2018-05-15T10:01:04-05:00 2017-06-30 ERNST & YOUNG US LLP 425 HOUSTON ST SUITE 600 FORT WORTH TX 76102 990 2016-07-01 730700090 Saint Francis Hospital Inc % ERIC E SCHICK SAIN 9185028126 6600 S Yale Ave Suite 400 Tulsa OK 741363319 ERIC E SCHICK Treasurer/CFO 9184948430 2018-05-14 true Kathleen Moseley P00116760 8173351900 2016 2022-09-23 18:48:47Z Eric E Schick 6600 S Yale Ave Suite 400 Tulsa OK 741363319 5665001899 false 0928 X HTTPS://WWW.SAINTFRANCIS.COM X 1960 OK To extend the presence and healing ministry of Christ in all we do. 8 6 6929 407 2274222 554877 466364 973245637 1056603376 403847 24102872 13639785 15993153 987844146 1097165765 4492594 4078461 0 0 368199102 385830071 0 0 0 486006279 512601684 858697975 902510216 129146171 194655549 2292005452 2170815410 336295329 132791185 1955710123 2038024225 X To extend the presence and healing ministry of Christ in all we do. false false 652514582 4078461 1052729381 Statement of accomplishments Saint Francis Hospital, Inc. is a member of Saint Francis Health System, Inc. Saint Francis Health System, Inc. is a Catholic, not for profit health system whose mission is to extend the presence and healing ministry of Christ in all we do. Saint Francis Health System, Inc. is anchored by Saint Francis Hospital, Inc., a 1,112-bed tertiary center, which includes the region's only children's hospital and Level IV neonatal intensive care unit, a 183-bed heart hospital and Tulsa's leading trauma and emergency center. Additionally, Saint Francis Health System, Inc. employs more than 477 providers with 334 of those serving through Warren Clinic, Inc., which serves the region with over 90 locations throughout eastern Oklahoma. In total, Saint Francis Health System, Inc. has more than 9,500 employees, 950 physicians on medical staff and approximately 640 volunteers, making it the largest private employer in Tulsa County, with hospitals, physician clinics, mental health facilities, trauma emergency centers, pharmacy services, rehabilitation facilities, a fitness center, a neonatal intensive care unit, and home health services. As a member of Saint Francis Health System, Inc. and a not for profit organization, each year Saint Francis Hospital, Inc. provides millions of dollars of charity care to patients throughout the State of Oklahoma, Southern Kansas, Southwestern Missouri and Western Arkansas. While this care represents a large percentage of Saint Francis Hospital, Inc.s gift back to the community, it is still only part of what Saint Francis Hospital, Inc. considers as healing ministry of Christ. Saint Francis Health System, Inc.s mission of extending the presence and healing ministry of Christ is epitomized in Saint Francis Hospital, Inc.s giving back to its community. It takes the form of hundreds of programs and acts of charity provided daily across the State of Oklahoma free health screenings, support groups, medical services, educational programs, health fairs and more. Saint Francis Hospital, Inc. provides significant amounts of uncompensated services. Uncompensated services are the costs of providing free and reduced cost care, which includes charity care and unpaid costs of Medicaid programs. As a not-for-profit hospital, Saint Francis Hospital, Inc. provides services to everyone, regardless of their ability to pay or their insurance coverage. Thus, it provides a much needed safety net for members of the Saint Francis Hospital, Inc. community who would otherwise have no access to medical care. Saint Francis Hospital, Inc., in the fall of 2004, set into place provisions that increase the hospitals ability to offer charity care to those less fortunate and provide those lacking healthcare coverage with free care to lessen the burden and anxiety often caused by healthcare expenses. The Financial Assistance Policy provides access to charity care for those individuals whose gross annual income is equal to or less than 225 percent of the federal poverty level. Further, patients lacking healthcare insurance, regardless of their personal income level, receive a discount from billed charges. Both initiatives exemplify the Saint Francis Health System, Inc.s mission to extend the presence and healing ministry of Christ, with a particular emphasis on those most in need of health services in Northeastern Oklahoma. All, to improve the health of the people and communities served in a spirit of compassion and charity. Saint Francis History On October 1, 1960, Saint Francis Hospital, Inc., located in eastern Oklahoma, opened with 275 beds. It was a dream of the founders William K. Warren Sr. and his wife Natalie Overall Warren to give a gift to the City of Tulsa that would serve its citizens for years to come. In order to meet patient care requirements, as well as the demands of a rapidly growing population in Southeast Tulsa, Saint Francis Hospital, Inc. was expanded in 1969 to 735 adult and pediatric beds and bassinets. A major milestone occurred on December 3, 1975 the 15th anniversary of the hospital when the Natalie Warren Bryant Cancer Center opened its doors. It was one of the first centers where radiation therapy, chemotherapy services, laboratory and support services were grouped in a single location for the patients convenience. The Natalie Warren Bryant Cancer Center is now known as the Saint Francis Cancer Center and provides state-of-the-art medical oncology and radiotherapy technology to residents in eastern Oklahoma and surrounding states. The first area Warren Clinic, Inc. facility was established in Stillwater, Oklahoma, in January 1987. Warren Clinic, Inc. has grown significantly from the three internal medicine specialists in Stillwater to 334 providers in practice throughout eastern Oklahoma. Saint Francis Hospital at Broken Arrow officially became part of Saint Francis Health System, Inc. in January 1988. The union initially occurred when Saint Francis Hospital at Broken Arrow affiliated with Saint Francis Hospital, Inc. on January 1, 1986. As the Broken Arrow community grew, the Broken Arrow facility was unable to meet the demands. In June of 2007, the hospital relocated to a new facility and is now known as Saint Francis Hospital South, LLC, it continues to serve the Broken Arrow community. A fitness park was built where the former hospital once stood for community members to enjoy. Saint Francis Hospital South, LLC opened in 2007 with 96 beds servicing the needs of Southern Tulsa and Wagoner counties in Oklahoma. Built with a neighborhood feel, the hospital offers general services, as well as many sub-specialties generally reserved for larger city hospitals including a Level II NICU, Emergency Services, Cardiology, Urology and 24-hour on-site anesthesia. In 1989, the William K. Warren Foundation established Laureate Psychiatric Clinic and Hospital, Inc., as well as the Laureate Psychiatric Research Center. Laureate Psychiatric Clinic and Hospital, Inc. was opened to provide a place where those suffering from mental illness would be treated the same as patients having any other illness. In addition to programs for adolescents and adults, Laureate Psychiatric