2022-05-16T13:32:34-05:00 2021-06-30 990 2020-07-01 731440267 Jane Phillips Nowata Hospital Inc JANE 3147338000 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 Tonya Mershon VICE PRESIDENT, TAX 2022-05-16 Tonya Mershon 999009999 2020 2022-09-23 18:48:47Z Ascension St John Nowata Michael A Moore C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 6140488 false X https://healthcare.ascension.org/locations/oklahoma/oktul/nowata-ascension-st-john-nowata X 1946 OK To improve the health and well-being of all people in the communities we serve. 9 8 0 8 0 0 220149 2264654 5434937 3875834 307 0 1147 0 5656540 6140488 10700 0 0 0 0 0 0 0 5625385 6116119 5636085 6116119 20455 24369 2122682 2975960 3983873 7277092 -1861191 -4301132 Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually-centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words. false false 4930701 3875834 Jane Phillips Nowata Hospital, Inc. is a 12-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2021, Jane Phillips Nowata Hospital, Inc. treated 157 adults and children for a total of 2,644 patient days of service. The hospital also provided services for 2,860 outpatient visits, which included 2,018 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. As part of the Ascension Catholic health ministry, the filing organization served in support of Ascension's commitment to both care for patients and communities and support caregivers and other associates through the challenges of the COVID-19 global pandemic in FY20 and FY21. 4930701 true false false true false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 11 0 true 0 false false false false false false false false false false false X 9 8 true false false false true true true true true false false false true true true true true false false false OK X SARA OBRIEN 3147338000 4600 EDMUNDSON ROAD ST LOUIS MO 631343806 MERLIN LINDSTROM CHAIR 1.0 2.0 X X 0 0 0 MICHAEL A MOORE EX-OFFICIO/PRESIDENT 0.0 50.0 X X 0 308682 31758 BRAD RECTOR DIRECTOR 1.0 1.0 X 0 0 0 DAVID KING DIRECTOR 1.0 1.0 X 0 0 0 KIM BAKER DIRECTOR 1.0 1.0 X 0 0 0 LINDEL FIELDS DIRECTOR 1.0 1.0 X 0 0 0 MARK HEADLEY DIRECTOR 1.0 1.0 X 0 0 0 SHERRY DOTY DIRECTOR 1.0 1.0 X 0 0 0 WAYNE WALTHALL DIRECTOR 1.0 1.0 X 0 0 0 MICHAEL J MCBRIDE COO/SECRETARY 0.0 50.0 X 0 649861 37439 MICHAEL MCCULLOUGH TREASURER/CFO, MINISTRY MARKET (END 11/2020) 0.0 50.0 X 0 734544 35244 REBECCA A TUCKER TREASURER/CFO, MINISTRY MARKET (START 11/2020) 0.0 50.0 X 0 50003 893 PAUL MCQUILLEN MD FORMER KEY EMPLOYEE (END 12/2017) 0.0 50.0 X 0 182575 10345 0 1925665 115679 0 true true false 0 2264654 2264654 Net Patient Service Revenue 621990 3857277 3857277 State Program Revenue 900099 10077 10077 Rental Income from Affiliates 531120 8430 8430 Interest Income from Patient Accounts 900099 50 50 0 0 0 0 3875834 0 0 0 0 0 0 0 0 0 6140488 3875834 0 0 X 851 851 24380 12314 12066 0 930 930 23247 4227 19020 899 899 60763 57803 2960 4909 3563 1346 475 475 303022 288263 14759 Wage & Benefit Allocation 3221236 3064339 156897 Purchased Services 768433 379980 388453 Management Fee to Affiliate 463805 463805 Physician Fees to Affiliate 421351 421351 821818 697487 124331 0 6116119 4930701 1185418 0 200 200 2956 401 0 0 883996 577935 0 0 0 0 0 0 65165 64854 0 0 2727789 1868827 897913 858962 0 0 0 0 94519 0 177933 1473608 2122682 2975960 227161 387133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3756712 6889959 3983873 7277092 X -1861191 -4301132 0 0 0 0 -1861191 -4301132 2122682 2975960 X 24369 -2464310 X false true X true true true X false false false false false false false false true 851 851 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. ANY OTHER LOBBYING UNDERTAKEN IN FURTHERANCE OF THE HEALTHCARE MISSION OF THE FILING ORGANIZATION THAT IS CONDUCTED BY A RELATED ORGANIZATION IS PROPERLY REPORTED ON THAT RELATED ORGANIZATION'S SCHEDULE C, PART II-B. JANE PHILLIPS NOWATA HOSPITAL, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. 170000 170000 1967374 1574505 392869 0 0 0 520813 257655 263158 69602 36667 32935 858962 Due from Affiliates 1331814 Estimated 3rd Party Payor Settlements 141794 1473608 Due to Affiliates 6211719 Estimated 3rd Party Payor Settlement 577391 Recovery Tail Liability 11109 Accrued Sales Tax Liability 11241 Other Miscellaneous Liabilities 78499 6889959 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2021. true true X true X 250 true X true true false true true 392593 0 392593 0.0642 908415 639778 268637 0.0439 0 0.0 0 0 1301008 639778 661230 0.1081 4 45 47733 0 47733 0.0078 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 4 0 18356 0 18356 0.0030 8 45 66089 0 66089 0.0108 8 45 1367097 639778 727319 0.1189 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 false 453436 0 2969504 3570492 -600988 X true true 1 1 Jane Phillips Nowata Health Center 237 South Locust Nowata OK 74084 https://healthcare.ascension.org/locations/oklahoma/oktul/nowata-ascension-st-john-nowata 2187 X X X Jane Phillips Nowata Health Center 1 false false true X X X X X X X X X 18 true true true true X https://healthcare.ascension.org/chna X true 18 true https://healthcare.ascension.org/chna false true X 250.0 400.0 X X X X true true X X X true X https://healthcare.ascension.org/Financial-Assistance X https://healthcare.ascension.org/Financial-Assistance X https://healthcare.ascension.org/Financial-Assistance X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E IN JANE PHILLIPS NOWATA HEALTH CENTER'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY WERE IDENTIFIED AND PRIORITIZED AFTER ANALYZING SECONDARY DATA AND COMMUNITY INPUT. THE FOLLOWING IS A DESCRIPTION OF THE PROCESS/METHODOLOGY USED FOR IDENTIFYING SIGNIFICANT NEEDS: DATA INCLUDED IN THIS ASSESSMENT WERE OBTAINED THROUGH MULTIPLE SOURCES AND METHODS, INCLUDING THE FOLLOWING: - COMPREHENSIVE REVIEW OF SECONDARY DATA - ONE COMMUNITY HEALTH FORUM WITH 10 COMMUNITY LEADERS AND THREE HEALTH SYSTEM LEADERS IN NOWATA COUNTY - TWENTY-TWO FOCUS GROUPS WITH 233 COMMUNITY MEMBERS (ONE FOCUS GROUP WITH 11 COMMUNITY MEMBERS IN NOWATA COUNTY) - ONLINE SURVEY OF 801 COMMUNITY MEMBERS (17 IN NOWATA COUNTY) - INPUT FROM THE PUBLIC HEALTH WORKFORCE AND LOCAL COALITIONS/PARTNERSHIPS - INPUT FROM THE HEALTH SYSTEM'S COMMUNITY BENEFIT AND ENGAGEMENT COMMITTEE A COMPREHENSIVE REVIEW OF SECONDARY DATA SOURCES SERVED AS THE FOUNDATION FOR ASSESSING THE COMMUNITY. SECONDARY DATA IS DATA THAT HAS ALREADY BEEN COLLECTED AND PUBLISHED BY ANOTHER PARTY. BOTH GOVERNMENTAL AND NON-GOVERNMENTAL AGENCIES ROUTINELY COLLECT SECONDARY DATA REFLECTIVE OF THE HEALTH STATUS OF THE POPULATION AT THE STATE AND COUNTY LEVELS THROUGH SURVEYS AND SURVEILLANCE SYSTEMS. SECONDARY DATA WAS COMPILED FROM VARIOUS SOURCES THAT ARE REPUTABLE AND RELIABLE. HEALTH INDICATORS IN THE FOLLOWING CATEGORIES WERE REVIEWED: - HEALTH OUTCOMES - SOCIAL AND ECONOMIC FACTORS THAT IMPACT HEALTH - HEALTH BEHAVIORS - ACCESS TO HEALTHCARE - DISPARITIES RECOGNIZING ITS VITAL IMPORTANCE IN UNDERSTANDING THE HEALTH NEEDS AND ASSETS OF THE COMMUNITY, JANE PHILLIPS NOWATA HEALTH CENTER CONSULTED WITH A RANGE OF PUBLIC HEALTH AND SOCIAL SERVICE PROVIDERS THAT REPRESENT THE BROAD INTERESTS OF NOWATA COUNTY. A CONCERTED EFFORT WAS MADE TO ENSURE THAT THE INDIVIDUALS AND ORGANIZATIONS REPRESENTED THE NEEDS AND PERSPECTIVES OF: 1) PUBLIC HEALTH PRACTICE AND RESEARCH; 2) INDIVIDUALS WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, OR CONSIDERED AMONG THE MINORITY POPULATIONS SERVED BY THE HOSPITAL; AND 3) THE BROADER COMMUNITY AT LARGE AND THOSE WHO REPRESENT THE BROAD INTERESTS AND NEEDS OF THE COMMUNITY SERVED. MULTIPLE METHODS WERE USED TO GATHER COMMUNITY INPUT, INCLUDING KEY STAKEHOLDER COMMUNITY FORUMS, COMMUNITY FOCUS GROUPS, AND A COMMUNITY SURVEY. THESE METHODS PROVIDED ADDITIONAL PERSPECTIVES ON HOW TO SELECT AND ADDRESS TOP HEALTH ISSUES FACING NOWATA COUNTY. THE FOLLOWING IS A DESCRIPTION OF THE PROCESS/METHODOLOGY USED FOR PRIORITIZING SIGNIFICANT NEEDS: JANE PHILLIPS NOWATA HEALTH CENTER, WITH CONTRACTED ASSISTANCE FROM THE UNIVERSITY OF OKLAHOMA ANNE AND HENRY ZARROW SCHOOL OF SOCIAL WORK, THE TULSA HEALTH DEPARTMENT, AND CONDUENT HEALTHY COMMUNITIES CORP., ANALYZED SECONDARY DATA INDICATORS AND GATHERED COMMUNITY INPUT THROUGH KEY STAKEHOLDER COMMUNITY FORUMS, COMMUNITY FOCUS GROUPS, AND A COMMUNITY SURVEY TO IDENTIFY THE NEEDS IN NOWATA COUNTY. IN COLLABORATION WITH COMMUNITY PARTNERS, JANE PHILLIPS NOWATA HEALTH CENTER USED A PHASED PRIORITIZATION APPROACH TO IDENTIFY THE NEEDS. THE FIRST STEP WAS TO DETERMINE THE BROADER SET OF IDENTIFIED NEEDS. "IDENTIFIED NEEDS" ARE DEFINED AS THE HEALTH OUTCOMES OR RELATED CONDITIONS (E.G., SOCIAL DETERMINANTS OF HEALTH) IMPACTING THE HEALTH STATUS OF NOWATA COUNTY. THE IDENTIFIED NEEDS WERE CATEGORIZED INTO GROUPS SUCH AS HEALTH BEHAVIORS, SOCIAL DETERMINANTS OF HEALTH, LENGTH OF LIFE, QUALITY OF LIFE, CLINICAL CARE, AND SYSTEMIC ISSUES IN ORDER TO BETTER DEVELOP MEASURES AND EVIDENCE-BASED INTERVENTIONS THAT RESPOND TO THE DETERMINED CONDITION. IDENTIFIED NEEDS WERE THEN NARROWED TO A SET OF SIGNIFICANT NEEDS THAT WERE DETERMINED TO BE MOST CRUCIAL FOR THE HOSPITAL AND COMMUNITY STAKEHOLDERS TO ADDRESS. "SIGNIFICANT NEEDS" ARE DEFINED AS THE IDENTIFIED NEEDS THAT HAVE BEEN DEEMED MOST SIGNFICANT TO ADDRESS BASED ON ESTABLISHED CRITERIA AND PRIORITIZATION METHODS. THIRTEEN MEMBERS OF THE HEALTH SYSTEM'S COMMUNITY BENEFIT AND ENGAGEMENT COMMITTEE (CBEC) CAME TOGETHER TO PARTICIPATE IN AN INDIVIDUAL ASSESSMENT EXERCISE AND GROUP DISCUSSION TO HELP PRIORITIZE THE MOST SIGNIFICANT COMMUNITY HEALTH NEEDS. FIRST, PARTICIPANTS REVIEWED A SIGNIFICANT NEEDS SYNTHESIS CHART. THE CHART VISUALLY DISPLAYED THE MOST SIGNIFICANT HEALTH NEEDS THAT AROSE FROM THE FINDINGS OF THE CHNA SECONDARY DATA AND COMMUNITY INPUT ANALYSIS. ALSO INCLUDED FOR CONSIDERATION WERE THE FINAL SOCIAL DETERMINANTS OF HEALTH SCORES FOR THE COUNTY, PROVIDED BY DATA CONSULTANT CONDUENT HEALTHY COMMUNITIES CORP. FROM THERE, PARTICIPANTS UTILIZED A PRIORITIZATION TOOLKIT TO EXAMINE HOW WELL EACH OF THE PRELIMINARY HEALTH NEEDS ALIGNED WITH CRITERIA SPECIFIC TO THE HEALTH SYSTEM, HOSPITAL, COMMUNITY AND LEVEL OF IMPACT. THE PARTICIPANTS SCORED EACH HEALTH NEED BASED ON FIVE CRITERIA ON A SCALE FROM 1-3, WITH 1 MEANING IT DOES NOT MEET THE CRITERION, 2 MEANING IT SOMEWHAT MEETS THE CRITERION, AND 3 MEANING IT MEETS THE CRITERION. THE CRITERIA FOR PRIORITIZATION WERE AS FOLLOWS: - ALIGNMENT WITH HOSPITAL/HEALTH SYSTEM MISSION, STRATEGIES AND PRIORITIES - ALIGNMENT WITH COMMUNITY STRATEGIES AND PRIORITIES - EXISTING PROGRAMS AND RESOURCES IN HOSPITAL AND MARKET - OPPORTUNITIES FOR COMMUNITY PARTNERSHIP - LEVEL/SIGNIFICANCE OF IMPACT COMPLETION OF THIS EXERCISE ALLOWED PARTICIPANTS TO ARRIVE AT A TOTAL SCORE FOR EACH HEALTH NEED THAT CORRELATED WITH HOW WELL IT MET THE CRITERIA FOR PRIORITIZATION. PARTICIPANTS THEN RANKED THE HEALTH NEEDS ACCORDING TO THOSE SCORES, WITH THE HIGHEST-SCORING HEALTH NEED RECEIVING THE HIGHEST RANKING. THEY WERE ENCOURAGED TO USE THEIR OWN JUDGMENT IN THE EVENT OF A TIED SCORE. AFTERWARD, PARTICIPANTS SHARED ANSWERS AND ENGAGED IN A GROUP DISCUSSION ON REASONING BEHIND SCORING AND RANKING. THIS EXERCISE WAS MODELED AFTER A SIMILAR EXERCISE PREVIOUSLY PERFORMED BY CONDUENT. THE RANKINGS WERE LATER SUBMITTED INTO AN ONLINE SURVEY PLATFORM, SURVEY MONKEY, THAT COLLATED THE RESPONSES, RESULTING IN AN AGGREGATE RANKING OF THE HEALTH NEEDS. THE TOP HEALTH NEEDS, WHICH WOULD BE CONSIDERED FOR THE HOSPITAL PRIORITIES AND SUBSEQUENT IMPLEMENTATION STRATEGY PLANNING, WERE: - BEHAVIORAL HEALTH - ACCESS TO CARE - PREVENTION / HEALTH BEHAVIORS - EXERCISE, NUTRITION AND WEIGHT - CHRONIC DISEASE (ESP. CANCER) - SUBSTANCE ABUSE TO CAPTURE MULTIPLE HIGH-RANKING HEALTH NEED CATEGORIES IN THE ANALYSIS, IT WAS DECIDED THAT SUBSTANCE ABUSE WOULD BE A COMPONENT OF THE BEHAVIORAL HEALTH CATEGORY. THE AREAS OF PREVENTION / HEALTH BEHAVIORS AND EXERCISE, NUTRITION AND WEIGHT WERE COMBINED TO BECOME HEALTHY LIFESTYLES, WITH FOOD SECURITY/ACCESS AND CHRONIC DISEASE AS COMPONENTS OF THIS CATEGORY. FOLLOWING THE COMPLETION OF THE CHNA, JANE PHILLIPS NOWATA HEALTH CENTER IN COLLABORATION WITH COMMUNITY PARTNERS SELECTED THE PRIORITIZED NEEDS OUTLINED BELOW FOR ITS MOST RECENT CHNA IMPLEMENTATION STRATEGY. "PRIORITIZED NEEDS" ARE DEFINED AS THE SIGNIFICANT NEEDS THAT HAVE BEEN PRIORITIZED BY THE HOSPITAL TO ADDRESS THROUGH THE THREE-YEAR CHNA IMPLEMENTATION STRATEGY: - ACCESS TO CARE - BEHAVIORAL HEALTH - HEALTHY LIFESTYLES - ADVERSE CHILDHOOD EXPERIENCES (ACES) SOCIAL DETERMINANTS OF HEALTH WERE DEEMED AN UNDERLYING CURRENT OF ALL PRIORITIES. IT WAS ALSO IMPORTANT THAT THE FOUR CHOSEN PRIORITIES CORRELATED STRONGLY WITH THE ST. JOHN HEALTH SYSTEM, INC. MISSION TO SERVE ALL PEOPLE, WITH SPECIAL ATTENTION TO THOSE WHO ARE MOST VULNERABLE. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Jane Phillips Nowata Health Center. IN JANE PHILLIPS NOWATA HEALTH CENTER'S MOST RECENT CHNA, COMMUNITY INPUT WAS OBTAINED THROUGH THE FOLLOWING METHODS: - A COMMUNITY SURVEY WAS CONDUCTED FROM FEB. 8 TO MARCH 11, 2019, USING A SURVEY ADMINISTERED ELECTRONICALLY TO GAIN BROAD PUBLIC INPUT FROM 801 COMMUNITY MEMBERS (17 IN NOWATA COUNTY). THE SURVEY WAS CONDUCTED IN COLLABORATION WITH THE UNIVERSITY OF OKLAHOMA (OU) ANNE AND HENRY ZARROW SCHOOL OF SOCIAL WORK AND TULSA HEALTH DEPARTMENT. SURVEY METHODOLOGY, SURVEY INSTRUMENT DESIGN, AND RESULTS ARE INCLUDED IN THE CHNA, WHICH IS AVAILABLE ON THE HOSPITAL'S WEBSITE AT HTTPS://HEALTHCARE.ASCENSION.ORG/CHNA. - TWENTY-TWO COMMUNITY FOCUS GROUPS WERE CONDUCTED FROM JAN. 5 TO MARCH 9, 2019, WITH COMMUNITY MEMBERS IN THE SERVICE AREA. THE FOCUS GROUPS WERE CONDUCTED IN COLLABORATION WITH THE OU ANNE AND HENRY ZARROW SCHOOL OF SOCIAL WORK AND TULSA HEALTH DEPARTMENT AND WERE FACILITATED BY THE OU ANNE AND HENRY ZARROW SCHOOL OF SOCIAL WORK. ONE FOCUS GROUP WITH 11 COMMUNITY MEMBERS IN NOWATA COUNTY WAS CONDUCTED FOR JANE PHILLIPS NOWATA HEALTH CENTER TO BETTER UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITY SERVED WITH SPECIAL ATTENTION TO MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE MOST VULNERABLE COMMUNITIES IDENTIFIED IN THE ASSESSMENT. EFFORTS WERE MADE TO IDENTIFY AND INVITE INDIVIDUALS TO PARTICIPATE IN FOCUS GROUPS BASED ON HOW REPRESENTATIVE THEY WERE OF THE COMMUNITY IN WHICH THEY LIVED. THE CHNA FOCUS GROUP STUDY INCORPORATED A NON-RANDOMIZED DESIGN. THE DEMOGRAPHIC VARIABLES ARE UNLIKELY TO PERFECTLY MATCH THE DEMOGRAPHIC MAKEUP OF NOWATA COUNTY. TO ACCOUNT FOR THIS GAP, RESPONDENT REQUIREMENTS INCLUDED A MIX OF GENDER, AGE, RACE/ETHNICITY, HOUSEHOLD INCOME LEVEL AND HEALTH INSURANCE STATUS. A SPECIALLY DESIGNED DATABASE WAS UTILIZED TO OBTAIN AN EVEN MIX OF RESPONDENTS TO APPROPRIATELY REPRESENT THE SERVICE AREA AS A WHOLE. A COPY OF THE FOCUS GROUP DISCUSSION GUIDE IS INCLUDED AS APPENDIX 4 OF THE CHNA, WHICH IS AVAILABLE ON THE HOSPITAL'S WEBSITE AT HTTPS://HEALTHCARE.ASCENSION.ORG/CHNA. IN ADDITION TO REGIONAL FOCUS GROUPS, TWO SPECIAL GROUPS WERE CONDUCTED WITH VULNERABLE POPULATIONS: INDIVIDUALS EXPERIENCING HOMELESSNESS AND INDIVIDUALS FROM THE LGBTQ+ COMMUNITY. COMMUNITY PARTNERS IN THOSE AREAS OF SERVICE RECRUITED INDIVIDUALS REPRESENTATIVE OF THESE POPULATIONS. -A COMMUNITY HEALTH FORUM AT JANE PHILLIPS NOWATA HEALTH CENTER TOOK PLACE ON AUGUST 2, 2018, WITH PARTICIPATION FROM 10 COMMUNITY LEADERS AND THREE HOSPITAL LEADERS. THE PURPOSE OF THIS FORUM WAS TO SOLICIT INPUT FROM VARIOUS REPRESENTATIVES FROM THE COMMUNITY ON HEALTH NEEDS OF THE COMMUNITY AND TO FOSTER A DIALOGUE ON SOCIAL DETERMINANTS AND OTHER FACTORS THAT MAY IMPACT HEALTH AND WELLNESS. THIS FORUM WERE INTENDED TO OBTAIN INPUT SPECIFIC TO THE REGION SURROUNDING ITS RESPECTIVE HOSPITAL (NOWATA COUNTY). THE COMMUNITY STAKEHOLDER CONSTITUENCY WAS DIVERSE AND INCLUDED THOSE WITH PROFESSIONAL EXPERIENCE AND/OR THE ABILITY TO REPRESENT POPULATIONS THAT ARE MEDICALLY UNDERSERVED, LOW-INCOME, AND/OR MINORITY POPULATIONS. COMMUNITY REPRESENTATIVES AND LEADERS ALSO INCLUDED THOSE WITH SPECIAL KNOWLEDGE OF AND/OR EXPERTISE IN PUBLIC HEALTH. PARTICIPANTS REPRESENTED AREAS OF HEALTHCARE, SAFETY-NET SERVICES, LAW ENFORCEMENT, EDUCATION, GOVERNMENT, ECONOMIC AND WORKFORCE DEVELOPMENT, HOUSING AND HOMELESSNESS, NONPROFIT AND OTHER GROUPS THAT WORK WITH VULNERABLE POPULATIONS. ORGANIZATIONS THAT ASSISTED IN PROVIDING INPUT INCLUDED: AMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION, CHEROKEE NATION WILL ROGERS HEALTH CENTER, DOMESTIC VIOLENCE INTERVENTION SERVICES INC., GRAND LAKE MENTAL HEALTH CENTER, GREEN COUNTRY MEDICAL INC., INCOG: AREA AGENCY ON AGING, MENTAL HEALTH ASSOCIATION OKLAHOMA, NOWATA COMMUNITY ADVANCEMENT NETWORK, NOWATA UNITED METHODIST CHURCH, OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, OKLAHOMA OFFICE OF JUVENILE AFFAIRS, OKLAHOMA PROJECT WOMAN, OKLAHOMA STATE UNIVERSITY CENTER FOR HEALTH SCIENCES, OKLAHOMANS FOR EQUALITY, SAFE-NOW AND THE WASHINGTON COUNTY HEALTH DEPARTMENT THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS REPRESENTED THROUGH THESE METHODS AND/OR ORGANIZATIONS INCLUDE: RACIAL AND ETHNIC MINORITY POPULATIONS, CHILDREN, WOMEN, OLDER ADULTS, INDIVIDUALS WHO ARE SOCIOECONOMICALLY DISADVANTAGED, UNDERINSURED OR UNINSURED POPULATIONS, THOSE WITH CERTAIN MEDICAL OR BEHAVIORAL HEALTH CONDITIONS, IMMIGRANTS AND REFUGEES, OTHER-ABLED POPULATIONS, INDIVIDUALS EXPERIENCING HOMELESSNESS OR AT RISK OF HOMELESSNESS, LGBTQ+ COMMUNITY, NATIVE AMERICAN POPULATIONS, NON-ENGLISH SPEAKERS, JUSTICE-INVOLVED INDVIDIDUALS, AND INDIVIDUALS EXPERIENCING DOMESTIC VIOLENCE, ABUSE AND/OR NEGLECT, OR HUMAN TRAFFICKING. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Jane Phillips Nowata Health Center. The other hospital facilities, with which the reporting hospital facility conducted its CHNA, include: - St. John Medical Center, Inc. - St. John Broken Arrow, Inc. - Owasso Medical Facility, Inc. - St. John Sapulpa, Inc. - Jane Phillips Memorial Medical Center, Inc. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Jane Phillips Nowata Health Center. The other organizations, with which the reporting hospital facility conducted its CHNA, include: - THE UNIVERSITY OF OKLAHOMA ANNE AND HENRY ZARROW SCHOOL OF SOCIAL WORK Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Jane Phillips Nowata Health Center - 1. JANE PHILLIPS NOWATA HEALTH CENTER'S TAX YEAR 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FINDINGS WERE DRAWN FROM A COMPREHENSIVE REVIEW AND ANALYSIS OF SECONDARY DATA AND PRIMARY DATA, OTHERWISE KNOWN AS COMMUNITY INPUT. THROUGH THE ANALYSIS OF SIGNIFICANT HEALTH NEEDS, THE HOSPITAL DETERMINED IT WOULD FOCUS ON THE FOLLOWING MOST PRESSING, OR PRIORITY, HEALTH NEEDS: - ACCESS TO CARE - BEHAVIORAL HEALTH - HEALTHY LIFESTYLES - ADVERSE CHILDHOOD EXPERIENCES (ACES) THE SUMMARIZED ACTION PLANS AND PROGRESS BELOW REFLECT HOW JANE PHILLIPS NOWATA HEALTH CENTER WORKED TO ADDRESS THE PRIORITY HEALTH NEEDS IN TAX YEAR 2020 AS IDENTIFIED BY THE TAX YEAR 2018 CHNA. THE FULL VERSION OF THE FISCAL YEAR 2020-2022 IMPLEMENTATION STRATEGY IS AVAILABLE ON THE HOSPITAL'S WEBSITE AT HTTPS://HEALTHCARE.ASCENSION.ORG/CHNA. PRIORITIZED NEED 1: ACCESS TO CARE GOAL 1: REMOVE BARRIERS OF ACCESS TO HEALTHCARE FOR THOSE LIVING IN POVERTY AND/OR OTHERWISE DEEMED VULNERABLE WITHIN OUR SERVICE AREA. STRATEGY 1: WORK TO EXPAND MEDICAID TO THE POINT THAT IT INCREASES COVERAGE FOR THOSE MOST VULNERABLE IN OKLAHOMA (MEDICAID EXPANSION). ANTICIPATED IMPACT: - PARTICIPATE AS A COLLABORATING PARTNER WITH THE YES ON 802 CAMPAIGN TO HELP ATTAIN 178,000 SIGNATURES TO PUT A QUESTION ON THE 2020 BALLOT TO EXPAND MEDICAID COVERAGE TO ELIGIBLE RESIDENTS WITH AN INCOME OF UP TO 133 PERCENT OF THE FEDERAL POVERTY LIMIT (FPL). - ADVOCATE FOR VOTERS IN THE STATE OF OKLAHOMA TO ADOPT A BALLOT INITIATIVE TO EXPAND MEDICAID COVERAGE TO ELIGIBLE RESIDENTS WITH AN INCOME OF UP TO 133 PERCENT OF THE FPL. - IF INITIATIVE IS ADOPTED, HELP HEALTHCARE COMMUNITY PREPARE FOR MEDICAID EXPANSION. BY JULY 2021, SOONERCARE WOULD BEGIN OFFERING COVERAGE SERVICES TO NEW RECIPIENTS DUE TO EXPANSION OF MEDICAID COVERAGE WITH AS LIMITED RESTRICTIONS TO ELIGIBILITY AS POSSIBLE. PROGRESS: - REVIEW BY ST. JOHN HEALTH SYSTEM, INC.'S STATE ADVOCACY OFFICER AND FOUNDATION PRESIDENT, OF STATE QUESTION 802 IN TULSA HOSPITAL COUNCIL MEETING ON 08/07/20. - ST. JOHN HEALTH SYSTEM, INC. CEO'S PARTICIPATION IN MEDICAID EXPANSION DISCUSSION AT OKLAHOMA HOSPITAL ASSOCIATION (OHA) BOARD RETREAT ON 09/24/20. - CONTINUATION OF WORK BY STATE ADVOCACY OFFICER AND FOUNDATION PRESIDENT, HEALTH SYSTEM CEO, AND OTHER ADMINISTRATORS THROUGH TAX YEAR 2020 WITH OHA AND OTHER PARTNERSHIPS TO ENSURE NO OTHER LEGISLATION INTRODUCED TO CONTRADICT ORIGINAL LEGISLATION. - HOSPITAL AND CLINICS INCREASED PHYSICIAN COVERAGE TO PREPARE FOR MEDICAID EXPANSION IN CONCERTED EFFORT TO ASSIST PATIENTS WITH ENROLLMENT. - OBJECTIVE TO "HELP HEALTHCARE COMMUNITY PREPARE FOR MEDICAID EXPANSION" COMPLETED. STRATEGY 2: CREATE A WELCOMING ENVIRONMENT BY DEVELOPING AND IMPLEMENTING A PLAN TO ASSIST THOSE LIVING IN POVERTY AND/OR POPULATIONS OTHERWISE DEEMED VULNERABLE AS WELL AS THEIR CAREGIVERS WITH NAVIGATING OUR HEALTHCARE FACILITIES. ANTICIPATED IMPACT: - BY THE END OF EACH FISCAL YEAR (2020-2022), ASSESS IMPROVED TRENDS IN RELATED PATIENT EXPERIENCE MEASURE OUTCOMES FOR FISCAL YEARS 2020-2022, USING TAX YEAR 2018 AS BASELINE. PROGRESS: - ASSESSMENT OF IMPROVED TRENDS IN PATIENT EXPERIENCE MEASURE OUTCOMES COMPLETED FOR TAX YEAR 2019. - DIRECTOR OF PATIENT EXPERIENCE WORKED WITH HOSPITAL TO IMPLEMENT SPECIFIC PLANS TO IMPROVE TRENDS. - OBJECTIVE TO "ASSESS RESULTS OF INTERNAL TRAININGS ON SEXUAL ORIENTATION AND GENDER IDENTITY (SOGI), INCLUDING NUMBER OF PARTICIPANTS AND THEIR SCORES, TO ENSURE THE MINISTRY CONTINUES TO ADDRESS DISENFRANCHISEMENT AMONG THE LGBTQ+ COMMUNITY AND INCREASE CULTURAL AWARENESS AMONG ASSOCIATES" EXCUSED DUE TO SOGI TRAINING NOT OCCURRING IN TAX YEAR 2020 DUE TO COVID-19; INFORMATION ON TAX YEAR 2019 TRAININGS WAS UNABLE TO BE LOCATED. - OBJECTIVE TO "ASSESS APPLICABLE BIAS REPORTING SUBMITTED THROUGH VARIANCE PROCESS TO QUALITY/RISK MANAGEMENT WITH TAX YEAR 2018 AS BASELINE" EXCUSED DUE TO COVID-19 AND THE ACKNOWLEDGEMENT OF ALTERNATIVE, MORE COMMUNITY-ORIENTED OBJECTIVES TO BE CONSIDERED. - THE COMMUNITY BENEFIT TEAM AND LOCAL ABIDE COMMITTEE WORKED WITH THE 1921 TULSA RACE MASSACRE CENTENNIAL COMMISSION ON VARIOUS PARTNERSHIP OPPORTUNITIES. THE ORGANIZATION APPLIED FOR GRANT FUNDING THROUGH THE COMMUNITY BENEFIT & ENGAGEMENT COMMITTEE AND WERE APPROVED FOR $20,000 TO SUPPORT THE EDUCATOR INSTITUTE. SENIOR LEADERSHIP TEAM READ HANNIBAL B. JOHNSON'S BOOK "BLACK WALL STREET 100." - OBJECTIVES RELATED TO THE DEVELOPMENT OF TELEMEDICINE SERVICES FOR COMMUNITIES IDENTIFIED AS EXPERIENCING HEALTH DISPARITIES AND POOR HEALTH OUTCOMES WERE DELAYED DUE TO COVID-19. AS A RESULT OF SOCIAL NEEDS EXACERBATED BY COVID-19, ALTERNATIVE PLANS GEARED TOWARD IN-PATIENT AND TELEMEDICINE VISITS FOR INDIVIDUALS WHO ARE HOMELESS/UNSHELTERED WERE INVESTIGATED. (CONTINUED) Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Jane Phillips Nowata Health Center - 2. - FROM AHC PROGRAM LAUNCH IN AUGUST 2019 THROUGH THE END OF TAX YEAR 2020, 507,301 TEXTS WERE SENT WITH A DELIVERY RATE OF 86% (436,348 TEXTS). THERE HAVE BEEN MORE THAN 106,000 RESPONSES IDENTIFYING 20,899 SOCIAL NEEDS. THE ST. JOHN HEALTH SYSTEM, INC. RESPONSE RATE IS 24.4% COMPARED WITH A STATE AVERAGE OF 18.9%, AND THE NEED RATE IS 19.6%, WHICH IS ALMOST IN LINE WITH THE 20.6% FOR THE STATE. FACILITIES AND PROVIDERS HAVE HAD STAGGERED IMPLEMENTATION DATES, BUT ALL EDS NOW PARTICIPATING IN ADDITION TO MOST PRIMARY CARE AND URGENT CARE CLINICS. FOOD INSECURITY HAS BEEN IDENTIFIED AS THE GREATEST NEED. HOUSING IS A GROWING NEED WITH A SIGNIFICANT INCREASE IN RECENT MONTHS. ONE AREA OF GREATEST NEED IS NOWATA COUNTY WHERE A CRITICAL ACCESS HOSPITAL IS LOCATED. GOAL 2: REDUCE REGIONAL INEQUITY IN ACCESSING HEALTHCARE PROVIDERS, SERVICES AND RESOURCES. STRATEGY 1: TARGET SPECIFIC ZIP CODES IN THE COMMUNITIES WE SERVE IDENTIFIED AS EXPERIENCING HEALTH DISPARITIES AND POOR HEALTH OUTCOMES FOR POSSIBLE DEVELOPMENT OF TELEMEDICINE SERVICES. ANTICIPATED IMPACT: - COMPLETE RESEARCH ON OTHER TELEMEDICINE PROGRAMS BY THE END OF TAX YEAR 2019. - DEVELOP A PLAN FOR REACHING PATIENTS, THE SERVICES TO BE DELIVERED, AND THE PROVIDERS OF THE SERVICES BY THE END OF TAX YEAR 2019. - MAKE THE GO / NO GO DECISION BY THE END OF THE FIRST QUARTER OF TAX YEAR 2020 (09/30/21). - DEVELOP THE PILOT IMPLEMENTATION PLAN OR THE ALTERNATIVE PLAN BY THE END OF TAX YEAR 2021. PROGRESS: - MEETING ON 09/03/20 BETWEEN PHYSICIAN RELATIONS, HOSPITAL ADMINISTRATION AND COMMUNITY BENEFIT WITH NORMAN REGIONAL HEALTH SYSTEM TO LEARN ABOUT SCHOOL-BASED TELEHEALTH PROGRAM TO POTENTIALLY MIRROR IN COMMUNITIES SERVED BY THE HEALTH SYSTEM. - MEETING ON 09/28/20 WITH DIRECTOR OF COMMUNITY HEALTH AT SOUTHEAST MI COMMUNITY HEALTH FOR INSIGHT AND SHARED RESOURCES FROM DEVELOPED SCHOOL-BASED TELEHEALTH PROGRAM IN ASCENSION MICHIGAN MARKET. - NOTE: PLAN DEVELOPMENT DELAYED DUE TO SUMMER 2021 SURGE IN COVID-19 - THE BEHAVIORAL ASSESSMENT TEAM (BAT) PLANS TO EVENTUALLY EXPAND THE TELE-BEHAVIORAL HEALTH PROGRAM TO THE REST OF THE COMMUNITY HOSPITALS. - ADDITIONAL RELATED ACTIVITY: - MTG W/ SENDARIDE ON 10/14/20 TO DISCUSS OPPORTUNITY TO UTILIZE SERVICE FOR ADD'L PATIENT TRANSPORTATION NEEDS. STRATEGY 2: PROMOTE AWARENESS OF, AND ACCESS TO, HEALTHCARE FOR UNDERSERVED POPULATIONS WITHIN COMMUNITIES WE SERVE THROUGH MEDICAL MISSION AT HOME (MM@H) EVENTS AND OTHER OPPORTUNITIES TO REACH THOSE IN NEED. ANTICIPATED IMPACT: - PLAN AND HOST AT LEAST THREE MEDICAL MISSION AT HOME (MM@H) EVENT TO ADDRESS HEALTHCARE NEEDS OF VULNERABLE COMMUNITIES, AS IDENTIFIED IN THE CHNAS, BY THE END OF TAX YEAR 2019. - OBTAIN SURVEY FEEDBACK FROM AT LEAST 25 PERCENT OF PATIENTS AND VOLUNTEERS TO DETERMINE EFFECTIVENESS OF SERVICES OFFERED BY END OF TAX YEAR 2019. - SUBMIT A LIST OF ACTIVITIES PERFORMED WITHIN THE HEALTH SYSTEM TO PROMOTE ACCESS TO CARE TO THE ASCENSION VP OF MISSION INTEGRATION AND CBISA TASK FORCE BY THE END OF EACH FISCAL YEAR. - ENTER TAX YEAR 2019 MM@H SURVEY DATA INTO SPREADSHEET FOR EVALUATION BY MM@H STEERING COMMITTEE; PLAN AND IMPLEMENT MM@H BY END OF TAX YEAR 2020. - ENTER TAX YEAR 2020 MM@H SURVEY DATA INTO SPREADSHEET FOR EVALUATION BY MM@H STEERING COMMITTEE; PLAN AND IMPLEMENT MM@H BY END OF TAX YEAR 2021. PROGRESS: - GOAL AND OBJECTIVES COMPLETED IN TAX YEAR 2019. BARTLESVILLE MM@H HELD 11/09/19 AND SERVED WASHINGTON AND NOWATA COUNTIES. -IN LIEU OF CANCELED MEDICAL MISSION AT HOME EVENTS DUE TO THE COVID-19 PANDEMIC, FOOD DISTRIBUTIONS ON HOSPITAL CAMPUS IN PARTNERSHIP WITH 180 DISASTER RELIEF AS PART OF THE CORONAVIRUS FOOD ASSISTANCE PROGRAM UNDER THE U.S. DEPARTMENT OF AGRICULTURE PRIORITIZED NEED 2: BEHAVIORAL HEALTH AS THE PANDEMIC WEARS ON, IT IS LIKELY THE MENTAL HEALTH BURDEN WILL INCREASE AS MEASURES TAKEN TO SLOW THE SPREAD OF THE VIRUS, SUCH AS SOCIAL DISTANCING, BUSINESS AND SCHOOL CLOSURES, AND SHELTER-IN-PLACE ORDERS, LEAD TO GREATER ISOLATION AND POTENTIAL FINANCIAL DISTRESS. AND, EXPERIENCING OR WITNESSING A SEVERE OR FATAL CASE OF COVID-19 IMPACTS EVERYONE DIFFERENTLY. IN SOME CASES, IT MAY LEAD TO CLINICALLY SIGNIFICANT DISTRESS OR IMPAIRMENT. DURING THIS ACUTE COMMUNITY CONCERN, IT IS CRITICAL THAT WE RECOGNIZE WHAT MENTAL HEALTH ISSUES LOOK LIKE AND TAKE STEPS TO COPE AND BUILD RESILIENCE. COMMUNITY-BASED ORGANIZATIONS ARE REPORTING AN INCREASED DEMAND FOR TREATMENT SERVICES, WHILE FUNDING AND OTHER RESOURCES TO MEET THE NEED CONTINUE TO DWINDLE. GOAL 1: ASSESS THE OPPORTUNITY FOR AND/OR IMPLEMENT INTENSIVE OUTPATIENT GERIATRIC PSYCHIATRIC PROGRAMS, IF