ST JOHN MEDICAL CENTER INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ST JOHN MEDICAL CENTER INC (EIN 73-0579286)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-08-12
IRS object ID
201502249349302820
Schema version
2013v4.0
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)
Return2015-08-12T16:03:51-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1250 East Fifth Street Suite 1900AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN730579286EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St John Medical Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSTJOBusinessNameControlTxt
Phone9187442180PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11923 South Utica AvenueAddressLine1
CityTulsaCity
StateOKState
ZIP Code741046502ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLex AndersonPersonNm
Person TitleSVP/CFO SJHSPersonTitleTxt
Phone9187442180PhoneNum
Signature2015-08-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAlicia JanischPreparerPersonNm
PTINP00741382PTIN
Phone5137847100PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJeff NowlinPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11923 South Utica AvenueAddressLine1
CityTulsaCity
StateOKState
ZIP Code741046502ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$546,274,896GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.sjmc.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1953FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionTo provide medical excellence and compassionate care to all who need it.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee3752TotalEmployeeCnt
Total Volunteers647TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,949,244PYContributionsGrantsAmt
CY Contributions Grants$11,784,612CYContributionsGrantsAmt
PY Program Service Revenue$391,139,696PYProgramServiceRevenueAmt
CY Program Service Revenue$514,353,959CYProgramServiceRevenueAmt
PY Investment Income$20,614,831PYInvestmentIncomeAmt
CY Investment Income$14,630,657CYInvestmentIncomeAmt
PY Other Revenue$3,452,318PYOtherRevenueAmt
CY Other Revenue$3,811,732CYOtherRevenueAmt
PY Total Revenue$422,156,089PYTotalRevenueAmt
CY Total Revenue$544,580,960CYTotalRevenueAmt
PY Grants And Similar Paid$1,727,189PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,078,958CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$169,256,479PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$224,553,945CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$180,422,182PYOtherExpensesAmt
CY Other Expenses$247,105,605CYOtherExpensesAmt
PY Total Expenses$351,405,850PYTotalExpensesAmt
CY Total Expenses$477,738,508CYTotalExpensesAmt
PY Revenues Less Expenses$70,750,239PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$66,842,452CYRevenuesLessExpensesAmt
Total Assets BOY$373,955,221TotalAssetsBOYAmt
Total Assets EOY$358,264,552TotalAssetsEOYAmt
Total Liabilities BOY$289,506,878TotalLiabilitiesBOYAmt
Total Liabilities EOY$283,987,705TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$84,448,343NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$74,276,847NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionContinue the healing ministry of Jesus Christ by providing medical excellence and compassionate care to all who need it with a special emphasis for the poor and powerless.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$424,219,604ExpenseAmt
Grant$6,078,958GrantAmt
Revenue$509,466,863RevenueAmt
DescSt. John Medical Center, Inc. (the "Medical Center"), located in Tulsa, Oklahoma, is a full-service tertiary hospital which provides a broad range of inpatient and outpatient health care services.St. John Health System, Inc. ("St. John"), and affiliates, own and operate a comprehensive tertiary health care delivery system which provides a full spectrum of health-related services throughout Northeastern Oklahoma. St. John, headquartered in Tulsa, Oklahoma, is a wholly-owned subsidiary of Ascension Health. St. John conducts its operations through several wholly-owned or wholly-controlled subsidiaries, including: St. John Medical Center, Inc.Desc
Total Program Service Expenses$424,219,604TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document258IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3752EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lex AndersonBusinessNameLine1
FieldValueIRS element (for citing)
Phone9187442740PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11923 South Utica AvenueAddressLine1
CityTulsaCity
StateOKState
ZIP Code71404ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Milann Siegfried
Chairperson0.603.70Yes (X)Yes (X)$0$0$0
Lee Ellsworth
Vice Chairperson0.700.00Yes (X)Yes (X)$0$0$0
Robert Farris
Treasurer2.300.00Yes (X)Yes (X)$0$0$0
Joseph P Moran III
Director0.500.50Yes (X)$0$0$0
Sr M Felicidad Chavez
Director40.000.00Yes (X)$0$0$0
Sr M Anastasia Joseph
Director10.000.00Yes (X)$0$0$300
Kenneth Setter MD
Director3.000.00Yes (X)$0$0$0
Charles Anderson
VP OP/Ex-Officio42.900.90Yes (X)Yes (X)$543,250$0$42,282
Bert W Walthall
VP & CFO40.000.00Yes (X)$296,218$0$42,055
Pamela Kiser
VP & CNO46.200.00Yes (X)$254,732$0$25,768
Kathleen C Smarinsky
Vice President40.400.00Yes (X)$257,985$0$47,768
Lex Anderson
Treasurer/Sr. VP & CFO SJHS0.2046.00Yes (X)$0$630,463$12,798
H William Allred
VP of Med Affairs/Med. Ed.46.200.00Yes (X)$541,433$0$13,506
Jeffrey D Nowlin
President & CEO46.200.00Yes (X)$484,080$0$60,835
Kevin Steck
Corp. Resp. Off./Secretary0.2054.80Yes (X)$0$303,108$46,620
David Lewis
Transplant Admin.40.000.00$168,624$0$31,612Yes (X)
Oliver D Hanson
Chief Med. Physicist40.000.00$186,040$0$13,647Yes (X)
Tseggy Kharkhuu
Physicist II40.000.00$181,156$0$8,354Yes (X)
Philip A Preston
Dir. Operations Improv.40.000.00$189,256$0$4,196Yes (X)
Patricia A Wright Evans
RN Dir. Operating Room40.000.00$169,618$0$9,093Yes (X)
Jessie Dragoo
Former Vice President - Nursing0.000.00$130,622$0$16,925Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,403,014TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$933,571TotReportableCompRltdOrgAmt
Total Other Compensation$375,759TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K86IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Parallon Workforce Mgmt Solutions LLC
PO Box 742697AtlantaGA303742697Clinical Staffing$6,797,094
In His Image Inc
PO Box 1191TulsaOK74101Educational Seminars$5,304,895
University of Oklahoma
4502 E 41st StTulsaOK74135Resident Education$2,787,774
Siemens Healthcare Diagnostics
PO Box 121102DallasTX753121102Diagnostic Products (Sch. O)$2,752,705
Manhattan Construction Company
5601 S 122nd East AveTulsaOK74146Construction (Sch. O)$2,486,434
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K81CntrctRcvdGreaterThan100KCnt
Related Organizations$3,640,083RelatedOrganizationsAmt
Government Grants$22,400GovernmentGrantsAmt
All Other Contributions$8,122,129AllOtherContributionsAmt
Total Contributions$11,784,612TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Net Patient Revenue621990$506,315,932$506,315,932
Fitness/Wellness/Edu.900099$3,365,246$3,365,246
Trauma Care Assistance612990$3,150,931$3,150,931
Prescription Sales410001$787,244$787,244
Medical Records621990$205,415$205,415

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$529,191TotalRevenueColumnAmt
Exclusion$529,191ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$514,353,959TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$721,638TotalRevenueColumnAmt
Exclusion$721,638ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$589,366RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$589,366RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$589,366TotalRevenueColumnAmt
Exclusion$589,366ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$15,602,955OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,400,533SecuritiesAmt
Other$293,403OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,400,533SecuritiesAmt
Other$15,309,552OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,909,019TotalRevenueColumnAmt
Exclusion$13,909,019ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Food Service721000$3,114,748$3,114,748
Miscellaneous Income900099$107,618$107,618
FieldValueIRS element (for citing)
Other Revenue Total$3,222,366OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$544,580,960TotalRevenueColumnAmt
Related Or Exempt Func Income$509,466,863RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$23,329,485ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$6,037,691TotalAmt
Program Services$6,037,691ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$41,267TotalAmt
Program Services$41,267ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,647,306TotalAmt
Program Services$2,286,614ProgramServicesAmt
Management And General$360,692ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$186,805,035TotalAmt
Program Services$151,113,519ProgramServicesAmt
Management And General$35,691,516ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,327,531TotalAmt
Program Services$5,284,655ProgramServicesAmt
Management And General$42,876ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$19,194,773TotalAmt
Program Services$18,855,727ProgramServicesAmt
Management And General$339,046ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,579,300TotalAmt
Program Services$10,327,641ProgramServicesAmt
Management And General$251,659ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$147,766TotalAmt
Management And General$147,766ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$563,140TotalAmt
Management And General$563,140ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$77,501TotalAmt
Management And General$77,501ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$19,696TotalAmt
Management And General$19,696ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$63,696,361TotalAmt
Program Services$62,802,354ProgramServicesAmt
Management And General$894,007ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$370,940TotalAmt
Program Services$365,880ProgramServicesAmt
Management And General$5,060ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,829,900TotalAmt
Program Services$1,108,276ProgramServicesAmt
Management And General$1,721,624ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,048,057TotalAmt
Program Services$5,970,268ProgramServicesAmt
Management And General$77,789ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$404,706TotalAmt
Program Services$377,765ProgramServicesAmt
Management And General$26,941ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$11,908,431TotalAmt
Program Services$11,908,431ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,612,790TotalAmt
Program Services$8,635,003ProgramServicesAmt
Management And General$8,977,787ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,836,922TotalAmt