Clinic and Hospital, Inc. offers successful specialty programs for chemical dependency, mood disorders and eating disorders. The Childrens Hospital at Saint Francis, a "hospital within a hospital" was established in 1995 and created with pediatric patients in mind. The goal was to improve access and efficiency, as well as to provide a larger and more "kid friendly" atmosphere for children and their families. The Childrens Hospital at Saint Francis is a regional referral center specializing in pediatric inpatient care, as well as neonatal and pediatric intensive care and offers service in more than 25 different pediatric specialties including the regions only Level IV Neonatal Intensive Care Unit, pediatric hematology/oncology clinic and a pediatric cardiac surgery program. In March 2004, Saint Francis Health System, Inc. and area cardiologists joined together as partners to open the Saint Francis Heart Hospital. The need for heart services is great in Oklahoma as heart disease is the leading cause of death in Oklahoma according to a report issued by the Centers for Disease Control and Prevention National Vital Statistic Reports for 2015. Smoking, high blood pressure, high cholesterol and lack of exercise are factors that contribute to the problem and place Oklahoma high on the unhealthy list. Saint Francis Trauma Emergency Center and Patient Tower, the largest expansion of Saint Francis Hospital, Inc.s history, opened September 2014. The newest facility includes acute and critical care capacity; a new eight-story, 150-bed patient care tower; a new chapel and convent; clinical education rooms; and administrative and physician office spaces. Summary of Community Benefit Report Saint Francis Health System, Inc. produces an annual community benefit report valuing the cost of charity services. During the fiscal year ended June 30, 2017, Saint Francis Health System, Inc. saw 56,191 inpatient admissions, resulting in 292,956 days of patient care; 150,234 emergency room visits; 5,623 total births; and 771,554 outpatient and recurring visits. This fiscal year a total of $108,492,088 was returned to our community through charity and uncompensated care, programmatic subsidization, donations to nonprofit agencies and support of the areas educational institutions. Saint Francis Health System, Inc. reinvests its earnings after expenses back into the community with its mission in mind. Providing access to quality healthcare for those in greatest need is fundamental to the mission of Saint Francis Health System, Inc. As Tulsas only locally owned and operated health system, Saint Francis Health System, Inc. views giving back to the community as both a responsibility and a privilege. Supported organizations include: Alzheimers Association; American Cancer S 652514582 true true false true false false false false false false true true false false true true false true false false true false false false false false true true true true true false false false false false false true false true false false false true true true true true false true 495 0 true 6929 true true true false false false false false false false false false X 8 6 true true false false true true true true true false true true false true true true true true true true true true AZ CA CO GA IL MD MO NY NC OK X ERIC E SCHICK 9184948430 6161 S YALE AVE TULSA OK 741363319 X Jake Henry Jr President/CEO/Director 1.0 39.0 X X 0 2191396 46926 Barry L Steichen Vice President/COO/Director 1.0 39.0 X X 0 961623 138893 Judy Kishner Trustee 1.0 0.0 X 0 0 0 William R Lissau Director 1.0 0.0 X 0 0 0 William K Warren Jr Trustee 1.0 0.0 X 0 0 0 John A Gaberino Trustee (Start 10/26/16) 1.0 0.0 X 0 0 0 Bishop David A Konderla Trustee (Start 12/13/16) 1.0 0.0 X 0 0 0 J Frederick McNeer MD Trustee (Start 10/26/16) 1.0 0.0 X 0 0 0 Bishop Edward J Slattery Trustee (Until 12/13/16) 1.0 0.0 X 0 0 0 Thomas G Neff Secretary 1.0 39.0 X 490528 0 85361 Jeffrey C Sacra Assistant Secretary 1.0 39.0 X 305664 0 52290 Eric E Schick Treasurer/CFO 1.0 39.0 X 692734 0 92243 Lynn Sund Administrator 1.0 39.0 X 592029 0 92047 Ryan Gursky MD Physician 5.0 35.0 X 19500 1248763 52771 Frank Schmidt MD Physician 5.0 35.0 X 42101 1082641 43232 Sanjeev Trehan MD Physician 5.0 35.0 X 7505 1161589 19617 Zeeshaan Khan MD Physician 5.0 35.0 X 12000 1082517 51680 Preston Phillips MD Physician 5.0 35.0 X 31500 789939 33251 William Schloss Former Senior Vice President 0.0 40.0 X 0 536768 49669 2193561 9055236 757980 180 true true false Epic Systems Corporation 1979 Milky Way VERONA WI 53593 Software Services 8202809 Medefis Inc 2121 N 117th Ave Ste 200 OMAHA NE 68164 Medical Services 6843857 Skanska USA Building Inc 389 Interpace Parkway 5th Fl PARSIPPANY NJ 07054 Construction Svcs 4214822 Associated Anesthesiologist Inc 6839 S Canton TULSA OK 74136 Professional Svcs 3854331 Works Lentz of Tulsa Inc 1437 S Boulder Ste 900 TULSA OK 74119 Consulting Services 3399653 99 X 229864 236500 229864 466364 PATIENT CARE REVENUE 621990 1035588853 1035588853 OUTREACH LAB 621500 17600179 17600179 P'SHIP INCOME RELATED TO PROGRAM SERVICES 541900 2396882 2340223 56659 OFFICE SPACE REIMBURSEMENT 531120 1017462 1017462 1056603376 23248124 23248124 0 0 29340 8667 20673 0 20673 20673 4563213880 5468335 4566599236 1228231 -3385356 4240104 854748 854748 0 0 0 0 0 0 0 0 0 FOOD SERVICES 900004 6259328 6259328 AFFIL TELECOM & COMPUTER SUPP REV 621500 3840793 3840793 PHARMACY RBI 621500 3586896 3586896 2285463 -3817336 2196890 3905909 15972480 1097165765 1052729381 2274222 41695798 3591074 3591074 487387 487387 0 0 3380600 3380600 272405 272405 312792424 273976957 38815467 20975717 243664 20732053 27122625 1570851 25551774 21286300 260713 21025587 30282643 13800600 16482043 507012 5140 501872 922406 57447 864959 167569 167569 0 2414192 2414192 15253657 15172617 81040 4655841 236204 4419637 51052978 33197896 17855082 -1658602 1425739 -3084341 0 15951793 5873920 10077873 494027 217868 276159 0 0 3297159 3297159 -6116810 -6116810 55722424 1145441 54576983 6699301 678782 6020519 MEDICAL SUPPLIES 222917045 221972972 944073 BAD DEBT EXPENSE 84146057 84146057 ADMINISTRATIVE EXPENSES 25620719 52485 25568234 DUES & LICENSES 272273 245173 27100 902510216 652514582 249995634 0 385828 442221 328851645 267587289 0 0 105613855 108377146 0 0 0 0 0 0 20740805 24782599 12919782 15861617 949799120 460178434 472431692 489620686 958954850 852068183 357550099 378418336 0 0 0 0 34556896 33657333 2292005452 2170815410 78167542 81034808 0 0 0 0 199461371 0 0 0 0 0 0 0 0 0 58666416 51756377 336295329 132791185 X 1955710123 2038024225 0 0 0 0 1955710123 2038024225 2292005452 2170815410 X 194655549 22345947 -134687394 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 167569 false false 167569 false Supplemental Information Saint Francis Hospital, Inc., through its membership dues to the American Hospital Association (AHA) and Catholic Health Association, participates in Grass Roots lobbying activity. It is less than a substantial part of the total expenditures in a taxable year. The Grass Roots lobbying activity is related to legislation affecting the Saint Francis Health