WARREN CLINIC INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- WARREN CLINIC INC (EIN 73-1310891)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-13
- IRS object ID
- 201641349349307954
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-13T18:30:52-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 425 HOUSTON ST SUITE 600 | AddressLine1Txt |
| City | FORT WORTH | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731310891 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Warren Clinic Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ERIC SCHICK | InCareOfNm |
| Business Name Control | WARR | BusinessNameControlTxt |
| Phone | 9185028126 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6600 S YALE AVE SUITE 400 | AddressLine1Txt |
| City | TULSA | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 741363319 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERIC SCHICK | PersonNm |
| Person Title | TREASURER/CFO | PersonTitleTxt |
| Phone | 9184948430 | PhoneNum |
| Signature | 2016-05-13 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KATHLEEN MOSELEY | PreparerPersonNm |
| PTIN | P00116760 | PTIN |
| Phone | 8173351900 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ERIC E SCHICK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6600 S YALE AVE | AddressLine1Txt |
| City | TULSA | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 741363319 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $146,967,611 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://WWW.WARRENCLINIC.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Activity Or Mission | TO EXTEND THE PRESENCE AND HEALING MINISTRY OF CHRIST IN ALL WE DO. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 1569 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $12,775 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,620 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $139,283,997 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $144,574,317 | CYProgramServiceRevenueAmt |
| PY Investment Income | $273,540 | PYInvestmentIncomeAmt |
| CY Investment Income | -$2,522 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,010,550 | PYOtherRevenueAmt |
| CY Other Revenue | $2,145,178 | CYOtherRevenueAmt |
| PY Total Revenue | $142,580,862 | PYTotalRevenueAmt |
| CY Total Revenue | $146,718,593 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $134,088,110 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $137,789,312 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $38,592,589 | PYOtherExpensesAmt |
| CY Other Expenses | $46,735,404 | CYOtherExpensesAmt |
| PY Total Expenses | $172,680,699 | PYTotalExpensesAmt |
| CY Total Expenses | $184,524,716 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$30,099,837 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$37,806,123 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $40,184,942 | TotalAssetsBOYAmt |
| Total Assets EOY | $44,373,482 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $31,379,512 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $38,861,063 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,805,430 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,512,419 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO EXTEND THE PRESENCE AND HEALING MINISTRY OF CHRIST IN ALL WE DO. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $161,294,222 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $146,665,152 | RevenueAmt |
