JANE PHILLIPS NOWATA HOSPITAL INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- JANE PHILLIPS NOWATA HOSPITAL INC (EIN 73-1440267)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-15
- IRS object ID
- 201721359349310637
- Schema version
- 2015v3.0
- 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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T16:00:21-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731440267 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jane Phillips Nowata Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JANE | BusinessNameControlTxt |
| Phone | 9182733102 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 237 South Locust | AddressLine1Txt |
| City | Nowata | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74048 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lex Anderson | PersonNm |
| Person Title | SVP/CFO SJHS | PersonTitleTxt |
| Signature | 2017-05-15 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jane Phillips Nowata Health Center | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mike Moore | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 237 South Locust | AddressLine1Txt |
| City | Nowata | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74048 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,498,839 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://WWW.STJOHNHEALTHSYSTEM.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1946 | FormationYr |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Activity Or Mission | Providing medical excellence and compassionate care to all who need it. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 58 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,756 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,136,501 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,497,832 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$5,594 | PYInvestmentIncomeAmt |
| CY Investment Income | $73 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,124 | PYOtherRevenueAmt |
| CY Other Revenue | $934 | CYOtherRevenueAmt |
| PY Total Revenue | $4,143,787 | PYTotalRevenueAmt |
| CY Total Revenue | $4,498,839 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,070 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $10,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,539,777 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,626,137 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,492,371 | PYOtherExpensesAmt |
| CY Other Expenses | $2,090,302 | CYOtherExpensesAmt |
| PY Total Expenses | $4,033,218 | PYTotalExpensesAmt |
| CY Total Expenses | $4,726,939 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $110,569 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$228,100 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,353,573 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,443,047 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,472,959 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $788,156 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,880,614 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,654,891 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,780,844 | ExpenseAmt |
| Grant | $10,500 | GrantAmt |
| Revenue | $4,497,832 | RevenueAmt |
| Desc | JANE PHILLIPS NOWATA HOSPITAL, INC. ("THE HOSPITAL") IS A MEDICARE DESIGNATED CRITICAL ACCESS HOSPITAL THAT PROVIDES MEDICAL SERVICES TO THE RESIDENTS OF NOWATA AND NORTHEASTERN OKLAHOMA. THE HOSPITAL OPERATES A 24-HOUR EMERGENCY DEPARTMENT AND A VARIETY OF OTHER HEALTH CARE SERVICES AND IS AN AFFILIATE OF JANE PHILLIPS. AS SUCH, IT IS PART OF ST. JOHN HEALTH SYSTEM, INC. ("ST. JOHN"). ST. JOHN, IS A WHOLLY OWNED SUBSIDIARY OF NON-PROFIT ASCENSION HEALTH. ST. JOHN AND AFFILIATES OWN AND OPERATE A COMPREHENSIVE TERTIARY HEALTH CARE DELIVERY SYSTEM WHICH PROVIDES A FULL SPECTRUM OF HEALTH-RELATED SERVICES THROUGHOUT NORTHEASTERN OKLAHOMA. ST. JOHN, HEADQUARTERED IN TULSA, OKLAHOMA, CONDUCTS ITS OPERATIONS THROUGH SEVERAL WHOLLY-OWNED OR WHOLLY-CONTROLLED SUBSIDIARIES, INCLUDING: ST. JOHN MEDICAL CENTER, INC. (THE "MEDICAL CENTER"), ST. JOHN SAPULPA, INC. ("ST. JOHN SAPULPA"), JANE PHILLIPS MEMORIAL MEDICAL CENTER ("JANE PHILLIPS"), UTICA SERVICES, INC. ("UTICA"), (CONTINUED ON SCHEDULE O) | Desc |
| Total Program Service Expenses | $3,780,844 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 58 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lex Anderson | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9187442740 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1923 South Utica Avenue | AddressLine1Txt |
| City | Tulsa | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 741046502 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| MIKE MOORE | |||||||||
| DIRECTOR/PRESIDENT AND COO | 0.1 | 40.0 | Yes (X) | Yes (X) | $0 | $317,039 | $26,521 | ||
| DAVID J PYNN | |||||||||
| DIRECTOR/CEO SJHS/SVP AH OKTUL | 0.1 | 46.7 | Yes (X) | Yes (X) | $0 | $2,240,967 | $37,120 | ||
| JEAN BLOOMFIELD | |||||||||
| DIRECTOR (END 8/31/15) | 0.1 | 0.1 | Yes (X) | $0 | $0 | $0 | |||
| GLENN BONNER | |||||||||
| VICE CHAIRPERSON | 0.9 | 0.9 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES BOWERMAN | |||||||||
| CHAIRPERSON | 0.9 | 0.9 | Yes (X) | $0 | $0 | $0 | |||
| STAN DEFEHR MD | |||||||||
| DIRECTOR | 0.7 | 45.5 | Yes (X) | $0 | $574,944 | $43,279 | |||
| MARK HEADLEY | |||||||||
| DIRECTOR | 0.7 | 0.7 | Yes (X) | $0 | $0 | $0 | |||
| JOHN B KANE | |||||||||
| CHAIRPERSON (END 8/31/15) | 0.1 | 0.1 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT KANE | |||||||||
| DIRECTOR (END 8/31/15) | 0.1 | 0.1 | Yes (X) | $0 | $0 | $0 | |||
| DAVID KING | |||||||||
| DIRECTOR | 0.2 | 0.2 | Yes (X) | $0 | $0 | $0 | |||
| MERL LINDSTROM | |||||||||
| DIRECTOR | 1.8 | 1.8 | Yes (X) | $0 | $0 | $0 | |||
| H MICHAEL MAY | |||||||||
| DIRECTOR (END 8/31/15) | 0.1 | 0.1 | Yes (X) | $0 | $0 | $0 | |||
| DAVID SIGMON | |||||||||
| DIRECTOR | 1.4 | 2.8 | Yes (X) | $0 | $0 | $0 | |||
| LEX ANDERSON | |||||||||
| TREASURER/EXEC VP & SJHS CFO | 0.1 | 50.9 | Yes (X) | $0 | $707,600 | $25,770 | |||
| RONALD J BRASEL | |||||||||
| CFO JPMC | 0.1 | 40.6 | Yes (X) | $0 | $185,308 | $19,585 | |||
| KEVIN STECK | |||||||||
| SECRETARY/VP INTEGRITY & COMPLIANCE | 0.1 | 46.7 | Yes (X) | $0 | $299,211 | $12,872 | |||
| JEFFREY L GIBSON MD | |||||||||
| PHYSICIAN | 40.0 | 0 | $113,679 | $0 | $21,464 | Yes (X) | |||
| DEBRA ROBNETT-BELL | |||||||||
| PHYSICIAN'S ASSISTANT | 40.0 | 0 | $162,447 | $0 | $10,888 | Yes (X) | |||
| VICKY USHER | |||||||||
| RN | 40.0 | 0 | $106,618 | $0 | $7,473 | Yes (X) | |||
| ALFRED W GARTZKE | |||||||||
| PHYSICIAN'S ASSISTANT | 40.0 | 0 | $181,713 | $0 | $13,025 | Yes (X) | |||
| DAVID STIRE | |||||||||
| FORMER OFFICER (END 12/14) | 0.0 | 0.0 | $0 | $487,576 | $24,321 | Yes (X) | |||
| SAMUEL C ANDERSON | |||||||||
| FORMER OFFICER (END 6/14) | 0.0 | 0.0 | $0 | $482,528 | $19,713 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $564,457 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,295,172 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $262,032 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Revenue | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $4,497,832 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,497,832 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,497,832 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $73 | TotalRevenueColumnAmt |
| Exclusion | $73 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $934 | TotalRevenueColumnAmt |
| Exclusion | $934 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $934 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,498,839 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,497,832 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,007 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,500 | TotalAmt |
| Program Services | $10,500 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,210,296 | TotalAmt |
| Program Services | $1,941,088 | ProgramServicesAmt |
| Management And General | $269,208 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,861 | TotalAmt |
| Program Services | $47,541 | ProgramServicesAmt |
| Management And General | $5,320 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,740 | TotalAmt |
| Program Services | $152,647 | ProgramServicesAmt |
| Management And General | $45,093 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,240 | TotalAmt |
| Program Services | $140,714 | ProgramServicesAmt |
| Management And General | $24,526 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,704 | TotalAmt |
| Management And General | $10,704 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,710 | TotalAmt |
| Management And General | $6,710 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,182,431 | TotalAmt |
| Program Services | $1,038,377 | ProgramServicesAmt |
| Management And General | $144,054 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,247 | TotalAmt |
| Management And General | $6,247 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,280 | TotalAmt |
| Program Services | $6,934 | ProgramServicesAmt |
| Management And General | $15,346 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,615 | TotalAmt |
| Program Services | $74,586 | ProgramServicesAmt |
| Management And General | $4,029 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,331 | TotalAmt |
| Program Services | $9,509 | ProgramServicesAmt |
| Management And General | $822 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $640 | TotalAmt |
| Management And General | $640 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $419,842 | TotalAmt |
| Program Services | $28,744 | ProgramServicesAmt |
| Management And General | $391,098 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,669 | TotalAmt |
| Management And General | $4,669 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT RELATED SUPPLIES | $239,362 | $239,362 | |
| EQUIPMENT LEASE | $58,975 | $42,830 | $16,145 |
| REPAIRS & MAINTENANCE | $32,890 | $30,943 | $1,947 |
| MINOR EQUIPMENT | $6,496 | $6,496 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,110 | TotalAmt |
| Program Services | $10,573 | ProgramServicesAmt |
| Management And General | -$463 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,726,939 | TotalAmt |
| Program Services | $3,780,844 | ProgramServicesAmt |
| Management And General | $946,095 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $214,946 | BOYAmt |
| EOY | $238,497 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $898,743 | BOYAmt |
| EOY | $995,880 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,755 | BOYAmt |
| EOY | $53,062 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,283,713 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $815,133 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,723,493 | BOYAmt |
| EOY | $1,468,580 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $760,322 | BOYAmt |
| EOY | $603,122 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,690,314 | BOYAmt |
| EOY | $1,083,906 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,353,573 | BOYAmt |
| EOY | $4,443,047 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,397 | BOYAmt |
| EOY | $193,925 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,364,562 | BOYAmt |
| EOY | $594,231 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,472,959 | BOYAmt |
| EOY | $788,156 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,880,614 | BOYAmt |
| EOY | $3,654,891 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,880,614 | BOYAmt |
| EOY | $3,654,891 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,353,573 | BOYAmt |
| EOY | $4,443,047 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$228,100 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $2,377 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $559 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $559 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. JANE PHILLIPS NOWATA HOSPITAL, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. |
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. JANE PHILLIPS NOWATA HOSPITAL, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $170,000 | OtherCostOrOtherBasisAmt |
| Book Value | $170,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,868,427 | OtherCostOrOtherBasisAmt |
| Depreciation | $617,987 | DepreciationAmt |
| Book Value | $1,250,440 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $205,286 | OtherCostOrOtherBasisAmt |
| Depreciation | $182,702 | DepreciationAmt |
| Book Value | $22,584 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $40,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,444 | DepreciationAmt |
| Book Value | $25,556 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,468,580 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due From Affiliates | $1,081,796 |
| Other receivables | -$4,755 |
| Other miscellaneous assets | $6,865 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,083,906 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated settlements - Third party payor | $594,231 |
| Due to Network |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $594,231 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System"), which include the activity of Jane Phillips Nowata Hospital, Inc.: The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2016. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $430,042 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $430,042 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0910 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $797,742 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $336,227 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $461,515 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0976 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $1,227,784 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $336,227 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $891,557 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1886 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0022 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $10,500 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0022 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $1,238,284 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $336,227 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $902,057 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1908 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $568,021 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $3,266,826 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,044,331 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$777,505 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jane Phillips Nowata Health Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 237 South Locust | AddressLine1Txt |