System for its charitable purposes, in particular the promotion of health. "Grass Roots lobbying activity" means any attempt by AHA to influence any legislation through an attempt to affect the opinions of the general public or any segment thereof and includes any attempt by the AHA to influence any legislation through an attempt to affect to influence legislation through communications with any member or employee of a legislative body who may participate in the formulation of legislation. false 275001 8843972 9118973 468179349 175315795 292863554 17625335 13312057 4313278 393088258 271550582 121537676 61787205 61787205 489620686 92314293 PRIVATE INVEST-MARKETABLE 202447124 F PRIVATE INVEST-NONMARKETABLE 83656919 F 378418336 0 SEE SCHEDULE D, PART XIII STMT 51756377 51756377 X Schedule D, Part X, Line 1 Professional Liability $26,532,338 Medicare Cost Report $10,737,450 Comm Care Premium/Rate Risk $ 8,580,025 Scholarship Fund Liability $ 1,906,560 ARO Liability $ 1,689,007 FAS 106 $ 1,104,222 FIN 45 Income Guarantees $ 519,366 Other Long-Term Liabilities $ 371,710 Operating Lease Liability $ 315,699 -------------------------------------------- Total $51,756,377 Schedule D, Part X, Line 2, ASC 740-10 Accounting Standards Codification (ASC) 740, Accounting for Uncertainty in 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, Inc. identifies and documents uncertain tax positions for all open tax years. If uncertain tax positions are identified, they are analyzed to determine the proper unit of account. Next, they are tested to determine whether a tax asset or a tax liability should be recognized. Saint Francis Hospital, Inc. has assessed its uncertain tax positions and concluded they are more likely than not to be fully sustained upon examination. Therefore, no liability or asset for uncertain tax positions needs to be recorded. Central America and the Caribbean Investments 20446243 Europe (Including Iceland and Greenland) Investments 2979905 East Asia and the Pacific Investments 11066 23437214 23437214 true false false false true false Supplemental Information The activity listed in Part I relates to foreign investments and the accrual method is used to account for expenditures on the organization's financial statements. The investments do not generate unrelated business income. true true X true X 225. false true true true false true true 30631584 30631584 0.03740 144610910 119733237 24877674 0.03040 175242494 119733237 55509258 0.06780 1217468 1217468 0.00150 4754904 4754904 0.00580 206404173 163277783 43126390 0.05270 212376545 163277783 49098762 0.06000 387619039 283011020 104608020 0.12780 1733939 1733939 0.00210 3259951 3259951 0.00400 337500 337500 0.00040 5331390 5331390 0.00650 true 84146057 13829909 211774638 199117351 12657287 X true true 1 1 Saint Francis Hospital Inc 6600 S Yale Ave Suite 400 Tulsa OK 741363319 WWW.SAINTFRANCIS.COM 2362 X X X X Saint Francis Hospital Inc 1 false false true X X X X X X X X X 16 true true true true X See Schedule H, Part V, Section C X true 16 true See Schedule H, Part V, Section C false false true X 225. 0. X X X X X true true X X X X true X See Schedule H, Part V, Section C X See Schedule H, Part V, Section C X Schedule H, Part V Section C X X X X X X X true X false X X X X true X false false Part V, Section B, Line 5 The Community Health Needs Assessment (CHNA) report uses quantitative data derived from primary research and secondary data (American Community Survey data, Census Bureau data) obtained from the Tulsa-City County Health Department. The survey instrument used for this study was created by the Tulsa City-County Health Department, Health Data and Evaluation Division, with input from community partners. Community input focus group sessions were conducted in each of the eight Tulsa Health Department defined regions. Part V, Section B, Line 6a Saint Francis Hospital, Inc. conducted the CHNA with Saint Francis Hospital South, LLC and Laureate Psychiatric Clinic and Hospital, Inc. Part V, Section B, Line 6b Saint Francis Hospital, Inc.s CHNA was conducted by the Tulsa County Health Department. Part V, Section B, Line 7a www.saintfrancis.com/Documents/CHNA.pdf Part V, Section B, Line 10a www.saintfrancis.com/Documents/CHNA.pdf Part V, Section B, Line 11 The Community Health Needs Assessment (CHNA) identified the top ten needs (in order of highest priority) of the Tulsa community as poor diet/inactivity; chronic diseases; alcohol/drug abuse; access to healthcare; tobacco use; lack of education; aging problems; safety/crime; poverty/unemployment; and mental health. Saint Francis Health System, Inc. does not intend to address the health needs of lack of education; aging problems; safety/crime; and poverty/unemployment due to lack of expertise in these areas. It is an unfortunate matter that certain socioeconomic burdens to the health of our community cannot be fully or effectively addressed by individual private institutions. The hospitals comprising Saint Francis Health System, Inc. provide millions of dollars each year in uncompensated care to the poor in the form of free or discounted care to the uninsured, the underinsured, and Medicaid beneficiaries. Saint Francis Hospital, Inc., as well as Saint Francis Hospital South, LLC, Laureate Psychiatric Clinic and Hospital, Inc., Saint Francis Hospital Vinita, Inc., Saint Francis Regional Services, Inc. and the senior leadership and Board of Directors of Saint Francis Health System, Inc. will continue to work with community and state-level policy and political leaders, safety net providers, and community advocates to build sustainable partnerships to better address these broader community needs. Saint Francis Health System, Inc. and all of its entities, including those not covered by the CHNA implementation strategy, will continue to be an advocate for the poor, the vulnerable and the underserved. Saint Francis Hospital, Inc. and the other Saint Francis Health System, Inc. entities are addressing the community needs of access to healthcare; alcohol/drug abuse; chronic diseases; poor diet/inactivity; tobacco use; and mental health through various programs designed to improve access to healthcare, advance knowledge, identify root causes, and improve health status and quality of life. Access to healthcare Access to comprehensive, quality health services is necessary for health equity and a healthy quality of life for individuals in our community. Access to healthcare can impact physical, social and mental health, disease and disability prevention, and life expectancy, among other things. Not having healthcare coverage obstructs the ability to access medical care; reduces utilization of preventive services; and contributes greatly to the costs of healthcare. Uninsured people are also less likely to receive medical care, more likely to die early, and more likely to have poor health status as they tend to delay treatment; experience diagnoses at later stages of disease progression; and may receive less medical care than patients with health insurance. Current policy efforts focus on the provision of insurance coverage