Management And General$2,836,922ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Supplies$121,768,598$120,221,907$1,546,691$0
Oklahoma's SHOPP Fee$11,743,949$11,743,949$0$0
Equipment Rental-Lease$2,692,085$2,692,085$0$0
Repairs and Maintenance$1,413,377$1,413,377$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,971,386TotalAmt
Program Services$3,033,195ProgramServicesAmt
Management And General-$61,809ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$477,738,508TotalAmt
Program Services$424,219,604ProgramServicesAmt
Management And General$53,518,904ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,583,122BOYAmt
EOY$12,879,580EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$72,301,337BOYAmt
EOY$71,381,933EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$11,862,348BOYAmt
EOY$12,843,636EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$562,863BOYAmt
EOY$234,634EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$223,188,315LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$21,043,932LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$194,834,037BOYAmt
EOY$202,144,383EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$76,083,159BOYAmt
EOY$16,131,288EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,152,043BOYAmt
EOY$1,663,248EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,576,312BOYAmt
EOY$40,985,850EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$373,955,221BOYAmt
EOY$358,264,552EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$48,258,175BOYAmt
EOY$36,035,231EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$241,248,703BOYAmt
EOY$247,952,474EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$289,506,878BOYAmt
EOY$283,987,705EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$33,252,652BOYAmt
EOY$72,692,518EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$51,195,691BOYAmt
EOY$1,584,329EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$84,448,343BOYAmt
EOY$74,276,847EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$373,955,221BOYAmt
EOY$358,264,552EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$66,842,452ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$77,013,948OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$19,696OtherActivitiesAmt
Total Lobbying Expenditures$19,696TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationLobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St. John Medical Center, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,000,000BeginningYearBalanceAmt
End Year Balance$10,000,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,000,000BeginningYearBalanceAmt
End Year Balance$10,000,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,012,212BeginningYearBalanceAmt
Investment Earnings Or Losses$136,854InvestmentEarningsOrLossesAmt
Other Expenditures$149,066OtherExpendituresAmt
End Year Balance$10,000,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,261,160BeginningYearBalanceAmt
Investment Earnings Or Losses$106,052InvestmentEarningsOrLossesAmt
Other Expenditures$355,000OtherExpendituresAmt
End Year Balance$10,012,212EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,610,000BeginningYearBalanceAmt
Investment Earnings Or Losses$201,160InvestmentEarningsOrLossesAmt
Other Expenditures$550,000OtherExpendituresAmt
End Year Balance$10,261,160EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,082,018OtherCostOrOtherBasisAmt
Book Value$10,082,018BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$158,779,939OtherCostOrOtherBasisAmt
Depreciation$9,272,279DepreciationAmt
Book Value$149,507,660BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$138,383OtherCostOrOtherBasisAmt
Depreciation$10,823DepreciationAmt
Book Value$127,560BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,000,247OtherCostOrOtherBasisAmt
Depreciation$11,674,195DepreciationAmt
Book Value$40,326,052BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,187,728OtherCostOrOtherBasisAmt
Depreciation$86,635DepreciationAmt
Book Value$2,101,093BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$202,144,383TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
A/P Intraco (within HM & within SO)$30,150,590
Other Assets$10,835,260
FieldValueIRS element (for citing)
Total Book Value Other Assets$40,985,850TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Intercompany Payable$241,248,703
Misc. Liabilities$632,734
Estimated Settlement to Third Party Payor$6,071,037
FieldValueIRS element (for citing)
Total Liability$247,952,474TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The "Chapman Fund for Uncompensated Care" endowment was created to underwrite medical services for the uninsured and underinsured residents of the Tulsa Metropolitan Area. Funds are held and administered by St. John Health System Foundation, Inc. on behalf of St. John Medical Center, Inc.
Part X, Line 2:From the consolidated audited financial statements of St. John Health System, Inc., which includes the activity of St. John Medical Center, Inc.: The Health Ministry accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,340,616TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,150,931DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,189,685NetCommunityBenefitExpnsAmt
Total Expense0.03810TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,002,695TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,099,040DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,903,655NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$67,343,311TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,249,971DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,093,340NetCommunityBenefitExpnsAmt
Total Expense0.04420TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,998,310TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,998,310NetCommunityBenefitExpnsAmt
Total Expense0.00840TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,519,457TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,454,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,064,957NetCommunityBenefitExpnsAmt
Total Expense0.02940TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,517,767TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,454,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,063,267NetCommunityBenefitExpnsAmt
Total Expense0.03780TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$87,861,078TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$48,704,471DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,156,607NetCommunityBenefitExpnsAmt
Total Expense0.08200TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$8,331,672BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$191,280,938ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$213,646,266CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$22,365,328MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdOtherOtherDesc
St John Medical Center Inc
11923 South Utica AvenueTulsaOK74104www.stjohnhealthsystem.com2265Yes (X)Yes (X)Yes (X)Yes (X)A
St John Dialysis LLC
21923 South Utica AvenueTulsaOK74104www.stjohnhealthsystem.com2265Yes (X)Yes (X)ASJMC Outpatient Department
St John Home Care LLC
31923 South Utica AvenueTulsaOK74104www.stjohnhealthsystem.com2265Yes (X)Yes (X)ASJMC Home Health

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Facility Reporting Group - ABusinessNameLine1
FieldValueIRS element (for citing)
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee NarrativeOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (1)AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Section BFacility Reporting Group A
Facility Reporting Group A consists of:- Facility 1: St. John Medical Center, Inc., - Facility 2: St. John Dialysis, LLC, - Facility 3: St. John Home Care, LLC
Facility 1 -- St. John Medical Center, Inc. Part V, Section B, line 3:The Tulsa County Health Departmet led the completion of the Community Health Needs Assessment. The determination of priority needs was based on research findings, and priorities were developed in collaboration with many other stakeholders, including other hospitals, community service agencies, state and local leaders, interested philantropists, universities and associated medical schools, and other parties, including public health experts and representatives of the communities served. In addition, the Tulsa County Health Department's research included randomly selected households for one on one interviews and some "county resident" focus groups. St. John sits on a Pathways to Health Steering Committee and Working Group to coordinate and direct community health activities in the service area.
Facility 1 -- St. John Medical Center, Inc. Part V, Section B, line 4:The other hospital facilities with which the reporting Hospital facility conducted its CHNA, include: St. John Broken Arrow, Inc.Owasso Medical Facility, Inc.St. John Sapulpa, Inc.Jane Phillips Memorial Medical Center (Bartlesville)Jane Phillips Nowata Hospital, Inc.
Facility 1 -- St. John Medical Center, Inc. Part V, Section B, line 7:The Hospital facility's Implementation Strategy is listed on the following website:http://www.stjohnhealthsystem.com/about/community-needs-health-assessment
Facility 1 -- St. John Medical Center, Inc. Part V, Section B, line 14g:Signs are posted in waiting rooms and at the admissions offices to notify patients that the Hospital has a Financial Assistance Policy. In addition, every billing statement, the Hospital's website, and admission packets include information regarding the Financial Assistance Policy. The Policy is provided at the request of the patient.
Facility 1 -- St. John Medical Center, Inc. Part V, Section B, line 20d:St. John Medical Center, Inc. provides a 30% discount on gross charges and a 15% prompt pay discount to all uninsured patients. Patients who are determined to be eligible for financial assistance receive an additional charity care discount equal to 100% of the remaining amount due.
Facility 2 -- St. John Dialysis, LLC Part V, Section B, line 3:The Tulsa County Health Departmet led the completion of the Community Health Needs Assessment. The determination of priority needs was based on research findings, and priorities were developed in collaboration with many other stakeholders, including other hospitals, community service agencies, state and local leaders, interested philantropists, universities and associated medical schools, and other parties, including public health experts and representatives of the communities served. In addition, the Tulsa County Health Department's research included randomly selected households for one on one interviews and some "county resident" focus groups. St. John sits on a Pathways to Health Steering Committee and Working Group to coordinate and direct community health activities in the service area.
