2024-05-13T15:31:18-05:00 2023-06-30 ERNST & YOUNG US LLP 2323 VICTORY AVENUE SUITE 2000 DALLAS TX 74219 990 2022-07-01 813747248 Saint Francis Hospital Vinita Inc % DEBORAH DAGE SAIN 9184948418 6600 S Yale Ave Suite 400 Tulsa OK 741363319 Deborah Dage Treasurer/CFO 9184948430 2024-05-06 true Deborah Dage 999009999 Stephanie Lew P01080011 2149698000 2024-05-02 2 2022 2023-04-26 12:10:37Z DEBORAH DAGE 6161 S Yale Ave Tulsa OK 741363319 28524641 false X HTTPS://WWW.SAINTFRANCIS.COM/VINITA X 2016 OK To extend the presence and healing ministry of Christ in all we do. 9 8 230 8 0 0 8000 536454 27565932 27700954 -14013 35586 139540 -19824 27699459 28253170 20472 21900 0 0 11815330 13430910 0 0 0 11245921 11338459 23081723 24791269 4617736 3461901 30915522 31307679 4678933 2650738 26236589 28656941 X TO EXTEND THE PRESENCE AND HEALING MINISTRY OF CHRIST IN ALL WE DO. false false 20812488 21900 27700954 See Schedule O 20812488 true true false false false false false false false true true false false false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 0 0 true 230 true false false false false false false false false false false false false X 9 8 true true false false true true true true true false false true true true true true true true true false OK X DEBORAH DAGE 9184948418 6161 S YALE AVE TULSA OK 741363319 X Cliff A Robertson MD PRESIDENT/CEO/DIR 1.0 39.0 X X 0 1925421 293636 Barry L Steichen VP/COO/Director (Term 9/21) 1.0 39.0 X 0 1488152 191005 Deborah Dage Treasurer/CFO 1.0 39.0 X 0 821905 121407 Michael J Lissau Secretary 1.0 40.0 X 0 584117 114049 Eric E Schick Treasurer/CFO(Term 9/2021) 1.0 39.0 X 0 608375 0 Terry Horton MD Physician 1.0 39.0 X 24668 409979 62468 Todd Schuster Administrator 1.0 39.0 X 0 375937 82634 Michael Hitsman MD Physician 1.0 39.0 X 35333 345510 56447 Jacob O'Meilia MD Physician 40.0 0.0 X 314008 0 46304 MELINDA CULP Executive Director 40.0 1.0 X 168955 0 29585 Laura Strickland Advanced Practice Provider 40.0 0.0 X 129875 0 16906 William R Lissau Director (NON-VOTING) 1.0 0.0 X 0 0 0 Mike Case Director 0.0 1.0 X 0 0 0 Mike Cooke JD Director 0.0 1.0 X 0 0 0 Tom Cooper Director 0.0 1.0 X 0 0 0 Father Gary Kastl Director 0.0 1.0 X 0 0 0 Judy Kishner Director/Trustee 0.0 1.0 X 0 0 0 Charles W McEntee MD Director (Term 12/2022) 0.0 1.0 X 0 0 0 John-Kelly C Warren TRUSTEE/DIRECTOR 1.0 0.0 X 0 0 0 Laura Stuemkey MD Director (Beg 8/2022) 1.0 0.0 X 0 0 0 Sailatha Thomas MD Director (Beg 1/2023) 1.0 0.0 X 0 0 0 672839 6559396 1014441 8 true true false Crossland Construction Co Inc 833 S E Ave COLUMBUS KS 66725 Construction Svcs 3105083 Emergency Medicine Physicians 4535 Dressler Rd NW CANTON OH 447186803 Medical Services 708000 Roark Landscaping Corporation 5809 S 107TH E Ave TULSA OK 74146 Landscaping Services 249957 DEWBERRY ARCHITECTS INC 100 STERLING PARKWAY SUITE 201 MECHANICSBURG PA 170502903 ARCHITECTURE SERVICE 237428 MEDEFIS INC PO BOX 5068 NEW YORK NY 100875068 MEDICAL SERVICES 338844 7 528454 8000 536454 PATIENT SVCS, NET OF CONTRACTUAL ADJ. 621110 27700954 27700954 27700954 24786 24786 0 0 149622 267907 -118285 0 -118285 -118285 14364 3564 10800 10800 10800 0 0 0 0 0 0 0 0 0 THIRD PARTY FOOD SVC 722210 52995 52995 THIRD PARTY RENT 900099 24068 24068 WELLNESS CENTER 900099 12160 12160 9238 9238 98461 28253170 27700954 15762 21900 21900 0 0 0 210103 210103 0 10969314 9788093 1181221 541719 491525 50194 937778 843107 94671 771996 692980 79016 0 0 12878 12878 0 0 0 1300819 1071350 229469 3924 855 3069 408542 322775 85767 533282 130091 403191 0 374323 97349 276974 90261 74945 15316 0 0 0 0 1725519 1271880 453639 156050 5655 150395 BAD DEBT EXPENSE 2130012 2130012 0 0 MEDICAL SUPPLIES 2092261 2090361 1900 0 MAINTENANCE 1716298 1677811 38487 0 MEDICAID SHOPP FEE 631627 0 631627 0 162663 101799 60864 24791269 20812488 3978781 0 77538 80616 1000000 1000000 0 0 2165835 2550299 0 0 0 0 0 0 675259 473376 272625 293492 34472141 7598466 26670988 26873675 0 0 0 0 0 0 0 0 53277 36221 30915522 31307679 2240173 2101987 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2438760 548751 4678933 2650738 X 26236589 28656941 0 0 26236589 28656941 30915522 31307679 X 3461901 -1041549 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3823470 3823470 17085467 3563413 13522054 1726687 271642 1455045 7924983 3709287 4215696 3911534 54124 3857410 26873675 0 DUE TO MEDICARE COST REPORT 470285 PROFESSIONAL LIABILITY INSURANCE 78466 