as the principal means of ensuring access to healthcare among the general population. Almost two-thirds of Tulsa County adults surveyed ages 18 64 reported they had employer provided or private insurance (63.1 percent). An additional 14.3 percent reported insurance through a government sponsored program (Medicaid, Medicare, military benefits, or tribal/Indian health benefits). This age group was defined in order to exclude the Medicare population age 65 and older. However, 13.4 percent of Tulsa County adults ages 18-64 reported having no health coverage. This was lower than both Oklahoma (17.2 percent) and the US (20.0 percent). None of these regions met the Healthy People 2020 goal of universal coverage (no one without insurance). Saint Francis Health System, Inc. and Saint Francis Hospital, Inc., in their mission to extend the presence and healing ministry of Christ in all we do, address these community health needs by providing charity care to those families meeting the 225 percent Federal Poverty Guidelines criteria. Additionally, the Xavier Medical Clinic, an entity fully owned and operated by Saint Francis Health System, Inc. offers the resources of 50 volunteer physicians, pharmacists, nurses and other health professionals to women, children and men who are uninsured or underserved. The clinic has two components, Xavier Medical Clinic and Xavier Pregnancy Program. Xavier Medical Clinic seeks to provide free, limited outpatient primary health care services, facilitate referrals to volunteer specialists, educate in good health practices and increase access to traditional healthcare. The Xavier Pregnancy Program provides pregnancy screening services and prenatal services to expectant mothers, many of whom lack the financial means necessary to purchase insurance. They follow the mother and baby throughout the pregnancy and during the postpartum time, assisting when needed as any identifiable need surfaces. Patients are referred to Saint Francis Hospital, Inc. for inpatient care including childbirth, as well as surgery and ancillary services. In fiscal year 2017, Xavier Medical Clinic received 7,262 patient visits, aided over 200 patients to receive referrals outside of the clinic, provided over 170 prescriptions with an equivalent cost of over $214,613 dispensed over 11,066 prescriptions and the Xavier Pregnancy Program assisted 524 women, resulting in 469 births at Saint Francis Hospital, Inc. Because of its dedicated and caring staff, Xavier Clinic is able to reach a group that might otherwise avoid or have difficulties accessing basic healthcare services. Saint Francis Health System, Inc. also holds several health fairs over the course of a year to disseminate health information and/or to provide health screenings to the community at large. Saint Francis Hospital, Inc., Saint Francis Hospital South, LLC, Laureate Psychiatric Clinic and Hospital, Inc., Saint Francis Hospital Vinita, Inc., and Saint Francis Regional Services, Inc. will serve as acute care hubs for the patients that utilize the health systems primary, urgent, and specialty care at outlying locations. These are a few of the many ways Saint Francis Health System, Inc. is addressing the need for improving access to healthcare. Alcohol and drug use Substance abuse has a major impact on individuals, families, and communities, and contributes to poor public health outcomes. These costly social, physical, mental, and public health problems include teenage pregnancies, HIV/AIDS and other STDs, domestic violence, child abuse, motor vehicle accidents, physical fights, crime, homicide, and suicide. Estimates of individuals who have a substance abuse disorder are high, indicating the importance of prevention efforts and improved access to treatment for substance abuse. Overall, 2.3 percent of Tulsa County adults reported that they had been told by a healthcare or support service provider that they had an alcohol dependency, and a total of 2.3 percent of Tulsa Country adults reported they had been told by a healthcare or support service provider that they had a drug dependency. These self-reported rates appear to be lower than much literature would suggest, lending support to the theory that mental health needs in general are a major area of need for both the service area and the nation as a whole. Saint Francis Hospital, Inc. is not addressing this issue; however, Laureate Psychiatric Clinic and Hospital, Inc., an entity of Saint Francis Health System, Inc. offers substance abuse counseling for adults on an inpatient basis, and adults and adolescents on an outpatient basis to address alcohol and drug abuse. Other entities in the community addressing this issue include Parkside Psychiatric Hospital, Brookhaven Hospital, Indian Healthcare Resource Center of Tulsa, Oxford House, St. John Health System, Hillcrest Health System, Alcoholics Anonymous, Shadow Mountain Behavioral Health System, Tulsa Center for Behavioral Health and Family and Childrens Services. Chronic disease In the US, chronic diseases are the main cause of poor health, disability, and death, account for most of healthcare expenditures. Chronic diseases are responsible for 7 of 10 deaths each year, and treating people with chronic diseases accounts for 86 percent of our nations healthcare costs per the Centers for Disease Control and Prevention (CDC). Around half of adults in the US have at least one chronic condition and 26 percent have two or more conditions. The chronic disease burden in the US largely results from a short list of risk factors including socioeconomic status, tobacco use, poor diet and physical inactivity (both strongly associated with obesity) that can be effectively addressed for individuals and populations. To effectively and equitably address the chronic disease burden, public health and healthcare systems need to deploy integrated approaches that bundle strategies and interventions, address many risk factors and conditions simultaneously, create population wide changes, help the population subgroups most affected, and rely on implementation by many sectors, including public private Part V, Section B, Line 13b Patients who have been evaluated and identified to be financial assistance plan eligible and meet the criteria established by Saint Francis Hospital, Inc. 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/Pages/Patients-and-Visitors/For-Patients/Afte r-Your-Visit/Patient-Billing.aspx 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 Proactive phone calls and statements are sent before collection actions are taken. 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. 