2025-05-14T10:35:00+00:00 2024-06-30 366565596 ERNST & YOUNG US LLP 200 Clarendon Street CHICAGO MA 02116 990 2023-07-01 383833117 St John Broken Arrow Inc STJO 3147338000 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 Tonya Mershon Vice President, Tax 2025-05-14 true Lindsey Pigg P01268923 6172662000 2025-05-14 2023 2025-03-06 01:10:19Z Ascension St John Broken Arrow Matthew Adams C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 92037879 false 0928 X SEE SCHEDULE O X 2011 OK To improve the health and well-being of all people in the communities we serve. 9 6 0 60 0 0 1000 683673 65670860 90607785 209 0 724935 746421 66397004 92037879 0 5494 0 0 0 0 0 0 0 63139624 80806215 63139624 80811709 3257380 11226170 84219821 96045717 9512408 7175142 74707413 88870575 Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually-centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words. false false 64437548 5494 90607785 THE FILING ORGANIZATION IS A PART OF THE ASCENSION CATHOLIC HEALTH MINISTRY. ASCENSION IS A FAITH-BASED HEALTHCARE ORGANIZATION THAT DELIVERS PERSONALIZED, COMPASSIONATE CARE TO ALL, ESPECIALLY TO THOSE WHO NEED IT THE MOST. St. John Broken Arrow, Inc. is a 62-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2024, St. John Broken Arrow, Inc. treated 2,023 adults and children for a total of 5,348 patient days of service. The hospital also provided services for 47,886 outpatient visits, which included 6,971 outpatient surgeries and 21,499 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. 64437548 true false false true false false false false false true false false true 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 true false true 47 0 true 0 false false false false false false false false false false false false X 9 6 false false false false true true true true true false false false true true true true true false false false OK X SARA OBRIEN 3147338000 4600 EDMUNDSON ROAD ST LOUIS MO 631343806 ALECIA ANNE SIEGFRIED RN CHAIR 1.0 18.0 X X 0 40215 0 CARL BO BEAUDRY CEO, MINISTRY MARKET (START 9/2023) 0.0 50.0 X X 0 301200 16363 SUSAN KIMBALL VICE CHAIR 1.0 2.0 X X 0 0 0 BARBARA BENEDICT DIRECTOR 1.0 2.0 X 0 0 0 CATHY GEBETSBERGER DIRECTOR 1.0 2.0 X 0 0 0 MICHAEL J CHRISTIAN DIRECTOR 0.0 50.0 X 0 204885 40085 STAN SALLEE DIRECTOR 1.0 2.0 X 0 0 0 STEVE MOWERY DIRECTOR 1.0 2.0 X 0 0 0 WILLIAM BERRY DIRECTOR 1.0 2.0 X 0 0 0 BRYANIE W SWILLEY INTERIM CEO MINISTRY MARKET (END 9/2023) 0.0 50.0 X 0 370275 25916 CHERIE FRENCH-EDWARDS INTERIM CFO, MINISTRY MARKET (START 2/2024 - END 5/2024) 0.0 50.0 X 0 301155 44798 HEATHER A SCHNEIDER TREASURER/CFO, MINISTRY MARKET (START 6/2024) 0.0 50.0 X 0 0 0 MATTHEW DENNIS ADAMS PRESIDENT 0.0 50.0 X 0 279455 42923 REBECCA A TUCKER TREASURER/CFO, MINISTRY MARKET (END 2/2024) 