2019-05-15T12:33:38-05:00 2018-06-30 ERNST & YOUNG US LLP 425 HOUSTON ST SUITE 600 FORT WORTH TX 76102 990 2017-07-01 731308273 Laureate Psychiatric Clinic and HospitalInc % ERIC E SCHICK LAUR 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 35057220191355000008 2019-05-15 P 5831CF19ADFC4933A2806BB1879A3210946B5945 3EE0EA4077A952E7D1F71D0CD73736AA8FC8EC2C 2017 2019-02-21 02:37:17Z Eric E Schick 6600 S Yale Ave Ste 400 Tulsa OK 741363319 44436541 false X WWW.LAUREATE.COM X 1987 OK To extend the presence and healing ministry of Christ in all we do. 8 6 498 28 0 0 850950 896025 38962453 42985580 -51473 -43280 561351 549987 40323281 44388312 0 0 0 0 24996109 25874568 0 0 0 12925667 15101444 37921776 40976012 2401505 3412300 55429054 55935476 3817981 5367561 51611073 50567915 X TO EXTEND THE PRESENCE AND HEALING MINISTRY OF CHRIST IN ALL WE DO. false false 6409605 0 5579390 See Schedule O 7262711 0 17052304 See Schedule O 5020818 0 10201625 See Schedule O 14444169 0 10152261 33137303 true true false false false false false false false false true false false false 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 X 35 0 true 498 true false false false false false false false false false false X 8 6 true true false false true true true true true false false false true true true true true true true false OK X ERIC E SCHICK 9184948430 6161 S YALE AVE TULSA OK 741363319 X Jake Henry Jr President/CEO/Director 1.0 39.0 X X 0 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 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 Judy Kishner Trustee 1.0 0.0 X 0 0 0 Bishop David A Konderla Trustee 1.0 0.0 X 0 0 0 Jeffrey C Sacra Asst Secretary (Until 6/1/18) 1.0 39.0 X 0 319217 60841 Eric E Schick Treasurer/CFO 1.0 39.0 X 0 781206 135089 Thomas G Neff Secretary 1.0 39.0 X 0 491368 60041 Michelle Keeling Administrator 40.0 0.0 X 224739 0 53402 Bradley McClure MD Physician 40.0 0.0 X 294120 0 51902 Katherine Godwin MD Physician 40.0 0.0 X 286569 0 53442 Scott Moseman MD Physician 40.0 0.0 X 406115 0 33340 Heather Hall MD Physician 40.0 0.0 X 290385 0 49263 Jeffrey Grantham MD Physician 40.0 0.0 X 262803 2100 37387 William Schloss Former Administrator 0.0 0.0 X 249185 0 6826 2013916 7865065 777430 25 true true false Crossland Construction Co Inc 833 S East Ave COLUMBUS KS 66725 Construction Svcs 802284 Otis Elevator Company Inc 1444 N Cockrell Hill Rd Ste 102 DALLAS TX 75211 Elevator Maintenance 612876 Murray Womble Inc 8150 N 116th East Ave OWASSO OK 74055 Construction Svcs 349717 Contech Inc 114 S Elm Pl BROKEN ARROW OK 74012 Construction Svcs 250000 Roark Landscaping Corp 5809 S 107th E Av TULSA OK 74146 Landscaping Services 307169 12 840000 56025 896025 PATIENT SVCS, NET OF CONTRACTUAL ADJUST 621110 42973820 42973820 MEANINGFUL USE 621110 11760 11760 42985580 2716 2716 0 0 388740 388740 0 388740 388740 2233 48229 -45996 -45996 -45996 0 0 0 0 0 0 0 0 0 MANAGEMENT SERVICES FOR AFFILIATES 541610 160284 160284 AUXILIARY/GIFT SHOP 453220 867 867 OTHER 900099 96 96 161247 44388312 43145864 346423 0 0 0 0 556797 556797 0 20828331 19301560 1526771 1357424 1274079 83345 1716255 1565259 150996 1415761 1303340 112421 0 0 31934 31934 0 0 0 1050767 509890 540877 118093 103387 14706 185635 146084 39551 819168 17833 801335 0 1924953 1924953 74933 67990 6943 0 0 0 0 2842228 2842228 335275 63614 271661 BAD DEBT EXPENSE 4153115 4153115 MEDICAL SUPPLIES 1299500 1284978 14522 MEDICAID SHOPP FEE 879529 879529 ADMINISTRATIVE EXPENSE 693568 693568 692746 541692 151054 40976012 33137303 7838709 0 15404 17695 495711 486456 0 0 3967940 4784622 0 0 0 0 45769 15433 111883 112928 389078 367869 97375115 47678700 49495522 49696415 0 0 0 0 0 0 0 0 907747 454058 55429054 55935476 3517227 4999166 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300754 368395 3817981 5367561 X 51611073 50567915 0 0 0 0 51611073 50567915 55429054 55935476 X 3412300 -4455458 X true X true X true false X 13235926 13235926 52108922 24368172 27740750 8573467 7049564 1523903 20828919 16239803 4589116 2627881 21161 2606720 49696415 0 PROF. LIABILITY INSURANCE RESE 296476 THIRD PARTY SETTLEMENT 71919 368395 X 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, Laureate Psychiatric Clinic and Hospital, Inc. identifies and documents uncertain tax positions for all open tax years. If uncertain tax positions are identified, they are analyzed to determine the proper unit of account. Next, they are tested to determine whether a tax asset or a tax liability should be recognized. Laureate Psychiatric Clinic and Hospital, 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. true true X true X 225. false true true true false true true 1896080 1896080 0.05150 2066796 734313 1332483 0.03620 3962876 734313 3228563 0.08770 5876389 5188572 687817 0.01870 5876389 5188572 687817 0.01870 9839265 5922885 3916380 0.10640 true 4153115 3322492 7539624 8298549 -758925 X true true 1 1 Laureate Psychiatric Clinic & Hosp 6600 S Yale Ave Ste 400 Tulsa OK 74136 WWW.LAUREATE.COM 2323 X Laureate Psychiatric Clinic & Hosp 1 false false true X X X X X X X X X 16 true true true true X See Schedule H, Part V, Section C X true 16 true See Schedule H, Part V, Section C false false true X 225. 