2016-05-13T18:30:52-05:00 2015-06-30 ERNST & YOUNG US LLP 425 HOUSTON ST SUITE 600 FORT WORTH TX 76102 990 2014-07-01 731310891 Warren Clinic Inc % ERIC SCHICK WARR 9185028126 6600 S YALE AVE SUITE 400 TULSA OK 741363319 ERIC SCHICK TREASURER/CFO 9184948430 2016-05-13 KATHLEEN MOSELEY P00116760 8173351900 2014 2016-08-17 19:52:53Z ERIC E SCHICK 6600 S YALE AVE TULSA OK 741363319 146967611 false X HTTP://WWW.WARRENCLINIC.COM X 1987 OK TO EXTEND THE PRESENCE AND HEALING MINISTRY OF CHRIST IN ALL WE DO. 3 1 1569 0 0 12775 1620 139283997 144574317 273540 -2522 3010550 2145178 142580862 146718593 0 0 0 0 134088110 137789312 0 0 0 38592589 46735404 172680699 184524716 -30099837 -37806123 40184942 44373482 31379512 38861063 8805430 5512419 TO EXTEND THE PRESENCE AND HEALING MINISTRY OF CHRIST IN ALL WE DO. false false 161294222 0 146665152 WARREN 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 $7,147,000 IN FISCAL YEAR 2015. 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. 161294222 true false false true false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false true false false false false false false true true true false false true X 141 0 true 1569 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 true true OK X ERIC SCHICK 9184948430 6161 S YALE AVE TULSA OK 741363319 X Jake Henry Jr PRESIDENT/CEO/DIRECTOR/TRUSTEE 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 Judy Kishner Trustee 1.0 0.0 X 0 0 0 Eric E Schick Treasurer/CFO 1.0 39.0 X 0 467864 154863 Jeffrey C Sacra Secretary 1.0 39.0 X 0 290042 58870 Janine Smith Assistant Secretary 1.0 39.0 X 0 57031 23593 Renee Bevins ASST Secretary (Until 11/8/14) 1.0 39.0 X 0 77868 6683 Robert Eli Smith Administrator 1.0 39.0 X 258089 0 42102 Steven Sanders Administrator 40.0 0.0 X 317084 0 296551 Lynn Wiens MD Physician 40.0 0.0 X 1032306 0 50217 Ryan Gursky MD Physician 40.0 0.0 X 1107636 25500 50217 Edward Ford MD Physician 40.0 0.0 X 1035099 0 51480 Jihad Khattab MD Physician 40.0 0.0 X 984071 0 50217 Muhammad Janjua MD Physician 40.0 0.0 X 1026744 0 55781 TOM NEFF FORMER VICE PRESIDENT/COO 0.0 40.0 X 0 462633 90997 Lance King Former Administrator 0.0 40.0 X 401369 0 50217 JAMES E KALTENBACHER FORMER SENIOR VICE PRESIDENT 0.0 40.0 X 181970 0 6344368 4710437 1274894 265 true true false WARREN PROFESSIONAL BUILDING 6585 SOUTH YALE AVENUE TULSA OK 74147 BLDG RENT 4850476 MCKESSON CORPORATION 4515 PRENTICE ST DALLAS TX 75206 HEALTHCARE SERVICES 3379628 WEATHERBY LOCUMS INC POST OFFICE BOX 972633 DALLAS TX 753972633 LOCUM PHYSICIANS 665937 MEDCYCLE MANAGEMENT LLC 1718 GENERAL GEORGE PATTON DR BRENTWOOD TN 37027 HEALTHCARE SERVICES 630318 FFF ENTERPRISES INC 41093 COUNTY CENTER DRIVE TEMECULA CA 92591 MEDICAL SUPPLIES 444029 34 1620 1620 PHYSICIAN SERVICES 621300 144266819 144266819 RENTAL INCOME FROM AFFILIATES 532000 307498 307498 144574317 246035 246035 0 0 54343 54343 0 54343 54343 461 249018 -248557 -248557 -248557 0 0 0 AFFILIATE REVENUE - BUSINESS OFFICE 900099 2046700 2046700 AFFILIATE REVENUE - MANAGEMENT FEES 900099 267840 267840 ALL OTHER REVENUE 900099 -223705 -223705 2090835 146718593 146665152 51821 0 0 0 0 699936 699936 240072 240072 118212649 108086638 10126011 7746318 7616326 129992 5337286 4373229 964057 5553051 5050749 502302 1028 -1250 2278 38 38 35705 35705 27281 27281 0 0 7892615 2416563 5476052 643584 320320 323264 3417021 2658145 758876 38646 21252 17394 0 8913855 7275564 1638291 259948 212560 47388 0 132173 114737 17436 0 0 2323475 2044553 278922 4851427 2230343 2621084 MEDICAL SUPPLIES 8384878 8364831 20047 0 ADMINISTRATIVE EXPENSE 4411004 4274509 136495 0 BAD DEBT EXPENSE 3869340 5245105 -1375765 0 DUES AND LICENSES 