| Desc | WARREN CLINIC, INC. AND ITS EMPLOYED PROVIDERS PROVIDE QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IT HAS A STRONG COMMITMENT TO HELP MEET THE NEEDS OF THE COMMUNITIES IT SERVES. RECOGNIZING THIS COMMITMENT, WARREN CLINIC PROVIDES SERVICES TO BOTH MEDICAID AND INDIGENT PATIENTS. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $7,147,000 IN FISCAL YEAR 2015. WARREN CLINIC, INC. PROVIDES PHYSICIAN SERVICES TO COMMUNITIES WHICH ARE DESIGNATED PHYSICIAN SHORTAGE AREAS. TRAINING FOR MEDICAL STUDENTS IS ALSO PROVIDED BY WARREN CLINIC PHYSICIANS. | Desc |
| Total Program Service Expenses | $161,294,222 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 141 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1569 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERIC SCHICK | PersonNm |
| Phone | 9184948430 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6161 S YALE AVE | AddressLine1Txt |
| City | TULSA | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 741363319 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Jake Henry Jr | ||||||||||
| PRESIDENT/CEO/DIRECTOR/TRUSTEE | 1.0 | 39.0 | Yes (X) | Yes (X) | $0 | $2,196,101 | $70,844 | |||
| Barry L Steichen | ||||||||||
| VICE PRESIDENT/COO/DIRECTOR | 1.0 | 39.0 | Yes (X) | Yes (X) | $0 | $1,133,398 | $222,262 | |||
| William R Lissau | ||||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| William K Warren Jr | ||||||||||
| Trustee | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Judy Kishner | ||||||||||
| Trustee | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Eric E Schick | ||||||||||
| Treasurer/CFO | 1.0 | 39.0 | Yes (X) | $0 | $467,864 | $154,863 | ||||
| Jeffrey C Sacra | ||||||||||
| Secretary | 1.0 | 39.0 | Yes (X) | $0 | $290,042 | $58,870 | ||||
| Janine Smith | ||||||||||
| Assistant Secretary | 1.0 | 39.0 | Yes (X) | $0 | $57,031 | $23,593 | ||||
| Renee Bevins | ||||||||||
| ASST Secretary (Until 11/8/14) | 1.0 | 39.0 | Yes (X) | $0 | $77,868 | $6,683 | ||||
| Robert Eli Smith | ||||||||||
| Administrator | 1.0 | 39.0 | $258,089 | $0 | $42,102 | Yes (X) | ||||
| Steven Sanders | ||||||||||
| Administrator | 40.0 | 0.0 | $317,084 | $0 | $296,551 | Yes (X) | ||||
| Lynn Wiens MD | ||||||||||
| Physician | 40.0 | 0.0 | $1,032,306 | $0 | $50,217 | Yes (X) | ||||
| Ryan Gursky MD | ||||||||||
| Physician | 40.0 | 0.0 | $1,107,636 | $25,500 | $50,217 | Yes (X) | ||||
| Edward Ford MD | ||||||||||
| Physician | 40.0 | 0.0 | $1,035,099 | $0 | $51,480 | Yes (X) | ||||
| Jihad Khattab MD | ||||||||||
| Physician | 40.0 | 0.0 | $984,071 | $0 | $50,217 | Yes (X) | ||||
| Muhammad Janjua MD | ||||||||||
| Physician | 40.0 | 0.0 | $1,026,744 | $0 | $55,781 | Yes (X) | ||||
| TOM NEFF | ||||||||||
| FORMER VICE PRESIDENT/COO | 0.0 | 40.0 | $0 | $462,633 | $90,997 | Yes (X) | ||||
| Lance King | ||||||||||
| Former Administrator | 0.0 | 40.0 | $401,369 | $0 | $50,217 | Yes (X) | ||||
| JAMES E KALTENBACHER | ||||||||||
| FORMER SENIOR VICE PRESIDENT | 0.0 | 40.0 | $181,970 | $0 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,344,368 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,710,437 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,274,894 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 265 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WARREN PROFESSIONAL BUILDING | |||||
| 6585 SOUTH YALE AVENUE | TULSA | OK | 74147 | BLDG RENT | $4,850,476 |
| MCKESSON CORPORATION | |||||
| 4515 PRENTICE ST | DALLAS | TX | 75206 | HEALTHCARE SERVICES | $3,379,628 |
| WEATHERBY LOCUMS INC | |||||
| POST OFFICE BOX 972633 | DALLAS | TX | 753972633 | LOCUM PHYSICIANS | $665,937 |
| MEDCYCLE MANAGEMENT LLC | |||||
| 1718 GENERAL GEORGE PATTON DR | BRENTWOOD | TN | 37027 | HEALTHCARE SERVICES | $630,318 |
| FFF ENTERPRISES INC | |||||
| 41093 COUNTY CENTER DRIVE | TEMECULA | CA | 92591 | MEDICAL SUPPLIES | $444,029 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 34 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $1,620 | AllOtherContributionsAmt |