0. X X X X X true true X X X X true X See Schedule H, Part V, Section C X See Schedule H, Part V, Section C X See Sch H, Part V, Section C X X X X X X X true X false X X X X true X false false Part V, Section B, Line 5 The Community Health Needs Assessment (CHNA) report uses quantitative data derived from primary research and secondary data (American Community Survey data, Census Bureau data) obtained from the Tulsa-City County Health Department. The survey instrument used for this study was created by the Tulsa City-County Health Department, Health Data and Evaluation Division, with input from community partners. Community input focus group sessions were conducted in each of the eight Tulsa Health Department defined regions. Part V, Section B, Line 6a Laureate Psychiatric Clinic and Hospital, Inc. conducted the CHNA with Saint Francis Hospital, Inc. and Saint Francis Hospital South, LLC. Part V, Section B, Line 6b Laureate Psychiatric Clinic and Hospital, Inc.s CHNA was conducted by the Tulsa County Health Department. Part V, Section B, Line 7a https://www.saintfrancis.com/about-us/commitment-to-community Part V, Section B, Line 10a https://www.saintfrancis.com/about-us/commitment-to-community Part V, Section B, Line 11 The Community Health Needs Assessment (CHNA) identified the top ten needs (in order of highest priority) of the Tulsa community as poor diet/inactivity; chronic diseases; alcohol/drug abuse; access to healthcare; tobacco use; lack of education; aging problems; safety/crime; poverty/unemployment; and mental health. Laureate Psychiatric Clinic and Hospital, Inc. does not intend to address the health needs due to lack of education; aging problems; safety/crime; and poverty/unemployment due to lack of expertise in these areas. It is an unfortunate matter that certain socioeconomic burdens to the health of our community cannot be fully or effectively addressed by individual private institutions. The hospitals comprising Saint Francis Health System, Inc. provide millions of dollars each year in uncompensated care to the poor in the form of free or discounted care to the uninsured, the underinsured, and Medicaid beneficiaries. Laureate Psychiatric Clinic and Hospital, Inc., as well as Saint Francis Hospital, Inc., Saint Francis Hospital South, LLC, Saint Francis Hospital Vinita, Inc., Saint Francis Hospital Muskogee, Inc. and the senior leadership and Board of Directors of Saint Francis Health System, Inc. will continue to work with community and state-level policy and political leaders, safety net providers, and community advocates to build sustainable partnerships to better address these broader community needs. Saint Francis Health System, Inc. and all of its entities, including those not covered by the CHNA implementation strategy, will continue to be an advocate for the poor, the vulnerable and the underserved. Laureate Psychiatric Clinic and Hospital, Inc. and the other Saint Francis Health System, Inc. entities are addressing the community needs of access to healthcare; alcohol/drug abuse; chronic diseases; poor diet/inactivity; tobacco use; and mental health through various programs designed to improve access to healthcare, advance knowledge, identify root causes, and improve health status and quality of life. Access to healthcare Access to comprehensive, quality health services is necessary for health equity and a healthy quality of life for individuals in our community. Access to healthcare can impact physical, social and mental health, disease and disability prevention, and life expectancy, among other things. Not having healthcare coverage obstructs the ability to access medical care; reduces utilization of preventive services; and contributes greatly to the costs of healthcare. Uninsured people are also less likely to receive medical care, more likely to die early, and more likely to have poor health status as they tend to delay treatment; experience diagnoses at later stages of disease progression; and may receive less medical care than patients with health insurance. Current policy efforts focus on the provision of insurance coverage as the principal means of ensuring access to healthcare among the general population. Almost two-thirds of Tulsa County adults surveyed ages 18 - 64 reported they had employer provided or private insurance (63.1 percent). An additional 14.3 percent reported insurance through a government sponsored program (Medicaid, Medicare, military benefits, or tribal/Indian health benefits). This age group was defined in order to exclude the Medicare population age 65 and older. However, 13.4 percent of Tulsa County adults ages 18-64 reported having no health coverage. This was lower than both Oklahoma (17.2 percent) and the US (20.0 percent). None of these regions met the Healthy People 2020 goal of universal coverage (no one without insurance). Saint Francis Health System, Inc. and Laureate Psychiatric Clinic and