Facility 2 -- St. John Dialysis, LLC Part V, Section B, line 4:The other hospital facilities with which the reporting Hospital facility conducted its CHNA, include: St. John Broken Arrow, Inc.Owasso Medical Facility, Inc.St. John Sapulpa, Inc.Jane Phillips Memorial Medical Center (Bartlesville)Jane Phillips Nowata Hospital, Inc.
Facility 2 -- St. John Dialysis, LLC Part V, Section B, line 7:The Hospital facility's Implementation Strategy is listed on the following website:http://www.stjohnhealthsystem.com/about/community-needs-health-assessment
Facility 2 -- St. John Dialysis, LLC Part V, Section B, line 14g:Signs are posted in waiting rooms and at the admissions offices to notify patients that the Hospital has a Financial Assistance Policy. In addition, every billing statement, the Hospital's website, and admission packets include information regarding the Financial Assistance Policy. The Policy is provided at the request of the patient.
Facility 2 -- St. John Dialysis, LLC Part V, Section B, line 20d:St. John Medical Center, Inc. provides a 30% discount on gross charges and a 15% prompt pay discount to all uninsured patients. Patients who are determined to be eligible for financial assistance receive an additional charity care discount equal to 100% of the remaining amount due.
Facility 3 -- St. John Home Care, LLC Part V, Section B, line 3:The Tulsa County Health Departmet led the completion of the Community Health Needs Assessment. The determination of priority needs was based on research findings, and priorities were developed in collaboration with many other stakeholders, including other hospitals, community service agencies, state and local leaders, interested philantropists, universities and associated medical schools, and other parties, including public health experts and representatives of the communities served. In addition, the Tulsa County Health Department's research included randomly selected households for one on one interviews and some "county resident" focus groups. St. John sits on a Pathways to Health Steering Committee and Working Group to coordinate and direct community health activities in the service area.
Facility 3 -- St. John Home Care, LLC Part V, Section B, line 4:The other hospital facilities with which the reporting Hospital facility conducted its CHNA, include: St. John Broken Arrow, Inc.Owasso Medical Facility, Inc.St. John Sapulpa, Inc.Jane Phillips Memorial Medical Center (Bartlesville)Jane Phillips Nowata Hospital, Inc.
Facility 3 -- St. John Home Care, LLC Part V, Section B, line 7:The Hospital facility's Implementation Strategy is listed on the following website:http://www.stjohnhealthsystem.com/about/community-needs-health-assessment
Facility 3 -- St. John Home Care, LLC Part V, Section B, line 14g:Signs are posted in waiting rooms and at the admissions offices to notify patients that the Hospital has a Financial Assistance Policy. In addition, every billing statement, the Hospital's website, and admission packets include information regarding the Financial Assistance Policy. The Policy is provided at the request of the patient.
Facility 3 -- St. John Home Care, LLC Part V, Section B, line 20d:St. John Medical Center, Inc. provides a 30% discount on gross charges and a 15% prompt pay discount to all uninsured patients. Patients who are determined to be eligible for financial assistance receive an additional charity care discount equal to 100% of the remaining amount due.
Schedule H, Section B, Line 5a:The Hospital facility's CHNA is listed on the following website:http://www.stjohnhealthsystem.com/about/community-needs-health-assessment

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a:The Hospitals are wholly-owned (wholly-sponsored) subsidiary of St. John Health System, Inc. - EIN 73-1215174 - ("SJHS"). SJHS prepared a consolidated community benefit report for the consolidated organization for this tax year. The report is made available on demand and is referenced by the Organization in a number of public meetings and community outreach activities.
Part I, Line 7:Costs were determined using a cost to charge ratio derived from Worksheet 2, Patient Care Cost to Charges.
Part III, Line 2:Accounts are written off to bad debt after all internal collection efforts have been exhausted. Attempts to resolve these outstanding balances can include, but are not limited to statements being sent, phone calls and letters being sent. Account follow up protocol is based on personal pay balance size owed.
Part III, Line 3:St. John Medical Center, Inc. has a very robust financial assistance program; therefore, no estimate is made for bad debt attributed to financial assistance eligible patients.
Part III, Line 4:From the consolidated audited financial statements of St. John Health System, Inc., which includes the activity of St. John Medical Center, Inc.:The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Health Ministry follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms or certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Health Ministry's policies.The methodology for determining the allowance for doubtful accounts and related write-offs on uninsured patient accounts has remained consistent with the prior year. The Health Ministry has not experienced material changes in write-off trends and has not materially changed its charity care policy in the current fiscal year.
Part III, Line 8:St. John Medical Center, Inc. follows the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit.
Part III, Line 9b:The Organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance, certain collection practices do not apply.
Part VI, Line 2:The Hospitals conducted a Community Health Needs Assessment jointly with its parent entity - SJHS. SJHS participates in ongoing community-based needs assessments. Some of the most significant recent activity includes commissioning of a Community Health Needs Assessment and plan for improving community health care conducted by the Tulsa County Health Department and released in 2013. The 2013 assessment has been posted to the Hospitals and Health System websites: www.sjmc.org. Many major community health care service organizations participated in these studies. In addition to the above, SJHS through its subsidiary, St. John Medical Center, Inc., has established a Medical Access Program ("MAP") that is attempting to improve and expand access to health care services to the most vulnerable members of the Tulsa community. All SJHS Tulsa Hospitals including St. John Sapulpa, Inc., St. John Broken Arrow, Inc., Owasso Medical Facility, Inc., and St. John Medical Center, Inc. participate in this initiative. This program is overseen by representatives of St. John, the George Kaiser Family Foundation, trustees of the Chapman trusts and The University of Oklahoma Tulsa School of Community Medicine. The MAP program includes participation of other health care providers including Good Samaritan Clinics, Day Center for the Homeless, Community Health Connections FQHC, Morton Health FQHC, and a network of volunteer physician providers and other organizations. The MAP program regularly receives input from all these organizations on needed services in the community which helps to prioritize the limited resources available to address community needs.
Part VI, Line 3:The Hospitals have a team of financial counselors who, prior to discharge, attempt to visit in person with all uninsured inpatients and all inpatients likely to qualify for medical indigency to explain our financial assistance policies and help guide them through the process of applying for financial assistance. We also attempt to meet with all the families of all Medicaid beneficiaries or individuals who we believe could potentially qualify for Medicaid to help them apply for coverage. The Hospitals mention the existence of the Financial Assistance Policy and provides a phone number to call: on its website, in admitting materials, on all invoices for services sent to patients, and in other ways.
Part VI, Line 4:As described above, the Hospitals are part of St. John Health System, Inc. ("SJHS"). Although SJHS provides a full spectrum of health related services throughout Northeastern Oklahoma, its tertiary operations and a large part of its other services are concentrated in the Tulsa Metropolitan Statistical Area (the "Tulsa MSA"). According to the 2010 Census, the State of Oklahoma had a resident population of 3,751,351 persons compared to 3,450,654 persons in 2000. This is an 8.7% increase. The U.S. Census Bureau estimated that in 2009 13.5% of the Oklahoma resident population was eligible for Medicare, compared to 14.7% in 2000.Tulsa County, Oklahoma and the counties that make up the Tulsa MSA, according to the 2010 Census, had populations of 603,403 and 1,008,460, respectively. This compares to populations of 563,299 and 803,235 persons, respectively in 2000 and represents population growth of 7.1% and 25.5%, respectively. The data shows that the counties in the Tulsa MSA that surround Tulsa County grew much faster from 2000 to 2010. At the same time, the population within Tulsa County shifted away from the city of Tulsa and to suburbs such as Owasso and Broken Arrow. The cities of Broken Arrow and Owasso were two of the fastest growing communities in Oklahoma between 2000 and 2010. The population of the city of Owasso grew 56% to 28,915 from 2000 to 2010 and the population of the city of Broken Arrow grew 32% to 98,850 from 2000 to 2010. Wagoner County (southeast of Tulsa) and Rogers County (northeast of Tulsa) showed the two highest population growth rates from 2000 to 2010. Every county in the 8 county Tulsa MSA except Pawnee County grew in population from 2000 to 2010. Washington County, directly north of Tulsa County and which includes the city of Bartlesville (and Jane Phillips Memorial Medical Center), also grew in population from 2000 to 2010. When the population of Washington County is added to the population of Tulsa County, the 2010 combined population was 1,059,436.There is significant disparity in the general health of populations within the service area depending upon where an individual lives and to what socioeconomic and ethnic group they belong. Citizens who reside in "North" Tulsa and in some areas of "East" and "West" Tulsa generally have poorer health and shorter life spans than individuals who live in "South" Tulsa. Members of minority groups (many of whom reside in the geographic areas described above) share these same health characteristics. It has been demonstrated that these individuals have less access to regular health care services, including specialty care and many seek even their primary care in hospital emergency rooms, including all of the SJHS Hospitals. Some significant minority groups in the Hospitals' and SJHS's principal service area include Native Americans, Hispanics and African Americans. Each of these groups shares common socioeconomic challenges making them more likely to be poor and be uninsured for health care. Each of these groups has unique ethnic health risk factors that contribute to health status that is generally poorer than their White counterparts. However, even among the White population in the Hospital's service area, there is significant adverse health care status. Oklahoma (including the Hospitals' service area) ranks near the bottom in many if not most measures of health status in the U.S. There are high rates of smoking, diabetes, obesity, upper respiratory illness, chronic heart conditions and many other factors. There are high rates of uninsured and underinsured individuals and families in the communities and geographies served by the Hospital which create many challenges in meeting the demand for basic services and in improving the health status of the population.
