SAINT FRANCIS HOSPITAL SOUTH LLC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SAINT FRANCIS HOSPITAL SOUTH LLC (EIN 01-0603214)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-15
IRS object ID
201821359349303347
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-15T10:01:02-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1425 HOUSTON ST SUITE 600AddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010603214EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Saint Francis Hospital South LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% ERIC E SCHICKInCareOfNm
Business Name ControlSAINBusinessNameControlTxt
Phone9185028126PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16600 South Yale Avenue Suite 400AddressLine1Txt
CityTulsaCityNm
State AbbreviationOKStateAbbreviationCd
ZIP741363319ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonERIC E SCHICKPersonNm
Person TitleTREASURER/CFOPersonTitleTxt
Signature2018-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKATHLEEN MOSELEYPreparerPersonNm
PTINP00116760PTIN
Phone8173351900PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerEric E SchickPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16600 S Yale Ave Suite 400AddressLine1Txt
CityTulsaCityNm
State AbbreviationOKStateAbbreviationCd
ZIP741363319ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$126,124,745GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://WWW.SAINTFRANCIS.COM/SOUTHWebsiteAddressTxt
Type Of Organization OtherYes (X)TypeOfOrganizationOtherInd
Other Organization DscLLCOtherOrganizationDsc
Formation2002FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionTo extend the presence and healing ministry of Christ in all we do.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee732TotalEmployeeCnt
Total Volunteers74TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$472PYContributionsGrantsAmt
CY Contributions Grants$7,214CYContributionsGrantsAmt
PY Program Service Revenue$113,103,646PYProgramServiceRevenueAmt
CY Program Service Revenue$123,339,371CYProgramServiceRevenueAmt
PY Investment Income$15,119PYInvestmentIncomeAmt
CY Investment Income$1,793CYInvestmentIncomeAmt
PY Other Revenue$738,391PYOtherRevenueAmt
CY Other Revenue$909,844CYOtherRevenueAmt
PY Total Revenue$113,857,628PYTotalRevenueAmt
CY Total Revenue$124,258,222CYTotalRevenueAmt
PY Grants And Similar Paid$15,957PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$38,257CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$33,284,384PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$35,548,804CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$49,456,020PYOtherExpensesAmt
CY Other Expenses$51,003,551CYOtherExpensesAmt
PY Total Expenses$82,756,361PYTotalExpensesAmt
CY Total Expenses$86,590,612CYTotalExpensesAmt
PY Revenues Less Expenses$31,101,267PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$37,667,610CYRevenuesLessExpensesAmt
Total Assets BOY$86,380,556TotalAssetsBOYAmt
Total Assets EOY$89,644,913TotalAssetsEOYAmt
Total Liabilities BOY$17,555,398TotalLiabilitiesBOYAmt
Total Liabilities EOY$18,400,899TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$68,825,158NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$71,244,014NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo extend the presence and healing ministry of Christ in all we do.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$76,197,954ExpenseAmt
Grant$38,257GrantAmt
Revenue$123,339,371RevenueAmt
DescSee Schedule ODesc
Total Program Service Expenses$76,197,954TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document78IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee732EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonERIC E SCHICKPersonNm
Phone9184948430PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16161 S YALE AVENUEAddressLine1Txt
CityTULSACityNm
State AbbreviationOKStateAbbreviationCd
ZIP741363319ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Jake Henry Jr
President/CEO/Director1.039.0Yes (X)Yes (X)$0$2,191,396$46,926
Barry L Steichen
Vice President/COO/Director1.039.0Yes (X)Yes (X)$0$961,623$138,893
William R Lissau
Director1.00.0Yes (X)$0$0$0
Jeffrey C Sacra
Assistant Secretary1.039.0Yes (X)$0$305,664$52,290
Eric E Schick
Treasurer/CFO1.039.0Yes (X)$0$692,734$92,243
Thomas G Neff
Secretary1.039.0Yes (X)$0$490,528$85,361
David Weil
Administrator39.01.0$391,606$0$68,635Yes (X)
Raymond Sanders MD
Physician1.039.0$4,215$543,227$53,867Yes (X)
Mark Maguire MD
Physician1.039.0$3,000$500,561$51,521Yes (X)
Moutasim Al-Shaer MD
Physician1.039.0$2,400$523,231$52,868Yes (X)
Julun Hong MD
Physician1.039.0$7,150$554,947$54,014Yes (X)
Kinya Kamau MD
Physician1.039.0$9,638$488,285$27,167Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$418,009TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,252,196TotReportableCompRltdOrgAmt
Total Other Compensation$723,785TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K17IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Associated Anesthesiologist Inc
6839 S CantonTULSAOK74136Healthcare Services$1,382,410
Miller Architect Inc
13401 N Western Ave Ste 302OKLAHOMA CITYOK73114Architect Fees$489,038
Flintco LLC
8800 Page AveST LOUISMO63114Construction Svcs$465,311
Medefis Inc
10826 Old Mill RoadOMAHANE68164Healthcare Services$420,588
CHG Companies Inc