Hospital, Inc., in their mission to extend the presence and healing ministry of Christ in all we do, address these community health needs by providing charity care to those families meeting the 225 percent Federal Poverty Guidelines criteria. Additionally, the Xavier Medical Clinic, an entity fully owned and operated by Saint Francis Health System, Inc. offers the resources of 50 volunteer physicians, pharmacists, nurses and other health professionals to women, children and men who are uninsured or underserved. The clinic has two components, Xavier Medical Clinic and Xavier Pregnancy Program. Xavier Medical Clinic seeks to provide free, limited outpatient primary healthcare services, facilitate referrals to volunteer specialists, educate in good health practices and increase access to traditional healthcare. The Xavier Pregnancy Program provides pregnancy screening services to expectant mothers, many of whom lack the financial means necessary to purchase insurance. They follow the mother and baby throughout the pregnancy and during the postpartum time, assisting when needed as any identifiable need surfaces. Patients are referred to Saint Francis Hospital, Inc. for inpatient care including childbirth, as well as surgery and ancillary services. In fiscal year 2018, Xavier Medical Clinic received 8,900 patient visits, aided over 140 patients to receive referrals outside of the clinic, provided over 180 prescriptions with an equivalent cost of over $201,197, dispensed over 11,479 prescriptions, and the Xavier Pregnancy Program assisted 472 women, resulting in 410 births at Saint Francis Hospital, Inc. Because of its dedicated and caring staff, Xavier Clinic is able to reach a group that might otherwise avoid or have difficulties accessing basic healthcare services. Saint Francis Health System, Inc. also holds several health fairs over the course of a year to disseminate health information and/or to provide health screenings to the community at large. Laureate Psychiatric Clinic and Hospital, Inc., Saint Francis Hospital, Inc., and Saint Francis Hospital South, LLC, Saint Francis Hospital Vinita, Inc., and Saint Francis Hospital Muskogee, Inc. will serve as acute care hubs for the patients that utilize the health system's primary, urgent, and specialty care at outlying locations. These are a few of the many ways Saint Francis Health System, Inc. is addressing the need for improving access to healthcare. Alcohol and drug use Substance abuse has a major impact on individuals, families, and communities, and contributes to poor public health outcomes. These costly social, physical, mental, and public health problems include teenage pregnancies, HIV/AIDS and other STDs, domestic violence, child abuse, motor vehicle accidents, physical fights, crime, homicide, and suicide. Estimates of individuals who have a substance abuse disorder are high, indicating the importance of prevention efforts and improved access to treatment for substance abuse. Overall, 2.3 percent of Tulsa County adults reported that they had been told by a healthcare or support service provider that they had an alcohol dependency, and a total of 2.3 percent of Tulsa County adults reported they had been told by a healthcare or support service provider that they had a drug dependency. These self-reported rates appear to be lower than much literature would suggest, lending support to the theory that mental health needs in general are a major area of need for both the service area and the nation as a whole. Laureate Psychiatric Clinic and Hospital, Inc. offers substance abuse counseling for adults on an inpatient basis, and adults and adolescents on an outpatient basis to address alcohol and drug abuse. Other entities in the community addressing this issue include Parkside Psychiatric Hospital, Brookhaven Hospital, Indian Healthcare Resource Center of Tulsa, Oxford House, St. John Health System, Hillcrest Health System, Alcoholics Anonymous, Shadow Mountain Behavioral Health System, Tulsa Center for Behavioral Health and Family and Children's Services. Chronic disease In the US, chronic diseases are the main cause of poor health, disability, and death, account for most of healthcare expenditures. Chronic diseases are responsible for 7 of 10 deaths each year, and treating people with chronic diseases accounts for 86 percent of our nation's healthcare costs per the Centers for Disease Control and Prevention (CDC). Around half of adults in the US have at least one chronic condition and 26 percent have two or more conditions. The chronic disease burden in the US largely results from a short list of risk factors - including socioeconomic status, tobacco use, poor diet and physical inactivity (both strongly associated with obesity) - that can be effectively addressed for individuals and populations. To effectively and equitably address the chronic disease burden, public health and healthcare systems need to deploy integrated approaches that bundle strategies and interventions, address many risk factors and conditions simultaneously, create