WARREN CLINIC INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
WARREN CLINIC INC (EIN 73-1310891)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-12
IRS object ID
201731329349306148
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-12T18:00:50-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1425 HOUSTON ST SUITE 600AddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN731310891EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Warren Clinic IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% ERIC E SCHICKInCareOfNm
Business Name ControlWARRBusinessNameControlTxt
Phone9185028126PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16600 S YALE AVE SUITE 400AddressLine1Txt
CityTULSACityNm
State AbbreviationOKStateAbbreviationCd
ZIP741363319ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonERIC E SCHICKPersonNm
Person TitleTREASURER/CFOPersonTitleTxt
Signature2017-05-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKATHLEEN MOSELEYPreparerPersonNm
PTINP00116760PTIN
Phone8173351900PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerERIC E SCHICKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16600 S YALE AVEAddressLine1Txt
CityTULSACityNm
State AbbreviationOKStateAbbreviationCd
ZIP741363319ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$159,594,318GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.WARRENCLINIC.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionTO EXTEND THE PRESENCE AND HEALING MINISTRY OF CHRIST IN ALL WE DO.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee1553TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,620PYContributionsGrantsAmt
CY Contributions Grants$30,374CYContributionsGrantsAmt
PY Program Service Revenue$144,574,317PYProgramServiceRevenueAmt
CY Program Service Revenue$156,494,890CYProgramServiceRevenueAmt
PY Investment Income-$2,522PYInvestmentIncomeAmt
CY Investment Income$248,752CYInvestmentIncomeAmt
PY Other Revenue$2,145,178PYOtherRevenueAmt
CY Other Revenue$2,797,985CYOtherRevenueAmt
PY Total Revenue$146,718,593PYTotalRevenueAmt
CY Total Revenue$159,572,001CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$12,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$137,789,312PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$146,090,373CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$46,735,404PYOtherExpensesAmt
CY Other Expenses$45,629,050CYOtherExpensesAmt
PY Total Expenses$184,524,716PYTotalExpensesAmt
CY Total Expenses$191,731,923CYTotalExpensesAmt
PY Revenues Less Expenses-$37,806,123PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$32,159,922CYRevenuesLessExpensesAmt
Total Assets BOY$44,373,482TotalAssetsBOYAmt
Total Assets EOY$54,464,607TotalAssetsEOYAmt
Total Liabilities BOY$38,861,063TotalLiabilitiesBOYAmt
Total Liabilities EOY$43,078,538TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,512,419NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,386,069NetAssetsOrFundBalancesEOYAmt
MissionTO EXTEND THE PRESENCE AND HEALING MINISTRY OF CHRIST IN ALL WE DO.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$171,613,122ExpenseAmt
Grant$12,500GrantAmt
Revenue$158,994,821RevenueAmt
DescWARREN CLINIC, INC. AND ITS EMPLOYED PROVIDERS PROVIDE QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IT HAS A STRONG COMMITMENT TO HELP MEET THE NEEDS OF THE COMMUNITIES IT SERVES. RECOGNIZING THIS COMMITMENT, WARREN CLINIC PROVIDES SERVICES TO BOTH MEDICAID AND INDIGENT PATIENTS. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $11,029,000 IN FISCAL YEAR 2016. WARREN CLINIC, INC. PROVIDES PHYSICIAN SERVICES TO COMMUNITIES WHICH ARE DESIGNATED PHYSICIAN SHORTAGE AREAS. TRAINING FOR MEDICAL STUDENTS IS ALSO PROVIDED BY WARREN CLINIC PHYSICIANS.Desc
Total Program Service Expenses$171,613,122TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document133IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1553EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonERIC E SCHICKPersonNm