Part VI, Line 5:St. John is a growing integrated delivery system that serves Northeastern Oklahoma and the surrounding area. It has grown significantly in recent years, with increasing revenues from outpatient and physician professional services as well as other post-acute services. Acute care services are provided on six hospital campuses that are owned by St. John. The owned hospitals are St. John Medical Center, Inc. (the tertiary center in Tulsa, Oklahoma), Jane Phillips Memorial Medical Center in Bartlesville, St. John Owasso in Owasso, Oklahoma, St. John Broken Arrow, Inc., St. John Nowata Hospital, Inc., a critical access hospital in Nowata, Oklahoma, and St. John Sapulpa, Inc., a critical access hospital in Sapulpa, Oklahoma. Acute care services are also provided at two additional rural critical access hospitals which are owned or managed by Jane Phillips. Diagnostic services and certain acute care services are also provided in a variety of free standing (including hospital-based) settings. The St. John System now includes more than 450 employed physicians and "mid-level providers", and several urgent care clinics, as well as retirement and skilled nursing facilities including some targeted specifically to serve low-income and physically disabled individuals) and other health care providers. St. John is attempting to promote community health in several ways. Most of the affiliated primary care physicians have or are establishing "medical home" models of care that are attempting to improve health status of their patients by better emphasizing preventive care and health screening and by better management of chronic disease. This includes participation in the Medicare Comprehensive Primary Care Initiative. The affiliated primary care physicians utilize a sophisticated electronic medical record that helps provide real time information to make it easier to manage patients' care. The Hospitals and the other hospitals in the system have invested heavily in clinical information systems and electronic medical records to better manage patient care during each episode of acute care. St. John is investing in new systems of care to provide better coordination of care between all the different providers responsible for portions of each patient's care with an emphasis on prevention, screening and coordination of chronic care. The Hospitals and SJHS have invested in tertiary services that are needed by the community. Examples of which include development of Oklahoma's only ACS Level II Trauma Center (the highest accredited center in Tulsa), Northeastern Oklahoma's only JCAHO-accredited stroke center, neonatal intensive care, sophisticated medical technology including all-digital diagnostic radiology, cyberknife and other forms of radiation therapy, DaVinci robotic surgery, an endovascular operating suite, orthopedic and neurosurgical centers of excellence, sophisticated cardiovascular care that emphasizes rapid and effective intervention for heart attack victims and preventive care for those with chronic heart conditions.The Hospitals have an open medical staff and has community, religious and physician representatives serving on its board. SJHS has created and is continuing to create systems and policies to promote better coordination of care and allocation of resources throughout the System. The Hospitals participate in many community-wide health screening and health education events as well as hosting many such events that are open to the public. The Hospital and SJHS continue to invest in medical education to support the expansion of physicians, nurses and allied health professionals that will serve the current and future generations of patients in the service area. The Hospitals participate in SJHS's coordinated effort to assess community need collaboratively with other interested parties in the community and to allocate capital and human resources to address the needs of the entire service area.Finally as one of only two major tax-exempt health systems in our service area, St. John reinvests 100% of any profits generated into new or expanded services for the community.
Part VI, Line 6:St. John Health System, Inc. ("St. John" or "the Health Ministry") is a member of Ascension Health. St. John became a member of Ascension Health on April 1, 2013. In December 2011, Ascension Health Alliance, doing business as Ascension, became the sole corporate member and parent organization of Ascension Health, a Catholic, national health system consisting primarily of nonprofit corporations that own and operate local health care facilities, or Health Ministries, located in 23 of the United States and the District of Columbia. In addition to serving as the sole corporate member of Ascension Health, Ascension serves as the member or shareholder of various other subsidiaries. Ascension, its subsidiaries, and the Health Ministries are referred to collectively from time to time hereafter as the System.Ascension is sponsored by Ascension Sponsor, a Public Juridic Person. The participating entities of Ascension Sponsor are the Daughters of Charity of St. Vincent de Paul, St. Louise Province, the Congregation of St. Joseph, the Congregation of the Sisters of St. Joseph of Carondelet, the Congregation of Alexian Brothers of the Immaculate Conception Province - American Province and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi - US/Caribbean Province.Until April 1, 2013, St. John Health System, Inc. was a wholly owned subsidiary of Marian Health System, Inc. ("Marian"). Effective April 1, 2013, Marian transferred its ownership of St. John to Ascension whereby St. John Health System, Inc. became a subsidiary of Ascension Health. The transaction was a membership substitution transaction, such that Ascension Health became the sole member of St. John, holding essentially the same reserved powers over St. John as Marian previously held. The transfer of ownership has been accounted for as a purchase. As such, on April 1, 2013, the assets and liabilities of St. John were adjusted to estimated fair market value. Also as a result of this transaction, St. John adopted a June 30 fiscal year for financial reporting purposes from its previous September 30 fiscal year. Due to the adjustment of asset and liability values to fair market value on April 1, 2013, the accompanying consolidated financial statements as of and for the year ended June 30, 2014, are not presented with comparative prior year information.St. John, headquartered in Tulsa, Oklahoma, and with facilities located throughout Northeastern Oklahoma is an Oklahoma nonprofit health system. It owns and operates an integrated tertiary health care delivery system that provides services primarily in Northeastern Oklahoma. St John Health System, Inc. and its subsidiaries, affiliates, and employed and affiliated physicians, provide health care services for patients of all ages across a broad continuum of care, from physician primary care and specialty services to ambulatory and inpatient acute and post-acute services, and including senior nursing and senior living services. The Health Ministry is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of the Health Ministry are related to providing health care services.The accompanying consolidated financial statements includes the accounts of St. John Health System, Inc. and its subsidiaries. Principal subsidiaries as of June 30, 2014, include the following:- St. John Medical Center, Inc.- Jane Phillips Memorial Medical Center- Owasso Medical Facility, Inc.- St. John Broken Arrow, Inc.- St. John Health System Foundation, Inc.- St. John Villas, Inc. - St. John Sapulpa, Inc.- Jane Phillips Nowata Hospital, Inc.- St. John Building Corporation- Utica Services, Inc. and subsidiaries- SJFI, LLCMission:The System directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing, and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with the System's mission of service to those persons living in poverty and other vulnerable persons, each Health Ministry accepts patients regardless of their ability to pay. The System uses four categories to identify the resources utilized for the care of persons living in poverty and community benefit programs:- Traditional charity care includes the cost of services provided to persons who cannot afford healthcare because of inadequate resources and/or who are uninsured or underinsured.- Unpaid cost of public programs represents the unpaid cost of services provided to persons covered by public programs for the persons living in poverty and other vulnerable persons.- Cost of other programs for the persons living in poverty and other vulnerable persons includes programs intentionally designed to serve the persons living in poverty and other vulnerable persons of the community including substance abusers, the homeless, victims of child abuse and persons with acquired immune deficiency syndrome.- Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for persons living in poverty and other vulnerable persons, including health promotion and education, health clinics and screenings and medical research.Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons living in poverty and other community benefit programs. The cost of providing care to persons living in poverty and other community benefit programs is estimated by reducing charges forgone by a factor derived from the ratio of each entity's total operating expenses to the entity's billed charges for patient care.The amount of traditional charity care provided, determined on the basis of cost, was approximately $32,442,000 for the year ended June 30, 2014.