548751 X Schedule D, Part X, Line 2 Accounting Standards Codification Topic (ASC) 740, Income Taxes, provides guidance regarding recognition, de-recognition, measurement, and disclosure of all tax positions. In accordance with the requirements of ASC 740, Saint Francis Hospital Vinita, Inc. identifies and documents uncertain tax positions for all open tax years. If uncertain tax positions are identified, they are analyzed to determine the proper unit of account. Next, they are tested to determine whether a tax asset or a tax liability should be recognized. Saint Francis Hospital Vinita, Inc. has determined that the position on uncertain tax positions is more likely than not to be fully sustained upon examination. Therefore, no liability or asset for uncertain tax positions needs to be recorded. The Tax Cuts and Jobs Act (the Act) was enacted on December 22, 2017. The provisions of the Act do not have a material effect on Saint Francis Hospital Vinita, Inc.'s consolidated financial statements. Certain regulatory guidance provides for a measurement period of up to one year during which accounting for the tax effects of the Act may be completed. Saint Francis Hospital Vinita, Inc. will continue to evaluate the impact of the Act and may record adjustments as additional information and guidance are released by the Internal Revenue Service. true true X true X 250. true X true true true false true true 911505 911505 0.04020 6280355 4892008 1388347 0.06130 7191860 4892008 2299852 0.10150 1136036 968002 168034 0.00740 1136036 968002 168034 0.00740 8327896 5860010 2467886 0.10890 2747 2747 0.00010 21900 21900 0.00100 24647 24647 0.00110 true 2130012 852005 15109846 19897530 -4787684 X true true 1 1 Saint Francis Hospital Vinita Inc 735 N Foreman St Vinita OK 74301 HTTPS://WWW.SAINTFRANCIS.COM/VINITA 2182 X X X Saint Francis Hospital Vinita Inc 1 false false true X X X X X X X X X 22 true true false true X See Schedule H, Part V, Section C X true 22 true See Schedule H, Part V, Section C false true X 250. 400. X X X X X true true X X X X true X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X SEE SCH H, PART V, SECTION C X X X X X X X true X false X X X X X true X false false Part V, Section B, Line 5 The most recent Community Health Needs Assessment (CHNA) completed by Saint Francis Health System, Inc. to reassess the health needs of the communities served by the hospital components of its health system: Saint Francis Hospital, Inc., Laureate Psychiatric Clinic and Hospital, Inc., Saint Francis Hospital Muskogee, Inc., Saint Francis Hospital South, LLC, and Saint Francis Hospital Vinita, Inc., included the collection and analysis of both quantitative (over 140 public health indicators and quantitative survey methods) and qualitative (organization and community representative interviews and qualitative survey methods) data to identify and create a comprehensive list of health needs for each community. Community input was obtained from a broad range of community members through key informant interviews, focus groups and a multi-modal consumer survey of over 600 community residents. Individuals with knowledge, information and expertise relevant to the health needs in the community were consulted including representatives from county and state public health departments as well as leaders, representatives and members of vulnerable populations and other individuals with strong expertise in local health needs. The names of the organizations providing input is provided in Appendix A: CHNA Data Sources and Dates and Appendix B: List of Organizations Represented in Key Informant Interviews and Community Feedback of the CHNA located at https://www.saintfrancis.com/about-us/commitment-to-community. Part V, Section B, Line 6a The hospital facilities included in the CHNA included Saint Francis Hospital, Inc., Saint Francis Hospital South, LLC, Laureate Psychiatric Clinic and Hospital, Inc., Saint Francis Hospital Vinita, Inc. and Saint Francis Hospital Muskogee, Inc. Part V, Section B, Line 7a https://www.saintfrancis.com/about-us/commitment-to-community Part V, Section B, Line 10a https://www.saintfrancis.com/about-us/commitment-to-community Part V, Section B, Line 11 The Community Health Needs Assessment (CHNA) identified 13 conditions as community health needs (in order of highest priority) of the primary service area as lack of access to healthcare