0$505,912$100,725
Thomas G Neff
Former Secretary0.040.0$0$515,905$65,332Yes (X)
Charley Trimble
Former Administrator0.040.0$0$529,002$50,021Yes (X)
Collin Henry
Administrator40.00.0$340,801$0$72,050Yes (X)
William R Lissau
Director1.00.0Yes (X)$0$0$0
William K Warren Jr
Trustee1.00.0Yes (X)$0$0$0
Judy Kishner
Trustee1.00.0Yes (X)$0$0$0
Jeffrey Smith
Trustee1.00.0Yes (X)$0$0$0
John-Kelly C Warren
Trustee1.00.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,676,800TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,310,727TotReportableCompRltdOrgAmt
Total Other Compensation$854,461TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K364IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Crossland Construction Company
833 SE AVENUECOLUMBUSKS66725CONSTRUCTION SVCS$3,965,525
WARREN PROFESSIONAL BUILDING CORP
6565 S YALE AVETULSAOK74136BUILDING RENT$1,060,841
UROLOGIC SPECIALISTS OF OKLAHAMA
10901 E 48TH ST SOTULSAOK74146PHYSICIAN SERVICES$1,010,628
WEATHERBY LOCUMS INC
6451 NORTH FEDERAL HIGHWAY SUITE 7FORT LAUDERDALEFL33308Phys Replacement Svc$572,319
JACKSON COKER
2655 NORTHWINDS PKWYALPHARETTAGA30009Phys Replacement Svc$342,363
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K21CntrctRcvdGreaterThan100KCnt
All Other Contributions$20AllOtherContributionsAmt
Total Contributions$20TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHYSICIAN SERVICES621300$198,544,126$198,544,126
RENTAL INCOME FROM AFFILIATES532000$1,179,890$1,179,890
FieldValueIRS element (for citing)
Total Program Service Revenue$199,724,016TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$81,378TotalRevenueColumnAmt
Exclusion$81,378ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$38,728RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$38,728RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,728TotalRevenueColumnAmt
Exclusion$38,728ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$4,837OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$4,837OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,837TotalRevenueColumnAmt
Exclusion-$4,837ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
AFFILIATE REVENUE - BUSINESS OFFICE900099$3,973,176$3,973,176
PRIMARY RELIEF FUND/PRIMARY CARE FIRST INCOME900099$4,816,939$4,816,939
AFFILIATE REVENUE - OTHER900099$1,092$1,092
FieldValueIRS element (for citing)
Other Revenue Total$8,791,207OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$208,630,512TotalRevenueColumnAmt
Related Or Exempt Func Income$208,515,223RelatedOrExemptFuncIncomeAmt
Exclusion$115,269ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$750TotalAmt
Program Services$750ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$426,330TotalAmt
Program Services$0ProgramServicesAmt
Management And General$426,330ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$308,328TotalAmt
Management And General$308,328ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$172,555,425TotalAmt
Program Services$161,091,290ProgramServicesAmt
Management And General$11,464,135ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,851,149TotalAmt
Program Services$10,976,790ProgramServicesAmt
Management And General-$125,641ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,716,276TotalAmt
Program Services$5,733,895ProgramServicesAmt
Management And General$982,381ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,906,473TotalAmt
Program Services$7,399,638ProgramServicesAmt
Management And General$506,835ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$47,928TotalAmt
Management And General$47,928ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$15,229TotalAmt
Program Services$15,229ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,482,586TotalAmt
Program Services$4,170,669ProgramServicesAmt
Management And General$5,311,917ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$258,076TotalAmt
Program Services$127,611ProgramServicesAmt
Management And General$130,465ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,208,345TotalAmt
Program Services$3,260,385ProgramServicesAmt
Management And General$947,960ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$571,555TotalAmt
Program Services$380,829ProgramServicesAmt
Management And General$190,726ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,997,278TotalAmt
Program Services$10,409,651ProgramServicesAmt
Management And General$1,587,627ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$101,037TotalAmt
Program Services$88,645ProgramServicesAmt
Management And General$12,392ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$273,887TotalAmt
Program Services$265,644ProgramServicesAmt
Management And General$8,243ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,419,579TotalAmt
Program Services$3,946,698ProgramServicesAmt
Management And General$472,881ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,963,084TotalAmt
Program Services$2,706,798ProgramServicesAmt
Management And General$1,256,286ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$10,084,748$9,368,231$716,517
BAD DEBT EXPENSE$5,042,724$5,042,724
ADMINISTRATIVE EXPENSE$5,244,451$5,244,451
EMPLOYEE EXPENSE$814,532$734,227$80,305

