2021-05-17T15:33:19-05:00 2020-06-30 990 2019-07-01 730662663 St John Sapulpa Inc STJO 3147338000 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 Tonya Mershon Vice President, Tax 2021-05-17 2019 2022-09-23 18:48:47Z X Ascension St John Sapulpa DAVID L PHILLIPS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 21119538 false X https://healthcare.ascension.org/Locations/Oklahoma/OKTUL/Sapulpa-St-John-Clinic-Sapulpa X 1956 OK To improve the health and well-being of all people in the communities we serve. 10 9 0 28 0 0 467392 1760002 20049709 19273814 1246 2901 71061 82821 20589408 21119538 0 0 0 0 0 0 0 0 20394501 21902897 20394501 21902897 194907 -783359 12083699 13463502 30188651 9549217 -18104952 3914285 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 15865690 19273814 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 2020, St. John Sapulpa, Inc. treated 473 adults and children for a total of 5,086 patient days of service. The hospital also provided services for 23,581 outpatient visits, which included 163 outpatient surgeries and 13,037 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 FY20. 15865690 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 24 0 true 0 false false false false false false false false false false false false X 10 9 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 SIEGFRIED VICE CHAIR 1.0 2.0 X X 0 0 0 DAVID L PHILLIPS EX-OFFICIO/SECRETARY/PRESIDENT 0.0 50.0 X X 0 347707 34920 WILLIAM BERRY CHAIR 1.0 3.0 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 STAN SALLEE DIRECTOR 1.0 2.0 X 0 0 0 STEVE MOWERY DIRECTOR 1.0 2.0 X 0 0 0 SUSAN KIMBALL DIRECTOR 1.0 2.0 X 0 0 0 TIMOTHY W HEPNER MD DIRECTOR 1.0 14.0 X 0 124000 0 WES STOTLER DO DIRECTOR 1.0 2.0 X 0 0 0 MICHAEL MCCULLOUGH TREASURER/CFO, MINISTRY MARKET 0.0 50.0 X 0 719637 34385 CHRISTOPHER J LEPAK MD FORMER KEY EMPLOYEE (END 12/2017) 0.0 50.0 X 0 488649 28149 LYN MCKEE FORMER KEY EMPLOYEE (END 12/2017) 0.0 50.0 X 0 128117 24687 MICHAEL J CHRISTIAN FORMER KEY EMPLOYEE (END 12/2018) 0.0 50.0 X 0 191026 32875 RONALD J BRASEL FORMER OFFICER (END 6/2018) 0.0 50.0 X 0 198398 35711 RONNIE L HOFFMAN FORMER OFFICER (END 6/2018) 0.0 50.0 X 0 254018 40339 WILLIAM E WEEKS FORMER OFFICER (END 6/2018) 0.0 50.0 X 0 999526 29370 0 3451078 260436 0 true true false PSYCHIATRIC MEDICAL CARE LLC 4322 HARDING PIKE STE 417 NASHVILLE TN 372052664 MEDICAL SERVICES 243974 1 0 0 0 1730 1758272 0 1760002 Net Patient Service Revenue 621990 18442881 18442881 Services to Affiliates 900099 759911 759911 Rental Income from Affiliates 531120 58437 58437 State Program Revenue 900099 12585 12585 0 0 0 0 19273814 2901 2901 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 66579 66579 Medical Records Fees 900099 3670 3670 12572 0 0 12572 82821 21119538 19273814 0 85722 X 0 0 0 0 28973 28973 60 60 6937 6937 135577 63750 71827 0 5991 1180 4811 73369 37883 35486 547351 471949 75402 3146 3070 76 3320 3320 1220063 1051990 168073 Wage & Benefit Allocation 8956094 6781211 2174883 Physician Fees to Affiliate 3571803 3552203 19600 Purchased Services 2971368 1379928 1591440 Management Fee to Affiliate 1701966 1701966 2676879 2490233 186646 0 21902897 15865690 6037207 0 1200 1200 17951 5664 0 0 2370157 1989094 0 0 0 0 0 0 317535 594290 1890 1890 16036530 7063219 8005982 8973311 0 0 0 0 335478 331081 1033506 1566972 12083699 13463502 882859 1422701 0 0 445 265 0 0 0 0 0 0 0 0 0 0 29305347 8126251 30188651 9549217 X -18104952 3914285 0 0 0 0 -18104952 3914285 12083699 13463502 X -783359 22802596 X false true X true false X false false false false false false false false true 6937 6937 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. St. John Sapulpa, Inc. 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 6833839 2782049 4051790 0 369556 86230 283326 0 5492428 4049940 1442488 0 1440707 145000 1295707 8973311 Due from Affiliates 301615 Estimated 3rd Party Payor Settlements 1091834 Right of Use Operating Lease 173523 1566972 0 OTHER MISC LIABILITIES ASSET RETIREMENT OBLIGATION 13985 Due to Affiliates 5340544 Estimated 3rd Party Payor Settlement 395811 Recovery Tail Liability 55861 Accrued Sales Tax Liability 4092 Long Term Lease Liability 173523 CARES Relief Funds 2142435 8126251 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, 2020. true true X true X 250 true X true true true false true true 2966323 2966323 0.1354 3348062 2377546 970516 0.0443 0 0.0 0 0 6314385 2377546 3936839 0.1797 41157 41157 0.0019 0 0.0 0 0.0 0 0.0 23372 23372 0.0011 0 0 64529 0 64529 0.0029 0 0 6378914 2377546 4001368 0.1827 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 1643619 0 7931903 6639764 1292139 X true true 1 1 St John Sapulpa Inc 1004 East Bryan Sapulpa OK 740664513 https://healthcare.ascension.org/Locations/Oklahoma/OKTUL/Sapulpa-St-John-Clinic-Sapulpa 2310 X X X X St John Sapulpa Inc 1 false false true X X X X X X X X X 18 true true true true X https://healthcare.ascension.org/chna X true 18 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 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, Inc.. THE ASSESSMENT PROCESS INVOLVED QUANTITATIVE AND QUALITATIVE COMPONENTS. ST. JOHN SAPULPA, INC. ENGAGED THE PARTICIPATION OF THE GENERAL PUBLIC AS WELL AS KEY INTERNAL AND EXTERNAL STAKEHOLDERS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY ST. JOHN SAPULPA, INC.COMMUNITY MEMBERS PROVIDED INPUT THROUGH A STRUCTURED SURVEY AND VIA FOCUS GROUPS ACROSS THE ASSESSMENT PROCESS DURING TAX YEAR 2018. COMMUNITY HEALTH FORUMS WITH COMMUNITY LEADERS AND REPRESENTATIVES WERE ALSO CONDUCTED DURING TAX YEAR 2018. KEY SOURCES OF INPUT FOR THIS ASSESSMENT WERE AS FOLLOWS: -COMMUNITY MEMBERS WHO PARTICIPATED IN THE ONLINE SURVEY AND FOCUS GROUPS -COMMUNITY LEADERS AND REPRESENTATIVES -PUBLIC HEALTH WORKFORCE AND LOCAL COALITIONS/PARTNERSHIPS -MEMBERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, AT-RISK AND OTHERWISE VULNERABLE POPULATIONS -HEALTH SYSTEM AND HOSPITAL LEADERSHIP COMMUNITY STAKEHOLDERS WHO PROVIDED INPUT REPRESENTED A VARIETY OF COMMUNITY SECTORS, INCLUDING HEALTHCARE, EDUCATION AND ACADEMIA, NONPROFIT, PRIVATE BUSINESS, COMMUNITY DEVELOPMENT, FAITH-BASED COMMUNITIES AND ORGANIZATIONS, GOVERNMENT, SAFETY-NET SERVICES, ECONOMIC AND WORKFORCE DEVELOPMENT, BEHAVIORAL HEALTH, LAW ENFORCEMENT AND FIRST RESPONDERS, PUBLIC HEALTH AND OTHER INTEREST GROUPS WORKING WITH AT-RISK AND VULNERABLE POPULATIONS. THIS ASSESSMENT ESPECIALLY FOCUSED ON COMMUNITY INPUT FROM THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, AS WELL AS MEMBERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, AT-RISK OR OTHERWISE VULNERABLE POPULATIONS. PARTICIPANTS OFFERED CRITICAL INSIGHTS INTO THE HEALTH NEEDS AND ASSETS OF THE COMMUNITY. A QUANTITATIVE ASSESSMENT WAS CONDUCTED FROM FEB. 8 TO MARCH 11, 2019 USING A SURVEY ADMINISTERED ELECTRONICALLY TO GAIN BROAD PUBLIC INPUT FROM 801 COMMUNITY MEMBERS (13 IN CREEK COUNTY). THE SURVEY WAS CONDUCTED IN COLLABORATION WITH THE UNIVERSITY OF OKLAHOMA ANNE AND HENRY ZARROW SCHOOL OF SOCIAL WORK AND TULSA HEALTH DEPARTMENT. SURVEY METHODOLOGY, SURVEY