services; diabetes; heart disease/stroke; mental health; respiratory disease; cancer; tobacco use; nutrition/physical activity/weight; oral health; substance abuse; infant health/family planning; potentially disabling conditions; and injury/violence. After prioritizing the health needs identified, a final list of priority needs was selected by considering additional criteria, such as Saint Francis Health System, Inc.'s scope of services as a health provider and its ability to effectively address the priority health need. Saint Francis Health System Inc.'s entities, including Saint Francis Hospital Vinita, Inc., are addressing the following significant health needs identified as referenced in its Community Health Needs Assessment and Implementation Strategy that is made widely available on the website listed in Schedule H, Part V, Section B, Line 10a. - Access to health care services - Diabetes - Heart disease/stroke - Mental Health Part V, Section B, Line 13b Patients who have been evaluated and identified to be financial assistance plan-eligible and meet the criteria established by Saint Francis Hospital Vinita, Inc. according to relevant circumstances regarding income, assets, or other resources available to the patient or patient's family, are considered charity and therefore, by hospital policy, are not billed for any services. Part V, Section B, Line 16a, b, and c https://www.saintfrancis.com/patients-and-guests/for-patients/billing-and- insurance/financial-assistance Part V, Section B, Line 16j The billing statement includes information regarding financial assistance availability. Additionally, MyChart, a secure online tool that allows patients to connect with their personal health information 24/7, provides a link which takes the patient to the financial assistance letter and application form. Part V, Section B, Line 20e The following actions are completed prior to initiating collection actions: - Proactive phone calls - Statements are sent - Messages are sent to MyChart users Part V, Section B, Line 22d Amounts generally billed (AGB) are determined under the prospective method using Medicaid reimbursement rates. Additionally, a self-pay discount of 60 percent is provided on all charges for uninsured patients. Part I, Line 3c Income-based criteria is used as the basis in determining eligibility for free health services. Part I, Line 6a Saint Francis Health System, Inc. 73-1501972, the parent organization of Saint Francis Hospital Vinita, Inc. produces a consolidated community benefit report included in an annual issue of the Saint Francis Health System magazine "Presence" that is made available to the public through the organization's website at https://www.saintfrancis.com/about-us/media/presence-magazine Part I, Line 7 Costing Methodology: A ratio of patient care cost to charges, as determined in Worksheet 2, was used to report the amounts in Part I, Lines 7a - 7c. For amounts reported on lines 7e - 7i, actual expenses for each community benefit activity are tracked and reported using the organization's accounting general ledger and are not based on a cost to charge ratio. The number reflected on line 7, column (f) excludes bad debt expense. The supplemental hospital offset payment program (SHOPP) was created and implemented in calendar year 2011 for the purpose of assuring access to quality care for Oklahoma Medicaid members. The program is designed to assess Oklahoma hospitals, unless exempt, a supplemental hospital offset payment program fee. The collected fees are placed in pools and then allocated to hospitals based on Medicaid revenues as directed by legislation. The Oklahoma Health Care Authority (OHCA) does not guarantee that allocation will equal or exceed the amount of the supplemental hospital offset payment program fees that were paid by Saint Francis Hospital Vinita, Inc. Part II: Community-Building Activities Community-building activities improve the community's health and safety by addressing the root cause of health problems. These activities strengthen the community's capacity to promote the health and well-being of its residents by offering the expertise and resources of the healthcare organization. Costs for these activities include cash donations and expenses for the development of a variety of community-building programs and partnerships. See Schedule O for additional information regarding Saint Francis Health