SAINT FRANCIS HOSPITAL SOUTH LLC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- SAINT FRANCIS HOSPITAL SOUTH LLC (EIN 01-0603214)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-05-21
- IRS object ID
- 202021429349301357
- Schema version
- 2018v3.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-05-21T11:55:42-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 425 HOUSTON STREET STE 400 | AddressLine1Txt |
| City | FORT WORTH | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010603214 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Saint Francis Hospital South LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ERIC E SCHICK | InCareOfNm |
| Business Name Control | SAIN | BusinessNameControlTxt |
| Phone | 9185028126 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6600 S Yale Ave Suite 400 | AddressLine1Txt |
| City | Tulsa | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 741363319 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERIC E SCHICK | PersonNm |
| Person Title | TREASURER/CFO | PersonTitleTxt |
| Phone | 9184948430 | PhoneNum |
| Signature | 2020-05-21 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kathleen Moseley | PreparerPersonNm |
| PTIN | P00116760 | PTIN |
| Phone | 8173351900 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 162.229.67.241 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 35057220201425000005 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-05-21 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 3EE0EA4077A952E7D1F71D0CD73736AA8FC8EC2C | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | CCA9B02C92422D8D903F8C535EA08F049314C3B6 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Eric E Schick | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6161 S Yale Ave | AddressLine1Txt |
| City | Tulsa | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 741363319 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $162,470,834 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://WWW.SAINTFRANCIS.COM/SOUTH | WebsiteAddressTxt |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Other Organization Dsc | LLC | OtherOrganizationDsc |
| Formation | 2002 | FormationYr |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Activity Or Mission | To extend the presence and healing ministry of Christ in all we do. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 802 | TotalEmployeeCnt |
| Total Volunteers | 87 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $43 | PYContributionsGrantsAmt |
| CY Contributions Grants | $100 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $131,880,834 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $161,100,375 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$11,882 | PYInvestmentIncomeAmt |
| CY Investment Income | -$68,032 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$525,654 | PYOtherRevenueAmt |
| CY Other Revenue | $154,187 | CYOtherRevenueAmt |
| PY Total Revenue | $131,343,341 | PYTotalRevenueAmt |
| CY Total Revenue | $161,186,630 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $25,280 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $138,527 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $38,418,471 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $42,613,376 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $51,467,894 | PYOtherExpensesAmt |
| CY Other Expenses | $62,501,269 | CYOtherExpensesAmt |
| PY Total Expenses | $89,911,645 | PYTotalExpensesAmt |
| CY Total Expenses | $105,253,172 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $41,431,696 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $55,933,458 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $91,585,543 | TotalAssetsBOYAmt |
| Total Assets EOY | $105,597,347 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,435,866 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,609,986 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $81,149,677 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $94,987,361 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To extend the presence and healing ministry of Christ in all we do. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $92,065,677 | ExpenseAmt |
| Grant | $138,527 | GrantAmt |
| Revenue | $161,100,375 | RevenueAmt |
| Desc | See Schedule O | Desc |
| Total Program Service Expenses | $92,065,677 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 91 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 802 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERIC E SCHICK | PersonNm |
| Phone | 9184948430 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6161 S YALE AVE | AddressLine1Txt |
| City | TULSA | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 741363319 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Jake Henry Jr | ||||||||||
| President/CEO/Director | 1.0 | 39.0 | Yes (X) | Yes (X) | $0 | $1,849,437 | $85,505 | |||
| Barry L Steichen | ||||||||||
| Vice President/COO/Director | 1.0 | 39.0 | Yes (X) | Yes (X) | $0 | $1,018,478 | $158,825 | |||
| William R Lissau | ||||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Eric E Schick | ||||||||||
| Treasurer/CFO | 1.0 | 39.0 | Yes (X) | $0 | $819,770 | $139,320 | ||||
| Thomas G Neff | ||||||||||
| Secretary (until 12/31/18) | 1.0 | 39.0 | Yes (X) | $0 | $554,766 | $61,844 | ||||
| Michael J Lissau | ||||||||||
| Secretary (start 1/1/19) | 1.0 | 39.0 | Yes (X) | $0 | $0 | $0 | ||||
| David Weil | ||||||||||
| Administrator (until 12/7/18) | 39.0 | 1.0 | $463,183 | $0 | $77,677 | Yes (X) | ||||
| Todd Schuster | ||||||||||
| Administrator (start 12/12/18) | 39.0 | 1.0 | $261,105 | $0 | $61,446 | Yes (X) | ||||
| Hassan Kaleem MD | ||||||||||
| Physician | 1.0 | 39.0 | $1,050 | $727,179 | $19,744 | Yes (X) | ||||
| Julun Hong MD | ||||||||||
| Physician | 1.0 | 39.0 | $17,550 | $612,261 | $55,868 | Yes (X) | ||||
| Steven Feher MD | ||||||||||
| Physician | 1.0 | 39.0 | $59,000 | $565,504 | $53,297 | Yes (X) | ||||
| Margaret Donahue MD | ||||||||||
| Physician | 1.0 | 39.0 | $8,168 | $577,918 | $53,851 | Yes (X) | ||||
| Nigel Naman MD | ||||||||||
| Physician | 35.0 | 5.0 | $235,000 | $363,000 | $31,481 | Yes (X) | ||||
| Jeffrey C Sacra | ||||||||||
| Former Asst Secretary | 0.0 | 0.0 | $0 | $273,948 | $16,833 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,045,056 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,362,261 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $815,691 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WHRA Merger Sub II Inc | |||||