3995 S 700 E Ste 100SALT LAKE CITYUT941072536Healthcare Services$343,430
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
All Other Contributions$7,214AllOtherContributionsAmt
Noncash Contributions$7,090NoncashContributionsAmt
Total Contributions$7,214TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES,NET OF CONTRACTUAL ADJU621300$118,173,825$118,173,825
HOSPITALIST621300$5,165,546$5,165,546
FieldValueIRS element (for citing)
Total Program Service Revenue$123,339,371TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,008TotalRevenueColumnAmt
Exclusion$16,008ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,169,957RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,852,308RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$682,351RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$682,351TotalRevenueColumnAmt
Exclusion-$682,351ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$14,215OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$14,215OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$14,215TotalRevenueColumnAmt
Exclusion-$14,215ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
QUALITY INCENTIVE-MEANINGFUL USE900099$471,352$471,352
CAFETERIA SALES722210$326,354$326,354
AFFILIATE SERVICES900099$135,148$135,148

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$659,341TotalRevenueColumnAmt
Exclusion$659,341ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,592,195OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$124,258,222TotalRevenueColumnAmt
Related Or Exempt Func Income$123,339,371RelatedOrExemptFuncIncomeAmt
Exclusion$911,637ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$38,257TotalAmt
Program Services$38,257ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$470,909TotalAmt
Management And General$470,909ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$29,086,292TotalAmt
Program Services$27,394,609ProgramServicesAmt
Management And General$1,691,683ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,580,198TotalAmt
Program Services$1,369,779ProgramServicesAmt
Management And General$210,419ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,405,506TotalAmt
Program Services$2,067,201ProgramServicesAmt
Management And General$338,305ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,005,899TotalAmt
Program Services$1,714,563ProgramServicesAmt
Management And General$291,336ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,709TotalAmt
Program Services$16,480ProgramServicesAmt
Management And General-$10,771ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$29,433TotalAmt
Management And General$29,433ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,784,474TotalAmt
Program Services$3,045,203ProgramServicesAmt
Management And General$739,271ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$29,127TotalAmt
Program Services$1,289ProgramServicesAmt
Management And General$27,838ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,343,530TotalAmt
Program Services$911,736ProgramServicesAmt
Management And General$431,794ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$913,518TotalAmt
Program Services$42,849ProgramServicesAmt
Management And General$870,669ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$760,679TotalAmt
Program Services$993,711ProgramServicesAmt
Management And General-$233,032ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$35,128TotalAmt
Program Services$24,328ProgramServicesAmt
Management And General$10,800ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$21,415TotalAmt
Program Services$20,116ProgramServicesAmt
Management And General$1,299ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$969,607TotalAmt
Program Services$279,548ProgramServicesAmt
Management And General$690,059ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,501,923TotalAmt
Program Services$5,422,682ProgramServicesAmt
Management And General-$920,759ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,549,352TotalAmt
Program Services$67,372ProgramServicesAmt
Management And General$1,481,980ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$15,146,100$15,146,100
MAINTENANCE$2,773,263$2,736,776$36,487
MEDICAID SHOPP FEE$2,802,056$2,802,056
MEDICAL SUPPLIES$14,778,520$14,781,068-$2,548

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,559,717TotalAmt
Program Services$124,287ProgramServicesAmt
Management And General$1,435,430ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$86,590,612TotalAmt
Program Services$76,197,954ProgramServicesAmt
Management And General$10,392,658ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,591,457BOYAmt
EOY$1,912,983EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$265,384BOYAmt
EOY$281,067EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,672,522BOYAmt
EOY$10,807,160EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,143,854BOYAmt
EOY$2,100,008EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$892,597BOYAmt
EOY$1,783,657EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$132,158,002LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$60,129,872LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$69,552,167BOYAmt
EOY$72,028,130EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,262,575BOYAmt
EOY$731,908EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$86,380,556BOYAmt
EOY$89,644,913EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,025,895BOYAmt
