2016-05-13T17:27:33-05:00 2015-06-30 ERNST & YOUNG US LLP 425 HOUSTON ST SUITE 600 FORT WORTH TX 76102 990 2014-07-01 731308273 Laureate Psychiatric Clinic and HospitalInc % ERIC SCHICK LAUR 9185028126 6600 S YALE AVE SUITE 400 TULSA OK 741363319 ERIC E SCHICK TREASURER/CFO 9184948430 2016-05-13 KATHLEEN MOSELEY P00116760 8173351900 2014 2016-08-17 19:52:53Z ERIC SCHICK 6600 S YALE AVE TULSA OK 741363319 38700405 false X WWW.LAUREATE.COM X 1987 OK TO EXTEND THE PRESENCE AND HEALING MINISTRY OF CHRIST IN ALL WE DO. 3 1 466 33 0 856290 856259 35148827 36998616 -4288 -5984 527960 552151 36528789 38401042 2653 0 0 0 22901575 23415955 0 0 0 9954174 12101498 32858402 35517453 3670387 2883589 55665406 56691395 4658628 5824759 51006778 50866636 X TO EXTEND THE PRESENCE AND HEALING MINISTRY OF CHRIST IN ALL WE DO. false false 6547504 0 5672633 SEE SCHEDULE O 5269388 0 13194185 SEE SCHEDULE O 4294623 0 9462723 SEE SCHEDULE O 11438385 0 8829796 27549900 true true false false false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true X 51 0 true 466 true false false false false false false false false false false X 3 1 true true false false true true true true true false false false true true true true true true true false OK X ERIC SCHICK 9184948430 6161 S YALE AVE TULSA OK 741363319 X Jake Henry Jr PRESIDENT/CEO/DIRECTOR 1.0 39.0 X X 0 2196101 70844 Barry L Steichen VICE PRESIDENT/COO/DIRECTOR 1.0 39.0 X X 0 1133398 222262 William R Lissau Director 1.0 0.0 X 0 0 0 William K Warren Jr Trustee 1.0 0.0 X 0 0 0 Bishop Edward J Slattery Trustee 1.0 0.0 X 0 0 0 Judy Kishner Trustee 1.0 0.0 X 0 0 0 Jeffrey C Sacra Secretary 1.0 39.0 X 0 290042 58870 Janine Smith Assistant Secretary 1.0 39.0 X 0 57031 23593 Eric E Schick TREASURER/CFO 1.0 39.0 X 0 467864 154863 Renee Bevins ASST SECRETARY (Until 11/8/14) 1.0 39.0 X 0 77868 6683 Tom Neff VP/COO (UNTIL 12/31/14) 1.0 39.0 X 0 462633 90997 William Schloss Administrator 40.0 0.0 X 509684 0 96212 Katherine Godwin MD Physician 40.0 0.0 X 277548 0 57717 Thomas Luiskutty MD Physician 1.0 39.0 X 4740 778877 41053 Michael McLaughlin MD Physician 40.0 0.0 X 376356 0 33358 Scott Moseman MD Physician 40.0 0.0 X 324098 0 37501 Michael Dubriwny MD Physician 40.0 0.0 X 269984 0 45710 Robert Eli Smith FMR ASST SEC (UNTIL 12/31/13) 0.0 40.0 X 0 258089 42102 1762410 5721903 981765 24 true true false FLINTCO LLC 8800 PAGE AVE ST LOUIS MO 63114 CONSTRUCTION SVCS 4573156 WORKSPACE SOLUTIONS INC 6101 W RENO AVE OKLAHOMA CITY OK 73127 STAFFING SERVICES 638537 CONTECH INC 114 S ELM PL BROKEN ARROW OK 74012 PEST CONTROL SERVICE 507833 OTIS ELEVATOR COMPANY INC 1444 N COCKRELL HILL RD STE 102 DALLAS TX 75211 ELEVATOR MAINTENANCE 156535 WARREN PROFESSIONAL BUILDING 6585 S YALE AVENUE TULSA OK 74147 BLDG RENT 154121 6 840000 16259 856259 PATIENT SERVICES,NET OF CONTRACTUAL ADJUSTMENT 621110 36836154 36836154 MEANINGFUL USE 621110 162462 162462 36998616 3886 3886 0 0 388740 388740 0 388740 388740 289493 299363 -9870 -9870 -9870 0 0 0 MANAGEMENT SERVICES FOR AFFILIATES 541610 160721 160721 AUXILIARY SHOP SALES OR AUDITS 453220 2598 2598 OTHER REVENUE 900099 92 92 163411 38401042 37159337 385446 0 0 0 0 603326 603326 0 18605538 16852461 1753077 1366493 1234696 131797 1609917 1414343 195574 1230681 1097632 133049 0 460 460 31650 31650 0 0 0 1126925 523332 603593 152250 120414 31836 0 909295 829099 80196 0 1056756 24386 1032370 0 1068940 1068621 319 80009 79119 890 0 0 0 0 2360985 2360985 204691 61319 143372 BAD DEBT EXPENSE 2471155 2469939 1216 0 MEDICAID SHOPP FEE 785850 785850 0 0 ADMINISTRATIVE EXPENSES 651684 0 651684 0 MEDICAL SUPPLIES 572125 568091 4034 0 628723 420598 208125 35517453 27549900 7967553 0 3271377 1993376 365389 390026 0 0 3336501 5627909 0 0 0 0 22166 49192 112781 140153 129621 114839 90813750 42866951 47821759 47946799 0 0 0 0 0 0 0 0 605812 429101 55665406 56691395 4201815 5187556 0 0 0 0 0 0 0 0 0 0 0 0 0 0 456813 637203 4658628 5824759 X 51006778 50866636 0 0 0 0 51006778 50866636 55665406 56691395 X 2883589 -3023731 X true X true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13060926 13060926 49345163 19746956 29598207 6772757 6771093 1664 18887458 16314853 2572605 2747446 34049 2713397 47946799 0 PROF. LIABILITY INSURANCE RESERVE 274219 THIRD PARTY SETTLEMENT 362984 637203 X PART X, LINE 2 ASC 740 PROVIDES GUIDANCE REGARDING RECOGNITION, DE-RECOGNITION, MEASUREMENT, AND DISCLOSURE OF ALL TAX POSITIONS. IN ACCORDANCE WITH THE REQUIREMENTS OF ASC 740, LAUREATE IDENTIFIES AND DOCUMENTS UNCERTAIN TAX