| 201 Fuller Rd 5th Floor | ALBANY | NY | 12203 | Construction Svcs | $340,368 |
| Tulsa Medical Laboratory LLC | |||||
| 2738 E 51st St Ste 290 | TULSA | OK | 74105 | Lab Services | $259,250 |
| Flintco LLC | |||||
| 8800 Page Ave | ST LOUIS | MO | 63114 | Construction Svcs | $9,604,547 |
| Medefis Inc | |||||
| 10826 Old Mill Road | OMAHA | NE | 68164 | Healthcare Services | $251,289 |
| Roark Landscaping Corporation | |||||
| 5809 S 107th E Ave | TULSA | OK | 74146 | Landscaping Services | $1,666,978 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $100 | RelatedOrganizationsAmt |
| Total Contributions | $100 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES,NET OF CONTRACTUAL ADJU | 621110 | $148,639,503 | $148,639,503 |
| HOSPITALIST | 621300 | $12,460,872 | $12,460,872 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $161,100,375 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,490 | TotalRevenueColumnAmt |
| Exclusion | $16,490 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $322,789 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,109,330 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$786,541 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$786,541 | TotalRevenueColumnAmt |
| Exclusion | -$786,541 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $90,352 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $174,874 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$84,522 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$84,522 | TotalRevenueColumnAmt |
| Exclusion | -$84,522 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA SALES | 722210 | $358,209 | $358,209 |
| SALES TAX REFUND | 900099 | $292,717 | $292,717 |
| AFFILIATE SERVICES | 900099 | $166,017 | $166,017 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $123,785 | TotalRevenueColumnAmt |
| Exclusion | $123,785 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $940,728 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $161,186,630 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $161,100,375 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $86,155 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,527 | TotalAmt |
| Program Services | $138,527 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $889,835 | TotalAmt |
| Management And General | $889,835 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,621,403 | TotalAmt |
| Program Services | $32,720,109 | ProgramServicesAmt |
| Management And General | $1,901,294 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,029,941 | TotalAmt |
| Program Services | $1,823,610 | ProgramServicesAmt |
| Management And General | $206,331 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,708,658 | TotalAmt |
| Program Services | $2,320,015 | ProgramServicesAmt |
| Management And General | $388,643 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,363,539 | TotalAmt |
| Program Services | $2,070,424 | ProgramServicesAmt |
| Management And General | $293,115 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,577 | TotalAmt |
| Program Services | $12,577 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,016 | TotalAmt |
| Management And General | $44,016 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,327,880 | TotalAmt |
| Program Services | $3,662,417 | ProgramServicesAmt |
| Management And General | $1,665,463 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,827 | TotalAmt |
| Program Services | $4,895 | ProgramServicesAmt |
| Management And General | $9,932 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,003,316 | TotalAmt |
| Program Services | $1,435,241 | ProgramServicesAmt |
| Management And General | $568,075 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,133,197 | TotalAmt |
| Program Services | $66,518 | ProgramServicesAmt |
| Management And General | $1,066,679 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,130,456 | TotalAmt |
| Program Services | $1,091,491 | ProgramServicesAmt |
| Management And General | $38,965 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,780 | TotalAmt |
| Program Services | $28,461 | ProgramServicesAmt |
| Management And General | $7,319 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,580 | TotalAmt |
| Program Services | $38,242 | ProgramServicesAmt |
| Management And General | -$1,662 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,148,307 | TotalAmt |
| Program Services | $5,204,704 | ProgramServicesAmt |
| Management And General | $943,603 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $580,212 | TotalAmt |
| Program Services | $45,849 | ProgramServicesAmt |
| Management And General | $534,363 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $18,256,870 | $18,256,870 | |
| MAINTENANCE | $3,341,474 | $3,095,687 | $245,787 |
| MEDICAID SHOPP FEE | $2,898,705 | $2,898,705 | |
| MEDICAL SUPPLIES | $19,952,138 | $19,943,812 | $8,326 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,584,934 | TotalAmt |
| Program Services | $106,228 | ProgramServicesAmt |
| Management And General | $1,478,706 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,253,172 | TotalAmt |
| Program Services | $92,065,677 | ProgramServicesAmt |
| Management And General | $13,187,495 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $334,645 | BOYAmt |
| EOY | $378,299 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,977 | BOYAmt |
| EOY | $185,443 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,135,514 | BOYAmt |
| EOY | $20,533,579 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,023,615 | BOYAmt |
| EOY | $2,091,920 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,116,432 | BOYAmt |
| EOY | $1,190,579 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $143,984,073 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $63,666,795 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,037,560 | BOYAmt |
| EOY | $80,317,278 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $755,800 | BOYAmt |
| EOY | $900,249 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,585,543 | BOYAmt |
| EOY | $105,597,347 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,816,122 | BOYAmt |
| EOY | $5,719,301 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,619,744 | BOYAmt |
| EOY | $4,890,685 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,435,866 | BOYAmt |
| EOY | $10,609,986 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,149,677 | BOYAmt |
| EOY | $94,987,361 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,149,677 | BOYAmt |