VIABLE, FOR SENIORS 65+ WITH BEHAVIORAL HEALTH ISSUES IN AREAS OF NEED IN NORTHEASTERN OKLAHOMA. STRATEGY 1: ASSESS OPPORTUNITY FOR AND IF VIABLE, IMPLEMENT INTENSIVE OUTPATIENT GERIATRIC PSYCHIATRIC PROGRAM IN NOWATA COUNTY. ANTICIPATED IMPACT: - COMPLETE VIABILITY ASSESSMENT FOR INTENSIVE OUTPATIENT GERIATRIC PSYCHIATRIC PROGRAM AT JANE PHILLIPS NOWATA HEALTH CENTER - MAKE A GO / NO GO DECISION. IF GO, SUBMIT CAPITAL REQUEST INTENSIVE OUTPATIENT GERIATRIC PSYCHIATRIC PROGRAM AT JANE PHILLIPS NOWATA HEALTH CENTER - IF VIABLE, BUILD A PILOT PROGRAM AT JANE PHILLIPS NOWATA HEALTH CENTER TO TEST THE CONCEPT AND POTENTIALLY EXPAND IN FUTURE YEARS. IF NO GO, DRAFT AN ALTERNATE WAY TO PROVIDE SERVICE TO THE TARGET POPULATION. PROGRESS: - VIABILITY ASSESSMENT COMPLETED, WITH SITE VISIT AND STUDY READY FOR REVIEW BY THE ADMINISTRATIVE TEAM. -REMAINING OBJECTIVES DELAYED DUE TO COVID-19 PANDEMIC; A THOROUGH REVIEW AND COST ESTIMATE OF WHAT RENOVATIONS MIGHT BE NEEDED TO RENOVATE A SPACE IS BEING PROPOSED AS THE LOCATION FOR PROGRAM. THE HOSPITAL ADMINISTRATION HAS ALSO HAD CONTINUING CONVERSATIONS WITH LOCAL PHYSICIANS AS TO THE POTENTIAL BENEFITS OF THE PROGRAM AND HOW IT WOULD MEET EXISTING NEEDS IN THE AREA. - WORK WILL BE ONGOING FOR REMAINING OBJECTIVES FOR TAX YEAR 2021 AND/OR NEXT CHNA CYCLE IF BEHAVIORAL HEALTH CONTINUES TO BE A PRIORITY NEED. GOAL 2: ADVANCE ST. JOHN HEALTH SYSTEM, INC. AND HOSPITAL ENGAGEMENT IN COMMUNITY COALITIONS AND COLLABORATIVES TO PROMOTE BEHAVIORAL HEALTH WELLNESS IN THE COMMUNITIES WE SERVE. STRATEGY 1: IDENTIFY COMMUNITY COALITIONS AND OTHER COLLABORATIVES WITH PARTNERSHIP OPPORTUNITIES TO PROMOTE BEHAVIORAL HEALTH WELLNESS; ENCOURAGE HEALTH SYSTEM AND HOSPITAL REPRESENTATION/INVOLVEMENT BY ASSOCIATES AS DEEMED APPROPRIATE. ANTICIPATED IMPACT: - BY END OF TAX YEAR 2019 ENSURE ONE ASSOCIATE PER CHNA-DEFINED COUNTY IS ENGAGED WITH A COMMUNITY COALITION OR COLLABORATIVE. - INCREASE OVERALL ST. JOHN HEALTH SYSTEM, INC. AND HOSPITAL ASSOCIATE PARTICIPATION BY 5% WITH BEHAVIORAL HEALTH COALITIONS AND COLLABORATIVES IN THE COMMUNITIES WE SERVE, AND WHICH ST. JOHN HEALTH SYSTEM, INC. AND THE HOSPITAL ARE NOT CURRENTLY IN PARTNERSHIP BY THE END OF TAX YEAR 2021. PROGRESS: - MEETING WITH PARKSIDE ON 11/17/20 TO DISCUSS PARTNERSHIP OPPORTUNITIES (INCLUDING NEXT CYCLE OF CHNAS). - HUMAN TRAFFICKING PROGRAM ESTABLISHED NEW PARTNERSHIP W/ DAYSPRING COMMUNITY SERVICES TO REFER SUSPECTED HT VICTIMS FOR BEHAVIORAL HEALTH SERVICES. PRIORITIZED NEED 3: HEALTHY LIFESTYLES A MAJOR COMPONENT OF HEALTHY LIFESTYLES IS FOOD SECURITY, WHICH IS NOT JUST A HEALTH ISSUE; IT'S A MATTER OF SOCIAL JUSTICE. THE COVID-19 PANDEMIC HAS INEVITABLY INCREASED THE NUMBER OF PEOPLE EXPERIENCING FOOD INSECURITY AND DEEPENED THE CRISIS FOR THOSE WHO WERE ALREADY FOOD INSECURE. COMMUNITY RESOURCES, INCLUDING FOOD BANKS, ARE RESPONDING TO THE CRISIS AS IT UNFOLDS AND ARE REPORTING INCREASED DEMAND FOR ASSISTANCE, WHILE FUNDING AND OTHER RESOURCES TO MEET THE NEED CONTINUE TO DWINDLE. OLDER ADULTS AND THOSE WITH CHRONIC CONDITIONS, SUCH AS DIABETES, HEART DISEASE AND HYPERTENSION, WHO RELY ON DIET FOR PREVENTION AND MANAGEMENT, ARE DISPROPORTIONATELY REPRESENTED AMONG THOSE WHO ARE FOOD INSECURE AND MORE LIKELY TO SUFFER POOR OUTCOMES FOLLOWING A COVID-19 DIAGNOSIS. GOAL 1: ADDRESS FOOD INSECURITY THROUGH COMMUNITY COLLABORATION AND STRENGTHENING OF COMMUNITY RESOURCES. STRATEGY 1: EXPLORE COLLABORATIVE OPPORTUNITIES TO DEVELOP AN INITIATIVE(S) TO ADDRESS FOOD INSECURITY IN COMMUNITIES WE SERVE IN NORTHEASTERN OKLAHOMA. IF VIABLE, DEVELOP AND IMPLEMENT INITIATIVE(S). ANTICIPATED IMPACT: - MEET WITH 5-10 POTENTIAL COMMUNITY PARTNERS (ENCOMPASSES COMMUNITIES SURROUNDING ALL SIX ST. JOHN HEALTH SYSTEM, INC. HOSPITALS) BY 12/31/19. - DEVELOP ASSESSMENT PLAN TO OUTLINE RESEARCH ON EVIDENCE-BASED PROGRAMS AND TRACK PARTNERSHIP OPPORTUNITIES BY THE END OF TAX YEAR 2019. - IF DEEMED VIABLE, DEVELOP AND IMPLEMENT INITIATIVE(S) FOR IDENTIFIED OPPORTUNITIES ON A PILOT BASIS DURING TAX YEAR 2020. (CONTINUED) Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - Jane Phillips Nowata Health Center - 3. - DURING TAX YEAR 2021, PERFORM ASSESSMENT OF PILOT AND DEVELOP PLAN TO EXPAND THROUGHOUT THE ST. JOHN HEALTH SYSTEM, INC. IF VIABLE. PROGRESS: - BEGINNING AUGUST 2020, ST. JOHN HEALTH SYSTEM, INC. LAUNCHED AN ASSOCIATE FOOD VOUCHER PROGRAM AS AN INTERNAL PILOT INITIATIVE TO HELP ADDRESS FOOD INSECURITY DURING THE PANDEMIC. PARTNERING W/ COMMUNITY FOOD BANK OF EASTERN OKLAHOMA TO PROVIDE BOXES OF FRESH FOOD BASED ON HOUSEHOLD SIZE. A COMMUNITY FOOD RESOURCES DOCUMENT WAS ALSO DEVELOPED TO DISTRIBUTE TO ALL PROGRAM APPLICANTS. - FOOD DISTRIBUTIONS ON HOSPITAL CAMPUS IN PARTNERSHIP WITH 180 DISASTER RELIEF AS PART OF THE CORONAVIRUS FOOD ASSISTANCE PROGRAM UNDER THE U.S. DEPARTMENT OF AGRICULTURE. GOAL 2: REDUCE THE HEALTH IMPACT OF TOBACCO USE IN COMMUNITIES WE SERVE. (ST. JOHN HEALTH SYSTEM, INC. AND HOSPITAL ACKNOWLEDGE THE TRADITIONAL AND SACRED USE OF TOBACCO AMONG AMERICAN INDIAN PEOPLE LIVING IN OKLAHOMA). STRATEGY 1: ASSESS OPPORTUNITIES FOR SYSTEMATIC SCREENING AND INTERVENTION FOR PATIENTS IDENTIFIED AS TOBACCO USERS IN AMBULATORY AND INPATIENT SETTINGS IN COMMUNITIES WE SERVE. ANTICIPATED IMPACT: - BY END OF TAX YEAR 2019: DEVELOP ASSESSMENT PLAN TO OUTLINE RESEARCH ON EVIDENCE-BASED TOBACCO SCREENING AND INTERVENTION PROGRAMS. - BY END OF TAX YEAR 2020: ASSESS AND COMPLETE INFORMATICS NEEDED FOR SCREENING AND INTERVENTION SERVICES, IF VIABLE, TO ENABLE SYSTEMATIC SCREENING AND INTERVENTION FOR TOBACCO USERS IN FACILITIES. - BY END OF TAX YEAR 2021: IMPLEMENT AND/OR ADVANCE SYSTEMATIC SCREENING AND INTERVENTION IN INPATIENT AND AMBULATORY SETTINGS BASED ON YEAR 1 FINDINGS. PROGRESS: - FOLLOWED UP ON TOBACCO SETTLEMENT ENDOWMENT TRUST (TSET) FUNDING OPPORTUNITIES IN NOWATA COUNTY. - CONNECTED W/ NOWATA COMMUNITY ADVANCEMENT NETWORK IN OCTOBER 2020 TO LEARN ABOUT USAGE OF TSET FUNDS IN THE COMMUNITY. - 12-MINUTE TOBACCO CESSATION EDUCATION/TRAINING VIDEO PROVIDED BY HOSPITALS HELPING PATIENTS QUIT (HHPQ) WAS REVIEWED IN JULY 2020, WITH PLANS TO UPLOAD INTO THE ONLINE TRAINING/EDUCATION PLATFORM FOR ASSOCIATES. - WORKED ON ADDING HOSPITAL'S SPECIFIC WORKFLOW TO THE HHPQ-PROVIDED PRESENTATION BEFORE SUBMITTING TO CPD FOR UPLOAD INTO ONLINE TRAINING/EDUCATION PLATFORM FOR ASSOCIATES, AS WELL AS IF/HOW THE EDUCATION WILL BE ASSIGNED. - APPROVED TOBACCO CESSATION MODULE IN TAX YEAR 2020 Q1 WITH TWO PARTS, ABOUT 60 MINUTES EACH, AVAILABLE IN MYLEARNING; STARTED PLANS FOR DETERMINING AUDIENCE, ASSIGNING MODULES TO ASSOCIATES AND GETTING APPROVAL FROM EDUCATIONAL OPERATIONS TEAM. - IN ASSESSMENT, NURSING DOCUMENTATION TRANSFORMATION PROJECT DID NOT IMPACT SOCIAL HISTORY OR TOBACCO HISTORY IN THE NURSING ASSESSMENT. STARTED TICKET IN MARCH TO SEE HOW WE CAN CAPTURE ON OTHER POWER PLANS. - TICKET STARTED IN TAX YEAR 2020 Q4 FOR REQUESTING A RULE TO FIRE FROM THE TOBACCO CESSATION DOCUMENTATION IN NURSING ASSESSMENT TO TOBACCO CESSATION INSTRUCTION TASK. - ASCENSION TECHNOLOGIES MOVED INSTALLATION OF THE EON SOFTWARE PREVIOUSLY PURCHASED BY ST. JOHN HEALTH SYSTEM, INC. UP TO AN URGENT PRIORITY. ONCE SOFTWARE IS INSTALLED, RADIOLOGY CAN EFFICIENTLY TRACK LUNG NODULE FINDINGS AND A LUNG CANCER SCREENING PROGRAM CAN QUICKLY EXPAND. STRATEGY 2: EXPLORE OPPORTUNITIES TO HELP IDENTIFY AND WORK WITH OUR ASSOCIATES REQUESTING ASSISTANCE WITH TOBACCO CESSATION. ANTICIPATED IMPACT: - BY END OF TAX YEAR 2019: DEVELOP ASSESSMENT PLAN TO OUTLINE RESEARCH ON EVIDENCE-BASED PROGRAMS. - BY END OF TAX YEAR 2020: IF OPPORTUNITIES AVAILABLE, PRESENT FINDINGS TO HEALTH SYSTEM AND HOSPITAL LEADERSHIP TO ADVOCATE FOR PROGRAM IMPLEMENTATION. - IF VIABLE, IMPLEMENT PROGRAM IN TAX YEAR 2021. PROGRESS: - OBJECTIVES DELAYED DUE TO COVID-19 PANDEMIC. - TASK FORCE LOOKED INTO COMMUNITYCARE SURVEY RESULTS TO GLEAN INITIAL INFORMATION AND FOUND THAT ONLY 10 ASSOCIATES OR FAMILY MEMBERS COMPLETED THE SMOKING CESSATION PROGRAM OUT OF ABOUT 4,000 PLAN MEMBERS. IT WAS ALSO FOUND THAT ALL ASSOCIATES HAVE ACCESS TO THE PLAN EVEN IF THEY ARE NOT BENEFIT ELIGIBLE. - TASK FORCE EXPLORED SMARTHEALTH QUESTIONNAIRE TO SEE WHETHER SMOKING HABIT MEASURES WERE INCLUDED (FOUND TO ASK TWO QUESTIONS: 1. HAVE YOU EVER REGULARLY SMOKED OR USED TOBACCO? 2. HOW OFTEN ARE YOU EXPOSED TO OTHER PEOPLE'S SMOKE? INTERVENTION RESOURCES ARE OFFERED THROUGH THE ASCENSION BRIGHTON CENTER FOR RECOVERY). GOAL 3: ADVANCE HOSPITAL ENGAGEMENT IN COMMUNITY COALITIONS AND COLLABORATIVES TO PROMOTE HEALTHY LIFESTYLES AND CHRONIC DISEASE PREVENTION IN THE COMMUNITIES WE SERVE. STRATEGY 1: IDENTIFY COMMUNITY COALITIONS AND COLLABORATIVES WITH PARTNERSHIP OPPORTUNITIES TO PROMOTE HEALTHY LIFESTYLES AND CHRONIC DISEASE PREVENTION. ENCOURAGE ST. JOHN HEALTH SYSTEM, INC. AND HOSPITAL REPRESENTATION/INVOLVEMENT BY ASSOCIATES AS DEEMED APPROPRIATE. ANTICIPATED IMPACT: - ENSURE AT LEAST ONE ASSOCIATE PER HOSPITAL FACILITY (ENCOMPASSES ALL SIX ST. JOHN HEALTH SYSTEM, INC. HOSPITALS) IS INVOLVED WITH A COMMUNITY COALITION OR SIMILAR ORGANIZATION IN THE RESPECTIVE COMMUNITY SERVED BY THE END OF TAX YEAR 2019. - INCREASE OVERALL TRACKED PARTICIPATION BY ASSOCIATES WITH COMMUNITY ORGANIZATIONS AND EVENTS BY 5% FROM TAX YEAR 2018 TO TAX YEAR 2019 (ENCOMPASSES ALL SIX ST. JOHN HEALTH SYSTEM, INC. HOSPITALS). - INCREASE OVERALL TRACKED PARTICIPATION BY ASSOCIATES WITH COMMUNITY ORGANIZATIONS AND EVENTS BY ANOTHER 5% FROM TAX YEAR 2019 TO TAX YEAR 2020 (ENCOMPASSES ALL SIX ST. JOHN HEALTH SYSTEM, INC. HOSPITALS). PROGRESS: - ALL OBJECTIVES COMPLETED; SEE TAX YEAR 2019 FOR DETAILS. - CONTINUED TO RELAY TO COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) REPORTERS AND SENIOR LEADERSHIP THAT PARTICIPATION OF ASSOCIATES WITH COMMUNITY ORGANIZATIONS, IF ON WORK TIME AND MEETING COMMUNITY BENEFIT GUIDELINES, SHOULD BE REPORTED. - NOTE: REPORTS FOR CBISA PROGRAM CATEGORY "E3: DONATIONS: IN-KIND: BOARDS/COMMITTEES" SHOWED 281.7 SUCH HOURS ($17,436 IN COMMUNITY BENEFIT) REPORTED FOR TAX YEAR 2019 AND 437.8 SUCH HOURS ($35,081 IN COMMUNITY BENEFIT) REPORTED FOR TAX YEAR 2020, A 55.41% INCREASE IN HOURS. WHILE YEAR-TO-YEAR ADJUSTMENTS IN CBISA WAGE RATES WERE NOT TAKEN INTO ACCOUNT, THE RESULTS WOULD STILL BE SIGNIFICANT EVEN IF THOSE FACTORS WERE TO MAGNIFY THE INCREASE. PRIORITIZED NEED 4: ADVERSE CHILDHOOD EXPERIENCES (ACES) THE COVID-19 PANDEMIC HAS EXACERBATED INSTANCES OF INTERPERSONAL VIOLENCE, HUMAN TRAFFICKING, AND CHILD ABUSE AND NEGLECT. FURTHERMORE, JOB LOSS AND INSTANCES OF HOMELESSNESS INCREASING DUE TO COVID-19 PLACES INDIVIDUALS IN FURTHER RISK OF EXPERIENCING VIOLENCE. UNFORTUNATELY, NOT EVERYONE IS FINDING SAFETY IN THE RESULTING SECLUSION OF THE COVID-19 PANDEMIC. ABUSERS OFTEN ISOLATE THEIR VICTIMS AS AN ACT OF CONTROL OR TO REDUCE OPPORTUNITY FOR DISCLOSURE OF ABUSE, AND THE CURRENT SOCIETAL CONDITIONS ARE LIKELY FURTHERING THE IMPACT OF THESE ACTIONS. PERPETRATOR-IMPOSED RESTRICTIONS AND CONTINUED SURVEILLANCE OF SOCIAL MEDIA AND CELL PHONES MAY ALSO LIMIT THE ABILITY OF VICTIMS TO REACH OUT FOR HELP ELECTRONICALLY. FAMILIES WHO ARE VICTIMIZED BY VIOLENCE OR ABUSE IN THE HOME INDICATE INSTITUTIONS LIKE SCHOOLS, CHURCHES, LIBRARIES AND EMERGENCY SHELTERS OFTEN OFFER CRITICAL EMOTIONAL SUPPORT AND PROVIDE OPPORTUNITY FOR A "REPRIEVE" FROM THEIR ABUSIVE HOME ENVIRONMENT - A REPRIEVE THEY ARE NO LONGER GETTING AT THIS TIME. GOAL 1: COMBAT HUMAN TRAFFICKING IN THE COMMUNITIES WE SERVE THROUGH EFFORTS TO SUPPORT THE NEEDS OF HUMAN TRAFFICKING VICTIMS OR THOSE AT RISK OF BEING TRAFFICKED IN A TRAUMA-INFORMED MANNER, TAKING INTO CONSIDERATION THE CORRELATION BETWEEN ACES AND HUMAN TRAFFICKING. STRATEGY 1: INCREASE COMMUNITY AWARENESS ON THE CORRELATION BETWEEN HIGH ACE SCORES AND HUMAN TRAFFICKING AS WELL AS THE IMPACT OF ACES ON HEALTH OUTCOMES. ANTICIPATED IMPACT: - BY THE END OF THE SECOND QUARTER OF TAX YEAR 2019, MEET WITH THE OKLAHOMA COALITION AGAINST HUMAN TRAFFICKING TO IDENTIFY EDUCATION NEEDS IN THE COMMUNITY. - CONDUCT EDUCATION ON ACES AND HUMAN TRAFFICKING TO AT LEAST 15 COMMUNITY AGENCIES OR ORGANIZATIONS BY THE END OF TAX YEAR 2021. PROGRESS: - IN TAX YEAR 2020, EDUCATION CONDUCTED FOR ZARROW MENTAL HEALTH SYMPOSIUM VIA VIRTUAL "BOOTH" (09/30/20), SAFE HAVEN TRAINING (10/13/20), DAYSPRING COMMUNITY SERVICES TRAINING (10/23/20), DHS (02/22/21), HILLCREST MEDICAL CENTER CHAPLAINS (04/21/21), HILLCREST MEDICAL CENTER CHAPLAIN GROUP 2 (04/30/21) AND 28TH STATE CONFERENCE ON CHILD ABUSE AND NEGLECT (06/24/21). - OBJECTIVES COMPLETED. STRATEGY 2: ADVANCE THE ST. JOHN HEALTH SYSTEM, INC. HUMAN TRAFFICKING EDUCATION AND RESPONSE PROGRAM TO SERVE VICTIMS OF HUMAN TRAFFICKING. (CONTINUED) Schedule H, Part V, Section B, Line 11 Facility , 4 Facility , 4 - Jane Phillips Nowata Health Center - 4. ANTICIPATED IMPACT: - DEVELOP AT LEAST THREE ADDITIONAL COMMUNITY PARTNERSHIPS TO STRENGTHEN COMMUNITY AWARENESS AND COLLABORATION TO COMBAT HUMAN TRAFFICKING IN THE COMMUNITIES WE SERVE BY THE END OF TAX YEAR 2019. - CONDUCT AT LEAST TWO HUMAN TRAFFICKING EDUCATION/AWARENESS EVENTS FOR EACH OF THE SIX ST. JOHN HEALTH SYSTEM, INC. HOSPITAL FACILITIES AND OUTPATIENT CLINICS BY THE END OF TAX YEAR 2019. - COMPLETE DISSEMINATION OF ASSESSMENT POCKET TOOLS TO KEY ENTRY POINTS AT ST. JOHN HEALTH SYSTEM, INC. HOSPITALS BY THE END OF TAX YEAR 2019. - COMPLETE DISSEMINATION OF ASSESSMENT POCKET TOOLS TO OUTPATIENT CLINICS BY THE END OF TAX YEAR 2021. PROGRESS: - OBJECTIVE TO "COMPLETE DISSEMINATION OF ASSESSMENT POCKET TOOLS TO CLINICS" WAS DELAYED BY THE COVID-19 PANDEMIC, BUT RESPONSE TEAMS WERE IDENTIFIED AND PRELIMINARY EDUCATION BEGAN IN TAX YEAR 2020; PLANS TO COMPLETE IN TAX YEAR 2021. - OTHER OBJECTIVES COMPLETED IN TAX YEAR 2019. GOAL 2: ADDRESS AND MITIGATE ADVERSE HEALTH OUTCOMES PRENATALLY AND BIRTH TO 18 YEARS OF AGE IN COMMUNITIES WE SERVE. STRATEGY 1: EXPAND THE