0.0 50.0 X 0 632476 36779 DWAN R BORENS FORMER OFFICER (END 6/2022) 0.0 50.0 X 0 155195 37878 MICHAEL J MCBRIDE FORMER OFFICER (END 5/2023) 0.0 50.0 X 0 940821 18416 MICHAEL MCCULLOUGH FORMER OFFICER (END 11/2020) 0.0 50.0 X 0 914952 41393 0 4140629 304551 0 true true false NORTHSTAR ANESTHESIA OF OKLAHOMA PLLC PO BOX 224747 DALLAS TX 752224747 MEDICAL SERVICES 1222322 INTEGRAL ANESTHESIA LLC 3029 W MAIN ST JENKS OK 74037 MEDICAL SERVICES 689720 SOUND INPATIENT PHYSICIANS MICHIGAN PLLC 1498 PACIFIC AVE STE 400 TACOMA WA 984024208 MEDICAL SERVICES 518394 LINEN KING LLC 1521 W 36TH PL TULSA OK 741075639 LAUNDRY SERVICES 310055 MIDLAND STONE MANAGEMENT LP 4425 W AIRPORT FWY STE 420 IRVING TX 750625982 MEDICAL SERVICES 267254 7 0 0 0 1000 682673 0 683673 Net Patient Service Revenue 621990 90115881 90115881 Contracted Services Revenue 900099 433956 433956 State Program Revenue 900099 32106 32106 Value Based Revenue 621400 19737 19737 Interest Income from Patient Accounts 541900 4833 4833 1272 1272 0 0 90607785 0 0 0 0 0 0 418761 0 0 0 418761 0 418761 418761 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria/Vending Revenue 722514 326870 326870 790 0 0 790 327660 92037879 90607785 0 746421 X 5494 5494 0 0 0 0 161875 96106 65769 7542 7542 8108622 7581148 527474 0 73211 73211 59194 38508 20686 34483 15530 18953 772863 689817 83046 24860 21786 3074 6953 2322 4631 5884869 5252524 632345 Wage & Benefit Allocation 22063736 19692927 2370809 Medical Supplies 20690013 20640497 49516 Purchased Services 11258579 5307368 5951211 Management Fee to Affiliate 5689558 5689558 5969857 5093521 876336 0 80811709 64437548 16374161 0 1400 1400 0 0 0 0 6387062 17026576 0 0 0 0 0 0 2580895 2697776 183071 163114 131910924 60795716 72660943 71115208 0 0 0 0 0 10254 2406450 5031389 84219821 96045717 2712072 4714040 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6800336 2461102 9512408 7175142 X 74707413 88870575 0 0 74707413 88870575 84219821 96045717 X 11226170 2936992 X false true X true true true X false false false false false false false false true 7542 7542 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to state hospital associations that is specifically allocable to lobbying. ANY OTHER LOBBYING UNDERTAKEN IN FURTHERANCE OF THE HEALTHCARE MISSION OF THE FILING ORGANIZATION THAT IS CONDUCTED BY A RELATED ORGANIZATION IS PROPERLY REPORTED ON THAT RELATED ORGANIZATION'S SCHEDULE C, PART II-B. The filing organization 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. 