EOY$5,958,574EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,529,503BOYAmt
EOY$12,442,326EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,555,398BOYAmt
EOY$18,400,899EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$68,825,158BOYAmt
EOY$71,244,014EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$68,825,158BOYAmt
EOY$71,244,014EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$86,380,556BOYAmt
EOY$89,644,913EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$37,667,610ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$35,248,754OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,106,332OtherCostOrOtherBasisAmt
Book Value$8,106,332BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$79,576,664OtherCostOrOtherBasisAmt
Depreciation$33,680,039DepreciationAmt
Book Value$45,896,625BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,149,943OtherCostOrOtherBasisAmt
Depreciation$1,438,113DepreciationAmt
Book Value$2,711,830BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,512,340OtherCostOrOtherBasisAmt
Depreciation$25,011,720DepreciationAmt
Book Value$7,500,620BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,812,723OtherCostOrOtherBasisAmt
Book Value$7,812,723BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$72,028,130TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO MEDICARE$487,322
LONG TERM DEBT$7,352,500
OPERATING LEASE LIABILITY$4,997
PROFESSIONAL LIABILITY RESERVE$4,597,507
FieldValueIRS element (for citing)
Total Liability$12,442,326TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2FormAndLineReferenceDesc
ExplanationAccounting 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, Saint Francis Hospital South, LLC 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. Saint Francis Hospital South, LLC has determined that the position on uncertain tax positions is more likely than not to be fully sustained upon examination. Therefore, no liability or asset for uncertain tax positions needs to be recorded.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other225.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,889,508TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,889,508NetCommunityBenefitExpnsAmt
Total Expense0.04040TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,244,635TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,726,856DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,517,779NetCommunityBenefitExpnsAmt
Total Expense0.02120TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,134,143TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,726,856DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,407,287NetCommunityBenefitExpnsAmt
Total Expense0.06160TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,769,218TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,916,977DirectOffsettingRevenueAmt
Net Community Benefit Expns$852,241NetCommunityBenefitExpnsAmt
Total Expense0.01190TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,769,218TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,916,977DirectOffsettingRevenueAmt
Net Community Benefit Expns$852,241NetCommunityBenefitExpnsAmt
Total Expense0.01190TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,903,361TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,643,833DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,259,528NetCommunityBenefitExpnsAmt
Total Expense0.07350TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$91,330TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,090DirectOffsettingRevenueAmt
Net Community Benefit Expns$84,240NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,257TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$38,257NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$129,587TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,090DirectOffsettingRevenueAmt
Net Community Benefit Expns$122,497NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$15,146,100BadDebtExpenseAmt
Bad Debt Expense Attributable$9,087,660BadDebtExpenseAttributableAmt
Reimbursed By Medicare$25,637,727ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$35,035,704CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$9,397,977MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAINT FRANCIS HOSPITAL SOUTH LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110501 E 91ST STREETAddressLine1Txt
CityTULSACityNm
State AbbreviationOKStateAbbreviationCd
ZIP74133ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTP://WWW.SAINTFRANCIS.COM/SOUTHWebsiteAddressTxt
State License2362StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SAINT FRANCIS HOSPITAL SOUTH LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SCHEDULE H, PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SCHEDULE H, PART V, SECTION CStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care225.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SCHEDULE H, PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SCHEDULE H, PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSCHEDULE H, PART V SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Section B, Line 5The 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 6aSaint Francis Hospital South, LLC conducted the CHNA with Saint Francis Hospital, Inc. and Laureate Psychiatric Clinic and Hospital, Inc.