| City | Nowata | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74084 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http://www.stjohnhealthsystem.com/ | WebsiteAddressTxt |
| State License | 2187 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jane Phillips Nowata Health Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.stjohnhealthsystem.com/about/community-health-needs-assessment | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.stjohnhealthsystem.com/about/community-health-needs-assessment | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.stjohnhealthsystem.com/about/payment-for-services | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.stjohnhealthsystem.com/about/payment-for-services | FAPAppAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - Jane Phillips Nowata Hospital, Inc.. COMMUNITY INPUT IS A PRIMARY FOCUS OF THE MOST RECENT CHNA THAT WAS ADOPTED AND APPROVED BEFORE 6/30/2016 FOR THE FISCAL YEAR 2017-2019. ACCORDINGLY, INPUT FROM COMMUNITY MEMBERS, COMMUNITY LEADERS AND REPRESENTATIVES, AS WELL AS THE HEALTH'S SYSTEM'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ADVISORY GROUP AND LEADERSHIP WAS OBTAINED TO EXPAND UPON INFORMATION GLEANED FROM THE SECONDARY DATA REVIEW. A CONCERTED EFFORT WAS MADE TO OBTAIN COMMUNITY INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE OF PUBLIC HEALTH ISSUES AND POPULATIONS DEEMED VULNERABLE. THIS ASSESSMENT ALSO TOOK IN TO ACCOUNT THE IMPORTANCE OF ENGAGING COMMUNITIES ON AN ONGOING BASIS AND THE PROMOTION OF A CONTINUAL DIALOGUE. THIS INCLUDES DISSEMINATING THE RESULTS OF THE ASSESSMENT WITHIN THE COMMUNITY AND ENGAGING THE COMMUNITY IN MUTUALLY REINFORCING AND COMMUNITY-DRIVEN ACTIVITIES TO IMPROVE THE COMMUNITY HEALTH AND WELL-BEING. THIS ASSESSMENT EMPLOYED SEVERAL METHODS OF COMMUNITY INPUT TO YIELD THE DESIRED RESULTS. FOR THE PURPOSES OF THIS ASSESSMENT, COMMUNITY INPUT WAS OBTAINED THROUGH THE FOLLOWING METHODS: 1). A COMMUNITY INPUT MEETING WITH 15 COMMUNITY MEMBERS, LEADERS, AND REPRESENTATIVES 2). INPUT FROM THE PUBLIC HEALTH WORKFORCE AND LOCAL COALITIONS/PARTNERSHIPS, AND 3). INPUT FROM THE HEALTH'S SYSTEM'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ADVISORY GROUP AND LEADERSHIP. ON MAY 2, 2016, A TOTAL OF 15 COMMUNITY LEADERS AND REPRESENTATIVES PARTICIPATED IN A COMMUNITY INPUT MEETING CONDUCTED AT JANE PHILLIPS NOWATA HEALTH CENTER. THE PURPOSE OF THIS MEETING WAS TO SOLICIT COMMUNITY INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, ESPECIALLY THOSE MOST IN NEED. THE MEETING WAS INTENDED TO OBTAIN COMMUNITY INPUT SPECIFIC TO THE HOSPITAL AND SURROUNDING COMMUNITY OF NOWATA COUNTY. THE MEETING TOOK PLACE OVER A TWO-HOUR PERIOD AND CONSISTED OF FOUR MAIN EXERCISES: 1). HOSPITAL ASSESSMENT EXERCISES, 2). NOMINAL GROUP EXERCISE TO VALIDATE AND PRIORITIZE HEALTH NEEDS BASED ON TOP HEALTH NEEDS IDENTIFIED, 3). COMMUNITY PERCEPTION GROUP EXERCISE, AND 4). COMMUNITY CAPACITY ASSESSMENT EXERCISE. THE FOLLOWING COMMUNITY AGENCIES AND ORGANIZATIONS PARTICIPATED IN THE MEETING: ARVEST BANK NOWATA, CHEROKEE NATION - WILL ROGERS HEALTH CENTER, CITY OF NOWATA DR. JEFFREY GIBSON, DO- FAMILY PRACTICE PHYSICIAN'S OFFICE, ELDER CARE, JANE PHILLIPS NOWATA HEALTH CENTER, MORTON COMPREHENSIVE HEALTH SERVICES, NOWATA COMMUNITY ADVANCEMENT NETWORK, NOWATA UNITED METHODIST CHURCH, OKLAHOMA DEPARTMENT OF HUMAN SERVICES REGENT BANK, AND WASHINGTON COUNTY HEALTH DEPARTMENT (OVERSEES NOWATA COUNTY). A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ADVISORY GROUP WAS FORMED IN THE BEGINNING OF THIS ASSESSMENT PROCESS TO PROVIDE DIRECTION, INPUT, AND GUIDANCE. THIS GROUP MET SEVERAL TIMES DURING THE PROCESS BETWEEN FEBRUARY AND MAY 2016. GROUP MEMBERSHIP CONSISTED OF THIRTEEN KEY REPRESENTATIVES FROM HOSPITAL FACILITIES, ST. JOHN CLINIC, AND DEPARTMENTS THROUGHOUT THE HEALTH SYSTEM. THESE MEMBERS ASSISTED WITH THE DESIGN AND COORDINATION OF THE HOSPITAL COMMUNITY HEALTH INPUT MEETINGS AND HELPED TO COMPILE INFORMATION AND DATA RELATED TO OUR EVALUATION OF IMPACT FROM OUR 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. ADDITIONAL MEMBERS OF HOSPITAL AND HEALTH SYSTEM LEADERSHIP WERE ALSO ENGAGED TO PROVIDE INPUT AND GUIDANCE THROUGHOUT THE PROCESS. A SHORT COMMUNITY HEALTH NEEDS PRIORITIZATION SURVEY WAS EMAILED TO CHNA ADVISORY GROUP MEMBERS AND HOSPITAL/HEALTH SYSTEM LEADERSHIP VIA SURVEYMONKEY IN APRIL 2016. A TOTAL OF FIFTEEN MEMBERS AND LEADERSHIP RESPONDED TO THE SURVEY. COMMUNITY INPUT WAS SOLICITED FROM A DIVERSE SET OF COMMUNITY STAKEHOLDERS SUCH AS COMMUNITY MEMBERS, COMMUNITY ORGANIZATIONS, AND THE PUBLIC HEALTH WORKFORCE. A VARIETY OF SOURCES ENSURED THAT AS MANY DIFFERENT PERSPECTIVES AS POSSIBLE WERE REPRESENTED WHILE SATISFYING THE BROAD INTERESTS OF THE COMMUNITY. SOURCES OF COMMUNITY INPUT FOR THIS ASSESSMENT WERE AS FOLLOWS: -COMMUNITY LEADERS AND REPRESENTATIVES -LOCAL PUBLIC HEALTH WORKFORCE AND COALITIONS/PARTNERSHIPS -MEMBERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, AT-RISK, AND OTHERWISE VULNERABLE POPULATIONS -HEALTH SYSTEM CHNA ADVISORY GROUP AND LEADERSHIP COMMUNITY STAKEHOLDERS WHO PROVIDED COMMUNITY INPUT REPRESENTED A VARIETY OF COMMUNITY SECTORS INCLUDING: COMMUNITY MEMBERS, HEALTHCARE PROVIDERS AND SERVICES, EDUCATION AND ACADEMIA, NON-PROFIT AGENCIES, COMMUNITY-BASED ORGANIZATIONS, PRIVATE BUSINESSES, COMMUNITY DEVELOPERS, FAITH COMMUNITIES AND FAITH-BASED ORGANIZATIONS, GOVERNMENT REPRESENTATIVES, SAFETY NET SERVICE PROVIDERS, ECONOMIC AND WORKFORCE DEVELOPMENT, MENTAL HEALTH/BEHAVIORAL HEALTH SERVICES, LAW ENFORCEMENT AND FIRST RESPONDERS, PUBLIC HEALTH WORKFORCE, AND OTHER INTEREST GROUPS WORKING WITH AT-RISK AND VULNERABLE POPULATIONS. THIS ASSESSMENT ESPECIALLY FOCUSED ON COMMUNITY INPUT FROM THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH AS WELL AS MEMBERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW INCOME, MINORITY, OR OTHERWISE VULNERABLE POPULATIONS. EACH OFFERED CRITICAL STRENGTHS AND INSIGHTS ON THE HEALTH NEEDS AND ASSETS OF THE COMMUNITY. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - Jane Phillips Nowata Hospital, Inc.. THE OTHER HOSPITAL FACILITIES WITH WHICH THE REPORTING HOSPITAL FACILITY CONDUCTED ITS CHNA, INCLUDE: ST. JOHN MEDICAL CENTER, INC. (TULSA), ST. JOHN BROKEN ARROW, INC. , ST. JOHN SAPULPA, INC., OWASSO MEDICAL FACILITY, INC., AND JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC. |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - Jane Phillips Nowata Hospital, Inc.. THE OTHER ORGANIZATIONS WITH WHICH THE REPORTING HOSPITAL FACILITY CONDUCTED ITS CHNA, INCLUDE: THE WASHINGTON COUNTY HEALTH DEPARTMENT (OVERSEES NOWATA COUNTY). |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - Jane Phillips Nowata Hospital, Inc.. PART I- How the CHNA needs were met in FY 2016 for the previous CHNA that covered fiscal year 2014-2016: USING THE CHNA COMPLETED IN 2013, THE ST. JOHN SYSTEM DEVELOPED, ADOPTED, AND WORKED ON EXECUTING A 2014-2016 IMPLEMENTATION STRATEGY TO ADDRESS THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE COMMUNITY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT. MANY OF THESE ARE DONE IN COLLABORATION WITH INDIVIDUALS REPRESENTING INTERESTS OF THE COMMUNITY AND/OR IN SUPPORT OF COMMUNITY BASED PROGRAMS. THE HOSPTIAL ADDITIONALLY COLLABORATED WITH THE WASHINGTON COUNTY HEALTH DEPARTMENT (OVERSEES NOWATA COUNTY) AND STAKEHOLDERS IN NOWATA COUNTY FOR IDENTIFICATION AND PRIORITIZATION OF NEEDS. UPON COMPLETION OF THE ASSESSMENT WITH INPUT FROM LOCAL PUBLIC HEALTH OFFICIALS AND OTHER LEADERS, JANE PHILLIPS NOWATA HOSPITAL, INC. IDENTIFIED COLLABORATIVELY WORKED TOWARD ADDRESSING THE FOLLOWING PRIORITY NEEDS AS A HOSPITAL WITHIN A LARGER HEALTH SYSTEM AND THROUGH SUPPORTING THE NEEDS IDENTIFIED FOR A COMMUNITY-WIDE PLAN: 1. DIET, INACTIVITY, AND OBESITY - ACTIVE PARTICIPATON IN CREEK COUNTY COMMUNITY PARTNERSHIP MONTHLY MEETINGS. DURING THE MEETINGS, THE PARTNERSHIP WORKED TO INITIATE AND PROVIDE PROGRAMS AND SERVICES TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY. - THE ST. JOHN HEALTH SYSTEM PARTICIPATED IN 269 COMMUNITY EVENTS, MANY FOCUSED-ON HEALTH PROMOTION AND WELLNESS. IN PARTICULAR, THE HEALTH SYSTEM SPONSORED AND PARTICIPATED IN A NUMBER OF LOCAL HEALTH PROMOTION WALKS AND RUNS DURING THIS TIME PERIOD INCLUDING, BUT NOT LIMITED TO THE: AMERICAN CANCER SOCIETY'S RELAY FOR LIFE EVENTS, AMERICAN HEART AND AMERICAN STROKE ASSOCIATIONS' HEART WALK, SUSAN G. KOMEN'S RACE FOR THE CURE, PARKINSON FOUNDATION OF OKLAHOMA'S TULSA PARKINSON'S WALK & 5K, AND OKLAHOMA CHAPTER OF THE ALZHEIMER'S ASSOCIATION'S WALK TO END ALZHEIMER'S. THE HEALTH SYSTEM AND HOSPITAL OFFERED ASSOCIATES FREE OR DISCOUNTED REGISTRATION FEES FOR MANY THESE LOCAL RUNS AND WALKS. ST. JOHN ASSOCIATES PROMOTED HEALTH AND WELLNESS THROUGH HEALTH SCREENINGS AND PUBLIC EDUCATION AT THESE EVENTS. EACH YEAR A BUDGET IS ESTABLISHED FOR THIS PURPOSE AND IS EXCEEDED THROUGH IDENTIFICATION OF ADDITIONAL COMMUNITY REQUESTS. THE HEALTH SYSTEM AND HOSPITAL ALSO HOSTED A MULTITUDE OF PUBLIC HEALTH EDUCATION SEMINARS, CLASSES, AND SYMPOSIUMS ON A VARIETY OF WELLNESS TOPICS INCLUDING, BUT NOT LIMITED TO: DIABETES, HEART HEALTH, STROKE, SAFETY AND PREVENTION, TRAUMA, MATERNAL AND CHILD HEALTH, JOINT CARE, CANCER CARE, HEALTHY DIET AND NUTRITION, AND THE PROMOTION OF PHYSICAL ACTIVITY. - JANE PHILLIPS NOWATA WAS ALSO THE PRIMARY SPONSOR OF NOWATA COMMUNITY ADVANCEMENT NETWORK'S (CAN) "DOUBLE BUCKS" AND "VEGGIE VOUCHERS" PROGRAMS IN CONJUNCTION WITH THE NOWATA AREA FARMERS MARKET. THESE PROGRAMS PROMOTE HEALTHY DIET CHOICES FOR SCHOOL AGE CHILDREN, ESPECIALLY THOSE FROM LOW-INCOME HOUSEHOLDS. -ON APRIL 21, 2016, JANE PHILLIPS NOWATA HEALTH CENTER SPONSORED AND PARTICIPATED IN THE NOWATA COUNTY 19TH ANNUAL SENIOR CITIZENS DAY. - THE HOSPITAL AND HEALTH SYSTEM'S FOOD AND NUTRITION SERVICES CONTINUES TO COLOR CODE HEALTHY MENU ITEMS ON OUR ONLINE MENUS. CALORIE CONTENTS OF SELECT MENU ITEMS ARE NOW POSTED ON ELECTRONIC MENU BOARDS IN THE CAFETERIAS. - ST. JOHN HEALTH SYSTEM AND ITS HOSPITALS BEGAN PARTICIPATED IN ASCENSION HEALTH'S SMART HEALTH WELLNESS PROGRAM INITIATIVES - FIRST FOCUSING ON OUR OWN ASSOCIATES AND SUBSEQUENTLY TAKING LESSONS LEARNED TO THE BROADER COMMUNITY. A TOTAL OF 1,538 ASSOCIATES COMPLETED THE 2015 WELLNESS PROGRAM. 2. MENTAL HEALTH, SUBSTANCE ABUSE, TOBACCO USE - AS A HEALTHCARE PROVIDER OF EMERGENCY AND ACUTE HOSPITAL AND RELATED SERVICES, THE HOSPITAL SEES THE DIRECT AND OFTEN DEVASTATING EFFECTS OF ALCOHOL AND DRUG ABUSE, AS WELL AS TOBACCO USE, ON A DAILY BASIS. MANY, IF NOT MOST, OF THE PATIENTS WHO PRESENT TO THE SYSTEM IN ACUTE CRISIS FROM ALCOHOL AND ABUSE - WHETHER FROM INJURY OR OVERDOSE (OR BOTH) - ALSO HAVE UNDERLYING ACUTE OR CHRONIC MENTAL HEALTH CONDITIONS AND NEEDS. THE HEALTH SYSTEM IS EXPLORING HOW VIRTUAL TECHNOLOGY MIGHT BE USED TO SUPPORT HOSPITALS IN PROVIDING BETTER ACCESS TO PATIENTS FOR MENTAL HEALTH SERVICES. -THE HOSPITAL AND HEALTH SYSTEM CONTINUE TO STRIVE TO PROVIDE PATIENTS RECEIVING INPATIENT HOSPITAL CARE AND PATIENTS RECEIVING PRIMARY CARE PATIENTS IN MEDICAL HOMES WITH EDUCATION AND SERVICES TO PROMOTE MENTAL WELL-BEING AS WELL AS THE PREVENT OR REDUCE THE OCCURRENCE SUBSTANCE ABUSE. IN OUR MEDICAL ACCESS CLINIC (MAC), FOR INSTANCE, WE HAVE PARTNERED WITH OTHER SAFETY NET PROVIDERS TO EXPAND ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE RESOURCES. - PROCESS OUTCOMES ARE MEASURED FOR MENTAL HEALTH AND TOBACCO USE SCREENING THROUGH BOTH THE COMPREHENSIVE PRIMARY CARE PROGRAM AND THE MEDICARE SHARED SAVINGS PROGRAM IN WHICH ST. JOHN HOSPITALS AND EMPLOYED ST. JOHN PHYSICIANS PARTICIPATE. THROUGH THESE PROGRAMS, WE ARE NOW ABLE TO TRACK THE VOLUME OF PATIENTS WHO RECEIVE COUNSELING AND REFERRALS. - EACH HOSPITAL MAINTAINS ONGOING PATIENT EDUCATION RELATED TO SMOKING; MATERIALS ARE PROVIDED TO PATIENTS AND REFERRALS ARE MADE TO THE OKLAHOMA TOBACCO HELPLINE AT 1-800-QUITNOW AND OKHELPLINE.COM FOR TOBACCO CESSATION - THROUGH A HOSPITAL OUTPATIENT DEPARTMENT AT JANE PHILLIPS NOWATA HOSPITAL, INC., MENTAL HEALTH AND DRUG AND ALCOHOL COUNSELING ARE PROVIDED. PATIENTS FROM ANY OF OUR HOSPITALS AND CLINICS MAY BE REFERRED TO THIS SERVICE WHICH HAS A CONVENIENT, ACCESSIBLE LOCATION. THERE ARE CURRENTLY FOUR EMBEDDED OUTPATIENT BEHAVIORAL HEALTH THERAPISTS THAT ARE SHARED ACROSS 12 SITES. REFERRALS ARE ALSO MADE TO AREA AGENCIES. 3. CHRONIC DISEASE MANAGEMENT - JANE PHILLIPS NOWATA HOSPITAL, INC. PARTICIPATES AS AN ACCOUNTABLE CARE ORGANIZATION (ACO) PARTICIPANT IN THE MEDICARE SHARED SAVINGS PROGRAM, WHICH ESTABLISHES SEVERAL QUALITY AND PROCESS OUTCOME MEASURES THAT PERTAIN TO CHRONIC DISEASE MANAGEMENT SUCH AS DIABETES, HYPERTENSION, CORONARY ARTERY DISEASE, AND COPD. - EMPLOYED PHYSICIANS OF THE HEALTH SYSTEM ALSO PARTICIPATE IN COMPREHENSIVE PRIMARY CARE WHICH FOCUSES ON A MEDICAL HOME MODEL IN CARE FOR HIGH RISK PATIENTS WITH CHRONIC CONDITIONS. 4. ACCESS TO CARE ACCESS TO SERVICES IN OKLAHOMA IS A SIGNIFICANT CHALLENGE DUE TO THE LIMITED AVAILABILITY OF PRIMARY CARE PHYSICIANS AND STRESS ON HOSPITAL EMERGENCY ROOM ACCESS AND INPATIENT BEDS DUE TO A GROWING NUMBER OF TRANSFERS FROM UNDERSERVED RURAL AREAS IN OKLAHOMA. SEE SUPPLEMENTAL INFORMATION (SCHEDULE H, PART VI). |