| Total Contributions | $1,620 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PHYSICIAN SERVICES | 621300 | $144,266,819 | $144,266,819 |
| RENTAL INCOME FROM AFFILIATES | 532000 | $307,498 | $307,498 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $144,574,317 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $246,035 | TotalRevenueColumnAmt |
| Exclusion | $246,035 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $54,343 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $54,343 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $54,343 | TotalRevenueColumnAmt |
| Exclusion | $54,343 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $461 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $249,018 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$248,557 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$248,557 | TotalRevenueColumnAmt |
| Exclusion | -$248,557 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| AFFILIATE REVENUE - BUSINESS OFFICE | 900099 | $2,046,700 | $2,046,700 |
| AFFILIATE REVENUE - MANAGEMENT FEES | 900099 | $267,840 | $267,840 |
| ALL OTHER REVENUE | 900099 | -$223,705 | -$223,705 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,090,835 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $146,718,593 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $146,665,152 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $51,821 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $699,936 | TotalAmt |
| Management And General | $699,936 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $240,072 | TotalAmt |
| Program Services | $240,072 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,212,649 | TotalAmt |
| Program Services | $108,086,638 | ProgramServicesAmt |
| Management And General | $10,126,011 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,746,318 | TotalAmt |
| Program Services | $7,616,326 | ProgramServicesAmt |
| Management And General | $129,992 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,337,286 | TotalAmt |
| Program Services | $4,373,229 | ProgramServicesAmt |
| Management And General | $964,057 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,553,051 | TotalAmt |
| Program Services | $5,050,749 | ProgramServicesAmt |
| Management And General | $502,302 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,028 | TotalAmt |
| Program Services | -$1,250 | ProgramServicesAmt |
| Management And General | $2,278 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38 | TotalAmt |
| Management And General | $38 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,705 | TotalAmt |
| Management And General | $35,705 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,281 | TotalAmt |
| Program Services | $27,281 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,892,615 | TotalAmt |
| Program Services | $2,416,563 | ProgramServicesAmt |
| Management And General | $5,476,052 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $643,584 | TotalAmt |
| Program Services | $320,320 | ProgramServicesAmt |
| Management And General | $323,264 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,417,021 | TotalAmt |
| Program Services | $2,658,145 | ProgramServicesAmt |
| Management And General | $758,876 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,646 | TotalAmt |
| Program Services | $21,252 | ProgramServicesAmt |
| Management And General | $17,394 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,913,855 | TotalAmt |
| Program Services | $7,275,564 | ProgramServicesAmt |
| Management And General | $1,638,291 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,948 | TotalAmt |