INSTRUMENT DESIGN, AND RESULTS ARE INCLUDED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AVAILABLE ON THE HOSPITAL'S WEBSITE AT HTTPS://HEALTHCARE.ASCENSION.ORG/CHNA. A COPY OF THE SURVEY INSTRUMENT IS AVAILABLE UPON REQUEST. A QUALITATIVE ASSESSMENT WAS CONDUCTED FROM JAN. 5 TO MARCH 9, 2019 USING 22 FOCUS GROUPS WITH COMMUNITY MEMBERS IN THE SERVICE AREA. THE FOCUS GROUPS WERE CONDUCTED IN COLLABORATION WITH THE UNIVERSITY OF OKLAHOMA ANNE AND HENRY ZARROW SCHOOL OF SOCIAL WORK AND TULSA HEALTH DEPARTMENT AND WERE FACILITATED BY THE OKLAHOMA ANNE AND HENRY ZARROW SCHOOL OF SOCIAL WORK. ONE FOCUS GROUP WITH 10 COMMUNITY MEMBERS IN CREEK COUNTY WAS CONDUCTED FOR ST. JOHN SAPULPA, INC.TO BETTER UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITY SERVED WITH SPECIAL ATTENTION TO MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE MOST VULNERABLE COMMUNITIES IDENTIFIED IN THE 2019 ASSESSMENT. PARTICIPANTS FOR THE GROUPS WERE PRIMARILY RECRUITED BY A THIRD-PARTY, PRIVATE MARKET RESEARCH FIRM, CONSUMER LOGIC, FROM ITS EXTENSIVE DATABASE OF PARTICIPANTS. EFFORTS WERE MADE TO IDENTIFY AND INVITE INDIVIDUALS TO PARTICIPATE IN FOCUS GROUPS BASED ON HOW REPRESENTATIVE THEY WERE OF THE COMMUNITY IN WHICH THEY LIVED. THE CHNA FOCUS GROUP STUDY INCORPORATED A NON-RANDOMIZED DESIGN. THE DEMOGRAPHIC VARIABLES ARE UNLIKELY TO PERFECTLY MATCH THE DEMOGRAPHIC MAKEUP OF CREEK COUNTY. TO ACCOUNT FOR THIS GAP, RESPONDENT REQUIREMENTS INCLUDED A MIX OF GENDER, AGE, RACE/ETHNICITY, HOUSEHOLD INCOME LEVEL AND HEALTH INSURANCE STATUS. A SPECIALLY DESIGNED DATABASE WAS UTILIZED TO OBTAIN AN EVEN MIX OF RESPONDENTS TO APPROPRIATELY REPRESENT THE SERVICE AREA AS A WHOLE. A COPY OF THE FOCUS GROUP DISCUSSION GUIDE IS INCLUDED AS APPENDIX 4 OF THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH IS AVAILABLE ON THE HOSPITAL'S WEBSITE AT HTTPS://HEALTHCARE.ASCENSION.ORG/CHNA. IN ADDITION TO REGIONAL FOCUS GROUPS, TWO SPECIAL GROUPS WERE CONDUCTED WITH VULNERABLE POPULATIONS: INDIVIDUALS EXPERIENCING HOMELESSNESS AND INDIVIDUALS FROM THE LGBTQ+ COMMUNITY. COMMUNITY PARTNERS IN THOSE AREAS OF SERVICE RECRUITED INDIVIDUALS REPRESENTATIVE OF THESE POPULATIONS. AN ADDITIONAL QUALITATIVE ASSESSMENT WAS CONDUCTED IN JULY TO AUGUST 2018, USING COMMUNITY HEALTH FORUMS WITH COMMUNITY LEADERS AT ST. JOHN HEALTH SYSTEM'S SIX HOSPITALS.THE PURPOSE OF THESE FORUMS WAS TO SOLICIT INPUT FROM VARIOUS REPRESENTATIVES FROM THE COMMUNITY ON HEALTH NEEDS OF THE COMMUNITY AND TO FOSTER A DIALOGUE ON SOCIAL DETERMINANTS AND OTHER FACTORS THAT MAY IMPACT HEALTH AND WELLNESS. THESE FORUMS WERE INTENDED TO OBTAIN INPUT SPECIFIC TO THE REGION SURROUNDING ITS RESPECTIVE HOSPITAL (CREEK COUNTY). THE COMMUNITY HEALTH FORUM AT ST. JOHN SAPULPA, INC.TOOK PLACE JULY 30, 2018, AND HAD 16 COMMUNITY LEADERS AND TWO HOSPITAL LEADERS PARTICIPATE. THE PARTICIPANT CONSTITUENCY WAS DIVERSE AND INCLUDED THOSE WITH PROFESSIONAL EXPERIENCE AND/OR THE ABILITY TO REPRESENT POPULATIONS THAT ARE MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND/OR WITH CHRONIC DISEASE NEEDS. COMMUNITY REPRESENTATIVES AND LEADERS ALSO INCLUDED THOSE WITH SPECIAL KNOWLEDGE OF AND/OR EXPERTISE IN PUBLIC HEALTH. PARTICIPANTS REPRESENTED AREAS OF HEALTHCARE, SAFETY-NET SERVICES, LAW ENFORCEMENT, EDUCATION, GOVERNMENT, ECONOMIC AND WORKFORCE DEVELOPMENT, HOUSING AND HOMELESSNESS, NONPROFIT AND OTHER GROUPS THAT WORK WITH VULNERABLE POPULATIONS. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - St. John Sapulpa, Inc.. THE OTHER HOSPITAL FACILITIES, WITH WHICH THE REPORTING HOSPITAL FACILITY CONDUCTED ITS CHNA, INCLUDE: - ST. JOHN BROKEN ARROW, INC. - ST. JOHN MEDICAL CENTER, INC. - JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC. - JANE PHILLIPS NOWATA HOSPITAL, INC. - OWASSO MEDICAL FACILITY, INC. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - St. John Sapulpa, Inc.. THE OTHER ORGANIZATIONS, WITH WHICH THE REPORTING HOSPITAL FACILITY CONDUCTED ITS CHNA, INCLUDE: - THE UNIVERSITY OF OKLAHOMA ANNE AND HENRY ZARROW SCHOOL OF SOCIAL WORK Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - St. John Sapulpa Inc. - PART I. ST. JOHN SAPULPA, INC.'S TAX YEAR 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FINDINGS WERE DRAWN FROM A COMPREHENSIVE REVIEW AND ANALYSIS OF SECONDARY DATA AND PRIMARY DATA, OTHERWISE KNOWN AS COMMUNITY INPUT. THROUGH THE ANALYSIS OF SIGNIFICANT HEALTH NEEDS, THE HOSPITAL DETERMINED IT WOULD FOCUS ON THE FOLLOWING MOST PRESSING, OR PRIORITY HEALTH NEEDS: -ACCESS TO CARE -BEHAVIORAL HEALTH -HEALTHY LIFESTYLES -ADVERSE CHILDHOOD EXPERIENCES (ACES) TO CAPTURE MULTIPLE HIGH-RANKING HEALTH NEED CATEGORIES IN THE ANALYSIS, IT WAS DECIDED THAT SUBSTANCE ABUSE WOULD BE A COMPONENT OF THE BEHAVIORAL HEALTH CATEGORY. THE AREAS OF PREVENTION / HEALTH BEHAVIORS AND EXERCISE, NUTRITION AND WEIGHT WERE COMBINED TO BECOME HEALTHY LIFESTYLES, WITH FOOD INSECURITY/ACCESS AND CHRONIC DISEASE AS COMPONENTS OF THIS CATEGORY. SOCIAL DETERMINANTS OF HEALTH WERE DEEMED AN UNDERLYING CURRENT OF ALL PRIORITIES. IT WAS ALSO IMPORTANT THAT THE FOUR CHOSEN PRIORITIES CORRELATED STRONGLY WITH THE ST. JOHN MISSION TO SERVE ALL PEOPLE, WITH SPECIAL ATTENTION TO THOSE WHO ARE MOST VULNERABLE. THE SUMMARIZED ACTION PLANS BELOW REFLECT HOW ST. JOHN SAPULPA, INC. IS WORKING TO ADDRESS THE PRIORITY HEALTH NEEDS IN TAX YEARS 2019-2021 AS IDENTIFIED BY THE TAX YEAR 2018 COMMUNITY HEALTH NEEDS ASSESSMENT. THE FULL VERSION OF THE TAX YEAR 2019-2021 IMPLEMENTATION STRATEGY IS AVAILABLE ON THE HOSPITAL'S WEBSITE AT HTTPS://HEALTHCARE.ASCENSION.ORG/CHNA. 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. STRATEGY 1: WORK TO EXPAND MEDICAID TO THE POINT THAT IT INCREASES COVERAGE FOR THOSE MOST VULNERABLE IN OKLAHOMA (MEDICAID EXPANSION). ANTICIPATED IMPACT: - PROVIDE ADVOCACY AND EDUCATIONAL SUPPORT FOR 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: - HEALTH MINISTRY PROVIDED MEDICAID EXPANSION ADVOCACY SUPPORT AS WELL AS EDUCATIONAL AND ADVOCACY MESSAGING ON MEDIA PLATFORMS DURING FY20. - HEALTH MINISTRY LEADERSHIP PARTICIPATION IN MEDICAID EXPANSION DISCUSSION DURING OKLAHOMA STATE CHAMBER MEETING ON 06/10/20 - HEALTH MINISTRY LEADERSHIP PARTICIPATION IN MEDICAID EXPANSION DISCUSSIONS DURING OKLAHOMA HOSPITAL ASSOCIATION BOARD MEETINGS, EXECUTIVE COMMITTEE AND MEMBER MEETINGS, AS WELL AS TULSA HOSPITAL COUNCIL MEETINGS IN FY20 - NOTE: ON JUNE 30, 2020, THE OKLAHOMA MEDICAID EXPANSION INITIATIVE PASSED BY A MAJORITY VOTE TO EXPAND MEDICAID ELIGIBILITY TO ADULTS WHOSE INCOME IS 133% OF THE FPL. 