2017-05-12T18:38:18-05:00 2016-06-30 ERNST & YOUNG US LLP 425 HOUSTON ST SUITE 600 FORT WORTH TX 76102 990 2015-07-01 730700090 Saint Francis Hospital Inc % ERIC E SCHICK SAIN 9185028126 6600 S Yale Ave Suite 400 TULSA OK 741363319 ERIC E SCHICK Treasurer/CFO 2017-05-12 true Kathleen Moseley P00116760 8173351900 2015 2021-01-29 14:40:06Z Eric E Schick 6600 S Yale Ave Suite 400 Tulsa OK 741363319 4015809180 false 0928 X HTTP://WWW.SAINTFRANCIS.COM X 1960 OK TO EXTEND THE PRESENCE AND HEALING MINISTRY OF CHRIST IN ALL WE DO. 3 1 6742 598 -1254584 -2136990 7550662 554877 942944396 973245637 22857615 403847 25426114 13639785 998778787 987844146 3151729 4492594 0 0 355329629 368199102 0 0 0 475123339 486006279 833604697 858697975 165174090 129146171 2142531880 2292005452 335796958 336295329 1806734922 1955710123 X TO EXTEND THE PRESENCE AND HEALING MINISTRY OF CHRIST IN ALL WE DO. false false 616081814 4492594 968152991 STATEMENT OF ACCOMPLISHMENTS SAINT FRANCIS HOSPITAL, INC. (SFH) IS A MEMBER OF SAINT FRANCIS HEALTH SYSTEM, INC. (SYSTEM OR SAINT FRANCIS). THE SYSTEM IS A CATHOLIC, NOT-FOR-PROFIT HEALTH SYSTEM WHOSE MISSION IS TO EXTEND THE PRESENCE AND HEALING MINISTRY OF CHRIST IN ALL WE DO. THE SYSTEM 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 223-BED HEART HOSPITAL AND TULSA'S LEADING TRAUMA AND EMERGENCY CENTER. ADDITIONALLY, THE SYSTEM EMPLOYS 324 PROVIDERS WITH 299 OF THOSE SERVING THROUGH WARREN CLINIC, INC., WHICH SERVES THE REGION WITH OVER 75 LOCATIONS THROUGHOUT EASTERN OKLAHOMA. IN TOTAL, THE SYSTEM HAS MORE THAN 8,400 EMPLOYEES, 974 PHYSICIANS ON MEDICAL STAFF AND 745 VOLUNTEERS, MAKING IT THE LARGEST TULSA COUNTY PRIVATE EMPLOYER, WITH HOSPITALS, PHYSICIAN CLINICS, MENTAL HEALTH FACILITIES, TRAUMA EMERGENCY CENTERS, REHABILITATION FACILITIES, A FITNESS CENTER, A NEONATAL INTENSIVE CARE UNIT, AND HOME HEALTH SERVICES. AS A MEMBER OF THE SYSTEM 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. THE SYSTEM'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 INCREASEd THE HOSPITAL'S 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 CHARITY CARE POLICY PROVIDES ACCESS TO FULL CHARITY CARE ASSISTANCE TO 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 ON BILLED CHARGES. BOTH INITIATIVES EXEMPLIFY SAINT FRANCIS'S MISSION TO EXTEND THE PRESENCE AND HEALING MINISTRY OF CHRIST, WITH A PARTICULAR EMPHASIS ON THOSE MOST NEEDY OF HEALTH SERVICES IN NORTHEASTERN OKLAHOMA. ALL, TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES SERVED IN A SPIRIT OF COMPASSION AND HONESTY. 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 PATIENT'S 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 299 PROVIDERS IN PRACTICE THROUGHOUT EASTERN OKLAHOMA. SAINT FRANCIS HOSPITAL AT BROKEN ARROW OFFICIALLY BECAME PART OF SAINT FRANCIS 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, BUT STILL SERVES THE BROKEN ARROW COMMUNITY. A FITNESS PARK WAS BUILT IN THE OLD LOCATION 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 NEONATAL INTENSIVE CARE UNIT (NICU), EMERGENCY SERVICES, CARDIOLOGY, UROLOGY AND 24-HOUR ON SITE ANESTHESIA. IN 1989, THE WILLIAM K. WARREN FOUNDATION ESTABLISHED THE LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL, Inc. (LPCH), 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 CHILDREN'S HOSPITAL AT SAINT FRANCIS, A "HOSPITAL WITHIN A HOSPITAL" WAS ESTABLISHED IN 1995 AND CREATED WITH YOUNGER 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 CHILDREN'S 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 NICU, PEDIATRIC HEMATOLOGY/ONCOLOGY CLINIC AND PEDIATRIC CARDIAC SURGERY PROGRAM AND PEDIATRIC NEUROSURGERY. IN MARCH 2004, SYSTEM 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 OKLAHOMA STATE DEPARTMENT OF HEALTH IN 2014. 