System, Inc.'s and Saint Francis Hospital Vinita, Inc.'s community-building activities aimed at promoting the health of the community. Part III, Section A, Line 2 Saint Francis Hospital Vinita, Inc. has an established process to determine the adequacy of the allowance for uncollectable receivables that relies on a number of analytical tools and benchmarks to arrive at a reasonable allowance. No single statistic or measurement determines the adequacy of the allowance for uncollectable receivables. Some of the analytical tools that Saint Francis Hospital Vinita, Inc. utilizes include, but are not limited to, historical cash collection experience, revenue trends by payer classification, and revenue days in accounts receivable. Accounts receivable are written off after collection efforts have been followed in accordance with Saint Francis Hospital Vinita, Inc.'s policies. Part III, Section A, Line 3 The bad debt expense attributable to patients eligible under the organization's financial assistance policy is calculated from a sample review of all bad debt accounts and subsequent information. Part III, Section A, Line 4 Saint Francis Health System, Inc. 73-1501972, the parent organization of Saint Francis Hospital Vinita, Inc., produces consolidated financials which include the financial position and results of financial operations of Saint Francis Hospital Vinita, Inc. The consolidated financial statements are audited on an annual basis. Saint Francis Health System, Inc's audited consolidated financial statements provide a separate footnote addressing the organization's net patient accounts receivables on pages 7, 8, and 9. Saint Francis Health System, Inc. reports bad debt in accordance with Generally Accepted Accounting Principles (GAAP). Part III, Section B, Line 8 Costing Methodology: Medicare allowable costs were calculated using a cost-to-charge ratio and the Medicare filed cost report. The shortfall on Schedule H, Part III, Section B, Line 7 is considered community benefit. Saint Francis Hospital Vinita, Inc. provides services to many low-income Medicare recipients. The Medicare losses sustained at the hospital are a result of Medicare reimbursing at less than operating costs. The Supplemental Hospital Offset Payment Program (SHOPP) was created and implemented in calendar year 2011 for the purpose of assuring access to quality care for Oklahoma Medicaid members. The program is designed to assess Oklahoma hospitals, unless exempt, a supplemental hospital offset payment program fee. The collected fees are placed in pools and then allocated to hospitals based on Medicaid revenues as directed by legislation. The Oklahoma Health Care Authority (OHCA) does not guarantee that allocation will equal or exceed the amount of the supplemental hospital offset payment program fees that were paid by Saint Francis Hospital Vinita, Inc. IRS Rev. Rul. 69-545 established the community benefit standard for hospitals and considers a hospital that serves patients covered by governmental health benefits (including Medicare) as operating to promote the health of the community and furtherance of its exempt purposes. Accordingly, treating Medicare patients is considered a community benefit. Part III, Section C, Line 9b Saint Francis Hospital Vinita, Inc.'s debt collection policy is to pursue collections of patient balances from patients who have the ability to pay for the services. Saint Francis Hospital Vinita, Inc. applies its collections efforts consistently and fairly to all patients regardless of insurance. Saint Francis Hospital Vinita, Inc. works with those individuals who do not have the financial resources to pay outstanding balances to qualify for Saint Francis Hospital Vinita, Inc.'s financial assistance policy. Charges to patients qualifying for charity care under the Saint Francis Hospital Vinita, Inc. financial assistance policy are written off 100 percent. Part VI, Line 2 Needs Assessment The Community Health Needs Assessment (CHNA), an essential function for Saint Francis Health System, Inc. and its hospitals, helps identify the major health needs of the community and offers insight into the services to be offered to address those needs. Saint Francis Health System, Inc. developed the community health implementation plan based upon prioritization of the community health needs assessment. Saint Francis Health System, Inc. and its hospitals have the common