| Program Services | $212,560 | ProgramServicesAmt |
| Management And General | $47,388 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,173 | TotalAmt |
| Program Services | $114,737 | ProgramServicesAmt |
| Management And General | $17,436 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,323,475 | TotalAmt |
| Program Services | $2,044,553 | ProgramServicesAmt |
| Management And General | $278,922 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,851,427 | TotalAmt |
| Program Services | $2,230,343 | ProgramServicesAmt |
| Management And General | $2,621,084 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $8,384,878 | $8,364,831 | $20,047 | $0 |
| ADMINISTRATIVE EXPENSE | $4,411,004 | $4,274,509 | $136,495 | $0 |
| BAD DEBT EXPENSE | $3,869,340 | $5,245,105 | -$1,375,765 | $0 |
| DUES AND LICENSES | $585,361 | $553,457 | $31,904 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $948,025 | TotalAmt |
| Program Services | $169,238 | ProgramServicesAmt |
| Management And General | $778,787 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,524,716 | TotalAmt |
| Program Services | $161,294,222 | ProgramServicesAmt |
| Management And General | $23,230,494 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $173,536 | BOYAmt |
| EOY | $144,768 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,360,138 | BOYAmt |
| EOY | $9,107,820 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,734,767 | BOYAmt |
| EOY | $13,690,140 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $445,644 | BOYAmt |
| EOY | $371,175 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,727,004 | BOYAmt |
| EOY | $321,830 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $35,066,590 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $16,281,092 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,865,418 | BOYAmt |
| EOY | $18,785,498 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,652,795 | BOYAmt |
| EOY | $1,702,297 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225,640 | BOYAmt |
| EOY | $249,954 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,184,942 | BOYAmt |
| EOY | $44,373,482 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,046,400 | BOYAmt |
| EOY | $33,752,880 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,514 | BOYAmt |
| EOY | $15,746 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,261,598 | BOYAmt |
| EOY | $5,092,437 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,379,512 | BOYAmt |
| EOY | $38,861,063 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,805,430 | BOYAmt |
| EOY | $5,512,419 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,805,430 | BOYAmt |
| EOY | $5,512,419 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,184,942 | BOYAmt |
| EOY | $44,373,482 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$37,806,123 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $34,513,112 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $27,281 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $27,281 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | WARREN CLINIC, INC., THROUGH THE MEMBERSHIP DUES PAID ON BEHALF OF PHYSICIANS TO THE AMERICAN MEDICAL ASSOCIATION AND OKLAHOMA STATE MEDICAL ASSOCIATION, PARTICIPATE IN LOBBYING AND GRASS ROOTS POLITICAL ACTIVITY. IT IS LESS THAN A SUBSTANTIAL PART OF THE TOTAL CLINIC EXPENDITURES IN A TAXABLE YEAR. THE LOBBYING AND GRASS ROOTS POLITICAL ACTIVITY IS RELATED TO LEGISLATURE AFFECTING THE CLINIC, IN PARTICULAR THE PROMOTION OF HEALTH. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,000,847 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,380,363 | DepreciationAmt |
| Book Value | $9,620,484 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,846,025 | OtherCostOrOtherBasisAmt |