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 FISCAL YEAR (FY 2020-2022), ASSESS IMPROVED TRENDS IN RELATED PATIENT EXPERIENCE MEASURE OUTCOMES FOR FY 2020, FY 2021 AND FY 2022, USING FY 2019 AS BASELINE. -BY END OF FY 2021, ASSESS RESULTS OF INTERNAL TRAININGS ON SEXUAL ORIENTATION AND GENDER IDENTITY (SOGI), INCLUDING NUMBER OF PARTICIPANTS AND THEIR SCORES, TO ENSURE THE MINISTRY CONTINUES TO ADDRESS DISENFRANCHISEMENT AMONG THE LGBTQ+ COMMUNITY AND INCREASE CULTURAL AWARENESS AMONG ASSOCIATES. -BY THE END OF EACH FISCAL YEAR (FY 2020-2022), ASSESS APPLICABLE BIAS REPORTING FOR FY 2020, FY 2021 AND FY 2022 SUBMITTED THROUGH VARIANCE PROCESS TO QUALITY/RISK MANAGEMENT WITH FY 2019 AS BASELINE. PROGRESS: - FY 2020 ASSESSMENT COMPLETED - EXTENDED LIVING THE MISSION TRAINING TO ALL LEVELS OF ASSOCIATES AND PARTNER ORGANIZATIONS (R1, TOUCHPOINT, ETC.); MOVED TO VIRTUAL IN MARCH - NOTE: ASSESSMENT OF REPORTS IN THIS AREA FOR FY 2020 WAS DELAYED DUE TO THE COVID-19 PANDEMIC - NOTE: ADDITIONAL ACTIVITIES INCLUDED A PROPOSAL DRAFTED BY MEDICAL ACCESS PROGRAM / DIRECTOR OF INDIGENT FUNDING FOR A SOCIAL WORKER AT THE HOSPITAL SPECIFICALLY FOR PSYCHIATRIC AND SUBSTANCE ABUSE REFERRALS TO AN APPROPRIATE FACILITY; TRUSTEES TO REVIEW IN OCTOBER 2020 GOAL 2: REDUCE REGIONAL INEQUITY IN ACCESSING HEALTHCARE PROVIDERS, SERVICES AND RESOURCES. STRATEGY 1: 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 FY 2020. -OBTAIN SURVEY FEEDBACK FROM AT LEAST 25 PERCENT OF PATIENTS AND VOLUNTEERS TO DETERMINE EFFECTIVENESS OF SERVICES OFFERED BY END OF FY 2020. -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 2020 MM@H SURVEY DATA INTO SPREADSHEET FOR EVALUATION BY MM@H STEERING COMMITTEE; PLAN AND IMPLEMENT MM@H IN FY 2021 BY END OF FY 2021. -ENTER FY 2021 MM@H SURVEY DATA INTO SPREADSHEET FOR EVALUATION BY MM@H STEERING COMMITTEE; PLAN AND IMPLEMENT MM@H IN FY 2022 BY END OF FY 2022. PROGRESS: - INITIATED PLANNING OF BARTLESVILLE MM@H FOR NOVEMBER 2019 AND SAPULPA AND TULSA MM@H EVENTS FOR APRIL 2020 - BARTLESVILLE MM@H HELD 11/09/19 (SAPULPA AND TULSA MM@H EVENTS CANCELED DUE TO COVID-19 PANDEMIC; SERIES OF POP-UP FLU VACCINE CLINICS PLANNED IN LIEU OF THOSE EVENTS) - FLU VACCINE POP-UP CLINICS: 09/29/20 IN TULSA, 10/08/20 IN TULSA, 10/10/20 IN SAND SPRINGS, 10/24/20 IN SAPULPA and 10/24/20 IN TULSA 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. STRATEGY 1: IMPLEMENT INTENSIVE OUTPATIENT GERIATRIC PSYCHIATRIC PROGRAM IN CREEK COUNTY. ANTICIPATED IMPACT: -ROLL-OUT INTENSIVE OUTPATIENT GERIATRIC PSYCHIATRIC PROGRAM AT ST. JOHN SAPULPA BY THE END OF THE FIRST QUARTER, FY 2020. -MARKET INTENSIVE OUTPATIENT GERIATRIC PSYCHIATRIC PROGRAM INTERNALLY WITHIN ASCENSION ST. JOHN AS WELL AS TO 10 POTENTIAL COMMUNITY REFERRAL SOURCES WITHIN SERVICE AREA BEGINNING BY END OF FY2021. -COMPLETE ANNUAL REVIEW OF ST. JOHN SAPULPA INTENSIVE OUTPATIENT GERIATRIC PSYCHIATRIC PROGRAM BY THE END OF EACH FISCAL YEAR (FY 2020-2022). IMPLEMENT MODIFICATIONS TO PROGRAM AS NECESSARY BASED ON FINDINGS FROM ANNUAL REVIEW. PROGRESS: - STARTED TO ACTIVELY TREAT PATIENTS THROUGH THE PROGRAM IN-HOUSE AND VIA TELEHEALTH ON 09/11/19 - BY 11/08/19, SHARED INFORMATION ON PROGRAM WITH 43 OUTSIDE ORGANIZATIONS AND 20 INTERNAL DEPARTMENTS GOAL 2: ADVANCE ST. JOHN HEALTH SYSTEM AND HOSPITAL ENGAGEMENT IN COMMUNITY COALITIONS AND COLLABORATIVES TO PROMOTE BEHAVIORAL HEALTH WELLNESS IN THE COMMUNITIES WE SERVE. 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. ANTICIPATED IMPACT: -BY END OF FY 2020 ENSURE ONE ASSOCIATE PER COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DEFINED COUNTY (CREEK) IS ENGAGED WITH A COMMUNITY COALITION OR COLLABORATIVE. -INCREASE OVERALL ST. JOHN HEALTH SYSTEM AND HOSPITAL ASSOCIATE PARTICIPATION BY 5% WITH BEHAVIORAL HEALTH COALITIONS AND COLLABORATIVES IN THE COMMUNITIES WE SERVE, AND WHICH ST. JOHN HEALTH SYSTEM AND HOSPITAL ARE NOT CURRENTLY IN PARTNERSHIP BY THE END OF FY 2022. (CONTINUED) Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - St. John Sapulpa Inc. - PART II. PROGRESS: - FIRST OBJECTIVE COMPLETED WITH COMMITTEE IDENTIFICATION OF ASSOCIATES ENGAGED WITH A COMMUNITY COALITION OR COLLABORATION RELATED TO BEHAVIORAL HEALTH (AT LEAST ONE IN NOWATA COUNTY, ONE IN CREEK COUNTY, TWO IN TULSA COUNTY AND ONE IN WASHINGTON COUNTY) PRIORITIZED NEED 3: HEALTHY LIFESTYLES GOAL 1: ADDRESS FOOD INSECURITY THROUGH COMMUNITY COLLABORATION AND STRENGTHENING OF COMMUNITY RESOURCES. 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 HOSPITALS) BY THE END OF CY 2019 (12/31/19). -DEVELOP ASSESSMENT PLAN TO OUTLINE RESEARCH ON EVIDENCE-BASED PROGRAMS AND TRACK PARTNERSHIP OPPORTUNITIES BY THE END OF FY 2020 (YEAR 1). -IF DEEMED VIABLE, DEVELOP AND IMPLEMENT INITIATIVE(S) FOR IDENTIFIED OPPORTUNITIES ON A PILOT BASIS DURING FY 2021 (YEAR 2). -DURING FY 2022 (YEAR 3), PERFORM ASSESSMENT OF PILOT AND DEVELOP PLAN TO EXPAND THROUGHOUT THE ST. JOHN HEALTH SYSTEM, IF VIABLE. PROGRESS: - EXPLORATORY MEETING ABOUT THE GENERAL DIRECTION OF THE FRESH FOOD FARMACY WITH ROSE WASHINGTON AND DR. FELECIA FROE TO DISCUSS BRINGING FRESH FOODS IN THE FORM OF A GROCERY STORE IN NORTH TULSA (AN AREA OF HIGH FOOD INSECURITY) AND HOW ST. JOHN COULD HELP THEM SUCCEED. - ST. JOHN SAPULPA, INC. IS REFERRING TO A DIABETES PREVENTION AND MANAGEMENT PROGRAM OF THE CREEK COUNTY AND MUSCOGEE (CREEK) NATION HEALTH DEPARTMENTS AND COLLABORATING WITH MED WORLD PHARMACY TO PROVIDE COMMUNITY DIABETES EDUCATION. STARTING CONVERSATIONS WITH THESE GROUPS ABOUT DEVELOPING A COMMUNITY FOOD PANTRY AT THE HOSPITAL. - MEETINGS WITH TULSA CITY-COUNTY LIBRARY IN FY 2020 TO BRAINSTORM IDEAS FOR HEALTH PROGRAMMING THAT WOULD INCLUDE EDUCATION ON CULINARY LITERACY; WITH INTERRUPTION BY COVID-19 PANDEMIC, REVISITED IN FY 2021 TO DISCUSS VIRTUAL OPTIONS AND CONNECT TCCL WITH FRESH RX PROGRAM ADVISORY COMMITTEE, WHICH PROVED TO BE A VIABLE PARTNERSHIP. - INITIAL MEETING WITH MEALS ON WHEELS OF METRO TULSA ON 10/02/19 TO DISCUSS PARTNERSHIP OPPORTUNITIES; DISCUSSION HAS EVOLVED IN FY 2021 TO INCLUDE MEDICAL ACCESS PROGRAM AND EMERGENCY DEPARTMENT TO SEE WHETHER/HOW PROVIDERS CAN REFER PATIENTS IN NEED WHO MAY MEET ELIGIBILITY REQUIREMENTS FOR MOW - ST. JOHN SAPULPA, INC. MEETING WITH CARING COMMUNITY FRIENDS TO DISCUSS FOOD ASSISTANCE PROGRAM AND OTHER SOCIAL DETERMINANTS OF HEALTH-RELATED OPPORTUNITIES - MEETING WITH COMMUNITY FOOD BANK OF EASTERN OKLAHOMA TO DISCUSS PARTNERSHIP FOR MEDICAL MISSION AT HOME EVENTS (FREE BAGS OF PRODUCE FOR ATTENDEES) AND OPPORTUNITIES FOR A FOOD PRESCRIPTION PROGRAM - MEETING WITH 180 DISASTER RELIEF TO LEARN ABOUT THE ORGANIZATION AND ITS PARTICIPATION IN THE FEDERAL CORONAVIRUS FOOD ASSISTANCE PROGRAM, AND TO PLAN PARTNERSHIP TO BRING FOOD DISTRIBUTION TO ST. JOHN SITES OF CARE FOR ASSOCIATES, LOVED ONES AND COMMUNITY MEMBERS IN NEED - MEETING WITH HUNGER FREE OKLAHOMA ON 06/18/20 TO DISCUSS POTENTIAL PARTNERSHIP OPPORTUNITIES, INCLUDING A FOOD PRESCRIPTION PROGRAM, WIC REFERRAL IN LABOR & DELIVERY UNIT, FOOD DISTRIBUTION APPLICATION, ETC. - ATTENDED MULTIPLE MEETINGS ABOUT IMPLEMENTATION OF FRESH RX PROGRAM (FIRST BEING 07/23/20) FOR DIABETES PATIENTS EXPERIENCING FOOD INSECURITY IN COLLABORATION WITH THE TULSA FOOD SECURITY COUNCIL, CROSSOVER COMMUNITY IMPACT AND OTHERS - NOTE: DEVELOPMENT OF ASSESSMENT PLAN DELAYED DUE TO COVID-19 PANDEMIC GOAL 2: REDUCE THE HEALTH IMPACT OF TOBACCO USE IN COMMUNITIES WE SERVE. (ST. JOHN HEALTH SYSTEM AND HOSPITAL ACKNOWLEDGE THE TRADITIONAL AND SACRED USE OF TOBACCO AMONG AMERICAN INDIAN PEOPLE LIVING IN OKLAHOMA). 