Phone9184948430PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16161 S YALE AVEAddressLine1Txt
CityTULSACityNm
State AbbreviationOKStateAbbreviationCd
ZIP741363319ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jake Henry Jr
PRESIDENT/CEO/DIRECTOR/TRUSTEE1.039.0Yes (X)Yes (X)$0$2,131,200$77,386
Barry L Steichen
VICE PRESIDENT/COO/DIRECTOR1.039.0Yes (X)Yes (X)$0$935,527$163,173
William R Lissau
Director1.00.0Yes (X)$0$0$0
William K Warren Jr
Trustee1.00.0Yes (X)$0$0$0
Judy Kishner
Trustee1.00.0Yes (X)$0$0$0
Eric E Schick
Treasurer/CFO1.039.0Yes (X)$0$596,681$201,274
Jeffrey C Sacra
ASSISTANT Secretary1.039.0Yes (X)$0$298,093$57,639
Janine Smith
Asst Secretary(Until 12/31/15)1.039.0Yes (X)$0$71,754$28,429
THOMAS G NEFF
SECRETARY1.039.0Yes (X)$0$472,986$94,156
Robert Eli Smith
Administrator (Until 12/31/15)39.01.0$193,261$0$27,164Yes (X)
Steven Sanders MD
VP Medical Affairs40.00.0$340,107$0$73,721Yes (X)
CHARLEY TRIMBLE
ADMINISTRATOR (Start 1/5/16)39.01.0$90,142$0$1,357Yes (X)
Lynn Wiens MD
Physician40.00.0$1,169,382$0$52,451Yes (X)
Ryan Gursky MD
Physician35.05.0$1,300,110$42,000$52,451Yes (X)
FRANK SCHMIDT MD
Physician35.05.0$1,104,903$261,573$42,921Yes (X)
MARK ALLISON MD
Physician40.00.0$1,069,418$0$54,951Yes (X)
Muhammad Janjua MD
Physician40.00.0$1,497,428$0$53,778Yes (X)
Lance King
Former Administrator0.040.0$381,592$0$54,951Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,146,343TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,809,814TotReportableCompRltdOrgAmt
Total Other Compensation$1,035,802TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K282IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Warren Professional Building
6585 South Yale AvenueTULSAOK74147Bldg Rent$7,792,697
Barton Associates Inc
300 Julilee DrPEABODYMA01960Healthcare Staffing$768,547
Workspace Solutions Inc
7501 Broadway ExtOKLAHOMA CITYOK73116Office Furn/Services$719,863
Weatherby Locums Inc
PO Box 972633DALLASTX753972633Locum Physicians$666,530
Robert L Archer Management
802 S Jackson Ste 200TULSAOK74127CVT Surgical Coverag$561,574
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
All Other Contributions$30,374AllOtherContributionsAmt
Noncash Contributions$8,344NoncashContributionsAmt
Total Contributions$30,374TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHYSICIAN SERVICES621300$156,352,465$156,352,465
RENTAL INCOME FROM AFFILIATES532000$142,425$142,425
FieldValueIRS element (for citing)
Total Program Service Revenue$156,494,890TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$263,072TotalRevenueColumnAmt
Exclusion$263,072ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$298,054RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$298,054RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$298,054TotalRevenueColumnAmt
Exclusion$298,054ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$7,997OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$22,317OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$14,320OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$14,320TotalRevenueColumnAmt
Exclusion-$14,320ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
AFFILIATE REVENUE - BUSINESS OFFICE900099$2,472,798$2,472,798
AFFILIATE REVENUE - MANAGEMENT FEES900099$135,960$135,960
ALL OTHER REVENUE900099-$108,827-$108,827
FieldValueIRS element (for citing)
Other Revenue Total$2,499,931OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$159,572,001TotalRevenueColumnAmt
Related Or Exempt Func Income$158,994,821RelatedOrExemptFuncIncomeAmt
Exclusion$546,806ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$12,500TotalAmt
Program Services$12,500ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$986,050TotalAmt
Management And General$986,050ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$233,705TotalAmt
Program Services$233,705ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$125,648,796TotalAmt