Community Benefit Report:St. John Health System, Inc.'s (the "St. John System" or "St. John") mission is to improve the health status of the individuals who live in the communities we serve with a special emphasis on the poor and vulnerable among us; faithful to the teaching of Jesus Christ and the values of our Sponsors and the Catholic Church. Our promise to our patients and to our communities is to provide medical excellence and compassionate care. We strive to provide healthcare that works, healthcare that is safe and healthcare that leaves no one behind.To meet this mission the St. John System has operated since the 1920's; growing from a fledgling community hospital in what was then the southern edge of Tulsa, Oklahoma to an integrated health care delivery system serving Northeastern Oklahoma and surrounding states. The St. John System includes: 7,000 associates, 450 employed physicians and advanced practice providers, hundreds more independent physicians and dozens of volunteers. They serve patients in six owned hospitals operating nearly 800 beds; several senior nursing and housing facilities; dozens of physician offices, clinics and urgent care centers; a reference laboratory, and partnerships and ventures that include a health insurance company, several ambulatory surgery centers and other health care activities. Together, our associates, physicians and volunteers touch the lives of thousands of patients every day; including the poor and the vulnerable.In each of the last four fiscal years, the St. John System provided total estimated community benefit (utilizing the measurement criteria of the U.S. Catholic Health Association) of more than $81.1 million. These amounts represented more than 8% of total operating expenses in each year. The St. John System is committed to continue the legacy of health care excellence and service started by our original founders and sponsors the Sisters of the Sorrowful Mother by continuing to provide vital services to the communities with continued emphasis on service to the poor and powerless.Our Mission and Values: Our mission of service and our Catholic values compel us to fulfill our promise of medical excellence and compassionate care to all who need our services with a special emphasis on service to the poor and the powerless. We will do this by providing: health care that works; health care that is safe; and health care that leaves no one behind. We will endeavor to establish trusted relationships with our patients over their entire lives: seeking to improve their health and working to health their minds and bodies when afflicted by injury or illness.Health Care that Works:Our vision calls us to ensure service that is committed to health and well-being for our communities and that responds to the needs of individuals throughout their lives. Healthcare that Works includes establishing a trusted relationship between each patient and their health care professionals so that they receive the care they need, including preventative care, when they need it and in a manner that meets their service expectations. We expect our patients to be actively involved in their own health care participating in informed decisions that will strive to make them healthier. Health care that works assumes that the care provided is person-centered and based on the best available medical evidence, reliably delivered. Becoming truly person-centered requires shifts in focus from traditional models of health care to build an effective and trusted relationship with each patient over their lifetime across the continuum of care emphasizing prevention and wellness, disease management, and a medical home that promotes a spiritually-centered, holistic approach to supporting a person's health and well-being. Health care that works strives to make sure the value of the care received is exceptional but at an acceptable economic cost both to the individual and to society.Health Care that is Safe:St. John is striving to become a "high reliability" organization. High reliability means that we will be exceptionally consistent in accomplishing goals and avoiding catastrophic errors in everything we do. In providing health care services, this means reducing medical errors by providing our clinicians and our patients with decision support tools to ensure the care provided is consistently based on sound scientific evidence of effectiveness. Physicians and nurses are leading our quality efforts. Among our clinical areas of focus for improvement are goals to reduce hospital acquired conditions and hospital readmissions. Some specific areas of clinical focus include reducing: - Adverse Drug Events (ADE),- Catheter Urinary Tract Infections (CAUTI),- Central Line Blood Stream Infections (CLABSI),- Surgical Site Infections (SSI),- Ventilator Associated Pneumonia (VAP),- Injuries from Falls and Immobility,- Obstetrical Adverse Events,- Pressure Ulcers, and- Venous Thromboembolism (VTE).Healthcare that Leaves No One Behind:We will continue to advocate for state and federal public policy that recognizes the inherent value of all members of society and provides support systems and adequate funding sources to ensure all of those among us have access to the health care they need. This includes providing affordable access to health care for everyone in the U.S. in a financially sustainable way.Our Enabling Strengths:We will use our enabling strengths to achieve our mission and vision. Those strengths include: a model community of inspired people working to provide our services and achieve our mission; empowering knowledge clinical and business information systems that provide our associates actionable, timely data and information upon which they can make informed decisions; the creation of trusted partnerships with external partners to expand our capabilities, complement our service offerings and fulfill our mission; and achieving vital presence in the communities we serve. This vital presence contemplates creation and continuation of important safety net services, world-class centers of clinical excellence and creation of medical homes that promote each individual's participation in their own health and well-being and which create and sustain the infrastructure for promoting health communities.Our Point of View:Health care delivery and financing in the U.S. must change. The cost of the current system relative to the value that communities and individuals are receiving is not sustainable. In order to meet the health care needs and contribute to economic vitality of communities, with special attention to the poor and vulnerable, health care providers must fundamentally reconfigure delivery systems, care processes and cost structures. Delivering safe, high-quality care that is low cost with an exceptional patient experience will increasingly require providers to have a strong regional presence, integrated physician relationships and capabilities across the care continuum. Sustaining the St. John mission into the future will require a more continuous, dynamic relationship with those we serve and the ability to share risk with healthcare purchasers, as opportunities for inpatient growth or commercial rate increases will be limited. The movement to managing health of defined populations demands massive transformational change. This requires rapid assessment, assembly and deployment of the necessary capabilities. We believe the St. John System is well positioned to lead this transformation.Community Needs Assessment:The St. John System and each St. John Hospital have completed a Community Health Needs Assessment to help us identify the priorities for the limited resources we have to address community need. We partnered with the Tulsa County Health Department, other public and private health care, educational and community service organizations throughout the service area to complete the assessments and we are now working to enhance our response to the identified needs. Additional information will be forthcoming about our specific future responses to our assessment of community need.Community Benefit:The community benefit provided by the St. John System includes: uncompensated care for the poor, support for the education of medical professionals, provision of subsidized health services, support for other community organizations, initiatives to improve community health, and medical research to be some of the key areas of focus for providing community benefit. The St. John System does not include amounts recorded as bad debt; shortfalls in the difference between payment for and cost of service to Medicare beneficiaries; payment of property, sales, use, income, payroll, and other taxes; considerable economic value provided to the local communities in which we operate as components of community benefit.Care for the Poor:"Care for the Poor" (which includes the estimated cost of services provided to patients who qualify for financial assistance (charity) and the uncompensated co

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Good Samaritan Health Service Inc
7600 S LewisTulsaOK741366836731559561501(c)(3)$645,750Medical Assistance
OMNI Medical Group Inc
PO Box 21228 Dept 333TulsaOK74121731335536N/A$567,456Medical Assistance
Regional Medical Laboratories Inc
4142 S Mingo RoadTulsaOK741463632731131608N/A$30,947Medical Assistance
St Gregory's University
5801 E 41st St Suite 900TulsaOK741355631730685198Gov't Entity$50,000Nursing Program
St John Anesthesia Services Inc
PO Box 2128 Dept 151TulsaOK741211228203690446N/A$20,432Medical Assistance
St John Broken Arrow Inc
1000 W Boise CrBroken ArrowOK740124900383833117501(c)(3)$12,727Medical Assistance
Owasso Medical Facility Inc
12451 E 100th St NoOwassoOK740554600203700131501(c)(3)$12,562Medical Assistance
St John Physicians Inc
PO Box 21228 Dept 334TulsaOK74121731321032N/A$108,578Medical Assistance
Surgery Inc