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$809,772TotalAmt
Program Services$804,241ProgramServicesAmt
Management And General$5,531ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$256,099,542TotalAmt
Program Services$231,768,396ProgramServicesAmt
Management And General$24,331,146ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$104,122BOYAmt
EOY$103,994EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$20,660,433BOYAmt
EOY$28,645,739EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,492,141BOYAmt
EOY$16,755,828EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$955,717BOYAmt
EOY$1,112,570EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$711,916BOYAmt
EOY$332,097EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$70,756,843LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$32,307,305LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$32,619,538BOYAmt
EOY$38,449,538EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$35,091,124BOYAmt
EOY$37,313,649EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$105,634,991BOYAmt
EOY$122,713,415EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$55,263,237BOYAmt
EOY$68,810,818EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$370,278BOYAmt
EOY$496,806EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$43,856,814BOYAmt
EOY$43,096,758EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$99,490,329BOYAmt
EOY$112,404,382EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,144,662BOYAmt
EOY$10,309,033EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,144,662BOYAmt
EOY$10,309,033EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$105,634,991BOYAmt
EOY$122,713,415EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$47,469,030ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$51,633,401OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

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

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$15,229OtherActivitiesAmt
Total Lobbying Expenditures$15,229TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,073,475OtherCostOrOtherBasisAmt
Book Value$3,073,475BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,443,024OtherCostOrOtherBasisAmt
Depreciation$13,942,936DepreciationAmt
Book Value$14,500,088BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,788,814OtherCostOrOtherBasisAmt
Depreciation$3,831,993DepreciationAmt
Book Value$4,956,821BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,926,588OtherCostOrOtherBasisAmt
Depreciation$14,532,376DepreciationAmt
Book Value$8,394,212BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,524,942OtherCostOrOtherBasisAmt
Book Value$7,524,942BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$38,449,538TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
OPERATING LEASES$36,467,471
OTHER LONG TERM RECEIVABLES$676,725
DUE FROM CUSTOMERS$106,083
OTHER ACCRUED ACCOUNTS REC.$63,370
FieldValueIRS element (for citing)
Total Book Value Other Assets$37,313,649TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
OPERATING LEASE LIABILITY$31,354,495
PROF LIABILITY INSURANCE RESERVE$11,742,263
FieldValueIRS element (for citing)
Total Liability$43,096,758TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jake Henry Jr
President/CEO/Director/Trustee$0$1,479,112$0$1,030,901$0$8,767$0$36,896$0$16,012$0$2,571,688$0$0
Barry L Steichen
Vice President/COO$0$879,902$0$259,515$0$7,015$0$148,117$0$25,748$0$1,320,297$0$0
Eric E Schick
Treasurer/CFO$0$695,039$0$221,227$0$7,430$0$130,058$0$24,526$0$1,078,280$0$0
Thomas G Neff
Former Secretary$0$380,169$0$118,954$0$16,782$0$36,896$0$28,436$0$581,237$0$0
Charley Trimble
Former Administrator$0$393,716$0$113,038$0$22,248$0$25,496$0$24,525$0$579,023$0$0
Michael J Lissau
Secretary$0$375,498$0$126,175$0$4,239$0$78,506$0$22,219$0$606,637$0$0
Collin Henry
Administrator$263,116$0$76,014$0$1,671$0$58,682$0$13,368$0$412,851$0$0$0
Robert Garrett MD
Physician$1,947,471$102,000$300,000$0$3,000$0$33,596$0$15,224$0$2,299,291$102,000$0$0
Johnathon Ledet MD
Physician$1,627,266$0$0$0$45,099$0$35,246$0$21,250$0$1,728,861$0$0$0
Hassan Kaleem MD
Physician$1,413,122$0$0$0$0$0$35,246$0$21,429$0$1,469,797$0$0$0
Scott Dull MD
Physician$1,588,183$69,000$0$0$3,250$0$0$0$22,985$0$1,614,418$69,000$0$0
Nikhil Mukhi MD
Physician$1,400,418$0$0$0$8,190$0$0$0$0$0$1,408,608$0$0$0