POSITIONS FOR ALL OPEN TAX YEARS. IF UNCERTAIN TAX POSITIONS ARE IDENTIFIED, THEY ARE ANALYZED TO DETERMINE THE PROPER UNIT OF ACCOUNT. NEXT THEY ARE TESTED TO DETERMINE WHETHER A TAX ASSET OR A TAX LIABILITY SHOULD BE RECOGNIZED. LAUREATE HAS DETERMINED THAT THE POSITION ON UNCERTAIN TAX POSITIONS IS MORE LIKELY THAN NOT TO BE FULLY SUSTAINED UPON EXAMINATION. THEREFORE, NO LIABILITY OR ASSET FOR UNCERTAIN TAX POSITIONS NEEDS TO BE RECORDED. true true X true X 225. false true true true false true true 1416083 1416083 0.04290 1420010 167919 1252091 0.03790 2836093 167919 2668174 0.08080 5988365 5130864 857501 0.02590 5988365 5130864 857501 0.02590 8824458 5298783 3525675 0.10670 true 2471155 1828655 8033100 8997721 -964621 X true true 1 1 LAUREATE PSYCHIATRIC CLINIC & HOSP 6600 S YALE AVE STE 400 TULSA OK 74136 WWW.LAUREATE.COM 2323 X LAUREATE PSYCHIATRIC CLINIC & HOSP 1 false false true X X X X X X X X 12 true true true true X SEE SCHEDULE H, PART V, SECTION C X true 12 true SEE SCHEDULE H, PART V, SECTION C false false true X 225. 0. X X X X X true true X X X X true X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X X X true X false X X X X X true X false false PART V, SECTION B, LINE 5 Larry Andelt, Ph.D., Mark DeKraai, J.D., Ph.D, Jill Heese, and The University of Nebraska Public Policy Center were involved in conducting the Community Health Needs Assessment as contracted by the Tulsa County Health Department. Community input focus group sessions were conducted in each of the six Tulsa Health Department defined regions. PART V, SECTION B, LINE 6A Laureate Psychiatric Clinic and Hospital, Inc. conducted the CHNA with Saint Francis Hospital and Saint Francis Hospital South, LLC. Part V, Section B, Line 6b Laureate Psychiatric Clinic and Hospital, Inc.'s CHNA was conducted by the Tulsa County Health Department. Part V, Section B, Line 7a www.SaintFrancis.com/pages/about-us/community-needs-assessment.aspx Part V, Section B, Line 10a www.SaintFrancis.com/pages/about-us/community-needs-assessment.aspx Part V, Section B, Line 11 The CHNA identified the top needs (in order of highest priority) of the Tulsa community as poor diet/inactivity; obesity; alcohol and drug use; chronic disease; access to health care; and tobacco use. Laureate Psychiatric Clinic and Hospital, Inc. and the other Saint Francis integrated health system entities are addressing the community needs through various programs designed to improve access to health care, advance knowledge, identify root causes, and improve health status and quality of life. Poor diet/inactivity; Obesity: Laureate Psychiatric Clinic and Hospital, Inc. is not addressing this issue; however, Saint Francis integrated health system entities collaborate with community partners to educate the public on weight management and wellness programs designed to address poor diet/inactivity and obesity. Alcohol and drug use: Oklahoma has the fifth highest drug overdose mortality rate in the United States, with 19.4 per 100,000 people suffering drug overdose fatalities, according to a new report, Prescription Drug Abuse: Strategies to Stop the Epidemic, dated October 7, 2013. Laureate Psychiatric Clinic and Hospital, Inc. offers substance abuse counseling for adults on both an inpatient and outpatient basis to address alcohol and drug abuse. Other entities in the community addressing this issue include Parkside Psychiatric Hospital, Brookhaven Hospital, Indian Healthcare Resource Center of Tulsa, Oxford House, St. John Health System, Hillcrest Health System, Alcoholics Anonymous, Shadow Mountain Behavioral Health System, Tulsa Center for Behavioral Health and Family and Children's Services. Chronic disease: Chronic diseases are among the most prevalent, costly and preventable of all health problems. Particularly of concern is heart disease, often linked to high tobacco use; diabetes, which is closely associated with obesity; and cancer which is the second leading killer among adults in Oklahoma. Heart disease, cancer and diabetes are chronic health issues that can be preventable to a certain extent. Given the socioeconomic status and education status of Oklahoma, there are three key areas of focus that offer realistic paths to the reduction of chronic disease with the community: tobacco use, nutrition and physical activity. Laureate Psychiatric Clinic and Hospital, Inc. is not addressing this issue; however, Saint Francis offers a complete continuum of health care services including primary care medicine