Program Services$116,552,853ProgramServicesAmt
Management And General$9,095,943ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,959,338TotalAmt
Program Services$7,911,012ProgramServicesAmt
Management And General$48,326ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,445,437TotalAmt
Program Services$4,543,725ProgramServicesAmt
Management And General$901,712ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,817,047TotalAmt
Program Services$5,359,448ProgramServicesAmt
Management And General$457,599ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services-$12,953ProgramServicesAmt
Management And General$12,953ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$15,245TotalAmt
Program Services$2,039ProgramServicesAmt
Management And General$13,206ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$50,195TotalAmt
Management And General$50,195ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$9,297TotalAmt
Program Services$9,297ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,211,348TotalAmt
Program Services$2,585,877ProgramServicesAmt
Management And General$4,625,471ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$492,041TotalAmt
Program Services$319,291ProgramServicesAmt
Management And General$172,750ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,280,805TotalAmt
Program Services$2,540,125ProgramServicesAmt
Management And General$740,680ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$99,535TotalAmt
Program Services$70,623ProgramServicesAmt
Management And General$28,912ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,641,481TotalAmt
Program Services$7,952,635ProgramServicesAmt
Management And General$1,688,846ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$304,699TotalAmt
Program Services$251,438ProgramServicesAmt
Management And General$53,261ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$325,753TotalAmt
Program Services$298,394ProgramServicesAmt
Management And General$27,359ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,403,437TotalAmt
Program Services$2,284,375ProgramServicesAmt
Management And General$119,062ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,542,460TotalAmt
Program Services$2,162,939ProgramServicesAmt
Management And General$379,521ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$9,449,750$9,355,682$94,068
ADMINISTRATIVE EXPENSE$4,157,437$4,185,805-$28,368
BAD DEBT EXPENSE$4,347,592$4,406,835-$59,243
EMPLOYEE EXPENSE$849,916$166,991$682,925

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$448,059TotalAmt
Program Services$420,486ProgramServicesAmt
Management And General$27,573ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$191,731,923TotalAmt
Program Services$171,613,122ProgramServicesAmt
Management And General$20,118,801ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$144,768BOYAmt
EOY$137,867EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,107,820BOYAmt
EOY$9,985,269EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,690,140BOYAmt
EOY$13,469,372EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$371,175BOYAmt
EOY$598,431EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$321,830BOYAmt
EOY$234,060EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$48,234,772LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,477,278LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$18,785,498BOYAmt
EOY$27,757,494EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,702,297BOYAmt
EOY$1,938,281EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$249,954BOYAmt
EOY$343,833EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$44,373,482BOYAmt
EOY$54,464,607EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$33,752,880BOYAmt
EOY$36,523,611EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$15,746BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,092,437BOYAmt