Part V, Section B, Line 6bSaint Francis Hospital South, LLCs CHNA was conducted by the Tulsa County Health Department.
Part V, Section B, Line 7awww.saintfrancis.com/Documents/CHNA.pdf
Part V, Section B, Line 10awww.saintfrancis.com/Documents/CHNA.pdf
Part V, Section B, Line 11The 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. Saint Francis Health System, Inc. does not intend to address the health needs of lack of education; aging problems; safety/crime; and poverty/unemployment due to lack of expertise in these areas. It is an unfortunate matter 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. Saint Francis Hospital South, LLC, as well as Saint Francis Hospital, Inc., Laureate Psychiatric Clinic and Hospital, Inc., Saint Francis Hospital Vinita, Inc., Saint Francis Regional Services, 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. Saint Francis Hospital South, LLC 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 Saint Francis Hospital South, LLC, 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 and prenatal 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 2017, Xavier Medical Clinic serviced 7,262 patients, aided over 200 patients to receive referrals outside of the clinic, provided over 170 prescriptions with an equivalent cost of over $214,613 dispensed over 11,066 prescriptions and the Xavier Pregnancy Program assisted 524 women, resulting in 469 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. Saint Francis Hospital South, LLC, Saint Francis Hospital, Inc., Laureate Psychiatric Clinic and Hospital, Inc., Saint Francis Hospital Vinita, Inc., and Saint Francis Regional Services, Inc. will serve as acute care hubs for the patients that utilize the health systems primary, urgent, and specialty care at outlying locations. These are a few of the many ways 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. Saint Francis Hospital South, LLC is not addressing this issue; however, Laureate Psychiatric Clinic and Hospital, Inc., an entity of Saint Francis Health System, 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 Childrens 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 nations healthcare costs per the Centers for Disease Control and Prevention (CDC). Around half of adults in the US have at least one chronic condition and 26 percent have two or more conditions. The chronic disease burden in the US largely results from a short list of risk factors including socioeconomic status, tobacco use, poor diet and physical inactivity (both strongly associated with obesity) that can be effectively addressed for individuals and populations. To effectively and equitably address the chronic disease burden, public health and healthcare systems need to deploy integrated approaches that bundle strategies and interventions, address many risk factors and conditions simultaneously, create population wide changes, help the population subgroups most affected, and rely on implementation by many sectors, including public
Part V, Section B, Line 13aPatients who have been evaluated and identified to be financial assistance plan eligible and meet the criteria established by Saint Francis Hospital South, LLC 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 chttps://www.saintfrancis.com/south/Pages/Patients-and-Visitors/ For-Patients/After-Your-Visit/Patient-Billing.aspx
Part V, Section B, Line 16jThe 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 20eProactive phone calls and statements are sent before collection actions are taken.
Part V, Section B, Line 22dAmounts generally billed (AGB) are determined under the prospective method using Medicaid reimbursement rates. Additionally, a self-pay discount of 20% is provided on all charges for uninsured patients.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3cIncome based criteria is used as the basis in determining eligibility for free health services.