| EOY | $94,987,361 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,585,543 | BOYAmt |
| EOY | $105,597,347 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $55,933,458 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$42,095,774 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $6,788,474 | OtherCostOrOtherBasisAmt |
| Book Value | $6,788,474 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $67,933,865 | OtherCostOrOtherBasisAmt |
| Depreciation | $36,342,668 | DepreciationAmt |
| Book Value | $31,591,197 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $5,247,831 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,723,964 | DepreciationAmt |
| Book Value | $3,523,867 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $37,215,608 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,801,467 | DepreciationAmt |
| Book Value | $12,414,141 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $26,798,295 | OtherCostOrOtherBasisAmt |
| Depreciation | $798,696 | DepreciationAmt |
| Book Value | $25,999,599 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $80,317,278 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO MEDICARE | $485,688 |
| OPERATING LEASE LIABILITY | $7,622 |
| PROFESSIONAL LIABILITY RESERVE | $4,397,375 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,890,685 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2 | FormAndLineReferenceDesc |
| Explanation | Accounting Standards Codification Topic (ASC) 740, Income Taxes, provides guidance regarding recognition, de-recognition, measurement, and disclosure of all tax positions. In accordance with the requirements of ASC 740, Saint Francis Hospital South, LLC identifies and documents uncertain tax positions for all open tax years. If uncertain tax positions are identified, they are analyzed to determine the proper unit of account. Next they are tested to determine whether a tax asset or a tax liability should be recognized. Saint Francis Hospital South, LLC has determined that the position on uncertain tax positions is more likely than not to be fully sustained upon examination. Therefore, no liability or asset for uncertain tax positions needs to be recorded. The Tax Cuts and Jobs Act (the Act) was enacted on December 22, 2017. The provisions of the Act do not have a material effect on Saint Francis Hospital South, LLC's financial statements. Certain regulatory guidance provides for a measurement period of up to one year during which accounting for the tax effects of the Act may be completed. Saint Francis Hospital South, LLC will continue to evaluate the impact of the Act and may record adjustments as additional information and guidance is released by the Internal Revenue Service. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 225. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,082,960 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,082,960 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04690 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,281,915 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,249,028 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,032,887 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02340 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,364,875 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,249,028 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,115,847 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07030 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,685,510 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,336,842 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,348,668 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01550 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,685,510 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,336,842 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,348,668 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01550 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,050,385 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,585,870 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,464,515 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08580 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $117,647 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $117,647 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $154,711 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $154,711 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $272,358 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $272,358 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $18,256,870 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $13,692,653 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $33,446,240 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $43,853,569 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$10,407,329 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Saint Francis Hospital South LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10501 E 91st Street | AddressLine1Txt |
| City | Tulsa | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74133 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTP://WWW.SAINTFRANCIS.COM/SOUTH | WebsiteAddressTxt |
| State License | 2362 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Saint Francis Hospital South LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SCHEDULE H, PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SCHEDULE H, PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 225. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 0. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE SCHEDULE H, PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SCHEDULE H, PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SCHEDULE H, PART V SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section B, Line 5 | The most recent Community Health Needs Assessment (CHNA) completed by Saint Francis Health System, Inc. to reassess the health needs of the communities served by the hospital components of its health system: Saint Francis Hospital, Inc., Laureate Psychiatric Clinic and Hospital, Inc., Saint Francis Hospital Muskogee, Inc., Saint Francis Hospital South, LLC, and Saint Francis Hospital Vinita, Inc., included the collection and analysis of both quantitative (over 140 public health indicators and quantitative survey methods) and qualitative (organization and community representative interviews and qualitative survey methods) data to identify and create a comprehensive list of health needs for each community. Community input was obtained from a broad range of community members through key informant interviews, focus groups and a multi-modal consumer survey of over 600 community residents. Individuals with knowledge, information and expertise relevant to the health needs in the community were consulted including representatives from county and state public health departments as well as leaders, representatives and members of vulnerable populations and other individuals with strong expertise in local health needs. The names of the organizations providing input is provided in Appendix A: CHNA Data Sources and Dates and in Appendix B: List of Organizations Represented in Key Informant Interviews and Community Feedback of the CHNA located at https://www.saintfrancis.com/about-us/commitment-to-community. |