EOY$6,554,927EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$38,861,063BOYAmt
EOY$43,078,538EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,512,419BOYAmt
EOY$11,386,069EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,512,419BOYAmt
EOY$11,386,069EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$44,373,482BOYAmt
EOY$54,464,607EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$32,159,922ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$38,033,572OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

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

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$9,297OtherActivitiesAmt
Total Lobbying Expenditures$9,297TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationWARREN CLINIC, INC., THROUGH THE MEMBERSHIP DUES PAID ON BEHALF OF PHYSICIANS TO THE AMERICAN MEDICAL ASSOCIATION AND OKLAHOMA STATE MEDICAL ASSOCIATION, PARTICIPATE IN LOBBYING AND GRASS ROOTS POLITICAL ACTIVITY. IT IS LESS THAN A SUBSTANTIAL PART OF THE TOTAL CLINIC EXPENDITURES IN A TAXABLE YEAR. THE LOBBYING AND GRASS ROOTS POLITICAL ACTIVITY IS RELATED TO LEGISLATURE AFFECTING THE CLINIC, IN PARTICULAR THE PROMOTION OF HEALTH.ExplanationTxt

Schedule D IRS990ScheduleD

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

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$3,622,373OtherCostOrOtherBasisAmt
Book Value$3,622,373BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$26,265,122OtherCostOrOtherBasisAmt
Depreciation$10,908,933DepreciationAmt
Book Value$15,356,189BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$2,252,141OtherCostOrOtherBasisAmt
Depreciation$911,039DepreciationAmt
Book Value$1,341,102BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$15,538,409OtherCostOrOtherBasisAmt
Depreciation$8,657,306DepreciationAmt
Book Value$6,881,103BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$556,727OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$556,727BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$27,757,494TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
OPERATING LEASE LIABILITY$684,083
PROF LIABILITY INSURANCE RESERVE$5,869,631
DUE TO AFFILIATES$1,213
FieldValueIRS element (for citing)
Total Liability$6,554,927TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationACCOUNTING STANDARDS CODIFICATION TOPIC (ASC) 740, INCOME TAXES, PROVIDES GUIDANCE REGARDING RECOGNITION, DE-RECOGNITION, MEASUREMENT, AND DISCLOSURE OF ALL TAX POSITIONS. IN ACCORDANCE WITH THE REQUIREMENTS OF ASC 740, THE CLINIC IDENTIFIES AND DOCUMENTS UNCERTAIN TAX POSITIONS FOR ALL OPEN TAX YEARS. IF UNCERTAIN TAX POSITIONS ARE IDENTIFIED, THEY ARE ANALYZED TO DETERMINE THE PROPER UNIT OF ACCOUNT. NEXT, THEY ARE TESTED TO DETERMINE WHETHER A TAX ASSET OR A TAX LIABILITY SHOULD BE RECOGNIZED. WARREN CLINIC, INC. HAS ASSESSED ITS UNCERTAIN TAX POSITIONS AND DETERMINED THEY ARE MORE LIKELY THAN NOT TO BE FULLY SUSTAINED UPON EXAMINATION. THEREFORE, NO LIABILITY OR ASSET FOR UNCERTAIN TAX POSITIONS NEEDS TO BE RECORDED.ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1AMERICAN CANCER SOCIETY INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1High Plains DivisionAddressLine1Txt
Address Line21100 Pennsylvania AvenueAddressLine2Txt
CityKansas CityCityNm
State AbbreviationMOStateAbbreviationCd
ZIP641051336ZIPCd
FieldValueIRS element (for citing)
Recipient EIN131788491RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$8,750CashGrantAmt
Purpose Of GrantRELAY FOR LIFE SPONSORSHIPSPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationWARREN CLINIC, INC. PROVIDES GRANT FUNDS TO OTHER 501(C)(3) EXEMPT ORGANIZATIONS THAT FURTHER THE EXEMPT PURPOSES OF WARREN CLINIC, INC. THE SAINT FRANCIS HEALTH SYSTEM EXECUTIVE DIRECTOR OF CORPORATE COMMUNICATIONS AND MARKETING ARRANGES THE SPONSORSHIPS EACH YEAR AS DETERMINED BY THE COMMUNITIES IN WHICH WARREN CLINIC, INC. HAS A PRESENCE. WARREN CLINIC, INC. DOES NOT MONITOR THE USE OF GRANTS FUNDS SINCE GRANTS ARE ONLY MADE TO SECTION 501(C)(3) PUBLIC CHARITIES THAT FURTHER THE EXEMPT PURPOSE OF WARREN CLINIC, INC.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jake Henry Jr