Part I, Line 6aSaint Francis Health System, Inc. 73-1501972, the parent organization of Saint Francis Hospital South, LLC 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 organizations website at https://www.saintfrancis.com/Pages/About-Us/Media%20Gallery/Community-Repo rt.aspx
Part I, Line 7Costing Methodology: A ratio of patient care cost to charges, as determined in Worksheet 2, was used to report the amounts in Part I, Lines 7a 7c. For amounts reported on lines 7e 7i, actual expenses for each community benefit activity are tracked and reported using the organizations accounting general ledger and are not based on a cost to charge ratio. The number reflected on line 7, column (f) excludes bad debt expense. The supplemental hospital offset payment program (SHOPP) was created and implemented in calendar year 2011 for the purpose of assuring access to quality care for Oklahoma Medicaid members. The program is designed to assess Oklahoma hospitals, unless exempt, a supplemental hospital offset payment program fee. The collected fees are placed in pools and then allocated to hospitals based on Medicaid revenues as directed by legislation. The Oklahoma Health Care Authority (OHCA) does not guarantee that allocation will equal or exceed the amount of the supplemental hospital offset payment program fees that were paid by Saint Francis Hospital South, LLC.
Part II: Community Building ActivitiesCommunity building activities improve the communitys health and safety by addressing the root cause of health problems. These activities strengthen the communitys capacity to promote the health and well-being of its residents by offering the expertise and resources of the healthcare organization. Costs for these activities include cash donations and expenses for the development of a variety of community-building programs and partnerships. See Schedule O for additional information regarding Saint Francis Health System, Inc.s and Saint Francis Hospital South, LLCs community building activities aimed at promoting the health of the community.
Part III, Section A, Line 2Saint Francis Hospital South, LLC 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. Some of the analytical tools that Saint Francis Hospital South, LLC utilizes include, but are not limited to, historical cash collection experience, revenue trends by payer classification, and revenue days in accounts receivable. Accounts receivable are written off after collection efforts have been followed in accordance with Saint Francis Hospital South, LLCs policies.
Part III, Section A, Line 3The provision for bad debt attributable to patients eligible under the organizations financial assistance policy is calculated from a sample review of all bad debt accounts and subsequent information.
Part III, Section A, Line 4The Saint Francis Health System, Inc. audited consolidated financial statements, which includes Saint Francis Hospital South, LLC, provide a separate footnote addressing the organizations accounts receivable and allowance for doubtful accounts on pages 7, 8 and 9. Saint Francis Hospital South, LLC 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 the provision for bad debt. Accounts receivable are valued at net realizable value. Saint Francis Hospital South, LLC estimates the allowances for uncollectable receivables based on historic write-offs and the aging of the accounts.
Part III, Section B, Line 8Costing 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. Saint Francis Hospital South, LLC 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 Saint Francis Hospital South, LLC. 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 9bSaint Francis Hospital South, LLCs debt collection policy is to pursue collections of patient balances from patients who have the ability to pay for the services. Saint Francis Hospital South, LLC applies its collections efforts consistently and fairly to all patients regardless of insurance. Saint Francis Hospital South, LLC works with those individuals who do not have the financial resources to pay outstanding balances to qualify for Saint Francis Hospital South, LLCs financial assistance policy. Charges to patients qualifying for charity care under the Saint Francis Hospital South, LLC financial assistance policy are written-off 100 percent.