| Schedule H, Part V, Section B, Line 16 Facility , 1 | Facility , 1 - Jane Phillips Nowata Hospital, Inc.. SIGNS ARE POSTED IN WAITING ROOMS AND AT THE ADMISSIONS OFFICES TO NOTIFY PATIENTS THAT THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY. IN ADDITION, EVERY BILLING STATEMENT, THE HOSPITAL'S WEBSITE, AND SIGNS ARE POSTED IN WAITING ROOMS AND AT THE ADMISSIONS OFFICES TO NOTIFY PATIENTS THAT THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY. IN ADDITION, EVERY BILLING STATEMENT, THE HOSPITAL'S WEBSITE, AND ADMISSION PACKETS INCLUDE INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. THE POLICY IS PROVIDED AT THE REQUEST OF THE PATIENT. |
| Schedule H, Part V, Section B, Line 22 Facility , 1 | Facility , 1 - Jane Phillips Nowata Hospital, Inc.. Patients eligible for Financial Assistance will not be charged individually more than THE AMOUNT GENERALLY BILLED (AGB) for emergency and other medically necessary care and not more than gross charges for all other medical care. The Organization calculates one or more AGB percentages using the "look-back" method and including Medicare fee-for-service and all private health insurers that pay claims to the Organization, all in accordance with 501(r). THE HOSPITAL PROVIDES A 40% DISCOUNT ON GROSS CHARGES AND 15% PROMPT PAY DISCOUNT TO ALL UNINSURED PATIENTS. PATIENTS WHO ARE DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE RECEIVE AN ADDITIONAL CHARITY CARE DISCOUNT EQUAL TO 100% OF THE REMAINING AMOUNT DUE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (20 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 6a NAME OF THE RELATED ORG THAT PREPARED COMMUNITY BENEFIT REPORT | THE HOSPITAL IS A WHOLLY-OWNED (WHOLLY-SPONSORED) SUBSIDIARY OF ST. JOHN HEALTH SYSTEM, INC. - EIN 73-1215174 ("SJHS"). SJHS PREPARED A CONSOLIDATED COMMUNITY BENEFIT REPORT FOR THE CONSOLIDATED ORGANIZATION FOR THIS TAX YEAR. THE REPORT IS MADE AVAILABLE ON DEMAND AND IS REFERENCED BY THE ORGANIZATION IN A NUMBER OF PUBLIC MEETINGS AND COMMUNITY OUTREACH ACTIVITIES. |
| Schedule H, Part II DESCRIBE HOW BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY - Continued | Care for the Poor: "Care for the Poor" (which includes the estimated cost of services provided to patients who qualify for financial assistance (charity) and the uncompensated cost of care provided to Medicaid beneficiaries) is the largest financial category of community benefit. Support for graduate and allied health medical education is the second largest. St. John provides discounts of at least 40% to all uninsured patients and additional discounts of at least 15% to uninsured patients who make the agreed upon timely payments for services they receive. All uninsured individuals living in households with incomes at or below 300% of the federal poverty limit qualify for free care for medically necessary services. Insured patients and others who are faced with financially catastrophic medical bills are also eligible for and encouraged to seek financial assistance. Consistent with our mission and values, St. John has created programs to seek out better ways to serve the uninsured and the vulnerable members of our society. With generous financial support from donors, including the Chapman trusts and with guidance and counsel from many partners in our community, St. John has created the Medical Access Program ("MAP") to try to increase and improve access to medical care for segments of the uninsured population. Beginning more than five years ago, MAP continues to grow and expand each year. MAP has brought together a network of primary care providers that provides free clinics and other services to uninsured and low income individuals throughout Tulsa. Key elements of MAP include: - Expansion of free primary care by providing direct financial support to other organizations in the community providing access to free primary care, - Operation of Rockford Medical Clinic. The Rockford Clinic is a free primary care medical home for a segment of the uninsured population that meet certain criteria for participation, - Provision of free diagnostic imaging, including CT, MRI, ultrasound, mammography and basic x-ray for patients who meet criteria, - Access to free specialty services through a network of participating clinics and physician partners and through the facilities and physicians of the St. John System, and - Access to free or reduced cost prescription medications. MAP has limited resources but continues to expand the scope of its services each year, routinely spending at least $5 million per year in donated and St. John funds. Support for Medical Education: St. John Medical Center, Inc. is a primary teaching hospital for The University of Oklahoma's Tulsa College of Community Medicine residency programs for internal medicine and general surgery and is the primary teaching hospital for the "In His Image" ("IHI") family medicine residency program. St. John works as a founding member of the Tulsa Medical Education Foundation providing financial support for The University of Oklahoma ("OU") residency programs. St. John also provides additional direct support to both OU and IHI residency programs and also provides direct support for a number of nursing education and allied health professional education programs. Other Community Benefit: St. John provides subsidized health services focused on certain emergency services and on post-acute senior services. Each St. John Hospital provides vital emergency medical services in its community. St. John Medical Center, Inc. services as one of only three trauma centers in Oklahoma, Oklahoma's first and only certified comprehensive stroke center, and a tertiary referral center for the entire state of Oklahoma and portions of Missouri, Arkansas, Kansas and Texas. The associates, physicians and facilities of the St. John System provide services to thousands of patients every day. Among the services provided annually are: -MORE THAN 60,000 ANNUAL HOSPITAL ADMISSIONS, INCLUDING 19,000 "OBSERVATION" PATIENTS. -MORE THAN 35,000 ANNUAL SURGERIES PERFORMED IN ST. JOHN HOSPITALS. ST. JOHN ALSO IS A MINORITY OWNER IN TWO AMBULATORY SURGERY CENTERS THAT PERFORM MORE THAN 28,000 ANNUAL OUTPATIENT SURGERIES. -MORE THAN 3,600 ANNUAL BIRTHS AT ST. JOHN HOSPITALS. -MORE THAN 160,000 ANNUAL PATIENT VISITS TO ST. JOHN HOSPITAL EMERGENCY DEPARTMENTS. -MORE THAN 60,000 ANNUAL URGENT CARE URGENT CARE VISITS. -NEARLY 500,000 ANNUAL PATIENT VISITS TO PHYSICIAN OFFICE VISITS. -MORE THAN 9 MILLION ANNUAL LABORATORY TESTS. Summary: The thousands of associates, physicians and volunteers that make up St. John Health System, Inc. touch the lives of thousands of patients every day and millions of patients every year. As we seek to transform health care in Oklahoma and the United States, St. John is challenged by many factors including: lack of public resources in Oklahoma that are devoted to both care for the poor, health care infrastructure and medical education; competition from investor-owned health care facilities that do not share St. John's mission of service and emphasis on service to the poor and powerless but which seek to gain market share in commercially insured patients; poor economic and health care demographic factors contributing to generally poor health status and high rates of poverty and uninsured in Oklahoma; and payment for values. |
| Schedule H, Part V, Section B, Line 11 CHNA needs met in TY 2015 for the CHNA Conducted in TY 2012 | How the CHNA needs were met in FY 2016 for the previous CHNA that covered fiscal year 2014-2016: - THE HEALTH INSURANCE MARKETPLACE, A PART OF THE AFFORDABLE CARE ACT (ACA), WAS LAUNCHED IN OCTOBER 2013, GIVING AMERICANS A VARIETY OF NEW OPTIONS FOR HEALTH COVERAGE. SINCE THEN, ST. JOHN HEALTH SYSTEM HAS EXPENDED CONSIDERABLE EFFORT ENCOURAGING INDIVIDUALS TO SIGN UP FOR COVERAGE THROUGH THE HEALTH INSURANCE MARKETPLACE. THOUGH WE STILL HAVE A LONG WAY TO GO, OUR EFFORTS BRING OUR COMMUNITIES CLOSER TO ASCENSION'S GOAL OF 100% ACCESS AND 100% COVERAGE. ST. JOHN HEALTH SYSTEM PARTNERS WITH THE MIDLAND GROUP TO HELP CONNECT CONSUMERS WITH A CERTIFIED APPLICATION COUNSELOR (CAC) FOR ENROLLMENT ASSISTANCE. CACS MINIMIZE CONFUSION ABOUT MARKETPLACE OPTIONS AND ENSURE DESIRED PROVIDERS AND BENEFITS ARE INCLUDED IN THE SELECTED PLAN. THEY CAN ALSO ASSIST WITH DETAILED QUESTIONS ABOUT THE MARKETPLACE. DURING THE OPEN ENROLLMENT PERIOD, ST. JOHN'S CAC IS AVAILABLE ON AN APPOINTMENT-ONLY BASIS AT JANE PHILLIPS NOWATA HOSPITAL, INC. IN TULSA AND JANE PHILLIPS MEDICAL CENTER IN BARTLESVILLE TO PROVIDE FREE ENROLLMENT ASSISTANCE. MIDLAND'S ON-SITE PUBLIC BENEFITS SCREENERS ALSO WORK TO EDUCATE SELF-PAY PATIENTS WITHIN OUR HOSPITALS ABOUT THE MARKETPLACE AND HAND OUT INFORMATION FOR FURTHER ASSISTANCE WITH NAVIGATIONS. ST. JOHN HEALTH SYSTEM'S HEALTH INSURANCE MARKETPLACE AMBASSADOR PROGRAM (OFTEN ABBREVIATED AS HIX AMBASSADOR PROGRAM) WAS ESTABLISHED IN OCTOBER 2013 PRIOR TO THE FIRST MARKETPLACE OPEN ENROLLMENT PERIOD. ST. JOHN HEALTH SYSTEM ASSOCIATES APPLY TO PARTICIPATE IN THIS PROGRAM AS PAID VOLUNTEERS AND ARE KNOWN AS HEALTH INSURANCE MARKETPLACE (HIX) AMBASSADORS. THESE AMBASSADORS RECEIVE IN-DEPTH TRAINING ON THE MARKETPLACE AND SERVE TO PROMOTE THE MARKETPLACE THROUGH OUTREACH, EDUCATION, AND AWARENESS EFFORTS. THESE EFFORTS INCLUDE: 1) VOLUNTEERING AT ON-SITE AND COMMUNITY EVENTS AND ACTIVITIES TO PROMOTE THE MARKETPLACE, 2) ENCOURAGING ENROLLMENT IN THE PLANS THAT INCLUDE THE ST. JOHN HEALTH SYSTEM NETWORK BY REFERRING TO THE MIDLAND GROUP FOR ENROLLMENT ASSISTANCE WITH A CERTIFIED APPLICATION COUNSELOR (CAC), 3) EDUCATING INDIVIDUALS ON OUR FINANCIAL ASSISTANCE PROGRAMS, 4) PROVIDING BASIC HEALTH EDUCATION AND SCREENINGS AT EVENTS. DURING THE FISCAL YEAR ENDING IN JUNE 30, 2016, ST. JOHN HEALTH SYSTEM ADDITIONALLY PROVIDED A MULTITUDE OF RESOURCES TO PATIENTS AND MEMBERS OF THE COMMUNITY REGARDING MARKETPLACE ENROLLMENT INCLUDING THE FOLLOWING: 1). SIGNAGE, EDUCATIONAL HANDOUTS, AND MARKETING MATERIALS POSTED THROUGHOUT THE HEALTH SYSTEM, AT EVENT BOOTHS, AND KEY LOCATIONS IN THE COMMUNITY. ST JOHN HEALTH SYSTEM PRODUCED AND DISTRIBUTED EDUCATIONAL SIGNAGE, FLIERS, AND CARDS TO 119 LOCATIONS WITHIN THE HEALTH SYSTEM (INCLUDED SPECIALTY CLINICS ST. JOHN CLINIC, SOME NURSING FLOORS, PATIENT ADMISSIONS AND FINANCIAL COUNSELING AT ALL HOSPITALS, INPATIENT AND OUTPATIENT SPECIALTY DEPARTMENTS AT ALL HOSPITALS, HOSPITAL EMERGENCY DEPARTMENTS, MAIN LOBBIES, AND HIGH TRAFFIC AREAS WITHIN ALL HOSPITALS). 2). A DEDICATED ENROLLMENT ASSISTANCE PHONE LINE WITH PHONE PROMPT THAT LINKED CONSUMERS AND PATIENTS TO THE MIDLAND GROUP FOR OVER THE PHONE ASSISTANCE AND TO SCHEDULE APPOINTMENTS FOR IN-PERSON ENROLLMENT ASSISTANCE WAS MADE AVAILABLE 3). A DEDICATED HEALTH INSURANCE MARKETPLACE PAGE WITH INFORMATION ABOUT THE MARKETPLACE AND ENROLLMENT ASSISTANCE WAS MADE AVAILABLE ON THE ST. JOHN HEALTH SYSTEM WEBSITE. 4). AN INTERNAL WEB PAGE WITH INFORMATION, RESOURCES, AND UPDATES ON THE HEALTH INSURANCE MARKETPLACE FOR HEALTH SYSTEM ASSOCIATES WAS MADE AVAILABLE. 5). ADDITIONAL EFFORTS WERE MADE TO EDUCATE ASSOCIATES ABOUT THE MARKETPLACE VIA PRESENTATIONS, SIGNAGE, AND EDUCATIONAL HANDOUTS. SINCE 2014, ST. JOHN HEALTH SYSTEM HAS PARTICIPATED IN A COMMUNITY COALITION, CLAIM YOUR COVERAGE, WHICH CONVENES MULTIPLE STAKEHOLDERS IN THE TULSA COUNTY COMMUNITY TOGETHER TO EDUCATE OUR COMMUNITY ABOUT THE MARKETPLACE AND TO PROMOTE ENROLLMENT. STAKEHOLDERS PARTICIPATING IN THIS COALITION INCLUDE LOCAL HOSPITALS AND HEALTH SYSTEMS, THE TULSA CITY-COUNTY LIBRARY SYSTEM, THE TULSA CITY-COUNTY HEALTH DEPARTMENT, INSURANCE COMPANIES, LICENSED HEALTH INSURANCE AGENTS AND BROKERS, CERTIFIED APPLICATION COUNSELOR AND NAVIGATOR ORGANIZATIONS, TWO FHQCS, LOCAL PHILANTHROPY GROUPS, THE COMMUNITY SERVICE COUNCIL, AND THE INDIAN HEALTH SYSTEM. THE COALITION ALSO WORKS TO IMPROVE HEALTH INSURANCE LITERACY WITHIN OUR COMMUNITY. ST. JOHN HEALTH SYSTEM IS HONORED TO BE RECOGNIZED AS A CHAMPION FOR COVERAGE BY U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS). AS A CHAMPION, WE HAVE VOLUNTEERED TO HELP UNINSURED AMERICANS LEARN MORE ABOUT THE HEALTH INSURANCE MARKETPLACE. AS A CHAMPION FOR COVERAGE, WE LEVERAGE PUBLICLY AVAILABLE MARKETPLACE MATERIALS - BOTH DIGITAL AND IN PRINT - TO HELP MEMBERS OF OUR COMMUNITY UNDERSTAND THEIR NEW OPTIONS THROUGH THE MARKETPLACE. -FROM SEPTEMBER 2015 AND JANUARY 2016, ST. JOHN HEALTH SYSTEM ENGAGED A TOTAL OF 345 INDIVIDUALS IN DISCUSSION ABOUT THE HEALTH INSURANCE MARKETPLACE AND REFERRED THEM TO ENROLLMENT ASSISTANCE AVAILABLE THROUGH OUR HEALTH SYSTEM. OF THOSE 772 INDIVIDUALS, 145 WERE ENGAGED IN DISCUSSION ABOUT THE ENROLLMENT PROCESS DURING ONE OF OUR 9 COMMUNITY OUTREACH EVENTS HELD BETWEEN SEPTEMBER 2015 AND DECEMBER 2015. THE REMAINING 200 CONSUMERS WHO WERE SEEKING INFORMATION ABOUT THE MARKETPLACE SPOKE TO OUR CONTRACTED CERTIFIED APPLICATION COUNSELORS (CACS) WITH THE MIDLAND GROUP OVER THE PHONE ABOUT THE ENROLLMENT PROCESS. IF THE CALLER DID NOT SCHEDULE AN ENROLLMENT ASSISTANCE APPOINTMENT, THEY WERE EITHER INQUIRING ABOUT WHAT PLANS ST. JOHN HEALTH SYSTEM TAKES, WHETHER THEY QUALIFIED FOR A TAX CREDIT, OR ASKED GENERAL INFORMATION, BUT DID NOT WANT TO SET UP AN APPOINTMENT AT THAT TIME (145 INDIVIDUALS OUT OF 200 TOTAL CONSUMERS). ST. JOHN HEALTH SYSTEM'S CONTRACTED CACS WITH THE MIDLAND GROUP ASSISTED 71 CONSUMERS WITH NAVIGATION ACTIVITIES DURING THE ENROLLMENT PERIOD. |
