2019-05-15T12:38:49-05:00 2018-06-30 ERNST & YOUNG US LLP 425 HOUSTON ST SUITE 600 FORT WORTH TX 76102 990 2017-07-01 731310891 Warren Clinic Inc % ERIC E SCHICK WARR 9185028126 6600 S Yale Ave Suite 400 Tulsa OK 741363319 ERIC E SCHICK Treasurer/CFO 2019-05-12 true KATHLEEN MOSELEY P00116760 8173351900 164.57.159.253 35057220191355000006 2019-05-15 P 86FD7583EF94FAE7FD1B6B0D29818F992BDFD775 3EE0EA4077A952E7D1F71D0CD73736AA8FC8EC2C 2017 2020-01-14 16:20:31Z Eric E Schick 6600 S Yale Ave Suite 400 Tulsa OK 741363319 173766709 false X HTTPS://WWW.SAINTFRANCIS.COM/WARREN X 1987 OK To extend the presence and healing ministry of Christ in all we do. 7 5 1652 0 0 0 0 948 162445922 170637412 849271 175605 2754443 2948309 166049636 173762274 0 0 0 0 152559439 166635159 0 0 0 44980526 54003706 197539965 220638865 -31490329 -46876591 56517105 63601766 48184350 56339965 8332755 7261801 To extend the presence and healing ministry of Christ in all we do. false false 197179931 0 173289041 Warren Clinic, Inc. and its employee providers provide quality medical healthcare regardless of race, creed, sex, national origin, handicap, age or ability to pay. It has a strong commitment to help meet the needs of the communities it serves. Recognizing this commitment, Warren Clinic, Inc. provides services to both Medicaid and indigent patients. The unreimbursed value of providing care to these patients was $13,783,000 in fiscal year 2018. Warren Clinic, Inc. provides physician services to communities which are designated physician shortage areas. Training for medical students is also provided by Warren Clinic, Inc. physicians. 197179931 true false false true false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false true false false false false false false true true true false false true X 146 0 true 1652 true false false false false false false false false false false X 7 5 true true false false true true true true true false false false true true true true true true true true true OK X ERIC E SCHICK 9184948430 6161 S YALE AVE Tulsa OK 741363319 X Jake Henry Jr President/CEO/Director/Trustee 1.0 39.0 X X 0 5273282 81823 Barry L Steichen Vice President/COO/Director 1.0 39.0 X X 0 997892 154074 William R Lissau Director 1.0 0.0 X 0 0 0 William K Warren Jr Trustee 1.0 0.0 X 0 0 0 Judy Kishner Trustee 1.0 0.0 X 0 0 0 John A Gaberino Jr Trustee 1.0 0.0 X 0 0 0 J Frederick McNeer MD Trustee 1.0 0.0 X 0 0 0 Eric E Schick Treasurer/CFO 1.0 39.0 X 0 781206 135089 Jeffrey C Sacra Asst Secretary (Until 6/1/18) 1.0 39.0 X 0 319217 60841 Thomas G Neff Secretary 1.0 39.0 X 0 491368 60041 Charley Trimble Administrator 40.0 0.0 X 524238 0 44060 Lynn Wiens MD Physician 40.0 0.0 X 1195521 0 53041 Ryan Gursky MD Physician 35.0 5.0 X 1068284 19500 53041 Mark Allison MD Physician 40.0 0.0 X 1061238 0 55591 Muhammad Janjua MD Physician 40.0 0.0 X 1173015 0 51902 Sanjeev Trehan MD Physician 35.0 5.0 X 1052569 15400 46388 Lance King Administrator 40.0 0.0 X 526859 0 49847 Steve Sanders DO Former Administrator 0.0 0.0 X 378220 0 37256 6979944 7897865 882994 289 true true false Weatherby Locums Inc PO Box 972633 DALLAS TX 753972633 Locum Physicians 719201 Workspace Solutions Inc 7501 Broadway Ext OKLAHOMA CITY OK 73116 Office Furn/Services 285629 Crossland Construction Company 833 SE Avenue COLUMBUS KS 66725 Construction Svcs 263460 CHG Companies Inc PO Box 972651 DALLAS TX 753972651 Physician Services 878378 Warren Professional Building Corp 6565 S Yale Ave TULSA OK 74136 Building Rent 5907251 6 948 948 PHYSICIAN SERVICES 621300 170185006 170185006 RENTAL INCOME FROM AFFILIATES 532000 452406 452406 170637412 170633 170633 0 0 296680 296680 0 296680 296680 9407 4435 4972 4972 4972 0 0 0 0 0 0 0 0 0 AFFILIATE REVENUE - BUSINESS OFFICE 900099 2571642 2571642 AFFILIATE REVENUE - MANAGEMENT FEES 900099 140040 140040 VENDING MACHINE COMMISSIONS 900099 764 764 -60817 -60817 2651629 173762274 173289041 