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, Inc., produces a consolidated community benefit report included in the Spring issue of the Saint Francis Health System magazine "Presence" that is made available to the public through the organizations website at: https://www.saintfrancis.com/Pages/About-Us/Media%20Gallery/Presence-Archi eves.aspx 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 organizations accounting general ledger and are not based on a cost to charge ratio. The number reflected on line 7, column (f) excludes bad debt expense. The supplemental hospital offset payment program (SHOPP) was created and implemented in calendar year 2011 for the purpose of assuring access to quality care for Oklahoma Medicaid members. The program is designed to assess Oklahoma hospitals, unless exempt, a supplemental hospital offset payment program fee. The collected fees are placed in pools and then allocated to hospitals based on Medicaid revenues as directed by legislation. The Oklahoma Health Care Authority (OHCA) does not guarantee that allocation will equal or exceed the amount of the supplemental hospital offset payment program fees that were paid by Saint Francis Hospital, Inc. 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. and Saint Francis Hospital, Inc. community building activities aimed at promoting the health of the community. Part III, Section A, Line 2 Saint Francis Hospital, Inc. has an established process to determine the adequacy of the allowance for uncollectable receivables that relies on a number of analytical tools and benchmarks to arrive at a reasonable allowance. No single statistic or measurement determines the adequacy of the allowance for uncollectable receivables. Some of the analytical tools that Saint Francis Hospital, Inc. utilizes include, but are not limited to, historical cash collection experience, revenue trends by payer classification, and revenue days in accounts receivable. Accounts receivable are written off after collection efforts have been followed in accordance with Saint Francis Hospital, Inc.s 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, Inc.s audited financial statements provide a separate footnote addressing the organizations accounts receivable and allowance for doubtful accounts on pages 6, 7 and 8. Saint Francis Hospital, Inc. 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, Inc. estimates the allowances for uncollectable receivables based on historic write-offs and the aging of the accounts. Part III, Section B, Line 8 Costing Methodology: Medicare allowable costs were calculated using a cost-to-charge ratio and the Medicare filed cost report. Part III, Section C, Line 9b Saint Francis Hospital, Inc.s debt collection policy is to pursue collections of patient balances from patients who have the ability to pay for the services. Saint Francis Hospital, Inc. applies its collections efforts consistently and fairly to all patients regardless of insurance. Saint Francis Hospital, Inc. works with those individuals who do not have the financial resources to pay outstanding balances to qualify for Saint Francis Hospital, Inc.s financial assistance policy. Charges to patients qualifying for charity care under the Saint Francis Hospital, Inc. financial assistance policy are written off 100 percent. Part VI, Line 2 Needs Assessment One of Saint Francis Hospital, Inc.s fundamental operational goals is to identify and address the needs of the defined community that it serves. Justice is one of the core values of Saint Francis Hospital, Inc. and Saint Francis Health System, Inc. It calls for the organization to advocate for systems and structures that are attuned to the needs of the vulnerable and disadvantaged and to promote a sense of community among all persons. To effectively do this requires that Saint Francis Health System, Inc.: 1. Gathers and obtains information identifying those needs; and 2. Develops programs and services that address and provides access to those in greatest need of healthcare services. Historically, Saint Francis Health System, Inc. and its entities' focus have been caring for those who are sick or vulnerable. In order to make informed decisions on how to care for the sick, at-risk and minority populations, Saint Francis Health System, Inc. must first identify priority health needs. During the fiscal year 2016, Saint Francis Health System, Inc. conducted a Community Health Needs Assessment (CHNA) to address the healthcare needs of the community for each of its licensed hospital facilities and developed an implementation strategy to address the needs identified in the CHNA. The assessment is a compilation of national survey results, health information databases, government data, and analytical feedback from state and local partners. This data is used to identify potential courses of action based on existing healthcare facilities, available resources within the community, and capabilities of the community in terms of both socioeconomic and education status. Providing access to comprehensive, quality health services; providing effective treatments and services in the community for substance abuse disorders and mental health disorders; promoting the prevention of disease; reducing obesity and promoting healthy eating; cessation of tobacco use; and promoting the health of low-income and at-risk communities are among the public health issues that the assessment seeks to prioritize. The CHNA and implementation strategies are available to the public on Saint Francis Health System, Inc.s website at https://www.saintfrancis.com/Documents/CHNA.pdf 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, Inc. uses a multi-faceted approach to educate our patients on the availability of charity, as well as state and federal financial assistance. 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, Inc. 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, Inc. 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 Community Information The Primary Service Area (PSA) of Saint Francis Health System, Inc. and Saint Francis Hospital, Inc. consists of Tulsa County, where a significant majority of inpatient admissions originate. The tertiary service area is encompassed by the whole of eastern Oklahoma. The most recent needs assessment of fiscal year 2016 identified approximately 630,000 people in the PSA. Over one-quarter of Tulsa County residents are under the age of 18, and 13 percent of the population is over the age of 65. Both of these figures indicate that the PSA has a slightly younger population than both the State of Oklahoma and the nation as a whole. The PSA is comprised of the following representation: - 64% Caucasian - 12% Hispanic or Latino - 11% African-American - 7% Native-American - 6% Two or more races In 2016, the median household income in Tulsa County was $50,650, (about 9 percent below the US median) and the mean household income was $71,700 (about 9 percent below the US average). The per capita income was slightly below the national median, but higher than the average for Oklahoma. Approximately 16 percent of the PSAs population lives in poverty, with the number climbing to almost 22 percent for those under 18. Nearly 13 percent of households in the county received food stamps/Supplemental Nutrition Assistance Program (SNAP) benefits within 2016. The uninsured rate in Tulsa County is approximately 16 percent. Of those in the PSA that do have insurance, 65 percent hold private insurance policies. When narrowing focus to the PSA civilian population age 18 to 64 that participates in the labor