| Part V, Section B, Line 6a | The hospital facilities included in the CHNA included Saint Francis Hospital, Inc., Saint Francis Hospital South, LLC, Laureate Psychiatric Clinic and Hospital, Inc., Saint Francis Hospital Vinita, Inc. and Saint Francis Hospital Muskogee, Inc. |
| Part V, Section B, Line 7a | https://www.saintfrancis.com/about-us/commitment-to-community |
| Part V, Section B, Line 10a | https://www.saintfrancis.com/about-us/commitment-to-community |
| Part V, Section B, Line 11 | The Community Health Needs Assessment (CHNA) identified 19 conditions as community health needs (in order of highest priority) of the primary service area as lack of health insurance; education; access to healthcare providers (primary and specialty); substance abuse (including tobacco); ability to pay for healthcare; access to healthy food/groceries; access to primary care (screenings); chronic diseases (diabetes, cancer, heart disease); stroke; housing/homelessness; mental health; poverty; access to dental care; transportation; domestic violence; physical activity; child abuse/neglect; sexual health; and safety (motor vehicle crash, unintentional injury). After prioritizing the health needs identified, a final list of priority needs was selected by considering additional criteria, such as Saint Francis Health System, Inc.'s scope of services as a health provider and its ability to effectively address the priority health needs. Saint Francis Health System Inc.'s entities, including Saint Francis Hospital South, LLC, are addressing the following significant health needs identified as referenced in its Community Health Needs Assessment and Implementation Strategy that is made available on the website listed in Schedule H, Part V, Section B, Line 10a. - Access to healthcare (primary care/screening and primary care/specialty providers) - Behavioral health (substance abuse and mental health) - Chronic disease and stroke - Lack of health insurance/ability to pay for healthcare |
| Part V, Section B, Line 13a | Patients who have been evaluated and identified to be financial assistance plan eligible and meet the criteria established by Saint Francis Hospital South, LLC according to relevant circumstances regarding income, assets, or other resources available to the patient or patients family, are considered charity and therefore, by hospital policy, are not billed for any services. |
| Part V, Section B, Lines 16a, b and c | https://www.saintfrancis.com/patients-and-guests/for-patients/billing-and- insurance/financial-assistance |
| Part V, Section B, Line 16j | The billing statement includes information regarding financial assistance availability. Additionally, MyChart, a secure online tool that allows patients to connect with their personal health information 24/7, provides a link which takes the patient to the financial assistance letter and application form. |
| Part V, Section B, Line 20e | The following actions are completed prior to initiating collection actions: - Proactive phone calls - Statements are sent - Messages are sent to MyChart users |
| Part V, Section B, Line 22d | Amounts generally billed (AGB) are determined under the prospective method using Medicaid reimbursement rates. Additionally, a self-pay discount of 20 percent is provided on all charges for uninsured patients. |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c | Income based criteria is used as the basis in determining eligibility for free health services. |
| Part I, Line 6a | Saint Francis Health System, Inc. 73-1501972, the parent organization of Saint Francis Hospital South, LLC produces a consolidated community benefit report included in an annual issue of the Saint Francis Health System magazine "Presence" that is made available to the public through the organization's website at https://www.saintfrancis.com/about-us/media/presence-magazine |
| Part I, Line 7 | Costing Methodology: A ratio of patient care cost to charges, as determined in Worksheet 2, was used to report the amounts in Part I, Lines 7a - 7c. For amounts reported on lines 7e - 7i, actual expenses for each community benefit activity are tracked and reported using the organization's accounting general ledger and are not based on a cost to charge ratio. The number reflected on line 7, column (f) excludes bad debt expense. The supplemental hospital offset payment program (SHOPP) was created and implemented in calendar year 2011 for the purpose of assuring access to quality care for Oklahoma Medicaid members. The program is designed to assess Oklahoma hospitals, unless exempt, a supplemental hospital offset payment program fee. The collected fees are placed in pools and then allocated to hospitals based on Medicaid revenues as directed by legislation. The Oklahoma Health Care Authority (OHCA) does not guarantee each allocation will equal or exceed the amount of the supplemental hospital offset payment program fees that were paid by Saint Francis Hospital South, LLC. |
| Part II: Community Building Activities | Community building activities improve the communitys health and safety by addressing the root cause of health problems. These activities strengthen the communitys capacity to promote the health and well-being of its residents by offering the expertise and resources of the healthcare organization. Costs for these activities include cash donations and expenses for the development of a variety of community-building programs and partnerships. See Schedule O for additional information regarding Saint Francis Health System, Inc.s and Saint Francis Hospital South, LLCs community building activities aimed at promoting the health of the community. |