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 SPACE. WHAT BEGAN AS ONE YOUNG MAN'S DREAM, HAS GROWN THROUGH THE YEARS INTO A HEALTHCARE SYSTEM DEDICATED TO PROVIDING THE HIGHEST QUALITY OF STATE-OF-THE-ART MEDICAL CARE AND EXTENDING THE PRESENCE AND HEALING MINISTRY OF CHRIST TO ALL WE DO. SUMMARY OF COMMUNITY BENEFIT REPORT: SAINT FRANCIS PRODUCES AN ANNUAL COMMUNITY BENEFIT REPORT VALUING THE COST OF CHARITY SERVICES. DURING THE FISCAL YEAR ENDED JUNE 30, 2016, SAINT FRANCIS SAW 52,124 INPATIENT ADMISSIONS, RESULTING IN 277,975 DAYS OF PATIENT CARE; 131,182 EMERGENCY ROOM VISITS; 5,216 TOTAL BIRTHS; AND 751,504 OUTPATIENT AND RECURRING VISITS. THIS FISCAL YEAR A TOTAL OF $100,730,842 WAS RETURNED TO OUR COMMUNITY THROUGH CHARITY AND UNCOMPENSATED CARE, PROGRAMMATIC SUBSIDIZATION, DONATIONS TO NONPROFIT AGENCIES AND SUPPORT OF THE AREA'S EDUCATIONAL INSTITUTIONS. SAINT FRANCIS 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. AS TULSA'S ONLY LOCALLY OWNED AND OPERATED HEALTH SYSTEM, SAINT FRANCIS VIEWS GIVING BACK TO THE COMMUNITY AS BOTH A RESPONSIBILITY AND A PRIVILEGE. SUPPORTED ORGANIZATIONS INCLUDE: ALZHEIMER'S ASSOCIATION; AMERICAN CANCER SOCIETY; AMERICAN HEART ASSOCIATION; BISHOP KELLEY HIGH SCHOOL; FAMILY AND CHILDREN'S 616081814 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 true false false false false false false false false true false true false false false true true true true true false true 497 0 true 6742 true true true false false false false false false false false false X 3 1 true true false false true true true true true false true true false true true true true true true true true true AZ CA 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 2131200 77386 BARRY L STEICHEN VICE PRESIDENT/COO/DIRECTOR 1.0 39.0 X X 0 935527 163173 Bishop Edward J Slattery Trustee 1.0 0.0 X 0 0 0 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 THOMAS G NEFF SECRETARY 1.0 39.0 X 472986 0 94156 JEFFREY C SACRA ASSISTANT SECRETARY 1.0 39.0 X 298093 0 57639 ERIC E SCHICK TREASURER/CFO 1.0 39.0 X 596681 0 201274 DAVID WAGNER VICE PRESIDENT (Until 7/1/15) 0.0 40.0 X 332066 0 29346 Janine Smith Asst Secretary(until 12/31/15) 1.0 39.0 X 0 71754 28429 LYNN SUND administrator 1.0 39.0 X 571336 0 107058 RYAN GURSKY MD PHYSICIAN 5.0 35.0 X 42000 1300110 52451 FRANK SCHMIDT MD PHYSICIAN 5.0 35.0 X 261573 1104903 42921 Bruce Markman MD Physician 5.0 35.0 X 27000 703512 55278 SANJEEV TREHAN MD Physician 5.0 35.0 X 8055 976263 52478 KENNETH CHEKOFSKY MD Physician 5.0 35.0 X 121354 652182 48152 ROBERT ELI SMITH FORMER ASSISTANT SECRETARY 0.0 40.0 X 0 193261 27164 WILLIAM SCHLOSS FORMER SENIOR VICE PRESIDENT 0.0 40.0 X 0 525413 99638 2731144 8594125 1136543 240 true true false EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 SOFTWARE SERVICES 6009610 MANHATTAN CONSTRUCTION CO 5601 S 122ND E AVE OKLAHOMA CITY OK 73105 CONSTRUCTION SVCS 5797156 State of Oklahoma Board of Reg 4502 E 41st St Room 2B02 TULSA OK 741352512 Medical Support 5119560 Associated Anesthesiologists I 6839 S Canton TULSA OK 741363428 Medical Services 3777163 Works Lentz of Tulsa Inc 1437 S Boulder Ste 900 TULSA OK 741193631 Legal Services 3197183 131 X 122834 432043 142847 554877 PATIENT CARE REV 621990 953375312 953375312 OUTREACH LAB 621500 16800559 16800559 P'SHIP INCOME RELATED TO PROGRAM SERVICES 541900 2141534 2118509 23025 OFFICE SPACE REIMBURSEMENT 531120 928232 928232 973245637 26869871 26869871 0 0 28488 9737 18751 0 18751 18751 2999045555 2443718 3024734828 3220469 -25689273 -776751 -26466024 -26466024 0 0 0 FOOD SERVICES 900004 6126220 6126220 PHARMACY RBI 621500 4986387 4986387 AFFIL TELECOM & COMPUTER SUPP REV 621500 3632013 3632013 -1123586 -5092646 -1296360 5265420 13621034 987844146 968129966 -1254584 20413887 3987020 3987020 505574 505574 0 0 2707418 2707418 233705 233705 299919879 262367412 37552467 19405631 199137 19206494 25383769 1569341 23814428 20548700 237073 20311627 30481831 15778714 14703117 773287 13960 759327 853757 55575 798182 117916 117916 0 2479262 2479262 0 15498383 15387174 111209 4875090 211139 4663951 44331953 28473347 15858606 -3701646 1344361 -5046007 0 14333413 6483719 7849694 690053 275559 414494 0 0 7277558 7277558 -5988629 -5988629 56731553 1004781 55726772 9772647 586630 9186017 MEDICAL SUPPLIES 214704121 213773060 931061 BAD DEBT EXPENSE 69311911 69311911 ADMINISTRATIVE EXPENSES 23201366 34861 23166505 DUE AND LICENSES 262453 236390 26063 858697975 616081814 242616161 0 404611 385828 258257559 328851645 0 0 106083463 105613855 0 0 0 0 0 0 20735861 20740805 8417217 12919782 891353006 418921314 498308590 472431692 821571752 958954850 392956661 357550099 0 0 0 0 35796166 34556896 2142531880 2292005452 70687514 78167542 0 0 0 0 206410294 199461371 0 0 0 0 0 0 0 0 58699150 58666416 335796958 336295329 X 1806734922 1955710123 0 0 0 0 1806734922 1955710123 2142531880 2292005452 