1725 E 19th St 800TulsaOK741046520730768966N/A$55,945Medical Assistance
Tulsa Day Center for the Homeless
415 W Archer StTulsaOK741031807730662663501(c)(3)$271,950Medical Assistance
Tulsa Radiology Associates
PO Box 4939TulsaOK741590939736017987N/A$44,904Medical Assistance
University of Oklahoma
4502 E 41st StTulsaOK741352512736017987501(c)(3)$4,177,790Resident Program
Urologic Specialists of Oklahoma Inc
10901 E 48th StTulsaOK741465830730729369N/A$31,725Medical Assistance
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt
Total Other Org7TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeMedical AssistanceGrantTypeTxt
Recipient1RecipientCnt
Cash Grant$41,267CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationGrants to organizations - St. John Medical Center, Inc. ("SJMC") provides funds to selected unaffiliated entities to fund their operations. SJMC determines the amount of the funds provided on an annual basis.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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
Charles Anderson
VP OP/Ex-Officio$460,609$0$34,282$0$48,359$0$23,000$0$19,282$0$585,532$0$31,269$0
Bert W Walthall
VP & CFO$239,762$0$26,767$0$29,689$0$21,216$0$20,839$0$338,273$0$20,748$0
Pamela Kiser
VP & CNO$206,203$0$23,021$0$25,508$0$17,500$0$8,268$0$280,500$0$13,964$0
Kathleen C Smarinsky
Vice President$206,628$0$23,068$0$28,289$0$40,000$0$7,768$0$305,753$0$20,241$0
Lex Anderson
Treasurer/Sr. VP & CFO SJHS$0$490,729$0$73,048$0$66,686$0$0$0$12,798$0$643,261$0$39,712
H William Allred
VP of Med Affairs/Med. Ed.$469,708$0$29,791$0$41,934$0$0$0$13,506$0$554,939$0$27,000$0
Jeffrey D Nowlin
President & CEO$424,368$0$47,377$0$12,335$0$35,000$0$25,835$0$544,915$0$0$0
Kevin Steck
Corp. Resp. Off./Secretary$0$231,739$0$33,913$0$37,456$0$38,731$0$7,889$0$349,728$0$24,863
David Lewis
Transplant Admin.$158,947$0$9,540$0$137$0$22,500$0$9,112$0$200,236$0$0$0
Oliver D Hanson
Chief Med. Physicist$185,645$0$298$0$97$0$0$0$13,647$0$199,687$0$0$0
Tseggy Kharkhuu
Physicist II$180,759$0$295$0$102$0$0$0$8,354$0$189,510$0$0$0
Philip A Preston
Dir. Operations Improv.$178,197$0$10,830$0$229$0$0$0$4,196$0$193,452$0$0$0
Patricia A Wright Evans
RN Dir. Operating Room$161,792$0$7,458$0$368$0$0$0$9,093$0$178,711$0$0$0
Jessie Dragoo
Former Vice President - Nursing$0$0$0$0$130,622$0$12,981$0$3,944$0$147,547$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3St. John Health System, Inc., a related organization of St. John Medical Center, Inc., uses the following methods to establish the compensation of the Organization's President: -Compensation Committee -Independent Compensation Consultant -Compensation Survey or Study -Approval by the Board or Compensation Committee
Part I, Line 4a:The following Former Officer received severance payments from the organization or a related organization during the calendar year 2013: Jessie Dragoo $97,174
Part I, Line 4b:Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the Organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The following individual received current year distributions of: Charles Anderson $31,269 Bert W. Walthall $20,748 Pamela Kiser $13,964 Kathleen C. Smarinsky $20,241 H. Wiliam Allred $27,000 Lex Anderson $39,712 Kevin Steck $24,863
Part I, Line 7:St. John Health System, Inc. is the controlling member organization of an integrated healthcare system ("System"). The System has established an executive accountability and financial incentive plan that encourages the executives' participation in the significant improvements of the quality, financial, growth, and human resource related operations of the Organization. Eligibility is triggered when the System meets certain earnings and community benefits targets; however payments received under the plan are not based on the earnings of the Organization. Executives receive points under a plan scoring system for meeting their predetermined goals. The points are then entered into the plan formula to determine the executives' incentive compensation. Maximum payments under the financial incentive plan are twenty percent of base pay for most executives and 25% of base pay for the System CEO. There is a small discretionary element to the plan, generally equal up to 6.0% of base pay (up to 30% of the total plan pay out).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4a(the "Medical Center"), St. John Sapulpa, Inc. ("St. John Sapulpa"), Jane Phillips Memorial Medical Center ("Jane Phillips"), Utica Services, Inc. ("Utica"), St. John Villas, Inc. ("St. John Villas"), Owasso Medical Facility, Inc. ("St. John Owasso"), St. John Health System Foundation, Inc. ("St. John Foundation"), St. John Building Corporation ("SJBC"), and St. John Broken Arrow, Inc. ("St. John Broken Arrow"). St. John, these subsidiaries, and all other subsidiaries under St. John's direct or indirect control or ownership are referred to herein as "the St. John System". All hospitals and other facilities or organizations owned or managed by the St. John System are operated in accordance with the mission and values of St. John. Mission and Values: As a Catholic healthcare organization, St. John carries on the mission of its sponsors, through Ascension Health, of continuing the healing ministry of Jesus Christ. It aspires to provide health care that works, health care that is safe, and health care that leaves no one behind, with a promise to our patients and the communities we serve of providing medical excellence and compassionate care. It operates in conformance with "the ethical and religious directives for Catholic health facilities." Faithful to the sponsorship mission, philosophy and values, St. John's mission is to provide healthcare and related ministries for the people served, especially the sick, the poor and the powerless. The board of directors, management and employees of St. John are guided in their day-to-day actions and interactions with those who serve and who are served by the values of service to the poor, wisdom, reverence, creativity, dedication and integrity. St. John and the Medical Center collaborate with other individuals and institutions in the various communities it serves to ascertain community needs and provide a broad range of services along the healthcare continuum to help meet those needs. Programs and services include preventive, diagnostic, therapeutic and rehabilitative programs, including emphasis on health promotion and disease prevention. St. John also advocates for public policies which advance a healthy and just society. St. John works with local, state and national leaders and organizations to bring about a healthcare delivery system that provides dignified access to and affordable, high quality healthcare for all persons. Community Needs Assessment: Each owned hospital in the St. John System (including the Medical Center) has completed a Community Health Needs Assessment and plan of response and those have been posted to each Hospital's website and also the Health System website. St. John continues to look for ways to meet unmet community needs in a sustainable and collaborative way with other organizations to build healthier communities. Governance: The administrative powers of the Medical Center are vested in its board of directors, which controls and manages the properties, affairs and funds of the Medical Center, subject to reservation of certain powers by St. John. The board meets regularly and it works in concert with, and when appropriate, under the direction of the St. John Health System, Inc. board. Community Benefit: In measuring and reporting quantifiable community benefit, St. John follows guidelines promulgated by the Catholic Health Association of the United States and endorsed by other organizations. Uncompensated care and other elements of community benefit are measured at the unreimbursed estimated cost of services or resources provided. The St. John System serves as an important safety net provider of a broad continuum of health care services to the citizens of Northeastern Oklahoma and the surrounding region. Each of the six main hospitals operates a full-service, 24-hour, 365-day emergency room providing both urgent and emergency care to all individuals, regardless of their ability to pay. The Medical Center, located in Tulsa, Oklahoma, is a full-service tertiary hospital which provides a broad range of inpatient and outpatient health care services. The Medical Center is a tertiary referral center and serves as one of two primary trauma referral centers for Tulsa and Northeastern Oklahoma. It serves as a primary Tulsa teaching hospital for The University of Oklahoma's School of Community Medicine residency programs for internal medicine and surgery. It is also the primary teaching hospital for the In His Image Family Medicine residency program. It is also Northeastern Oklahoma's only "magnet" accredited hospital, signifying excellence in nursing care. St. John Medical Center, Inc. is Tulsa's and Northeastern Oklahoma's only ACS Level II Trauma Center and only Joint Commission-accredited comprehensive stroke center. The Medical Center offers advanced services in trauma, neurological and neurosurgical (including stroke) care, cardiology and cardiothoracic surgery, kidney transplant, adult, pediatric and neonatal intensive care, cancer treatment, joint replacement, and many other areas. Patients seen in the St. John System for the fiscal year ended June 30, 2014: Beds in Service (including 37 newborn bassinets) 782 Total Discharges (excluding normal newborns) 38,704 Total Observation Days 19,086 Combined Discharges and Observation Days 57,790 Total Patient Days (excl. normal newborn and observations) 176,450 Average Length of Stay in Days (excl. normal newborn and obs.) 4.56 Births 3,248 Emergency Room Visits 140,150 Outpatient Visits (excl. emergency room & one day surgeries) 394,526 Inpatient Surgical