0 3230000 3230000 0 104591626 43859405 60732221 0 0 0 0 0 23231487 16664090 6567397 0 857811 272221 585590 71115208 Due from Affiliates 3022553 Other Receivables 276974 Right of Use Operating Lease 1104784 Estimated 3rd Party Payor Settlements 627078 5031389 0 Due to Affiliates Estimated 3rd Party Payor Settlement 327068 Recovery Tail Liability 194390 Accrued Sales Tax Liability 18880 Long Term Lease Liability 1104784 Medicare Advanced Payments 815980 2461102 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM 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. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2024. true true X true X 250 true X true false true true 2484066 0 2484066 0.0307 11644624 8105500 3539124 0.0438 0 0.0 0 0 14128690 8105500 6023190 0.0745 3 37 75755 0 75755 0.0009 1 109 18861 0 18861 0.0002 0 0 0 0 0 0.0 0 0 0 0 0 0.0 3 300 24686 0 24686 0.0003 7 446 119302 0 119302 0.0015 7 446 14247992 8105500 6142492 0.0760 0 0 0 0 0 0.0 1 0 9130 0 9130 0.0001 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 1 81 5118 0 5118 0.0001 0 0 0 0 0 0.0 2 81 14248 0 14248 0.0002 false 2453138 0 31012861 31276750 -263889 X true true 1 1 St John Broken Arrow 1000 West Boise Circle Broken Arrow OK 741024900 https://healthcare.ascension.org/locations/oklahoma/oktul/broken-arrow-ascension-st-john-broken-arro 2380 X X X St John Broken Arrow 1 false false true X X X X X X X X X 21 true true true true X https://healthcare.ascension.org/chna X true 21 true https://healthcare.ascension.org/chna false true X 250.0 400.0 X X X X true true X X X true X https://healthcare.ascension.org/financial-assistance/oklahoma X https://healthcare.ascension.org/financial-assistance/oklahoma X https://healthcare.ascension.org/financial-assistance/oklahoma X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E TO BETTER ALIGN COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING EVIDENCE-BASED PRACTICES, PROGRAMS AND RESOURCES; ADDRESSING DIFFERENCES OF SUBGROUPS AND ENABLING MORE ACCESS TO HEALTHCARE; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - St. John Broken Arrow. RECOGNIZING ITS VITAL IMPORTANCE IN UNDERSTANDING THE HEALTH NEEDS AND ASSETS OF THE COMMUNITY, ST. JOHN BROKEN ARROW TOOK INTO ACCOUNT INPUT FROM INDIVIDUALS AND ORGANIZATIONS REPRESENTING THE PERSPECTIVES OF: 1) PUBLIC HEALTH PRACTICE AND RESEARCH; 2) INDIVIDUALS WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, OR CONSIDERED AMONG THE POPULATIONS SERVED BY THE HOSPITAL; AND 3) THE BROADER COMMUNITY AT LARGE AND THOSE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED. MULTIPLE METHODS WERE USED TO GATHER COMMUNITY INPUT, INCLUDING FOCUS GROUPS WITH COMMUNITY MEMBERS, KEY STAKEHOLDER INTERVIEWS, HYBRID ADMINISTRATOR/CLIENT GROUP INTERVIEWS SPECIFIC TO POOR AND VULNERABLE POPULATIONS, AND CIVIC LEADER INTERVIEWS. THESE METHODS PROVIDED ADDITIONAL CONSIDERATIONS ON HOW TO SELECT AND ADDRESS TOP HEALTH ISSUES FACING TULSA COUNTY. THE METHODS AND PROCESSES ARE OUTLINED BELOW. ORGANIZATIONS THAT PROVIDED INPUT ARE LISTED IN APPENDIX