| Depreciation | $709,718 | DepreciationAmt |
| Book Value | $1,136,307 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,508,052 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,191,011 | DepreciationAmt |
| Book Value | $6,317,041 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,711,666 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $1,711,666 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $18,785,498 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASE LIABILITY | $523,459 |
| PROF LIABILITY INSURANCE RESERVE | $4,568,142 |
| DUE TO AFFILIATES | $836 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,092,437 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | ASC 740 PROVIDES GUIDANCE REGARDING RECOGNITION, DE-RECOGNITION, MEASUREMENT, AND DISCLOSURE OF ALL TAX POSITIONS. IN ACCORDANCE WITH THE REQUIREMENTS OF ASC 740, WARREN CLINIC IDENTIFIES AND DOCUMENTS UNCERTAIN TAX POSITIONS FOR ALL OPEN TAX YEARS. IF UNCERTAIN TAX POSITIONS ARE IDENTIFIED, THEY ARE ANALYZED TO DETERMINE THE PROPER UNIT OF ACCOUNT. NEXT THEY ARE TESTED TO DETERMINE WHETHER A TAX ASSET OR A TAX LIABILITY SHOULD BE RECOGNIZED. WARREN CLINIC HAS DETERMINED THAT THE POSITION ON UNCERTAIN TAX POSITIONS IS MORE LIKELY THAN NOT TO BE FULLY SUSTAINED UPON EXAMINATION. THEREFORE, NO LIABILITY OR ASSET FOR UNCERTAIN TAX POSITIONS NEEDS TO BE RECORDED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jake Henry Jr | ||||||||||||||
| PRESIDENT/CEO/DIRECTOR/TRUSTEE | $0 | $943,562 | $0 | $1,127,639 | $0 | $124,900 | $0 | $59,751 | $0 | $11,093 | $0 | $2,266,945 | $0 | $0 |
| Barry L Steichen | ||||||||||||||
| VICE PRESIDENT/COO/DIRECTOR | $0 | $612,505 | $0 | $287,114 | $0 | $233,779 | $0 | $208,510 | $0 | $13,752 | $0 | $1,355,660 | $0 | $0 |
| Eric E Schick | ||||||||||||||
| Treasurer/CFO | $0 | $305,813 | $0 | $133,750 | $0 | $28,301 | $0 | $141,643 | $0 | $13,220 | $0 | $622,727 | $0 | $0 |
| Jeffrey C Sacra | ||||||||||||||
| Secretary | $0 | $208,380 | $0 | $77,923 | $0 | $3,739 | $0 | $52,072 | $0 | $6,798 | $0 | $348,912 | $0 | $0 |
| Robert Eli Smith | ||||||||||||||
| Administrator | $187,459 | $0 | $54,077 | $0 | $16,553 | $0 | $40,788 | $0 | $1,314 | $0 | $300,191 | $0 | $0 | $0 |
| Steven Sanders | ||||||||||||||
| Administrator | $258,250 | $0 | $52,500 | $0 | $6,334 | $0 | $291,863 | $0 | $4,688 | $0 | $613,635 | $0 | $0 | $0 |
| Lynn Wiens MD | ||||||||||||||
| Physician | $1,030,080 | $0 | $2,226 | $0 | $0 | $0 | $32,501 | $0 | $17,716 | $0 | $1,082,523 | $0 | $0 | $0 |
| Ryan Gursky MD | ||||||||||||||
| Physician | $1,105,410 | $25,500 | $2,226 | $0 | $0 | $0 | $32,501 | $0 | $17,716 | $0 | $1,157,853 | $25,500 | $0 | $0 |
| Edward Ford MD | ||||||||||||||
| Physician | $1,015,373 | $0 | $2,226 | $0 | $17,500 | $0 | $32,501 | $0 | $18,979 | $0 | $1,086,579 | $0 | $0 | $0 |
| Jihad Khattab MD | ||||||||||||||
| Physician | $981,845 | $0 | $2,226 | $0 | $0 | $0 | $32,501 | $0 | $17,716 | $0 | $1,034,288 | $0 | $0 | $0 |
| Muhammad Janjua MD | ||||||||||||||
| Physician | $1,024,518 | $0 | $2,226 | $0 | $0 | $0 | $32,501 | $0 | $23,280 | $0 | $1,082,525 | $0 | $0 | $0 |
| Lance King | ||||||||||||||
| Former Administrator | $385,941 | $0 | $2,226 | $0 | $13,202 | $0 | $32,501 | $0 | $17,716 | $0 | $451,586 | $0 | $0 | $0 |
| TOM NEFF | ||||||||||||||
| FORMER VICE PRESIDENT/COO | $0 | $299,961 | $0 | $146,235 | $0 | $16,437 | $0 | $77,469 | $0 | $13,528 | $0 | $553,630 | $0 | $0 |
| JAMES E KALTENBACHER | ||||||||||||||
| FORMER SENIOR VICE PRESIDENT | $165,620 | $0 | $16,350 | $0 | $0 | $181,970 | $0 | |||||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J PART I, LINE 1B | 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 EXPENSE 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. |