ST. JOHN HEALTH SYSTEM, INC. AND HOSPITAL SUSPECTED CHILD ABUSE AND NEGLECT (SCAN) COMMITTEE TO INCLUDE COMMUNITY EXPERTS AND/OR LIAISONS, AS WELL AS HOSPITAL REPRESENTATION. ANTICIPATED IMPACT: - EXPLORE OPPORTUNITIES FOR THE EXPANSION OF THE SCAN COMMITTEE, AS EVIDENCED BY COMMITTEE MEETING MINUTES BY THE END OF TAX YEAR 2019. - IMPLEMENT OPPORTUNITIES FOR SCAN COMMITTEE IMPROVEMENT, AS IDENTIFIED IN TAX YEAR 2019 AND AS EVIDENCED BY A REVISED SCAN COMMITTEE CHARTER, IF APPROPRIATE, BY THE END OF TAX YEAR 2020. - IF APPROPRIATE, DEFINE A REPORTING STRUCTURE OF THE QUALITY METRICS RELATED TO SCAN BY THE END OF TAX YEAR 2021. PROGRESS: - COMMUNITY CHILD ABUSE PEDIATRICIAN FORMALLY INVITED TO REJOIN SCAN COMMITTEE IN AUGUST 2020; HE ACCEPTED REQUEST AND MADE REQUEST TO INCLUDE UNIVERSITY OF OKLAHOMA PEDIATRICS FELLOWS. - OBJECTIVE TO "IF APPROPRIATE, DEFINE A REPORTING STRUCTURE OF THE QUALITY METRICS RELATED TO SCAN" WAS DELAYED PARTIALLY BECAUSE OF CHANGING CASE MANAGEMENT LEADS; EXPLORING OTHER OPPORTUNITIES FOR FUTURE CHNA CYCLES, IF APPLICABLE. STRATEGY 2: SUSTAIN AND/OR EXPAND CURRENT SERVICES AND PARTNERSHIPS TARGETING CARE OF PREGNANT WOMEN AND CHILDREN BIRTH TO 3 YEARS OF AGE THROUGHOUT ST. JOHN HEALTH SYSTEM, INC. AND HOSPITAL. ANTICIPATED IMPACT: - ASSESS CURRENT PROGRAMS, ACTIVITIES AND COMMUNITY PARTNERSHIPS THROUGHOUT ST. JOHN HEALTH SYSTEM, INC., INCLUDING BUT NOT LIMITED TO CAPACITY, UTILIZATION AND OPPORTUNITY FOR EXPANSION TO OTHER AREAS OF ST. JOHN HEALTH SYSTEM, INC. TO SUPPORT THE CARE OF PREGNANT WOMEN AND CHILDREN BIRTH TO 3 YEARS OF AGE AND DEVELOP AN ACTION PLAN BY THE END OF TAX YEAR 2019. - IF VIABLE, IMPLEMENT PILOT AND/OR EXPANSION OF COLLABORATION WITH COMMUNITY PARTNERS TO SUPPORT THE CARE OF PREGNANT WOMEN AND CHILDREN BIRTH TO 3 YEARS OF AGE BY THE END OF TAX YEAR 2021. PROGRESS: - OBJECTIVES EXCUSED DUE TO DIFFICULTIES FROM THE COVID-19 PANDEMIC ON CLINICAL ASSOCIATES; SIMILAR OBJECTIVES WILL BE CONSIDERED FOR TAX YEAR 2021 AND/OR NEXT CHNA CYCLE IF IDENTIFIED AGAIN AS PRIORITY HEALTH NEED. GOAL 3: STRENGTHEN ST. JOHN HEALTH SYSTEM, INC. AND HOSPITAL ASSOCIATE AWARENESS OF THE ROLE OF ACES IN HEALTH OUTCOMES, AS WELL AS TO HOW BEST TO RESPOND TO THE NEEDS OF THOSE MOST VULNERABLE. STRATEGY 1: PARTNER WITH COMMUNITY AGENCIES AND COALITIONS TO INCREASE ST. JOHN HEALTH SYSTEM, INC. ASSOCIATE AWARENESS OF THE ROLE OF ACES IN ADVERSE HEALTH OUTCOMES AND HOMELESSNESS AND HOW BEST TO RESPOND TO THE NEEDS OF INDIVIDUALS EXPERIENCING OR AT RISK FOR HOMELESSNESS THROUGH COLLABORATIVE CARE COORDINATION AND LINKAGE TO COMMUNITY RESOURCES AND SUPPORT. ANTICIPATED IMPACT: - EXPLORE OPPORTUNITIES FOR COMMUNITY PARTNERSHIP AND COLLABORATION TO ADDRESS ACES IN THE COMMUNITIES SERVED BY ST. JOHN HEALTH SYSTEM, INC. PROGRESS: - ALL ORIGINAL OBJECTIVES UNDER THIS GOAL WERE EXCUSED DUE TO THE COVID-19 PANDEMIC AND BANDWIDTH OF ASSIGNED LEADS. THE OBJECTIVE STATED ABOVE WAS ADDED IN NOVEMBER 2020 TO REPLACE THE EXCUSED OBJECTIVES AND BETTER ALIGN WITH NEEDS RESULTING FROM THE ACUTE COMMUNITY CONCERN ASSESSMENT. - THE COMMUNITY BENEFIT TEAM MET WITH REPRESENTATIVES FROM ASEMIO AND OKLAHOMA STATE UNIVERSITY-TULSA IN MAY 2020 TO LEARN ABOUT A LOCAL ACES SURVEILLANCE SYSTEM. THE PRESENTATION WAS GIVEN TO THE ACES TASK FORCE DURING A JANUARY 2021 MEETING, AND PARTNERSHIP OPPORTUNITIES WERE DISCUSSED. THIS PROJECT MAY BE CONSIDERED FOR TAX YEAR 2021 AND/OR NEXT CHNA CYCLE IF ACES CONTINUE TO BE A PRIORITY NEED. GOAL 4: IMPLEMENT EDUCATION AND ASSESSMENT TOOLS TO RAISE AWARENESS OF THE IMPACT OF ACES ON ST. JOHN HEALTH SYSTEM, INC. AND HOSPITAL ASSOCIATES AND THEIR FAMILIES IN SUPPORT THE WHOLE PERSON AND A MODEL COMMUNITY OF ENGAGED ASSOCIATES. STRATEGY 1: PROVIDE EDUCATION TO ST. JOHN HEALTH SYSTEM, INC. AND HOSPITAL LEADERS ON THE PREVALENCE OF ACES, THEIR IMPACT ON HEALTH AND OTHER OUTCOMES, AND HOW TO IDENTIFY RISK FACTORS AND AVAILABLE RESOURCES TO SUPPORT ASSOCIATES WHO EXPERIENCE OR ARE AT RISK OF ADVERSE OUTCOMES AS RESULT OF ACES. ANTICIPATED IMPACT: - PARTICIPATE IN ASCENSION THRIVE PROGRAM DESIGNED TO DEVELOP SOLUTIONS TO ADDRESS GENERAL BENEFIT NEEDS, SOCIAL DETERMINANTS OF HEALTH, AND ECONOMIC ISSUES EXPERIENCED BY ECONOMICALLY VULNERABLE ASSOCIATES, SOME OF WHOM EXPERIENCE OR ARE AT RISK OF ADVERSE OUTCOMES AS A RESULT OF ACES. PROGRESS: - ALL ORIGINAL OBJECTIVES UNDER THIS GOAL WERE EXCUSED DUE TO THE COVID-19 PANDEMIC. THE OBJECTIVE STATED ABOVE WAS ADDED TO REPLACE THE EXCUSED OBJECTIVES AND BETTER ALIGN WITH NEEDS RESULTING FROM THE ACUTE COMMUNITY CONCERN ASSESSMENT. NEEDS THAT WILL NOT BE ADDRESSED DIRECTLY: ST. JOHN HEALTH SYSTEM, INC. AND THE HOSPITAL ARE COMMITTED TO IMPROVING COMMUNITY HEALTH BY DIRECTLY - AND INDIRECTLY - ADDRESSING PRIORITIZED HEALTH NEEDS. THE TAX YEAR 2018 CHNA INEVITABLY IDENTIFIED MORE SIGNIFICANT HEALTH NEEDS THAN THE HEALTH SYSTEM, HOSPITALS AND COMMUNITY PARTNERS CAN OR SHOULD ADDRESS AS PRIORITY HEALTH NEEDS. IT WOULD NOT BE PRUDENT TO SPREAD HOSPITAL AND COMMUNITY RESOURCES ACROSS TOO MANY INITIATIVES. ACCORDINGLY, ST. JOHN HEALTH SYSTEM, INC. AND THE HOSPITAL AND COMMUNITY PARTNERS INSTEAD DECIDED TO FOCUS ATTENTION ON PRIORITY AREAS TO HELP ENSURE SUFFICIENT RESOURCES ARE AVAILABLE. CERTAIN FACTORS IMPACT THE HOSPITAL'S ABILITY TO FULLY ADDRESS ALL PRIORITIES HEALTH NEEDS AND INCLUDE THE FOLLOWING: - NEED BEING ADDRESSED BY OTHERS - INSUFFICIENT RESOURCES (FINANCIAL AND PERSONNEL) TO ADDRESS THE NEED - ISSUE IS NOT A PRIORITY FOR COMMUNITY MEMBERS AND THEREFORE APPROACH IS UNLIKELY TO SUCCEED - LACK OF EVIDENCE-BASED APPROACH FOR ADDRESSING THE PROBLEM - NEED IS NOT AS PRESSING AS OTHER PROBLEMS - NEED IS NOT AS LIKELY TO BE RESOLVED AS OTHER PROBLEMS - HOSPITAL AND/OR HEALTH SYSTEM DOES NOT HAVE EXPERTISE TO EFFECTIVELY ADDRESS THE NEED THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED BUT WILL NOT BE ADDRESSED DIRECTLY BY ST. JOHN HEALTH SYSTEM, INC. OR THE HOSPITAL AS PRIORITY HEALTH NEEDS: - SAFE ENVIRONMENT - SOCIO-ECONOMIC STATUS - IMMUNIZATIONS AND INFECTIOUS DISEASES - HEALTH EDUCATION - MATERNAL, FETAL AND INFANT HEALTH IT WAS DISCUSSED AT LENGTH THAT THESE REMAINING HEALTH TOPICS, WHILE NOT CHOSEN AS PRIORITIES, ARE INTERRELATED TO THE FOUR CHOSEN PRIORITIES AND WILL THEREFORE BE ADDRESSED INDIRECTLY. FURTHERMORE, AND AS AFOREMENTIONED, SOCIAL DETERMINANTS OF HEALTH WERE DEEMED AN UNDERLYING CURRENT OF THE CHOSEN PRIORITIES, WHICH WILL ULTIMATELY CROSS OVER EFFORTS INTO OTHER NEED AREAS. ALL DIRECT AND INDIRECT EFFORTS TO IMPROVE THE COMMUNITY'S HEALTH ARE INTENDED TO UPHOLD THE HEALTH SYSTEM AND HOSPITAL'S MISSION TO SERVE ALL PEOPLE, WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Jane Phillips Nowata Health Center. SIGNS ARE POSTED IN WAITING ROOMS AND AT THE ADMISSIONS OFFICES TO NOTIFY PATIENTS THAT THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY. IN ADDITION, EVERY BILLING STATEMENT, THE HOSPITAL'S WEBSITE, AND ADMISSION PACKETS INCLUDE INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. THE POLICY IS PROVIDED AT THE REQUEST OF THE PATIENT. 0 Schedule H, Part VI, Line 6 DESCRIPTION OF AFFILIATED GROUP - PART II PART 2: -THE ST. JOHN HUMAN TRAFFICKING EDUCATION AND RESPONSE PROGRAM - THE PROGRAM WAS FULLY IMPLEMENTED IN 2018 AND IS DESIGNED TO INTRODUCE STANDARD TRAINING AND RESOURCES TO ASSIST OUR HEALTHCARE ASSOCIATES TO IDENTIFY AND RESPOND TO THE NEEDS OF VICTIMS OF LABOR AND SEX TRAFFICKING IN A TRAUMA-INFORMED MANNER, INCLUDING ASSISTANCE WITH REFERRALS TO RESOURCES AS NEEDED. USING THIS SYSTEM-WIDE APPROACH, ST. JOHN FORMED A HUMAN TRAFFICKING RESPONSE TEAM AS A COMPONENT OF THIS PROGRAM, DESIGNATING HUMAN TRAFFICKING RESPONSE COVERAGE FOR ALL ST. JOHN HOSPITAL FACILITIES AND CLINICS. THIS TEAM CONSISTS OF SELECT ASSOCIATES WHO HAVE RECEIVED IN-DEPTH TRAINING TO RESPOND TO AND ASSIST PATIENTS WHO ARE SUSPECTED TO BE TRAFFICKING VICTIMS IN A TRAUMA-INFORMED MANNER. A CENTRAL CALL CENTER FOR ASSOCIATES IS AVAILABLE REPORT SUSPECTED CASES AND DISPATCH RESPONSE TEAM MEMBERS FOR ASSISTANCE. AS OF THE END OF TAX YEAR 2020, THE PROGRAM PROVIDED TRAUMA-INFORMED CARE TO 144 SUSPECTED VICTIMS, OF WHICH 67 HAVE ASKED FOR SOME FORM OF TRAFFICKING-RELATED ASSISTANCE. ASSISTANCE HAS INCLUDED COMPLIMENTARY BUS TRANSPORTATION TO OUT-OF-STATE SHELTERS FOR SUSPECTED VICTIMS, FUNDING SUPPORT TO COVER MEDICATION COSTS, FOOD AND CLOTHING, AND REFERRAL ASSISTANCE FOR DRUG AND ALCOHOL TREATMENT AS WELL AS PSYCHIATRIC CARE. COMMUNITY BENEFIT OPERATIONS: HOSPITAL STAFF DEDICATE SIGNIFICANT TIME AND COSTS TO LEAD AND MANAGE COMMUNITY BENEFIT PROGRAMS AND ACTIVITIES, WHICH INCLUDE INTERNAL TRACKING AND REPORTING OF COMMUNITY BENEFIT AS WELL AS OVERSIGHT OF COMMUNITY ENGAGEMENT. FUNDS ARE ALLOCATED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOP AN IMPLEMENTATION STRATEGY. HEALTH PROFESSIONS EDUCATION: THE HOSPITAL IS COMMITTED TO HELPING ENSURE THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS BY PROVIDING EDUCATION THROUGH HANDS ON TRAINING TO STUDENTS WHO ARE WORKING TOWARDS A WIDE RANGE OF HEALTHCARE DEGREES AND CERTIFICATES. THESE CATEGORIES INCLUDE MEDICAL RESIDENTS, NURSING STUDENTS AND OTHER HEALTH PROFESSIONS. CASH AND IN-KIND CONTRIBUTIONS: THE HOSPITAL MAKES CASH AND IN-KIND CONTRIBUTIONS TO A VARIETY OF ORGANIZATIONS FOCUSED ON IMPROVING THE HEALTH STATUS IN THE COMMUNITY. EXAMPLES INCLUDE CASH DONATIONS TO NONPROFITS IN RESPONSE TO NATURAL DISASTERS, EVENT SPONSORSHIPS AND DONATIONS FOCUSED ON ADDRESSING AN IDENTIFIED COMMUNITY HEALTH NEED, DONATION OF ROOMS AND SPACE TO COMMUNITY ORGANIZATIONS AND COALITIONS, DONATION OF EMPLOYEE TIME/SERVICES TO OUTSIDE ORGANIZATIONS, AND THE REPRESENTATION OF THE HOSPITAL ON COMMUNITY BOARDS AND COMMITTEES. IN TAX YEAR 2020, ST. JOHN PARTNERED WITH MORE THAN 50 LOCAL ORGANIZATIONS THROUGH DONATIONS, SPONSORSHIPS AND COMMUNITY HEALTH IMPROVEMENT PROGRAMMING AND INITIATIVES, IN ALIGNMENT WITH HEALTH NEEDS AND SOCIAL DETERMINANTS OF HEALTH AS IDENTIFIED IN ITS SIX HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENTS. A TOTAL OF $1,186,251 WAS PROVIDED IN RESTRICTED DONATIONS TO NONPROFIT PARTNERS, HELPING TO MEET ST. JOHN PRIORITY HEALTH NEEDS IN THE COMMUNITIES WE SERVE: ACCESS TO CARE, BEHAVIORAL HEALTH, HEALTHY LIFESTYLES AND ADVERSE CHILDHOOD EXPERIENCES. IN FY21, A STRATEGIC PLAN WAS CREATED FOR BUILDING HEALTH EQUITY IN THE COMMUNITY THROUGH COLLABORATION WITH COMMUNITY PARTNERS. FUNDING OF PROGRAMS WILL BEGIN IN FY22. Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG A patient with income greater than 400% of the FPL may be eligible for financial assistance under a "Means Test" for some discount of Patient's charges for services from the Organization based on a Patient's total medical debt. A Patient will be eligible for financial assistance pursuant to the Means Test if the Patient has excessive total medical debt, which includes medical debt to Ascension and any other health care provider, for emergency and other medically necessary care, that is equal to or greater than such Patient's household's gross income. The level of financial assistance provided pursuant to the Means Test is the same as is granted to a patient with income at 400% of the FPL under the sliding scale discount, if such patient submits an Application on or prior to the 240th day after the Patient's first discharge bill and the Application is approved by the Organization. Patient will be eligible for the means test discount financial assistance if such Patient submits the Application after the 240th day after the Patient's first discharge bill, but then the amount of financial assistance available to a Patient in this category is limited to Patient's unpaid balance after taking into account any payments made on Patient's account. A Patient eligible for this category of financial assistance will not be charged more than the calculated AGB charges. JANE PHILLIPS NOWATA HOSPITAL, INC. ALSO USES ASSET LEVEL, INSURANCE STATUS, AND RESIDENCY AS FACTORS IN DETERMINING ELIGIBILITY FOR FREE AND DISCOUNTED CARE. Schedule H, Part I, Line 6a Community benefit report prepared by related organization JANE PHILLIPS NOWATA HOSPITAL, INC. REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE FOLLOWING RELATED ORGANIZATION'S ANNUAL COMMUNITY BENEFIT REPORT: St. John Health System EIN 73-1215174 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The cost of providing charity care, means-tested government programs, and other community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Corporation's policies. After applying the cost-to-charge ratio, the share of the bad debt expense in fiscal year 2021 was $687,023 at charges, ($453,435 at cost). Schedule H, Part III, Line 3 Bad Debt Expense Methodology JANE PHILLIPS NOWATA HOSPITAL, INC. HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION IS PART THE OF THE ASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSES THE BAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 14-17. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A cost to charge ratio is applied to the organization's Medicare Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. Ascension Health and its related health ministries follow the Catholic Health Association (CHA) guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance JANE PHILLIPS NOWATA HOSPITAL, INC. FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED. Schedule H, Part V, Section B, Line 16a FAP website - Jane Phillips Nowata Health Center: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - Jane Phillips Nowata Health Center: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Jane Phillips Nowata Health Center: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance; Schedule H, Part VI, Line 2 Needs assessment JANE PHILLIPS NOWATA HOSPITAL, INC.USES RELIABLE, THIRD PARTY REPORTS, INCLUDING DATA FROM GOVERNMENT SOURCES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THESE REPORTS PROVIDE INFORMATION ABOUT KEY HEALTH, SOCIOECONOMIC, AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED AND INCLUDE BUT ARE NOT LIMITED TO REPORTS FROM: - LOCAL DEPARTMENTS OF HEALTH - OKLAHOMA STATE DEPARTMENT OF HEALTH - LOCAL GOVERNMENT PLANNING DEPARTMENTS - LOCAL UNIVERSITIES - US CENSUS BUREAU - ECONOMIC IMPACT STUDIES - OKLAHOMA HOSPITAL ASSOCIATION - COMMUNITY SERVICE COUNCIL - CENTERS FOR MEDICARE & MEDICAID SERVICES - AMERICAN COMMUNITY SURVEY - AMERICAN LUNG ASSOCIATION - ANNIE E. CASEY FOUNDATION - CENTERS FOR DISEASE CONTROL AND PREVENTION - COUNTY HEALTH RANKINGS - FEEDING AMERICA - NATIONAL CANCER INSTITUTE - NATIONAL CENTER FOR EDUCATION STATISTICS - OKLAHOMA STATE BUREAU OF INVESTIGATION - SMALL AREA HEALTH INSURANCE ESTIMATES - THE DARTMOUTH ATLAS OF HEALTHCARE - U.S. BUREAU OF LABOR STATISTICS - U.S. DEPARTMENT OF AGRICULTURE - FOOD ENVIRONMENT ATLAS - U.S. ENVIRONMENTAL PROTECTION AGENCY - COMMUNITY PARTNER AGENCIES JANE PHILLIPS NOWATA HOSPITAL, INC.UTILIZES INFORMATION FROM THESE SECONDARY SOURCES TO DEVELOP PROGRAMS AND PROVIDE SERVICES THROUGHOUT THE REGION. IN ADDITION, JANE PHILLIPS NOWATA HOSPITAL, INC. CONSIDERS THE HEALTH CARE NEEDS OF THE OVERALL COMMUNITY WHEN EVALUATING INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance JANE PHILLIPS NOWATA HOSPITAL, INC. IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL, IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, JANE PHILLIPS NOWATA HOSPITAL, INC.'S FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES; JANE PHILLIPS NOWATA HOSPITAL, INC.PROVIDES FINANCIAL ASSISTANCE FOR THOSE WHO EARN ABOVE 250% OF THE FEDERAL POVERTY LEVEL BUT DOES NOT EXCEED 400% OF THE FEDERAL POVERTY LEVEL. JANE PHILLIPS NOWATA HOSPITAL, INC. WIDELY PUBLICIZES ITS: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY VIA THE HOSPITAL FACILITY'S WEBSITE - HTTPS://HEALTHCARE.ASCENSION.ORG/FINANCIAL-ASSISTANCE/OKLAHOMA JANE PHILLIPS NOWATA HOSPITAL, INC. MAKES PAPER COPIES OF THE: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - AMOUNT GENERALLY BILLED CALCULATION. THE PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. JANE PHILLIPS NOWATA HOSPITAL, INC.INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION MAY BE FOUND. JANE PHILLIPS NOWATA HOSPITAL, INC. INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS. Schedule H, Part VI, Line 4 Community information JANE PHILLIPS NOWATA HOSPITAL, INC. SERVES THE ENTIRE NORTHEASTERN OKLAHOMA REGION, AS WELL AS PARTS OF KANSAS AND ARKANSAS. THE PRIMARY SERVICE AREA IS NOWATA COUNTY, OKLA., AND THE SURROUNDING COUNTIES. HOWEVER, JANE PHILLIPS NOWATA HOSPITAL, INC.SERVES PATIENTS WHO LIVE THROUGHOUT THE NORTHEASTERN OKLAHOMA REGION AND BEYOND. FOR THE PURPOSES OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT, THE COMMUNITY SERVED IS DEFINED AS NOWATA COUNTY. THE DECISION TO FOCUS ON THE GEOPOLITICAL DEFINITION OF NOWATA COUNTY WAS LARGELY INFLUENCED BY THE FACT THAT A SIGNIFICANT NUMBER OF PATIENTS WHO UTILIZE JANE PHILLIPS NOWATA HOSPITAL, INC. SERVICES RESIDE IN NOWATA COUNTY. JANE PHILLIPS NOWATA HOSPITAL, INC. IS BASED OUT OF THE CITY OF NOWATA. ACCORDINGLY, THE CITY SERVES AS THE PRIMARY AREA OF FOCUS WITHIN THE NOWATA COUNTY COMMUNITY. JANE PHILLIPS NOWATA HOSPITAL, INC.'S COMMUNITY HEALTH IMPROVEMENT EFFORTS THAT RESULT FROM THIS CHNA WILL PRIMARILY CENTER ON THE CITY OF NOWATA. HOWEVER, AN EFFORT WAS MADE TO FOCUS ON THE HEALTH NEEDS AND ASSETS OF NOWATA COUNTY AS A WHOLE, AND OUR EFFORTS WILL ALSO EXTEND TO OTHER CITIES AND TOWNS WITHIN NOWATA COUNTY BASED ON LESSONS LEARNED THROUGH OUR WORK WITH THE SMALLER COMMUNITY. NOWATA COUNTY HAS AN ESTIMATED POPULATION OF 9,303. ACCORDING TO THE 2021 COUNTY HEALTH RANKINGS, NOWATA COUNTY RANKS 24TH OUT OF 77 OKLAHOMA COUNTIES IN OVERALL HEALTH OUTCOMES (IMPROVED FROM 39TH) AND 46TH OUT OF 77 OKLAHOMA COUNTIES IN OVERALL HEALTH FACTORS (IMPROVED FROM 50TH). ROUGHLY 3.3% OF THE POPULATION IN NOWATA COUNTY IS HISPANIC/LATINO, 2.4% BLACK/AFRICAN AMERICAN, 19.7% NATIVE AMERICAN, AND 68% WHITE/CAUCASIAN. THE MEDIAN HOUSEHOLD INCOME IS LOWER COMPARED TO THE STATE OF OKLAHOMA AND THE U.S. AT ABOUT $41,895 ANNUALLY; UNEMPLOYMENT RATE IS 9.5% IN NOWATA COUNTY WHICH IS HIGHER THAN THE STATE AND THE U.S.; AND ROUGHLY 16.5% OF NOWATA COUNTY RESIDENTS ARE LIVING IN POVERTY, WHICH IS HIGHER THAN THE STATE AND THE U.S. NOWATA COUNTY'S UNINSURED RATE IS 19% WHICH IS HIGHER THAN THE STATE'S RATE AND THE RATE IN THE U.S. NOWATA COUNTY IS REPORTED TO HAVE A CRITICAL ACCESS HOSPITAL, TWO RURAL HEALTH CLINICS, TWO FEDERAL HEALTH CENTERS, AND AN INDIAN HEALTH SERVICES PROVIDER (TRIBAL). ACCORDING TO THE US HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) DATA WAREHOUSE 2018 REPORT, THERE IS ONE AREA DESIGNATED AS MEDICALLY UNDERSERVED AREAS IN NOWATA COUNTY. NOWATA COUNTY IS CONSIDERED A MEDICALLY UNDERSERVED AREA. Schedule H, Part VI, Line 5 Promotion of community health JANE PHILLIPS NOWATA HOSPITAL, INC.'S GOVERNING BODY IS COMPRISED OF PERSONS REPRESENTING DIVERSE ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF JANE PHILLIPS NOWATA HOSPITAL, INC.GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA; WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. JANE PHILLIPS NOWATA HOSPITAL, INC. APPLIES SURPLUS FUNDS TO FUND IMPROVEMENTS IN COMMUNITY HEALTH AND WELLNESS, MEDICAL ACCESS, PATIENT CARE, MEDICAL EDUCATION AND RESEARCH BY DONATIONS TO OR PARTNERING WITH NON-PROFIT AGENCIES, COMMUNITY ORGANIZATIONS AND UNIVERSITIES. Schedule H, Part VI, Line 6 Affiliated health care system PART 1: JANE PHILLIPS NOWATA HOSPITAL, INC. IS AN AFFILIATE OF ST. JOHN HEALTH SYSTEM AND ASCENSION HEALTH. ST. JOHN HEALTH SYSTEM AFFILIATES ARE LARGE MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT MINISTRIES INCLUDING HOSPITAL AND NON-HOSPITAL MINISTRIES (PHYSICIAN GROUP PRACTICES, HOSPITAL ORGANIZATIONS, EMERGENCY ROOMS AND URGENT CARE, HOME HEALTH, REGIONAL MEDICAL LABORATORY (RML). AND PARTNERSHIPS AND VENTURES THAT INCLUDE A HEALTH INSURANCE COMPANY, SEVERAL AMBULATORY SURGERY CENTERS, AND OTHER HEALTHCARE ACTIVITIES). THESE MINISTRIES WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF SERVING AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS ESPECIALLY THOSE WHO ARE VULNERABLE. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION, FUNDING AND COLLABORATIVE SUPPORT OF NON-PROFIT COMMUNITY ORGANIZATIONS AND RESEARCH. THE ORGANIZATIONS WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, STATE AND NATIONAL LEVEL. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 19 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ORGANIZATIONS/ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. ST. JOHN HEALTH SYSTEM AND THE HOSPITAL ARE DEDICATED TO IMPROVING THE HEALTH STATUS AND QUALITY OF LIFE FOR THE COMMUNITIES WE SERVE. WHILE DESIGNATED ASSOCIATES AT ST. JOHN HEALTH SYSTEM DEVOTE TIME TO LEADING AND ADMINISTERING LOCAL COMMUNITY-BASED PROGRAMS AND PARTNERSHIPS, ASSOCIATES THROUGHOUT THE ORGANIZATION ARE ACTIVE PARTICIPANTS IN COMMUNITY OUTREACH AND ENGAGEMENT. THEY ARE ASSISTED AND SUPPORTED BY DESIGNATED ST. JOHN COMMUNITY BENEFIT ASSOCIATES AND OTHER SUPPORT STAFF WHO WORK WITH EACH OF ITS HEALTHCARE FACILITIES TO ADVOCATE FOR AND PROVIDE TECHNICAL ASSISTANCE FOR COMMUNITY OUTREACH AND ENGAGEMENT, NEEDS ASSESSMENTS AND PARTNERSHIPS AS WELL AS TO SUPPORT REGIONAL AND STATE-WIDE PROGRAMS, AND COMMUNITY PROGRAMS SPONSORED BY ST. JOHN HEALTH SYSTEM IN WHICH JANE PHILLIPS NOWATA HOSPITAL, INC. PARTICIPATES. ST. JOHN HEALTH SYSTEM AND THE HOSPITAL CREATE STRONG PARTNERSHIPS WITH BUSINESSES, COMMUNITY-BASED ORGANIZATIONS, SCHOOLS, UNIVERSITIES, AND LOCAL, STATE AND FEDERAL GOVERNMENT. WORKING WITH ITS PARTNERS AND UTILIZING THE COMMUNITY HEALTH NEEDS ASSESSMENT COMPLETED EVERY THREE YEARS, ST. JOHN HEALTH SYSTEM AND THE HOSPITAL ARE COMMITTED TO ADDRESSING COMMUNITY HEALTH NEEDS AND DEVELOPING AND EXECUTING AN IMPLEMENTATION STRATEGY TO MEET IDENTIFIED NEEDS TO IMPROVE HEALTH OUTCOMES AND ADDRESS DISPARITIES WITHIN THE COMMUNITY. COMMUNITY BENEFIT IS NOT THE WORK OF A SINGLE DEPARTMENT OR GROUP WITHIN ST. JOHN HEALTH SYSTEM, BUT IS PART OF THE ST. JOHN MISSION AND CULTURAL FABRIC. THE HOSPITAL LEADERSHIP TEAM PROVIDES DIRECTION AND RESOURCES IN DEVELOPING AND EXECUTING THE IMPLEMENTATION STRATEGY IN CONJUNCTION WITH THE ST. JOHN COMMUNITY BENEFIT DEPARTMENT, BUT ASSOCIATES AT ALL LEVELS OF THE ORGANIZATION CONTRIBUTE TO COMMUNITY BENEFIT AND HEALTH IMPROVEMENT. COMMUNITY HEALTH IMPROVEMENT EFFORTS MUST TAKE A COMPREHENSIVE APPROACH AND UTILIZE DIVERSE METHODS TO REACH INTENDED AUDIENCES. AS A SYSTEM, ST. JOHN HEALTH SYSTEM WORKS TO IMPROVE THE HEALTH OF COMMUNITIES THROUGH A VARIETY OF APPROACHES, INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, GENERALIZABLE RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS AND COLLABORATIVE SUPPORT. DURING TAX YEAR 2020, ST. JOHN HEALTH SYSTEM AND THE HOSPITAL SUPPORTED THE COMMUNITY IN THE FOLLOWING WAYS: COMMUNITY HEALTH EDUCATION: ST. JOHN HEALTH SYSTEM AND THE HOSPITAL PROVIDE HEALTH EDUCATION ON SEVERAL TOPICS AND ISSUES FACING THE LOCAL COMMUNITY THROUGHOUT THE YEAR. THE INFORMATION IS OFFERED TO THE COMMUNITY THROUGH A VARIETY OF METHODS, WHICH INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING: HEALTH FAIRS, HEALTH PROMOTION AND WELLNESS PROGRAMS, LECTURES, SCHOOL HEALTH EDUCATION PROGRAMS, AND SUPPORT GROUPS. COMMUNITY-BASED CLINICAL SERVICES: TO REACH INDIVIDUALS WHO ARE UNINSURED AND UNDERINSURED, ST. JOHN HEALTH SYSTEM AND THE HOSPITAL OFFER SCREENINGS, ONE-TIME CLINICS WHICH INCLUDE BLOOD PRESSURE, CHOLESTEROL SCREENING, AND/OR IMMUNIZATION CLINICS, AND COMMUNITY-BASED CLINICS WHICH PROVIDED FREE AND/OR LOW-COST HEALTHCARE. ACCESS TO CARE AND OTHER HEALTH CARE SUPPORT SERVICES: TO INCREASE ACCESS TO AND IMPROVE THE QUALITY OF HEALTHCARE AVAILABLE TO THE COMMUNITY, ESPECIALLY PERSONS LIVING IN POVERTY OR DEEMED VULNERABLE, ST. JOHN HEALTH SYSTEM AND THE HOSPITAL PROVIDE SERVICES SUCH AS TRANSPORTATION ASSISTANCE AND CHRONIC DISEASE MANAGEMENT. IN ADDITION, ST. JOHN HEALTH SYSTEM AND THE HOSPITAL PROVIDE THE FOLLOWING: -TREATMENT TO ALL PEOPLE WHO COME IN NEEDING ASSISTANCE, REGARDLESS OF THEIR ABILITY TO PAY. HOWEVER, ONCE IN THE DOOR, AN ASSOCIATE WILL WORK WITH EACH PATIENT TO SEE IF THEY QUALIFY FOR TRADITIONAL CHARITY CARE AND/OR A GOVERNMENT PROGRAM. IF THEY DO, THE PATIENT IS SIGNED UP STRONGLY ENCOURAGED TO FIND A MEDICAL HOME IF THEY DO NOT CURRENTLY HAVE ONE. IN ADDITION, LOCAL HOSPITAL, ST JOHN SYSTEM AND ASCENSION LEADERSHIP AND ADVOCACY, WERE STRONG PROPONENTS FOR THE EXPANSION OF MEDICAID IN OKLAHOMA IN TAX YEAR 2020. AFFORDABLE HEALTH CARE, IN OUR CATHOLIC TRADITION, SHOULD BE A RIGHT GIVEN TO ALL, BUT ESPECIALLY FOR THOSE WHO ARE POOR AND VULNERABLE. THE HOSPITAL CONTINUES TO OFFER CHARITY CARE TO THE POOR, TAKES CARE OF THOSE WHO ARE RECIPIENTS OF MEDICAID AND MEDICARE KNOWING THAT THE GOVERNMENT WILL NOT BE PAYING THE FULL COST OF THAT CARE. SOCIAL AND ENVIRONMENTAL IMPROVEMENT ACTIVITIES PROGRAMS AND ACTIVITIES AS WELL AS FINANCIAL AND COLLABORATIVE SUPPORT THAT IMPROVE THE HEALTH OF PERSONS IN THE COMMUNITY BY ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH, WHICH INCLUDE THE SOCIAL, ECONOMIC AND PHYSICAL ENVIRONMENT. ACTIVITIES INCLUDE, BUT ARE NOT LIMITED TO: -INCORPORATING EARLY LITERACY INTO PEDIATRIC CARE, SUPPORT OF ORGANIZATIONS PROMOTING WORKFORCE DEVELOPMENT, PROMOTION OF SAFE BUILT ENVIRONMENT AND PHYSICAL ACTIVITY, AND SUPPORT OF ORGANIZATIONS AND PROGRAMS THAT PROMOTE HEALTHY FOOD ACCESS. -ONE SIGNIFICANT INITIATIVE IN WHICH ST. JOHN SYSTEM HAS BEEN ACTIVELY ENGAGED IS THE ACCOUNTABLE HEALTH COMMUNITIES (AHC) MODEL. THE CENTERS FOR MEDICARE AND MEDICAID SERVICES SELECTED OKLAHOMA'S ROUTE 66 COALITION TO RECEIVE A $4.5 MILLION GRANT TO CREATE AN ACCOUNTABLE HEALTH COMMUNITY, WHICH WILL ADDRESS THE INTERSECTION OF SOCIAL AND MEDICAL ISSUES FACING COMMUNITIES. LED BY OKLAHOMA'S NON-PROFIT HEALTH INFORMATION NETWORK, MYHEALTH ACCESS NETWORK, THE ROUTE 66 COALITION ALSO INCLUDES THE OKLAHOMA CITY-COUNTY AND TULSA HEALTH DEPARTMENTS, AND MORE THAN 200 OTHER HEALTH CARE AND SOCIAL SERVICE ORGANIZATIONS IN OKLAHOMA.THE PROGRAM WILL OFFER SOCIAL DETERMINANTS OF HEALTH SCREENINGS TO ASSESS NEEDS OF PATIENTS IN THE EMERGENCY DEPARTMENTS AND CLINICS AS WELL AS OFFER LINKAGE TO SUPPORT SERVICES AND RESOURCES IN THE COMMUNITY. SINCE ITS INCEPTION, AHC HAS EXTENDED OVER 2.3M OFFERS FOR ASSISTANCE AND RESPONDED TO OVER 120,000 INDIVIDUAL NEEDS. ST JOHN HEALTH SYSTEM HOSPITALS AND EMPLOYED PHYSICIAN AFFILIATES HAVE ACTIVELY PARTICIPATED IN THIS PROGRAM. (CONTINUED) false true false false false false false false false MICHAEL A MOORE EX-OFFICIO/PRESIDENT 0 269752 0 22763 0 16167 0 17873 0 13885 0 340440 0 0 MICHAEL J MCBRIDE COO/SECRETARY 0 514213 0 65900 0 69748 0 14250 0 23189 0 687300 0 0 MICHAEL MCCULLOUGH TREASURER/CFO, MINISTRY MARKET (END 11/2020) 0 424176 0 251972 0 58396 0 14250 0 20994 0 769788 0 0 PAUL MCQUILLEN MD FORMER KEY EMPLOYEE (END 12/2017) 0 154401 0 12792 0 15382 0 8026 0 2319 0 192920 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation A RELATED ORGANIZATION OF THE FILING ORGANIZATION, USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No payments were made to listed persons in Part VII under the non-qualified retirement plan during the year. Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENTS THE ACTIVITY OF JANE PHILLIPS NOWATA HOSPITAL, INC. IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF JANE PHILLIPS NOWATA HOSPITAL, INC. IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF JANE PHILLIPS NOWATA HOSPITAL, INC. Form 990, Part VI, Line 15b PROCESS FOR DETERMINING COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. Form 990, Part VI, Line 15a PROCESS FOR DETERMINING COMPENSATION OF TOP MANAGEMENT OFFICIAL THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Michael J. McBride and Michael McCullough - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders JANE PHILLIPS NOWATA HOSPITAL, INC. HAS A SINGLE CORPORATE MEMBER, ST. JOHN HEALTH SYSTEM, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body JANE PHILLIPS NOWATA HOSPITAL, INC. HAS A SINGLE CORPORATE MEMBER, ST. JOHN HEALTH SYSTEM, INC., WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF JANE PHILLIPS NOWATA HOSPITAL, INC. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to Jane Phillips Nowata Hospital, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, ST. JOHN HEALTH SYSTEM, INC. Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS WHICH MAY INCLUDE, AS NEEDED, FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO DESIGNATED MANAGEMENT TEAM MEMBERS WITH EXPERIENCE IN TAX IN LIEU OF THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Line 19 Required documents available to the public The Organization will provide any documents open to public inspection upon request. Form 990, Part VII, Section A Related Entities The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting. Form 990, Part IX, Line 11g Other Expenses Medical Supplies - Total Expense: 306462, Program Service Expense: 257987, Management and General Expenses: 48475, Fundraising Expenses: ; Minor Equipment - Total Expense: 59091, Program Service Expense: 59091, Management and General Expenses: , Fundraising Expenses: ; Equipment Lease - Total Expense: 285, Program Service Expense: 260, Management and General Expenses: 25, Fundraising Expenses: ; Other Non Medical Supplies - Total Expense: 31824, Program Service Expense: 3979, Management and General Expenses: 27845, Fundraising Expenses: ; Dues - Total Expense: 3781, Program Service Expense: , Management and General Expenses: 3781, Fundraising Expenses: ; Maintenance & Repairs - Total Expense: 11873, Program Service Expense: 2789, Management and General Expenses: 9084, Fundraising Expenses: ; Licenses & Permits - Total Expense: 950, Program Service Expense: 460, Management and General Expenses: 490, Fundraising Expenses: ; Other Miscellaneous Expenses - Total Expense: 20522, Program Service Expense: 299, Management and General Expenses: 20223, Fundraising Expenses: ; Professional Fee to Affiliate - Total Expense: 372535, Program Service Expense: 372535, Management and General Expenses: , Fundraising Expenses: ; Ambulance and Patient Transport - Total Expense: 14495, Program Service Expense: 87, Management and General Expenses: 14408, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers with Affiliates - -2464310; Form 990, Part XII, Line 2c AUDIT COMMITTEE JANE PHILLIPS NOWATA HOSPITAL, INC.is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole. FORM 990, PAGE 1 PHYSICAL ADDRESS THE PHYSICAL ADDRESS FOR THIS ENTITY IS 237 SOUTH LOCUST, NOWATA, OK 74048. THE ADDRESS ON PAGE 1 IS FOR MAILING PURPOSES ONLY. AFFINITY HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391568866 HEALTH SYSTEM IL 501(c)(3) Type II MINISTRY HEALTH CARE INC true ALABAMA PROVIDENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 462847744 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 10 GULF COAST HEALTH SYSTEM true Alexian Brothers Ambulatory Group C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364336931 Physician services IL 501(c)(3) 3 Alexian Brothers Health System true Alexian Brothers Behavioral Health Hospital C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251848 Behavioral health hospital IL 501(c)(3) 3 Alexian Brothers Health System true Alexian Brothers Bonaventure House C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363527899 Housing and supportive care services for persons with HIV/AIDS IL 501(c)(3) 10 Alexian Brothers Health System true Alexian Brothers Center for Mental Health C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363045007 Outpatient community mental health services IL 501(c)(3) 10 Alexian Brothers Health System true Alexian Brothers Community Services C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364344423 PACE- Comprehensive & Coordinated Community Based Services IL 501(c)(3) 10 Ascension Health Senior Care true Alexian Brothers Health System C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363260495 Supports the provision of healthcare services for related corporations for which it is a member IL 501(c)(3) Type III-FI Ascension Health true Alexian Brothers Hospital Network C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363276552 Supports the provision of healthcare services for related corporations IL 501(c)(3) Type III-FI Alexian Brothers Health System true ALEXIAN BROTHERS LANSDOWNE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431470362 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true Alexian Brothers Medical Care Group NFP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 471930457 Physician services IL 501(c)(3) 3 Alexian Brothers Health System true Alexian Brothers Medical Center C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362596381 Acute care hospital IL 501(c)(3) 3 Alexian Brothers Health System true Alexian Brothers Medical Group Specialty Care C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 811110738 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 ALEXIAN BROTHERS HEALTH SYSTEM true Alexian Brothers of San Jose Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 941530037 Acute care hospital (sold in 1998) TX 501(c)(3) Type I Alexian Brothers Health System true Alexian Brothers Senior Ministries C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364484290 Supports the provision of healthcare for related corporations IL 501(c)(3) Type II Alexian Brothers Health System true Alexian Brothers Services Inc 3040 W Salt Creek Ln Arlington Heights IL 60005 431295333 HUD housing MO 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS SHERBROOKE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431592502 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true Alexian Brothers Specialty Group C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 800710751 Specialty physician practice group IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN VILLAGE OF MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391351584 CONTINUING CARE RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN VILLAGE OF TENNESSEE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621136742 CONTINUING CARE RETIREMENT COMMUNITY TN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALVERNO PROVENA HOSPITAL LABORATORIES INC 2434 Interstate Plaza Drive Hammond IN 46234 203238867 HEALTH CARE IN 501(c)(3) 3 Presence Central & Suburban Hospitals Network AND PRESENCE CHICAGO HOSPITAL S NETWORK true AMERICAN SPORTS MEDICINE INSTITUTE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630952490 SPORTS MEDICINE AL 501(c)(3) 7 ST VINCENT'S BIRMINGHAM true ARTHUR MERKLE - CLARA KNIPPRATH NURSING HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362841358 RETIREMENT COMMUNITY IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true ASCENSION ALL SAINTS HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391570877 FOUNDATION WI 501(c)(3) 7 ASCENSION ALL SAINTS HOSPITAL INC true ASCENSION ALL SAINTS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391264986 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION BORGESS ALLEGAN FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382802463 FUNDRAISING MI 501(c)(3) Type I ASCENSION MICHIGAN true ASCENSION ALLEGAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359180 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ALLEGAN PROFESSIONAL HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205800012 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION MICHIGAN true ASCENSION ARIZONA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860455920 HOSPITAL AZ 501(c)(3) 3 ASCENSION HEALTH true ASCENSION BORGESS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237222558 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS HOSPITAL true ASCENSION BORGESS HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381360526 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS LEE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382860459 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS-LEE HOSPITAL true ASCENSION BORGESS-LEE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381490190 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BRIGHTON CENTER FOR RECOVERY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381576680 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION CALUMET HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390905385 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true Ascension Care Management Insurance Holdings C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 461121862 Health care MO 501(c)(3) Type I Ascension Care Management LLC true ASCENSION DEPAUL HOLDINGS OF EL PASO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742734755 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH true ASCENSION EAGLE RIVER HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390985690 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION EASTWOOD BEHAVIORAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381958763 HEALTH CARE MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 862197504 FOUNDATION MO 501(c)(3) Type II ASCENSION HEALTH ALLIANCE true ASCENSION GENESYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383591148 FOUNDATION MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true ASCENSION GENESYS HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382377821 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION GOOD SAMARITAN HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391627755 FOUNDATION WI 501(c)(3) Type II ASCENSION GOOD SAMARITAN HOSPITAL INC true ASCENSION GOOD SAMARITAN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390808503 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ASCENSION HEALTH - IS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651257719 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE T RUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 367046706 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH GLOBAL MISSION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651205990 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH SENIOR CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431227406 PARENT COMPANY MO 501(c)(3) Type II ASCENSION HEALTH true ASCENSION LIVING - LAKESHORE AT SIENA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 824710412 RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION MACOMB OAKLAND HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383322109 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION MEDICAL GROUP GENESYS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 831617112 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383494637 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP PROMED C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383193801 HEALTHCARE SERVICES MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391127163 CLINICAL HEALTHCARE SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391965593 MEDICAL GROUP WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391791586 MEDICAL GROUP WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382631907 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION HEALTH true ASCENSION MICHIGAN CMG C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382601348 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION MINISTRY AND MISSION FUND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273174701 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION NE WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816818 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION OUR LADY OF VICTORY HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390807065 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION PROVIDENCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109636 HEALTHCARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383526629 FUNDRAISING MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381358212 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION PROVIDENCE ROCHESTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382627336 SUPPORTING MI 501(c)(3) Type I ASCENSION PROVIDENCE ROCHESTER HOSPITAL true ASCENSION PROVIDENCE ROCHESTER HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359247 GENERAL HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION RIVER DISTRICT HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383160564 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391390638 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION SE WISCONSIN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816857 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION SETON C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109643 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382262856 HEALTH CARE MI 501(c)(3) 3 ST JOHN PROVIDENCE true ASCENSION ST CLARE'S HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 721531917 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION ST ELIZABETH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391256677 FOUNDATION WI 501(c)(3) 7 AFFINITY HEALTH SYSTEM true ASCENSION ST FRANCIS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390907740 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ST JOHN FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 202961579 FUNDRAISING MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION ST JOHN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359063 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST JOSEPH FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 010790428 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST JOSEPH'S HOSPITAL true ASCENSION ST JOSEPH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381443395 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MARY'S FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382246366 FUNDRAISING MI 501(c)(3) Type III-FI ASCENSION ST MARY'S HOSPITAL true ASCENSION ST MARY'S HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 380997730 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MICHAEL'S HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391657410 FOUNDATION WI 501(c)(3) Type I ASCENSION ST MICHAEL'S HOSPITAL INC true ASCENSION ST MICHAEL'S HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390808443 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION STANDISH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381671120 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION TEXAS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364243 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION HEALTH true ASCENSION TEXAS HEART & VASCULAR INSTITUTE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273220767 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II SETON CLINICAL ENTERPRISE CORPORATION true ASCENSION VIA CHRISTI HEALTH PARTNERS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480958974 MANAGEMENT COMPANY KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172107 HEALTH SYSTEM PARENT KS 501(c)(3) Type I ASCENSION HEALTH true ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481186704 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480543778 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL ST TERESA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271965272 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITALS WICHITA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172106 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI PROPERTY SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480948571 PROPERTY MANAGEMENT KS 501(c)(4) ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481158274 REHABILITATION HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION WELFARE BENEFITS TRUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431601369 VEBA MO 501(c)(9) ASCENSION HEALTH ALLIANCE true ASCENSION WISCONSIN FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391494981 FOUNDATION WI 501(c)(3) 7 COLUMBIA ST MARY'S INC true ASCENSION WISCONSIN LABORATORIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391701402 LABORATORY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION WISCONSIN PHARMACY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391613624 PHARMACY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true BAPTIST HEALTH CARE AFFILIATES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581509251 COMMUNITY HEALTH PROMOTION TN 501(c)(3) Type I SAINT THOMAS NETWORK true BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581861378 INACTIVE TN 501(c)(3) Type I SAINT THOMAS WEST HOSPITAL true BLUE LADIES MINERALS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742971975 OWN OIL AND MINERAL RIGHTS, REAL ESTATE TX 501(c)(3) Type III-FI SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC true BORGESS AMBULATORY CARE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382468823 HOLDING COMPANY MI 501(c)(3) 3 BORGESS HEALTH ALLIANCE INC true BORGESS HEALTH ALLIANCE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382335286 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true BORGESS NURSING HOME INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382555589 SKILLED NURSING FACILITY MI 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true CARONDELET FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860749574 FOUNDATION AZ 501(c)(3) Type I ASCENSION ARIZONA true CARONDELET HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431276738 HEALTH SYSTEM PARENT MO 501(c)(3) Type I ASCENSION HEALTH true CARONDELET LONG-TERM CARE FACILITIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742505427 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CARONDELET REGIONAL MEDICAL PC 427 GUY PARK AVENUE AMSTERDAM NY 120101054 814769136 MEDICAL GROUP NY 501(c)(3) 3 ST MARY'S HEALTHCARE true CARROLL MANOR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 832068871 SKILLED NURSING FACILITY DC 501(c)(3) 10 Ascension Health Senior Care true CATALPA HEALTH INC N4642 COUNTY N APPLETON WI 54914 454681563 BEHAVIORAL HEALTH SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true CENTER FOR GERONTOLOGY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382514708 ADULT DAY CARE MI 501(c)(3) 10 Ascension Health Senior Care true CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351869951 FREESTANDING OUTPATIENT CENTER IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true CMC FOUNDATION OF CENTRAL TEXAS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 200468031 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true COLUMBIA COLLEGE OF NURSING Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391596986 COLLEGE WI 501(c)(3) 2 COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC true COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390806315 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390807063 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391834639 HEALTH SYSTEM WI 501(c)(3) Type I ASCENSION HEALTH true CORNERSTONE ASSISTED LIVING INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481241079 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true DELL CHILDREN'S MEDICAL GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742800601 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true DR KATE NEWCOMB CONVALESCENT CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391357365 NURSING/ASSISTED LIVING SERVICES WI 501(c)(3) 10 HOWARD YOUNG HEALTH CARE INC true FIELD NEUROSCIENCES INSTITUTE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382790703 SUPPORTING ORGANIZATION MI 501(c)(3) Type II ASCENSION ST MARY'S HOSPITAL true GENESYS AMBULATORY HEALTH SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382371754 HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true GENESYS CONVALESCENT CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382317364 CONVALESCENT CENTER MI 501(c)(3) 3 GENESYS AMBULATORY HEALTH SERVICES true GENESYS HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383339703 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true GULF COAST HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630934712 HEALTH SYSTEM AL 501(c)(3) Type III-FI ST VINCENT'S HEALTH SYSTEM true HAVEN OF OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 593620346 NURSING HOME FL 501(c)(3) 10 SACRED HEART HEALTH SYSTEM true HOWARD YOUNG HEALTH CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391499115 HOME OFFICE WI 501(c)(3) Type II MINISTRY HEALTH CARE INC true JANE PHILLIPS MEMORIAL MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730606129 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true LaVerna Terrace Housing Corporation 18927 HICKORY CREEK DRIVE SUITE 300 MOKENA IL 60448 363438977 LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED INDIVIDUALS IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true LOURDES FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 911528577 FUNDRAISING WA 501(c)(3) Type I OUR LADY OF LOURDES HOSPITAL AT PASCO true Lourdes Realty Company Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 222873637 Rental of Health Care Facilities NY 501(c)(2) Our Lady of Lourdes Memorial Hospital Inc true MEDICAL SERVICES ENHANCEMENT INC 425 GUY PARK AVENUE AMSTERDAM NY 12010 141776546 MEDICAL OFFICE BUILDING NY 501(c)(25) ST MARY'S HEALTHCARE true MEDICARE VALUE PARTNERS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363495969 HEALTH CARE IL 501(c)(3) 10 Presence Health Partners Services true MERCY HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237140261 FOUNDATION WI 501(c)(3) 10 AFFINITY HEALTH SYSTEM true METRO PHYSICIANS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 943436893 Medical Group WI 501(c)(3) 3 ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC true MINISTRY HEALTH CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391490371 PARENT CORPORATION WI 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF LOURDES HOSPITAL AT PASCO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 910349750 HEALTHCARE WA 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF LOURDES MEMORIAL HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 150532221 HOSPITAL NY 501(c)(3) 3 ASCENSION HEALTH true OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 161608735 SKILLED NURSING FACILITY NY 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true OWASSO MEDICAL FACILITY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 203700131 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true PRESENCE AMBULATORY SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364286236 HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation true PRESENCE BEHAVIORAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362709982 HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation true PRESENCE CARE HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483587 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE TRANSFORMATION CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363366652 MGMT SUPPORT IL 501(c)(3) Type III-FI Alexian Brothers Health System true PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364195126 HEALTH CARE IL 501(c)(3) 3 Presence Care Transformation Corporation true PRESENCE CHICAGO HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362235165 HEALTH CARE IL 501(c)(3) 3 Presence Care Transformation Corporation true PRESENCE HEALTH PARTNERS SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362644178 HEALTH CARE IL 501(c)(3) Type II Alexian Brothers Health System true PRESENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363330928 HEALTH CARE IL 501(c)(3) 3 Presence Care Transformation Corporation true PRESENCE HOME CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483581 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE LIFE CONNECTIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 371127787 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PRESENCE SENIOR SERVICES CHICAGOLAND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237061646 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PRIMARY PHYSICIAN NETWORK LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 208775914 HEALTH CARE IN 501(c)(3) Type I ST MARY'S HEALTH INC true PROVIDENCE BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630914564 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(2) GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630915493 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 7 GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742683112 SUPPORT CHARITABLE PURPOSE OF ASCENSION PROVIDENCE TX 501(c)(3) Type I ASCENSION PROVIDENCE true PROVIDENCE HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742696970 PHYSICIAN PRACTICES TX 501(c)(3) 3 ASCENSION PROVIDENCE true PROVIDENCE HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275583 FUNDRAISING ORGANIZATION DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275587 PHYSICIAN PRACTICES DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630288861 HOSPITAL AL 501(c)(3) 3 GULF COAST HEALTH SYSTEM true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 530196636 HOSPITAL DC 501(c)(3) 3 ASCENSION HEALTH true PROVIDENCE PARK INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611759304 SKILLED NURSING FACILITY TX 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true RAINBOW HOSPICE AND PALLIATIVE CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363296367 HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation true SACRED HEART FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 592436597 FOUNDATION FL 501(c)(3) 7 SACRED HEART HEALTH SYSTEM true SACRED HEART HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 590634434 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true SACRED HEART HEALTH VENTURES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 571183283 INVESTMENT FL 501(c)(3) Type I SACRED HEART HEALTH SYSTEM true SACRED HEART REHABILITATION INSTITUTE Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390902199 REHAB SERVICES WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true SAINT ELIZABETH'S HOSPITAL OF WABASHA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 410693877 HOSPITAL MN 501(c)(3) 3 MINISTRY HEALTH CARE INC true SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390847631 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true SAINT THOMAS HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581716804 SYSTEM PARENT TN 501(c)(3) Type I ASCENSION HEALTH true SAINT THOMAS HEALTH FOUNDATIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581663055 OPERATES FOUNDATION TN 501(c)(3) 7 SAINT THOMAS NETWORK true SAINT THOMAS HICKMAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581737573 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true SAINT THOMAS HOME HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621836937 HOME HEALTH CARE TN 501(c)(3) 10 SAINT THOMAS HICKMAN HOSPITAL true SAINT THOMAS MEDICAL PARTNERS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621529858 HEALTHCARE PROVIDER TN 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SAINT THOMAS MIDTOWN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621869474 ACUTE CARE HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621284994 HEALTH INVESTMENT ENTITY TN 501(c)(3) 10 SAINT THOMAS HEALTH true SAINT THOMAS REGIONAL