population - wide changes, help the population subgroups most affected, and rely on implementation by many sectors, including public - private partnerships and involvement from all stakeholders. Laureate Psychi Part V, Section B, Line 13a Patients who have been evaluated and identified to be financial assistance plan eligible and meet the criteria established by Laureate Psychiatric Clinic and Hospital, Inc. according to relevant circumstances regarding income, assets, or other resources available to the patient or patients family, are considered charity and therefore, by hospital policy, are not billed for any services. Part V, Section B, Lines 16a, b and c https://www.saintfrancis.com/patients-and-guests/for-patients/billing-and- insurance/ Part V, Section B, Line 16j The billing statement includes information regarding financial assistance availability. Additionally, MyChart, a secure online tool that allows patients to connect with their personal health information 24/7, provides a link which takes the patient to the financial assistance letter and application form. Part V, Section B, Line 20e Proactive phone calls and statements are sent before collection actions are taken. Part V, Section B, Line 22d Amounts generally billed (AGB) are determined under the prospective method using Medicaid reimbursement rates. Additionally, a self-pay discount of 20 percent is provided on all charges. Part I, Line 3c Income based criteria is used as the basis in determining eligibility for free health services. Part I, Line 6a Saint Francis Health System, Inc. 73-1501972, the parent organization of Laureate Psychiatric Clinic and Hospital, Inc. produces a consolidated community benefit report included in the spring issue of the Saint Francis Health System magazine "Presence" that is made available to the public through the organization's website at https://www.saintfrancis.com/about-us/commitment-to-community Part I, Line 7 Costing Methodology: A ratio of patient care cost to charges, as determined in Worksheet 2, was used to report the amounts in Part I, Lines 7a - 7c. For amounts reported on lines 7e - 7i, actual expenses for each community benefit activity are tracked and reported using the organization's accounting general ledger and are not based on a cost to charge ratio. The number reflected on line 7, column (f) excludes bad debt expense. The supplemental hospital offset payment program (SHOPP) was created and implemented in calendar year 2011 for the purpose of assuring access to quality care for Oklahoma Medicaid members. The program is designed to assess Oklahoma hospitals, unless exempt, a supplemental hospital offset payment program fee. The collected fees are placed in pools and then allocated to hospitals based on Medicaid revenues as directed by legislation. The Oklahoma Health Care Authority (OHCA) does not guarantee that allocation will equal or exceed the amount of the supplemental hospital offset payment program fees that were paid by Laureate Psychiatric Clinic and Hospital, Inc. Part III, Section A, Line 2 Laureate Psychiatric Clinic and Hospital, Inc. has an established process to determine the adequacy of the allowance for uncollectable receivables that relies on a number of analytical tools and benchmarks to arrive at a reasonable allowance. No single statistic or measurement determines the adequacy of the allowance for uncollectable receivables. Some of the analytical tools that Laureate Psychiatric Clinic and Hospital, Inc. utilizes include, but are not limited to, historical cash collection experience, revenue trends by payer classification, and revenue days in accounts receivable. Accounts receivable are written off after collection efforts have been followed in accordance with Laureate Psychiatric Clinic and Hospital, Inc.'s policies. Part III, Section A, Line 3: The bad debt attributable to patients eligible under the organization's financial assistance policy is calculated from a sample review of all bad debt accounts and subsequent information. Part III, Section A, Line 4 The Saint Francis Health System, Inc. audited consolidated financial statements, which includes Laureate Psychiatric Clinic and Hospital, Inc., provide a separate footnote addressing the organization's accounts receivable and allowance for doubtful accounts on pages 5, 6 and 7. Laureate Psychiatric Clinic and Hospital, Inc. reports bad debt in accordance with Generally Accepted Accounting Principles (GAAP). Healthcare Financial Management Associate Statement 15 is followed to the extent that the provision for bad debt at cost is determined using the same cost to charge ratio that is used to calculate charity care and Medicaid shortfalls. Discounts and allowances are accounted for separately from bad debt expense. Accounts receivable are valued at net realizable value. Laureate Psychiatric Clinic and Hospital, Inc. estimates the allowances for uncollectable receivables based on historic write-offs and the aging of the accounts. Part III, Section B, Line 8 Costing Methodology: Medicare