| Part III, Section A, Line 2 | Saint Francis Hospital South, LLC has an established process to determine the adequacy of the allowance for uncollectable receivables that relies on a number of analytical tools and benchmarks to arrive at a reasonable allowance. No single statistic or measurement determines the adequacy of the allowance for uncollectable receivables. Some of the analytical tools that Saint Francis Hospital South, LLC utilizes include, but are not limited to, historical cash collection experience, revenue trends by payer classification, and revenue days in accounts receivable. Accounts receivable are written off after collection efforts have been followed in accordance with Saint Francis Hospital South, LLCs policies. |
| Part III, Section A, Line 3 | The bad debt expense attributable to patients eligible under the organizations financial assistance policy is calculated from a sample review of all bad debt accounts and subsequent information. |
| Part III, Section A, Line 4 | Saint Francis Hospital South, LLC's reviewed financial statements provide a separate footnote addressing the organization's net patient accounts receivable on pages 6 and 7. Saint Francis Hospital South, LLC reports bad debt in accordance with Generally Accepted Accounting Principles (GAAP). Healthcare Financial Management Associate Statement 15 is followed to the extent that the provision for bad debt at cost is determined using the same cost to charge ratio that is used to calculate charity care and Medicaid shortfalls. Discounts and allowances are accounted for separately from the provision for bad debt. Accounts receivable are valued at net realizable value. Saint Francis Hospital South, LLC estimates the allowances for uncollectable receivables based on historic write-offs. |
| Part III, Section B, Line 8 | Costing Methodology: Medicare allowable costs are calculated using a cost-to-charge ratio and the Medicare filed cost report. The shortfall on Schedule H, Part III, Section B, Line 7 is considered community benefit. Saint Francis Hospital South, LLC provides services to many low-income Medicare recipients. The Medicare losses sustained at the hospital are a result of Medicare reimbursing at less than operating costs. The Supplemental Hospital Offset Payment Program (SHOPP) was created and implemented in calendar year 2011 for the purpose of assuring access to quality care for Oklahoma Medicaid members. The program is designed to assess Oklahoma hospitals, unless exempt, a Supplemental Hospital Offset Program fee. The collected fees are placed in pools and then allocated to hospitals based on Medicaid revenues as directed by legislation. The Oklahoma Health Care Authority (OHCA) does not guarantee that allocation will equal or exceed the amount of the Supplemental Hospital Offset Payment Program fees that were paid by Saint Francis Hospital South, LLC. IRS Rev. Rul. 69-545 established the community benefit standard for hospitals and considers a hospital that serves patients covered by governmental health benefits (including Medicare) as operating to promote the health of the community and furtherance of its exempt purposes. Accordingly, treating Medicare patients is considered a community benefit. |
| Part III, Section C, Line 9b | Saint Francis Hospital South, LLCs debt collection policy is to pursue collections of patient balances from patients who have the ability to pay for the services. Saint Francis Hospital South, LLC applies its collections efforts consistently and fairly to all patients regardless of insurance. Saint Francis Hospital South, LLC works with those individuals who do not have the financial resources to pay outstanding balances to qualify for Saint Francis Hospital South, LLCs financial assistance policy. Charges to patients qualifying for charity care under the Saint Francis Hospital South, LLC financial assistance policy are written off 100 percent. Part VI, Line 2 Needs assessment The Community Health Needs Assessment (CHNA), an essential function for Saint Francis Health System, Inc. and its hospitals, helps identify the major health needs of the community and offers insight into the services to be offered to address those needs. Saint Francis Health System, Inc. developed the community health implementation plan based upon prioritization of the community health needs assessment. Saint Francis Health System, Inc. and its hospital have the common goal of increasing health education and preventative care provided in the community setting through partnership with community organizations, faith-based organizations and other institutions. The CHNA and implementation strategies information is available to the public and posted on the Saint Francis Health System, Inc. and its hospitals websites at https://www.saintfrancis.com/about-us/commitment-to-community. |
| Part VI, Line 3 | Patient education of eligibility for Assistance Saint Francis Health System, Inc. and its entities are committed to promoting health in the community including providing or finding financial assistance programs to assist patients. Saint Francis Health System makes every effort to educate patients on its charity, financial assistance policy and about their eligibility for assistance under Federal, State, or local government programs during registration, pre-registration, post registration and following discharge in languages appropriate for the population being served. This includes several ways including, but not limited to, the following: - A brochure titled "Patient Financial Policy" on financial rights and responsibility is provided to every patient at the time of their registration and is available on the Saint Francis Health System, Inc. and Saint Francis Hospital South, LLC websites. The brochure provides financial assistance program details. - The financial assistance policy, plain language summary, and application are posted on the Saint Francis Health System, Inc. and Saint Francis Hospital South, LLC websites in English and the Limited English Proficiency languages of the Primary Service Area (PSA). - Saint Francis Health System, Inc. prints a phone number where patients can obtain information about financial assistance on the back of the billing invoices. - Self-pay patients are visited by a financial counselor upon admission to verify their self-pay status. The financial counselor works with the self-pay patients to determine if the patient may qualify for assistance under a government sponsored plan. If the patient does not qualify for a government sponsored plan then the financial counselor works with the patient to determine if they qualify for charity based on the Saint Francis Health System, Inc.s financial assistance policy. - Saint Francis Health System, Inc. offers the financial assistance policy, as well as payment options as part of the patient responsibility during the follow up collection calls. |