C OF THE CHNA REPORT. A SERIES OF 10 FOCUS GROUPS WERE FACILITATED BY A CONSULTANT, SEVEN RIVERS CONSULTING LLC, TO GATHER FEEDBACK FROM COMMUNITY MEMBERS ON THE HEALTH NEEDS AND ASSETS OF TULSA COUNTY. BECAUSE OF THE COVID-19 PANDEMIC (PARTICULARLY THE OMICRON SPIKE IN EARLY CALENDAR YEAR 2022), FOCUS GROUPS WERE CONDUCTED ENTIRELY ONLINE, USING ZOOM VIDEO CONFERENCES. FIFTY-NINE INDIVIDUALS PARTICIPATED IN THE FOCUS GROUPS, HELD IN JANUARY AND FEBRUARY 2022. DURING PARTICIPANT RECRUITMENT, MANY PEOPLE EXPRESSED INTEREST IN THE FOCUS GROUPS BUT WERE UNABLE TO JOIN A LIVE SESSION DUE TO SCHEDULING CONFLICTS. THEREFORE, AN ADDITIONAL 53 PARTICIPANTS COMPLETED AN ELECTRONIC SURVEY IN LIEU OF ATTENDING A LIVE SESSION, ANSWERING IDENTICAL QUESTIONS. THIS GROUP OF PARTICIPANTS WAS DEFINED AS GENERAL COMMUNITY MEMBERS OF VARIOUS DEMOGRAPHICS RESIDING IN TULSA COUNTY. MALES REPRESENTED 37 PERCENT OF ALL PARTICIPANTS, WHILE FEMALES REPRESENTED 63 PERCENT. AGES RANGED FROM 23 TO 77 YEARS OLD. IN A SEPARATE RECRUITMENT EFFORT WITH A SPANISH-SPEAKING FACILITATOR FROM THE TULSA HEALTH DEPARTMENT, 13 PARTICIPANTS SHARED INPUT VIA A SPANISH-SPEAKING FOCUS GROUP SESSION AND SPANISH VERSION OF THE ELECTRONIC SURVEY. WHILE THE FOCUS GROUPS DO NOT PORTRAY AN EXACT REPRESENTATION OF THE REGION'S POPULATION, WE ESTIMATE THEY REPRESENTED THE COLLECTIVE SPIRIT OF ASSETS, NEEDS, CONCERNS, AND FEARS AMONG THOSE LIVING IN TULSA COUNTY. ALL INTERVIEWEES RECEIVED AN INCENTIVE FOR THEIR PARTICIPATION: A $20 GIFT CARD TO A LOCAL GAS STATION CHAIN. A SERIES OF 34 INTERVIEWS WERE CONDUCTED BY SEVEN RIVERS CONSULTING TO GATHER FEEDBACK FROM KEY STAKEHOLDERS, ADMINISTRATORS AND CLIENTS REPRESENTING POOR AND VULNERABLE POPULATIONS, AND CIVIC LEADERS ON THE HEALTH NEEDS AND ASSETS OF TULSA COUNTY. THESE GROUPS OF PARTICIPANTS WERE DEFINED AS FOLLOWS: - KEY STAKEHOLDERS: MEMBERS OF AN ORGANIZATION OR AGENCY OPERATING IN AND/OR SERVING PEOPLE FROM TULSA COUNTY - POOR AND VULNERABLE POPULATION GROUPS: ONE OR MORE LEADERS OF AN ORGANIZATION OR AGENCY WHOSE PRINCIPAL MISSION INCLUDES SERVING POOR AND VULNERABLE AND/OR OTHER POPULATIONS IN TULSA COUNTY AND ONE OR MORE CLIENTS/PATIENTS SERVED BY THE ORGANIZATION/AGENCY - CIVIC LEADERS: PEOPLE SERVING IN A CIVIC LEADERSHIP ROLE (E.G., MAYOR, CITY COUNCILOR, PUBLIC HEALTH DIRECTOR, ETC.) SOME INDIVIDUALS AND ORGANIZATIONS INTERVIEWED REPRESENTED POPULATIONS BOTH IN AND BEYOND TULSA COUNTY. FORTY REPRESENTATIVES FROM 34 DIFFERENT ORGANIZATIONS/AGENCIES PARTICIPATED IN THE INTERVIEWS, HELD BETWEEN OCTOBER 2021 AND JANUARY 2022. NOTES FROM EVERY ENCOUNTER WERE TRANSCRIBED. THE RAW QUALITATIVE TEXT WAS ANALYZED AND SORTED BY THEMES. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - St. John Broken Arrow. THE OTHER HOSPITAL FACILITIES WITH WHICH ST. JOHN BROKEN ARROW CONDUCTED ITS CHNA INCLUDE: - ST. JOHN MEDICAL CENTER - OWASSO MEDICAL FACILITY - ST. JOHN SAPULPA - JANE PHILLIPS MEMORIAL MEDICAL CENTER - JANE PHILLIPS NOWATA HEALTH CENTER Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - St. John Broken Arrow. THE OTHER ORGANIZATIONS WITH WHICH ST. JOHN BROKEN ARROW CONDUCTED ITS CHNA INCLUDE: - TULSA HEALTH DEPARTMENT Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - St. John Broken Arrow - 1. PART 1: THROUGH ST. JOHN BROKEN ARROW'S MOST RECENT CHNA (TAX YEAR 2021), THE FOLLOWING SIGNIFICANT NEEDS WERE IDENTIFIED FOR TULSA COUNTY: - ACCESS TO CARE: HIGH COSTS OF CARE - MENTAL AND BEHAVIORAL HEALTH - DIET AND EXERCISE: ACCESS TO HEALTHY FOOD - EDUCATION: HEALTH LITERACY - COVID-19 - ALCOHOL AND DRUG USE - ACCESS TO CARE: BARRIERS TO PRIMARY CARE ROUNDING DISCUSSIONS WITH MARKET AND HOSPITAL LEADERS FURTHER DELINEATED COMMON THEMES AMONG THE SIX HOSPITALS' SETS OF SIGNIFICANT NEEDS. ACCORDINGLY, IT WAS DETERMINED THAT A MARKETWIDE APPROACH TO RESPOND TOGETHER TO THE MOST PRESSING NEEDS OF THE COMMUNITIES SERVED WOULD BE MOST EFFECTIVE. OUR COMMITMENT TO THIS WORK FLOWS FROM A CHARITABLE MISSION TO PROVIDE ALL PERSONS THE OPPORTUNITY FOR HEALTH AND WELL-BEING, ESPECIALLY POOR AND VULNERABLE INDIVIDUALS AND OTHER POPULATIONS - BOTH INSIDE HOSPITAL AND CLINIC WALLS AND THROUGHOUT THE COMMUNITY. THAT MEANS WORKING CLOSELY WITH EACH COMMUNITY WE SERVE, PARTNERING WITH LOCAL ORGANIZATIONS AND KEY STAKEHOLDERS TO EXAMINE DRIVERS OF HEALTH THROUGH A LENS OF COMPASSION AND SOLIDARITY. AS SUCH, HEALTH AND JUSTICE ARE UNDERLYING CURRENTS OF ALL STRATEGIES AND TACTICS IN THE ST. JOHN BROKEN ARROW ACTION PLAN. IN ADDITION, IT IS TAKEN INTO CONSIDERATION THAT PROFOUND DIFFERENCES EMERGED FROM OR WERE EXACERBATED BY THE COVID-19 PANDEMIC, AND CONTINUE TO AFFECT THE COMMUNITY. THE SIGNIFICANT NEEDS THAT WERE PRIORITIZED BY THE HOSPITAL TO ADDRESS THROUGH THE THREE-YEAR CHNA IMPLEMENTATION STRATEGY ARE: ACCESS TO CARE, MENTAL AND BEHAVIORAL HEALTH, FOOD SECURITY, AND ALCOHOL AND DRUG USE. THE SUMMARIZED ACTION PLANS BELOW REFLECT THE COLLECTIVE PROGRESS MADE DURING THE LAST TAX YEAR. PRIORITIZED NEED 1: ACCESS TO CARE INITIATIVE 1: SUPPORT COMMUNITY ACCESS TO CARE INITIATIVES. INITIATIVE 1 > TACTIC 1: PARTNER WITH COMMUNITY ORGANIZATIONS TO PROVIDE MEDICAL CARE TO UNDERSERVED POPULATIONS. PROGRESS INCLUDED: - TY22 RECAP: THE MEDICAL ACCESS PROGRAM (MAP) SUBSIDIZED NEARLY $1.9 MILLION IN APPROVED PROVIDER CLAIMS FOR 20 DIFFERENT MEDICAL FACILITIES/ENTITIES. MAP APPROVED A BUDGET FOR CALENDAR YEAR 2023 OF $4,592,407 TO INCREASE ACCESS TO CARE. - TY23 Q1: MAP SUBSIDIZED $437,698 IN APPROVED PROVIDER CLAIMS FOR 17 DIFFERENT MEDICAL FACILITIES/ENTITIES. - TY23 Q2: MAP SUBSIDIZED $644,719 IN APPROVED PROVIDER CLAIMS FOR 15 DIFFERENT MEDICAL FACILITIES/ENTITIES. ASCENSION ST. JOHN PARTNERED WITH THE TULSA HEALTH DEPARTMENT TO EMBED A COMMUNITY HEALTH WORKER IN THE TULSA EMERGENCY DEPARTMENT TO IDENTIFY HIGH UTILIZERS (MORE THAN 10 VISITS WITHIN THE LAST 12 MONTHS) AND OFFER ADDITIONAL CARE COORDINATION AND COMMUNITY RESOURCE NAVIGATION. - TY23 Q3: MAP SUBSIDIZED $524,829 IN APPROVED PROVIDER CLAIMS FOR 13 DIFFERENT MEDICAL FACILITIES/ENTITIES. - TY23 Q4: MAP SUBSIDIZED $125,565 IN APPROVED PROVIDER CLAIMS FOR 15 DIFFERENT MEDICAL FACILITIES/ENTITIES. INITIATIVE 1 > TACTIC 2: PROVIDE GRANT FUNDING TO COMMUNITY ACCESS TO CARE INITIATIVES, WITH A FOCUS ON THOSE SERVING POOR AND VULNERABLE POPULATIONS. PROGRESS INCLUDED: - TY22 RECAP: THE COMMUNITY HEALTH CATALYST STRATEGY (CHECS) AND COMMUNITY BENEFIT & ENGAGEMENT COMMITTEE (CBEC) FUNDING PROGRAMS AWARDED MORE THAN $3.2 MILLION IN GRANTS TO 28 COMMUNITY-BASED INITIATIVES THROUGH 26 ORGANIZATIONS. - TY23 Q1: THE CHECS AND CBEC FUNDING PROGRAMS AWARDED $1,748,237 IN GRANTS TO 27 COMMUNITY-BASED INITIATIVES THROUGH 25 ORGANIZATIONS. - TY23 Q2: THE CHECS AND CBEC FUNDING PROGRAMS AWARDED $567,083 IN GRANTS TO EIGHT COMMUNITY-BASED INITIATIVES THROUGH SEVEN ORGANIZATIONS. - TY23 Q3: THE CHECS AND CBEC FUNDING PROGRAMS AWARDED $2,040,558 IN GRANTS TO 22 COMMUNITY-BASED INITIATIVES THROUGH 19 ORGANIZATIONS. - TY23 Q4: IN ADDITION TO GRANT FUNDING IN FY24, ASCENSION ST. JOHN DONATED MORE THAN $180,000 WORTH OF MEDICAL SUPPLIES TO MEDICAL BRIDGES, A REGIONAL NONPROFIT THAT REDISTRIBUTES THEM FREE OF COST TO WHERE THEY ARE MOST NEEDED LOCALLY OR INTERNATIONALLY. INITIATIVE 1 > TACTIC 3: IDENTIFY AND ANALYZE TOP HEALTH ISSUES IN THE COMMUNITY TO DRIVE IMPROVEMENT EFFORTS. PROGRESS INCLUDED: - TY22 RECAP: THE SYSTEM OFFICE DEVELOPED AN INDEX OF ALGORITHMS THAT AGGREGATES DATA WITH ASCENSION ST. JOHN'S TOTAL QUALITY CARE (TQC) DATA. THE SYSTEM OFFICE PRODUCED A HEALTH REPORT SPECIFIC TO DIABETES IN THE OKLAHOMA MARKET. THE REPORT WAS DISTRIBUTED WITHIN THE MARKET, REVEALING DIFFERENCES FOR KEY DIABETES MEASURES. THE COMMUNITY BENEFIT AND COMMUNITY HEALTH TEAMS MET TO DISCUSS THE MARKET'S POTENTIAL NEXT STEPS TO ADDRESS THE REPORT'S FINDINGS. AN INITIATIVE TO DEVELOP SIMILAR REPORTS ON MATERNAL HEALTH AND CANCER SCREENINGS WAS WRITTEN INTO THE MARKET-LEVEL FY24 STRATEGIC PLAN. - TY23 Q1: DATA AGGREGATION AND ANALYSIS BEGAN FOR THE HEALTH REPORTS ON MATERNAL HEALTH AND CANCER SCREENINGS. - TY23 Q2: DATA AGGREGATION AND ANALYSIS CONTINUED. - TY23 Q3: DATA AGGREGATION AND ANALYSIS CONTINUED. - TY23 Q4: THE REPORT ON CANCER SCREENINGS WAS RELEASED, ALONG WITH A HEALTH ANALYSIS GUIDE, "ADVANCING HEALTH." THE REPORT FOCUSES ON DIFFERENCES IN BREAST AND COLORECTAL CANCER