2018-05-15T10:01:02-05:00 2017-06-30 ERNST & YOUNG US LLP 425 HOUSTON ST SUITE 600 FORT WORTH TX 76102 990 2016-07-01 010603214 Saint Francis Hospital South LLC % ERIC E SCHICK SAIN 9185028126 6600 South Yale Avenue Suite 400 Tulsa OK 741363319 ERIC E SCHICK TREASURER/CFO 2018-05-14 true KATHLEEN MOSELEY P00116760 8173351900 2016 2022-09-23 18:48:47Z Eric E Schick 6600 S Yale Ave Suite 400 Tulsa OK 741363319 126124745 false X HTTPS://WWW.SAINTFRANCIS.COM/SOUTH X LLC 2002 OK To extend the presence and healing ministry of Christ in all we do. 3 1 732 74 0 472 7214 113103646 123339371 15119 1793 738391 909844 113857628 124258222 15957 38257 0 0 33284384 35548804 0 0 0 49456020 51003551 82756361 86590612 31101267 37667610 86380556 89644913 17555398 18400899 68825158 71244014 X To extend the presence and healing ministry of Christ in all we do. false false 76197954 38257 123339371 See Schedule O 76197954 true false 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 true false true false false false false false false false false false false false false true true true true false false true X 78 0 true 732 true false false false false false false false false false false X 3 1 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 AVENUE TULSA OK 741363319 X Jake Henry Jr President/CEO/Director 1.0 39.0 X X 0 2191396 46926 Barry L Steichen Vice President/COO/Director 1.0 39.0 X X 0 961623 138893 William R Lissau Director 1.0 0.0 X 0 0 0 Jeffrey C Sacra Assistant Secretary 1.0 39.0 X 0 305664 52290 Eric E Schick Treasurer/CFO 1.0 39.0 X 0 692734 92243 Thomas G Neff Secretary 1.0 39.0 X 0 490528 85361 David Weil Administrator 39.0 1.0 X 391606 0 68635 Raymond Sanders MD Physician 1.0 39.0 X 4215 543227 53867 Mark Maguire MD Physician 1.0 39.0 X 3000 500561 51521 Moutasim Al-Shaer MD Physician 1.0 39.0 X 2400 523231 52868 Julun Hong MD Physician 1.0 39.0 X 7150 554947 54014 Kinya Kamau MD Physician 1.0 39.0 X 9638 488285 27167 418009 7252196 723785 17 false true false Associated Anesthesiologist Inc 6839 S Canton TULSA OK 74136 Healthcare Services 1382410 Miller Architect Inc 13401 N Western Ave Ste 302 OKLAHOMA CITY OK 73114 Architect Fees 489038 Flintco LLC 8800 Page Ave ST LOUIS MO 63114 Construction Svcs 465311 Medefis Inc 10826 Old Mill Road OMAHA NE 68164 Healthcare Services 420588 CHG Companies Inc 3995 S 700 E Ste 100 SALT LAKE CITY UT 941072536 Healthcare Services 343430 10 7214 7090 7214 PATIENT SERVICES,NET OF CONTRACTUAL ADJU 621300 118173825 118173825 HOSPITALIST 621300 5165546 5165546 123339371 16008 16008 0 0 1169957 1852308 -682351 0 -682351 -682351 14215 -14215 -14215 -14215 0 0 0 0 0 0 0 0 0 QUALITY INCENTIVE-MEANINGFUL USE 900099 471352 471352 CAFETERIA SALES 722210 326354 326354 AFFILIATE SERVICES 900099 135148 135148 659341 659341 1592195 124258222 123339371 911637 38257 38257 0 0 0 470909 470909 0 29086292 27394609 1691683 1580198 1369779 210419 2405506 2067201 338305 2005899 1714563 291336 0 5709 16480 -10771 29433 29433 0 0 0 3784474 3045203 739271 29127 1289 27838 1343530 911736 431794 913518 42849 870669 0 760679 993711 -233032 35128 24328 10800 0 21415 20116 1299 969607 279548 690059 0 4501923 5422682 -920759 1549352 67372 1481980 BAD DEBT EXPENSE 15146100 15146100 MAINTENANCE 2773263 2736776 36487 MEDICAID SHOPP FEE 2802056 2802056 MEDICAL SUPPLIES 14778520 14781068 -2548 1559717 124287 1435430 86590612 76197954 10392658 0 1591457 1912983 265384 281067 0 0 10672522 10807160 0 0 0 0 0 0 2143854 2100008 892597 1783657 132158002 60129872 69552167 72028130 0 0 0 0 0 0 0 0 1262575 731908 86380556 89644913 5025895 5958574 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12529503 12442326 17555398 18400899 X 68825158 71244014 0 0 0 0 68825158 71244014 86380556 89644913 X 37667610 -35248754 X true