allowable costs were calculated using a cost-to-charge ratio and the Medicare filed cost report. The shortfall on Schedule H, Part III, Section B, Line 7 is considered community benefit. Laureate Psychiatric Clinic and Hospital, Inc. provides services to many low-income Medicare recipients. The Medicare losses sustained at the hospital are a result of Medicare reimbursing at less than operating costs. The supplemental hospital offset payment program (SHOPP) was created and implemented in calendar year 2011 for the purpose of assuring access to quality care for Oklahoma Medicaid members. The program is designed to assess Oklahoma hospitals, unless exempt, a supplemental hospital offset payment program fee. The collected fees are placed in pools and then allocated to hospitals based on Medicaid revenues as directed by legislation. The Oklahoma Health Care Authority (OHCA) does not guarantee that allocation will equal or exceed the amount of the supplemental hospital offset payment program fees that were paid by Laureate Psychiatric Clinic and Hospital, Inc. IRS Rev. Rul. 69-545 established the community benefit standard for hospitals and considers a hospital that serves patients covered by governmental health benefits (including Medicare) as operating to promote the health of the community and furtherance of its exempt purposes. Accordingly, treating Medicare patients is considered a community benefit. Part III, Section C, Line 9b Laureate Psychiatric Clinic and Hospital, Inc.s debt collection policy is to pursue collections of patient balances from patients who have the ability to pay for the services. Laureate Psychiatric Clinic and Hospital, Inc. applies its collections efforts consistently and fairly to all patients regardless of insurance. Laureate Psychiatric Clinic and Hospital, Inc. works with those individuals who do not have the financial resources to pay outstanding balances to qualify for Laureate Psychiatric Clinic and Hospital, Inc.s financial assistance policy. Charges to patients qualifying for charity care under the Laureate Psychiatric Clinic and Hospital, Inc. financial assistance policy are written-off 100 percent. Part VI, Line 2 One of Laureate Psychiatric Clinic and Hospital, Inc.'s fundamental operational goals is to identify and address the needs of the defined community that it serves. Justice is one of the core values of Laureate Psychiatric Clinic and Hospital, Inc. and Saint Francis Health System, Inc. It calls for the organization to advocate for systems and structures that are attuned to the needs of the vulnerable and disadvantaged and to promote a sense of community among all persons. To effectively do this requires that Saint Francis Health System, Inc.: 1. Gathers and obtains information identifying those needs; and 2. Develops programs and services that address and provides access to those in greatest need of healthcare services. Historically, Saint Francis Health System, Inc. and its entities' focus have been caring for those who are sick or vulnerable. In order to make informed decisions on how to care for the sick, at-risk and minority populations, Saint Francis Health System, Inc. must first identify the priority health needs of these populations. During the fiscal year 2016, Saint Francis Health System, Inc. conducted a Community Health Needs Assessment (CHNA) to address the healthcare needs of the community for each of its licensed hospital facilities and developed an implementation strategy to address the needs identified in the CHNA. The assessment is a compilation of national survey results, health information databases, government data, and analytical feedback from state and local partners. This data is used to identify potential courses of action based on existing healthcare facilities, available resources within the community, and capabilities of the community in terms of both socioeconomic and education status. Providing access to comprehensive, quality health services; providing effective treatments and services in the community for substance abuse disorders and mental health disorders; promoting the prevention of disease; reducing obesity and promoting healthy eating; cessation of tobacco use; and promoting the health of low-income and at-risk communities are among the public health issues that the assessment seeks to prioritize. The CHNA and implementation strategies are available to the public on Saint Francis Health System, Inc.'s website at https://www.saintfrancis.com/Documents/CHNA.pdf Part VI, Line 3 Saint Francis Health System, Inc. and its entities are committed to promoting health in the community including providing or finding financial assistance programs to assist patients. Saint Francis Health System, Inc. uses a multi-faceted approach to educate our patients on the availability of charity, as well as state and federal financial assistance. This includes several ways including, but not limited to, the following: - A brochure titled "Patient Financial Policy" on financial rights and responsibility is provided to every patient