and advanced medical specialties. Service lines that cater to the needs of chronic disease patients include: Cardiology, Oncology, Primary care, Pulmonology, Endocrinology, Mental health, Home health, Nephrology, Neurology and Radiology. Saint Francis is also increasing the number of employed physicians to manage the defined population in northeast Oklahoma. The affiliates within the Saint Francis integrated system are addressing the community needs that contribute to the chronic diseases identified in the CHNA in an effort to educated and improve the community health. Access to health care: Not having health care coverage obstructs the ability to access medical care; reduces utilization of preventive services; and contributes greatly to the costs of healthcare. Individuals without health insurance tend to delay treatment; experience diagnoses at later stages of disease progression; and may receive less medical care than patients with health insurance. The U.S. Census Bureau released March 2014 reported Tulsa County's number of uninsured under the age of 65 at 21.4 percent. The eligibility for Medicaid was expanded in early 2014 in some states for families with incomes less than or equal to 138 percent of the poverty threshold; however, Oklahoma is among the states that rejected the expansion, creating a gap that affects about 150,000 people in the state. People in that group make below 100 percent of the poverty level, about $11,490 per year for a one-person household, and are too poor to qualify for subsidized insurance on the federal health-care exchange but also will not qualify for Medicaid coverage. Saint Francis and Laureate Psychiatric Clinic and Hospital, Inc., in its mission to extend the presence and healing ministry of Christ in all we do, addresses these community health needs by providing charity care to those families meeting the 225% Federal Poverty Guidelines criteria. Additionally, Saint Francis partners with Xavier Medical Clinic who offers free services of volunteer physicians, nurses and other health professionals to those in the community who are uninsured or do not have access to adequate healthcare. Xavier Medical Clinic seeks to provide free, limited outpatient primary health care services, facilitate referrals to volunteer specialists, educate in good health practices and increase access to traditional health care. In addition, to help local women in need of prenatal care, The Xavier Medical Clinic also provides a pregnancy clinic with referrals for patients to local physicians for prenatal care. Saint Francis is responsible for all medical aspects of the Xavier Medical Clinic. Saint Francis also holds several health fairs over the course of a year to disseminate health information and/or to provide health screenings to the community at large. These are a few of the many ways the Saint Francis integrated system is addressing the need for improving access to health care. Tobacco use: Cigarette smoking is the leading cause of preventable death in the United States, accounting for over one of every five deaths each year. Smoking also disproportionately harms those with low incomes and lesser education attainment. Over 30 percent of adults living at or below the poverty line are estimated to be smokers. Smoking rates have declined in Oklahoma, yet remain considerable higher than the national average. Oklahoma is ranked fourth at 25.2 percent for the highest states with the most smokers in 2013. Lung cancer is the third most commonly diagnosed cancer in Oklahomans behind prostate cancer and female breast cancer and is the cancer responsible for the most deaths. Laureate Psychiatric Clinic and Hospital, Inc. is not addressing this issue; however, Saint Francis is committed to the promotion of quality health care, which includes prevention of disease. To establish and maintain the safest and healthiest possible environment in which to deliver health care, Saint Francis and properties are tobacco free. The policy applies to everyone: all employees, patients, medical staff, students, contracted personnel, volunteers, visitors and vendors of the Health System as well as the general public. The policy also covers any type of electronic cigarettes. Saint Francis along with the William K. Warren Foundation has maintained a high level of involvement with the Oklahoma Tobacco Settlement Endowment Trust. The Oklahoma Tobacco Settlement Endowment Trust was established through a constitutional amendment approved by Oklahoma