X true X true false X 8106332 8106332 79576664 33680039 45896625 4149943 1438113 2711830 32512340 25011720 7500620 7812723 7812723 72028130 0 DUE TO MEDICARE 487322 LONG TERM DEBT 7352500 OPERATING LEASE LIABILITY 4997 PROFESSIONAL LIABILITY RESERVE 4597507 12442326 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, 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. true true X true X 225. false true true true false true true 2889508 2889508 0.04040 8244635 6726856 1517779 0.02120 11134143 6726856 4407287 0.06160 5769218 4916977 852241 0.01190 5769218 4916977 852241 0.01190 16903361 11643833 5259528 0.07350 91330 7090 84240 0.00120 38257 38257 0.00050 129587 7090 122497 0.00170 true 15146100 9087660 25637727 35035704 -9397977 X true true 1 1 SAINT FRANCIS HOSPITAL SOUTH LLC 10501 E 91ST STREET TULSA OK 74133 HTTP://WWW.SAINTFRANCIS.COM/SOUTH 2362 X X X SAINT FRANCIS HOSPITAL SOUTH LLC 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 SCHEDULE 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 Saint Francis Hospital South, LLC conducted the CHNA with Saint Francis Hospital, Inc. and Laureate Psychiatric Clinic and Hospital, Inc. Part V, Section B, Line 6b Saint Francis Hospital South, LLCs CHNA was conducted by the Tulsa County Health Department. Part V, Section B, Line 7a www.saintfrancis.com/Documents/CHNA.pdf Part V, Section B, Line 10a www.saintfrancis.com/Documents/CHNA.pdf 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. 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 13a Patients 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 c https://www.saintfrancis.com/south/Pages/Patients-and-Visitors/ For-Patients/After-Your-Visit/Patient-Billing.aspx 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% is provided on all charges for uninsured patients. 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 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 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 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 Activities Community 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 2 Saint 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 3 The 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 4 The 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 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. 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 9b Saint 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 2 Needs 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 3 Patient 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 4 Community 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 5 Saint 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 6 Saint 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 7 Saint 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. true Medical Supplies Network 1123 S Erie Ave Tulsa OK 741125307 731507095 501(c)(3) 29163 General Support 1 Schedule I, Part I, Line 2 Saint 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. X X true true X X X X false true false false false false false false false Jake Henry Jr President/CEO/Director 0 1011021 0 1118300 0 62075 0 34851 0 12075 0 2238322 0 0 Barry L Steichen Vice President/COO/Director 0 659772 0 290164 0 11687 0 123873 0 15020 0 1100516 0 0 Jeffrey C Sacra Assistant Secretary 0 219731 0 81474 0 4459 0 48375 0 3915 0 357954 0 0 Eric E Schick Treasurer/CFO 0 484860 0 197656 0 10218 0 77223 0 15020 0 784977 0 0 David Weil Administrator 296590 0 86076 0 8940 0 66679 0 1956 0 460241 0 0 0 Raymond Sanders MD Physician 4215 522727 0 2500 0 18000 0 33250 0 20617 4215 597094 0 0 Thomas G Neff Secretary 0 316282 0 156679 0 17567 0 70550 0 14811 0 575889 0 0 Mark Maguire MD Physician 3000 500561 0 0 0 32001 0 19520 