PRESIDENT/CEO/DIRECTOR/TRUSTEE$0$973,985$0$1,100,291$0$56,924$0$65,274$0$12,112$0$2,208,586$0$0
Barry L Steichen
VICE PRESIDENT/COO/DIRECTOR$0$636,785$0$286,465$0$12,277$0$148,153$0$15,020$0$1,098,700$0$0
Eric E Schick
Treasurer/CFO$0$417,144$0$175,413$0$4,124$0$186,254$0$15,020$0$797,955$0$0
Jeffrey C Sacra
ASSISTANT Secretary$0$214,496$0$79,462$0$4,135$0$53,725$0$3,914$0$355,732$0$0
Robert Eli Smith
Administrator (Until 12/31/15)$190,163$0$0$0$3,098$0$25,805$0$1,359$0$220,425$0$0$0
Steven Sanders MD
VP Medical Affairs$265,862$0$64,375$0$9,870$0$68,213$0$5,508$0$413,828$0$0$0
Lynn Wiens MD
Physician$1,166,507$0$2,226$0$649$0$33,250$0$19,201$0$1,221,833$0$0$0
Ryan Gursky MD
Physician$1,297,884$42,000$2,226$0$0$0$33,251$0$19,200$0$1,352,561$42,000$0$0
FRANK SCHMIDT MD
Physician$1,102,317$261,573$2,226$0$360$0$24,251$0$18,670$0$1,147,824$261,573$0$0
MARK ALLISON MD
Physician$1,049,192$0$2,226$0$18,000$0$33,250$0$21,701$0$1,124,369$0$0$0
Muhammad Janjua MD
Physician$1,495,202$0$2,226$0$0$0$33,250$0$20,528$0$1,551,206$0$0$0
Lance King
Former Administrator$365,437$0$2,226$0$13,929$0$33,251$0$21,700$0$436,543$0$0$0
THOMAS G NEFF
SECRETARY$0$308,756$0$147,609$0$16,621$0$79,345$0$14,811$0$567,142$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1BCERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II PARTICIPATED IN KEY BUSINESS ACTIVITIES ACCOMPANIED BY THEIR SPOUSE. ADDITIONALLY THESE SAME INDIVIDUALS MAY HAVE INCURRED PERSONAL EXPENSE RELATED TO THESE KEY BUSINESS ACTIVITIES WITH PROPER DOCUMENTATION AND APPROVAL, SAINT FRANCIS HEALTH SYSTEM INCLUDES THESE REIMBURSEMENTS AS W-2 WAGES FOR THE EMPLOYEE. THESE WAGES ARE GROSSED UP TO PROVIDE TAX INDEMNIFICATION TO THE EMPLOYEE.
SCHEDULE J, PART I, LINE 4BA SELECT GROUP OF HIGHLY COMPENSATED EMPLOYEES OF SAINT FRANCIS HEALTH SYSTEM, INC., AND ITS RELATED ENTITIES, SAINT FRANCIS HOSPITAL, INC., LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL, INC., WARREN CLINIC, INC., SAINT FRANCIS HOSPITAL SOUTH, LLC, SAINT FRANCIS HOME HEALTH, INC., THE CHILDREN'S HOSPITAL FOUNDATION AT SAINT FRANCIS, AND WARREN CANCER RESEARCH FOUNDATION ARE ELIGIBLE TO PARTICIPATE IN A NONQUALIFIED DEFERRED COMPENSATION PLAN UNDER SECTION 457(B) AND SECTION 457(F) OF THE INTERNAL REVENUE CODE OF 1986 AS AMENDED UNDER THE ECONOMIC GROWTH AND TAX RELIEF RECONCILIATION ACT OF 2001. NONE OF THE INDIVIDUALS LISTED ON SCHEDULE J ARE COMPENSATED AS BOARD MEMBERS OF THE REPORTING ENTITY. THE REPORTED COMPENSATION IS FOR SERVICES AS EMPLOYEES OF THE REPORTING ENTITY OR RELATED ORGANIZATION.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonMARTINA HUM MDPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionMARRIED TO SR VPRelationshipDescriptionTxt
Transaction$233,705TransactionAmt
TransactionPHYSICIAN COMPENSATIONTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV, LINE 1FormAndLineReferenceDesc
ExplanationDR. MARTINA HUM, AN EMPLOYED PHYSICIAN OF WARREN CLINIC, INC., IS MARRIED TO THOMAS G. NEFF, SR. VICE PRESIDENT OF STRATEGIC PLANNING AND SECRETARY FOR SAINT FRANCIS HEALTH SYSTEM. HER COMPENSATION AND BENEFITS ARE REPORTED ON FORM 990, PART IX, LINE 6.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 2BSAINT FRANCIS PAYROLL SERVICES, LLC, EIN 45-0470422, HAS BEEN AUTHORIZED TO ACT AS A COMMON PAY AGENT UNDER SECTION 3504 OF THE INTERNAL REVENUE CODE FOR WARREN CLINIC, INC., EFFECTIVE JULY 1, 2002. IN ACCORDANCE WITH REVENUE PROCEDURE 70-6, 1970-1 C.B. 420, SAINT FRANCIS PAYROLL SERVICES, LLC ASSUMED REPORTING OBLIGATIONS FOR FEDERAL INCOME TAX, SOCIAL SECURITY, MEDICARE WITHHOLDING TAX PURPOSES AS WELL AS ADVANCE PAYMENT OF EARNED INCOME CREDIT FOR WARREN CLINIC, INC. AND YEAR-END REPORTING EFFECTIVE JULY 1, 2002.