X 129146171 -4143202 23972232 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 117916 false false 117916 false supplemental information SAINT FRANCIS HOSPITAL, INC. THROUGH ITS MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND CATHOLIC HEALTH ASSOCIATION, PARTICIPATES IN LOBBYING AND GRASS ROOTS POLITICAL ACTIVITY. IT IS LESS THAN A SUBSTANTIAL PART OF THE TOTAL EXPENDITURES IN A TAXABLE YEAR. THE LOBBYING AND GRASS ROOTS POLITICAL ACTIVITY IS RELATED TO LEGISLATION AFFECTING THE SYSTEM AND OPERATION OF THE SYSTEM FOR ITS CHARITABLE PURPOSES, IN PARTICULAR THE PROMOTION OF HEALTH. "GRASS ROOTS POLITICAL ACTIVITY" MEANS ANY ATTEMPT BY THE AHA TO INFLUENCE ANY LEGISLATION THROUGH AN ATTEMPT TO AFFECT THE OPINIONS OF THE GENERAL PUBLIC OR ANY SEGMENT THEREOF. "LOBBYING" MEANS 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 8845472 9120473 466235196 155269704 310965492 16870172 12945467 3924705 379685412 250706143 128979269 19441753 19441753 472431692 85007998 PRIVATE INVEST-MARKETABLE 190507290 F PRIVATE INVEST-NONMARKETABLE 82034811 F 357550099 0 SEE SCHEDULE D, PART XIII STMT 58666416 58666416 X Schedule D, Part X, Line 1 Accrued Interest $ 399,200 ARO Liability $ 1,707,781 FAS 106 $ 1,128,674 FIN 45 Income Guarantees $ 1,148,298 Medicare Cost Report $13,137,266 Operating Lease Liability $ 355,382 Other Long Term Liabilities $ 1,148,041 Professional Liability $27,025,020 Scholarship Fund Liability $ 2,815,070 Comm Care Premium/Rate Risk $ 9,801,684 ----------------------------------------- Total $58,666,416 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, the Hospital 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. The Hospital 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 20544447 Europe (Including Iceland and Greenland) Investments 3713003 East Asia and the Pacific Investments 30392 24287842 24287842 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 39067239 39067239 0.04950 141832592 113641909 28190683 0.03570 180899831 113641909 67257922 0.08520 1219562 1219562 0.00150 2696796 2696796 0.00340 199318002 153945113 45372889 0.05750 203234360 153945113 49289247 0.06240 384134191 267587022 116547169 0.14760 1642799 1642799 0.00210 3661071 3661071 0.00460 70000 70000 0.00010 5373870 5373870 0.00680 true 69311911 14838336 202253636 191169290 11084346 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 1 false false true 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 true X false X X X X X true X X false false PART V, SECTION B, LINE 5 The Community Health Needs Assessment (CHNA) report, as contracted by the Tulsa County Health Department, uses quantitative data derived from primary research and secondary data (American Community Survey data, Census Bureau data). 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 health care; tobacco use; lack of education; aging problems; safety/crime; poverty/unemployment; and mental health. The Saint Francis health system (Saint Francis) 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 of course that certain socioeconomic burdens to the health of our community cannot be fully or effectively addressed by individual private institutions. The hospitals comprising the Saint Francis Health System 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 to Medicaid beneficiaries. Saint Francis Hospital, Inc., as well as Saint Francis Hospital South, LLC, Laureate Psychiatric Clinic and Hospital, Inc., and the senior leadership and Board of Directors of the Saint Francis Health System 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 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 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 health care 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 and Saint Francis Hospital, Inc. in its mission to extend the presence and healing ministry of Christ in all we do, addresses these community health needs by providing charity care to those families meeting the 225% Federal Poverty Guidelines criteria. Additionally, the Xavier Medical Clinic, an entity fully owned and operated by Saint Francis Health System, offers the resources of volunteer physicians, pharmacists, nurses and other health professionals to women, children and men who are uninsured or underserved. Xavier Medical Clinic seeks to provide