| Schedule H, Part V, Section B, Line 11 Needs Identified in the TY 2015 CHNA | Programs from the new CHNA that the hospital will be addressing for fiscal year 2017-2019. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE SELECTED AS THE TOP FOUR PRIORITIES IN THE MOST RECENT CHNA FOR THE HOSPITAL FACILITY TO ADDRESS: 1) ACCESS TO CARE, 2) BEHAVIORAL HEALTH, 3) WELLNESS AND CHRONIC DISEASE PREVENTION, AND 4) HEALTH LITERACY. THE HOSPITAL AND HEALTH SYSTEM ARE ADDRESSING ACCESS TO CARE THROUGH THE FOLLOWING GOALS AS OUTLINED: GOAL 1) WORK TO IMPROVE ACCESS AS NEEDED FOR HEALTHCARE SERVICES IN SOLIDARITY WITH THOSE LIVING IN POVERTY AND/OR DEEMED OTHERWISE VULNERABLE, AND GOAL 2) IMPROVE ACCESS AS NEEDED TO HEALTHCARE PROVIDERS AND AN ONGOING SOURCE CARE IN NORTHEASTERN OKLAHOMA AND SOUTHERN KANSAS, AND GOAL 3) IMPROVE ACCESS AS NEEDED FOR HEALTHCARE SERVICES IN SOLIDARITY WITH THOSE LIVING IN POVERTY AND/OR DEEMED OTHERWISE VULNERABLE THROUGH THE MEDIAL ACCESS PROGRAM (MAP). THE FOLLOWING ARE STRATEGIES BEING UNDERTAKEN BY THE HOSPITAL AND HEALTH SYSTEM IN FISCAL YEAR 2017-2019 TO MEET THE ACCESS TO CARE GOAL 1: -INCREASE THE NUMBER OF UNINSURED, LOW-INCOME, AND UNDERSERVED PERSONS WHO HAVE ACCESS TO PRIMARY CARE THROUGH EFFORTS TO IMPROVE ACCESS TO PRIMARY CARE SERVICES THROUGH THE TULSA DAY CENTER FOR THE HOMELESS CLINIC. -INCREASE ACCESS TO AN ONGOING SOURCE OF PRIMARY CARE AND PREVENTIVE SERVICES FOR PERSONS WHO ARE UNINSURED, UNDERINSURED, AND/OR LIVING IN POVERTY THROUGH SERVICES OFFERED AT THE ST. JOHN MEDICAL ACCESS CLINIC (MAC). -IMPROVE FOLLOW-UP CARE AND ENSURE A SAFE TRANSITION HOME FOR PATIENTS DISCHARGING FROM ST. JOHN MEDICAL CENTER AND JANE PHILLIPS MEDICAL CENTER WHO DO NOT HAVE A PRIMARY CARE PROVIDER OR WHO CANNOT GET AN APPOINTMENT WITH THEIR PROVIDER THROUGH SERVICES PROVIDED BY THE FACILITIES' TRANSITIONAL CARE CLINICS. -PROMOTE ACCESS TO AFFORDABLE HEALTH INSURANCE COVERAGE THROUGH STATE LEGISLATIVE ADVOCACY. -INCREASE THE PROPORTION OF PERSONS WHO CAN OBTAIN OR NOT DELAY IN OBTAINING NECESSARY PRESCRIPTION MEDICINES THROUGH THE DISPENSARY OF HOPE PROGRAM. -IMPROVE ACCESS TO HEALTHCARE SERVICES BY PROVIDING TRANSPORTATION ASSISTANCE TO COMMUNITY-DWELLING PERSONS SERVED BY ST. JOHN HEALTH SYSTEM WHO ARE LIVING IN POVERTY AND/OR ARE OTHERWISE DEEMED VULNERABLE. THROUGH AN AGREEMENT WITH MORTON COMPREHENSIVE COMMUNITY HEALTH CENTER (FQHC) FOR THEIR BUS SERVICES, ST. JOHN CAN PROVIDE TRANSPORTATION TO THOSE IN NEED IN THE COMMUNITY WHO MEET SPECIFIC CRITERIA (ESTIMATED OVER $120,000 IN 12 MONTHS). SERVICES WILL ALSO BE PROVIDED THROUGH THE ASCENSION/LYFT AGREEMENT ONCE A LOCAL CONTRACT IS IN PLACE. THE FOLLOWING ARE STRATEGIES BEING UNDERTAKEN BY THE HOSPITAL AND HEALTH SYSTEM IN FISCAL YEAR 2017-2019 TO MEET THE ACCESS TO CARE GOAL 2: -INCREASE RECRUITMENT AND HIRING OF PROVIDERS TO IMPROVE ACCESS TO PRIMARY CARE AND SPECIALTY SERVICES IN THE COMMUNITIES SERVED BY ST. JOHN HEALTH SYSTEM. THIS STRATEGY INCLUDES THE EXPLORATION OF METHODS TO EXTEND HOURS AMONG ST. JOHN CLINIC PRIMARY CARE PROVIDERS AND ADOPT PLANS TO UTILIZE VARIOUS METHODS (E.G. OPENING EARLY, STATING OPEN LATE, ON DEMAND E-VISITS, ETC.) TO EXTEND HOURS IN PRIMARY CARE CLINICS. MANY COMMUNITIES SERVED BY ST. JOHN HEALTH SYSTEM INCLUDE PARTIAL OR TOTAL IDENTIFIED HEALTHCARE SHORTAGE AREAS. IMPROVING ACCESS TO CARE THROUGH PROVIDER RECRUITMENT ADDRESSES THESE SHORTAGE AREAS, REDUCES HEALTH DISPARITIES, AND PROMOTES HEALTH EQUITY AMONG PERSONS DEEMED VULNERABLE. THE FOLLOWING ARE STRATEGIES BEING UNDERTAKEN BY THE HOSPITAL AND HEALTH SYSTEM IN FISCAL YEAR 2017-2019 TO MEET THE ACCESS TO CARE GOAL 3: -IMPROVE ACCESS AS NEEDED FOR HEALTHCARE SERVICES IN SOLIDARITY WITH THOSE LIVING IN POVERTY AND/OR DEEMED OTHERWISE VULNERABLE THROUGH THE MEDIAL ACCESS PROGRAM (MAP). THE MAP PROGRAM PROACTIVELY SEEKS AND SERVES UNINSURED PATIENTS. IT CONSISTS OF THE OPERATION OF A ST. JOHN-OWNED PRIMARY CARE CLINIC THAT OPERATES AS A MEDICAL HOME FOR ABOUT 1,000 UNINSURED PATIENTS WITH CHRONIC HEALTH PROBLEMS, DONATIONS TO OTHER ORGANIZATIONS THAT OPERATE FREE CLINICS, AND A VOUCHER PROGRAM IN WHICH THE FREE CLINIC PARTNERS CAN REFER PATIENTS FOR SPECIALTY AND DIAGNOSTIC CARE. FOR EXTENDED OUTREACH IN THE COMMUNITY, ST. JOHN PARTNERS WITH SEVERAL LOCAL HEALTH AND COMMUNITY SERVICE AGENCIES TO IDENTIFY PATIENTS WHO QUALIFY FOR THE PROGRAM. THE HOSPITAL AND HEALTH SYSTEM ARE ADDRESSING BEHAVIORAL HEALTH THROUGH THE FOLLOWING GOALS AS OUTLINED: GOAL 1) IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES, AND GOAL 2) IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES AND HAVE AN IMPACT ON THE REDUCTION OF SUICIDE RATES IN TULSA COUNTY AND SURROUNDING AREAS. THE FOLLOWING ARE STRATEGIES BEING UNDERTAKEN BY THE HOSPITAL AND HEALTH SYSTEM IN FISCAL YEAR 2017-2019 TO MEET THE BEHAVIORAL HEALTH GOAL 1: - INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES FOR AT-RISK POPULATIONS THROUGH EARLY IDENTIFICATION AND INTERVENTION VIA AN INTEGRATED MODEL OF BEHAVIORAL HEALTH IN PRIMARY CARE. THIS STRATEGY EMPHASIZES THE USE OF PHQ9 SCREENINGS, FULL SUICIDE RISK ASSESSMENTS FOR HIGH /POSITIVE SCORE ON PHQ9, AND EMBEDDED BEHAVIORAL HEALTH THERAPISTS IN CLINICS. - PROMOTE ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGH STATE LEGISLATIVE ADVOCACY. - INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES FOR COMMUNITY-DWELLING PERSONS IN NEED OF OUTPATIENT PSYCHIATRY SERVICES IN WASHINGTON COUNTY. THE FOLLOWING ARE STRATEGIES BEING UNDERTAKEN BY THE HOSPITAL AND HEALTH SYSTEM IN FISCAL YEAR 2017-2019 TO MEET THE BEHAVIORAL HEALTH GOAL 2: - IMPROVE CAPACITY FOR HUMANIZED BEHAVIORAL HEALTH CRISIS AND ACUTE CARE THROUGH INCREASED ACCESS TO BEHAVIORAL HEALTH PROFESSIONALS AND SERVICES AS WELL AS INCREASED ASSESSMENT AND RECOGNITION OF SUICIDE RISKS AT THE COMMUNITY LEVEL. THIS STRATEGY EMPHASIZES COLLABORATION ON A COMMUNITY LEVEL RESPONSE PROGRAM PILOT BASED ON A MODEL FROM COLORADO SPRINGS, CO WITH THE MENTAL HEALTH ASSOCIATION OF OKLAHOMA, THE TULSA FIRE DEPARTMENT, AND SEVERAL OTHER COMMUNITY PARTNERS. THERE IS ADDITIONAL EMPHASIS ON VOLUNTARY QPR SUICIDE ASSESSMENT TRAINING FOR ASSOCIATES AND COMMUNITY MEMBERS AS WELL AS THE IMPLEMENTATION OF A SYSTEMATIC APPROACH IN HEALTH SYSTEM TO SUPPORT EFFORTS TO HUMANIZE CRISIS AND ACUTE CARE AT A COMMUNITY LEVEL AS WELL AS TO INCREASE ASSESSMENT AND RECOGNITION FOR POTENTIAL OF SUICIDE. THE HOSPITAL AND HEALTH SYSTEM ARE ADDRESSING THROUGH THE FOLLOWING WELLNESS AND CHRONIC DISEASE PREVENTION GOALS AS OUTLINED: GOAL 1) IMPROVE HEALTH OUTCOMES AND REDUCE PREVENTABLE CONGESTIVE HEART FAILURE (CHF) READMISSIONS AMONG DIVERSE POPULATIONS DIAGNOSED WITH CHF, GOAL 2) PROMOTE EQUITABLE AND PATIENT-CENTERED PRE-DIABETIC AND DIABETIC CARE IN SOLIDARITY WITH THOSE LIVING IN POVERTY AND/OR WHO MAY BE OTHERWISE DEEMED VULNERABLE, AND GOAL 3) IMPROVE HEALTH OUTCOMES FOR INDIVIDUALS WHO ARE IN A PRE-CONDITION STATE OR WHO HAVE BEEN DIAGNOSED WITH A CHRONIC DISEASE. THE FOLLOWING ARE STRATEGIES BEING UNDERTAKEN BY THE HOSPITAL AND HEALTH SYSTEM IN FISCAL YEAR 2017-2019 TO MEET THE WELLNESS AND CHRONIC DISEASE PREVENTION GOAL 1: - MANAGE ALL PATIENTS DIAGNOSED WITH CONGESTIVE HEART FAILURE (CHF) ACROSS THE CONTINUUM OF CARE THROUGH STRUCTURED TRANSITION AND AN EXPANDED FOLLOW-UP APPROACH AS FACILITATED BY THE ST. JOHN MEDICAL CENTER HEART FAILURE INITIATIVE. THE FOLLOWING ARE STRATEGIES BEING UNDERTAKEN BY THE HOSPITAL AND HEALTH SYSTEM IN FISCAL YEAR 2017-2019 TO MEET THE WELLNESS AND CHRONIC DISEASE PREVENTION GOAL 2: -IMPLEMENT AN INITIATIVE TO SUPPORT DIABETIC AND PRE-DIABETIC PATIENTS DISCHARGING FROM THE HOSPITAL WHO LACK PRIMARY CARE FOLLOW-UP THROUGH PATIENT CENTERED TRANSITION OF CARE, EDUCATION, AND DISEASE MANAGEMENT SUPPORT SERVICES. THE FOLLOWING ARE STRATEGIES BEING UNDERTAKEN BY THE HOSPITAL AND HEALTH SYSTEM IN FISCAL YEAR 2017-2019 TO MEET THE WELLNESS AND CHRONIC DISEASE PREVENTION GOAL 3: -PROMOTE HEALTHY DIET, PHYSICAL ACTIVITY, AND PREVENTION ORIENTED WELLNESS THROUGH HEALTH SYSTEM SUPPORT OF COMMUNITY-BASED INITIATIVES IN PARTNERSHIP WITH LOCAL HEALTH DEPARTMENTS, COALITIONS, COMMUNITY-BASED ORGANIZATIONS, AND SCHOOLS; PARTICIPATION IN LOCAL ACTIVITIES, EDUCATION CLASSES, EVENTS, AND HEALTH FAIRS; AND CHRONIC DISEASE MANAGEMENT SUPPORT. THE HOSPITAL AND HEALTH SYSTEM ARE ADDRESSING HEALTH LITERACY THROUGH THE FOLLOWING GOAL AS OUTLINED: GOAL 1) HELP PERSONS OF DIVERSE BACKGROUNDS NAVIGATE HEALTH SERVICES AND GAIN EMPOWERMENT IN TAKING CHARGE OF THEIR OWN HEALTH IMPROVEMENT. THE FOLLOWING ARE STRATEGIES BEING UNDERTAKEN BY THE HOSPITAL AND HEALTH SYSTEM IN FISCAL YEAR 2017-2019 TO MEET THE HEALTH LITERACY GOAL 1: -ASSESS HEALTH LITERACY NEEDS AMONG PATIENTS OF DIVERSE BACKGROUNDS TO WORK TOWARDS ASSISTING PATIENTS IN UNDERSTANDING HOW TO NAVIGATE HEALTH SERVICES AND GAIN EMPOWERMENT IN TAKING CHARGE OF THEIR OWN HEALTH IMPROVEMENT WITH THE ST. JOHN MEDICAL CENTER TRANSITIONAL CARE CLINIC AS THE PILOT SITE FOR THIS EFFORT. |
| Schedule H, Part V, Section B, Line 11 Needs Identified in the TY 2015 CHNA Not Being ADdressed | Programs from the new CHNA that the hospital will not be addressing for fiscal year 2017-2019 THE COMMUNITY HEALTH NEEDS ASSESSMENT INEVITABLY IDENTIFIED MORE SIGNIFICANT HEALTH NEEDS THAN THE HOSPITALS, HEALTH SYSTEM, AND COMMUNITY PARTNERS CAN OR SHOULD ADDRESS AS PRIORITY HEALTH NEEDS. IT WOULD NOT BE PRUDENT TO SPREAD HOSPITAL AND COMMUNITY RESOURCES ACROSS TOO MANY INITIATIVES. ACCORDINGLY, THE HOSPITALS, HEALTH SYSTEM, AND COMMUNITY PARTNERS INSTEAD DECIDED TO FOCUS ATTENTION ON PRIORITY AREAS TO HELP ENSURE SUFFICIENT RESOURCES ARE AVAILABLE. SOME REASONS FOR NOT ADDRESSING CERTAIN NEEDS INCLUDE: NEED BEING ADDRESSED BY OTHERS; INSUFFICIENT RESOURCES (FINANCIAL AND PERSONNEL) TO ADDRESS THE NEED; ISSUE IS NOT A PRIORITY FOR COMMUNITY MEMBERS AND THEREFORE APPROACH IS UNLIKELY TO SUCCEED; LACK OF EVIDENCE-BASED APPROACH FOR ADDRESSING THE PROBLEM;NEED IS NOT AS PRESSING AS OTHER PROBLEMS; NEED IS NOT AS LIKELY TO BE RESOLVED AS OTHER PROBLEMS; AND THE HOSPITAL AND/OR HEALTH SYSTEM DOES NOT HAVE EXPERTISE TO EFFECTIVELY ADDRESS THE NEED. THE FOLLOWING SIGNIFICANT HEALTH NEED WAS IDENTIFIED, BUT WILL NOT BE ADDRESSED DIRECTLY BY THE HEALTH SYSTEM AS A PRIORITY HEALTH NEED: TOBACCO USE AND CESSATION. THE COMMUNITY IDENTIFIED THIS NEED AS ONE THAT WAS ALREADY BEING SUFFICIENTLY ADDRESSED AT THE TIME AND DID NOT FEEL ISSUE WAS AS PRESSING OTHER NEEDS IDENTIFIED (THIS WAS A CHANGE IN PERSPECTIVE FROM OUR PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN 2013 WHEN THE NEED WAS IDENTIFIED AS A PRIORITY NEED). IT IS IMPORTANT THAT NOTE THAT, ALTHOUGH NOT A PRIORITY HEALTH NEED FOR THE PURPOSES OF THIS PROCESS, THE HOSPITALS AND HEALTH SYSTEM WILL CONTINUE EXISTING ACTIVITIES REGARDING TOBACCO USE AND CESSATION.WHILE NOT NECESSARILY NOTED AS ONE OF OUR FOUR PRIORITY HEALTH NEEDS, THE REMAINDER OF SIGNIFICANT COMMUNITY HEALTH NEEDS WERE CLOSELY INTER-RELATED WITH THE PRIORITY NEEDS. SO, WHILE, THEY MAY NOT BE EXPLICITLY LISTED AS A PRIORITY HEALTH NEED, THE HOSPITALS AND HEALTH SYSTEM DO FEEL CONFIDENT THAT THE NEEDS ARE BEING ADDRESSED BY ADDRESSING THE FOUR SELECTED PRIORITY HEALTH NEEDS. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | Costs were determined using a cost to charge ratio derived from Worksheet 2, Patient Care Cost to Charges. |
| Schedule H, Part II Community Building Activities | COMMUNITY BENEFIT REPORT: ST. JOHN HEALTH SYSTEM, INC.'S (THE "ST. JOHN SYSTEM" OR "ST. JOHN") MISSION IS TO IMPROVE THE HEALTH STATUS OF THE INDIVIDUALS WHO LIVE IN THE COMMUNITIES WE SERVE WITH A SPECIAL EMPHASIS ON THE POOR AND VULNERABLE AMONG US; FAITHFUL TO THE TEACHING OF JESUS CHRIST AND THE VALUES OF OUR SPONSORS AND THE CATHOLIC CHURCH. OUR PROMISE TO OUR PATIENTS AND TO OUR COMMUNITIES IS TO PROVIDE MEDICAL EXCELLENCE AND COMPASSIONATE CARE. WE STRIVE TO PROVIDE HEALTHCARE THAT WORKS, HEALTHCARE THAT IS SAFE AND HEALTHCARE THAT LEAVES NO ONE BEHIND. TO MEET THIS MISSION, THE ST. JOHN SYSTEM HAS OPERATED SINCE THE 1920'S; GROWING FROM A FLEDGLING COMMUNITY HOSPITAL, IN WHAT WAS THEN THE SOUTHERN EDGE OF TULSA, OKLAHOMA, TO AN INTEGRATED HEALTH CARE DELIVERY SYSTEM SERVING NORTHEASTERN OKLAHOMA AND SURROUNDING STATES. THE ST. JOHN SYSTEM INCLUDES: THOUSANDS OF ASSOCIATES, EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS, HUNDREDS MORE INDEPENDENT PHYSICIANS AND DOZENS OF VOLUNTEERS. THEY SERVE PATIENTS IN SIX OWNED HOSPITALS OPERATING NEARLY 800 BEDS; SEVERAL SENIOR NURSING AND HOUSING FACILITIES; DOZENS OF PHYSICIAN OFFICES, CLINICS AND URGENT CARE CENTERS; A REFERENCE LABORATORY, AND PARTNERSHIPS AND VENTURES THAT INCLUDE A HEALTH INSURANCE COMPANY, SEVERAL AMBULATORY SURGERY CENTERS AND OTHER HEALTH CARE ACTIVITIES. TOGETHER, OUR ASSOCIATES, PHYSICIANS AND VOLUNTEERS TOUCH THE LIVES OF THOUSANDS OF PATIENTS EVERY DAY, INCLUDING THE POOR AND THE VULNERABLE. THE ST. JOHN SYSTEM IS COMMITTED TO CONTINUE THE LEGACY OF HEALTH CARE EXCELLENCE AND SERVICE STARTED BY OUR ORIGINAL FOUNDERS AND SPONSORS, THE SISTERS OF THE SORROWFUL MOTHER, BY CONTINUING TO PROVIDE VITAL SERVICES TO THE COMMUNITIES WITH CONTINUED EMPHASIS ON SERVICE TO THE POOR AND POWERLESS. OUR MISSION AND VALUES: OUR MISSION OF SERVICE AND OUR CATHOLIC VALUES COMPEL US TO FULFILL OUR PROMISE OF MEDICAL EXCELLENCE AND COMPASSIONATE CARE TO ALL WHO NEED OUR SERVICES, WITH A SPECIAL EMPHASIS ON SERVICE TO THE POOR AND THE POWERLESS. WE WILL DO THIS BY PROVIDING: HEALTH CARE THAT WORKS; HEALTH CARE THAT IS SAFE; AND HEALTH CARE THAT LEAVES NO ONE BEHIND. WE WILL ENDEAVOR TO ESTABLISH TRUSTED RELATIONSHIPS WITH OUR PATIENTS OVER THEIR ENTIRE LIVES: SEEKING TO IMPROVE THEIR HEALTH AND WORKING TO HEAL THEIR MINDS AND BODIES WHEN AFFLICTED BY INJURY OR ILLNESS. Health Care that is Safe: St. John is striving to become a "high reliability" organization. High reliability means that we will be exceptionally consistent in accomplishing goals and avoiding catastrophic errors in everything we do in providing health care services. This means reducing medical errors by providing our clinicians and our patients with decision support tools to ensure the care provided is consistently based on sound scientific evidence of effectiveness. Physicians and nurses are leading our quality efforts. Among our clinical areas of focus for improvement are goals to reduce hospital acquired conditions and hospital readmissions. Some specific areas of clinical focus include reducing: - Adverse Drug Events (ADE), - Catheter Urinary Tract Infections (CAUTI), - Central Line Blood Stream Infections (CLABSI), - Surgical Site Infections (SSI), - Ventilator Associated Pneumonia (VAP), - Injuries from Falls and Immobility, - Obstetrical Adverse Events, - Pressure Ulcers, and - Venous Thromboembolism (VTE). Healthcare that Leaves No One Behind: We will continue to advocate for state and federal public policy that recognizes the inherent value of all members of society and provides support systems and adequate funding sources to ensure all of those among us have access to the health care they need. This includes providing affordable access