| Part VI, Line 4 | The Primary Service Area (PSA) of Saint Francis Hospital South, LLC consists primarily of Tulsa, Rogers, Wagoner, Creek, Muskogee and Mayes Counties, where a significant majority of inpatient admissions originate. Additional information regarding the community can also be found below, and in the community health needs assessment and implementation strategy located on the organization's website at https://www.saintfrancis.com/about-us/commitment-to-community. The PSA is comprised of the following representation: - 70% Caucasian - 10% Hispanic or Latino - 8% African-American - 9% Native-Americans - 3% Asian In 2019, the median household income for the six counties was $51,740, about 17% below the US median. The per capita income for the six counties is 22 percent below the national median and slightly lower than the average for Oklahoma. In 2018, approximately 17 percent of the PSA's population under the age of 65 lives in poverty. Nearly 14 percent of households in the six counties received food stamps/Supplemental Nutrition Assistance Program (SNAP) benefits. During Oklahoma's 2019 fiscal year, there were 998,209 unduplicated Medicaid enrollees; meaning over 25 percent of the state's population was enrolled in the Medicaid program at some point in time. The PSA was home to 248,218 of those unduplicated enrollees, or approximately 25 percent of the PSA's population. |
| Part VI, Line 5 | Saint Francis Hospital South, LLC is part of an integrated healthcare delivery system with the mission of extending the presence and healing ministry of Christ in all we do. Saint Francis Health System, Inc., as a Catholic organization, seeks to reflect the presence of Christ in every personal and corporate encounter. Saint Francis Hospital South, LLC is dedicated to giving back to the community in which its employees live and work. Saint Francis Health System, Inc. and Saint Francis Hospital South, LLC's governing body is comprised of community representatives on the Board of Directors that provide leadership and governance for the organization. The Board of Directors has the overall responsibility for the furtherance of the charitable purpose and the mission of Saint Francis Hospital South, LLC and the other entities that are part of Saint Francis Health System, Inc. The members of the Board of Directors are selected based on their areas of expertise and experience including such areas as education, research, business and government. The members of the governing body contribute their wisdom, insights, and expertise to ensure the organization is fulfilling its mission and charitable purpose while providing efficient administrative support services and direction for Saint Francis Health System, Inc. Saint Francis Hospital South, LLC provides financial assistance in the form of charity care to patients who are indigent and satisfy certain requirements. Additionally, Saint Francis Hospital South, LLC is committed to treating patients who are eligible for means tested government programs such as Medicaid and other government sponsored programs including Medicare, which is provided regardless of the reimbursement shortfall, and thereby relieves the state and federal government of the burden of paying the full cost of care for those patients. Often, patients are unaware of the federal, state and local programs open to them for financial assistance, or they are unable to access them due to the cumbersome enrollment process required to receive these benefits. Saint Francis Health System, Inc. offers assistance in enrollment to these government programs or extends financial assistance in the form of charity care through the organizations Financial Assistance Policy. Saint Francis Hospital South, LLC reinvests its net operating income back into the facility to improve patient care, to benefit society and to allow Saint Francis Hospital South, LLC to carry out its vision to be the regional leader in the delivery of quality Catholic healthcare services. |
| Part VI, Line 6 | Saint Francis Hospital South, LLC is part of Saint Francis Health System, Inc. Approximately 28,000 patients were seen in the hospital's emergency room. Additionally, Saint Francis Hospital South, LLC admitted approximately 5,800 patients; provided ancillary and diagnostic services on an outpatient basis to an additional 54,200 patients and delivered 800 newborns. See Schedule O for additional information regarding Saint Francis Hospital South, LLC's role within Saint Francis Health System, Inc. |
| Part VI, Line 7 | Saint Francis Health System, Inc., which includes Saint Francis Hospital South, LLC publishes a community benefit report annually. A written report that is included in an annual issue of the Saint Francis Health System, Inc. magazine "Presence" which is distributed to more than 40,000 households across eastern Oklahoma and to all Saint Francis Health System, Inc. locations for display and pick up to help educate the community on the benefits that Saint Francis Hospital South, LLC and Saint Francis Health System, Inc. provide to the communities we serve in return for our not-for-profit status. The report is also made available to the public on the health system's website. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Medical Supplies Network | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1123 S Erie Ave | AddressLine1Txt |
| City | Tulsa | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 741125307 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 731507095 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $126,984 | CashGrantAmt |
| Purpose Of Grant | General Support | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | Saint Francis Hospital South, LLC provides charitable contributions to other 501(c)(3) exempt organizations that further the exempt purposes of Saint Francis Hospital South, LLC. The Saint Francis Health System, Inc. executive director of corporate communications and marketing arranges the sponsorships each year as determined by the communities in which Saint Francis Hospital South, LLC has a presence. Saint Francis Hospital South, LLC does not monitor the use of the charitable contributions since the contributions are only made to section 501(c)(3) public charities that further the exempt purpose of Saint Francis Hospital South, LLC. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jake Henry Jr | ||||||||||||||