free, limited outpatient primary healthcare services, facilitate referrals to volunteer specialists, educate in good health practices and increase access to traditional healthcare. In addition, to help local women in need of prenatal care, the Xavier Medical Clinic also provides a pregnancy clinic with referrals for patients to local physicians for prenatal care. Patients at the Xavier Clinic are referred to Saint Francis Hospital, Inc. for inpatient care including childbirth, as well as surgery and ancillary services. Saint Francis 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, and Laureate Psychiatric Clinic and Hospital, 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 the Saint Francis Health system 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 County 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 most 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 the Saint Francis health system, 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 causes of poor health, disability, and death, and account for most of health care expenditures. Chronic diseases are responsible for 7 out 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 partnerships and involvement from all stakeholders. Saint Francis Health System offers a complete continuum of healthcare services. Almost 1,000 physicians on staff serve the patients of Saint Francis Health System through primary care medicine and advanced medical specialties. The physician providers of Saint Francis Hospital, Inc. and Saint Francis Hospital South, LLC will provide the service lines that cater to the needs of chronic disease patients which include: Cardiology, Oncology, Primary care, Pulmonology, Endocrinology, Mental health, Home health, Nephrology, Neurology and Radiology. Saint Francis is also increasing the number of employed physicians to manage the defined population in northeast Oklahoma. The affiliates within the Saint Francis Health system, including Saint Francis Hospital, Inc., are addressing the community needs that contribute to the chronic diseases identified in the CNHA in a 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 SFH ACCORDING TO RELEVANT CIRCUMSTANCES, SUCH AS INCOME, ASSETS, OR OTHER RESOURCES AVAILABLE TO THE PATIENT OR PATIENT'S FAMILY ARE CONSIDERED CHARITY AND THEREFORE BY HOSPITAL POLICY ARE NOT BILLED FOR ANY SERVICES. PART V, SECTION B, LINES 16A, B, AND C www.saintfrancis.com/saintfrancishospital/Pages/Patients-and-Visitors/For- Patients/After-Your-Visit/Patient-Billing.aspx PART V, SECTION B, LINE 16I 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% is provided on all charges. 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. (System) 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 Presence publication that is made available to the public through the organizations website at www.saintfrancis.com/Pages/About-Us/Media%20Gallery/Presence-Archieves.asp x 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 the 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, General Statement 4 for additional information regarding the System 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 doubtful accounts 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 doubtful accounts. 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 bad debt expense 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 bad debt expense. Accounts receivable are valued at net realizable value. Saint Francis Hospital, Inc. estimates the allowances for uncollectable accounts 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 charity 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. (System). 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 the System: 1. Gather and obtain information identifying those needs; and 2. Develop programs and services that address and provide access to those in greatest need of healthcare services. Historically, the Systems focus has 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, the System must first identify priority health needs. During the fiscal year 2016, the System 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 with 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 the Systems website at www.saintfrancis.com/Documents/CHNA.pdf PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE The System is committed to promoting health in the community including providing or finding financial assistance programs to assist patients. The System 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 System website. The brochure provides financial assistance program details. - The financial assistance policy, plain language summary, and application are posted on the Saint Francis Hospital, Inc. and System websites in English and the Limited English Proficiency languages of the Primary Service Area (PSA). - The System 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 Systems charity policy. - The System offers the charity 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 the System consists of Tulsa County, where a significant majority of inpatient admissions originate. The tertiary service area includes 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-Americans - 6% Two or more races In 2014, the median household income in Tulsa County was $50,460, (about 6% below the US median) and the mean household income was $70,200 (about 7 percent below the US average). Over one-third of all households earn less than $35,000 per year. The per capita income is slightly below the national median, but higher than the average for Oklahoma. Approximately 15 percent of the PSAs population live 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 2015. The uninsured rate in Tulsa County is approximately 15 percent. Of those in the PSA that do have insurance, 65 percent hold private insurance policies. Distressingly, when narrowing focus to the PSA civilian population age 18 to 64 that participates in the labor force, the uninsured rate rises to nearly 18 percent. During Oklahomas 2014 fiscal year, there were 1,033,114 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 164,327 of those unduplicated enrollees. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH Saint Francis Hospital, Inc. is part of an integrated health care delivery system with the mission of extending the presence and healing ministry of Christ in all we do. The System, 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. The System and Saint Francis Hospital, Inc. 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 the Systems integrated health system. 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 the system. The goal of the System 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 challenge 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. Not only is the construction of the building notable, but the infrastructure needed to make the hospital successful, including the recruitment of numerous sub specialists, to ensure the highest quality of care is given to this most vulnerable 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 emergency room care faster. The trauma center provides comprehensive critical care to those facing complex, life-threatening emergencies. Our 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 at the hospital. The trauma center accommodates more than 120,000 patient visits annually (average of over 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 the needs of 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 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, 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 health care services. PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM Saint Francis Hospital, Inc., the largest entity within the Saint Francis health system, has one of the busiest emergency rooms in the State of Oklahoma. Over 104,000 patients are seen in the hospitals emergency room. Additionally, Saint Francis Hospital, Inc. admits approximately 45,000 patients, provides ancillary and diagnostic services on an outpatient basis to an additional 315,600 patients, and handled approximately 4,100 child births. See Schedule O, General Statement 4 for additional information regarding the Saint Francis health system and their roles within the system. PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT The System, 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 Presence publication is distributed to households across Eastern Oklahoma and to all System locations for display and pick up to help educate the community on the benefits that Saint Francis Hospital, Inc. and the System provide