to health care for everyone in the United States in a financially sustainable way. Our Enabling Strengths: We will use our enabling strengths to achieve our mission and vision. Those strengths include: a model community of inspired people working to provide our services and achieve our mission; empowering knowledge - clinical and business information systems that provide our associates actionable, timely data and information upon which they can make informed decisions; the creation of trusted partnerships with external partners to expand our capabilities, complement our service offerings and fulfill our mission; and achieve vital presence in the communities we serve. This vital presence contemplates creation and continuation of important safety net services, world-class centers of clinical excellence and creation of medical homes that promote each individual's participation in their own health and well-being and which create and sustain the infrastructure for promoting healthy communities. Our Point of View: Health care delivery and financing in the United States must change. The cost of the current system relative to the value that communities and individuals are receiving is not sustainable. In order to meet the health care needs and contribute to economic vitality of communities, with special attention to the poor and vulnerable, health care providers must fundamentally reconfigure delivery systems, care processes and cost structures. Delivering safe, high-quality care that is low cost with an exceptional patient experience will increasingly require providers to have a strong regional presence, integrated physician relationships and capabilities across the care continuum. Sustaining the St. John mission into the future will require a more continuous, dynamic relationship with those we serve and the ability to share risk with healthcare purchasers, as opportunities for inpatient growth or commercial rate increases will be limited. The movement to manage health of defined populations demands massive transformational change. This requires rapid assessment, assembly and deployment of the necessary capabilities. We believe the St. John System is well positioned to lead this transformation. Community Health Needs Assessment: The St. John System and each Hospital have completed a Community Health Needs Assessment (CHNA) in 2016 to help us identify the priorities for the limited resources we have to address community need. We partnered with the local health departments and other public and private health care, and educational and community service organizations throughout the service area to complete the assessments, and we are now working to enhance our response to the identified needs. A previous CHNA for each hospital and community served and Implementation Strategy to address identified community health needs were also completed in 2013. Community Benefit: The community benefit provided by the St. John System includes: uncompensated care for the poor, support for the education of medical professionals, provision of subsidized health services, support for other community organizations, initiatives to improve community health, and medical research to be some of the key areas of focus for providing community benefit. The St. John System does not include amounts recorded as bad debt; shortfalls in the difference between payment for and cost of service to Medicare beneficiaries; payment of property, sales, use, income, payroll, and other taxes or; considerable economic value provided to the local communities in which we operate as components of community benefit. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Corporation's policies. After applying the cost-to-charge ratio, the share of the bad debt expense is reported at cost. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | Jane Phillips Nowata Hospital, Inc. has a very robust financial assistance program; therefore, no estimate is made for bad debt attributed to financial assistance eligible patients. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | From the consolidated audited financial statements of ASCENSION HEALTH ALLIANCE, which include the activity of Jane Phillips Nowata Hospital, Inc.: The provision for doubtful accounts is based upon management's assessment of expected net collections considering historical experience, economic conditions, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the System follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the System. Accounts receivable are written off after collection efforts have been followed in accordance with the System's policies. The methodology for determining the allowance for doubtful accounts and related write-offs on uninsured patient accounts has remained consistent with the prior year. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | A cost to charge ratio is applied to the organization's Medicare Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. Ascension Health and its related health ministries follow the Catholic Health Association (CHA) guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply and the financial assistance program is followed. |
| Schedule H, Part V, Section B, Line 16a FAP website | - Jane Phillips Nowata Health Center: Line 16a URL: http://www.stjohnhealthsystem.com/about/payment-for-services; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - Jane Phillips Nowata Health Center: Line 16b URL: http://www.stjohnhealthsystem.com/about/payment-for-services; |
| Schedule H, Part VI, Line 2 Needs assessment | The Hospital conducted a Community Health Needs Assessment jointly with its parent entity - St. John Health System, Inc. ("SJHS"). SJHS participates in ongoing community-based needs assessments. Some of the most significant recent activity includes conducting a Community Health Needs Assessment (CHNA) for hospital and the communities we serve as well as developing an Implementation Strategy Plan for addressing priority community health needs identified in each assessment. The most recent CHNAs and Implementation Strategy for each hospital were completed in 2016. Both the most recent CHNA in 2016 and the previous CHNA from 2013 assessment are posted to the Hospital and Health System websites: http://www.stjohnhealthsystem.com/about/community-health-needs-assessment. Many local health departments, public health entities, and community organizations participated in the CHNAs and Implementation Strategy. In addition to the above, SJHS through its subsidiary, St. John Medical Center, Inc., has established a Medical Access Program ("MAP") that is attempting to improve and expand access to health care services to the most vulnerable members of the Tulsa community. All SJHS Tulsa Hospitals including St. John Medical Center, Inc. (Tulsa), Owasso Medical Facility, Inc., St. John Sapulpa, Inc., and St. John Broken Arrow, Inc. participate in this initiative. This program is overseen by representatives of St. John, the George Kaiser Family Foundation, trustees of the Chapman trusts and The University of Oklahoma Tulsa School of Community Medicine. The MAP program includes participation of other health care providers including Good Samaritan clinics, Day Center for the Homeless, Community Health Connections FQHC, Morton Health FQHC, and a network of volunteer physician providers and other organizations. The MAP program regularly receives input from all of these organizations on needed services in the community which helps to prioritize the limited resources available to address community needs. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | The Hospital has a team of financial counselors who, prior to discharge, attempt to visit in person with all uninsured inpatients and all inpatients likely to qualify for medical indigency to explain our financial assistance policies and help guide them through the process of applying for financial assistance. We also attempt to meet with the families of all Medicaid beneficiaries or individuals who we believe could potentially qualify for Medicaid to help them apply for coverage. The Hospital mentions the existence of the Financial Assistance Policy and provides a phone number to call: on its website, in admitting materials, on all invoices for services sent to patients, and in other ways. |
| Schedule H, Part VI, Line 4 Community information | As described above the Hospital is part of St. John Health System, Inc. ("SJHS"). Although SJHS provides a full spectrum of health related services throughout Northeastern Oklahoma, its tertiary operations and a large part of its other services are concentrated in the Tulsa Metropolitan Statistical Area (the "Tulsa MSA"). According to the 2010 Census, the State of Oklahoma had a resident population of 3,751,351 persons compared to 3,450,654 persons in 2000. This is an 8.7% increase. The U.S. Census Bureau estimated that in 2009, 13.5% of the Oklahoma resident population was eligible for Medicare, compared to 14.7% in 2000. Tulsa County, Oklahoma and the counties that make up the Tulsa MSA, according to the 2010 Census, had populations of 603,403 and 1,006,460, respectively. This compares to populations of 563,299 and 803,235 persons, respectively in 2000, and represents population growth of 7.1% and 25.5%, respectively. The data shows that the counties in the Tulsa MSA that surround Tulsa County grew much faster from 2000 to 2010. At the same time, the population within Tulsa County shifted away from the city of Tulsa and to suburbs such as Owasso and Broken Arrow. The cities of Broken Arrow and Owasso were two of the fastest growing communities in Oklahoma between 2000 and 2010. The population of the city of Owasso grew 56% to 28,915 from 2000 to 2010 and the population of the city of Broken Arrow grew 32% to 98,850 from 2000 to 2010. Wagoner County (southeast of Tulsa) and Rogers County (northeast of Tulsa) showed the two highest population growth rates from 2000 to 2010. Every county in the 8 county Tulsa MSA except Pawnee County grew in population from 2000 to 2010. Washington County, directly north of Tulsa County, which includes the city of Bartlesville (and Jane Phillips Memorial Medical Center), also grew in population from 2000 to 2010. When the population of Washington County is added to the population of Tulsa County, the 2010 combined population was 1,059,436. There is significant disparity in the general health of populations within the service area depending upon where an individual lives and to what socioeconomic and ethnic group they belong. Citizens who reside in "North" Tulsa and in some areas of "East" and "West" Tulsa generally have poorer health and shorter life spans than individuals who live in "South" Tulsa. Members of minority groups (many of whom reside in the geographic areas described above) share these same health characteristics. It has been demonstrated that these individuals have less access to regular health care services, including specialty care, and many seek even their primary care in hospital emergency rooms, including all of the SJHS Hospitals. Some significant minority groups in the Hospital's and SJHS's principal service area include Native Americans, Hispanics and African Americans. Each of these groups share common socioeconomic challenges making them more likely to be poor and be uninsured for health care. Each of these groups has unique ethnic health risk factors that contribute to health status that is generally poorer than their White counterparts. However, even among the White population in the Hospital's service area, there is significant adverse health care status. In general, Oklahoma (including the Hospital's service area) ranks near the bottom in many if not most measures of health status in the UNITED STATES. There are high rates of smoking, diabetes, obesity, upper respiratory illness, chronic heart conditions and many other factors. There are high rates of uninsured and underinsured individuals and families in the communities and geographies served by the Hospital, which create many challenges in meeting the demand for basic services and in improving the health status of the population. |