force, the uninsured rate rises to nearly 19 percent. During Oklahomas 2017 fiscal year, there were 1,014,983 unduplicated Medicaid enrollees, meaning over 26 percent of the states population was enrolled in the Medicaid program at some point in time. Tulsa County was home to 163,642 of those unduplicated enrollees or approximately 26 percent of the PSA's population. Part VI, Line 5 Promotion of community health Saint Francis Hospital, Inc. is part of an integrated healthcare delivery system with the mission of extending the presence and healing ministry of Christ in all we do. Saint Francis Health System, Inc., as a Catholic organization, seeks to reflect the presence of Christ in every personal and corporate encounter. Saint Francis Hospital, Inc. is dedicated to giving back to the community in which its employees live and work. This can be seen through Saint Francis Hospital, Inc.s promotion of community health through community events such as sponsored on-site educational seminars and classes on health issues. Saint Francis Health System, Inc. and Saint Francis Hospital, Inc.s governing body is comprised of community representatives on the Board of Directors that provide leadership and governance for the organization. The Board of Directors has the overall responsibility for the charitable and the mission of Saint Francis Hospital, Inc. and the other entities that are part of Saint Francis Health System, Inc. The members of the Board of Directors are selected based on their areas of expertise and experience including such areas as education, research, business and government. The members of the governing body contribute their wisdom, insights, and expertise to ensure the organization is fulfilling its mission and charitable purpose while providing efficient administrative support services and direction for Saint Francis Health System, Inc. The goal of Saint Francis Health System, Inc. is to sustain and grow its technology, to attract talented healthcare professionals from across the country and to provide high quality patient care to all the residents of northeastern Oklahoma and the neighboring states we serve. This can be seen in numerous construction projects that have been undertaken over the past several years. Most notable is the decision by our Board of Directors to construct a Childrens Hospital when there was only one other childrens facility in the state. Saint Francis Hospital, Inc. also undertook the financial strain that comes from running a childrens hospital in a state where 60 plus percent of all the children are insured under the state Medicaid program. The construction of the building is notable, however so is the infrastructure needed to make the hospital successful, including the ongoing recruitment of numerous pediatric sub-specialists, which helps to ensure the highest quality of care is given to this most valuable patient population. Another notable decision by our Board of Directors was to construct a level II trauma emergency center which was completed in September 2014 to meet the healthcare needs of eastern Oklahoma and provide more access to needed emergency services. The trauma center provides comprehensive critical care to those facing complex, life-threatening emergencies. The trauma center specialists adhere to the highest standards of critical care medicine and the services are greatly enhanced by the many sub-specialty services available within the hospital. The trauma center accommodates more than 109,000 patient visits annually (average of 300 per day). Adjacent to the trauma center is eastern Oklahomas only Pediatric Emergency Center, which can accommodate over 30,000 pediatric patients each year. The trauma center also has the ability to adapt to offer high volume triage and receive mass casualties during a disaster if necessary. Saint Francis Hospital, Inc. provides financial assistance in the form of charity care to patients who are indigent and satisfy certain requirements. Additionally, Saint Francis Hospital, Inc. 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 organization's Financial Assistance Policy. Saint Francis Hospital, Inc. reinvests its net operating income back into the facility to improve patient care, to benefit society and to allow Saint Francis Hospital, Inc. to carry out its vision to be the regional leader in the delivery of quality Catholic healthcare services. Part VI, Line 6 Affiliated healthcare system Saint Francis Hospital, Inc., the largest entity within Saint Francis Health System, Inc., has one of the busiest emergency rooms in the State of Oklahoma. Over 109,000 patients were seen in the hospitals emergency room. Additionally, Saint Francis Hospital, Inc. admitted approximately 45,300 patients; provided ancillary and diagnostic services on an outpatient basis to an additional 325,300 patients; and handled approximately 4,160 births. See Schedule O for additional information regarding Saint Francis Hospital, Inc.s role within Saint Francis Health System, Inc. Part VI, Line 7 State filing of community benefit report Saint Francis Health System, Inc., which includes Saint Francis Hospital, Inc., publishes a community benefit report in Oklahoma. A written report that is included in the spring issue of the Saint Francis Health System, Inc. magazine, "Presence" which is distributed to 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, Inc. and Saint Francis Health System, Inc. provide to the communities we serve in return for our not-for-profit status. The report is also made available to the public on the health system's website. true Alzheimer's Association Inc 2448 E 81st St Ste 3000 Tulsa OK 74137 731183372 501(c)(3) 6000 Program Support American Cancer Society Inc 4110 S 100th E Ave 101 Tulsa OK 74146 741185665 501(c)(3) 14000 Program Support American Heart Association Inc PO Box 4002903 Des Moines IA 503402903 135613797 501(c)(3) 87500 Program Support American Kidney Fund 11921 Rockville Pike Rockville MD 20852 237124261 501(c)(3) 54231 Program Support Osteopathic Founders 8801 S Yale Ave Ste 400 Tulsa OK 74137 730583936 501(c)(3) 25500 Winterfest 2017 The Foundation for Tulsa Schools 3027 S New Haven Ste 600 Tulsa OK 741146131 731612027 501(c)(3) 7500 Showcase Dinner and FTS Golf Tournament 2017 Tulsa Area United Way Inc PO Box 1859 Tulsa OK 74101 730580283 501(c)(3) 53500 Program Support Metro Tulsa Chamber of Commerce Inc 1 W 3rd St Ste 100 Tulsa OK 74103 730488250 501(c)(6) 22700 Program support Tulsa's Future Inc 2 West 2nd Street Ste 150 Tulsa OK 74103 237033283 501(c)(3) 337500 Program Support OSU Foundation 400 South Monroe Stillwater OK 74074 736097060 501(c)(3) 2018000 Program Support University of Tulsa Inc 800 South Tucker Dr Tulsa OK 74104 730579298 501(c)(3) 52500 ITA Men's AU-America Tennis Championship Roman Catholic Diocese of Tulsa PO Box 690240 Tulsa OK 74169 730942657 501(c)(3) 50000 2016-2017 Eastern OK Catholic Magazine Family and Children Services 650 S Peoria Ave Tulsa OK 74120 730580270 501(c)(3) 50000 Program Support Mental Health Association 1870 S Boulder Tulsa OK 741195234 730657931 501(c)(3) 55000 Carnivale