585361 553457 31904 0 948025 169238 778787 184524716 161294222 23230494 0 173536 144768 7360138 9107820 0 0 10734767 13690140 0 0 0 0 445644 371175 0 0 1727004 321830 35066590 16281092 17865418 18785498 0 0 0 0 1652795 1702297 0 0 225640 249954 40184942 44373482 30046400 33752880 0 0 0 0 0 0 0 0 0 0 0 0 71514 15746 1261598 5092437 31379512 38861063 X 8805430 5512419 0 0 0 0 8805430 5512419 40184942 44373482 X -37806123 34513112 X true X true X true false X false false false false false false false false true 27281 27281 false SCHEDULE C, PART II-B, LINE 1I WARREN 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. 16000847 6380363 9620484 1846025 709718 1136307 15508052 9191011 6317041 1711666 0 1711666 18785498 0 OPERATING LEASE LIABILITY 523459 PROF LIABILITY INSURANCE RESERVE 4568142 DUE TO AFFILIATES 836 5092437 X SCHEDULE D 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, WARREN 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 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. X X true true X X X X false true false false false false false false false Jake Henry Jr PRESIDENT/CEO/DIRECTOR/TRUSTEE 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 Eric E Schick Treasurer/CFO 0 305813 0 133750 0 28301 0 141643 0 13220 0 622727 0 0 Jeffrey C Sacra Secretary 0 208380 0 77923 0 3739 0 52072 0 6798 0 348912 0 0 Robert Eli Smith Administrator 187459 0 54077 0 16553 0 40788 0 1314 0 300191 0 0 0 Steven Sanders Administrator 258250 0 52500 0 6334 0 291863 0 4688 0 613635 0 0 0 Lynn Wiens MD Physician 1030080 0 2226 0 0 0 32501 0 17716 0 1082523 0 0 0 Ryan Gursky MD Physician 1105410 25500 2226 0 0 0 32501 0 17716 0 1157853 25500 0 0 Edward Ford MD Physician 1015373 0 2226 0 17500 0 32501 0 18979 0 1086579 0 0 0 Jihad Khattab MD Physician 981845 0 2226 0 0 0 32501 0 17716 0 1034288 0 0 0 Muhammad Janjua MD Physician 1024518 0 2226 0 0 0 32501 0 23280 0 1082525 0 0 0 Lance King Former Administrator 385941 0 2226 0 13202 0 32501 0 17716 0 451586 0 0 0 TOM NEFF FORMER VICE PRESIDENT/COO 0 299961 0 146235 0 16437 0 77469 0 13528 0 553630 0 0 JAMES E KALTENBACHER FORMER SENIOR VICE PRESIDENT 165620 0 16350 0 0 181970 0 SCHEDULE J PART I, LINE 1B CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II PARTICIPATED IN KEY BUSINESS ACTIVITIES ACCOMPANIED BY THEIR SPOUSE. ADDITIONALLY THESE SAME INDIVIDUALS MAY HAVE INCURRED PERSONAL 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 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 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. MARTINA HUM MD MARRIED TO SR VP 240072 PHYSICIAN COMPENSATION false SCHEDULE L PART IV, LINE 1 DR. MARTINA HUM, AN EMPLOYED PHYSICIAN OF WARREN CLINIC, INC., IS MARRIED TO THOMAS G. NEFF, SR. VICE PRESIDENT OF STRATEGIC PLANNING FOR SAINT FRANCIS HEALTH SYSTEM. HER COMPENSATION AND BENEFITS ARE REPORTED ON FORM 990, PART IX, LINE 6. FORM 990, PART V, LINE 2B FOLLOWING REVENUE RECOGNITION 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 WARREN CLINIC, INC., EFFECTIVE JULY 1, 2002. AS OF THAT DATE, SAINT FRANCIS PAYROLL SERVICES, LLC, ASSUMED REPORTING OBLIGATIONS FOR FEDERAL INCOME TAX, SOCIAL SECURITY, MEDICARE AND BACKUP WITHHOLDING TAX PURPOSES FOR WARREN CLINIC, INC. INCLUDING YEAR END REPORTING. FORM 990, PART VI, LINE 2 SEVERAL 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, SECTION A, LINE 3 THE 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 6 THE ORGANIZATION HAS THREE MEMBERS. FORM 990, PART VI, LINE 7A THE MEMBERS ELECT THE GOVERNING BODY. FORM 990, PART VI, 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, LINE 11B THE 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 