472285 0 0 0 0 847048 847048 1293017 1293017 143236295 135285440 7950855 8834612 8830184 4428 5532613 5134265 398348 6891574 6466267 425307 0 -71 71 3227 2439 788 45514 45514 31464 31464 0 0 8893696 4956273 3937423 175530 58800 116730 3677949 3032421 645528 181569 114747 66822 0 10247442 8425601 1821841 299308 245720 53588 0 376028 354908 21120 0 0 3224723 3035520 189203 6888721 2452513 4436208 MEDICAL SUPPLIES 9129687 9032906 96781 BAD DEBT EXPENSE 5425360 5186876 238484 ADMINISTRATIVE EXPENSE 3926827 3970641 -43814 EMPLOYEE EXPENSE 986777 99678 887099 489884 463339 26545 220638865 197179931 23458934 0 112593 239626 12731829 15657367 0 0 12642870 14828215 0 0 0 0 466371 464148 0 0 411178 606172 50990244 21287661 27669159 29702583 0 0 0 0 2117573 1760844 0 0 365532 342811 56517105 63601766 39687276 44224194 0 0 0 0 0 0 0 0 0 0 0 0 0 23102 8497074 12092669 48184350 56339965 X 8332755 7261801 0 0 0 0 8332755 7261801 56517105 63601766 X -46876591 45805637 X true X true X true false X false false false false false false false false true 31464 31464 false Schedule C, Part II-B, Line 1i Warren Clinic, Inc., through the membership dues paid on behalf of physicians to the American Medical Association and Oklahoma State Medical Association, participate in lobbying and grass roots lobbying activity. It is less than a substantial part of the total clinic expenditures in a taxable year. The lobbying and grass roots lobbying activity is related to legislature affecting the clinic, in particular the promotion of health. 3073475 3073475 22483235 9757167 12726068 5696673 1465467 4231206 18071481 10065027 8006454 1665380 1665380 29702583 0 OPERATING LEASE LIABILITY 1251253 PROF LIABILITY INSURANCE RESER 10840930 DUE TO AFFILIATES 486 12092669 X Schedule D, Part X, Line 2 Accounting Standards Codification Topic (ASC) 740, Income Taxes, provides guidance regarding recognition, de-recognition, measurement, and disclosure of all tax positions. In accordance with the requirements of ASC 740, Warren Clinic, Inc. identifies and documents uncertain tax positions for all open tax years. If uncertain tax positions are identified, they are analyzed to determine the proper unit of account. Next, they are tested to determine whether a tax asset or a tax liability should be recognized. Warren Clinic, Inc. has determined that the position on uncertain tax positions is more likely than not to be fully sustained upon examination. Therefore, no liability or asset for uncertain tax positions needs to be recorded. X X true true X X X X false true false false false false false false false Jake Henry Jr President/CEO/Director/Trustee 0 1255548 0 3950000 0 67734 0 35140 0 46683 0 5355105 Barry L Steichen Vice President/COO/Director 0 763321 0 224646 0 9925 0 131417 0 22657 0 1151966 Eric E Schick Treasurer/CFO 0 576921 0 193737 0 10548 0 113370 0 21719 0 916295 Jeffrey C Sacra Asst Secretary (Until 6/1/18) 0 248645 0 66120 0 4452 0 50399 0 10442 0 380058 Steve Sanders DO Former Administrator 359244 18976 28299 8957 415476 Lynn Wiens MD Physician 1195521 33340 19701 1248562 Ryan Gursky MD Physician 1050284 19500 18000 33340 19701 1121325 19500 Mark Allison MD Physician 1043238 18000 33340 22251 1116829 Muhammad Janjua MD Physician 1155015 18000 33339 18563 1224917 Lance King Administrator 425630 82700 18529 33340 16507 576706 Thomas G Neff Secretary 0 366175 0 106266 0 18927 0 35140 0 24901 0 551409 Charley Trimble Administrator 397842 103950 22446 24340 19720 568298 Sanjeev Trehan MD Physician 1031877 15400 2500 18192 33339 13049 1098957 15400 Schedule J, Part I, Line 1a Certain individuals included in Schedule J, Part II participated in key business activities accompanied by their spouse. Additionally, these same individuals may have incurred personal expenses related to these key business activities. With proper documentation and approval, Saint Francis Health System, Inc., includes