to the communities we serve in return for our not-for-profit status. true ALZHEIMER'S association INC 2448 E 81ST ST STE 3000 Tulsa OK 74137 731183372 501(c)(3) 6100 Program Support AMERICAN CANCER SOCIETY 4110 S 100TH E AVE 101 TULSA OK 74146 741185665 501(c)(3) 20000 program support AMERICAN HEART ASSOCIATION PO BOX 4002903 DES MOINES IA 503402903 135613797 501(c)(3) 59500 2017 Heart Ball & 2018 Go Red for Women AMERICAN KIDNEY FUND 11921 ROCKVILLE PIKE 300 ROCKVILLE MD 20852 237124261 501(c)(3) 58709 PROGRAM SUPPORT OSTEOPATHIC FOUNDERS 8801 S YALE AVE STE 400 Tulsa OK 74137 730583936 501(c)(3) 25000 WINTERFEST 2016 PHILBROOK MUSEUM OF ART INC 2727 S Rockford Rd TULSA OK 74114 730579279 501(c)(3) 25000 2016 Philbrook Wine Experience THE FOUNDATION FOR TULSA SCHOOLS 3027 S NEW HAVEN STE 600 TULSA OK 741146131 731612027 501(c)(3) 7500 program support THE LITTLE LIGHT HOUSE 5120 E 26TH ST Tulsa OK 74135 730939422 501(c)(3) 6000 Program Support TULSA AREA UNITED WAY PO BOX 1859 TULSA OK 74101 730580283 501(c)(3) 72692 PROGRAM SUPPORT TULSA COMMUNITY COLLEGE FOUNDATION 6111 E Skelly Dr Ste 608 TULSA OK 741356198 237103807 501(c)(3) 1005000 Nursing Program TULSA COMMUNITY FOUNDATION INC 7030 south yale ave 600 tulsa OK 74136 731554474 501(c)(3) 50000 program support TULSA'S FUTURE INC 2 West 2nd Street 150 TULSA OK 74103 237033283 501(c)(3) 70000 program support UNIVERSITY OF TULSA 800 south tucker dr tulsa OK 74104 730579298 501(c)(3) 550000 Student Athlete Development & ITA Men's AU-American Tennis Championships the university of oklahoma 4502 e 41st st tulsa OK 74135 736017987 501(c)(3) 164302 education ROMAN CATHOLIC DIOCESE OF TULSA PO BOX 690240 TULSA OK 74169 730942657 501(C)(3) 50000 PROGRAM SUPPORT CITIZENS FOR TULSA COUNTY 1 WEST 3RD ST STE 1300 TULSA OK 74103 731503283 501(C)(3) 10000 PROGRAM SUPPORT SUPPORT MENTAL HEALTH ASSOCATION 1870 S BOULDER TULSA OK 741195234 730657931 501(C)(3) 355000 PROGRAM SUPPORT SAINT GREGORY'S UNIVERSITY 1900 W MCARTHUR ST SHAWNEE OK 748049983 730685198 501(c)(3) 50000 NURSING PROGRAM TAHLEQUAH HOSPITAL PO BOX 1008 TAHLEQUAH OK 74465 731618193 501(c)(3) 6000 PROGRAM SUPPORT Christian Ministers PO Box 2095 Tulsa OK 74101 202596513 501(c)(3) 27500 Program Support Emergency Infant Services 222 S Houston Ave Tulsa OK 74127 731039524 501(c)(3) 13500 Program Support FIT First Responders 8177 S Harvard Ave STE 420 Tulsa OK 74137 472865903 501(c)(3) 10000 Program Support Hospitality House 1135 S Victor Ave Tulsa OK 74014 201825789 501(c)(3) 10000 Program Support Medical Supplies Network 1123 S Erie Ave Tulsa OK 74112 731507095 501(c)(3) 658806 Program Support Ronald McDonald House 6102 S Hudson Ave Tulsa OK 74169 731313892 501(c)(3) 10000 Program Support The Children's Center Inc 6800 NW 39th Expressway Bethany OK 73008 730580264 501(c)(3) 100000 Program Support Tulsa Tough Inc 214 N Main St 203 Tulsa OK 74103 273283740 501(c)(3) 225000 Program Support CHILDREN'S HOSPITAL FDN AT SAINT FRANCIS 6600 S YALE AVE SUITE 400 TULSA OK 74136 202843418 501(C)(3) 260000 PROGRAM SUPPORT 28 SCHOLARSHIPS 135 505574 SUPPLEMENTAL INFORMATION SCHEDULE I, PART I, QUESTION 2 SAINT FRANCIS HEALTH SYSTEM 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. 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 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 973985 0 1100291 0 56924 0 65274 0 12112 0 2208586 0 0 THOMAS G NEFF SECRETARY 308756 0 147609 0 16621 0 79345 0 14811 0 567142 0 0 0 JEFFREY C SACRA ASSISTANT SECRETARY 214496 0 79462 0 4135 0 53725 0 3914 0 355732 0 0 0 BARRY L STEICHEN VICE PRESIDENT/COO/DIRECTOR 0 636785 0 286465 0 12277 0 148153 0 15020 0 1098700 0 0 ROBERT ELI SMITH FORMER ASSISTANT SECRETARY 0 190163 0 0 0 3098 0 25805 0 1359 0 220425 0 0 ERIC E SCHICK TREASURER/CFO 417144 0 175413 0 4124 0 186254 0 15020 0 797955 0 0 0 LYNN SUND administrator 386011 0 170093 0 15232 0 92239 0 14819 0 678394 0 0 0 WILLIAM SCHLOSS FORMER SENIOR VICE PRESIDENT 0 345905 0 171586 0 7922 0 84819 0 14819 0 625051 0 0 DAVID WAGNER VICE PRESIDENT (Until 7/1/15) 116420 0 30696 0 184950 0 22179 0 7167 0 361412 0 0 0 RYAN GURSKY MD PHYSICIAN 42000 1297884 0 2226 0 0 0 33251 0 19200 42000 1352561 0 0 FRANK SCHMIDT MD PHYSICIAN 261573 1102317 0 2226 0 360 0 24251 0 18670 261573 1147824 0 0 Bruce Markman MD Physician 27000 701286 0 