FORM 990, PART VI, LINE 2SEVERAL PERSONS IN THIS CATEGORY SERVE ON OTHER BOARDS OR ARE RELATED. THE ORGANIZATIONS HAVE DETERMINED THAT THESE ASSOCIATIONS DO NOT PRESENT A CONFLICT OF INTEREST. WILLIAM R. LISSAU, A DIRECTOR, HAS BUSINESS RELATIONSHIPS WITH WILLIAM K. WARREN, JR., A TRUSTEE. JAKE HENRY, JR. AN OFFICER AND DIRECTOR, SERVES ON OTHER BOARDS OUTSIDE OF WARREN CLINIC, INC. WITH WILLIAM K. WARREN, JR., A TRUSTEE, AND WILLIAM R. LISSAU, A DIRECTOR. THE RELATIONSHIPS BETWEEN JAKE HENRY, JR., AND WILLIAM K. WARREN, JR. ARE DESIGNATED AS BUSINESS RELATIONSHIPS.
FORM 990, PART VI, LINE 3THE ORGANIZATION BY ITS BYLAWS AND RESOLUTION DELEGATES GOVERNANCE OF ITS OPERATIONS TO THE DIRECTORS OF SAINT FRANCIS HEALTH SYSTEM, INC.
FORM 990, PART VI, LINE 6THE ORGANIZATION HAS THREE MEMBERS.
FORM 990, PART VI, LINE 7ATHE MEMBERS ELECT THE GOVERNING BODY.
FORM 990, PART VI, LINE 7BThe Board of Directors and a majority of the Members approve the sale of corporate assets valued at $10,000,000 or more. The Members have sole authority to: -Amend the Certificate of Incorporation -Approve mergers or consolidations -Approve the sale, lease or transfer of all, or substantially all, of the assets of the corporation -Amendment of bylaws -Appointment of Board members
FORM 990, PART VI, LINE 11BTHE FINANCE COMMITTEE, A SUB-COMMITTEE OF THE BOARD OF DIRECTORS OF SAINT FRANCIS HEALTH SYSTEM, INC. HAS ACCESS TO REVIEW THE PASSWORD PROTECTED FORM 990 ONLINE PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, LINE 12CTHE ORGANIZATION USES THE CONFLICT OF INTEREST, WHISTLEBLOWER AND RECORD RETENTION POLICIES OF SAINT FRANCIS HEALTH SYSTEM, INC. A REQUEST FOR INFORMATION ON POTENTIAL CONFLICTS IS SOLICITED ANNUALLY FROM DIRECTORS, TRUSTEES AND ALL EMPLOYEES AT MANAGER LEVEL AND ABOVE TO MONITOR FOR PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND DEALING WITH POTENTIAL OR ACTUAL CONFLICTS. TWO DIRECTORS, ONE DIRECTOR/OFFICER, ONE OFFICER AND ONE KEY EMPLOYEE REPORTED POTENTIAL CONFLICTS THAT WERE ADDRESSED BY THE GOVERNING BODY. CONFLICTS ARE REGULARLY DISCLOSED AND ADDRESSED.
FORM 990, PART VI, LINES 15A & BCOMPENSATION OF OFFICIALS AND KEY EMPLOYEES ARE ANNUALLY REVIEWED AND APPROVED BY A COMMITTEE OF DIRECTORS WITH GUIDANCE FROM INDEPENDENT CONSULTANTS AND USE OF COMPARATIVE DATA.