these reimbursements as W-2 wages for the employee. These wages are grossed up to provide tax indemnification to the employee. Schedule J, Part I, Line 4b A select group of highly compensated employees of Saint Francis Health System, Inc., and its related entities, Saint Francis Hospital, Inc., Laureate Psychiatric Clinic and Hospital, Inc., Warren Clinic, Inc., Saint Francis Hospital South, LLC, Saint Francis Home Health, Inc., The Children's Hospital Foundation at Saint Francis, Saint Francis Hospital Vinita, Inc., and Saint Francis Hospital Muskogee, Inc., are eligible to participate in a nonqualified deferred compensation plan under Section 457(b) and 457(f) of the Internal Revenue Code of 1986, as amended under the economic growth and tax relief reconciliation act of 2001. Note: None of the individuals listed on Schedule J are compensated as board members of the reporting entity. The reported compensation is for services as employees of the reporting entity or related organization. Schedule J, Part II, Column B(ii) The following individual received a one-time retention bonus during the year. These payments are included in Schedule J, Part II, column B(ii): Jake Henry Jr. $3,000,000 Martina Hum MD Married to Senior VP 292597 Physcian Compensation false Schedule L, Part IV, Line 1 Dr. Martina Hum, an employed physician of Warren Clinic, Inc., is married to Thomas G. Neff, Senior Vice President of strategic planning and Secretary for Saint Francis Health System, Inc. Dr. Hum's compensation and benefits are reported on Form 990, Part IX, Line 6. Form 990, Part V, Line 2b Saint Francis Payroll Services, LLC, EIN 45-0470422, has been authorized to act as a common pay agent under Section 3504 of the Internal Revenue Code for Saint Francis Health System, Inc. effective July 1, 2002, in accordance with revenue procedure 70-6, 1970-1 C.B. 420. Saint Francis Payroll Services, LLC assumed reporting obligations for federal income tax, social security and Medicare withholding tax purposes for Saint Francis Health System, Inc. and year-end reporting effective July 1, 2002. Form 990, Part VI, Line 2 Many of the persons listed on Part VII have a "business relationship" with each other by virtue of serving on related Saint Francis Health System, Inc. entity boards and other corporation boards. The organization has determined these associations do not present a conflict of interest. Jake Henry Jr., an officer and director, serves on other boards outside of Saint Francis Health System, Inc. with Barry Steichen, an officer and director, and Eric Schick, an officer. William R. Lissau, a director, has business relationships with William K. Warren, Jr., a trustee. Form 990, Part VI, Line 3 The organization by its bylaws and resolution delegates governance of its operations to the directors of Saint Francis Health System, Inc. Form 990, Part VI, Line 6 The organization has five members. Form 990, Part VI, Line 7a The members elect the governing body. Form 990, Part VI, Line 7b The Board of Directors and a majority of the members approve the sale of corporate assets valued at $10,000,000 or more. The members have sole authority to: -Amend the certificate of incorporation -Approve mergers or consolidations -Approve the sale, lease or transfer of all, or substantially all, of the assets of the corporation -Amendment of bylaws -Appointment of board members Form 990, Part VI, Line 11b The finance committee, a sub-committee of the board of directors of Saint Francis Health System, Inc. has access to review the password protected Form 990 online prior to filing with the IRS. Form 990, Part VI, Line 12c The organization uses the conflict of interest, whistleblower and record retention policies of Saint Francis Health System, Inc. A request for information on potential conflicts is solicited annually from directors, trustees and all employees with a manager level and above to