Part VI, Line 2Needs Assessment One of Saint Francis Hospital South, LLCs fundamental operational goals is to identify and address the needs of the defined community that it serves. Justice is one of the core values of Saint Francis Hospital South, LLC 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 priority health needs. 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 3Patient education of eligibility for Assistance 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 Saint Francis Hospital South, LLC 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 Saint Francis Hospital South, LLC 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 4Community Information The Primary Service Area (PSA) of Saint Francis Hospital South, LLC consists of Tulsa, Rogers, Wagoner, Creek, Muskogee and Mayes Counties, where a significant majority of inpatient admissions originate. The most recent 2016 US Census Bureau report identified approximately 994,000 people in the PSA. The PSA is comprised of the following representation: - 72% Caucasian - 9% Hispanic or Latino - 8% African-American - 9% Native-American - 2% Asian In 2016, the median household income for the 6 counties was $48,590, (about 12 percent below the US median) and the mean household income was $64,600 (about 21 percent below the US average of $77,900). The per capita income for the 6 counties is 19 percent below the national median and slightly lower than the average for Oklahoma. Approximately 16 percent of the PSAs population lives in poverty, with the number climbing to almost 31 percent for those under 18. Nearly 14 percent of households in the 6 counties received food stamps/Supplemental Nutrition Assistance Program (SNAP) benefits in 2016. The uninsured rate in Tulsa County was approximately 16 percent. Of those in the PSA that do have insurance, 65 percent hold private insurance policies. When narrowing focus to the PSA civilian population age 18 to 64 that participates in the labor force, the uninsured rate rises to nearly 19 percent. During Oklahomas 2017 fiscal year, there were 1,014,983 unduplicated Medicaid enrollees, meaning over 26 percent of the states population was enrolled in the Medicaid program at some point in time. The PSA was home to 250,219 of those unduplicated enrollees, or approximately 25 percent of the PSAs population.
Part VI, Line 5Saint Francis Hospital South, LLC 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. Saint Francis Hospital South, LLC is dedicated to giving back to the community in which its employees live and work. This can be seen through Saint Francis Hospital South, LLCs promotion of community health through community events such as sponsored on-site educational seminars and classes on health issues. Saint Francis Health System, Inc. and Saint Francis Hospital South, LLCs 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 Saint Francis Hospital South, LLC 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 health care 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 6Saint Francis Hospital South, LLC is part of Saint Francis Health System, Inc. Annually, Saint Francis Hospital South, LLC admits over 5,000 patients and provides approximately 51,300 outpatient visits, delivers 950 newborns, and provides approximately 27,500 emergency room visits annually. See Schedule O for additional information regarding Saint Francis Hospital South, LLCs role within Saint Francis Health System, Inc.
Part VI, Line 7Saint Francis Health System, Inc., which includes Saint Francis Hospital South, LLC, 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 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 Saint Francis Hospital South, LLC and Saint Francis Health System, Inc. provide to the communities we serve in return for our not-for-profit status.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Medical Supplies NetworkBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11123 S Erie AveAddressLine1Txt
CityTulsaCityNm
State AbbreviationOKStateAbbreviationCd
ZIP741125307ZIPCd
FieldValueIRS element (for citing)
Recipient EIN731507095RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$29,163CashGrantAmt
Purpose Of GrantGeneral SupportPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2FormAndLineReferenceDesc
ExplanationSaint Francis Hospital South, LLC. provides grant funds to other 501(c)(3) exempt organizations that further the exempt purposes of Saint Francis Hospital South, LLC. The Saint Francis Health System, Inc. executive director of corporate communications and marketing arranges the sponsorships each year as determined by the communities in which Saint Francis Hospital South, LLC. has a presence. Saint Francis Hospital South, LLC. does not monitor the use of grants funds since grants are only made to section 501(c)(3) public charities that further the exempt purpose of Saint Francis Hospital South, LLC.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jake Henry Jr