SCREENINGS IN THE OKLAHOMA MARKET. INITIATIVE 2: SUPPORT COMMUNITY TRANSPORTATION INITIATIVES. INITIATIVE 2 > TACTIC 1: SUPPORT COMMUNITY ORGANIZATIONS IN EFFORTS TO REDUCE TRANSPORTATION BARRIERS. PROGRESS INCLUDED: - TY22 RECAP: THE COMMUNITY HEALTH TEAM MET WITH MEMBERS OF INCOG'S TRANSPORTATION DEPARTMENT AND AREA AGENCY ON AGING TO DISCUSS RELAUNCHING A PROGRAM INCOG OPERATED TO TRANSPORT POOR AND VULNERABLE INDIVIDUALS IN NORTH TULSA TO AND FROM GROCERY STORES. THE PROGRAM PROVIDED A WAY FOR INDIVIDUALS TO ACCESS NUTRITIOUS FOOD IN A FOOD DESERT, BUT RAN OUT OF FUNDING. HOSPITAL ADMINISTRATORS AND THE COMMUNITY HEALTH TEAM MET WITH GRAND GATEWAY ECONOMIC DEVELOPMENT ASSOCIATION AND PELIVAN TRANSIT. NOTABLE POINTS OF DISCUSSION INCLUDED 1) THE DRIVER SHORTAGE AMONG ALL AGENCIES/ORGANIZATIONS AND 2) THE POTENTIAL FOR PELIVAN TO COVER NOWATA-TO-BARTLESVILLE TRANSPORT. THE COMMUNITY BENEFIT TEAM MET WITH THE LEAD OF AN ASCENSION WORKGROUP FORMED TO ADDRESS THIS DIFFERENCE. PLANS MAY ULTIMATELY INVOLVE COMMUNITY PARTNERS. THE COMMUNITY HEALTH CATALYST STRATEGY (CHECS) FUNDING PROGRAM FINANCIALLY SUPPORTED THE MOBILE TESTING PROGRAM AT HEALTH OUTREACH PREVENTION EDUCATION (H.O.P.E.) AND THE MOBILE MEDICAL INTERVENTION TEAM AT MENTAL HEALTH ASSOCIATION OKLAHOMA, WHICH BOTH SERVE INDIVIDUALS WITH BARRIERS TO TRANSPORTATION. THE COMMUNITY BENEFIT, COMMUNITY HEALTH, AND PHYSICIAN PRACTICE OPERATIONS TEAMS MET WITH MODIVCARE, THE OKLAHOMA HEALTH CARE AUTHORITY'S SOONERRIDE CONTRACTOR, TO DISCUSS CONCERNS WITH THE PROCESS FOR MEDICAID PATIENTS TO ACCESS THEIR NON-EMERGENCY MEDICAL TRANSPORTATION BENEFIT. THE COMMUNITY BENEFIT & ENGAGEMENT COMMITTEE (CBEC) FUNDING PROGRAM FINANCIALLY SUPPORTED THE AMERICAN CANCER SOCIETY LOCAL CHAPTER'S PROGRAM TO PROVIDE GAS CARDS FOR CANCER PATIENTS IN NEED OF TRANSPORTATION TO MEDICAL APPOINTMENTS. - TY23 Q1: A HOVERJACK AIR PATIENT LIFT WAS PURCHASED AND DONATED TO THE BARTLESVILLE AMBULANCE SERVICE TO ENHANCE EMERGENCY TRANSPORT OF PATIENTS IN THE COMMUNITY. THE CHECS FUNDING PROGRAM FINANCIALLY SUPPORTED HIS HOUSE OUTREACH MINISTRIES (DBA SHE BREWS) FOR A PASSENGER VAN TO TAKE GLORY HOUSE RESIDENTS AND THEIR CHILDREN TO HEALTHCARE AND OTHER APPOINTMENTS, AND THE TULSA DREAM CENTER TO PURCHASE AN ADA-ACCESSIBLE, MULTI-PASSENGER VAN TO TRANSPORT SENIORS TO AND FROM THE ORGANIZATION, INCLUDING ITS MEDICAL CLINIC. BOTH PROGRAMS SERVE INDIVIDUALS WITH BARRIERS TO TRANSPORTATION. TO EXEMPLIFY THE NEED, THE DREAM CENTER REPORTED THAT THE VAN HAD HELPED 23 PATIENTS GET TO THEIR MEDICAL APPOINTMENTS SINCE PURCHASE. - TY23 Q2: THE COMMUNITY BENEFIT TEAM MET WITH THIS MACHINE, A LOCAL BIKE-SHARE NONPROFIT, TO PROVIDE NEIGHBORHOOD-LEVEL INSIGHT ON TRANSPORTATION BARRIERS AND DISCUSS POTENTIAL COLLABORATION