monitor for proposed or ongoing transactions for conflicts of interest and dealing with potential or actual conflicts. One director, one director/officer/trustee, one officer, and two trustees reported potential conflicts that were addressed by the governing body. Conflicts are regularly disclosed and addressed. Form 990, Part VI, Lines 15a & b Compensation of officials and key employees are annually reviewed and approved by the compensation committee with guidance from independent consultants and use of comparative data. Form 990, Part VI, Section C, Line 19 These requests are determined on a case-by-case basis. Form 990, Part VII, Section A, Line 1 The hours per week reported on Form 990, Part VII for officers and directors are the hours spent on the filing entity only. The remaining portion of the 40 hours per week of the officers and directors with related compensation is allocated among the entities reported on Schedule R. Form 990, Part XI, Line 9 Warren Clinic, Inc. had net transactions from Saint Francis Health System, Inc. in the amount of $45,805,637 in FY18 due to year end equity transfers between entities. Saint Francis Health System Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 731501972 Health Svcs OK 501(c)(3) 12B Type II NA false Saint Francis Hospital Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 730700090 Health Svcs OK 501(c)(3) 3 SFHS true Saint Francis Hospital South LLC 6600 S Yale Ave Ste 400 Tulsa OK 74136 010603214 Health Svcs OK 501(c)(3) 3 SFHS true Laureate Psychiatric Clinic & Hospital 6600 S Yale Ave Ste 400 Tulsa OK 74136 731308273 Health Svcs OK 501(c)(3) 3 SFHS true McAlester Ambulatory Surgery Center LLC 6600 S Yale Ave Ste 400 Tulsa OK 74136 731599085 Health Svcs OK 501(c)(3) 3 WCI false The Children's Hosp Fnd at Saint Francis 6600 S Yale Ave Ste 400 Tulsa OK 74136 202843418 Health Svcs OK 501(c)(3) 12A Type I SFHS true Saint Francis Hospital Vinita Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 813747248 Health Svcs OK 501(c)(3) 3 SFHS true Saint Francis Hospital Muskogee Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 814322087 Health Svcs OK 501(c)(3) 3 SFHS true Saint Francis Payroll Services LLC 6600 S Yale Ave Ste 400 Tulsa OK 741363319 450470422 Common Pay Agent OK SFHS C Corp 0 0 true Xavier Insurance Company Inc 76 St Paul st Ste 500 Burlington VT 05401 030333599 Captive Insurance VT SFH C Corp 0 0 true Saint Francis Health Sys Gen-Prof Liab PO Box 3038 Milwaukee WI 53215 756583874 Self Insurance OK SFHS Trust 0 0 true false false true false false false false false true true true true false false true true true true Laureate Psychiatric Clinic and Hospital Inc L 329798 Trans Review Laureate Psychiatric Clinic and Hospital Inc Q 234650 Trans Review Saint Francis Hospital Inc J 442396 Trans Review Saint Francis Hospital Inc K 975232 Trans Review Saint Francis Hospital Inc L 6082507 Trans Review Saint Francis Hospital Inc M 7123136 Trans Review Saint Francis Hospital Inc P 412264770 Trans Review Saint Francis Hospital Inc Q 288294904 Trans Review Saint Francis Hospital Inc R 74677891 Trans Review Saint Francis Hospital Inc S 3324443 Trans Review Saint Francis Hospital South LLC K 421091 Trans Review Saint Francis Hospital South LLC L 150212 Trans Review Saint Francis Hospital South LLC P 4869413 Trans Review Saint Francis Hospital South LLC Q 7460842 Trans Review McAlester Ambulatory Surgery Center LLC L 182316 Trans Review McAlester Ambulatory Surgery Center LLC Q 216209 Trans Review Saint Francis Hospital Vinita Inc Q 87323 Trans Review Saint Francis Hospital Vinita Inc K 134198 Trans Review Saint Francis Hospital Muskogee Inc Q 416111 Trans Review Saint Francis Hospital Muskogee Inc P 595511 Trans Review Mcalester Ambulatory Surgery Center LLC C 500000 Trans Review Saint Francis Hospital Muskogee Inc J 131441 Trans Review Saint Francis Hospital Muskogee Inc K 230422 Trans Review