President/CEO/Director$0$1,011,021$0$1,118,300$0$62,075$0$34,851$0$12,075$0$2,238,322$0$0
Barry L Steichen
Vice President/COO/Director$0$659,772$0$290,164$0$11,687$0$123,873$0$15,020$0$1,100,516$0$0
Jeffrey C Sacra
Assistant Secretary$0$219,731$0$81,474$0$4,459$0$48,375$0$3,915$0$357,954$0$0
Eric E Schick
Treasurer/CFO$0$484,860$0$197,656$0$10,218$0$77,223$0$15,020$0$784,977$0$0
David Weil
Administrator$296,590$0$86,076$0$8,940$0$66,679$0$1,956$0$460,241$0$0$0
Raymond Sanders MD
Physician$4,215$522,727$0$2,500$0$18,000$0$33,250$0$20,617$4,215$597,094$0$0
Thomas G Neff
Secretary$0$316,282$0$156,679$0$17,567$0$70,550$0$14,811$0$575,889$0$0
Mark Maguire MD
Physician$3,000$500,561$0$0$0$32,001$0$19,520$3,000$552,082$0$0
Moutasim Al-Shaer MD
Physician$2,400$484,898$0$20,333$0$18,000$0$33,251$0$19,617$2,400$576,099$0$0
Julun Hong MD
Physician$7,150$519,769$0$27,583$0$7,595$0$33,251$0$20,763$7,150$608,961$0$0
Kinya Kamau MD
Physician$9,638$479,610$0$8,675$0$0$0$0$0$27,167$9,638$515,452$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1bCertain 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 4bA 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 Childrens Hospital Foundation at Saint Francis, Saint Francis Hospital Vinita, Inc., and Saint Francis Regional Services, 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4aSaint Francis Hospital South, LLC is a member of Saint Francis Health System, Inc. 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. Saint Francis Hospital South, LLC's accomplishments includes operating an acute care hospital where admitting physicians, who are primarily practitioners in the local area, provide inpatient/outpatient and emergency care services to residents of Broken Arrow and Tulsa, Oklahoma and surrounding areas. In fiscal year 2017, Saint Francis Hospital South, LLC provided approximately $2,890,000 of charity care (measured at established rates) and $8,245,000 in unreimbursed Medicaid services (measured at established rates). Recognition: In the following, you will see many ways Saint Francis Health System, Inc. and Saint Francis Hospital South, LLC distinguish themselves through recognition by national associations and publications. Saint Francis Hospital South, LLC is committed to continual improvement in both patient service and clinical quality in order to better serve our community. Quality commendations received in the fiscal year include: Saint Francis Hospital South, LLC was recognized as an award winner by the national healthcare research firm Professional Research Consultants, Inc. (PRC) based on performance in 2015. These competitive national awards recognize organizations who achieve excellence throughout the year by improving patient experiences based on surveys of their patients. Saint Francis Hospital South, LLC received 5-star awards for the following patient services (scores in the top 10 percent of the country based on PRC's comparative database): outpatient surgery services, perioperative services. Saint Francis Hospital South, LLC also earned a 4 star recognition for patient satisfaction from PRC (scores in the top 25 percent of the country based on PRC's comparative database) for inpatient services. Healthgrades, a website devoted to providing independent ratings and assessments of healthcare providers, recognized Saint Francis Hospital South, LLC with 5 star ratings on its website for the conditions and procedures: sepsis - inpatient mortality. Additionally, Healthgrades recognized Saint Francis Hospital South, LLC with its patient safety excellence award. Premier, Inc. recognized Saint Francis Hospital South, LLC with its 2016 quest citation of merit award. Publicly reported quality data indicates high performance in the following measures: - Immunizing patients against the flu - top 5 percent in the nation - Patients overall rating of the hospital - top 25 percent in the nation - Patients rating of discharge communication, care transitions and overall hospital rating - top 25 percent in the nation
Form 990, Part V, Line 2bSaint 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, Medicare withholding tax purposes as well as advance payment of earned income credit for Saint Francis Health System, Inc. and year-end reporting effective July 1, 2002.
Form 990, Part VI, Section A, Line 2Description 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 William K. Warren Jr., a trustee, and W.R. Lissau, a director.
Form 990, Part VI, Section A, Line 3The director functions are delegated to the Saint Francis Health System, Inc. board of directors.
Form 990, Part VI, Section A, Line 6Saint Francis Health System, Inc., is the sole member of Saint Francis Hospital South, LLC.
Form 990, Part VI, Section A, Line 7aSaint Francis Health System, Inc., the sole member of Saint Francis Hospital South, LLC elects the governing body.