| President/CEO/Director | $0 | $1,318,935 | $0 | $472,500 | $0 | $58,002 | $0 | $35,856 | $0 | $49,649 | $0 | $1,934,942 | $0 | $0 |
| Barry L Steichen | ||||||||||||||
| Vice President/COO/Director | $0 | $775,447 | $0 | $231,385 | $0 | $11,646 | $0 | $135,021 | $0 | $23,804 | $0 | $1,177,303 | $0 | $0 |
| Jeffrey C Sacra | ||||||||||||||
| Former Asst Secretary | $0 | $271,313 | $0 | $0 | $0 | $2,635 | $0 | $9,925 | $0 | $6,908 | $0 | $290,781 | $0 | $0 |
| Eric E Schick | ||||||||||||||
| Treasurer/CFO | $0 | $608,964 | $0 | $199,549 | $0 | $11,257 | $0 | $116,377 | $0 | $22,943 | $0 | $959,090 | $0 | $0 |
| David Weil | ||||||||||||||
| Administrator (until 12/7/18) | $354,057 | $0 | $98,992 | $0 | $10,134 | $0 | $70,103 | $0 | $7,574 | $0 | $540,860 | $0 | $0 | $0 |
| Hassan Kaleem MD | ||||||||||||||
| Physician | $1,050 | $727,179 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19,744 | $1,050 | $746,923 | $0 | $0 |
| Thomas G Neff | ||||||||||||||
| Secretary (until 12/31/18) | $0 | $424,910 | $0 | $108,922 | $0 | $20,934 | $0 | $35,857 | $0 | $25,987 | $0 | $616,610 | $0 | $0 |
| Julun Hong MD | ||||||||||||||
| Physician | $17,550 | $577,492 | $0 | $29,000 | $0 | $5,769 | $0 | $34,106 | $0 | $21,762 | $17,550 | $668,129 | $0 | $0 |
| Steven Feher MD | ||||||||||||||
| Physician | $59,000 | $565,504 | $0 | $0 | $0 | $0 | $0 | $34,106 | $0 | $19,191 | $59,000 | $618,801 | $0 | $0 |
| Margaret Donahue MD | ||||||||||||||
| Physician | $8,168 | $559,418 | $0 | $0 | $0 | $18,500 | $0 | $34,107 | $0 | $19,744 | $8,168 | $631,769 | $0 | $0 |
| Nigel Naman MD | ||||||||||||||
| Physician | $220,000 | $363,000 | $15,000 | $0 | $0 | $0 | $24,856 | $0 | $6,625 | $0 | $266,481 | $363,000 | $0 | $0 |
| Todd Schuster | ||||||||||||||
| Administrator (start 12/12/18) | $201,448 | $0 | $57,400 | $0 | $2,257 | $0 | $46,642 | $0 | $14,804 | $0 | $322,551 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4b | FormAndLineReferenceDesc |
| Explanation | A select group of highly compensated employees of Saint Francis Health System, Inc. and its related entities Saint Francis Hospital, Inc., Laureate Psychiatric Clinic and Hospital, Inc., Warren Clinic, Inc., Saint Francis Hospital South, LLC, Saint Francis Home Health, Inc., The Children's Hospital Foundation at Saint Francis, Saint Francis Hospital Vinita, Inc., and Saint Francis Hospital Muskogee, Inc. are eligible to participate in a nonqualified deferred compensation plan under Section 457(b) and 457(f) of the Internal Revenue Code of 1986, as amended under the Economic Growth and Tax Relief Reconciliation Act of 2001. Note: None of the individuals listed on Schedule J are compensated as board members of the reporting entity. The reported compensation is for services as employees of the reporting entity or related organization. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a | Saint Francis Hospital South, LLC is a member of Saint Francis Health System, Inc. The Saint Francis Health System, Inc. is a catholic, not-for-profit health system whose mission is to extend the presence and healing ministry of Christ in all we do. Saint Francis Hospital South, LLC's accomplishments includes operating an acute care hospital where admitting physicians, who are primarily practitioners in the local area, provide inpatient/outpatient and emergency care services to residents of Broken Arrow and Tulsa, Oklahoma and surrounding areas. In fiscal year 2019, Saint Francis Hospital South, LLC provided approximately $4,083,000 of charity care (measured at established rates) and $2,033,000 in unreimbursed Medicaid services (measured at established rates). Recognition: In the following, you will see many ways Saint Francis Health System, Inc. and Saint Francis Hospital South, LLC distinguish themselves through recognition by national associations and publications. Saint Francis Hospital South, LLC is committed to continual improvement in both patient service and clinical quality in order to better serve our community. Quality commendations received in the fiscal year include: Saint Francis Hospital South, LLC was recognized as an award winner by the national healthcare research firm Professional Research Consultants, Inc. (PRC) based on performance in 2018. These competitive national awards recognize organizations who achieve excellence throughout the year by improving patient experiences based on surveys of their patients. Saint Francis Hospital South, LLC received four-star awards for the following patient services (scores in the top 25 percent of the country based on PRC's comparative database): overall inpatient services and emergency department services. In addition, the organization received an Award of Distinction for the highest score among PRC clients for the satellite emergency department in Glenpool, Oklahoma. Healthgrades, a website devoted to providing independent ratings and assessments of healthcare providers, recognized Saint Francis Hospital South, LLC with five-star ratings on its website for the conditions and procedures: Acute Myocardial Infarction, sepsis, and respiratory failure. Additionally, Healthgrades recognized Saint Francis Hospital South, LLC with its patient experience award. Publicly reported quality data indicates high performance in the following measures: - Preventing central line associated bloodstream infections - Top five percent in the nation - Reducing early deliveries prior to 39 weeks gestation - top five percent in the nation |
| Form 990, Part V, Line 2b | Saint Francis Payroll Services, LLC, EIN 45-0470422, has been authorized to act as a common pay agent under Section 3504 of the Internal Revenue Code for Saint Francis Health System, Inc. effective July 1, 2002, in accordance with revenue procedure 70-6, 1970-1 C.B. 420. Saint Francis Payroll Services, LLC assumed reporting obligations for federal income tax, social security, Medicare withholding tax purposes as well as advance payment of earned income credit for Saint Francis Health System, Inc. and year-end reporting effective July 1, 2002. |