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 YEAR 1 (FY 2020): DEVELOP ASSESSMENT PLAN TO OUTLINE RESEARCH ON EVIDENCE-BASED TOBACCO SCREENING AND INTERVENTION PROGRAMS. -BY END OF YEAR 2 (FY 2021): 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 YEAR 3 (FY 2022): IMPLEMENT AND/OR ADVANCE SYSTEMATIC SCREENING AND INTERVENTION IN INPATIENT AND AMBULATORY SETTINGS BASED ON YEAR 1 FINDINGS. PROGRESS: - CONDUCTED RESEARCH ON OKLAHOMA HOSPITAL ASSOCIATION HOSPITALS HELPING PATIENTS QUIT (HHPQ), A TSET-FUNDED PROGRAM, WHICH HAS EVIDENCE-BASED TREATMENT AND INTERVENTION GUIDELINES - COPD/ASTHMA WORKGROUP AT JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC. USING TOBACCO CESSATION AS ONE STRATEGY TO REDUCE/ELIMINATE COPD/ASTHMA ADMISSIONS; MEETINGS ON 10/01/19 AND 01/29/20 - RT AT JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC. RECEIVED ON-SITE TRAINING (MULTIPLE DATES) FROM HHPQ TO COMPLETE BEDSIDE INTERVENTIONS - 07/27/20 UPDATE: 12-MINUTE TOBACCO CESSATION EDUCATION/TRAINING VIDEO PROVIDED BY HHPQ IS BEING REVIEWED, WITH PLANS TO UPLOAD INTO MYLEARNING - WORKING ON ADDING HOSPITAL'S SPECIFIC WORKFLOW TO THE HHPQ-PROVIDED PRESENTATION BEFORE SUBMITTING TO CPD FOR UPLOAD INTO MYLEARNING; ALSO NEED TO WORK OUT THE DETAILS ON IF/HOW THE EDUCATION WILL BE ASSIGNED - 08/05/20 UPDATE: APPROVED TOBACCO CESSATION MODULE WITH TWO PARTS, ABOUT 60 MINUTES EACH, ALREADY AVAILABLE IN MYLEARNING; IF WE WANT THESE MODULES TO BE ASSIGNED TO ASSOCIATES, WE NEED TO DETERMINE THE AUDIENCE, THEN THE EDUCATIONAL OPERATIONS TEAM WILL NEED TO APPROVE STRATEGY 2: EXPLORE OPPORTUNITIES TO HELP IDENTIFY AND WORK WITH OUR ASSOCIATES REQUESTING ASSISTANCE WITH TOBACCO CESSATION. ANTICIPATED IMPACT: -BY END OF YEAR 1 (FY 2020): DEVELOP ASSESSMENT PLAN TO OUTLINE RESEARCH ON EVIDENCE-BASED PROGRAMS. -BY END OF YEAR 2 (FY 2021): IF OPPORTUNITIES AVAILABLE, PRESENT FINDINGS TO HEALTH SYSTEM AND HOSPITAL LEADERSHIP TO ADVOCATE FOR PROGRAM IMPLEMENTATION. -IF VIABLE, IMPLEMENT PROGRAM IN YEAR 3 (FY 2022). PROGRESS: - NONE TO REPORT; OBJECTIVE DELAYED DUE TO COVID-19 PANDEMIC; TASK FORCE MEMBER LOOKING INTO COMMUNITYCARE SURVEY RESULTS TO HELP DEVELOP ASSESSMENT PLAN GOAL 3: ADVANCE ST. JOHN ENGAGEMENT IN COMMUNITY COALITIONS AND COLLABORATIVES TO PROMOTE HEALTHY LIFESTYLES AND CHRONIC DISEASE PREVENTION IN THE COMMUNITIES WE SERVE. STRATEGY 1: IDENTIFY COMMUNITY COALITIONS AND COLLABORATIVES WITH PARTNERSHIP OPPORTUNITIES TO PROMOTE HEALTHY LIFESTYLES AND CHRONIC DISEASE PREVENTION. ENCOURAGE ST. JOHN HEALTH SYSTEM AND HOSPITAL REPRESENTATION/INVOLVEMENT BY ASSOCIATES AS DEEMED APPROPRIATE. ANTICIPATED IMPACT: -ENSURE AT LEAST ONE ASSOCIATE PER HOSPITAL FACILITY (ENCOMPASSES ALL SIX ST. JOHN HOSPITALS) IS INVOLVED WITH A COMMUNITY COALITION OR SIMILAR ORGANIZATION IN THE RESPECTIVE COMMUNITY SERVED BY THE END OF FY 2020 (YEAR 1). -INCREASE OVERALL TRACKED PARTICIPATION BY ASSOCIATES WITH COMMUNITY ORGANIZATIONS AND EVENTS BY 5% FROM FY 2019 TO FY 2020 (ENCOMPASSES ALL SIX ST. JOHN HOSPITALS). -INCREASE OVERALL TRACKED PARTICIPATION BY ASSOCIATES WITH COMMUNITY ORGANIZATIONS AND EVENTS BY ANOTHER 5% FROM FY 2020 TO FY 2021 (ENCOMPASSES ALL SIX ST. JOHN HOSPITALS). PROGRESS: - AT LEAST ONE ASSOCIATE PER HOSPITAL FACILITY HAS BEEN IDENTIFIED AS BEING INVOLVED WITH A COMMUNITY COMMITTEE, COALITION OR COLLABORATION RELATED TO HEALTHY LIFESTYLES. IN ADDITION: - DIRECTOR OF COMMUNITY BENEFIT HAS INITIATED DISCUSSION FOR COMMUNITY BENEFIT MANAGER TO TRANSITION INTO HER SPOT ON THE BOARD OF DIRECTORS OF PATHWAYS TO HEALTH (TULSA HEALTH DEPARTMENT) ONCE HER TERM HAS ENDED. - THE COMMUNITY BENEFIT TEAM JOINED THE TULSA FOOD SECURITY COUNCIL IN JULY 2020. - THE DIABETES CENTER MANAGER AT JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC. IS NOW A MEMBER OF THE BARTLESVILLE PUBLIC SCHOOLS "SCHOOL CULTURE" HEALTHY STUDENTS AND STAFF SUB-COMMITTEE (FIRST MEETING ON 11/03/19 TO SET GOALS, ETC.). - TRAINING OF EIGHT EXECUTIVE/ADMINISTRATIVE ASSISTANTS TO BE CBISA REPORTERS WITH SPECIAL FOCUS ON ADMINISTRATOR INVOLVEMENT IN COMMUNITY COALITIONS AND NONPROFIT BOARDS OF DIRECTORS - MULTIPLE ONE-OFF CONVERSATIONS WITH EXECUTIVE/ADMINISTRATIVE ASSISTANTS ABOUT SUCH REPORTABLE OPPORTUNITIES - NOTE: REPORTS FOR CBISA PROGRAM CATEGORY "E3: DONATIONS: IN-KIND: BOARDS/COMMITTEES" SHOWED 95.5 SUCH HOURS ($4,809 IN COMMUNITY BENEFIT) REPORTED FOR FY 2019 AND 281.7 SUCH HOURS ($17,436 IN COMMUNITY BENEFIT) REPORTED FOR FY 2020, A 194.97% INCREASE IN HOURS 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. (CONTINUED) Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - St. John Sapulpa Inc. - PART III. ANTICIPATED IMPACT: -BY THE END OF THE SECOND QUARTER OF FY 2020, 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: - STRATEGIC PLANNING SESSION HELD WITH THE TULSA HUMAN TRAFFICKING TASK FORCE, NOW KNOWN AS THE OKLAHOMA COALITION AGAINST HUMAN TRAFFICKING (OCAT); DURING THE MEETING, EDUCATION NEEDS WERE IDENTIFIED AND GOALS WERE SET - EDUCATION CONDUCTED FOR THE CRISIS CARE CENTER STAFF (07/23/19), OKLAHOMA SHERIFFS ASSOCIATION CONFERENCE (08/08/19), LAW ENFORCEMENT (08/28/19), OKLAHOMA STATE UNIVERSITY PHD STUDENTS (09/26/19), UNIVERSITY OF OKLAHOMA-TULSA RESIDENT STUDENTS (10/01/19), 2019 ZARROW MENTAL HEALTH SYMPOSIUM (10/03/19), BEYOND AWARENESS SUMMIT (01/30/20) AND CLEVELAND AREA HOSPITAL (2/25/20) AND 2020 ZARROW MENTAL HEALTH SYMPOSIUM VIA VIRTUAL "BOOTH" (09/30/20) STRATEGY 2: ADVANCE THE ST. JOHN HEALTH SYSTEM 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 FY 2020. -CONDUCT AT LEAST TWO HUMAN TRAFFICKING EDUCATION/AWARENESS EVENTS FOR EACH OF THE SIX HOSPITAL FACILITIES AND ST. JOHN CLINIC BY THE END OF FY 2020. -COMPLETE DISSEMINATION OF ASSESSMENT POCKET TOOLS TO KEY ENTRY POINTS AT ST. JOHN HOSPITALS BY THE END OF FY 2020. -COMPLETE DISSEMINATION OF ASSESSMENT POCKET TOOLS TO ST. JOHN CLINIC BY THE END OF FY 2022. PROGRESS: - DEVELOPING PARTNERSHIP WITH THE CRISIS CARE CENTER (JULY 2019) FOR CASE MANAGEMENT FOR SUSPECTED VICTIMS - WORKING WITH SHELTER AND DROP-IN SERVICES AT YOUTH SERVICES OF TULSA (OCTOBER 2019) TO STRENGTHEN COLLABORATION AND RESOURCES FOR VICTIMS - DEVELOPING PARTNERSHIP WITH UNIVERSITY OF OKLAHOMA HOPE RESEARCH CENTER (MARCH 2020) FOR PROGRAM RESEARCH, NEEDS ANALYSIS AND POTENTIAL IMPLEMENTATION OF THE HOPE THEORY - EDUCATION ON POCKET TOOLS AND PROTOCOLS FOR EMERGENCY DEPARTMENT, RADIOLOGY, SENIOR LIFE SERVICES AND NURSING ASSOCIATES AT ST. JOHN SAPULPA, INC. (AUGUST 2019) - TWO EDUCATION EVENTS FOR ASCENSION MEDICAL GROUP ST. JOHN URGENT CARES IN OWASSO AND JENKS (AUGUST 2019) - CLINICAL EDUCATION FOR ALL HOSPITALS - PROVIDED POCKET TOOLS TO 33 NURSE RESIDENTS AND ST. JOHN SAPULPA, INC. KEY ENTRY POINTS IN AUGUST 2019 - COMPLETED DISSEMINATION OF POCKET TOOLS WITH 2020 CLINICAL EDUCATION GOAL 2: ADDRESS AND MITIGATE ADVERSE HEALTH OUTCOMES PRENATALLY AND BIRTH TO 18 YEARS OF AGE IN COMMUNITIES WE SERVE. STRATEGY 1: EXPAND THE ST. JOHN HEALTH SYSTEM AND HOSPITAL SUSPECTED CHILD ABUSE AND NEGLECT 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 FY 2020. -IMPLEMENT OPPORTUNITIES