voters in November 2000 to assure that tobacco settlement funds for tobacco prevention and other programs to improve health will be available for these purposes for generations to come. The Health Zone, a Saint Francis integrated health system entity, offers tobacco cessation programs providing adults with quitting techniques, group support, an understanding of nicotine addiction, stress management, nutrition and food management, exercise and health management, motivational tools and provides the many benefits of quitting. Part V, Section B, Line 13a Patients who have been identified to be financial assistance plan eligible and meet the criteria established by the Laureate Psychiatric Clinic and Hospital, Inc. are considered charity and therefore by hospital policy are not billed for any services. Part V, Section B, Line 16a and b https://www.saintfrancis.com/Laureate-Psychiatric- Clinic/Pages/Patients-and Visitors/For-Patients/Patient-Billing.aspx Part V, Section B, Line 16i The billing statement includes information regarding financial assistance availability. Additionally, MyChart, a secure online tool that allows patients to connect with their personal health information 24/7, provides a link which takes the patient to the financial assistance letter and application form. Part V, Section B, Line 20e Proactive phone calls and statements are sent before collection actions are taken. Part V, Section B, Line 22d A self-pay discount of 20% is provided on all charges. PART I, LINE 3C Income based criteria is used as the basis in determining eligibility for free health services. PART I, LINE 6A Saint Francis Health System, Inc. (System) 73-1501972, the parent organization of Laureate Psychiatric Hospital, Inc. (LPCH), produces a consolidated community benefit report that is made available to the public through the organization's website at www.saintfrancis.com. PART I, LINE 7 Costing Methodology: A ratio of patient care cost to charges, as determined in Worksheet 2, was used to report the amounts in Part I, Lines 7a - 7c. For amounts reported on lines 7e - 7i, actual expenses for each community benefit activity are tracked and reported using the organization's accounting general ledger and are not based on a cost to charge ratio. The number reflected on line 7, column (f) excludes bad debt expense. The supplemental hospital offset payment program (SHOPP) was created and implemented in calendar year 2011 for the purpose of assuring access to quality care for Oklahoma Medicaid members. The program is designed to assess Oklahoma hospitals, unless exempt, a supplemental hospital offset payment program fee. The collected fees will be placed in pools and then allocated to hospitals based on Medicaid revenues as directed by legislation. The Oklahoma Health Care Authority (OHCA) does not guarantee that allocation will equal or exceed the amount of the supplemental hospital offset payment program fees that were paid by LPCH. Part II: Community Building Activities Community building activities improve the community's health and safety by addressing the root cause of health problems. These activities strengthen the community's capacity to promote the health and well-being of its residents by offering the expertise and resources of the health care organization. Costs for these activities include cash donations and expenses for the development of a variety of community-building programs and partnerships. See Schedule O, General Statement 4 for additional information regarding The System and LPCH community building activities aimed at promoting the health of the community. PART III, SECTION A, LINE 2 LPCH has an established process to determine the adequacy of the allowance for doubtful accounts that relies on a number of analytical tools and benchmarks to arrive at a reasonable allowance. No single statistic or measurement determines the adequacy of the allowance for doubtful accounts. Some of the analytical tools that LPCH utilizes include, but are not limited to, historical cash collection experience, revenue trends by payer classification, and revenue days in accounts receivable. Accounts receivable are written off after collection efforts have been followed in accordance with LPCH's policies. PART III, Section A, LINE 3 The bad debt expense attributable to patients eligible under the organization's financial assistance policy is calculated from a sample review of all bad debt accounts and subsequent information. PART III, SECTION A, LINE 4 The Saint