| Form 990, Part VI, Section A, Line 2 | Description of relationships Many of the persons listed on Part VII have a "business relationship" with each other by virtue of serving on related Saint Francis Health System, Inc. entity boards and other corporation boards. There are also "family relationships" requiring disclosure. The organization has determined these associations do not present a conflict of interest. Jake Henry Jr., an officer and director, served on a board outside of Saint Francis Health System, Inc. with William R. Lissau, a director. William R. Lissau, a director, and Michael Lissau, an officer have a family relationship. Jake Henry Jr., an officer and director, serves on other boards outside of Saint Francis Health System, Inc. with Barry Steichen, an officer and director, and Eric Schick, an officer. |
| Form 990, Part VI, Section A, Line 3 | The director functions are delegated to the Saint Francis Health System, Inc. board of directors. |
| Form 990, Part VI, Section A, Line 6 | Saint Francis Health System, Inc., is the sole member of Saint Francis Hospital South, LLC. |
| Form 990, Part VI, Section A, Line 7a | Saint Francis Health System, Inc., the sole member of Saint Francis Hospital South, LLC appoints the managers. |
| Form 990, Part VI, Section A, Line 7b | As the sole member of Saint Francis Hospital South, LLC, Saint Francis Health System, Inc., has authority to follow its bylaws which dictates the following: Either the Board of Directors and a majority of the Trustees or unanimous trustee approval is required for the sale of corporate assets valued at $10,000,000 or more. Additionally, the Trustees have sole authority to: - Amend the Certificate of Incorporation - Approve mergers or consolidations - Approve the sale, lease or transfer of all, or substantially all, of the assets of the corporation - Amend the bylaws - Appointment of Board members - Approve dissolution or revocation of dissolution of the corporation |
| Form 990, Part VI, Section B, Line 11b | The finance committee, a sub-committee of the board of directors of Saint Francis Health System, Inc. has access to the password protected form 990 online prior to filing with the IRS. |
| Form 990, Part VI, Section B, Line 12c | The organization uses the conflict of interest, whistleblower and record retention policies of Saint Francis Health System, Inc. A request for information on potential conflicts is solicited annually from directors, trustees and all employees at manager level and above to monitor for proposed or ongoing transactions for conflicts of interest and dealing with potential or actual conflicts. One director, one officer/director and one officer reported potential conflicts that were addressed by the governing body. Conflicts are regularly disclosed and addressed. |
| Form 990, Part VI, Section B, Lines 15a and 15b | Compensation of officers and senior level management is reviewed annually and approved by the compensation committee with guidance from independent consultants and the use of comparative data. |
| Form 990, Part VI, Section C, Line 19 | These requests are determined on a case-by-case basis. |
| Form 990, Part VII, Section A | The hours per week reported on Form 990, Part VII for officers and directors are the hours spent on the filing entity only. The remaining portion of the 40 hours per week of the officers and directors with related compensation is allocated among the entities reported on Schedule R. |
| Form 990, Part XI, Line 9 | The change in fund balance of $42,095,774 was a net equity transfer. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Saint Francis Hospital Inc | ||||||||||
| 6600 S Yale Ave Ste 400 | Tulsa | OK | 74136 | 730700090 | Health Svcs | OK | 501(c)(3) | 3 | SFHS | Yes (true) |
| Laureate Psychiatric Clinic & Hosp Inc | ||||||||||
| 6600 S Yale Ave Ste 400 | Tulsa | OK | 74136 | 731308273 | Health Svcs | OK | 501(c)(3) | 3 | SFHS | Yes (true) |
| The Children's Hosp Fdn at Saint Francis | ||||||||||
| 6600 S Yale Ave Ste 400 | Tulsa | OK | 74136 | 202843418 | Health Svcs | OK | 501(c)(3) | 12A Type I | SFHS | Yes (true) |
| Warren Clinic Inc | ||||||||||
| 6600 S Yale Ave Ste 400 | Tulsa | OK | 74136 | 731310891 | Health Svcs | OK | 501(c)(3) | 3 | SFHS | Yes (true) |
| Saint Francis Health System Inc | ||||||||||
| 6600 S Yale Ave Ste 400 | Tulsa | OK | 74136 | 731501972 | Health Svcs | OK | 501(c)(3) | 12B Type II | NA | false |
| Saint Francis Hospital Vinita Inc | ||||||||||
| 6600 S Yale Ave Ste 400 | Tulsa | OK | 74136 | 813747248 | Health Svcs | OK | 501(c)(3) | 3 | SFHS | Yes (true) |
| Saint Francis Hospital Muskogee Inc | ||||||||||
| 6600 S Yale Ave Ste 400 | Tulsa | OK | 74136 | 814322087 | Health Svcs | OK | 501(c)(3) | 3 | SFHS | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Controlled OrganizationControlledOrganizationInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Saint Francis Payroll Services LLC | ||||||||||||
| 6600 S Yale Ave Ste 400 | Tulsa | OK | 741363319 | 450470422 | Common Pay Agent | OK | SFHS | C Corp | $0 | $0 | Yes (true) | |
| Saint Francis Hlth Sys Gen-Prof Lia | ||||||||||||
| PO Box 3038 | Milwaukee | WI | 532013038 | 756583874 | Self Insurance | OK | SFHS | Trust | $0 | $0 | Yes (true) | |
| Arrowhead Ridge Owners Association | ||||||||||||
| 6600 S Yale Ave Ste 400 | Tulsa | OK | 741363319 | 522418279 | Holding Company | OK | SFH South | C Corp | $0 | $0 | Yes (true) | 1.00000 |
| Xavier Insurance Company Inc | ||||||||||||
| 76 St Paul St Ste 500 | Burlington | VT | 05401 | 030333599 | Captive Insurance | VT | SFHS | C Corp | $0 | $0 | Yes (true) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (true) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (15 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Saint Francis Hospital Inc | ||
| M | $4,118,187 | Trans Review |
| Saint Francis Hospital Inc | ||
| P | $91,301,327 | Trans Review |
| Saint Francis Hospital Inc | ||
| Q | $122,539,678 | Trans Review |
| Saint Francis Hospital Inc | ||
| R | $72,020 | Trans Review |
| Saint Francis Hospital Inc | ||
| S | $17,113,431 | Trans Review |
| Laureate Psychiatric Clinic & Hospital Inc | ||
| P | $113,943 | Trans Review |
| Laureate Psychiatric Clinic & Hospital Inc | ||
| Q | $73,678 | Trans Review |
| Warren Clinic Inc | ||
| J | $269,432 | Trans Review |
| Warren Clinic Inc | ||
| P | $8,584,882 | Trans Review |
| Warren Clinic Inc | ||
| Q | $6,836,131 | Trans Review |
| Warren Clinic Inc | ||
| M | $273,530 | Trans Review |
| Saint Francis Hospital Vinita Inc | ||
| Q | $106,789 | Trans Review |
| Saint Francis Hospital Muskogee Inc | ||
| I | $77,861 | Trans Review |
| Saint Francis Hospital Muskogee Inc | ||
| Q | $104,929 | Trans Review |
| Saint Francis Hospital Muskogee Inc | ||
| P | $73,527 | Trans Review |