HOSPITALS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 474063046 HOSPITALS TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS RUTHERFORD FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621167917 FOUNDATION TN 501(c)(3) Type I SAINT THOMAS RUTHERFORD HOSPITAL true SAINT THOMAS RUTHERFORD HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620475842 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS WEST HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620347580 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SALINA REGIONAL HOME MEDICAL SERVICES LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431948057 MEDICAL EQUIPMENT KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH PARTNERS INC true Savelli Properties Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363308965 Owns or leases properties where healthcare services are delivered IL 501(c)(2) Alexian Brothers Health System true SETON CLINICAL ENTERPRISE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364681 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION TEXAS true SETON FAMILY OF DOCTORS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 264562522 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON FAMILY OF PEDIATRIC SURGEONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271311790 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742212968 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true SETON HAYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 262842608 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382820107 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true SETON HOSPITALIST SERVICE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 452498998 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 ASCENSION SETON true SETON INSURANCE SERVICES CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364813 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II ASCENSION TEXAS true SETON MANOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 232960726 SKILLED NURSING FACILITY PA 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true SETON MEDICAL GROUP INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 392064992 PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY MD 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SETON MEDICAL MANAGEMENT C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630937704 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) Type II GULF COAST HEALTH SYSTEM true SETON ORAL & MAXILLOFACIAL SURGERY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 421670843 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON PROPERTY CORPORATION OF NORTH ALABAMA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237326976 REAL ESTATE AL 501(c)(2) ST VINCENT'S HEALTH SYSTEM true SETON WILLIAMSON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205330986 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true SETONUT DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742869762 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SJRMC INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 820204264 HOSPITAL ID 501(c)(3) 3 ASCENSION HEALTH true SOUTHERN TIER MEDICAL CARE - NY PC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 821103087 HEALTHCARE NY 501(c)(3) 3 OUR LADY OF LOURDES MEMORIAL HOSPITAL INC true ST AGNES FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521415083 FUNDRAISING MD 501(c)(3) Type I ST AGNES HEALTHCARE INC true ST AGNES HEALTHCARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 520591657 HOSPITAL MD 501(c)(3) 3 ASCENSION HEALTH true St Alexius Medical Center C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251846 Acute care hospital IL 501(c)(3) 3 Alexian Brothers Health System true ST CATHERINE LABOURE MANOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 591878316 SKILLED NURSING FACILITY FL 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true ST JOHN AUXILIARY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730999759 HEALTH CARE OK 501(c)(3) 10 ST JOHN HEALTH SYSTEM INC true ST JOHN BROKEN ARROW INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383833117 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611659782 REAL ESTATE OK 501(c)(2) ST JOHN HEALTH SYSTEM INC true ST JOHN HEALTH SYSTEM FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731133139 FUNDRAISING OK 501(c)(3) Type I ST JOHN HEALTH SYSTEM INC true ST JOHN HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731215174 SYSTEM PARENT OK 501(c)(3) Type I ASCENSION HEALTH true ST JOHN MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730579286 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN PROVIDENCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382244034 PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true ST JOHN SAPULPA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730662663 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237313206 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST JOSEPH HOSPITAL & HEALTH CENTER INC true ST JOSEPH HOSPITAL & HEALTH CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350992717 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST JOSEPH MEDICAL CENTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431388461 FUNDRAISING MO 501(c)(3) Type I CARONDELET HEALTH true ST JOSEPH REGIONAL MEDICAL CENTER FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 510168321 FUNDRAISING ID 501(c)(3) Type I SJRMC Inc true ST JOSEPH'S MINISTRIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521835288 SKILLED NURSING FACILITY MD 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ST LUKE'S-ST VINCENT'S HEALTHCARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 260479484 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true ST MARY'S AT HOME INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351899560 DME/HOME CARE IN 501(c)(3) Type I ST MARY'S HEALTH INC true ST MARY'S BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237248362 REAL ESTATE HOLDING COMPANY IN 501(c)(2) ST MARY'S HEALTH INC true ST MARY'S HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237045370 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST MARY'S HEALTH INC true ST MARY'S HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351679526 INVESTMENT SERVICES IN 501(c)(3) Type I ST MARY'S HEALTH INC true ST MARY'S HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350869065 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST MARY'S HEALTHCARE 427 GUY PARK AVENUE AMSTERDAM NY 120101054 141347719 HOSPITAL NY 501(c)(3) 3 ASCENSION HEALTH true ST MARY'S MEDICAL CENTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431918107 FUNDRAISING MO 501(c)(3) Type I CARONDELET HEALTH true ST MARY'S MEDICAL GROUP LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 261356310 PHYSICIAN PROFESSIONAL SERVICES IN 501(c)(3) 10 ST VINCENT MEDICAL GROUP INC true ST MARY'S OHIO VALLEY HEARTCARE LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273474697 HEALTHCARE IN 501(c)(3) Type I ST MARY'S MEDICAL GROUP LLC true ST MARY'S WARRICK EMERGENCY MEDICAL SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205342518 AMBULANCE SERVICES IN 501(c)(4) ST MARY'S HEALTH SERVICES INC true ST MARY'S WARRICK HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351343019 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT ANDERSON REGIONAL HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352053693 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT ANDERSON REGIONAL HOSPITAL INC true ST VINCENT ANDERSON REGIONAL HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460877261 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT CARMEL HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 743107055 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT CLAY HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352112529 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT DUNN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 272192831 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT FISHERS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454243702 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT FRANKFORT HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351531734 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT FRANKFORT HOSPITAL INC true ST VINCENT FRANKFORT HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352099320 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352052591 PARENT COMPANY IN 501(c)(3) Type III-FI ASCENSION HEALTH true ST VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 461227327 HEALTH AND WELLNESS SERVICES IN 501(c)(3) 10 ST VINCENT HEALTH INC true ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350869066 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 356088862 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC true ST VINCENT JENNINGS HOSPITAL FOUNDATION INC 301 HENRY STREET NORTH VERNON IN 47265 841703732 INACTIVE IN 501(c)(3) 1 ST VINCENT JENNINGS HOSPITAL INC true ST VINCENT JENNINGS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351841606 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT MADISON COUNTY HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350876389 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT MEDICAL GROUP INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 272039417 PHYSICIAN PROFESSIONAL SERVICES IN 501(c)(3) 10 ST VINCENT CARMEL HOSPITAL INC true ST VINCENT MERCY HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 311066871 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT MADISON COUNTY HEALTH SYSTEM INC true ST VINCENT RANDOLPH HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352133006 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT RANDOLPH HOSPITAL INC true ST VINCENT RANDOLPH HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352103153 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT RAS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 471289091 RETAIL AMBULATORY SERVICES IN 501(c)(3) 10 ST VINCENT HEALTH INC true ST VINCENT SALEM HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 270847538 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT SETON SPECIALTY HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351712001 LONG TERM CARE HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT WILLIAMSPORT HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 743130159 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT WILLIAMSPORT HOSPITAL INC true ST VINCENT WILLIAMSPORT HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350784551 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT'S AMBULATORY CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 592292041 PHYSICIAN PRACTICE FL 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ST VINCENT'S BIRMINGHAM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630288864 HOSPITAL AL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM true ST VINCENT'S BLOUNT C/O 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ASCENSION HEALTH true ST VINCENT'S MEDICAL CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 060646886 HOSPITAL AND SYSTEM PARENT CT 501(c)(3) 3 ASCENSION HEALTH true ST VINCENT'S MEDICAL CENTER FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 222558132 FUNDRAISING CT 501(c)(3) 7 ST VINCENT'S MEDICAL CENTER true ST VINCENT'S MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 590624449 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true ST VINCENT'S MEDICAL CENTER-CLAY COUNTY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 461523194 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true SVH REAL ESTATE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205002285 REAL ESTATE HOLDING COMPANY IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true THE HEALTH SOURCE GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382427678 PRG RELATED INVESTMENTS MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true THE HOWARD YOUNG MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390873606 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true THE SETON COVE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742727509 SPIRITUALITY CENTER TX 501(c)(3) Type II ASCENSION TEXAS true TRI-COUNTY CLINICAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 264562712 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true TWENTY-SIX DOORS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742855201 TO HOLD TITLE TO REAL PROPERTY TX 501(c)(25) SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC true UNIVERSAL HEALTH SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630932323 PHYSICIAN GROUP AL 501(c)(3) Type II ST VINCENT'S HEALTH SYSTEM true VIA CHRISTI FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364943550 FOUNDATION KS 501(c)(3) 7 ASCENSION VIA CHRISTI HEALTH INC true VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481236589 PACE (SNF) KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true VIA CHRISTI VILLAGE GEORGETOWN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481129325 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true VIA CHRISTI VILLAGE HAYS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 202828680 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true VIA CHRISTI VILLAGE MANHATTAN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481078862 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true VIA CHRISTI VILLAGE MCLEAN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481247723 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true VIA CHRISTI VILLAGE PITTSBURG INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 743070971 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true VIA CHRISTI 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