Cases 9,855 Outpatient Surgical Cases 15,545 Physician Office Patient Visits 617,023 Urgent Care Clinic Patient Visits 58,368 Combined Physician Office and Urgent Care Visits 675,391 Total Laboratory Procedures (incl. hospital and reference labs) 8,184,993 Patients seen in St. John Medical Center, Inc. for the fiscal year ended June 30, 2014: Beds in Service (including 20 newborn bassinets) 547 Total Discharges (excluding normal newborn) 28,728 Total Observation Days 12,382 Combined Discharges and Observation Days 41,110 Total Patient Days (excl. normal newborn and observation) 149,969 Average Length of Stay in Days (excl. normal newborn & obs.) 5.22 Births - 2,205 Emergency Room Visits 60,547 Outpatient Visits (excl. emergency room & one day surgeries) 250,795 Inpatient Surgical Cases 7,775 Outpatient Surgical Cases 10,815 In its fiscal year ended June 30, 2014, St. John was able to identify and quantify an initial estimate of more than $81.1 million of total net consolidated quantifiable community benefit provided to thousands of individuals directly served. This represents more than 8% of total St. John System operating expenses. In addition to the quantifiable community benefit described above, the St. John System charged millions of dollars to the consolidated provision for bad debts in 2014 which were not included in the total quantifiable community benefit for the year. Also, unlike many other non-profit health systems based in states other than Oklahoma, the St. John System is not exempt from state and local sales taxes and, in fact, pays sales tax on many equipment, supplies and other purchases. When payments from certain government programs for direct graduate medical education and Oklahoma Trauma Fund participation are applied to community benefit expense, the net consolidated quantifiable community benefit expense for St. John Health System, Inc. for 2014 was estimated to be at least $74.9 million. The St. John System considers care for the poor to be an essential part of its mission of service to the community. The total cost of care for the poor includes the cost of charity care, the unreimbursed cost of services to Medicaid beneficiaries (together referred to as "uncompensated care for the poor"), and the cost of special programs or other activities specifically targeted to increase access to care or provide other services to the poor. "Care for the Poor" includes the estimated cost of care classified as charity care plus the estimated excess of the cost of services provided to Medicaid beneficiaries over the payments received from Medicaid. "Care for the Poor" does not include the cost of services classified and written off as bad debts or the excess of the cost of services provided to Medicare beneficiaries over the payments received from Medicare. Charity and Uncompensated Care: The St. John System's Hospitals, senior-care and other facilities provide services without regard to a patient's ability to pay. In 2014, the St. John System Hospitals provided a discount of at least 30% of billed charges to all uninsured patients. Uninsured patients also could qualify for an additional 15% prompt pay discount. In addition to these automatic discounts, patients can apply for financial assistance up to and including free care. The determination of the patient's qualification for financial assistance is based on an objective determination of the patient's financial
Form 990, Part V, Line 1a and 2a:Statements Regarding Other IRS Filings and Tax Compliance The number of independent contractors during the tax year for the filing organization and all other entities within the St. John Medical Center, Inc. master pay group are reflected in Part V, Line 1a of the filing organization. Compensation for independent contractors is reported on the Form 1096, Annual Summary and Transmittal of the U.S. Information Returns, of St. John Medical Center, Inc. (SJMC), EIN 73-0579286. Expenses from all entities in the SJMC master pay group are allocated to and reimbursed by the filing organization to SJMC and are reported on Form 990, Part VII, Section B and Part IX by the respective filing organization that incurred the expense. The salaries reflected on Form 990 were all reported on the Form 941 Employer's Quarterly Federal Tax Return of St. John Medical Center, Inc. These salaries were reimbursed to SJMC by the filing organization and were included in the number of employees on SJMC's calendar year 2013 Form W-3. The number of employees reported on Part V, Line 2a of Form 990 by the filing organization represents the number of employees providing services to the filing organization during calendar year 2013.
Form 990, Part VI, Section A, line 2Many of the persons listed on Part VII have a "business relationship" with each other by virtue of employment by St. John Health System, Inc. related entities.
Form 990, Part VI, Section A, line 6St. John Medical Center, Inc. has a single corporate member, St. John Health System, Inc.
Form 990, Part VI, Section A, line 7aSt. John Medical Center, Inc. has a single corporate member, St. John Health System, Inc., who has the ability to elect members to the governing body of St. John Medical Center, Inc.
Form 990, Part VI, Section A, line 7bAll decisions that have a material impact to St. John Medical Center, Inc.'s financial information or corporation as a whole are subject to approval by its sole corporate member, St. John Health System, Inc. Ascension Health, the sole corporate member of St. John Health System, Inc., has designated a system authority matrix which assigns authority for key decisions that are necessary in the operation of the System. Specific areas that are identified in the authority matrix are: new organizations and major transactions; governing documents; appointments/removals; evaluations; debt limits; strategic and financial plans; assets; system policies and procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.
Form 990, Part VI, Section B, line 11St. John Medical Center, Inc. (SJMC) is an affiliate of St. John Health System, Inc. (SJHS). SJHS has hired a third party preparer experienced in the preparation of Form 990 to assist in the preparation of the return. The Senior Vice President/Chief Financial Officer and SJHS personnel will work closely with the paid preparer in gathering the information for the return and will perform the initial detailed review of the return. The return will then be reviewed by the SJHS Audit Committee (as delegated by the Board of the filing organization). A copy of the return will be provided to all voting Board Members of the filing Organization prior to filing.
Form 990, Part VI, Section B, line 12cAt every fiscal year end, St. John Health System, Inc. (SJHS) distributes a copy of the current Conflict of Interest Policy and Procedure Bulletin, together with an explanation and questionnaire to the members of the Board of Directors, administrative officers and key employees of SJHS, its subsidiaries and affiliates, including Jane Phillips Nowata Hospital, Inc. The Board Members, administrative officers and key employees of SJHS, its subsidiaries and affiliates must complete the questionnaire and return it to the designated SJHS official within two weeks of receipt. Completed questionnaires are reviewed and summarized by the Vice President, Corporate Compliance and Integrity, or his/her designee. That individual then presents the questionnaire results to the heads of each hospital for further provision to the various boards' Audit and Compliance Committees. The Audit and Compliance Committees, as appropriate, submit a confidential report to their Board Chairman summarizing the questionnaire results. The Board Chairman, as appropriate, may review with the Executive Committee the responses to the questionnaire results. Members of a committee with governing board delegated powers annually sign a statement which affirms such person has received a copy of the Conflict of Interest Policy, has read and understands the Policy, has agreed to comply with the Policy, and understands that the Organization is charitable and, in order to maintain its federal tax exemption, it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Section B, line 15Compensation for all executives in St. John Health System, Inc. ("SJHS"), of which St. John Medical Center, Inc. is a part, is analyzed by an independent health care consulting firm. The analysis includes a fair market value assessment and establishment of a range for each position based on research of comparable health care systems of similar size. The report and recommended compensation levels for each executive management position is reviewed and approved by the Executive Compensation Committee of the SJHS Board of Directors. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes.
Form 990, Part VI, Section C, line 19The Organization will provide any documents open to public inspection upon request.
Form 990, Part VII, Line 7b:Amounts paid to Manhattan Construction Company and Siemens Healthcare Diagnostics represent payments for both services and goods. These amounts cannot be separated.
Form 990, Part IX, line 11gProfessional Services: Program service expenses 37,984,027. Management and general expenses 639,797. Fundraising expenses 0. Total expenses 38,623,824. Contracted Services: Program service expenses 9,345,551. Management and general expenses 195,688. Fundraising expenses 0. Total expenses 9,541,239. Purchased Services: Program service expenses 3,510,308. Management and general expenses 58,522. Fundraising expenses 0. Total expenses 3,568,830. Laboratory: Program service expenses 11,860,179. Management and general expenses 0. Fundraising expenses 0. Total expenses 11,860,179. Miscellaneous: Program service expenses 102,289. Management and general expenses 0. Fundraising expenses 0. Total expenses 102,289.