Tribale Tahlequah Hospital PO Box 1008 Tahlequah OK 74465 731618193 501(c)(3) 8000 Program Support Emergency Infant Services 222 S Houston Ave Tulsa OK 74127 731039524 501(c)(3) 6500 Kaleidoscope Ball Medical Supplies Network 1123 S Erie Ave Tulsa OK 74112 731507095 501(c)(3) 44074 Program Support Tulsa Tough Inc 214 N Main St 203 Tulsa OK 74103 273283740 501(c)(3) 225000 2017 SF Tulsa Tough Title Sponsorship The Children's Hosp Fdn at Saint Francis 6600 S Yale Ave Ste 400 Tulsa OK 74136 202843418 501(c)(3) 10000 Painted Pony Fundraiser Arthritis Foundation Inc 1355 Peachtree St 400 Atlanta GA 30309 531341679 501(c)(3) 9500 2016 Jingle Bell Run Connors Development 700 College Road Warner OK 74469 731096349 501(c)(3) 100000 Program Support Flashes of Hope 36 S Franklin St Chagrin Falls OH 44022 043648694 501(c)(3) 7500 Program Support IRN The Reuse Network 7 South State St Ste 2 Concord NH 03301 030381073 92273 Program Support Indian Nations Council Boy Scouts of America 4295 S Garnett Rd Tulsa OK 74146 730579230 501(c)(3) 10000 Program Support Margaret Hudson 1136 S Allegheny Ave Tulsa OK 74112 730793181 501(c)(3) 100000 Program Support Oklahoma Center for Community and Justice 100 West Fifth St Ste 401 Tulsa OK 74103 870744050 501(c)(3) 7500 58th Awards Dinner Oklahoma Golf Hall of Fame 6218 S Lewis Ave Ste 200 Tulsa OK 74136 472323982 501(c)(3) 25000 Program Support Russ Adams Ministries PO Box 37 Broken Arrow OK 74013 731592349 501(c)(3) 7672 Program Support The Oklahoma State Chamber of Commerce PO Box 1729 Broken Arrow OK 74013 730712609 501(c)(6) 10000 Study on Medicaid 27 2 Scholarships 153 487387 Part I, Question 2 Saint Francis Health System, Inc. offers scholarship opportunities to individuals in the nursing and allied health arena. The application process, approval process, monitoring, and in the event of default, collection process takes place in the Human Resource Department of Saint Francis Health System, Inc. To qualify for a scholarship, employees submit applications which are accumulated and ranked based on appropriate criteria. Dependent on the availability of funds, applicants are selected to receive scholarships. Chosen applicants must sign a work agreement for six months for each semester which they receive funding. Official transcripts must be submitted to document successful completion for each semester. In the event an applicant does not fulfill their scholarship agreement they are contacted via certified mail that all funds awarded are due within 30 days. If the balance is not paid in full within 30 days, collection efforts ensue with a third party collection agency. X X true true X X X X false true false false false false false false false Jake Henry Jr President/CEO/Director 0 1011021 0 1118300 0 62075 0 34851 0 12075 0 2238322 0 0 Thomas G Neff Secretary 316282 0 156679 0 17567 0 70550 0 14811 0 575889 0 0 0 Jeffrey C Sacra Assistant Secretary 219731 0 81474 0 4459 0 48375 0 3915 0 357954 0 0 0 Barry L Steichen Vice President/COO/Director 0 659772 0 290164 0 11687 0 123873 0 15020 0 1100516 0 0 Eric E Schick Treasurer/CFO 484860 0 197656 0 10218 0 77223 0 15020 0 784977 0 0 0 Lynn Sund Administrator 395402 0 180754 0 15873 0 77229 0 14818 0 684076 0 0 0 Ryan Gursky MD Physician 19500 1248763 0 0 0 0 0 33251 0 19520 19500 1301534 0 0 Frank Schmidt MD Physician 42101 1082541 0 0 0 100 0 24251 0 18981 42101 1125873 0 0 Sanjeev Trehan MD Physician 7505 1161589 0 0 0 0 0 0 0 19617 7505 1181206 0 0 Zeeshaan Khan MD Physician 12000 1064517 0 0 0 18000 0 31917 0 19763 12000 1134197 0 0 Preston Phillips MD Physician 31500 771939 0 0 0 18000 0 33251 0 0 31500 823190 0 0 William Schloss Former Senior Vice President 0 354357 0 174990 0 7421 0 34851 0 14818 0 586437 0 0 Part I, Line 1a Certain individuals included in Schedule J, Part II participated in key business activities accompanied by their spouse. Additionally, these same individuals may have incurred personal expenses related to these key business activities. With proper documentation and approval, Saint Francis Health System, Inc. includes these reimbursements as W-2 wages for the employee. These wages are grossed up to provide tax indemnification to the employee. Part I, Line 4b A select group of highly compensated employees of Saint Francis Health System, Inc. and its related entities Saint Francis Hospital, Inc., Laureate Psychiatric Clinic and Hospital, Inc., Warren Clinic, Inc., Saint Francis Hospital South, LLC, Saint Francis Home Health, Inc., The Childrens Hospital Foundation at Saint Francis, Saint Francis Hospital Vinita, Inc., and Saint Francis Regional Services, 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. 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 the related organization. Martina Hum MD Married to Secretary 272405 Physician Compensation false Part IV, Line 1 Dr. Martina Hum, is an employed physician of Warren Clinic, Inc. Effective July 2015, Dr. Hum began working for Saint Francis Hospital, Inc., but continues to be an employed physician of Warren Clinic, Inc. Dr. Hums compensation is reimbursed to Warren Clinic, Inc. by Saint Francis Hospital, Inc. Dr. Hum is married to Thomas G. Neff, Senior Vice President of Strategic Planning and Secretary for Saint Francis Health System, Inc. Dr. Hums compensation and benefits are reported on Form 990, Part IX, Line 6. X 1 15646 Fair Market Value X In-kind 240 214218 Fair Market Value false false false Form 990, Part VI, Section A, Line 1a The Organization delegates its governance to the Saint Francis Health System, Inc. Board of Directors. Saint Francis Health System, Inc.s Board of Directors is comprised of 8 directors, 6 of which are independent. Form 990, Part VI, Section A, Line 2 Governing Body and Management 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. W.R. Lissau, a Director, is related to the following: - Diane Davis, daughter and owner of Acrobat-Ant Advertising and Marketing Services, which provides services to Saint Francis Hospital, Inc. - Mike Lissau, son, shareholder and member of the Board of Directors at Hall Estill Law Firm, which does legal work for Saint Francis Hospital, Inc. - Bill Lissau, son, president of the Oklahoma market of Bank of America, which provides investment services to Saint Francis Hospital, Inc. These relationships do not represent individuals who maintain a 35 percent entity ownership interest; therefore, a Schedule L is not required. John A Gaberino, a Trustee, is related to John Gaberino, III, son and owner of Gaberino Distributing Company, which supplies coffee to Saint Francis Health System, Inc. The business transactions between the related parties were less than $10,000 for single transactions and less than $100,000 in total; therefore, a Schedule L is not required. Jake Henry Jr., an Officer and Director, serves on other boards outside of Saint Francis Health System, Inc. with William K. Warren Jr., a Trustee, W.R. Lissau, a Director, and John-Kelly Warren, a Director. Bishop David Konderla, a Trustee, serves on other boards outside of Saint Francis Health System, Inc. with W.R. Lissau, a Director. Form 