3000 552082 0 0 Moutasim Al-Shaer MD Physician 2400 484898 0 20333 0 18000 0 33251 0 19617 2400 576099 0 0 Julun Hong MD Physician 7150 519769 0 27583 0 7595 0 33251 0 20763 7150 608961 0 0 Kinya Kamau MD Physician 9638 479610 0 8675 0 0 0 0 0 27167 9638 515452 0 0 Part I, Line 1b Certain individuals included in Schedule J, Part II participated in key business activities accompanied by their spouse. Additionally, these same individuals may have incurred personal 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 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. Form 990, Part III, Line 4a Saint 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 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, 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 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 William K. Warren Jr., a trustee, and W.R. Lissau, a director. 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 Saint Francis Health System, Inc., is the sole member of Saint Francis Hospital South, LLC. Form 990, Part VI, Section A, Line 7a Saint Francis Health System, Inc., the sole member of Saint Francis Hospital South, LLC elects the governing body. 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 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 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 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 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 $35,248,754 was a net equity transfer. Oklahoma Cancer Center Realty LLC 6600 S Yale Ave Ste 400 Tulsa OK 74136 371517227 Holding Co OK 876492 10491196 SF South Saint Francis Hospital Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 730700090 Health Svcs OK 501(c)(3) 3 SFHS true Laureate Psychiatric Clinic & Hosp Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 731308273 Health Svcs OK 501(c)(3) 3 SFHS true The Children's Hosp Fdn at Saint Francis 6600 S Yale Ave Ste 400 Tulsa OK 74136 202843418 Health Svcs OK 501(c)(3) 12A Type I SFHS true Warren Clinic Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 731310891 Health Svcs OK 501(c)(3) 3 SFHS true Saint Francis Health System Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 731501972 Health Svcs OK 501(c)(3) 12B Type II N/A false Saint Francis Hospital Vinita Inc 6600 S Yale Ave Ste 400 Tulsa OK 741363319 813747248 Health Svcs OK 501(c)(3) 3 SFHS true Saint Francis Regional Services Inc 6600 S Yale Ave Ste 400 Tulsa OK 741363319 814322087 Health Svcs OK AP501(c)(3) 3 SFHS true Saint Francis Payroll Services LLC 6600 S Yale Ave Ste 400 Tulsa OK 741363319 450470422 Common Pay Agent OK SFHS C Corp 0 0 true Saint Francis Hlth Sys Gen-Prof Lia PO Box 3038 Milwaukee WI 532013038 756583874 Self Insurance OK SFHS Trust 0 0 true Arrowhead Ridge Owners Association 6600 S Yale Ave Ste 400 Tulsa OK 741363319 522418279 Holding Company OK SFH South C Corp 0 0 1.00000 true Xavier Insurance Company Inc 76 St Paul St Ste 500 Burlington VT 05401 030333599 Captive Insurance VT SFHS C Corp 0 0 true false true false false false false false false false true false false true false false true true true true Saint Francis Hospital Inc J 485784 Trans Review Saint Francis Hospital Inc M 2636476 Trans Review Saint Francis Hospital Inc Q 95009427 Trans Review Saint Francis Hospital Inc R 79660062 Trans Review Saint Francis Hospital Inc S 15295488 Trans Review Saint Francis Hospital Inc P 3040303 Trans Review Saint Francis Hospital Inc B 35248754 Trans Review Laureate Psychiatric Clinic & Hospital Inc Q 88115 Trans Review Laureate Psychiatric Clinic & Hospital Inc P 167083 Trans Review Warren Clinic Inc J 608971 Trans Review Warren Clinic Inc M 144563 Trans Review Warren Clinic Inc Q 4874365 Trans Review Warren Clinic Inc P 7146730 Trans Review