2226 0 0 0 33251 0 22027 27000 758790 0 0 SANJEEV TREHAN MD Physician 8055 955497 0 2226 0 18540 0 33250 0 19228 8055 1028741 0 0 KENNETH CHEKOFSKY MD Physician 121354 631956 0 2226 0 18000 0 33251 0 14901 121354 700334 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 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 CHILDREN'S HOSPITAL FOUNDATION AT SAINT FRANCIS, AND WARREN CANCER RESEARCH FOUNDATION 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. A Tulsa County Industrial Authority 521526494 899520AZ3 2006-11-14 229140663 SEE PART VI false false false A 0 0 229140663 0 0 25310000 1590323 0 0 202240340 0 0 2009 true false true true A false false false false 0 false false false true A false false false false false false 0 false 0 false true A true SUPPLEMENTAL INFORMATION PART I, LINE A, COLUMN (F) THE SERIES 2006 BONDS WERE ISSUED BY THE ISSUER'S FOR THE PURPOSE OF LOANING THE PROCEEDS TO SAINT FRANCIS HEALTH SYSTEM FOR ACQUIRING, FURNISHING, IMPROVING AND EQUIPPING CERTAIN ADDITIONS, EXPANSIONS, AND IMPROVEMENTS TO SAINT FRANCIS HOSPITAL INCLUDING BUT NOT LIMITED TO: (I) FURNISHING, CONSTRUCTING AND EQUIPPING CERTAIN ADDITIONS, EXPANSIONS, AND IMPROVEMENTS TO THE TULSA HEART HOSPITAL OF SAINT FRANCIS, SUPPORT FACILITIES; (II) ACQUIRING, FURNISHING, IMPROVING, AND EQUIPPING CERTAIN ADDITIONS, EXPANSIONS, AND IMPROVEMENTS TO SAINT FRANCIS HOSPITAL WITHOUT LIMITATION, THE CONSTRUCTION OF A NEW CHILDREN'S HOSPITAL AND PARKING GARAGE, AN EMPLOYEE PARKING GARAGE AND A NEW CARDIOLOGY DEPARTMENT; (III) REFUNDING AND REFINANCING THE ISSUER'S OUTSTANDING HEALTH CARE REVENUE BONDS, REFUNDING SERIES 2003 (SAINT FRANCIS HEALTH SYSTEM, INC.) INITIALLY ISSUED TO REFUND THE AUTHORITY Funds USED TO ACQUIRE, FURNISH, IMPROVE AND EQUIP CERTAIN ADDITIONS, EXPANSIONS AND IMPROVEMENTS TO THE SAINT FRANCIS HEALTH SYSTEM "PROJECT AND (IV) PAYING THE COST OF ISSUANCE OF THE SERIES 2006 BONDS. PART III, LINE 3C A BOND COUNSEL DOES EXIST, BUT FOR THE CURRENT FISCAL YEAR, THERE WAS NOTHING TO REVIEW. PART III, LINE 4/5 THERE IS NO PRIVATE BUSINESS USE. MARTINA HUM MD MARRIED TO SECRETARY 233705 PHYSICIAN COMPENSATION false SCHEDULE L, 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. Hum's compensation is reimbursed to Warren Clinic, Inc. by Saint Francis Hospital, Inc. Dr. Hum IS MARRIED TO THOMAS G. NEFF, SR. VICE PRESIDENT OF STRATEGIC PLANNING AND SECRETARY FOR SAINT FRANCIS HEALTH SYSTEM. Dr. Hum's COMPENSATION AND BENEFITS ARE REPORTED ON FORM 990, PART IX, LINE 6. X 1 17013 fair market value X IN-KIND 1 122834 FAIR MARKET VALUE false false false SUPPLEMENTAL INFORMATION FORM 990, PART VI, SECTION A, LINE 1A THE ORGANIZATION DELEGATES ITS GOVERNANCE TO THE SAINT FRANCIS HEALTH SYSTEM, INC. (SYSTEM OR SAINT FRANCIS) BOARD OF DIRECTORS. THE SYSTEM'S BOARD OF DIRECTORS IS COMPRISED OF 9 DIRECTORS, 7 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 SYSTEM 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% ENTITY OWNERSHIP INTEREST; THEREFORE, A SCHEDULE L IS NOT REQUIRED. JAKE HENRY JR., AN OFFICER AND DIRECTOR, SERVES ON OTHER BOARDS OUTSIDE OF THE SYSTEM WITH WILLIAM K. WARREN JR., A TRUSTEE, W.R. LISSAU, A DIRECTOR, AND JOHN-KELLY WARREN, A DIRECTOR. FORM 990, PART VI, SECTION A, LINE 3 THE DIRECTOR FUNCTIONS ARE DELEGATED TO THE SYSTEM BOARD OF DIRECTORS REFERENCED IN FORM 990, PART VI, LINE 1A OF THIS NARRATIVE. THE BOARD OF DIRECTORS AND A MAJORITY OF THE TRUSTEES APPROVE THE SALE OF CORPORATE ASSETS VALUED AT $10,000,000 OR MORE. 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 - AMENDMENT OF BYLAWS - APPOINTMENT OF BOARD MEMBERS FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS THREE MEMBERS/TRUSTEES WHO ELECT THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS THREE MEMBERS/TRUSTEES WHO ELECT THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS AND A MAJORITY OF THE TRUSTEES APPROVE THE SALE OF CORPORATE ASSETS VALUED AT $10,000,000 OR MORE. 