goal of increasing health education and preventative care provided in the community setting through partnership with community organizations, faith-based organizations and other institutions. The CHNA and implementation strategies information is available to the public and posted on the Saint Francis Health System, Inc. website at https://www.saintfrancis.com/about-us/commitment-to-community. Part VI, Line 3 Patient education of eligibility for assistance Saint Francis Health System, Inc. and its entities are committed to promoting health in the community including providing or finding financial assistance programs to assist patients. Saint Francis Health System makes every effort to educate patients on its charity, financial assistance policy and about their eligibility for assistance under Federal, State, or local government programs during registration, pre-registration, post-registration and following discharge in languages appropriate for the population being served. This includes several ways including, but not limited to, the following: - A brochure titled "Patient Financial Policy" on financial rights and responsibility is provided to every patient at the time of their registration and is available on the Saint Francis Health System, Inc. website. The brochure provides financial assistance program details. - The financial assistance policy, plain language summary, and application are posted on the Saint Francis Health System, Inc. website in English and the Limited English Proficiency languages of the Primary Service Area (PSA). - Saint Francis Health System, Inc. prints a phone number on the back of billing invoices where patients can obtain information about financial assistance. - Self-pay patients are visited by a financial counselor upon admission to verify their self-pay status. The financial counselor works with the self-pay patients to determine if the patient may qualify for assistance under a government-sponsored plan. If the patient does not qualify for a government-sponsored plan then the financial counselor works with the patient to determine if they qualify for charity care based on Saint Francis Health System, Inc.'s financial assistance policy. - Saint Francis Health System, Inc. offers the financial assistance policy, as well as payment options as part of the patient responsibility during the follow-up collection calls. Part VI, Line 4 Community Information The Primary Service Area (PSA) of Saint Francis Hospital Vinita, Inc. consists primarily of Craig County, where a significant majority of inpatient admissions originate. Additional information regarding the community can also be found below, and in the community health needs assessment and implementation strategy located on the organization's website at https://www.saintfrancis.com/about-us/commitment-to-community. The PSA is comprised of the following representation: - 64% Caucasian - 22% Native-American - 6% Two or more races - 4% Hispanic or Latino - 3% African-American - 1% Asian As of November 2023, the median household income for the PSA was $46,207, (about 47 percent below the US median of $69,021) and the mean household income was $57,829 (about 32 percent below the US average of $97,196). The per capita income in 2023 for the PSA is 39 percent below the national median and 26 percent lower than the average for Oklahoma. Approximately 17 percent of the PSA's population lived in poverty, with the number falling to 5 percent for those under 18. 15 percent of households in the PSA received food stamps/Supplemental Nutrition Assistance Program (SNAP) benefits in 2023. In 2023, the uninsured rate in the PSA was approximately 17 percent. Of those in the PSA that do have insurance, 56 percent hold private insurance policies. When narrowing focus to the PSA civilian population age 19 to 64 that participates in the labor force, the uninsured rate rises to nearly 21 percent. During the 2023 fiscal year, there were 1,075,881 unduplicated Medicaid enrollees; meaning almost 27 percent of the state's population was enrolled in the Medicaid program at some point in time. The PSA had a population of roughly 74,452 was home to approximately 19,357 of those unduplicated enrollees, or approximately 26 percent of the PSA's population. Part VI, Line 5 Promotion of community health Saint Francis Hospital Vinita, Inc. is part of an integrated healthcare delivery system with the