Form 990, Part XI, line 9:Transfers to Affiliates -28,856,750. Contributions 5,794,556. Released from Restrictions -7,757,985. Other Temporarily Restricted Net Assets 1,440,000. Other Resticted Activity -48,339,405. Other Unrestricted Activity 705,636.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
St John Dialysis LLC
1923 South Utica AvenueTulsaOK74104731594503DialysisOK$0$0St John Medical Center Inc
St John Home Care LLC
1923 South Utica AvenueTulsaOK74104384662704Health CareOK$0$0St John Medical Center Inc

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Ascension Health Alliance
PO Box 45998St LouisMO631455998453358926National Health SystemMO501(c)(3)Schedule A, Line 11aN/A0
Ascension Health
PO Box 45998St LouisMO63134311662309National Health SystemMO501(c)(3)Schedule A, Line 11a0Ascension Health Alliance
St John Health System Inc
1923 South Utica AvenueTulsaOK74104731215174System ParentOK501(c)(3)Schedule A, Line 11a0Ascension Health
Craig County Medical Services Corp
1923 South Utica AvenueTulsaOK74104731487478Health CareOK501(c)(3)Schedule A, Line 9Yes (1)St John Health System Inc
St John Sapulpa Inc
1923 South Utica AvenueTulsaOK74104730662663Health CareOK501(c)(3)Schedule A, Line 3Yes (1)St John Health System Inc
Jane Phillips Nowata Hospital Inc
237 South LocustNowataOK74048731440267Health CareOK501(c)(3)Schedule A, Line 3Yes (1)Jane Phillips Memorial Medical Center
Jane Phillips Memorial Medical Center
3500 E Frank Phillips BlvdBartlesvilleOK74006730606129Health CareOK501(c)(3)Schedule A, Line 3Yes (1)St John Health System Inc
Jane Phillips Health Care Foundation
3500 E Frank Phillips BlvdBartlesvilleOK74006731250611Rural Health ClinicsOK501(c)(3)Schedule A, Line 3Yes (1)Jane Phillips Memorial Medical Center
Bartlett Homes Inc
1008 E ClevelandSapulpaOK74066731301822HUD HousingOK501(c)(3)Schedule A, Line 7Yes (1)St John Sapulpa Inc
Bethel Manor Inc
619 S DivisionSapulpaOK74066731216617HUD HousingOK501(c)(3)Schedule A, Line 7Yes (1)St John Sapulpa Inc
St John Building Corporation
1923 South Utica AvenueTulsaOK74104611659782Real EstateOK501(c)(2)N/AYes (1)St John Health System Inc
St John Health System Foundation Inc
1923 South Utica AvenueTulsaOK74104731133139Health CareOK501(c)(3)Schedule A, Line 7Yes (1)St John Health System Inc
St John Management Services Inc
1923 South Utica AvenueTulsaOK74104203742040Health CareOK501(c)(3)Schedule A, Line 7Yes (1)St John Health System Inc
St John Villas Inc
1923 South Utica AvenueTulsaOK74104731077367Nursing HomeOK501(c)(3)Schedule A, Line 9Yes (1)St John Health System Inc
Owasso Medical Facility Inc
1923 South Utica AvenueTulsaOK74104203700131Health CareOK501(c)(3)Schedule A, Line 3Yes (1)St John Health System Inc
St John Broken Arrow Inc
1923 South Utica AvenueTulsaOK74104383833117Health CareOK501(c)(3)Schedule A, Line 3Yes (1)St John Health System Inc
St John Auxiliary
1923 South Utica AvenueTulsaOK74104730999759Health CareOK501(c)(3)Schedule A, Line 9Yes (1)St John Health System Inc
St Teresa of Avila Villas Inc
6859 South Canton AvenueTulsaOK74136204791422HUD HousingOK501(c)(3)Schedule A, Line 7Yes (1)St John Villas Inc

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
Platnum Fitness & Rehab Center LLC
4804 South 109th East AvenueTulsaOK74146201879493Health ClubOKN/A
Memorial Surgery Center LLC
8131 South Memorial AvenueTulsaOK74133201167151Operate ASCOKN/A
Broken Arrow Development LLC
1924 South Utica AvenueTulsaOK74104260748994Medical ServicesOKN/A
UticaUSP Tulsa LLC
15305 Dallas Pkwy Ste 1600 LB 28AddisonTX75001270408231Medical ServicesTXN/A
JPHC LLC
3500 SE Frank Phillips BlvdBartlesvilleOK74006611498699Medical ServicesOKN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (17 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Utica Services Inc
1923 South Utica AvenueTulsaOK74104731057650Medical ServicesOKN/AC0
Regional Medical Laboratories Inc
1923 South Utica AvenueTulsaOK74104731131608Medical ServicesOKN/AC0
Physician Support Services Inc
1923 South Utica AvenueTulsaOK74104731437252Medical ServicesOKN/AC0
OMNI Medical Group Inc
1923 South Utica AvenueTulsaOK74104731335536Medical ServicesOKN/AC0
Outbound Medical Network Inc
1923 South Utica AvenueTulsaOK74104731255463Medical ServicesOKN/AC0
St John Urgent Care Clinic Inc
1923 South Utica AvenueTulsaOK74104204990275Medical ServicesOKN/AC0
St John Anesthesia Services Inc
1923 South Utica AvenueTulsaOK74104203690446Medical ServicesOKN/AC0
St John Physicians Inc
1923 South Utica AvenueTulsaOK74104731321032Medical ServicesOKN/AC0
Ceres Medical Practice Inc
3400 E Frank Phillips BlvdBartlesvilleOK74006731522656Medical ServicesOKN/AC0
Doctors Building of Bartlesville
3500 State StreetBartlesvilleOK74006730759185Building RentalOKN/AC0
Gemini Medical Group Inc
3400 E Frank Phillips BlvdBartlesvilleOK74006731503529Medical ServicesOKN/AC0
Gemini After Hours Clinic Inc
3400 E Frank Phillips BlvdBartlesvilleOK74006300375407Medical ServicesOKN/AC0
Jane Phillips Specialty Physicians Inc
3400 E Frank Phillips BlvdBartlesvilleOK74006010879962Medical ServicesOKN/AC0
Professional Credit Recovery
4100 SE Adams BlvdBartlesvilleOK74006731057187Collections ServicesOKN/AC0
Synergy Hospitalist Grp Inc
3400 E Frank Phillips BlvdBartlesvilleOK74006300375404Medical ServicesOKN/AC0
Professional Medical Insurance Risk Retention Group Inc
201 Merchant Street Suite 2400HonoluluHI96813731525831InsuranceHIN/AC0
Jane Phillips Support Services Inc
3400 E Frank Phillips BlvdBartlesvilleOK74006751530296Holding CompanyOKN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (47 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
St John Health System Inc
O$164,146,024FMV
Utica Services Inc
S$145,581,418FMV
St John Health System Inc
P$129,835,951FMV
Utica Services Inc
O$103,132,228FMV
St John Health System Inc
L$102,759,288FMV
St John Health System Inc
S$51,559,509FMV
St John Building Corporation
L$24,348,152FMV
St John Building Corporation
S$21,043,332FMV
Utica Services Inc
M$20,376,142FMV
St John Sapulpa Inc
Q$20,223,737FMV
St John Broken Arrow Inc
S$18,908,847FMV
St John Health System Inc
E$17,217,829FMV
St John Broken Arrow Inc
L$15,624,438FMV
St John Broken Arrow Inc
O$12,766,454FMV
Owasso Medical Facility Inc
O$10,941,391FMV
St John Broken Arrow Inc
Q$9,514,585FMV
St John Sapulpa Inc
O$8,446,315FMV
St John Sapulpa Inc
R$8,368,940FMV
Owasso Medical Facility Inc
S$8,190,693FMV
St John Villas Inc
Q$7,827,310FMV
Owasso Medical Facility Inc
Q$7,017,003FMV
Utica Services Inc
P$4,717,122FMV
St John Villas Inc
O$4,537,084FMV
Owasso Medical Facility Inc
L$4,241,655FMV
St John Health System Foundation Inc
L$3,935,773FMV
St John Health System Foundation Inc
C$3,640,083FMV
St John Villas Inc
L$3,462,167FMV
Ascension Health
L$3,436,883FMV
St John Sapulpa Inc
L$3,388,192FMV
St John Health System Foundation Inc
Q$3,050,000FMV
Jane Phillips Memorial Medical Center Inc
S$2,362,944FMV
Jane Phillips Memorial Medical Center Inc
L$2,255,388FMV
St John Building Corporation
Q$2,173,622FMV
St John Health System Foundation Inc
S$1,207,159FMV
St John Building Corporation
K$856,515FMV
St John Building Corporation
O$673,214FMV
OMNI Medical Group Inc
B$567,456FMV
St John Villas Inc
S$386,537FMV
St John Health System Inc
J$328,123FMV
St John Health System Foundation Inc
O$320,386FMV
Craig County Medical Services Corp
Q$242,035FMV
St John Villas Inc
D$214,596FMV
Jane Phillips Memorial Medical Center Inc
O$136,696FMV
Craig County Medical Services Corp
R$124,501FMV
Craig County Medical Services Corp
L$117,534FMV
St John Physicians Inc
B$108,578FMV
Utica Services Inc
D$108,211FMV

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