12C THE ORGANIZATION USES THE CONFLICT OF INTEREST, WHISTLEBLOWER AND RECORD RETENTION POLICIES OF SAINT FRANCIS HEALTH SYSTEM, INC. ON A REGULAR BASIS, OFFICIALS AND KEY EMPLOYEES DISCLOSE CONFLICTS, WHICH ARE REVIEWED AND MANAGED BY THE BOARD OF DIRECTORS. THREE DIRECTORS, ONE DIRECTOR/OFFICER AND TWO KEY EMPLOYEES REPORTED POTENTIAL CONFLICTS TO THE GOVERNING BODY THAT WERE ADDRESSED. FORM 990, PART VI, LINE 15A & B THE COMPENSATION OF OFFICIALS AND KEY EMPLOYEES IS REVIEWED AND APPROVED ON AN ANNUAL BASIS BY A COMMITTEE OF THE BOARD OF DIRECTORS WITH ASSISTANCE OF INDEPENDENT CONSULTANTS AND USE OF COMPARATIVE DATA. FORM 990, PART VI, LINE 19 THESE REQUESTS ARE DETERMINED ON A CASE-BY-CASE BASIS. 990, PART VII, SECTION A, LINE 1A The hours per week reported for officers and directors are the hours spent on the filing entity only. The remaining portion of the 40 hours per week of the officers and directors with related compensation is allocated among the entities reported on Schedule R. FORM 990, PART XI, LINE 9 WARREN CLINIC, INC., HAD NET TRANSACTIONS FROM SAINT FRANCIS HEALTH SYSTEM IN THE AMOUNT OF $34,513,112 IN FY15 DUE TO YEAR END EQUITY TRANSFERS BETWEEN ENTITIES. Saint Francis Health System INC 6600 S Yale Ave Ste 400 Tulsa OK 741363319 731501972 Health SVCS OK 501(C)(3) 11B TYPE II NA false Saint Francis Hospital INC 6600 S Yale Ave Ste 400 Tulsa OK 741363319 730700090 Health SVCS OK 501(C)(3) 3 SFHS true Saint Francis Hospital South LLC 6600 S Yale Ave Ste 400 Tulsa OK 741363319 010603214 Health SVCS OK 501(C)(3) 3 SFHS true Laureate Psychiatric Clinic & Hospital 6600 S Yale Ave Ste 400 Tulsa OK 741363319 731308273 Health SVCS OK 501(C)(3) 3 SFHS true McAlester Ambulatory Surgery Center LLC 6600 S Yale Ave Ste 400 Tulsa OK 741363319 731599085 Health SVCS OK 501(C)(3) 3 WCI false the Children's HOSP Fnd at Saint Francis 6600 S Yale Ave Ste 400 Tulsa OK 741363319 202843418 Health SVCS OK 501(C)(3) 11A TYPE I SFHS true Saint Francis Payroll Services LLC 6600 S Yale Ave Ste 400 Tulsa OK 741363319 450470422 Common Pay Agent OK SFHS C Corp 0 0 true Xavier Insurance Company Inc 76 St Paul st Ste 500 Burlington VT 05401 030333599 Insurance CO VT SFH C Corp 0 0 true Saint Francis Hlth System Gen Liab Trust PO Box 3038 Milwaukee WI 532013038 756583874 Self Insurance OK SFHS Trust 0 0 true false false true false false true false false false true true true true true true true true true true SAINT FRANCIS HEALTH SYSTEM INC C 34533145 TRANSACTIONAL R LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC L 66427 TRANSACTIONAL R LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC P 1745238 TRANSACTIONAL R LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC Q 412557 TRANSACTIONAL R LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC S 216074 TRANSACTIONAL R SAINT FRANCIS HOSPITAL INC J 191628 TRANSACTIONAL R SAINT FRANCIS HOSPITAL INC K 101065 TRANSACTIONAL R SAINT FRANCIS HOSPITAL INC L 6314494 TRANSACTIONAL R SAINT FRANCIS HOSPITAL INC M 8619022 TRANSACTIONAL R SAINT FRANCIS HOSPITAL INC P 371140329 TRANSACTIONAL R SAINT FRANCIS HOSPITAL INC Q 233143054 TRANSACTIONAL R SAINT FRANCIS HOSPITAL INC R 103906134 TRANSACTIONAL R SAINT FRANCIS HOSPITAL INC S 2910446 TRANSACTIONAL R SAINT FRANCIS HOSPITAL SOUTH LLC K 574148 TRANSACTIONAL R SAINT FRANCIS HOSPITAL SOUTH LLC L 245174 TRANSACTIONAL R SAINT FRANCIS HOSPITAL SOUTH LLC P 3665523 TRANSACTIONAL R SAINT FRANCIS HOSPITAL SOUTH LLC Q 4552329 TRANSACTIONAL R MCALESTER AMBULATORY SURGERY CENTER L 267840 TRANSACTIONAL R MCALESTER AMBULATORY SURGERY CENTER Q 370626 TRANSACTIONAL R MCALESTER AMBULATORY SURGERY CENTER F 175000 TRANSACTIONAL R