FOR SCAN COMMITTEE IMPROVEMENT, AS IDENTIFIED IN FY 2020 AND AS EVIDENCED BY A REVISED SCAN COMMITTEE CHARTER, IF APPROPRIATE, BY THE END OF FY 2021. -IF APPROPRIATE, DEFINE A REPORTING STRUCTURE OF THE QUALITY METRICS RELATED TO SCAN BY THE END OF FY 2022. PROGRESS: - ST. JOHN MEDICAL CENTER, INC., ST. JOHN OWASSO, INC. AND JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC. INVITED TO PARTICIPATE IN MONTHLY SCAN COMMITTEE MEETINGS - COVID-19 CAUSED DELAY WITH SCAN COMMITTEE; RESTARTED MEETINGS IN JUNE 2020 - COMMUNITY CHILD ABUSE PEDIATRICIAN FORMALLY INVITED TO REJOIN SCAN COMMITTEE IN AUGUST 2020; HE ACCEPTED REQUEST AND MADE REQUEST TO INCLUDE UNIVERSITY OF OKLAHOMA PEDIATRICS FELLOWS 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 AND HOSPITAL. ANTICIPATED IMPACT: -ASSESS CURRENT PROGRAMS, ACTIVITIES AND COMMUNITY PARTNERSHIPS THROUGHOUT ST. JOHN, INCLUDING BUT NOT LIMITED TO CAPACITY, UTILIZATION AND OPPORTUNITY FOR EXPANSION TO OTHER AREAS OF ST. JOHN TO SUPPORT THE CARE OF PREGNANT WOMEN AND CHILDREN BIRTH TO 3 YEARS OF AGE AND DEVELOP AN ACTION PLAN BY THE END OF FY 2020. -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 FY 2022. PROGRESS: - NO PROGRESS TO REPORT AT THIS TIME; OBJECTIVES HAVE BEEN DELAYED DUE TO THE COVID-19 PANDEMIC GOAL 3: STRENGTHEN ST. JOHN HEALTH SYSTEM 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. STRATEGY 1: PARTNER WITH COMMUNITY AGENCIES AND COALITIONS TO INCREASE ST. JOHN 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: -BY THE END OF THE SECOND QUARTER OF FY 2020, IDENTIFY KEY COMMUNITY AND ASSOCIATE LEADERS TO PARTICIPATE IN A ST. JOHN ACES AND HOMELESSNESS SUB-TASK FORCE AND FORM THE SUB-TASK FORCE. -BY THE END OF THE THIRD QUARTER OF FY 2020, MEET WITH IDENTIFIED COMMUNITY AND ST. JOHN LEADERS/STAKEHOLDERS TO DETERMINE EDUCATION NEEDS. -BY THE END OF THE FOURTH QUARTER OF FY 2020, FINALIZE A COMPREHENSIVE LIST OF COMMUNITY RESOURCES AVAILABLE FOR THOSE EXPERIENCING OR AT RISK OF HOMELESSNESS AND FINALIZE EDUCATION RESOURCES FOR ASSOCIATES. -BY THE END OF THE FIRST QUARTER OF FY 2021, COMPLETE ASSOCIATE EDUCATION ON ACES AND HOMELESSNESS AND INCORPORATE RESOURCES FOR ASSOCIATES TO GIVE PATIENTS UPON DISCHARGE FROM ANY POINT OF SERVICE. PROGRESS: - NO PROGRESS TO REPORT AT THIS TIME; OBJECTIVES HAVE BEEN DELAYED DUE TO THE COVID-19 PANDEMIC GOAL 4: IMPLEMENT EDUCATION AND ASSESSMENT TOOLS TO RAISE AWARENESS OF THE IMPACT OF ACES ON ST. JOHN HEALTH SYSTEM AND HOSPITAL ASSOCIATES AND THEIR FAMILIES IN SUPPORT THE WHOLE PERSON AND A MODEL COMMUNITY OF ENGAGED ASSOCIATES. STRATEGY 1: PROVIDE EDUCATION TO ST. JOHN HEALTH SYSTEM 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: -BY THE END OF THE SECOND QUARTER FOR FY 2020, ASSESS CDC ACES TRAINING AND MEET WITH THE ST. JOHN HEALTH SYSTEM AND HOSPITAL PROVIDER ASSOCIATE CARE TEAM (PACT) TO CONFIRM IF TRAINING MATERIAL IS VIABLE FOR ASCENSION ST. JOHN LEADER TRAINING. -COMPILE LIST OF LOCAL RESOURCES AND SUPPORT TO SHARE WITH ST. JOHN HEALTH SYSTEM AND HOSPITAL LEADERS BY THE END OF THE FIRST QUARTER OF FY 2021. -DETERMINE METHOD OF SELF-ASSESSMENT FOR ASSOCIATES AND IMPLEMENT SELECTED SELF-ASSESSMENT TOOL BY THE END OF THE THIRD QUARTER OF FY 2021. PROGRESS: - NO PROGRESS TO REPORT AT THIS TIME; OBJECTIVES HAVE BEEN DELAYED DUE TO THE COVID-19 PANDEMIC NEEDS THAT WILL NOT BE ADDRESSED DIRECTLY: ST. JOHN HEALTH SYSTEM AND THE HOSPITAL ARE COMMITTED TO IMPROVING COMMUNITY HEALTH BY DIRECTLY - AND INDIRECTLY - ADDRESSING PRIORITIZED HEALTH NEEDS. THE TAX YEAR 2018 COMMUNITY HEALTH NEEDS ASSESSMENT 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 AND THE HOSPITAL AND COMMUNITY PARTNERS INSTEAD DECIDED TO FOCUS ATTENTION ON PRIORITY AREAS TO HELP ENSURE SUFFICIENT RESOURCES ARE AVAILABLE. CERTAIN FACTORS IMPACT THE HOSPITAL'S ABILITY TO FULLY ADDRESS ALL PRIORITIES HEALTH NEEDS AND INCLUDE 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 THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED BUT WILL NOT BE ADDRESSED DIRECTLY BY ASCENSION ST. JOHN OR THE HOSPITAL AS PRIORITY HEALTH NEEDS: -SAFE ENVIRONMENT -SOCIO-ECONOMIC STATUS -IMMUNIZATIONS AND INFECTIOUS DISEASES -HEALTH EDUCATION -MATERNAL, FETAL AND INFANT HEALTH (CONTINUED) Schedule H, Part V, Section B, Line 11 Facility , 4 Facility , 4 - St. John Sapulpa Inc. - PART IV. 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 ST. JOHN'S MISSION TO SERVE ALL PEOPLE, WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - St. John Sapulpa, Inc.. SIGNS ARE POSTED IN WAITING ROOMS AND AT THE ADMISSIONS OFFICES TO NOTIFY PATIENTS THAT THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY. IN ADDITION, EVERY BILLING STATEMENT, THE HOSPITAL'S WEBSITE, AND ADMISSION PACKETS INCLUDE INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. THE POLICY IS PROVIDED AT THE REQUEST OF THE PATIENT. 0 Schedule H, Part VI, Line 6 Description of Affiliated Group - PART II PART 2: SOCIAL AND ENVIRONMENTAL IMPROVEMENT ACTIVITIES PROGRAMS AND ACTIVITIES AS WELL AS FINANCIAL AND COLLABORATIVE SUPPORT THAT IMPROVE THE HEALTH OF PERSONS IN THE COMMUNITY BY ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH, WHICH INCLUDE THE SOCIAL, ECONOMIC AND PHYSICAL ENVIRONMENT. ACTIVITIES INCLUDE, BUT ARE NOT LIMITED TO: -INCORPORATING EARLY LITERACY INTO PEDIATRIC CARE, SUPPORT OF ORGANIZATIONS PROMOTING WORKFORCE DEVELOPMENT, PROMOTION OF SAFE BUILT ENVIRONMENT AND PHYSICAL ACTIVITY, AND SUPPORT OF ORGANIZATIONS AND PROGRAMS THAT PROMOTE HEALTHY FOOD ACCESS. -ONE SIGNIFICANT INITIATIVE IN WHICH ST. JOHN SYSTEM AND HOSPITAL HAVE BEEN ACTIVELY ENGAGED IS THE ACCOUNTABLE HEALTH COMMUNITIES (AHC) MODEL. THE CENTERS FOR MEDICARE AND MEDICAID SERVICES SELECTED OKLAHOMA'S ROUTE 66 COALITION TO RECEIVE A $4.5 MILLION GRANT TO CREATE AN ACCOUNTABLE HEALTH COMMUNITY, WHICH WILL ADDRESS THE INTERSECTION OF SOCIAL AND MEDICAL ISSUES FACING COMMUNITIES. LED BY OKLAHOMA'S NON-PROFIT HEALTH INFORMATION NETWORK, MYHEALTH ACCESS NETWORK, THE ROUTE 66 COALITION ALSO INCLUDES THE OKLAHOMA CITY-COUNTY AND TULSA HEALTH DEPARTMENTS, AND MORE THAN 200 OTHER HEALTH CARE AND SOCIAL SERVICE ORGANIZATIONS IN OKLAHOMA.THE PROGRAM WILL OFFER SOCIAL DETERMINANTS OF HEALTH SCREENINGS TO ASSESS NEEDS OF PATIENTS IN THE EMERGENCY DEPARTMENTS AND CLINICS AS WELL AS OFFER LINKAGE TO SUPPORT SERVICES AND RESOURCES IN THE COMMUNITY. -THE ST. JOHN HUMAN TRAFFICKING EDUCATION AND RESPONSE PROGRAM - THE PROGRAM WAS FULLY IMPLEMENTED IN 2018 AND IS DESIGNED TO INTRODUCE STANDARD TRAINING AND RESOURCES TO ASSIST OUR HEALTHCARE ASSOCIATES TO IDENTIFY AND RESPOND TO THE NEEDS OF VICTIMS OF LABOR AND SEX TRAFFICKING IN A TRAUMA-INFORMED MANNER, INCLUDING ASSISTANCE WITH REFERRALS TO RESOURCES AS NEEDED. USING THIS SYSTEM-WIDE APPROACH, ST. JOHN FORMED A HUMAN TRAFFICKING RESPONSE TEAM AS A COMPONENT OF THIS PROGRAM, DESIGNATING HUMAN TRAFFICKING RESPONSE COVERAGE FOR ALL ST. JOHN HOSPITAL FACILITIES AND CLINICS. THIS TEAM CONSISTS OF SELECT ASSOCIATES WHO HAVE RECEIVED IN-DEPTH TRAINING TO RESPOND TO AND ASSIST PATIENTS WHO ARE SUSPECTED