| SCHEDULE J PART I, LINE 4B | A SELECT GROUP OF HIGHLY COMPENSATED EMPLOYEES OF SAINT FRANCIS HEALTH SYSTEM, INC., AND ITS RELATED ENTITIES, SAINT FRANCIS HOSPITAL, INC., LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL, INC., WARREN CLINIC, INC., SAINT FRANCIS HOSPITAL SOUTH, LLC, 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 SECTION 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 RELATED ORGANIZATION. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARTINA HUM MD | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | MARRIED TO SR VP | RelationshipDescriptionTxt |
| Transaction | $240,072 | TransactionAmt |
| Transaction | PHYSICIAN COMPENSATION | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L PART IV, LINE 1 | FormAndLineReferenceDesc |
| Explanation | DR. MARTINA HUM, AN EMPLOYED PHYSICIAN OF WARREN CLINIC, INC., IS MARRIED TO THOMAS G. NEFF, SR. VICE PRESIDENT OF STRATEGIC PLANNING FOR SAINT FRANCIS HEALTH SYSTEM. HER COMPENSATION AND BENEFITS ARE REPORTED ON FORM 990, PART IX, LINE 6. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 2B | FOLLOWING REVENUE RECOGNITION PROCEDURE 70-6, 1970-1 C.B. 420, SAINT FRANCIS PAYROLL SERVICES, LLC, EIN 45-0470422, HAS BEEN AUTHORIZED TO ACT AS A COMMON PAY AGENT UNDER SECTION 3504 OF THE INTERNAL REVENUE CODE FOR WARREN CLINIC, INC., EFFECTIVE JULY 1, 2002. AS OF THAT DATE, SAINT FRANCIS PAYROLL SERVICES, LLC, ASSUMED REPORTING OBLIGATIONS FOR FEDERAL INCOME TAX, SOCIAL SECURITY, MEDICARE AND BACKUP WITHHOLDING TAX PURPOSES FOR WARREN CLINIC, INC. INCLUDING YEAR END REPORTING. |
| FORM 990, PART VI, LINE 2 | SEVERAL PERSONS IN THIS CATEGORY SERVE ON OTHER BOARDS OR ARE RELATED. THE ORGANIZATIONS HAVE DETERMINED THAT THESE ASSOCIATIONS DO NOT PRESENT A CONFLICT OF INTEREST. WILLIAM R. LISSAU, A DIRECTOR, HAS BUSINESS RELATIONSHIPS WITH WILLIAM K. WARREN, JR., A TRUSTEE. JAKE HENRY, JR. AN OFFICER AND DIRECTOR, SERVES ON OTHER BOARDS OUTSIDE OF WARREN CLINIC, INC. WITH WILLIAM K. WARREN, JR. , A TRUSTEE, AND WILLIAM R. LISSAU, A DIRECTOR. THE RELATIONSHIPS BETWEEN JAKE HENRY, JR., AND WILLIAM K. WARREN, JR. ARE DESIGNATED AS BUSINESS RELATIONSHIPS. |
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION BY ITS BYLAWS AND RESOLUTION DELEGATES GOVERNANCE OF ITS OPERATIONS TO THE DIRECTORS OF SAINT FRANCIS HEALTH SYSTEM, INC. |
| FORM 990, PART VI, LINE 6 | THE ORGANIZATION HAS THREE MEMBERS. |
| FORM 990, PART VI, LINE 7A | THE MEMBERS ELECT THE GOVERNING BODY. |
| FORM 990, PART VI, 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 members |
| FORM 990, PART VI, LINE 11B | THE FINANCE COMMITTEE, A SUB-COMMITTEE OF THE BOARD OF DIRECTORS OF SAINT FRANCIS HEALTH SYSTEM, INC. HAS ACCESS TO REVIEW THE PASSWORD PROTECTED FORM 990 ONLINE PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, LINE 12C | THE ORGANIZATION USES THE CONFLICT OF INTEREST, WHISTLEBLOWER AND RECORD RETENTION POLICIES OF SAINT FRANCIS HEALTH SYSTEM, INC. ON A REGULAR BASIS, OFFICIALS AND KEY EMPLOYEES DISCLOSE CONFLICTS, WHICH ARE REVIEWED AND MANAGED BY THE BOARD OF DIRECTORS. THREE DIRECTORS, ONE DIRECTOR/OFFICER AND TWO KEY EMPLOYEES REPORTED POTENTIAL CONFLICTS TO THE GOVERNING BODY THAT WERE ADDRESSED. |
| FORM 990, PART VI, LINE 15A & B | THE COMPENSATION OF OFFICIALS AND KEY EMPLOYEES IS REVIEWED AND APPROVED ON AN ANNUAL BASIS BY A COMMITTEE OF THE BOARD OF DIRECTORS WITH ASSISTANCE OF INDEPENDENT CONSULTANTS AND USE OF COMPARATIVE DATA. |
| FORM 990, PART VI, LINE 19 | THESE REQUESTS ARE DETERMINED ON A CASE-BY-CASE BASIS. 990, PART VII, SECTION A, LINE 1A The hours per week reported for officers and directors are the hours spent on the filing entity only. The remaining portion of the 40 hours per week of the officers and directors with related compensation is allocated among the entities reported on Schedule R. |