Supplemental Information Detail SupplementalInformationDetail

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonMartina Hum MDPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionMarried to Senior VPRelationshipDescriptionTxt
Transaction$308,328TransactionAmt
TransactionPhyscian CompensationTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 2bSaint Francis Payroll Services, LLC, EIN 45-0470422, has been authorized to act as a common pay agent under Section 3504 of the Internal Revenue Code for Saint Francis Health System, Inc. effective July 1, 2002, in accordance with revenue procedure 70-6, 1970-1 C.B. 420. Saint Francis Payroll Services, LLC assumed reporting obligations for federal income tax, social security and Medicare withholding tax purposes for Saint Francis Health System, Inc. and year-end reporting effective July 1, 2002. Form 990, Part V, Line 15 Common Law Employees: Individuals listed as officers of the organization that are paid full time by a related organization are common law employees of Saint Francis Health System, Inc., a separate legal entity. It is the intention of Saint Francis Health System, Inc. and the filing organization to make information accessible and transparent, reporting those Saint Francis Health System, Inc. employees who have officer and key employee responsibilities to the filing organization.
Form 990, Part VI, Line 2Description of relationships Many of the persons listed on Part VII have a "Business Relationship" with each other by virtue of serving on related Saint Francis Health Systems, Inc. entity boards. The organization has determined these associations do not present a conflict of interest. Jake Henry Jr., an officer and director, serves on other boards outside of Saint Francis Health System, Inc. with Barry Steichen an officer and director, and Eric Schick, an officer. Jake Henry Jr., an officer and director, serves on boards outside of Saint Francis Health System, Inc. with William R. Lissau, a director and John-Kelly Warren, a trustee. Jake Henry J., an officer and director, the uncle of Collin Henry, the administrator have a family relationship. William R. Lissau, a director, and Michael Lissau, an officer have a family relationship.
Form 990, Part VI, Line 3The organization by its bylaws and resolution delegates governance of its operations to the directors of Saint Francis Health System, Inc.
Form 990, Part VI, Line 6The organization has five trustees who elect the board of directors.
Form 990, Part VI, Line 7aThe organization has five trustees who elect the board of directors.
Form 990, Part VI, Line 7bThe organization delegated authority to Saint Francis Health System, Inc. As such, either the Board of Directors and a majority of the Trustees or unanimous trustee approval is required for the sale of corporate assets valued at $10,000,000 or more. Additionally, the Trustees have sole authority to: - Amend the Certificate of Incorporation - Approve mergers or consolidations - Approve the sale, lease or transfer of all, or substantially all, of the assets of the corporation - Amend the bylaws - Appointment of Board members - Approve dissolution or revocation of dissolution of the corporation
Form 990, Part VI, Line 11bThe finance committee, a sub-committee of the board of directors of Saint Francis Health System, Inc. has access to the password protected form 990 online prior to filing with the IRS.
Form 990, Part VI, Line 12cThe organization uses the conflict of interest, whistleblower and record retention policies of Saint Francis Health System, Inc. A request for information on potential conflicts is solicited annually from directors, trustees and all employees at manager level and above to monitor for proposed or ongoing transactions for conflicts of interest and dealing with potential or actual conflicts. The Directors, Trustees and Officers with potential conflicts recuse themselves from events that would result in a conflict. One director, one director/officer/trustee, one officer, one director, three trustees and one key employee reported potential conflicts that were addressed by the governing body. Conflicts are regularly disclosed and addressed.
Form 990, Part VI, Lines 15a & bCompensation of officers and senior level management is reviewed annually and approved by the compensation committee with guidance from independent consultants and the use of comparative data.
Form 990, Part VI, Section C, Line 19These requests are determined on a case-by-case basis.
Form 990, Part VII, Section A, Line 1The hours per week reported on Form 990, Part VII for officers and directors are the hours spent on the filing entity only. The remaining portion of the 40 hours per week of the officers and directors with related compensation is allocated among the entities reported on Schedule R.
Form 990, Part XI, Line 9The other changes in net assets or fund balances of $51,633,401 are made up of equity transfers from/to related parties.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Saint Francis Health System Inc
6600 S Yale Ave Ste 400TulsaOK74136731501972Health SvcsOK501(c)(3)12B Type IINAfalse
Saint Francis Hospital Inc
6600 S Yale Ave Ste 400TulsaOK74136730700090Health SvcsOK501(c)(3)3SFHSYes (true)
Saint Francis Hospital South LLC
6600 S Yale Ave Ste 400TulsaOK74136010603214Health SvcsOK501(c)(3)3SFHSYes (true)
Laureate Psychiatric Clinic & Hospital
6600 S Yale Ave Ste 400TulsaOK74136731308273Health SvcsOK501(c)(3)3SFHSYes (true)
The Children's Hosp Fnd at Saint Francis
6600 S Yale Ave Ste 400TulsaOK74136202843418Health SvcsOK501(c)(3)12A Type ISFHSYes (true)
Saint Francis Hospital Vinita Inc
6600 S Yale Ave Ste 400TulsaOK74136813747248Health SvcsOK501(c)(3)3SFHSYes (true)
Saint Francis Hospital Muskogee Inc
6600 S Yale Ave Ste 400TulsaOK74136814322087Health SvcsOK501(c)(3)3SFHSYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