mission of extending the presence and healing ministry of Christ in all we do. Saint Francis Health System, Inc., as a Catholic organization, seeks to reflect the presence of Christ in every personal and corporate encounter. Saint Francis Hospital Vinita, Inc. is dedicated to giving back to the community in which its employees live and work. Saint Francis Health System, Inc. and Saint Francis Hospital Vinita, Inc.'s governing body is comprised of community representatives on the Board of Directors that provide leadership and governance for the organization. The Board of Directors has the overall responsibility for the charitable contributions and the mission of Saint Francis Hospital Vinita, Inc. and the other entities that are part of Saint Francis Health System, Inc. The members of the Board of Directors are selected based on their areas of expertise and experience including such areas as education, research, business and government. The members of the governing body contribute their wisdom, insights, and expertise to ensure the organization is fulfilling its mission and charitable purpose while providing efficient administrative support services and direction for Saint Francis Health System, Inc. Saint Francis Hospital Vinita, Inc. provides financial assistance in the form of charity care to patients who are indigent and satisfy certain requirements. Additionally, Saint Francis Hospital Vinita, Inc. is committed to treating patients who are eligible for means-tested government programs such as Medicaid and other government-sponsored programs including Medicare, with care being provided regardless of the reimbursement shortfall, and thereby relieves the state and federal government of the burden of paying the full cost of care for those patients. Often, patients are unaware of the federal, state and local programs open to them for financial assistance, or they are unable to access them due to the cumbersome enrollment process required to receive these benefits. Saint Francis Health System, Inc. offers assistance in enrollment to these government programs or extends financial assistance in the form of charity care through the organization's Financial Assistance Policy. Saint Francis Hospital Vinita, Inc. reinvests its net operating income back into the facility to improve patient care, to benefit society and to allow Saint Francis Hospital Vinita, Inc. to carry out its vision to be the regional leader in the delivery of quality Catholic healthcare services. Part VI, Line 6 Affiliated health care system Saint Francis Hospital Vinita, Inc., is part of Saint Francis Health System, Inc. Over 11,700 patients were seen in the hospital's emergency room. Additionally, Saint Francis Hospital Vinita, Inc. admitted approximately 1,200 patients; and provided ancillary and diagnostic services on an outpatient basis to an additional 26,200 patients. See Schedule O for additional information regarding Saint Francis Hospital Vinita, Inc.'s role within Saint Francis Health System, Inc. Part VI, Line 7 State filing of community benefit report Saint Francis Health System, Inc., which includes Saint Francis Hospital Vinita, Inc., publishes a community benefit report annually. A written report that is included in an annual issue of the Saint Francis Health System, Inc. magazine "Presence" which helps educate the community on the benefits that Saint Francis Hospital Vinita, Inc. and Saint Francis Health System, Inc. provide to the communities we serve in return for our not-for-profit status. The report is also made available to the public on the health system's website. true OK PHYSICIAN MANPOWER TRAINING COMMISSION 119 North Robinson Avenue Suite 52 Oklahoma City OK 731024603 GOVT 21900 FMV General Support 1 0 X X X X false true false false false false false false false Barry L Steichen VP/COO/Director (Term 9/21) 0 940504 0 539867 0 7781 0 163863 0 27142 0 1679157 0 0 Eric E Schick Treasurer/CFO(Term 9/2021) 0 608375 0 0 0 0 0 0 0 0 0 608375 0 0 Michael J Lissau Secretary 0 427784 0 151605 0 4728 0 90423 0 23626 0 698166 0 0 Todd Schuster Administrator 0 280519 0 92766 0 2652 0 64989 0 17645 0 458571 0 0 MELINDA CULP Executive Director 132344 0 35686 0 925 0 14053 0 15532 0 198540 0 0 0 Deborah Dage Treasurer/CFO 0 611574 0 203660 0 6671 0 107906 0 13501 0 943312 0 0 Cliff A Robertson MD PRESIDENT/CEO/DIR 0 1212901 0 701260 0 11260 0 279506 0 14130 0 2219057 