990, Part VI, Section A, Line 3 The director functions are delegated to the Saint Francis Health System, Inc. board of directors. The Board of Directors and a majority of the Members approve the sale of corporate assets valued at $10,000,000 or more. The Members 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 - Amendment of bylaws - Appointment of Board of Directors Form 990, Part VI, Section A, Line 6 The Organization has five Members/Trustees who elect the governing body. Form 990, Part VI, Section A, Line 7a The Organization has five Members/Trustees who elect the governing body. Form 990, Part VI, Section A, Line 7b The Board of Directors and a majority of the Members approve the sale of corporate assets valued at $10,000,000 or more. The Members 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 - Amendment of bylaws - Appointment of Board of Directors 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, Line 12c A request for information on potential conflicts is solicited annually from Directors, Trustees and all employees with a Manager level and above to monitor for proposed or ongoing transactions for conflicts of interest and dealing with potential or actual conflicts. There are three Directors, two Trustees and one Officer/Director on the System Board of Directors with potential conflicts that were addressed by the governing body. The Directors and Officer/Director with potential conflicts recuse themselves from events that would result in a conflict. Conflicts are regularly disclosed and addressed. Form 990, Part VI, Section B, Line 15a and 15b Compensation of officials and key employees is reviewed annually and approved by a committee of directors 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 amongst the entities reported on Schedule R. Form 990, Part VIII, Line 11d Saint Francis Hospital, Inc. provides health and medical education to patients, employees, and other community members. Saint Francis Hospital, Inc. is able to better serve the community by providing additional services such as home health care and hospice services. Form 990, Part XI, Line 9 The other changes in net assets or fund balances of ($134,687,394) is made up of the activity in the post retirement benefit obligation activity for the year ($209,056), beneficial interest in Childrens Hospital Foundation activity for the year $2,553,468, equity transfers from/to related parties ($141,546,243), University of Oklahoma/Tulsa University endowment funding $1,024,587, and equity earnings and investments $3,489,850. Saint Francis Outreach Services LLC 6600 S Yale Ave Ste 400 Tulsa OK 74136 141841340 Health Svcs OK 19283277 1668696 SFH Care Communications LLC 6600 S Yale Ave Ste 400 Tulsa OK 74136 260015989 Comm Svcs OK 3826760 5816026 SFH 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 South LLC 6600 S Yale Ave Ste 400 Tulsa OK 74136 010603214 Health Svcs OK 501(c)(3) 3 SFHS true Laureate Psychiatric Clinic & Hosp Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 731308273 Health Svcs OK 501(c)(3) 3 SFHS true Warren Clinic Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 731310891 Health Svcs OK 501(c)(3) 3 SFHS 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 true Saint Francis Hospital Vinita Inc 6600 Yale Ave Ste 400 Tulsa OK 74136 813747248 Health Svcs OK 501(c)(3) 3 SFHS true Saint Francis Regional Services Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 814322087 Health Svcs OK 501(c)(3) 3 SFHS true Saint Francis Home Health Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 731234331 Health Svcs OK 501(c)(3) 12a Type I SFH true Springer Clinic Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 731414359 Health Svcs OK SFH S Corp 0 0 1.00000 true Related Health Services Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 731288715 Health Svcs OK SFH S Corp 493038 70921518 1.00000 true Xavier Insurance Company Inc 76 St Paul St Ste 500 Burlington VT 054014477 030333599 Captive Insurance VT SFHS C Corp 0 0 true Saint Francis Payroll Services LLC 6600 S Yale Ave Ste 400 Tulsa OK 74136 450470422 common pay agent OK SFHS C Corp 0 0 true Saint Francis Hlth Sys Gen-Prof Lia PO Box 3038 Milwaukee WI 532013038 756583874 Self Insurance WI SFHS Trust 0 0 true Saint Francis Pharmacy Services Inc 6600 S Yale Ave Ste 400 tulsa OK 74136 813127970 Pharmacy OK SFH S Corp 445162 5339077 1.00000 true false true true false false false false false true true true true true false false true true true true Laureate Psychiatric Clinic and Hospital Inc L 1409224 Trans Review Laureate Psychiatric Clinic and Hospital Inc Q 76608889 Trans Review Laureate Psychiatric Clinic and Hospital Inc P 39344991 Trans Review Laureate Psychiatric Clinic and Hospital Inc S 32930496 Trans Review Laureate Psychiatric Clinic and Hospital Inc R 6649337 Trans Review WARREN CLINIC INC K 445900 Trans Review WARREN CLINIC INC J 750668 Trans Review Warren Clinic Inc M 6185819 Trans Review Warren Clinic Inc L 4694036 Trans Review Warren Clinic Inc Q 450301278 Trans Review Warren Clinic Inc P 270506428 Trans Review Warren Clinic Inc S 148410274 Trans Review Warren Clinic Inc R 3062303 Trans Review Related Health Services Inc P 6798412 Trans Review Related Health Services Inc R 3750230 Trans Review Related Health Services Inc L 253038 Trans Review Related Health Services Inc Q 10933174 Trans Review Related Health Services Inc C 2284002 Trans Review Saint Francis Hospital South LLC K 485784 Trans Review Saint Francis Hospital South LLC L 2636476 Trans Review Saint Francis Hospital South LLC P 95009427 Trans Review Saint Francis Hospital South LLC S 79660062 Trans Review Saint Francis Hospital South LLC R 15295488 Trans Review Saint Francis Hospital South LLC Q 3040303 Trans Review Saint Francis Hospital South LLC C 35248754 Trans Review Saint Francis Home Health Inc C 651384 Trans Review Saint Francis Home Health Inc L 371527 Trans Review Saint Francis Home Health Inc P 7230062 Trans Review Saint Francis Home Health Inc S 10309082 Trans Review Saint Francis Home Health Inc R 4933733 Trans Review Saint Francis Home Health Inc Q 19732345 Trans Review The Children's Hospital Fnd at Saint Francis C 421690 Trans Review The Children's Hospital Fnd at Saint Francis Q 772256 Trans Review Saint Francis Pharmacy Services Inc L 79893 Trans Review Saint Francis Pharmacy Services Inc Q 3538242 Trans Review Saint Francis Pharmacy Services Inc R 2124739 Trans Review Saint Francis Pharmacy Services Inc P 1465692 Trans Review Saint Francis Pharmacy Services Inc B 4109346 Trans Review Saint Francis Hospital Vinita Inc P 15261563 Trans Review Saint Francis Hospital Vinita Inc S 13103969 Trans Review Saint Francis Hospital Vinita Inc I 8655937 Trans Review Saint Francis Hospital Vinita Inc L 147848 Trans Review Saint Francis Hospital Vinita Inc Q 10811850 Trans Review Saint Francis Hospital Vinita Inc R 28003469 Trans Review Saint Francis Regional Services Inc R 127893742 Trans Review Saint Francis Regional Services Inc P 4550997 Trans Review Saint Francis Regional Services Inc S 10292000 Trans Review Saint Francis Regional Services Inc Q 7294894 Trans Review