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 - AMENDMENT OF BYLAWS - APPOINTMENT OF BOARD MEMBERS FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE, A SUB-COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS, HAS ACCESS TO REVIEW THE PASSWORD PROTECTED FORM 990 ON-LINE PRIOR TO THE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C 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. THERE ARE THREE DIRECTORS 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 AMONG 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 $23,972,232 IS MADE UP OF THE ACTIVITY IN THE POST RETIREMENT BENEFIT OBLIGATION ACTIVITY FOR THE YEAR ($200,084), BENEFICIAL INTEREST IN CHILDRENS HOSPITAL FOUNDATION ACTIVITY FOR THE YEAR ($2,587,874), EQUITY TRANSFERS FROM/TO RELATED PARTIES $21,736,950, UNIVERISITY OF OKLAHOMA/TULSA UNIVERSITY ENDOWMENT FUNDING $2,044,302, EQUITY EARNINGS AND INVESTMENTS $2,981,938, AND ($3,000) NONCASH CONTRIBUTIONS NOT BOOKED. SAINT FRANCIS OUTREACH SERVICES LLC 6600 S YALE AVE STE 400 Tulsa OK 74136 141841340 Health SVCS OK 18672967 1601690 SFH CARE COMMUNICATIONS LLC 6600 S YALE AVE STE 400 Tulsa OK 74136 260015989 Comm SVCS OK 3672683 5799584 SFH SAINT FRANCIS HEALTH SYSTEM INC 6600 S YALE AVE STE 400 Tulsa OK 74136 731501972 health svcs OK 501(C)(3) 11b 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 SAINT FRANCIS HOME HEALTH INC 6600 S YALE AVE STE 400 tulsa OK 74136 731234331 health svcs OK 501(C)(3) 11a TYPE I SFH true WARREN CANCER RESEARCH FOUNDATION INC 6600 S YALE AVE STE 400 tulsa OK 74136 731426265 medical rsrch OK 501(C)(3) 4 SFH 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) 11a TYPE I SFHS true SPRINGER CLINIC INC 6600 S YALE AVE STE 400 tulsa OK 741363319 731414359 health svcs OK SFH s corp 1232387 0 1.00000 true RELATED HEALTH SERVICES INC 6600 S YALE AVE STE 400 tulsa OK 741363319 731288715 health svcs OK SFH s corp 3004074 72750258 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 741363319 450470422 common pay agent OK SFHS c corp 0 0 true SFHS GENERALPROF LIABILITY FUND PO BOX 3038 MILWAUKEE WI 532013038 756583874 Self Insurance WI SFHS TRUST 0 0 true false true true false false false false false true true true true true false false true true true true SAINT FRANCIS HEALTH SYSTEM INC m 716271 TRANS REVIEW SAINT FRANCIS HEALTH SYSTEM INC p 61271490 TRANS REVIEW SAINT FRANCIS HEALTH SYSTEM INC L 58869 TRANS REVIEW SAINT FRANCIS HEALTH SYSTEM INC q 55986333 TRANS REVIEW SAINT FRANCIS HEALTH SYSTEM INC b 9072384 TRANS REVIEW SAINT FRANCIS HEALTH SYSTEM INC c 36224548 TRANS REVIEW LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC m 377346 TRANS REVIEW LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC l 2126474 TRANS REVIEW LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC q 71274116 TRANS REVIEW LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC p 39856472 TRANS REVIEW LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC s 30140615 TRANS REVIEW LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC r 6683617 TRANS REVIEW WARREN CLINIC INC i 411868 TRANS REVIEW WARREN CLINIC INC J 412926 TRANS REVIEW WARREN CLINIC INC K 225311 TRANS REVIEW WARREN CLINIC INC M 5815116 TRANS REVIEW WARREN CLINIC INC L 9155345 TRANS REVIEW WARREN CLINIC INC Q 429636433 TRANS REVIEW WARREN CLINIC INC P 256126736 TRANS REVIEW WARREN CLINIC INC S 144698180 TRANS REVIEW WARREN CLINIC INC R 3663625 TRANS REVIEW RELATED HEALTH SERVICES INC P 299612 TRANS REVIEW RELATED HEALTH SERVICES INC L 345669 TRANS REVIEW RELATED HEALTH SERVICES INC Q 4188499 TRANS REVIEW RELATED HEALTH SERVICES INC B 1195141 TRANS REVIEW SAINT FRANCIS HOSPITAL SOUTH LLC K 454223 TRANS REVIEW SAINT FRANCIS HOSPITAL SOUTH LLC L 5440995 TRANS REVIEW SAINT FRANCIS HOSPITAL SOUTH LLC P 94326835 TRANS REVIEW SAINT FRANCIS HOSPITAL SOUTH LLC S 69318879 TRANS REVIEW SAINT FRANCIS HOSPITAL SOUTH LLC R 11807445 TRANS REVIEW SAINT FRANCIS HOSPITAL SOUTH LLC Q 146270338 TRANS REVIEW SAINT FRANCIS HOME HEALTH INC c 1124892 TRANS REVIEW SAINT FRANCIS HOME HEALTH INC P 1820334 TRANS REVIEW SAINT FRANCIS HOME HEALTH INC S 9870827 TRANS REVIEW SAINT FRANCIS HOME HEALTH INC R 5374170 TRANS REVIEW SAINT FRANCIS HOME HEALTH INC L 557393 TRANS REVIEW SAINT FRANCIS HOME HEALTH INC Q 12972428 TRANS REVIEW SPRINGER CLINIC INC K 216701 TRANS REVIEW SPRINGER CLINIC INC Q 240026 TRANS REVIEW SPRINGER CLINIC INC C 9815251 TRANS REVIEW CHILDREN'S HOSPITAL FOUNDATION AT SAINT FRANC P 62907 TRANS REVIEW CHILDREN'S HOSPITAL FOUNDATION AT SAINT FRANC C 3645020 TRANS REVIEW CHILDREN'S HOSPITAL FOUNDATION AT SAINT FRANC B 258065 TRANS REVIEW CHILDREN'S HOSPITAL FOUNDATION AT SAINT FRANC Q 1420414 TRANS REVIEW