0 0 Michael Hitsman MD Physician 35333 298374 0 22167 0 24969 0 37556 0 18891 35333 401957 0 0 Terry Horton MD Physician 24668 364518 0 45461 0 0 0 37556 0 24912 24668 472447 0 0 Jacob O'Meilia MD Physician 273508 0 20000 0 20500 0 37556 0 8748 0 360312 0 0 0 Part I, Line 3 Saint Francis Hospital Vinita, Inc. is an entity of the Saint Francis Health System, Inc. Saint Francis Health System, Inc.'s compensation committee reviews and approves the compensation of the officers. Part I, Line 4b A select group of highly compensated employees of Saint Francis Health System, Inc., and its related entities, Saint Francis Hospital, Inc., Laureate Psychiatric Clinic and Hospital, Inc., Warren Clinic, Inc., Saint Francis Hospital South, LLC, The Children's Hospital Foundation at Saint Francis, Saint Francis Hospital Vinita, Inc., Saint Francis Hospital Muskogee, Inc., AND ALL SAINTS HOME MEDICAL LLC, are eligible to participate in a nonqualified deferred compensation plan under Section 457(b) and 457(f) of the Internal Revenue Code of 1986, as amended under the economic growth and tax relief reconciliation act of 2001. Note: None of the individuals listed on Schedule J are compensated as board members of the reporting entity. The reported compensation is for services as employees of the reporting entity or related organization. Form 990, Part III, Line 4a Statement of Accomplishment Saint Francis Hospital Vinita, Inc. is a member of Saint Francis Health System, Inc. The Saint Francis Health System, Inc. is a Catholic, not-for-profit health system whose mission is to extend the presence and healing ministry of Christ in all we do. Saint Francis Hospital Vinita, Inc.'s accomplishments include operating an acute care hospital where admitting physicians, who are primarily practitioners in the local area, provide inpatient/outpatient and emergency care services to residents of Vinita and the surrounding areas. In fiscal year 2023, Saint Francis Hospital Vinita, Inc. provided approximately $219,300 of charity care (measured at established rates) and $1,383,300 in unreimbursed Medicaid services (measured at established rates). The emergency services department and inpatient services at Saint Francis Hospital Vinita was recognized with two PRC 4 Star Awards (scores in the top 25 percent of the PRC comparative database). Saint Francis Hospital Vinita was also recognized by the Chartis Group as one of the 100 best-performing rural and community hospitals for 2023. Form 990, Part V, Line 2b Saint Francis Payroll Services, LLC, EIN 45-0470422, has been authorized to act as a common pay agent under Section 3504 of the Internal Revenue Code for Saint Francis Health System, Inc. effective July 1, 2002, in accordance with revenue procedure 70-6, 1970-1 C.B. 420. Saint Francis Payroll Services, LLC assumed reporting obligations for federal income tax, social security, Medicare withholding tax purposes as well as advance payment of earned income credit for Saint Francis Health System, Inc. and year-end reporting effective July 1, 2002. Form 990, Part VI, Section A, Line 2 Governing Body and Management Relationships Many of the persons listed on Part VII have a "business relationship" with each other by virtue of serving on related Saint Francis Health System, Inc. entity boards and other corporation boards. There are also "family relationships" requiring disclosure. The organization has determined these associations do not present a conflict of interest. Cliff A. Robertson M.D., an officer and director, served on a board outside of Saint Francis Health System, Inc. with another director, William R. Lissau. William K. Warren, Jr., a trustee, is the father of John Kelly C. Warren, a director and chairman of the board, and has a family relationship. William R. Lissau, a director, has business relationships with William K. Warren Jr., a trustee, and John Kelly C. Warren, a director and chairman of the board. William R. Lissau, a director, is the father of Michael Lissau, an officer, have a family relationship. Bishop David Konderla, a trustee, serves on other boards outside of Saint Francis Health System, Inc. with William R. Lissau, a director. Francis Health System, Inc. Form 990, Part VI, Section A, Line 3 The director functions are delegated to the Saint Francis Health System, Inc. board of directors. Form 990, Part VI, Section A, Line 6 Saint Francis Health System, Inc. is