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

Transactions Related Org TransactionsRelatedOrgGrp (20 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SAINT FRANCIS HOSPITAL INC
J$1,170,598Trans Review
SAINT FRANCIS HOSPITAL INC
K$1,221,860Trans Review
SAINT FRANCIS HOSPITAL INC
L$11,374,785Trans Review
SAINT FRANCIS HOSPITAL INC
M$8,746,282Trans Review
Saint Francis Hospital Inc
P$427,638,541Trans Review
Saint Francis Hospital Inc
Q$368,918,607Trans Review
Saint Francis Hospital Inc
R$57,988Trans Review
Saint Francis Hospital Inc
S$1,154,930Trans Review
LAUREATE PSYCHIATRIC CLINIC & HOSPITAL INC
L$358,632Trans Review
Saint Francis Hospital Muskogee Inc
Q$12,502,059Trans Review
Saint Francis Hospital Muskogee Inc
K$321,604Trans Review
Saint Francis Hospital Muskogee Inc
P$10,550,246Trans Review
Saint Francis Hospital Muskogee Inc
L$251,321Trans Review
SAINT FRANCIS HOSPITAL SOUTH LLC
K$313,300Trans Review
SAINT FRANCIS HOSPITAL SOUTH LLC
L$257,197Trans Review
Saint Francis Hospital South LLC
P$9,617,636Trans Review
Saint Francis Hospital South LLC
Q$11,195,282Trans Review
Saint Francis Hospital Vinita Inc
K$149,076Trans Review
Saint Francis Hospital Vinita Inc
Q$188,835Trans Review
Saint Francis Hospital Vinita Inc
P$129,233Trans Review