| FORM 990, PART XI, LINE 9 | WARREN CLINIC, INC., HAD NET TRANSACTIONS FROM SAINT FRANCIS HEALTH SYSTEM IN THE AMOUNT OF $34,513,112 IN FY15 DUE TO YEAR END EQUITY TRANSFERS BETWEEN ENTITIES. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Saint Francis Health System INC | ||||||||||
| 6600 S Yale Ave Ste 400 | Tulsa | OK | 741363319 | 731501972 | Health SVCS | OK | 501(C)(3) | 11B TYPE II | NA | false |
| Saint Francis Hospital INC | ||||||||||
| 6600 S Yale Ave Ste 400 | Tulsa | OK | 741363319 | 730700090 | Health SVCS | OK | 501(C)(3) | 3 | SFHS | Yes (true) |
| Saint Francis Hospital South LLC | ||||||||||
| 6600 S Yale Ave Ste 400 | Tulsa | OK | 741363319 | 010603214 | Health SVCS | OK | 501(C)(3) | 3 | SFHS | Yes (true) |
| Laureate Psychiatric Clinic & Hospital | ||||||||||
| 6600 S Yale Ave Ste 400 | Tulsa | OK | 741363319 | 731308273 | Health SVCS | OK | 501(C)(3) | 3 | SFHS | Yes (true) |
| McAlester Ambulatory Surgery Center LLC | ||||||||||
| 6600 S Yale Ave Ste 400 | Tulsa | OK | 741363319 | 731599085 | Health SVCS | OK | 501(C)(3) | 3 | WCI | false |
| the Children's HOSP Fnd at Saint Francis | ||||||||||
| 6600 S Yale Ave Ste 400 | Tulsa | OK | 741363319 | 202843418 | Health SVCS | OK | 501(C)(3) | 11A TYPE I | SFHS | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Saint Francis Payroll Services LLC | |||||||||||
| 6600 S Yale Ave Ste 400 | Tulsa | OK | 741363319 | 450470422 | Common Pay Agent | OK | SFHS | C Corp | $0 | $0 | Yes (true) |
| Xavier Insurance Company Inc | |||||||||||
| 76 St Paul st Ste 500 | Burlington | VT | 05401 | 030333599 | Insurance CO | VT | SFH | C Corp | $0 | $0 | Yes (true) |
| Saint Francis Hlth System Gen Liab Trust | |||||||||||
| PO Box 3038 | Milwaukee | WI | 532013038 | 756583874 | Self Insurance | OK | SFHS | Trust | $0 | $0 | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (true) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (20 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SAINT FRANCIS HEALTH SYSTEM INC | ||
| C | $34,533,145 | TRANSACTIONAL R |
| LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC | ||
| L | $66,427 | TRANSACTIONAL R |
| LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC | ||
| P | $1,745,238 | TRANSACTIONAL R |
| LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC | ||
| Q | $412,557 | TRANSACTIONAL R |
| LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC | ||
| S | $216,074 | TRANSACTIONAL R |
| SAINT FRANCIS HOSPITAL INC | ||
| J | $191,628 | TRANSACTIONAL R |
| SAINT FRANCIS HOSPITAL INC | ||
| K | $101,065 | TRANSACTIONAL R |
| SAINT FRANCIS HOSPITAL INC | ||
| L | $6,314,494 | TRANSACTIONAL R |
| SAINT FRANCIS HOSPITAL INC | ||
| M | $8,619,022 | TRANSACTIONAL R |
| SAINT FRANCIS HOSPITAL INC | ||
| P | $371,140,329 | TRANSACTIONAL R |
| SAINT FRANCIS HOSPITAL INC | ||
| Q | $233,143,054 | TRANSACTIONAL R |
| SAINT FRANCIS HOSPITAL INC | ||
| R | $103,906,134 | TRANSACTIONAL R |
| SAINT FRANCIS HOSPITAL INC | ||
| S | $2,910,446 | TRANSACTIONAL R |
| SAINT FRANCIS HOSPITAL SOUTH LLC | ||
| K | $574,148 | TRANSACTIONAL R |
| SAINT FRANCIS HOSPITAL SOUTH LLC | ||
| L | $245,174 | TRANSACTIONAL R |
| SAINT FRANCIS HOSPITAL SOUTH LLC | ||
| P | $3,665,523 | TRANSACTIONAL R |
| SAINT FRANCIS HOSPITAL SOUTH LLC | ||
| Q | $4,552,329 | TRANSACTIONAL R |
| MCALESTER AMBULATORY SURGERY CENTER | ||
| L | $267,840 | TRANSACTIONAL R |
| MCALESTER AMBULATORY SURGERY CENTER | ||
| Q | $370,626 | TRANSACTIONAL R |
| MCALESTER AMBULATORY SURGERY CENTER | ||
| F | $175,000 | TRANSACTIONAL R |