at the time of their registration and is available on the Saint Francis Health System, Inc. and Laureate Psychiatric Clinic and Hospital, Inc. websites. The brochure provides financial assistance program details. - The financial assistance policy, plain language summary, and application are posted on the Saint Francis Health System, Inc. and Laureate Psychiatric Clinic and Hospital, Inc. websites in English and the Limited English Proficiency languages of the Primary Service Area (PSA). - Saint Francis Health System, Inc. prints a phone number where patients can obtain information about financial assistance on the back of the billing invoices. - Self-pay patients are visited by a financial counselor upon admission to verify their self-pay status. The financial counselor works with the self-pay patients to determine if the patient may qualify for assistance under a government sponsored plan. If the patient does not qualify for a government sponsored plan then the financial counselor works with the patient to determine if they qualify for charity based on the Saint Francis Health System, Inc.'s financial assistance policy. - Saint Francis Health System, Inc. offers the financial assistance policy, as well as payment options as part of the patient responsibility during the follow up collection calls. Part VI, Line 4 Community information The Primary Service Area (PSA) of Laureate Psychiatric Clinic and Hospital, Inc. consists of Tulsa County, where a significant majority of inpatient admissions originate. The tertiary service area is encompassed by the whole of eastern Oklahoma. The most recent needs assessment of fiscal year 2016 identified approximately 630,000 people in the PSA. Over one-quarter of Tulsa County residents are under the age of 18, and thirteen percent of the population is over the age of 65. Both of these figures indicate that the PSA has a slightly younger population than both the state of Oklahoma and the nation as a whole. The PSA is comprised of the following representation: - 64% Caucasian - 12% Hispanic or Latino - 11% African-American - 7% Native-Americans - 6% Two or more race In 2018, the median household income in Tulsa County was $52,959, (about 9 percent below the US median) and the 2017 mean household income was $74,062 (about 10 percent below the US average). The per capita income is slightly below the national median, but higher than the average for Oklahoma. Approximately 16 percent of the PSA's population lives in poverty, with the number climbing to almost 23 percent for those under 18. Nearly 13 percent of households in the county received food stamps/Supplemental Nutrition Assistance Program (SNAP) benefits in 2017. The uninsured rate in Tulsa County was approximately 15 percent. Of those in the PSA that do have insurance, 79 percent hold private insurance policies. Distressingly, when narrowing focus to the PSA civilian population age 19 to 64 that participates in the labor force, the uninsured rate rises to nearly 18 percent. During Oklahoma's 2018 fiscal year, there were 1,020,726 unduplicated Medicaid enrollees, meaning over 25 percent of the state's population was enrolled in the Medicaid program at some point in time. Tulsa County was home to 165,085 of those unduplicated enrollees, or approximately 26 percent of the PSA's population. Part VI, Line 5 Laureate Psychiatric Clinic and Hospital, Inc. is part of an integrated healthcare delivery system with the mission of extending the presence and healing ministry of Christ in all we do. Saint Francis Health System, Inc., as a Catholic organization, seeks to reflect the presence of Christ in every personal and corporate encounter. Laureate Psychiatric Clinic and Hospital, Inc. is dedicated to giving back to the community in which its employees live and work. This can be seen through Laureate Psychiatric Clinic and Hospital, Inc.'s promotion of community health through community events such as health fairs, and sponsored conferences and seminars on mental health issues. Laureate Psychiatric Clinic and Hospital, Inc. is also an active member of Mental Health Association Oklahoma. Saint Francis Health System, Inc. and Laureate Psychiatric Clinic and Hospital, Inc.'s governing body is comprised of community representatives on the Board of Directors that provide leadership and governance for the organization. The Board of Directors has the overall responsibility for the charitable, the clinical and the Mission of Laureate Psychiatric Clinic and Hospital, Inc. and the other entities that are part of the Saint Francis Health System, Inc.'s integrated health system. The members of the Board of Directors are selected based on their areas of expertise and experience including such areas as education, research, business and government. The members of the governing body contribute their wisdom, insights, and expertise to ensure the organization is fulfilling its mission and charitable purpose while providing efficient administrative support services and direction for Saint Francis Health System, Inc. The