Francis Health System, Inc. audited consolidated financial statements, which includes LPCH, provide a separate footnote addressing the organization's accounts receivable and allowance for doubtful accounts on pages 7, 8 and 9. LPCH reports bad debt in accordance with Generally Accepted Accounting Principles (GAAP). Health Care Financial Management Associate Statement 15 is followed to the extent that bad debt expense at cost is determined using the same cost to charge ratio that is used to calculate charity care and Medicaid shortfalls. Discounts and allowances are accounted for separately from bad debt expense. Accounts receivable are valued at net realizable value. LPCH estimates the allowances for uncollectable accounts based on historic write-offs and the aging of the accounts. PART III, SECTION B, LINE 8 Costing Methodology: Medicare allowable costs were calculated using a cost-to-charge ratio and the Medicare filed cost report. PART III, SECTION C, LINE 9B LPCH's debt collection policy is to pursue collections of patient balances from patients who have the ability to pay for the services. LPCH applies its collections efforts consistently and fairly to all patients regardless of insurance. LPCH works with those individuals who do not have the financial resources to pay outstanding balances to qualify for LPCH's charity policy. Charges to patients qualifying for charity care under the LPCH financial assistance policy are written-off 100 percent. Needs Assessment Part VI, Line 2 One of LPCH's fundamental operational goals is to identify and address the needs of the defined community that it serves. To do this, the Saint Francis Health System, Inc. (System) must: 1. Gather and obtain information identifying those needs; and 2. Develop programs and services that address and provide access to those in greatest need of health care services. Historically, the System's focus has been caring for those who are sick or vulnerable. In order to make informed decisions on how to care for the sick, at-risk and minority populations, the System must first identify priority health needs. During the fiscal year 2013, the System conducted a Community Health Needs Assessment (CHNA) to address the health care needs of the community for each of its licensed hospital facilities and developed an implementation strategy to address the needs identified in the CHNA. The assessment is a compilation of national survey results, health information databases, government data, and analytical feedback from state and local partners. This data is used to identify potential courses of action based on existing health care facilities, available resources with the community, and capabilities of the community in terms of both socioeconomic and education status. Promoting the prevention of disease, reducing obesity, cessation of tobacco use, promoting healthy eating, promoting the health of low-income and at-risk communities, and planning for the changing needs of seniors are among the public health issues that the assessment seeks to prioritize. The CHNA and implementation strategies are available to the public on the System's website at www.saintfrancis.com/Documents/Community%20Health%20Needs%20V8.pdf. Patient education of eligibility for assistance Part VI, Line 3 The System is committed to promoting health in the community including providing or finding financial assistance programs to assist patients. The System uses a multi-faceted approach to educate our patients on the availability of charity as well as state and federal financial assistance. This includes several ways including, but not limited to, the following: - A brochure titled "Your Account with Saint Francis Health System Payment for Healthcare Services" on financial rights and responsibility is provided to every patient at the time of their registration and is available on the System website. The brochure provides financial assistance program details. - The financial assistance application is posted on the System website. - The System prints a phone number where patients can obtain information about financial assistance on the back of the billing invoices. - Self-pay patients are generally visited by a financial counselor upon admission to verify their self-pay status. The financial counselor works with the self-pay patients to determine if the patient may qualify for assistance under a government sponsored plan. If the patient does not qualify for a government sponsored plan then the financial counselor