Form 990, Part VI, Section A, Line 7bThe board of directors and a majority of the trustees approve the sale of corporate assets valued at $10,000,000 or more. The member has 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 11bThe 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 12cThe 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 15bCompensation of officials and key employees is annually reviewed and approved by a committee of directors with guidance from independent consultants and use of comparative data.
Form 990, Part VI, Section C, Line 19These requests are determined on a case-by-case basis.
Form 990, Part VII, Section AThe 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 9The change in fund balance of $35,248,754 was a net equity transfer.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Oklahoma Cancer Center Realty LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16600 S Yale Ave Ste 400AddressLine1Txt
CityTulsaCityNm
State AbbreviationOKStateAbbreviationCd
ZIP74136ZIPCd
FieldValueIRS element (for citing)
EIN371517227EIN
Primary ActivitiesHolding CoPrimaryActivitiesTxt
Legal Domicile StateOKLegalDomicileStateCd
Total Income$876,492TotalIncomeAmt
End Of Year Assets$10,491,196EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SF SouthBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Saint Francis Hospital Inc
6600 S Yale Ave Ste 400TulsaOK74136730700090Health SvcsOK501(c)(3)3SFHSYes (true)
Laureate Psychiatric Clinic & Hosp Inc
6600 S Yale Ave Ste 400TulsaOK74136731308273Health SvcsOK501(c)(3)3SFHSYes (true)
The Children's Hosp Fdn at Saint Francis
6600 S Yale Ave Ste 400TulsaOK74136202843418Health SvcsOK501(c)(3)12A Type ISFHSYes (true)
Warren Clinic Inc
6600 S Yale Ave Ste 400TulsaOK74136731310891Health SvcsOK501(c)(3)3SFHSYes (true)
Saint Francis Health System Inc
6600 S Yale Ave Ste 400TulsaOK74136731501972Health SvcsOK501(c)(3)12B Type IIfalseN/A
Saint Francis Hospital Vinita Inc
6600 S Yale Ave Ste 400TulsaOK741363319813747248Health SvcsOK501(c)(3)3SFHSYes (true)
Saint Francis Regional Services Inc
6600 S Yale Ave Ste 400TulsaOK741363319814322087Health SvcsOKAP501(c)(3)3SFHSYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationIndOwnershipOwnershipPct
Saint Francis Payroll Services LLC
6600 S Yale Ave Ste 400TulsaOK741363319450470422Common Pay AgentOKSFHSC Corp$0$0Yes (true)
Saint Francis Hlth Sys Gen-Prof Lia
PO Box 3038MilwaukeeWI532013038756583874Self InsuranceOKSFHSTrust$0$0Yes (true)
Arrowhead Ridge Owners Association
6600 S Yale Ave Ste 400TulsaOK741363319522418279Holding CompanyOKSFH SouthC Corp$0$0Yes (true)1.00000
Xavier Insurance Company Inc
76 St Paul St Ste 500BurlingtonVT05401030333599Captive InsuranceVTSFHSC Corp$0$0Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Saint Francis Hospital Inc
J$485,784Trans Review
Saint Francis Hospital Inc
M$2,636,476Trans Review
Saint Francis Hospital Inc
Q$95,009,427Trans Review
Saint Francis Hospital Inc
R$79,660,062Trans Review
Saint Francis Hospital Inc
S$15,295,488Trans Review
Saint Francis Hospital Inc
P$3,040,303Trans Review
Saint Francis Hospital Inc
B$35,248,754Trans Review
Laureate Psychiatric Clinic & Hospital Inc
Q$88,115Trans Review
Laureate Psychiatric Clinic & Hospital Inc
P$167,083Trans Review
Warren Clinic Inc
J$608,971Trans Review
Warren Clinic Inc
M$144,563Trans Review
Warren Clinic Inc
Q$4,874,365Trans Review
Warren Clinic Inc
P$7,146,730Trans Review

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