goal of Saint Francis Health System, Inc. is to sustain and grow its technology, to attract talented healthcare professionals from across the country and to provide high quality patient care to all the residents of northeastern Oklahoma and the neighboring states we serve. Part VI, Line 6 Laureate Psychiatric Clinic and Hospital, Inc. is part of Saint Francis Health System, Inc. Annually, Laureate Psychiatric Clinic and Hospital, Inc. admits 3,500 patients and provides over 55,000 outpatient visits for psychiatric services. See Schedule O for additional information regarding Laureate Psychiatric Clinic and Hospital, Inc.'s role within Saint Francis Health System, Inc. Part VI, Line 7 Saint Francis Health System, Inc., which includes Laureate Psychiatric Clinic and Hospital, Inc., publishes a community benefit report in Oklahoma. A written report that is included in the spring issue of the Saint Francis Health System, Inc. magazine "Presence" is distributed to 40,000 households across eastern Oklahoma and to all Saint Francis Health System, Inc. locations for display and pick up to help educate the community on the benefits that Laureate Psychiatric Clinic and Hospital, Inc. and Saint Francis Health System, Inc. provide to the communities we serve in return for our not-for-profit status. X X true true X X X X false true false false false false false false false Jake Henry Jr President/CEO/Director 0 1255548 0 3950000 0 67734 0 35140 0 46683 0 5355105 0 0 Barry L Steichen Vice President/COO/Director 0 763321 0 224646 0 9925 0 131417 0 22657 0 1151966 0 0 Bradley McClure MD Physician 294120 0 0 0 0 0 33340 0 18562 0 346022 0 0 0 Jeffrey C Sacra Asst Secretary (Until 6/1/18) 0 248645 0 66120 0 4452 0 50399 0 10442 0 380058 0 0 Eric E Schick Treasurer/CFO 0 576921 0 193737 0 10548 0 113370 0 21719 0 916295 0 0 Thomas G Neff Secretary 0 366175 0 106266 0 18927 0 35140 0 24901 0 551409 0 0 William Schloss Former Administrator 247911 0 0 0 1274 0 5588 0 1238 0 256011 0 0 0 Katherine Godwin MD Physician 286569 0 0 0 0 0 33340 0 20102 0 340011 0 0 0 Scott Moseman MD Physician 406115 0 0 0 0 0 33340 0 0 0 439455 0 0 0 Heather Hall MD Physician 290385 0 0 0 0 0 33340 0 15923 0 339648 0 0 0 Jeffrey Grantham MD Physician 262413 2100 0 0 390 0 24340 0 13047 0 300190 2100 0 0 Michelle Keeling Administrator 191985 0 29318 0 3436 0 43101 0 10301 0 278141 0 Part I, Line 1a Certain individuals included in Schedule J, Part II participated in key business activities accompanied by their spouse. Additionally, these same individuals may have incurred personal expenses related to these key business activities. With proper documentation and approval, Saint Francis Health System, Inc., includes these reimbursements as W-2 wages for the employee. These wages are grossed up to provide tax indemnification to the employee. Part I, Line 4b A select group of highly compensated employees of Saint Francis Health System, Inc., and its related entities, Saint Francis Hospital, Inc., Laureate Psychiatric Clinic and Hospital, Inc., Warren Clinic, Inc., Saint Francis Hospital South, LLC, Saint Francis Home Health, Inc., The 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. 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 Form 990, Part III, Line 4a Laureate Psychiatric Clinic and Hospital, Inc. is a member of Saint Francis Health System, Inc. The Saint Francis Health System, Inc. is a catholic, not-for-profit health system whose mission is to extend the presence and healing ministry of Christ in all we do. Laureate Psychiatric Clinic and Hospital, Inc.'s accomplishments include individual physicians providing inpatient/outpatient services. Laureate Psychiatric Clinic and Hospital, Inc. provides evaluation and medicine management through use of physician, nurse practitioner, and physician assistant providers. In addition, Laureate Psychiatric Clinic and Hospital, Inc. offers outpatient mental health therapy through use of non-physician providers such as psychologists, social workers, licensed professional counselors, licensed marital and family therapists, and licensed alcohol and drug counselors. In fiscal year 2018, Laureate Psychiatric Clinic and Hospital, Inc. provided 26,900 physician outpatient visits and 28,400 therapists and PHD visits. Form 990, Part III, Line 4b Acute Psychiatric Care Services: Laureate Psychiatric Clinic and Hospital, Inc. provides needed high quality, cost effective psychiatric care services to the community regardless of any individual's ability to pay. Treatment services include, but are not limited to, evaluation and diagnosis, acute psychiatric care, intermediate and long-term care, and chemical dependency care to residents of Oklahoma; primarily Tulsa and the surrounding areas. Assessment, stabilization, and discharge planning are the main goals of the treatment process. Length of hospitalization varies depending upon diagnosis, age of patient, and severity of illness. In fiscal year 2018, Laureate Psychiatric Clinic and Hospital, Inc. provided 29,182 days of acute patient care