works with the patient to determine if they qualify for charity based on the System's charity policy. - The System offers the charity policy, as well as payment options as part of the patient responsibility during the follow up collection calls. Community information Part VI, Line 4 The Primary Service Area (PSA) of the System consists of Tulsa County, where a significant majority of inpatient admissions originate. The tertiary service area is encompassed by the whole of eastern Oklahoma. The most recent needs assessment of fiscal year 2013 identified approximately 611,000 people in the PSA. The PSA is comprised of the following representation: - Just under 70% Caucasian - 11% African-American - 10% Native-Americans with 7.5% being multiracial - 10% Hispanic or Latino The median household income is $46,465, about 8% below the U.S. average. The region contains 13 counties with median incomes more than 15% below the national average. Approximately 16% of the state's population lives in poverty. The uninsured rate in Oklahoma stands near 16%. During Oklahoma's 2011 fiscal year, over 25% of the state's population was enrolled in the Medicaid program at some point in time. Of those on the Medicaid rolls, anywhere from 60% to 70% were children. Promotion of community health Part VI, Line 5 LPCH is part of an integrated health care delivery system with the mission of extending the presence and healing ministry of Christ in all we do. The System, as a Catholic organization, seeks to reflect the presence of Christ in every personal and corporate encounter. LPCH is dedicated to giving back to the community in which its employees live and work. This can be seen through LPCH's promotion of community health through community events such as health fairs, and sponsored conference and seminars on mental health issues. LPCH is also an active member of the Mental Health Association of Tulsa. The System and LPCH governing body is comprised of community representatives on the Board of Directors that provide leadership and governance for the organization. The Board of Directors has the overall responsibility for the charitable, the clinical and the Mission of LPCH and the other entities that are part of the System's integrated health system. The members of the Board of Directors are selected based on their areas of expertise and experience including such areas as education, research, business and government. The members of the governing body contribute their wisdom, insights, and expertise to ensure the organization is fulfilling its mission and charitable purpose while providing efficient administrative support services and direction for the system. The goal of the System is to sustain and grow its technology, to attract talented health care professionals from across the country and to provide high quality patient care to all the residents of Northeastern Oklahoma and the neighboring states we serve. Affiliated health care system Part VI, Line 6 LPCH is part of the System's integrated health system. Annually, LPCH admits approximately 3,000 patients and provides over 70,000 outpatient visits for psychiatric services. See Schedule O, General Statement 4 for additional information regarding the System's integrated health system and their roles within the system. State filing of community benefit report Part VI, Line 7 The System, which includes LPCH, publishes a community benefit report in Oklahoma. A written report that is distributed across the State of Oklahoma to help educate the community on the benefits that LPCH and the System provide to the communities we serve in return for our not-for-profit status. X X true true X X X X false true false false false false false false false Jake Henry Jr PRESIDENT/CEO/DIRECTOR 0 943562 0 1127639 0 124900 0 59751 0 11093 0 2266945 0 0 Barry L Steichen VICE PRESIDENT/COO/DIRECTOR 0 612505 0 287114 0 233779 0 208510 0 13752 0 1355660 0 0 Jeffrey C Sacra Secretary 0 208380 0 77923 0 3739 0 52072 0 6798 0 348912 0 0 Eric E Schick TREASURER/CFO 0 305813 0 133750 0 28301 0 141643 0 13220 0 622727 0 0 William Schloss Administrator 336028 0 166632 0 7024 0 82663 0 13549 0 605896 0 0 0 Katherine Godwin MD Physician 275247 0 2301 0 0 0 32501 0 25216 0 335265 0 0 0 Thomas Luiskutty MD Physician 4740 776651 0 2226 0 0 0 23751 0 17302 4740 819930 0 0 Michael McLaughlin MD Physician 360341 0 2301 0 13714 0 32501 0 857 0 409714 0 0 0 Scott Moseman MD Physician 321797 0 2301 0 0 0 32501 0 5000 0 361599 0 0 0 Michael Dubriwny MD