| Schedule H, Part VI, Line 5 Promotion of community health | St. John is a growing integrated delivery system that serves Northeastern Oklahoma and the surrounding area. It has grown significantly in recent years, with increasing revenues from outpatient and physician professional services, as well as other post-acute services. Acute care services are provided on six hospital campuses that are owned by St. John. The owned hospitals are St. John Medical Center, Inc. (the tertiary center in Tulsa, Oklahoma), Jane Phillips Memorial Medical Center in Bartlesville, St. John Owasso in Owasso, Oklahoma, St. John Broken Arrow, Inc., this Hospital, and St. John Sapulpa, Inc., a critical access hospital in Sapulpa, Oklahoma. Acute care services are also provided at two additional rural critical access hospitals which are managed by Jane Phillips. Diagnostic services and certain acute care services are also provided in a variety of free standing (including hospital-based) settings. The St. John System now includes hundreds of employed physicians and "mid-level providers", and several urgent care clinics, as well as retirement and skilled nursing facilities, including some targeted specifically to serve low-income and physically disabled individuals and other health care providers. St. John is attempting to promote community health in several ways. Most of the affiliated primary care physicians have or are establishing "medical home" models of care that are attempting to improve health status of their patients by better emphasizing preventive care and health screening and by better management of chronic disease. This includes participation in the Medicare Comprehensive Primary Care Initiative. The affiliated primary care physicians utilize a sophisticated electronic medical record that helps provide real time information to make it easier to manage patients' care. The Hospital and the other hospitals in the System have invested heavily in clinical information systems and electronic medical records to better manage patient care during each episode of acute care. St. John is investing in new systems of care to provide better coordination of care between all the different providers responsible for portions of each patient's care, with an emphasis on prevention, screening and coordination of chronic care. The Hospital and SJHS have invested in tertiary services that are needed by the community. Examples of which include development of Oklahoma's only ACS Level II Trauma Center (the highest accredited center in Tulsa), Northeastern Oklahoma's only JCAHO-accredited stroke center, neonatal intensive care, sophisticated medical technology including all-digital diagnostic radiology, cyberknife and other forms of radiation therapy, DaVinci robotic surgery, an endovascular operating suite, orthopedic and neurosurgical centers of excellence, sophisticated cardiovascular care that emphasizes rapid and effective intervention for heart attack victims and preventive care for those with chronic heart conditions. The Hospital has an open medical staff and has community, religious and physician representatives serving on its board. SJHS has created and is continuing to create systems and policies to promote better coordination of care and allocation of resources throughout the System. The Hospital participates in many community-wide health screening and health education events, as well as hosting many such events that are open to the public. The Hospital and SJHS continue to invest in medical education to support the expansion of physicians, nurses and allied health professionals that will serve current and future generations of patients in the service area. The Hospital participates in SJHS's coordinated effort to assess community need collaboratively with other interested parties in the community and to allocate capital and human resources to address the needs of the entire service area. Finally as one of only two major tax-exempt health systems in our service area, St. John reinvests 100% of any profits generated into new or expanded services for the community. |
| Schedule H, Part VI, Line 6 Affiliated health care system | ST. JOHN HEALTH SYSTEM, INC., HEADQUARTERED IN TULSA, OKLAHOMA, AND WITH FACILITIES LOCATED THROUGHOUT NORTHEASTERN OKLAHOMA, IS AN OKLAHOMA NONPROFIT HEALTH SYSTEM. IT OWNS AND OPERATES AN INTEGRATED TERTIARY HEALTH CARE DELIVERY SYSTEM THAT PROVIDES SERVICES PRIMARILY IN NORTHEASTERN OKLAHOMA. ST. JOHN HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES, AFFILIATES, AND EMPLOYED AND AFFILIATED PHYSICIANS, PROVIDE HEALTH CARE SERVICES FOR PATIENTS OF ALL AGES ACROSS A BROAD CONTINUUM OF CARE, FROM PHYSICIAN PRIMARY CARE AND SPECIALTY SERVICES TO AMBULATORY AND INPATIENT ACUTE AND POST-ACUTE SERVICES, AND INCLUDING SENIOR NURSING AND SENIOR LIVING SERVICES. THE HEALTH MINISTRY IS RELATED TO ASCENSION HEALTH'S OTHER SPONSORED ORGANIZATIONS THROUGH COMMON CONTROL. SUBSTANTIALLY ALL EXPENSES OF THE HEALTH MINISTRY ARE RELATED TO PROVIDING HEALTH CARE SERVICES. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 23 STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. MISSION: THE SYSTEM DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING, AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH THE SYSTEM'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE SYSTEM USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS: - TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. - UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS. - COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. - COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH. DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED BY REDUCING CHARGES FORGONE BY A FACTOR DERIVED FROM THE RATIO OF EACH ENTITY'S TOTAL OPERATING EXPENSES TO THE ENTITY'S BILLED CHARGES FOR PATIENT CARE. CERTAIN COSTS SUCH AS GRADUATE MEDICAL EDUCATION AND CERTAIN OTHER ACTIVITIES ARE EXCLUDED FROM TOTAL OPERATING EXPENSES FOR PURPOSES OF THIS COMPUTATION. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | OK |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 10-33 EMERGENCY C B TEAM | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 815 | AddressLine1Txt |
| Address Line2 | 321 E CHEROKEE | AddressLine2Txt |
| City | NOWATA | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74048 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 731058822 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $10,000 | CashGrantAmt |
| Purpose Of Grant | WHEELCHAIR VAN FUNDING | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | Jane Phillips Nowata Hospital, Inc. provides funds to various organizations to support their operations. Jane Phillips Nowata Hospital, Inc. determines the amount of the funds provided on an annual basis. We have dedicated staff who meet with grant recipients and who monitor use of funds for intended purposes. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SAMUEL C ANDERSON | ||||||||||||||
| FORMER OFFICER (END 6/14) | $0 | $41,246 | $0 | $2,730 | $0 | $438,551 | $0 | $0 | $0 | $19,713 | $0 | $502,240 | $0 | $0 |
| MIKE MOORE | ||||||||||||||
| DIRECTOR/PRESIDENT AND COO | $0 | $244,719 | $0 | $67,993 | $0 | $4,327 | $0 | $7,309 | $0 | $19,212 | $0 | $343,560 | $0 | $0 |
| DAVID J PYNN | ||||||||||||||
| DIRECTOR/CEO SJHS/SVP AH OKTUL | $0 | $805,290 | $0 | $1,414,556 | $0 | $21,120 | $0 | $8,468 | $0 | $28,652 | $0 | $2,278,087 | $0 | $0 |
| STAN DEFEHR MD | ||||||||||||||
| DIRECTOR | $0 | $480,550 | $0 | $94,394 | $0 | $0 | $0 | $23,970 | $0 | $19,308 | $0 | $618,223 | $0 | $0 |
| DAVID STIRE | ||||||||||||||
| FORMER OFFICER (END 12/14) | $0 | $171,284 | $0 | $47,688 | $0 | $268,603 | $0 | $5,139 | $0 | $19,182 | $0 | $511,897 | $0 | $0 |
| LEX ANDERSON | ||||||||||||||
| TREASURER/EXEC VP & SJHS CFO | $0 | $508,699 | $0 | $182,481 | $0 | $16,420 | $0 | $7,324 | $0 | $18,446 | $0 | $733,370 | $0 | $0 |
| RONALD J BRASEL | ||||||||||||||
| CFO JPMC | $0 | $143,643 | $0 | $41,665 | $0 | $0 | $0 | $0 | $0 | $19,585 | $0 | $204,894 | $0 | $0 |
| KEVIN STECK | ||||||||||||||
| SECRETARY/VP INTEGRITY & COMPLIANCE | $0 | $232,265 | $0 | $64,804 | $0 | $2,141 | $0 | $10,631 | $0 | $2,241 | $0 | $312,083 | $0 | $0 |
| DEBRA ROBNETT-BELL | ||||||||||||||
| PHYSICIAN'S ASSISTANT | $162,447 | $0 | $0 | $0 | $0 | $0 | $4,795 | $0 | $6,093 | $0 | $173,335 | $0 | $0 | $0 |
| ALFRED W GARTZKE | ||||||||||||||
| PHYSICIAN'S ASSISTANT | $181,713 | $0 | $0 | $0 | $0 | $0 | $1,150 | $0 | $11,875 | $0 | $194,738 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 COMPENSATION | ASCENSION HEALTH, AN AFFILIATE ORGANIZATION OF JANE PHILLIPS NOWATA HOSPITAL, INC., USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT & CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | The following former key employee and officer received severance payments from the organization or a related organization during calendar year 2015: Samuel C Anderson - 430,776 David Stire - 237,213 |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the Organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No individuals received current year distributions. |
| Schedule J, Part I, Line 7 Non-fixed payments | St. John Health System, Inc. is the controlling member organization of an integrated healthcare system ("System"). The System has established an executive accountability and financial incentive plan that encourages the executives' participation in the significant improvements of the quality, financial, growth, and human resource related operations of the Organization. Eligibility is triggered when the System meets certain earnings targets; however, payments received under the plan are not based on the earnings of the Organization. Executives receive points under a plan scoring system for meeting their predetermined goals. The points are then entered into the plan formula to determine the executives' incentive compensation. Maximum payments under the financial incentive plan are 30% percent of base pay for most executives. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (22 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a Program Service Description - Part 1 | ST. JOHN VILLAS, INC. ("ST. JOHN VILLAS"), OWASSO MEDICAL FACILITY, INC. ("ST. JOHN OWASSO"), ST. JOHN HEALTH SYSTEM FOUNDATION, INC. ("ST. JOHN FOUNDATION"), ST. JOHN BUILDING CORPORATION ("SJBC"), ST. JOHN BROKEN ARROW, INC. ("ST. JOHN BROKEN ARROW"), AND JANE PHILLIPS NOWATA HOSPITAL, INC. ("JP NOWATA"). ST. JOHN, THESE SUBSIDIARIES, AND ALL OTHER SUBSIDIARIES UNDER ST. JOHN'S DIRECT OR INDIRECT CONTROL OR OWNERSHIP ARE REFERRED TO HEREIN AS "THE ST. JOHN SYSTEM". THE ST. JOHN SYSTEM SUPPORTS THE PURPOSE AND ACTIVITIES OF ASCENSION HEALTH AND BOTH ST. JOHN'S AND ASCENSION HEALTH'S POWERS MUST BE EXERCISED IN ACCORDANCE WITH THE TEACHINGS, TRADITIONS AND CANON LAW OF THE ROMAN CATHOLIC CHURCH AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH FACILITIES PROMULGATED BY THE NATIONAL CONFERENCE OF CATHOLIC BISHOPS OF THE UNITED STATES CATHOLIC CONFERENCE. MISSION AND VALUES: AS A CATHOLIC HEALTHCARE ORGANIZATION, ST. JOHN CARRIES ON THE MISSION OF ITS SPONSORS, THROUGH ASCENSION HEALTH, OF CONTINUING THE HEALING MINISTRY OF JESUS CHRIST. IT ASPIRES TO PROVIDE HEALTH CARE THAT WORKS, HEALTH CARE THAT IS SAFE, AND HEALTH CARE THAT LEAVES NO ONE BEHIND, WITH A PROMISE TO OUR PATIENTS AND THE COMMUNITIES WE SERVE OF PROVIDING MEDICAL EXCELLENCE AND COMPASSIONATE CARE. IT OPERATES IN CONFORMANCE WITH "THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH FACILITIES." FAITHFUL TO THE SPONSORSHIP MISSION, PHILOSOPHY AND VALUES, ST. JOHN'S MISSION IS TO PROVIDE HEALTHCARE AND RELATED MINISTRIES FOR THE PEOPLE SERVED, ESPECIALLY THE SICK, THE POOR AND THE POWERLESS. THE BOARD OF DIRECTORS, MANAGEMENT AND EMPLOYEES OF ST. JOHN ARE GUIDED IN THEIR DAY-TO-DAY ACTIONS AND INTERACTIONS WITH THOSE WHO SERVE AND WHO ARE SERVED BY THE VALUES OF SERVICE TO THE POOR, WISDOM, REVERENCE, CREATIVITY, DEDICATION AND INTEGRITY. ST. JOHN AND THE HOSPITAL COLLABORATE WITH OTHER INDIVIDUALS AND INSTITUTIONS IN THE VARIOUS COMMUNITIES SERVED TO ASCERTAIN COMMUNITY NEEDS AND PROVIDE A BROAD RANGE OF SERVICES ALONG THE HEALTHCARE CONTINUUM TO HELP MEET THOSE NEEDS. PROGRAMS AND SERVICES INCLUDE PREVENTIVE, DIAGNOSTIC, THERAPEUTIC AND REHABILITATIVE PROGRAMS, INCLUDING AN EMPHASIS ON HEALTH PROMOTION AND DISEASE PREVENTION. ST. JOHN ALSO ADVOCATES FOR PUBLIC POLICIES WHICH ADVANCE A HEALTHY AND JUST SOCIETY. ST. JOHN WORKS WITH LOCAL, STATE AND NATIONAL LEADERS AND ORGANIZATIONS TO BRING ABOUT A HEALTHCARE DELIVERY SYSTEM THAT PROVIDES DIGNIFIED ACCESS TO AND AFFORDABLE, HIGH QUALITY HEALTHCARE FOR ALL PERSONS. COMMUNITY NEEDS ASSESSMENT: |
| Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION - PART 2 | EACH OWNED HOSPITAL IN THE ST. JOHN SYSTEM HAS COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN. THESE HAVE BEEN POSTED TO EACH HOSPITAL'S WEBSITE AND ALSO THE HEALTH SYSTEM WEBSITE. ST. JOHN CONTINUES TO LOOK FOR WAYS TO MEET UNMET COMMUNITY NEEDS IN A SUSTAINABLE AND COLLABORATIVE WAY WITH OTHER ORGANIZATIONS TO BUILD HEALTHIER COMMUNITIES. THE ST. JOHN SYSTEM SERVES A DIVERSE REPRESENTATION OF HEALTH DISPARITIES IN ONE OF THE LOWEST RANKED STATES IN THE UNITED STATES FOR HEALTH STATUS (45TH IN 2015). WITHIN THE STATE OF OKLAHOMA, COUNTIES SERVED RANK FROM 17TH OUT OF 77 TO 63RD OUT OF 77. NOWATA IS RANKED 32ND OUT OF 77 COUNTIES IN OKLAHOMA FOR HEALTH STATUS. NOWATA IS WORSE THAN THE OKLAHOMA AVERAGE FOR ADULT SMOKING, OBESITY, ACCESS TO EXERCISE OPPORTUNITIES, RATE OF UNINSURED, AND ACCESS TO PRIMARY CARE AND MENTAL HEALTH PROVIDERS. USING THE CHNA COMPLETED IN 2013, THE ST. JOHN SYSTEM DEVELOPED, ADOPTED, AND WORKED ON EXECUTING A 2014-2016 IMPLEMENTATION STRATEGY TO ADDRESS THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE COMMUNITY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT. MANY OF THESE ARE DONE IN COLLABORATION WITH INDIVIDUALS REPRESENTING INTERESTS OF THE COMMUNITY AND/OR IN SUPPORT OF COMMUNITY BASED PROGRAMS. UPON COMPLETION OF THE ASSESSMENT WITH INPUT FROM LOCAL PUBLIC HEALTH OFFICIALS AND OTHER LEADERS, JANE PHILLIPS NOWATA HOSPITAL, INC. IDENTIFIED AND HAS CONTINUED TO COLLABORATIVELY WORK TOWARD ADDRESSING THE FOLLOWING PRIORITY NEEDS AS A HOSPITAL WITHIN A LARGER HEALTH SYSTEM AND THROUGH SUPPORTING THE NEEDS IDENTIFIED FOR A COMMUNITY-WIDE PLAN: 1. DIET, INACTIVITY, AND OBESITY - ACTIVE PARTICIPATON IN CREEK COUNTY COMMUNITY PARTNERSHIP MONTHLY MEETINGS. DURING THE MEETINGS, THE PARTNERSHIP WORKED TO INITIATE AND PROVIDE PROGRAMS AND SERVICES TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY. - THE ST. JOHN HEALTH SYSTEM PARTICIPATED IN 269 COMMUNITY EVENTS, MANY FOCUSED-ON HEALTH PROMOTION AND WELLNESS. IN PARTICULAR, THE HEALTH SYSTEM SPONSORED AND PARTICIPATED IN A NUMBER OF LOCAL HEALTH PROMOTION WALKS AND RUNS DURING THIS TIME PERIOD INCLUDING, BUT NOT LIMITED TO THE: AMERICAN CANCER SOCIETY'S RELAY FOR LIFE EVENTS, AMERICAN HEART AND AMERICAN STROKE ASSOCIATIONS' HEART WALK, SUSAN G. KOMEN'S RACE FOR THE CURE, PARKINSON FOUNDATION OF OKLAHOMA'S TULSA PARKINSON'S WALK & 5K, AND OKLAHOMA CHAPTER OF THE ALZHEIMER'S ASSOCIATION'S WALK TO END ALZHEIMER'S. THE HEALTH SYSTEM AND HOSPITAL OFFERED ASSOCIATES FREE OR DISCOUNTED REGISTRATION FEES FOR MANY THESE LOCAL RUNS AND WALKS. ST. JOHN ASSOCIATES PROMOTED HEALTH AND WELLNESS THROUGH HEALTH SCREENINGS AND PUBLIC EDUCATION AT THESE EVENTS. EACH YEAR A BUDGET IS ESTABLISHED FOR THIS PURPOSE AND IS EXCEEDED THROUGH IDENTIFICATION OF ADDITIONAL COMMUNITY REQUESTS. THE HEALTH SYSTEM AND HOSPITAL ALSO HOSTED A MULTITUDE OF PUBLIC HEALTH EDUCATION SEMINARS, CLASSES, AND SYMPOSIUMS ON A VARIETY OF WELLNESS TOPICS INCLUDING, BUT NOT LIMITED TO: DIABETES, HEART HEALTH, STROKE, SAFETY AND PREVENTION, TRAUMA, MATERNAL AND CHILD HEALTH, JOINT CARE, CANCER CARE, HEALTHY DIET AND NUTRITION, AND THE PROMOTION OF PHYSICAL ACTIVITY. - JANE PHILLIPS NOWATA WAS ALSO THE PRIMARY SPONSOR OF NOWATA COMMUNITY ADVANCEMENT NETWORK'S (CAN) "DOUBLE BUCKS" AND "VEGGIE VOUCHERS" PROGRAMS IN CONJUNCTION WITH THE NOWATA AREA FARMERS MARKET. THESE PROGRAMS PROMOTE HEALTHY DIET CHOICES FOR SCHOOL AGE CHILDREN, ESPECIALLY THOSE FROM LOW-INCOME HOUSEHOLDS. -ON APRIL 21, 2016, JANE PHILLIPS NOWATA HEALTH CENTER SPONSORED AND PARTICIPATED IN THE NOWATA COUNTY 19TH ANNUAL SENIOR CITIZENS DAY. - THE HOSPITAL AND HEALTH SYSTEM'S FOOD AND NUTRITION SERVICES CONTINUES TO COLOR CODE HEALTHY MENU ITEMS ON OUR ONLINE MENUS. CALORIE CONTENTS OF SELECT MENU ITEMS ARE NOW POSTED ON ELECTRONIC MENU BOARDS IN THE CAFETERIAS. - ST. JOHN HEALTH SYSTEM AND ITS HOSPITALS BEGAN PARTICIPATED IN ASCENSION HEALTH'S SMART HEALTH WELLNESS PROGRAM INITIATIVES - FIRST FOCUSING ON OUR OWN ASSOCIATES AND SUBSEQUENTLY TAKING LESSONS LEARNED TO THE BROADER COMMUNITY. A TOTAL OF 1,538 ASSOCIATES COMPLETED THE 2015 WELLNESS PROGRAM. 