the sole member of Saint Francis Hospital Vinita, Inc. Form 990, Part VI, Section A, Line 7a Saint Francis Health System, Inc., the sole member of Saint Francis Hospital Vinita, Inc. appoints the governing body. Form 990, Part VI, Section A, Line 7b As the sole member of Saint Francis Hospital Vinita, Inc., Saint Francis Health System, Inc., has the authority to follow its bylaws which dictates the following: Either the board of directors and a majority of the trustees or unanimous trustee approval is required for the sale of corporate assets valued at $10,000,000 or more. Additionally, the trustees have sole authority to: - amend the certificate of incorporation - approve mergers or consolidations - approve the sale, lease or transfer of all, or substantially all, of the assets of the corporation - amend the bylaws - appoint board members - approve dissolution or revocation of dissolution of the corporation Form 990, Part VI, Section B, Line 11b The finance committee, a sub-committee of the board of directors of Saint Francis Health System, Inc., has access to the password-protected form 990 online prior to filing with the IRS. Form 990, Part VI, Section B, Line 12c The organization uses the conflict of interest, whistleblower and record-retention policies of Saint Francis Health System, Inc. A request for information on potential conflicts is solicited annually from directors, trustees and all employees at manager level and above to monitor proposed or ongoing transactions for conflicts of interest and dealing with potential or actual conflicts. Three directors, one officer/director and two officers and one trustee/director reported potential conflicts that were addressed by the governing body. Conflicts are regularly disclosed and addressed. Form 990, Part VI, Section B, Lines 15a and 15b Compensation of officers and senior level management is reviewed annually and approved by the compensation committee with guidance from independent consultants and use of comparative data. Form 990, Part VI, Section C, Line 19 These requests are determined on a case-by-case basis. Form 990, Part VII, Section A The hours per week reported on Form 990, Part VII for officers and directors are the hours spent on the filing entity only. The remaining portion of the 40 hours per week of the officers and directors with related compensation is allocated among the entities reported on Schedule R. Form 990, Part XI, Line 9 The change in fund balance of $(1,041,549) was a net equity transfer. Saint Francis Hospital Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 730700090 Health Svcs OK 501(c)(3) 3 SFHS true Laureate Psychiatric Clinic & Hosp Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 731308273 Health Svcs OK 501(c)(3) 3 SFHS true Warren Clinic Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 731310891 Health Svcs OK 501(c)(3) 3 SFHS true Saint Francis Health System Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 731501972 Health Svcs OK 501(c)(3) 12b Type II NA false The Children's Hosp Fdn at Saint Francis 6600 S Yale Ave Ste 400 Tulsa OK 74136 202843418 Health Svcs OK 501(c)(3) 12a Type I SFHS true Saint Francis Hospital Muskogee Inc 6600 S Yale Ave Ste 400 Tulsa OK 74136 814322087 Health Svcs OK 501(c)(3) 3 SFHS true Saint Francis Hospital South LLC 6600 S Yale Ave Ste 400 Tulsa OK 74136 010603214 Health Svcs OK 501(c)(3) 3 SFHS true Saint Francis Payroll Services LLC 6600 S Yale Ave Ste 400 Tulsa OK 741363319 450470422 Common Pay Agent OK SFHS C Corp 0 0 true Xavier Insurance Company Inc 76 St Paul St Ste 500 Burlington VT 054014477 030333599 Captive Insurance VT SFHS C Corp 0 0 true Saint Francis Hlth Sys Gen-Prof Lia PO Box 3038 Milwaukee WI 532013038 756583874 Self Insurance OK SFHS Trust 0 0 true false true false false false false false false false true false true true false false true true true true Saint Francis Hospital L 52969 Trans Review Saint Francis Hospital M 1234676 Trans Review Saint Francis Hospital P 119015163 Trans Review Saint Francis Hospital Q 121691600 Trans Review Saint Francis Hospital S 125017 Trans Review SAINT FRANCIS HOSPITAL SOUTH INC P 125942 Trans Review LAUREATE PSYCHIATRIC CLINIC & HOSPITAL INC P 605261 Trans Review LAUREATE PSYCHIATRIC CLINIC & HOSPITAL INC Q 303540 Trans Review Warren Clinic Inc J 149622 Trans Review Warren Clinic Inc P 639221 Trans Review Warren Clinic Inc Q 519812 Trans Review