FORM 990, PART VI, SECTION C, LINE 19THESE REQUESTS ARE DETERMINED ON A CASE-BY-CASE BASIS. 990, PART VII, SECTION A, LINE 1 THE HOURS PER WEEK REPORTED ON FORM 990, PART VII FOR OFFICERS AND DIRECTORS ARE THE HOURS SPENT ON THE FILING ENTITY ONLY. THE REMAINING PORTION OF THE 40 HOURS PER WEEK OF THE OFFICERS AND DIRECTORS WITH RELATED COMPENSATION IS ALLOCATED AMONG THE ENTITIES REPORTED ON SCHEDULE R.
FORM 990, PART XI, LINE 9WARREN CLINIC, INC., HAD NET TRANSACTIONS FROM SAINT FRANCIS HEALTH SYSTEM IN THE AMOUNT OF $38,033,572 IN FY16 DUE TO YEAR END EQUITY TRANSFERS BETWEEN ENTITIES.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Saint Francis Health System INC
6600 S Yale Ave Ste 400TulsaOK741363319731501972Health SVCSOK501(C)(3)11B TYPE IINAfalse
Saint Francis Hospital INC
6600 S Yale Ave Ste 400TulsaOK741363319730700090Health SVCSOK501(C)(3)3SFHSYes (true)
Saint Francis Hospital South LLC
6600 S Yale Ave Ste 400TulsaOK741363319010603214Health SVCSOK501(C)(3)3SFHSYes (true)
Laureate Psychiatric Clinic & Hospital
6600 S Yale Ave Ste 400TulsaOK741363319731308273Health SVCSOK501(C)(3)3SFHSYes (true)
McAlester Ambulatory Surgery Center LLC
6600 S Yale Ave Ste 400TulsaOK741363319731599085Health SVCSOK501(C)(3)3WCIfalse
the Children's HOSP Fnd at Saint Francis
6600 S Yale Ave Ste 400TulsaOK741363319202843418Health SVCSOK501(C)(3)11A TYPE ISFHSYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationInd
Saint Francis Payroll Services LLC
6600 S Yale Ave Ste 400TulsaOK741363319450470422Common Pay AgentOKSFHSC Corp$0$0Yes (true)
XAVIER INSURANCE COMPANY INC
76 St Paul st Ste 500BurlingtonVT05401030333599INSURANCE COVTSFHC Corp$0$0Yes (true)
Saint Francis Hlth sys gen-prof liab
PO Box 3038MilwaukeeWI53215756583874Self InsuranceOKSFHSTrust$0$0Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (19 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SAINT FRANCIS HEALTH SYSTEM INC
C$28,101,128TRANS REVIEW
LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC
L$346,408TRANS REVIEW
LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC
P$303,606TRANS REVIEW
LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC
Q$256,341TRANS REVIEW
SAINT FRANCIS HOSPITAL INC
i$411,868TRANS REVIEW
SAINT FRANCIS HOSPITAL INC
J$225,311TRANS REVIEW
SAINT FRANCIS HOSPITAL INC
K$412,926TRANS REVIEW
SAINT FRANCIS HOSPITAL INC
L$5,815,116TRANS REVIEW
SAINT FRANCIS HOSPITAL INC
M$9,155,345TRANS REVIEW
SAINT FRANCIS HOSPITAL INC
P$429,636,433TRANS REVIEW
SAINT FRANCIS HOSPITAL INC
Q$256,126,736TRANS REVIEW
SAINT FRANCIS HOSPITAL INC
R$144,698,180TRANS REVIEW
SAINT FRANCIS HOSPITAL INC
S$3,663,625TRANS REVIEW
SAINT FRANCIS HOSPITAL SOUTH LLC
K$602,800TRANS REVIEW
SAINT FRANCIS HOSPITAL SOUTH LLC
L$120,093TRANS REVIEW
SAINT FRANCIS HOSPITAL SOUTH LLC
P$4,510,632TRANS REVIEW
SAINT FRANCIS HOSPITAL SOUTH LLC
Q$5,455,364TRANS REVIEW
MCALESTER AMBULATORY SURGERY CENTER
L$177,000TRANS REVIEW
MCALESTER AMBULATORY SURGERY CENTER
Q$166,641TRANS REVIEW

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