Physician 261446 0 2196 0 6342 0 32501 0 13209 0 315694 0 0 0 Tom Neff VP/COO (UNTIL 12/31/14) 0 299961 0 146235 0 16437 0 77469 0 13528 0 553630 0 0 Robert Eli Smith FMR ASST SEC (UNTIL 12/31/13) 0 187459 0 54077 0 16553 0 40788 0 1314 0 300191 0 0 PART I, LINE 1A CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II PARTICIPATED IN KEY BUSINESS ACTIVITIES ACCOMPANIED BY THEIR SPOUSE. ADDITIONALLY, THESE SAME INDIVIDUALS MAY HAVE INCURRED PERSONAL EXPENSE RELATED TO THESE KEY BUSINESS ACTIVITIES WITH PROPER DOCUMENTATION AND APPROVAL. SAINT FRANCIS HEALTH SYSTEM, INC. INCLUDES THESE REIMBURSEMENTS AS W-2 WAGES FOR THE EMPLOYEE. THESE WAGES ARE GROSSED UP TO PROVIDE TAX INDEMNIFICATION TO THE EMPLOYEE. PART I, LINE 4B A SELECT GROUP OF HIGHLY COMPENSATED EMPLOYEES OF SAINT FRANCIS HEALTH SYSTEM, INC. AND ITS RELATED ENTITIES, SAINT FRANCIS HOSPITAL, INC., LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL, INC., WARREN CLINIC, INC., SAINT FRANCIS HOSPITAL SOUTH, LLC., SAINT FRANCIS HOME HEALTH, INC., THE CHILDREN'S HOSPITAL FOUNDATION AT SAINT FRANCIS, 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 TAX 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 OF THE BOARD MEMBERS IS FOR SERVICES AS EMPLOYEES OF A RELATED ORGANIZATION. PROGRAM SERVICE ACCOMPLISHMENTS Form 990, Part III, Line 4a Laureate Psychiatric Clinic and Hospital, Inc. (LPCH) is a member of Saint Francis Health System, Inc. (System). The System is a Catholic, not-for-profit health system whose mission is to extend the presence and healing ministry of Christ in all we do. LPCH's accomplishments include individual physicians providing inpatient/outpatient services. LPCH provides evaluation and medicine management through use of physician, nurse practitioner, and physician assistant providers. In addition, LPCH offers outpatient mental health therapy through use of non-physician providers such as psychologists, social workers, licensed professional counselors, licensed marital and family therapists, and licensed alcohol and drug counselors. In fiscal year 2015, LPCH provided 35,452 physician outpatient visits and 26,580 therapists and PHD visits. Form 990, Part III, Line 4b Acute Psychiatric Care Services: LPCH provides needed high quality, cost effective psychiatric care services to the community regardless of any individual's ability to pay. Treatment services include, but are not limited to, evaluation and diagnosis, acute psychiatric care, intermediate and long-term care, and chemical dependency care to residents of Oklahoma; primarily Tulsa and the surrounding areas. Assessment, stabilization, and discharge planning are the main goals of the treatment process. Length of hospitalization varies depending upon diagnosis, age of patient, and severity of illness. In fiscal year 2015, LPCH provided 19,174 days of acute patient care and 2,787 admissions. Form 990, Part III, Line 4c Eating Disorders Program: LPCH offers a nationally recognized eating disorders program providing treatment of various eating-related difficulties to patients from around the country. The goals of treatment include managing eating disorders, stabilizing chaotic eating behaviors, developing emotional satisfaction, and heightening awareness of self and relationships with others. LPCH provides comprehensive services for adults and adolescents for their full continuity of care, which include the intensive program, the Magnolia House, transitional program, and the outpatient program. In fiscal year 2015, LPCH provided 154 admissions to this program. Form 990, Part V, Line 2b Following the Revenue Procedure 70-6, 1970-1 C.B. 420, Saint Francis Payroll Services, LLC, EIN 45-0470422, has been authorized to act as a common pay agent under Section 3504 of the Internal Revenue Code for LPCH effective July 1, 2002. As of that date, Saint Francis Payroll Services, LLC assumed reporting obligations for federal income tax, social security, Medicare, and back up withholding tax purposes for LPCH, including the year-end reporting. FORM 990, PART VI, SECTION A, LINE 2 Governing Body and Management Relationships - Many of the persons listed on Part VII have a "Business Relationship" with each other by virtue of serving on related System entity boards and other corporation boards. The Organization has determined these associations do not present a conflict of interest. Jake Henry Jr., an Officer and Director, serves on other boards outside of the System with William K. Warren Jr., a Trustee, and