TO BE TRAFFICKING VICTIMS IN A TRAUMA-INFORMED MANNER. A CENTRAL CALL CENTER FOR ASSOCIATES IS AVAILABLE REPORT SUSPECTED CASES AND DISPATCH RESPONSE TEAM MEMBERS FOR ASSISTANCE. AS OF THE END OF TAX YEAR 2019, THE PROGRAM PROVIDED TRAUMA-INFORMED CARE TO 71 SUSPECTED VICTIMS, OF WHICH 39 HAVE ASKED FOR SOME FORM OF TRAFFICKING-RELATED ASSISTANCE. ASSISTANCE HAS INCLUDED COMPLIMENTARY BUS TRANSPORTATION TO OUT-OF-STATE SHELTERS FOR SUSPECTED VICTIMS, FUNDING SUPPORT TO COVER MEDICATION COSTS, FOOD AND CLOTHING, AND REFERRAL ASSISTANCE FOR DRUG AND ALCOHOL TREATMENT AS WELL AS PSYCHIATRIC CARE. COMMUNITY BENEFIT OPERATIONS: HOSPITAL STAFF DEDICATE SIGNIFICANT TIME AND COSTS TO LEAD AND MANAGE COMMUNITY BENEFIT PROGRAMS AND ACTIVITIES, WHICH INCLUDE INTERNAL TRACKING AND REPORTING OF COMMUNITY BENEFIT AS WELL AS OVERSIGHT OF COMMUNITY ENGAGEMENT. FUNDS ARE ALLOCATED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOP AN IMPLEMENTATION STRATEGY. HEALTH PROFESSIONS EDUCATION: THE HOSPITAL IS COMMITTED TO HELPING ENSURE THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS BY PROVIDING EDUCATION THROUGH HANDS ON TRAINING TO STUDENTS WHO ARE WORKING TOWARDS A WIDE RANGE OF HEALTHCARE DEGREES AND CERTIFICATES. THESE CATEGORIES INCLUDE MEDICAL RESIDENTS, NURSING STUDENTS AND OTHER HEALTH PROFESSIONS. CASH AND IN-KIND CONTRIBUTIONS: THE HOSPITAL MAKES CASH AND IN-KIND CONTRIBUTIONS TO A VARIETY OF ORGANIZATIONS FOCUSED ON IMPROVING THE HEALTH STATUS IN THE COMMUNITY. EXAMPLES INCLUDE CASH DONATIONS TO NONPROFITS IN RESPONSE TO NATURAL DISASTERS, EVENT SPONSORSHIPS AND DONATIONS FOCUSED ON ADDRESSING AN IDENTIFIED COMMUNITY HEALTH NEED, DONATION OF ROOMS AND SPACE TO COMMUNITY ORGANIZATIONS AND COALITIONS, DONATION OF EMPLOYEE TIME/SERVICES TO OUTSIDE ORGANIZATIONS, AND THE REPRESENTATION OF THE HOSPITAL ON COMMUNITY BOARDS AND COMMITTEES. IN TAX YEAR 2019, ST. JOHN PARTNERED WITH MORE THAN 50 LOCAL ORGANIZATIONS THROUGH DONATIONS, SPONSORSHIPS, AND COMMUNITY HEALTH IMPROVEMENT PROGRAMMING AND INITIATIVES, IN ALIGNMENT WITH HEALTH NEEDS AND SOCIAL DETERMINANTS OF HEALTH AS IDENTIFIED IN ITS SIX HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENTS. A TOTAL OF $173,270 WAS PROVIDED IN RESTRICTED DONATIONS TO NONPROFIT PARTNERS, HELPING TO MEET ST. JOHN PRIORITY HEALTH NEEDS IN THE COMMUNITIES WE SERVE: ACCESS TO CARE, BEHAVIORAL HEALTH, HEALTHY LIFESTYLES AND ADVERSE CHILDHOOD EXPERIENCES. Schedule H, Part I, Line 3c Factors Other than FPG A patient with income greater than 400% of the FPL may be eligible for financial assistance under a "Means Test" for some discount of Patient's charges for services from the Organization based on a Patient's total medical debt. A Patient will be eligible for financial assistance pursuant to the Means Test if the Patient has excessive total medical debt, which includes medical debt to Ascension and any other health care provider, for emergency and other medically necessary care, that is equal to or greater than such Patient's household's gross income. The level of financial assistance provided pursuant to the Means Test is the same as is granted to a patient with income at 400% of the FPL under the sliding scale discount, if such patient submits an Application on or prior to the 240th day after the Patient's first discharge bill and the Application is approved by the Organization. Patient will be eligible for the means test discount financial assistance if such Patient submits the Application after the 240th day after the Patient's first discharge bill, but then the amount of financial assistance available to a Patient in this category is limited to Patient's unpaid balance after taking into account any payments made on Patient's account. A Patient eligible for this category of financial assistance will not be charged more than the calculated AGB charges. Schedule H, Part I, Line 6a Community benefit report prepared by related organization 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 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 2020 was $5,667,652 at charges, ($1,643,619 at cost). Schedule H, Part III, Line 3 Bad Debt Expense Methodology ST. JOHN SAPULPA, INC. HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION IS PART THE OF THE ASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSES THE BAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 16-18. 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 Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. 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 Medicare shortfall is not treated as community benefit. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply and the financial assistance program is followed. Schedule H, Part V, Section B, Line 16a FAP website - St. John Sapulpa, Inc.: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - St. John Sapulpa, Inc.: 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, Inc.: 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 SAPULPA, INC. PROVIDES FINANCIAL ASSISTANCE FOR THOSE WHO EARN ABOVE 250% OF THE FEDERAL POVERTY LEVEL BUT DOES NOT EXCEED 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 71,522. ACCORDING TO THE 2020 COUNTY HEALTH RANKINGS, CREEK COUNTY RANKS 34TH OUT OF 77 OKLAHOMA COUNTIES IN OVERALL HEALTH OUTCOMES AND 37TH 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 PART 1: ST. JOHN SAPULPA, INC. IS AN AFFILIATE OF ST. JOHN HEALTH SYSTEM AND ASCENSION HEALTH. ST. JOHN HEALTH SYSTEM AFFILIATES ARE LARGE MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT MINISTRIES INCLUDING HOSPITAL AND NON-HOSPITAL MINISTRIES (PHYSICIAN GROUP PRACTICES, HOSPITAL ORGANIZATIONS, EMERGENCY ROOMS AND URGENT CARE, HOME HEALTH, REGIONAL MEDICAL LABORATORY (RML). AND PARTNERSHIPS AND VENTURES THAT INCLUDE A HEALTH INSURANCE COMPANY, SEVERAL AMBULATORY SURGERY CENTERS, AND OTHER HEALTHCARE ACTIVITIES). THESE MINISTRIES WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF SERVING AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS ESPECIALLY THOSE WHO ARE VULNERABLE. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION, FUNDING AND COLLABORATIVE SUPPORT OF NON-PROFIT COMMUNITY ORGANIZATIONS AND RESEARCH. THE ORGANIZATIONS WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, STATE AND NATIONAL LEVEL. 