2. MENTAL HEALTH, SUBSTANCE ABUSE, TOBACCO USE - AS A HEALTHCARE PROVIDER OF EMERGENCY AND ACUTE HOSPITAL AND RELATED SERVICES, THE HOSPITAL SEES THE DIRECT AND OFTEN DEVASTATING EFFECTS OF ALCOHOL AND DRUG ABUSE, AS WELL AS TOBACCO USE, ON A DAILY BASIS. MANY, IF NOT MOST, OF THE PATIENTS WHO PRESENT TO THE SYSTEM IN ACUTE CRISIS FROM ALCOHOL AND ABUSE - WHETHER FROM INJURY OR OVERDOSE (OR BOTH) - ALSO HAVE UNDERLYING ACUTE OR CHRONIC MENTAL HEALTH CONDITIONS AND NEEDS. THE HEALTH SYSTEM IS EXPLORING HOW VIRTUAL TECHNOLOGY MIGHT BE USED TO SUPPORT HOSPITALS IN PROVIDING BETTER ACCESS TO PATIENTS FOR MENTAL HEALTH SERVICES. -THE HOSPITAL AND HEALTH SYSTEM CONTINUE TO STRIVE TO PROVIDE PATIENTS RECEIVING INPATIENT HOSPITAL CARE AND PATIENTS RECEIVING PRIMARY CARE PATIENTS IN MEDICAL HOMES WITH EDUCATION AND SERVICES TO PROMOTE MENTAL WELL-BEING AS WELL AS THE PREVENT OR REDUCE THE OCCURRENCE SUBSTANCE ABUSE. IN OUR MEDICAL ACCESS CLINIC (MAC), FOR INSTANCE, WE HAVE PARTNERED WITH OTHER SAFETY NET PROVIDERS TO EXPAND ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE RESOURCES. - PROCESS OUTCOMES ARE MEASURED FOR MENTAL HEALTH AND TOBACCO USE SCREENING THROUGH BOTH THE COMPREHENSIVE PRIMARY CARE PROGRAM AND THE MEDICARE SHARED SAVINGS PROGRAM IN WHICH ST. JOHN HOSPITALS AND EMPLOYED ST. JOHN PHYSICIANS PARTICIPATE. THROUGH THESE PROGRAMS, WE ARE NOW ABLE TO TRACK THE VOLUME OF PATIENTS WHO RECEIVE COUNSELING AND REFERRALS. - EACH HOSPITAL MAINTAINS ONGOING PATIENT EDUCATION RELATED TO SMOKING; MATERIALS ARE PROVIDED TO PATIENTS AND REFERRALS ARE MADE TO THE OKLAHOMA TOBACCO HELPLINE AT 1-800-QUITNOW AND OKHELPLINE.COM FOR TOBACCO CESSATION - THROUGH A HOSPITAL OUTPATIENT DEPARTMENT AT JANE PHILLIPS NOWATA HOSPITAL, INC., MENTAL HEALTH AND DRUG AND ALCOHOL COUNSELING ARE PROVIDED. PATIENTS FROM ANY OF OUR HOSPITALS AND CLINICS MAY BE REFERRED TO THIS SERVICE WHICH HAS A CONVENIENT, ACCESSIBLE LOCATION. THERE ARE CURRENTLY FOUR EMBEDDED OUTPATIENT BEHAVIORAL HEALTH THERAPISTS THAT ARE SHARED ACROSS 12 SITES. REFERRALS ARE ALSO MADE TO AREA AGENCIES. 3. CHRONIC DISEASE MANAGEMENT - JANE PHILLIPS NOWATA HOSPITAL, INC. PARTICIPATES AS AN ACCOUNTABLE CARE ORGANIZATION (ACO) PARTICIPANT IN THE MEDICARE SHARED SAVINGS PROGRAM, WHICH ESTABLISHES SEVERAL QUALITY AND PROCESS OUTCOME MEASURES THAT PERTAIN TO CHRONIC DISEASE MANAGEMENT SUCH AS DIABETES, HYPERTENSION, CORONARY ARTERY DISEASE, AND COPD. - EMPLOYED PHYSICIANS OF THE HEALTH SYSTEM ALSO PARTICIPATE IN COMPREHENSIVE PRIMARY CARE WHICH FOCUSES ON A MEDICAL HOME MODEL IN CARE FOR HIGH RISK PATIENTS WITH CHRONIC CONDITIONS. 4. ACCESS TO CARE ACCESS TO SERVICES IN OKLAHOMA IS A SIGNIFICANT CHALLENGE DUE TO THE LIMITED AVAILABILITY OF PRIMARY CARE PHYSICIANS AND STRESS ON HOSPITAL EMERGENCY ROOM ACCESS AND INPATIENT BEDS DUE TO A GROWING NUMBER OF TRANSFERS FROM UNDERSERVED RURAL AREAS IN OKLAHOMA. |
| Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION - PART 3 | - THE HEALTH INSURANCE MARKETPLACE, A PART OF THE AFFORDABLE CARE ACT (ACA), WAS LAUNCHED IN OCTOBER 2013, GIVING AMERICANS A VARIETY OF NEW OPTIONS FOR HEALTH COVERAGE. SINCE THEN, ST. JOHN HEALTH SYSTEM HAS EXPENDED CONSIDERABLE EFFORT ENCOURAGING INDIVIDUALS TO SIGN UP FOR COVERAGE THROUGH THE HEALTH INSURANCE MARKETPLACE. THOUGH WE STILL HAVE A LONG WAY TO GO, OUR EFFORTS BRING OUR COMMUNITIES CLOSER TO ASCENSION'S GOAL OF 100% ACCESS AND 100% COVERAGE. ST. JOHN HEALTH SYSTEM PARTNERS WITH THE MIDLAND GROUP TO HELP CONNECT CONSUMERS WITH A CERTIFIED APPLICATION COUNSELOR (CAC) FOR ENROLLMENT ASSISTANCE. CACS MINIMIZE CONFUSION ABOUT MARKETPLACE OPTIONS AND ENSURE DESIRED PROVIDERS AND BENEFITS ARE INCLUDED IN THE SELECTED PLAN. THEY CAN ALSO ASSIST WITH DETAILED QUESTIONS ABOUT THE MARKETPLACE. DURING THE OPEN ENROLLMENT PERIOD, ST. JOHN'S CAC IS AVAILABLE ON AN APPOINTMENT-ONLY BASIS AT JANE PHILLIPS NOWATA HOSPITAL, INC. IN TULSA AND JANE PHILLIPS MEDICAL CENTER IN BARTLESVILLE TO PROVIDE FREE ENROLLMENT ASSISTANCE. MIDLAND'S ON-SITE PUBLIC BENEFITS SCREENERS ALSO WORK TO EDUCATE SELF-PAY PATIENTS WITHIN OUR HOSPITALS ABOUT THE MARKETPLACE AND HAND OUT INFORMATION FOR FURTHER ASSISTANCE WITH NAVIGATIONS. ST. JOHN HEALTH SYSTEM'S HEALTH INSURANCE MARKETPLACE AMBASSADOR PROGRAM (OFTEN ABBREVIATED AS HIX AMBASSADOR PROGRAM) WAS ESTABLISHED IN OCTOBER 2013 PRIOR TO THE FIRST MARKETPLACE OPEN ENROLLMENT PERIOD. ST. JOHN HEALTH SYSTEM ASSOCIATES APPLY TO PARTICIPATE IN THIS PROGRAM AS PAID VOLUNTEERS AND ARE KNOWN AS HEALTH INSURANCE MARKETPLACE (HIX) AMBASSADORS. THESE AMBASSADORS RECEIVE IN-DEPTH TRAINING ON THE MARKETPLACE AND SERVE TO PROMOTE THE MARKETPLACE THROUGH OUTREACH, EDUCATION, AND AWARENESS EFFORTS. THESE EFFORTS INCLUDE: 1) VOLUNTEERING AT ON-SITE AND COMMUNITY EVENTS AND ACTIVITIES TO PROMOTE THE MARKETPLACE, 2) ENCOURAGING ENROLLMENT IN THE PLANS THAT INCLUDE THE ST. JOHN HEALTH SYSTEM NETWORK BY REFERRING TO THE MIDLAND GROUP FOR ENROLLMENT ASSISTANCE WITH A CERTIFIED APPLICATION COUNSELOR (CAC), 3) EDUCATING INDIVIDUALS ON OUR FINANCIAL ASSISTANCE PROGRAMS, 4) PROVIDING BASIC HEALTH EDUCATION AND SCREENINGS AT EVENTS. DURING THE FISCAL YEAR ENDING IN JUNE 30, 2016, ST. JOHN HEALTH SYSTEM ADDITIONALLY PROVIDED A MULTITUDE OF RESOURCES TO PATIENTS AND MEMBERS OF THE COMMUNITY REGARDING MARKETPLACE ENROLLMENT INCLUDING THE FOLLOWING: 1). SIGNAGE, EDUCATIONAL HANDOUTS, AND MARKETING MATERIALS POSTED THROUGHOUT THE HEALTH SYSTEM, AT EVENT BOOTHS, AND KEY LOCATIONS IN THE COMMUNITY. ST JOHN HEALTH SYSTEM PRODUCED AND DISTRIBUTED EDUCATIONAL SIGNAGE, FLIERS, AND CARDS TO 119 LOCATIONS WITHIN THE HEALTH SYSTEM (INCLUDED SPECIALTY CLINICS ST. JOHN CLINIC, SOME NURSING FLOORS, PATIENT ADMISSIONS AND FINANCIAL COUNSELING AT ALL HOSPITALS, INPATIENT AND OUTPATIENT SPECIALTY DEPARTMENTS AT ALL HOSPITALS, HOSPITAL EMERGENCY DEPARTMENTS, MAIN LOBBIES, AND HIGH TRAFFIC AREAS WITHIN ALL HOSPITALS). 2). A DEDICATED ENROLLMENT ASSISTANCE PHONE LINE WITH PHONE PROMPT THAT LINKED CONSUMERS AND PATIENTS TO THE MIDLAND GROUP FOR OVER THE PHONE ASSISTANCE AND TO SCHEDULE APPOINTMENTS FOR IN-PERSON ENROLLMENT ASSISTANCE WAS MADE AVAILABLE 3). A DEDICATED HEALTH INSURANCE MARKETPLACE PAGE WITH INFORMATION ABOUT THE MARKETPLACE AND ENROLLMENT ASSISTANCE WAS MADE AVAILABLE ON THE ST. JOHN HEALTH SYSTEM WEBSITE. 4). AN INTERNAL WEB PAGE WITH INFORMATION, RESOURCES, AND UPDATES ON THE HEALTH INSURANCE MARKETPLACE FOR HEALTH SYSTEM ASSOCIATES WAS MADE AVAILABLE. 5). ADDITIONAL EFFORTS WERE MADE TO EDUCATE ASSOCIATES ABOUT THE MARKETPLACE VIA PRESENTATIONS, SIGNAGE, AND EDUCATIONAL HANDOUTS. SINCE 2014, ST. JOHN HEALTH SYSTEM HAS PARTICIPATED IN A COMMUNITY COALITION, CLAIM YOUR COVERAGE, WHICH CONVENES MULTIPLE STAKEHOLDERS IN THE TULSA COUNTY COMMUNITY TOGETHER TO EDUCATE OUR COMMUNITY ABOUT THE MARKETPLACE AND TO PROMOTE ENROLLMENT. STAKEHOLDERS PARTICIPATING IN THIS COALITION INCLUDE LOCAL HOSPITALS AND HEALTH SYSTEMS, THE TULSA CITY-COUNTY LIBRARY SYSTEM, THE TULSA CITY-COUNTY HEALTH DEPARTMENT, INSURANCE COMPANIES, LICENSED HEALTH INSURANCE AGENTS AND BROKERS, CERTIFIED APPLICATION COUNSELOR AND NAVIGATOR ORGANIZATIONS, TWO FHQCS, LOCAL PHILANTHROPY GROUPS, THE COMMUNITY SERVICE COUNCIL, AND THE INDIAN HEALTH SYSTEM. THE COALITION ALSO WORKS TO IMPROVE HEALTH INSURANCE LITERACY WITHIN OUR COMMUNITY. ST. JOHN HEALTH SYSTEM IS HONORED TO BE RECOGNIZED AS A CHAMPION FOR COVERAGE BY U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS). AS A CHAMPION, WE HAVE VOLUNTEERED TO HELP UNINSURED AMERICANS LEARN MORE ABOUT THE HEALTH INSURANCE MARKETPLACE. AS A CHAMPION FOR COVERAGE, WE LEVERAGE PUBLICLY AVAILABLE MARKETPLACE MATERIALS - BOTH DIGITAL AND IN PRINT - TO HELP MEMBERS OF OUR COMMUNITY UNDERSTAND THEIR NEW OPTIONS THROUGH THE MARKETPLACE. -FROM SEPTEMBER 2015 AND JANUARY 2016, ST. JOHN HEALTH SYSTEM ENGAGED A TOTAL OF 345 INDIVIDUALS IN DISCUSSION ABOUT THE HEALTH INSURANCE MARKETPLACE AND REFERRED THEM TO ENROLLMENT ASSISTANCE AVAILABLE THROUGH OUR HEALTH SYSTEM. OF THOSE 772 INDIVIDUALS, 145 WERE ENGAGED IN DISCUSSION ABOUT THE ENROLLMENT PROCESS DURING ONE OF OUR 9 COMMUNITY OUTREACH EVENTS HELD BETWEEN SEPTEMBER 2015 AND DECEMBER 2015. THE REMAINING 200 CONSUMERS WHO WERE SEEKING INFORMATION ABOUT THE MARKETPLACE SPOKE TO OUR CONTRACTED CERTIFIED APPLICATION COUNSELORS (CACS) WITH THE MIDLAND GROUP OVER THE PHONE ABOUT THE ENROLLMENT PROCESS. IF THE CALLER DID NOT SCHEDULE AN ENROLLMENT ASSISTANCE APPOINTMENT, THEY WERE EITHER INQUIRING ABOUT WHAT PLANS ST. JOHN HEALTH SYSTEM TAKES, WHETHER THEY QUALIFIED FOR A TAX CREDIT, OR ASKED GENERAL INFORMATION, BUT DID NOT WANT TO SET UP AN APPOINTMENT AT THAT TIME (145 INDIVIDUALS OUT OF 200 TOTAL CONSUMERS). ST. JOHN HEALTH SYSTEM'S CONTRACTED CACS WITH THE MIDLAND GROUP ASSISTED 71 CONSUMERS WITH NAVIGATION ACTIVITIES DURING THE ENROLLMENT PERIOD. |
| Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION - PART 4 | - SAFETY NET AND EMERGENCY SERVICES (DESCRIBED BELOW) - DIRECT CARE FOR THE POOR AND VULNERABLE (DESCRIBED BELOW) - MEDICAL ACCESS PROGRAM (DESCRIBED BELOW) - MEDICAL EDUCATION (DESCRIBED BELOW) NEEDS NOT BEING ADDRESSED: JANE PHILLIPS NOWATA HOSPITAL, INC. AND THE ST. JOHN SYSTEM ADDRESSED ALL OF THE PRIORITY NEEDS RECOMMENDED BY THE COMMUNITY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT. HOWEVER, "OBESITY" WAS GROUPED WITH "POOR DIET AND INACTIVITY," AND "TOBACCO USE" WAS GROUPED WITH "ALCOHOL/DRUG USE" AND RENAMED "MENTAL HEALTH, SUBSTANCE ABUSE, TOBACCO USE." |
| Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION - PART 5 | GOVERNANCE: THE ADMINISTRATIVE POWERS OF JANE PHILLIPS NOWATA HOSPITAL, INC. ARE VESTED IN ITS BOARD OF DIRECTORS, WHICH CONTROLS AND MANAGES THE PROPERTIES, AFFAIRS AND FUNDS OF THE HOSPITAL, SUBJECT TO RESERVATION OF CERTAIN POWERS BY THE ST. JOHN SYSTEM. THE BOARD MEETS WHEN NEEDED AND IT WORKS IN CONCERT WITH, AND WHEN APPROPRIATE, UNDER THE DIRECTION OF THE ST. JOHN HEALTH SYSTEM, INC. BOARD. THE BOARD REVIEWS AND APPROVES THE COMMUNITY HEALTH NEEDS ASSESSMENT AND RECOMMENDED IMPLEMENTATION INITIATIVES. COMMUNITY BENEFIT: IN MEASURING AND REPORTING QUANTIFIABLE COMMUNITY BENEFIT, THE ST. JOHN SYSTEM FOLLOWS GUIDELINES PROMULGATED BY THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES AND ENDORSED BY OTHER ORGANIZATIONS. UNCOMPENSATED CARE AND OTHER ELEMENTS OF COMMUNITY BENEFIT ARE MEASURED AT THE UNREIMBURSED ESTIMATED COST OF SERVICES OR RESOURCES PROVIDED. SAFETY NET AND EMERGENCY SERVICES (SUBPART A OF ACCESS TO SERVICES): AS A CRITICAL ACCESS HOSPITAL, JANE PHILLIPS NOWATA HOSPITAL, INC. IS AN INTEGRAL PART OF THE MISSION OF SERVICE AND THE CONTINUUM OF MEDICAL CARE PROVIDED BY THE ST. JOHN SYSTEM. THE ST. JOHN SYSTEM SERVES AS AN IMPORTANT SAFETY NET PROVIDER OF A BROAD CONTINUUM OF HEALTH CARE SERVICES TO THE CITIZENS OF NORTHEASTERN OKLAHOMA AND THE SURROUNDING REGION. EACH OF ITS SIX MAIN HOSPITALS OPERATES A FULL-SERVICE, 24-HOUR, 365-DAY EMERGENCY ROOM PROVIDING BOTH URGENT AND EMERGENCY CARE TO ALL INDIVIDUALS, REGARDLESS OF THEIR ABILITY TO PAY. |
| Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION - PART 6 | EACH HOSPITAL IS AN INTEGRAL PART OF THE MISSION OF SERVICE AND THE CONTINUUM OF MEDICAL CARE PROVIDED BY ST. JOHN. PATIENTS SEEN IN THE ST. JOHN SYSTEM FOR THE FISCAL YEAR ENDED JUNE 30, 2016: TOTAL DISCHARGES (EXCLUDING NORMAL NEWBORNS) - 43,290 TOTAL OBSERVATION DAYS - 17,359 COMBINED DISCHARGES AND OBSERVATION DAYS - 60,649 TOTAL PATIENT DAYS (EXCL. NORMAL NEWBORN AND OBSERVATIONS) - 196,237 BIRTHS - 3,543 EMERGENCY ROOM VISITS - 158,909 SELECTED OUTPATIENT VISITS (EXCL. ER & ONE DAY SURGERIES) - 366,194 INPATIENT SURGICAL CASES - 11,642 OUTPATIENT SURGICAL CASES - 18,480 PHYSICIAN OFFICE PATIENT VISITS - 534,721 URGENT CARE CLINIC PATIENT VISITS - 63,926 COMBINED PHYSICIAN OFFICE AND URGENT CARE VISITS - 598,647 TOTAL LABORATORY PROCEDURES (INCL. HOSPITAL & REFERENCE LABS) - 8,466,898 DIRECT CARE FOR THE POOR AND VULNERABLE (SUBPART B OF ACCESS TO SERVICES): THE ST. JOHN SYSTEM CONSIDERS CARE FOR THE POOR TO BE AN ESSENTIAL PART OF ITS MISSION OF SERVICE TO THE COMMUNITY. THE TOTAL COST OF CARE FOR THE POOR INCLUDES THE COST OF CHARITY CARE, THE UNREIMBURSED COST OF SERVICES TO MEDICAID BENEFICIARIES (TOGETHER REFERRED TO AS "UNCOMPENSATED CARE FOR THE POOR") AND THE COST OF SPECIAL PROGRAMS OR OTHER ACTIVITIES SPECIFICALLY TARGETED TO INCREASE ACCESS TO CARE OR PROVIDE OTHER SERVICES TO THE POOR. "CARE FOR THE POOR" INCLUDES THE ESTIMATED COST OF CARE CLASSIFIED AS CHARITY CARE PLUS THE ESTIMATED EXCESS OF THE COST OF SERVICES PROVIDED TO MEDICAID BENEFICIARIES OVER THE PAYMENTS RECEIVED FROM MEDICAID. "CARE FOR THE POOR" DOES NOT INCLUDE THE COST OF SERVICES CLASSIFIED AND WRITTEN OFF AS BAD DEBTS OR THE EXCESS OF THE COST OF SERVICES PROVIDED TO MEDICARE BENEFICIARIES OVER THE PAYMENTS RECEIVED FROM MEDICARE. CHARITY AND UNCOMPENSATED CARE: |
| Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION - PART 7 | THE ST. JOHN SYSTEM'S HOSPITALS AND OTHER FACILITIES PROVIDE SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. IN FY 16, THE ST. JOHN SYSTEM HOSPITALS PROVIDED A DISCOUNT OF AT LEAST 40% OF BILLED CHARGES TO ALL UNINSURED PATIENTS. UNINSURED PATIENTS ALSO COULD QUALIFY FOR AN ADDITIONAL 15% PROMPT PAY DISCOUNT. IN ADDITION TO THESE AUTOMATIC DISCOUNTS, PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE UP TO AND INCLUDING FREE CARE. THE DETERMINATION OF THE PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS BASED ON AN OBJECTIVE DETERMINATION OF THE PATIENT'S FINANCIAL RESOURCES AND ABILITY TO PAY. IN GENERAL, ALL UNINSURED PATIENTS WITH HOUSEHOLD INCOMES OF LESS THAN 300% OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR FREE OR SUBSTANTIALLY DISCOUNTED CARE. OTHER ENTITIES IN THE ST. JOHN SYSTEM ALSO PROVIDE CHARITY CARE BASED ON INDIVIDUAL DETERMINATIONS OF NEED. MANAGEMENT FOR THE ST. JOHN SYSTEM BELIEVES THAT ALL OF ITS BILLING AND COLLECTION POLICIES AND PROCEDURES COMPLY WITH IRS GUIDELINES AND DIRECTIVES. OTHER COMMUNITY BENEFIT AND OUTREACH ACTIVITIES: THE ST. JOHN SYSTEM AND JANE PHILLIPS NOWATA HOSPITAL, INC. PROVIDE OTHER FORMS OF COMMUNITY BENEFIT IN THE FORM OF FREE, OR REDUCED-CHARGE EDUCATIONAL SEMINARS FOR THE GENERAL PUBLIC ON WIDE RANGING TOPICS FROM PRENATAL CARE TO CHRONIC DISEASE MANAGEMENT. JANE PHILLIPS NOWATA HOSPITAL, INC. PARTICIPATES IN COMMUNITY-WIDE HEALTH SCREENING EVENTS, BLOOD DONATION DRIVES, AND A NUMBER OF OTHER OUTREACH ACTIVITIES TO IMPROVE THE HEALTH STATUS OF THE RESIDENTS OF NORTHEASTERN OKLAHOMA AND THE SURROUNDING AREA. |
| Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION - PART 8 | OTHER PROGRAM SERVICE ACCOMPLISHMENTS: AS PREVIOUSLY DISCUSSED, THE ST. JOHN SYSTEM IS ORGANIZED AND OPERATED TO PROVIDE MEDICAL EXCELLENCE AND COMPASSIONATE CARE TO THE CITIZENS OF NORTHEASTERN OKLAHOMA, WITH A SPECIAL PREFERENCE FOR THE POOR AND DISADVANTAGED. SUMMARY: THE ST. JOHN SYSTEM'S ROLE AS ONE OF THE SIGNIFICANT SAFETY-NET HEALTH CARE PROVIDERS FOR THE REGION CONTINUES TO GROW IN PROMINENCE. THE ST. JOHN SYSTEM REINVESTS 100% OF ANY PROFITS DERIVED INTO NEW AND EXPANDED SERVICES TO THE COMMUNITY. THE ST. JOHN SYSTEM IS VERY PROUD OF ITS HISTORY OF SERVICE TO THE COMMUNITY AND VIEWS ITS RESPONSIBILITY TO CONTINUE TO PROVIDE MEDICAL SERVICES TO EVERYONE, ESPECIALLY THE POOR AND DISADVANTAGED, VERY SERIOUSLY. AS THE ST. JOHN SYSTEM CONTINUES TO FACE GROWING FINANCIAL CHALLENGES, IT BECOMES INCREASINGLY DIFFICULT TO SUSTAIN OUR MISSION OF SERVICE. NEVERTHELESS, WE BELIEVE THAT THE QUANTIFIABLE COMMUNITY BENEFIT, AS WELL AS THE MANY OTHER AREAS OF SERVICE PROVIDED BY THE ST. JOHN SYSTEM AND JANE PHILLIPS NOWATA HOSPITAL, INC., CONTINUE A SOUND RECORD OF STEWARDSHIP AND A SIGNIFICANT CONTRIBUTION TO THE WELL-BEING OF BOTH THE COLLECTIVE COMMUNITIES AND THE INDIVIDUALS WITHIN THOSE COMMUNITIES WE SERVE. JANE PHILLIPS NOWATA HOSPITAL, INC. IS AN IMPORTANT PART OF ST. JOHN HEALTH SYSTEM, INC. |
| Form 990, Part IV, Line 20b EXPLANATION OF FINANCIAL STATEMENTS | THE ACTIVITY OF JANE PHILLIPS NOWATA HOSPITAL, INC. (JPNH) IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF JPNH IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF JPNH. |
| Form 990, Part V, Line 2a Statements Regarding Other IRS Filings and Tax Compliance | The salaries reflected on Form 990 were all reported on Form 941, Employer's Quarterly Federal Tax Return of Jane Phillips Memorial Medical Center (JPMMC). These salaries were reimbursed to JPMMC by the filing organization and were included in the number of employees on JPMMC's calendar year 2015 Form W-3. The number of employees reported on Part V, Line 2a of Form 990 by the filing organization represents the number of employees providing services to the filing organization during calendar year 2015. |
| Form 990, Part VI, Line 15b PROCESS FOR DETERMINING COMPENSATION OF OTHER OFFICERS | COMPENSATION FOR OTHER OFFICERS IN ST. JOHN HEALTH SYSTEM, INC. (SJHS), OF WHICH JANE PHILLIPS NOWATA HOSPITAL, INC. IS A PART, IS ANALYZED BY AN INDEPENDENT HEALTH CARE CONSULTING FIRM. THE ANALYSIS INCLUDES A FAIR MARKET VALUE ASSESSMENT AND ESTABLISHMENT OF A RANGE FOR EACH POSITION BASED ON RESEARCH OF COMPARABLE HEALTH CARE SYSTEMS OF SIMILAR SIZE. THE REPORT AND RECOMMENDED COMPENSATION LEVELS FOR EACH EXECUTIVE MANAGEMENT POSITION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE SJHS BOARD OF DIRECTORS. |
| Form 990, Part VI, Line 15a PROCEDURE FOR DETERMINING THE COMPENSATION OF THE CEO | In determining compensation of the organization's PRESIDENT & CEO, the process, performed by Ascension Health, a related organization of St. John Nowata Hospital, Inc., included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The compensation committee reviewed and approved the compensation. In the review of the compensation, the PRESIDENT & CEO was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation was recorded in the compensation committee minutes. The individual was not present when his compensation was decided. |
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | ROBERT KANE, DIRECTOR AND JOHN B. KANE, DIRECTOR - Family relationship |
| Form 990, Part VI, Line 6 Classes of members or stockholders | JANE PHILLIPS NOWATA HOSPITAL, INC. HAS A SINGLE CORPORATE MEMBER, JANE PHILLIPS MEMORIAL MEDICAL CENTER. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | JANE PHILLIPS NOWATA HOSPITAL, INC. HAS A SINGLE CORPORATE MEMBER, JANE PHILLIPS MEMORIAL MEDICAL CENTER, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF JANE PHILLIPS NOWATA HOSPITAL, INC. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | All decisions that have a material impact to Jane Phillips Nowata Hospital, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, Jane Phillips Memorial Medical Center. Ascension Health, the sole corporate member of St. John Health System, Inc., has designated a system authority matrix which assigns authority for key decisions that are necessary in the operation of the System. Specific areas that are identified in the authority matrix are: new organizations and major transactions; governing documents; appointments/removals; evaluations; debt limits; strategic and financial plans; assets; and system policies and procedures. These areas are subject to certain levels of approval by Ascension Health per the system authority matrix. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | Jane Phillips Nowata Hospital, Inc. (JP Nowata) is an affiliate of St. John Health System, Inc. (SJHS). SJHS has hired a third party preparer experienced in the preparation of Form 990 to assist in the preparation of the return. The Vice President/Chief Financial Officer and Controller of SJHS will work closely with the paid preparer in gathering the information for the return and will perform the initial detailed review of the return. A copy of the return will be provided to all voting Board Members of the filing Organization prior to filing. |
| Form 990, Part VI, Line 12c Conflict of interest policy | At every fiscal year end, St. John Health System, Inc. (SJHS) distributes a copy of the current Conflict of Interest Policy and Procedure Bulletin, together with an explanation and questionnaire to the members of the Board of Directors, administrative officers and key employees of SJHS, its subsidiaries and affiliates, including Jane Phillips Nowata Hospital, Inc. The Board Members, administrative officers and key employees of SJHS, its subsidiaries and affiliates must complete the questionnaire and return it to the designated SJHS official within two weeks of receipt. Completed questionnaires are reviewed and summarized by the Vice President, Corporate Compliance and Integrity, or his/her designee. That individual then presents the questionnaire results to the heads of each hospital for further provision to the various boards' Audit and Compliance Committees. The Audit and Compliance Committees, as appropriate, submit a confidential report to their Board Chairman summarizing the questionnaire results. The Board Chairman, as appropriate, may review with the Executive Committee the responses to the questionnaire results. Members of a committee with governing board delegated powers annually sign a statement which affirms such person has received a copy of the Conflict of Interest Policy, has read and understands the Policy, has agreed to comply with the Policy, and understands that the Organization is charitable and, in order to maintain its federal tax exemption, IT must engage primarily in activities which accomplish its tax-exempt purpose. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. |
| Form 990, Part VII, Section B, Line 2 Independent Contractor Reporting: | Compensation of independent contractors is paid by and reported on Form 1096, Annual Summary and Transmittal of U.S. Information Returns, of Jane Phillips Memorial Medical Center, EIN 73-0606129. Expenses are allocated to and reimbursed by the filing organization to Jane Phillips Memorial Medical Center. As such, the organization has not reported independent contractors paid oN Form 990, Part VII, Section B. |
| Form 990, Part IX, Line 11g Other Fees | PURCHASED SERVICES - Total Expense: 560495, Program Service Expense: 437825, Management and General Expenses: 122670, Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 163082, Program Service Expense: 163082, Management and General Expenses: , Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 458854, Program Service Expense: 437470, Management and General Expenses: 21384, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Transfers with Affiliates - 2377; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ASCENSION HEALTH ALLIANCE | ||||||||||
| PO BOX 45998 | ST LOUIS | MO | 631455998 | 453358926 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3 | Type I | NA | false |
| ASCENSION HEALTH | ||||||||||
| PO BOX 45998 | ST LOUIS | MO | 631455998 | 311662309 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3 | Type I | ASCENSION HEALTH ALLIANCE | false |
| ST JOHN HEALTH SYSTEM INC | ||||||||||
| 1923 SOUTH UTICA AVENUE | TULSA | OK | 74104 | 731215174 | SYSTEM PARENT | OK | 501(c)(3 | Type I | ASCENSION HEALTH | false |
| ST JOHN SAPULPA INC | ||||||||||
| 1923 SOUTH UTICA AVENUE | TULSA | OK | 74104 | 730662663 | HEALTH CARE | OK | 501(c)(3 | 3 | ST JOHN HEALTH SYSTEM INC | false |
| JANE PHILLIPS MEMORIAL MEDICAL CENTER | ||||||||||
| 3500 E FRANK PHILLIPS BLVD | BARTLESVILLE | OK | 74006 | 730606129 | HEALTH CARE | OK | 501(c)(3 | 3 | ST JOHN HEALTH SYSTEM INC | false |
| ST JOHN HEALTH SYSTEM FOUNDATION INC | ||||||||||
| 1923 SOUTH UTICA AVENUE | TULSA | OK | 74104 | 731133139 | HEALTH CARE | OK | 501(c)(3 | 7 | ST JOHN HEALTH SYSTEM INC | false |
| ST JOHN MEDICAL CENTER INC | ||||||||||
| 1923 SOUTH UTICA AVENUE | TULSA | OK | 74104 | 730579286 | HEALTH CARE | OK | 501(c)(3 | 3 | ST JOHN HEALTH SYSTEM INC | false |
| ST JOHN VILLAS INC | ||||||||||
| 1923 SOUTH UTICA AVENUE | TULSA | OK | 74104 | 731077367 | NURSING HOME | OK | 501(c)(3 | 9 | ST JOHN HEALTH SYSTEM INC | false |
| OWASSO MEDICAL FACILITY INC | ||||||||||
| 1923 SOUTH UTICA AVENUE | TULSA | OK | 74104 | 203700131 | HEALTH CARE | OK | 501(c)(3 | 3 | ST JOHN HEALTH SYSTEM INC | false |
| ST JOHN BROKEN ARROW INC | ||||||||||
| 1923 SOUTH UTICA AVENUE | TULSA | OK | 74104 | 383833117 | HEALTH CARE | OK | 501(c)(3 | 3 | ST JOHN HEALTH SYSTEM INC | false |
| ST JOHN AUXILIARY INC | ||||||||||
| 1923 SOUTH UTICA AVENUE | TULSA | OK | 74104 | 730999759 | HEALTH CARE | OK | 501(c)(3 | 9 | ST JOHN HEALTH SYSTEM INC | false |
| ST JOHN BUILDING CORPORATION | ||||||||||
| 1923 SOUTH UTICA AVENUE | TULSA | OK | 74104 | 611659782 | REAL ESTATE | OK | 501(c)(2 | ST JOHN HEALTH SYSTEM INC | false | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| Oklahoma Cancer Specialists Real Estate Company LLC | ||||||||
| 12697 E 51st St South | TULSA | OK | 74146 | 473843491 | REAL ESTATE HOLDING | OK | NA | N/A |
| SJFI LLC | ||||||||
| 1923 SOUTH UTICA AVENUE | TULSA | OK | 74104 | 462713285 | ACCOUNTABLE CARE ORGANIZATION | OK | NA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| UTICA SERVICES INC | |||||||||
| 1923 SOUTH UTICA AVENUE | TULSA | OK | 74104 | 731057650 | MEDICAL SERVICES | OK | NA | C Corporation | false |
| REGIONAL MEDICAL LABORATORIES INC | |||||||||
| 1923 SOUTH UTICA AVENUE | TULSA | OK | 74104 | 731131608 | MEDICAL SERVICES | OK | NA | C Corporation | Yes (true) |
| PHYSICIAN SUPPORT SERVICES INC | |||||||||
| 1923 SOUTH UTICA AVENUE | TULSA | OK | 74104 | 731437252 | MEDICAL SERVICES | OK | NA | C Corporation | Yes (true) |
| OMNI MEDICAL GROUP INC | |||||||||
| 1923 SOUTH UTICA AVENUE | TULSA | OK | 74104 | 731335536 | MEDICAL SERVICES | OK | NA | C Corporation | Yes (true) |
| ST JOHN URGENT CARE CLINICS INC | |||||||||
| 1923 SOUTH UTICA AVENUE | TULSA | OK | 74104 | 204990275 | MEDICAL SERVICES | OK | NA | C Corporation | Yes (true) |
| ST JOHN ANESTHESIA SERVICES INC | |||||||||
| 1923 SOUTH UTICA AVENUE | TULSA | OK | 74104 | 203690446 | MEDICAL SERVICES | OK | NA | C Corporation | Yes (true) |
| ST JOHN PHYSICIANS INC | |||||||||
| 1923 SOUTH UTICA AVENUE | TULSA | OK | 74104 | 731321032 | MEDICAL SERVICES | OK | NA | C Corporation | Yes (true) |
| CERES MEDICAL PRACTICE INC | |||||||||
| 3400 E FRANK PHILLIPS BLVD | BARTLESVILLE | OK | 74006 | 731522656 | MEDICAL SERVICES | OK | NA | C Corporation | Yes (true) |
| GEMINI MEDICAL GROUP INC | |||||||||
| 3400 E FRANK PHILLIPS BLVD | BARTLESVILLE | OK | 74006 | 731503529 | MEDICAL SERVICES | OK | NA | C Corporation | Yes (true) |
| JANE PHILLIPS SPECIALTY PHYSICIANS INC | |||||||||
| 3400 E FRANK PHILLIPS BLVD | BARTLESVILLE | OK | 74006 | 010879962 | MEDICAL SERVICES | OK | NA | C Corporation | Yes (true) |
| SYNERGY HOSPITALIST GROUP INC | |||||||||
| 3400 E FRANK PHILLIPS BLVD | BARTLESVILLE | OK | 74006 | 300375404 | MEDICAL SERVICES | OK | NA | C Corporation | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST JOHN MEDICAL CENTER INC | ||
| Q | $3,094,533 | FM of Services or Cash |
| ST JOHN MEDICAL CENTER INC | ||
| P | $1,510,921 | FM of Services or Cash |
| JANE PHILLIPS MEMORIAL MEDICAL CENTER | ||
| Q | $1,050,875 | FM of Services or Cash |
| JANE PHILLIPS MEMORIAL MEDICAL CENTER | ||
| P | $3,717,608 | FM of Services or Cash |
| REGIONAL MEDICAL LABORATORIES INC | ||
| L | $424,660 | FM of Services or Cash |
| REGIONAL MEDICAL LABORATORIES INC | ||
| P | $632,489 | FM of Services or Cash |
| REGIONAL MEDICAL LABORATORIES INC | ||
| Q | $87,124 | FM of Services or Cash |
| PHYSICIAN SUPPORT SERVICES | ||
| P | $99,330 | FM of Services or Cash |
Comments