W.R. Lissau, a Director. FORM 990, PART VI, SECTION A, LINE 3 The Director functions are delegated to the System Board of Directors referenced in Form 990, Part VI, Line 1a of this narrative. FORM 990, PART VI, SECTION A, LINE 6 The Organization has three Members/Trustees who elect the governing body. FORM 990, PART VI, SECTION A, LINE 7A The Organization has three Members/Trustees who elect the governing body. FORM 990, PART VI, SECTION A, LINE 7B The 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, SECTION B, LINE 11B The Finance Committee, a sub-committee of the Saint Francis Health System Inc., for which LPCH is a member, has access to review the password protected Form 990 on-line prior to the filing with the IRS. FORM 990, PART VI, SECTION B, LINE 12C A request for information on potential conflicts is solicited annually from Directors, Trustees and all employees with a Manager level and above to monitor for proposed or ongoing transactions for conflicts of interest and dealing with potential or actual conflicts. There are no conflicts reported specific to this organization. Conflicts are regularly disclosed and addressed. FORM 990, PART VI, SECTION B, LINE 15A Compensation of officials and key employees is reviewed annually and approved by a committee of directors with guidance from independent consultants and the use of comparative data. FORM 990, PART VI, SECTION B, LINE 15B Compensation of officials and key employees is reviewed annually and approved by a committee of directors with guidance from independent consultants and the use of comparative data. Form 990, Part VI, Section C, Line 18 LPCH's Form 990 is available to the public on www.Guidestar.org. GuideStar independently posts tax-exempt organization Form 990's on their website, obtained from the Internal Revenue Service. Additionally, a copy of the Form 990 is provided upon request. Form 990, Part VI, Section C, Line 19 These requests are determined on a case-by-case basis. Form 990, Part VII, Section A The hours per week reported on Form 990, Part VII for officers and directors are the hours spent on the filing entity only. The remaining portion of the 40 hours per week of the officers and directors with related compensation is allocated amongst the entities reported on Schedule R. Form 990, Part XI, Line 9 The change in fund balance of ($3,023,731) was net equity transfer to Saint Francis Health System, Inc. Saint Francis Hospital Inc 6600 S Yale Avenue Suite 400 Tulsa OK 741363319 730700090 Health SVCS OK 501(C)(3) 3 SFHS true Warren Clinic Inc 6600 S Yale Avenue Suite 400 Tulsa OK 741363319 731310891 Health SVCS OK 501(C)(3) 3 SFHS true Saint Francis Health System Inc 6600 S Yale Avenue Suite 400 Tulsa OK 741363319 731501972 Health SVCS OK 501(C)(3) 11B TYPE II NA false Saint Francis Hospital South LLC 6600 S Yale Avenue Suite 400 Tulsa OK 741363319 010603214 Health SVCS OK 501(C)(3) 3 SFHS true The Children's Hosp Fdn at Saint francis 6600 S Yale Avenue Suite 400 Tulsa OK 741363319 202843418 Health SVCS OK 501(C)(3) 11A TYPE I SFHS true Laureate Building Corporation PO Box 470372 Tulsa OK 74147 731478020 Holding Co OK 501(C)(2) LMHC true Laureate Mental Health Corporation PO Box 470372 Tulsa OK 74147 731328882 Funding Hlth OK 501(C)(3) 11A TYPE I LPCH true LAUREATE INSTITUTE FOR BRAIN RESEARCH 6655 S YALE AVE TULSA OK 74136 731328881 MEDICAL RSRCH OK 501(C)(3) 4 LPCH true Saint Francis Payroll Services LLC 6600 S Yale Avenue Suite 400 Tulsa OK 741363319 450470422 Common Pay Agent OK SFHS C Corp 0 0 true Saint Francis HLTH SYS Gen-PROF LIA PO BOX 3038 MILWAUKEE WI 53215 756583874 SELF Insurance OK SFHS Trust 0 0 true XAVIER INSURANCE COMPANY INC 76 ST PAUL ST STE 500 BURLINGTON VT 05401 030333599 INSURANCE CO VT SFHS C CORP 0 0 true false true false false false false false false true false false true true true true true true true true SAINT FRANCIS HOSPITAL INC l 235632 ACTUAL SAINT FRANCIS HOSPITAL INC m 2613920 ACTUAL SAINT FRANCIS HOSPITAL INC p 65572615 ACTUAL SAINT FRANCIS HOSPITAL INC q 33699079 ACTUAL SAINT FRANCIS HOSPITAL INC r 24945771 ACTUAL SAINT FRANCIS HOSPITAL INC s 10236251 ACTUAL SAINT FRANCIS HOSPITAL INC i 58515 ACTUAL SAINT FRANCIS HEALTH SYSTEM INC B 3043740 ACTUAL WARREN CLINIC INC Q 1745238 ACTUAL WARREN CLINIC INC M 66427 ACTUAL WARREN CLINIC INC P 412557 ACTUAL WARREN CLINIC INC R 216074 ACTUAL SAINT FRANCIS HOSPITAL SOUTH LLC M 201257 ACTUAL SAINT FRANCIS HOSPITAL SOUTH LLC Q 156601 ACTUAL SAINT FRANCIS HOSPITAL SOUTH LLC P 98991 ACTUAL