and 3,526 admissions. Form 990, Part III, Line 4c Eating Disorders Program: Laureate Psychiatric Clinic and Hospital, Inc. offers a nationally recognized eating disorders program providing treatment of various eating-related difficulties to patients from around the country. The goals of treatment include managing eating disorders, stabilizing chaotic eating behaviors, developing emotional satisfaction, and heightening awareness of self and relationships with others. Laureate Psychiatric Clinic and Hospital, Inc. provides comprehensive services for adults and adolescents for their full continuity of care, which include the intensive program, residential care, the Magnolia House-transitional program, and the outpatient program. In fiscal year 2018, Laureate Psychiatric Clinic and Hospital, Inc. provided 164 admissions to this program. 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, Section A, Line 2 Description of relationships Many of the persons listed on Part VII have a "business relationship" with each other by virtue of serving on related Saint Francis Health System, Inc. entity boards and other corporation boards. 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. Form 990, Part VI, Section A, Line 3 The director functions are delegated to the Saint Francis Health System, Inc. board of directors. Form 990, Part VI, Section A, Line 6 The organization has five trustees who elect the board of directors. Form 990, Part VI, Section A, Line 7a The organization has five trustees who elect the board of directors. Form 990, Part VI, Section A, Line 7b The board of directors and a majority of the trustees approve the sale of corporate assets valued at $10,000,000 or more. The trustees have sole authority to: - amend the certificate of incorporation - approve mergers or consolidations - approve the sale, lease or transfer of all, or substantially all, of the assets of the corporation - the dissolution of corporation - the amendment of bylaws Form 990, Part VI, Section B, Line 11b The finance committee, a sub-committee of the board of directors of Saint Francis Health System, Inc. has access to the password protected form 990 online prior to filing with the IRS. Form 990, Part VI, Section B, 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 at manager level and above to monitor for proposed or ongoing transactions for conflicts of interest and dealing with potential or actual conflicts. There are no conflicts reported specific to this organization. Conflicts are regularly disclosed and addressed. Form 990, Part VI, Section B, Line 15a and 15b 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 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 The change in fund balance of $4,455,458 was net equity transfer. Saint Francis Hospital Inc 6600 S Yale Avenue Suite 400 Tulsa OK 74136 730700090 Health Svcs OK 501(c)(3) 3 SFHS true Warren Clinic Inc 6600 S Yale Avenue Suite 400 Tulsa OK 74136 731310891 Health Svcs OK 501(c)(3) 3 SFHS true Saint Francis Health System Inc 6600 S Yale Avenue Suite 400 Tulsa OK 74136 731501972 Health Svcs OK 501(c)(3) 12b Type II NA false Saint Francis Hospital South LLC 6600 S Yale Avenue Suite 400 Tulsa OK 74136 010603214 Health Svcs OK 501(c)(3) 3 SFHS true The Children's Hosp Fdn at Saint francis 6600 S Yale Avenue Suite 400 Tulsa OK 74136 202843418 Health Svcs OK 501(c)(3) 12a Type I SFHS true Laureate Mental Health Corporation PO Box 470372 Tulsa OK 74147 731328882 Funding Hlth OK 501(c)(3) 12c III-FI NA true Laureate Building Corporation PO Box 470372 Tulsa OK 74147 731478020 Holding Co OK 501(c)(2) LMHC true Saint Francis Hospital Muskogee Inc 6600 S Yale Avenue Suite 400 Tulsa OK 74136 814322087 Health Svcs OK 501(c)(3) 3 SFHS true Laureate Institute for Brain Research 6655 S Yale Avenue Tulsa OK 74136 731328881 Medical Rsrch OK 501(c)(3) 4 NA true Saint Francis Hospital Vinita Inc 6600 S Yale Avenue Suite 400 Tulsa OK 74136 813747248 Health Svcs OK 501(c)(3) 3 SFHS true Saint Francis Payroll Services LLC 6600 S Yale Avenue Suite 400 Tulsa OK 74136 450470422 Common Pay Agent OK SFHS C Corp 0 0 true Saint Francis Health System Gen-Prof Lia PO Box 3038 Milwaukee WI 53215 756583874 Self Insurance OK SFHS Trust 0 0 true Xavier Insurance Company Inc 76 St Paul St Ste 500 Burlington VT 054014477 030333599 Captive Insurance VT SFHS C Corp 0 0 true false true false false false false false false false false false true true false false true true true true Saint Francis Hospital Inc L 112789 Trans Review Saint Francis Hospital Inc M 2224139 Trans Review Saint Francis Hospital Inc P 56280198 Trans Review Saint Francis Hospital Inc Q 41747492 Trans Review Saint Francis Hospital Inc R 13230613 Trans Review Saint Francis Hospital Inc S 8092648 Trans Review Warren Clinic Inc M 329798 Trans Review Warren Clinic Inc P 234650 Trans Review Saint Francis Hospital South LLC Q 89207 Trans Review Saint Francis Hospital South LLC P 107745 Trans Review Saint Francis Hospital Vinita Inc Q 326525 Trans Review Saint Francis Hospital Muskogee Inc P 137793 Trans Review