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 20 STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ORGANIZATIONS/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 HEALTH SYSTEM AND THE HOSPITAL ARE DEDICATED TO IMPROVING THE HEALTH STATUS AND QUALITY OF LIFE FOR THE COMMUNITIES WE SERVE. WHILE DESIGNATED ASSOCIATES AT ST. JOHN HEALTH SYSTEM DEVOTE TIME TO LEADING AND ADMINISTERING LOCAL COMMUNITY-BASED PROGRAMS AND PARTNERSHIPS, ASSOCIATES THROUGHOUT THE ORGANIZATION ARE ACTIVE PARTICIPANTS IN COMMUNITY OUTREACH AND ENGAGEMENT. THEY ARE ASSISTED AND SUPPORTED BY DESIGNATED ST. JOHN COMMUNITY BENEFIT ASSOCIATES AND OTHER SUPPORT STAFF WHO WORK WITH EACH OF ITS HEALTHCARE FACILITIES TO ADVOCATE FOR AND PROVIDE TECHNICAL ASSISTANCE FOR COMMUNITY OUTREACH AND ENGAGEMENT, NEEDS ASSESSMENTS AND PARTNERSHIPS AS WELL AS TO SUPPORT REGIONAL AND STATE-WIDE PROGRAMS, COMMUNITY PROGRAMS SPONSORED BY ST. JOHN HEALTH SYSTEM IN WHICH ST. JOHN SAPULPA, INC. PARTICIPATES. ST. JOHN HEALTH SYSTEM AND THE HOSPITAL CREATE STRONG PARTNERSHIPS WITH BUSINESSES, COMMUNITY-BASED ORGANIZATIONS, SCHOOLS, UNIVERSITIES, AND LOCAL, STATE AND FEDERAL GOVERNMENT. WORKING WITH ITS PARTNERS AND UTILIZING THE COMMUNITY HEALTH NEEDS ASSESSMENT COMPLETED EVERY THREE YEARS, ST. JOHN HEALTH SYSTEM AND THE HOSPITAL ARE COMMITTED TO ADDRESSING COMMUNITY HEALTH NEEDS AND DEVELOPING AND EXECUTING AN IMPLEMENTATION STRATEGY TO MEET IDENTIFIED NEEDS TO IMPROVE HEALTH OUTCOMES AND ADDRESS DISPARITIES WITHIN THE COMMUNITY. COMMUNITY BENEFIT IS NOT THE WORK OF A SINGLE DEPARTMENT OR GROUP WITHIN ST. JOHN HEALTH SYSTEM AND THE HOSPITAL, BUT IS PART OF THE ST. JOHN MISSION AND CULTURAL FABRIC. THE HOSPITAL LEADERSHIP TEAM PROVIDES DIRECTION AND RESOURCES IN DEVELOPING AND EXECUTING THE IMPLEMENTATION STRATEGY IN CONJUNCTION WITH THE ST. JOHN COMMUNITY BENEFIT DEPARTMENT, BUT ASSOCIATES AT ALL LEVELS OF THE ORGANIZATION CONTRIBUTE TO COMMUNITY BENEFIT AND HEALTH IMPROVEMENT. COMMUNITY HEALTH IMPROVEMENT EFFORTS MUST TAKE A COMPREHENSIVE APPROACH AND UTILIZE DIVERSE METHODS TO REACH INTENDED AUDIENCES. AS A SYSTEM, ST. JOHN HEALTH SYSTEM AND THE HOSPITAL WORK TO IMPROVE THE HEALTH OF COMMUNITIES THROUGH A VARIETY OF APPROACHES, INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, GENERALIZABLE RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS AND COLLABORATIVE SUPPORT. DURING TAX YEAR 2019, ST. JOHN HEALTH SYSTEM AND THE HOSPITAL SUPPORTED THE COMMUNITY IN THE FOLLOWING WAYS: COMMUNITY HEALTH EDUCATION: ST. JOHN HEALTH SYSTEM AND THE HOSPITAL PROVIDE HEALTH EDUCATION ON SEVERAL TOPICS AND ISSUES FACING THE LOCAL COMMUNITY THROUGHOUT THE YEAR. THE INFORMATION IS OFFERED TO THE COMMUNITY THROUGH A VARIETY OF METHODS, WHICH INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING: HEALTH FAIRS, HEALTH PROMOTION AND WELLNESS PROGRAMS, LECTURES, SCHOOL HEALTH EDUCATION PROGRAMS, AND SUPPORT GROUPS. COMMUNITY-BASED CLINICAL SERVICES: TO REACH INDIVIDUALS WHO ARE UNINSURED AND UNDERINSURED, ST. JOHN HEALTH SYSTEM AND THE HOSPITAL OFFER SCREENINGS, ONE-TIME CLINICS WHICH INCLUDE BLOOD PRESSURE, CHOLESTEROL SCREENING, AND/OR IMMUNIZATION CLINICS, AND COMMUNITY-BASED CLINICS WHICH PROVIDED FREE AND/OR LOW-COST HEALTHCARE. ACCESS TO CARE AND OTHER HEALTH CARE SUPPORT SERVICES: TO INCREASE ACCESS TO AND IMPROVE THE QUALITY OF HEALTHCARE AVAILABLE TO THE COMMUNITY, ESPECIALLY PERSONS LIVING IN POVERTY OR DEEMED VULNERABLE, ST. JOHN HEALTH SYSTEM AND THE HOSPITAL PROVIDE SERVICES SUCH AS TRANSPORTATION ASSISTANCE AND CHRONIC DISEASE MANAGEMENT. IN ADDITION, ST. JOHN HEALTH SYSTEM AND THE HOSPITAL PROVIDE THE FOLLOWING: -TREATMENT TO ALL PEOPLE WHO COME IN NEEDING ASSISTANCE, REGARDLESS OF THEIR ABILITY TO PAY. HOWEVER, ONCE IN THE DOOR, AN ASSOCIATE WILL WORK WITH EACH PATIENT TO SEE IF THEY QUALIFY FOR TRADITIONAL CHARITY CARE AND/OR A GOVERNMENT PROGRAM. IF THEY DO, THE PATIENT IS SIGNED UP STRONGLY ENCOURAGED TO FIND A MEDICAL HOME IF THEY DO NOT CURRENTLY HAVE ONE. IN ADDITION, LOCAL HOSPITAL, ST JOHN SYSTEM AND ASCENSION LEADERSHIP AND ADVOCACY, WERE STRONG PROPONENTS FOR THE EXPANSION OF MEDICAID IN OKLAHOMA IN TAX YEAR 2019. AFFORDABLE HEALTH CARE, IN OUR CATHOLIC TRADITION, SHOULD BE A RIGHT GIVEN TO ALL, BUT ESPECIALLY FOR THOSE WHO ARE POOR AND VULNERABLE. THE HOSPITAL CONTINUES TO OFFER CHARITY CARE TO THE POOR, TAKES CARE OF THOSE WHO ARE RECIPIENTS OF MEDICAID AND MEDICARE KNOWING THAT THE GOVERNMENT WILL NOT BE PAYING THE FULL COST OF THAT CARE. - ACCESS TO CARE FOR THOSE EXPERIENCING HOMELESSNESS - THE TULSA DAY CENTER FOR THE HOMELESS ("DAY CENTER") HOUSES A MEDICAL CLINIC PARTIALLY FUNDED BY ST. JOHN HEALTH SYSTEM THAT WORKS TO REDUCE BARRIERS TO HEALTH CARE FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. - PRESCRIPTION ASSISTANCE - ST. JOHN HEALTH SYSTEM AND THE HOSPITAL SUPPORT EFFORTS TO INCREASE THE PROPORTION OF PERSONS WHO CAN OBTAIN OR NOT DELAY IN OBTAINING NECESSARY PRESCRIPTION MEDICINES THROUGH THE DISPENSARY OF HOPE (DOH) PROGRAM. THE DOH CONNECTS SURPLUS MEDICATIONS FROM MANUFACTURERS, DISTRIBUTORS, AND PROVIDERS TO CLINICS AND PHARMACIES SERVING THE POOR AND UNINSURED. PHARMACY AND CLINIC PARTNERS PROVIDE DOH MEDICATIONS TO PATIENTS FREE OF CHARGE, TRACK AND SEGREGATE DOH INVENTORY, AND QUALIFY PATIENTS (LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY LEVEL). THE PROGRAM SERVES SAFETY NET CLINICS IN THE GREATER TULSA AREA INCLUDING THE GOOD SAMARITAN MOBILE HEALTH CLINICS. - THE ST. JOHN MEDICAL ACCESS PROGRAM (MAP) WAS CREATED IN 2008 TO ADDRESS GAPS IN THE HEALTHCARE SYSTEM THAT LEFT UNINSURED LOW-INCOME PATIENTS WITHOUT SERVICES OUTSIDE OF THE EMERGENCY ROOM. THE PROGRAM EXPERIMENTED WITH VARIOUS SOLUTIONS IN ITS EARLY YEARS, BUT BY 2014 HAD LARGELY TAKEN THE SHAPE IT CONTINUES TO HAVE TODAY. TODAY, THE MODEL HELPS PATIENTS IN NEED IN TULSA AND SURROUNDING AREAS ADDRESS ACUTE HEALTH ISSUES THEY MIGHT NOT OTHERWISE BE ABLE TO ADDRESS BY IMPROVING ACCESS TO PRIMARY CARE, DIAGNOSTIC TESTING, SPECIALTY CARE, AND PHARMACEUTICALS FOR LOW-INCOME UNINSURED ADULTS. MAP HAS A SMALL STAFF THAT USES PHILANTHROPIC DOLLARS TO ACCOMPLISH THE FOLLOWING: -PROVIDE FINANCIAL SUPPORT TO 3 ORGANIZATIONS OPERATING CLINICS THROUGHOUT TULSA THAT PROVIDE PRIMARY CARE SERVICES FREE OF CHARGE TO NEEDY PATIENTS. IN 2019 THESE PARTNERS SERVED 8,800 PATIENTS WITH $1.3 MILLION IN SUPPORT FROM MAP. -BUILD AND MAINTAIN A NETWORK OF SPECIALISTS WHO WILL PROVIDE DIAGNOSTIC AND INTENSIVE SPECIALTY SERVICES FOR ELIGIBLE PATIENTS AT NO COST TO THE PATIENT. IN 2019 MAP SPENT APPROXIMATELY $2.4 MILLION TO PROVIDE SERVICES TO NEARLY 2,900 PATIENTS. -COVERS THE COST OF PRIMARY AND SPECIALTY CARE PROVIDED AT ASCENSION ST. JOHN RIVERSIDE CLINIC FOR WOMEN IN SUPPORTIVE PROGRAMS SUCH AS WOMEN IN RECOVERY AND DVIS. -COVERS THE COST OF LAB WORK DONE BY RML FOR ANY PATIENT SEEN AT ONE OF FOUR FREE CLINIC PARTNERS. -FULLY FUNDS THE TULSA HEALTHCARE COVERAGE PROJECT, WHICH SCREENS PATIENTS FOR HEALTH COVERAGE ELIGIBILITY, ASSISTS IN ENROLLMENT, AND PROVIDE EDUCATION TO CLIENTS ABOUT HOW TO USE THEIR COVERAGE. (CONTINUED) true true false false false false false false false DAVID L PHILLIPS EX-OFFICIO/SECRETARY/PRESIDENT 0 276879 0 51615 0 19213 0 18200 0 16720 0 382627 0 0 RONNIE L HOFFMAN FORMER OFFICER (END 6/2018) 0 212440 0 40480 0 1098 0 16931 0 23408 0 294357 0 0 RONALD J BRASEL FORMER OFFICER (END 6/2018) 0 159041 0 31449 0 7908 0 11936 0 23775 0 234109 0 0 WILLIAM E WEEKS FORMER OFFICER (END 6/2018) 0 312487 0 404010 0 283029 0 17235 0 12135 0 1028896 0 0 MICHAEL MCCULLOUGH TREASURER/CFO, MINISTRY MARKET 0 407764 0 248976 0 62897 0 14000 0 20385 0 754022 0 0 LYN MCKEE FORMER KEY EMPLOYEE (END 12/2017) 0 118446 0 8638 0 1033 0 4004 0 20683 0 152804 0 0 MICHAEL J CHRISTIAN FORMER KEY EMPLOYEE (END 12/2018) 0 158624 0 30121 0 2281 0 11629 0 21246 0 223901 0 0 CHRISTOPHER J LEPAK MD FORMER KEY EMPLOYEE (END 12/2017) 0 407663 0 72250 0 8736 0 8400 0 19749 0 516798 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 4a Severance or change-of-control payment The following individual(s) received severance payments from the organization or a related organization during calendar the year 2019: William E Weeks - $209,577 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 St. John Sapulpa, Inc. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of St. John Sapulpa, Inc. is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of St. John Sapulpa, Inc. 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 Miscellaneous Revenue - Total Revenue: 12572, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 12572; Form 990, Part IX, Line 11g Other Expenses Medical Supplies - Total Expense: 1254685, Program Service Expense: 1204260, Management and General Expenses: 50425, Fundraising Expenses: ; Other Misc Expenses - Total Expense: 35153, Program Service Expense: 17244, Management and General Expenses: 17909, Fundraising Expenses: ; Minor Equipment - Total Expense: 78086, Program Service Expense: 41355, Management and General Expenses: 36731, Fundraising Expenses: ; Professional Fee to Affiliate - Total Expense: 1103373, Program Service Expense: 1103373, Management and General Expenses: , Fundraising Expenses: ; Equipment Lease - Total Expense: 65237, Program Service Expense: 60474, Management and General Expenses: 4763, Fundraising Expenses: ; Other Non Medical Supplies - Total Expense: 93913, Program Service Expense: 48377, Management and General Expenses: 45536, Fundraising Expenses: ; Dues - Total Expense: 22005, Program Service Expense: , Management and General Expenses: 22005, Fundraising Expenses: ; Maintenance & Repairs - Total Expense: 11576, Program Service Expense: 3187, Management and General Expenses: 8389, Fundraising Expenses: ; Licenses & Permits - Total Expense: 12274, Program Service Expense: 11386, Management and General Expenses: 888, Fundraising Expenses: ; Books & Subscriptions - Total Expense: 577, Program Service Expense: 577, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers with Affiliates - 22802596; Form 990, Part XII, Line 2c AUDIT COMMITTEE St. John Sapulpa, Inc. 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 Physician services IL 501(c)(3) 3 Alexian Brothers Health System true Alexian Brothers Behavioral Health Hospital 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 363045007 Outpatient community mental health services IL 501(c)(3) 10 Alexian Brothers Health System true Alexian Brothers Community Services C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364344423 PACE- Comprehensive & Coordinated Community Based Services IL 501(c)(3) 10 Ascension Health Senior Care true Alexian Brothers Health System C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363260495 Supports the provision of healthcare services for related corporations for which it is a member IL 501(c)(3) Type III-FI Ascension Health true Alexian Brothers Hospital Network C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363276552 Supports the provision of healthcare services for related corporations IL 501(c)(3) Type III-FI Alexian Brothers Health System true ALEXIAN BROTHERS LANSDOWNE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431470362 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true Alexian Brothers Medical Care Group NFP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 471930457 Physician 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 W 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 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 FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382802463 FUNDRAISING MI 501(c)(3) Type I ASCENSION ALLEGAN HOSPITAL true ASCENSION ALLEGAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359180 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ALLEGAN PROFESSIONAL HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205800012 HEALTH CARE MI 501(c)(3) 3 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 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 III-FI 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) 10 ST JOHN PROVIDENCE 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 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 HEALTH CARE MI 501(c)(3) 10 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 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 WICHITA 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 MIDTOWN HOSPITAL 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 III-FI 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 CARONDELET REGIONAL MEDICAL PC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 814769136 MEDICAL GROUP NY 501(c)(3) 3 ST MARY'S HEALTHCARE 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) Type II 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 HOWARD YOUNG HEALTH CARE INC true FIELD NEUROSCIENCES INSTITUTE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382790703 MEDICAL RESEARCH ORGANIZATION MI 501(c)(3) 10 ASCENSION ST MARY'S HOSPITAL true FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 753193633 FOUNDATION WI 501(c)(3) Type I ASCENSION ST CLARE'S HOSPITAL INC true FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391684957 FOUNDATION WI 501(c)(3) Type II SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC 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 HEALTHCARE COLLABORATIVE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273220767 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION 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 JANE PHILLIPS MEMORIAL MEDICAL CENTER 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 MEDICAL SERVICES ENHANCEMENT INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 141776546 MEDICAL OFFICE BUILDING NY 501(c)(25) ST MARY'S HEALTHCARE 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) 3 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 PRIMARY PHYSICIAN NETWORK LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 208775914 DORMANT IN 501(c)(3) 10 ST MARY'S HEALTH INC 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 630288861 HOSPITAL AL 501(c)(3) 3 GULF COAST HEALTH SYSTEM 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 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 ELIZABETH'S HOSPITAL OF WABASHA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 410693877 HOSPITAL MN 501(c)(3) 3 MINISTRY HEALTH CARE 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 II 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 MIDTOWN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621869474 ACUTE CARE HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH 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 HEALTH 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 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) 7 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 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