OPPORTUNITIES TO ADDRESS THESE DIFFERENCES IN ALL COUNTIES SERVED BY ASCENSION ST. JOHN. THE CHECS PROGRAM, IN COLLABORATION WITH THE STRATEGY TEAM, HAD PRELIMINARY DISCUSSIONS WITH OKLAHOMA PROJECT WOMAN ABOUT THE POSSIBILITY OF A MOBILE MAMMOGRAPHY INITIATIVE. (CONTINUED) Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - St. John Broken Arrow - 2. PART 2: - TY23 Q3: THE COMMUNITY BENEFIT TEAM ATTENDED TWO COMMUNITY FORUMS FACILITATED BY CIMARRON PUBLIC TRANSIT TO VOICE CONCERNS WITH TRANSPORTATION-RELATED BARRIERS TO CARE. THE CHIEF ADVOCACY OFFICER MET WITH THIS MACHINE TO EXPLORE OPPORTUNITIES FOR ASCENSION ST. JOHN SUPPORT. THE CBEC FUNDING PROGRAM SUPPORTED TRANSPORTATION TO MEDICAL AND OTHER SERVICE APPOINTMENTS FOR POOR AND VULNERABLE POPULATIONS THROUGH MODUS DRIVE AND FLOURISH HOMES. - TY23 Q4: THROUGHOUT THE IS CYCLE, THE CHECS PROGRAM CONTINUED TO FUND GOOD SAMARITAN HEALTH SERVICES' MOBILE MEDICAL CLINICS, WHICH PROVIDE CARE AT VARIOUS LOCATIONS SO COMMUNITY MEMBERS DO NOT HAVE TO TRAVEL FAR TO SEE A PRIMARY CARE PROVIDER. THROUGHOUT FY24, CHECS ALSO FINANCIALLY SUPPORTED SKILLZ ON WHEELZ, A MOBILE MENTAL/BEHAVIORAL HEALTH SERVICES PROVIDER. INITIATIVE 3: INCREASE ACCESS TO HEALTH SERVICES BY PROVIDING HOLISTIC SUPPORT FOR PATIENTS. INITIATIVE 3 > TACTIC 1: ASSIST PATIENTS AND OTHER COMMUNITY MEMBERS WITH ENROLLMENT/RE-ENROLLMENT IN MEDICAID AND OTHER GOVERNMENT ASSISTANCE PROGRAMS. PROGRESS INCLUDED: - TY22 RECAP: THE FINANCIAL COUNSELING TEAM DEDICATED 19,791 HOURS TO ASSIST 874 APPROVED PATIENTS AND FAMILY MEMBERS WITH ENROLLMENT AND RE-ENROLLMENT IN MEDICAID AND OTHER PUBLIC PROGRAMS. THE COMMUNITY HEALTH CATALYST STRATEGY (CHECS) FUNDING PROGRAM FINANCIALLY SUPPORTED THE TULSA HEALTHCARE COVERAGE PROGRAM THROUGH THE OU-TU SCHOOL OF COMMUNITY MEDICINE, WHICH IDENTIFIES UNINSURED RESIDENTS, PROVIDES THEM WITH AN ELIGIBILITY SCREENING FOR COVERAGE OPTIONS, AND ASSISTS QUALIFYING INDIVIDUALS WITH ENROLLMENT. THE SYSTEM OFFICE DISTRIBUTED EDUCATIONAL MATERIALS ON THE PUBLIC HEALTH EMERGENCY UNWINDING TO ALL CLINICAL ASSOCIATES. - TY23 Q1: THE FINANCIAL COUNSELING TEAM DEDICATED 4,507 HOURS TO ASSIST 155 APPROVED PATIENTS AND FAMILY MEMBERS WITH ENROLLMENT AND RE-ENROLLMENT IN MEDICAID AND OTHER PUBLIC PROGRAMS. - TY23 Q2: THE FINANCIAL COUNSELING TEAM DEDICATED 4,867 HOURS TO ASSIST 211 APPROVED PATIENTS AND FAMILY MEMBERS WITH ENROLLMENT AND RE-ENROLLMENT IN MEDICAID AND OTHER PUBLIC PROGRAMS. - TY23 Q3: THE FINANCIAL COUNSELING TEAM DEDICATED 5,483 HOURS TO ASSIST 220 APPROVED PATIENTS AND FAMILY MEMBERS WITH ENROLLMENT AND RE-ENROLLMENT IN MEDICAID AND OTHER PUBLIC PROGRAMS. - TY23 Q4: THE FINANCIAL COUNSELING TEAM DEDICATED 4,537 HOURS TO ASSIST 128 APPROVED PATIENTS AND FAMILY MEMBERS WITH ENROLLMENT AND RE-ENROLLMENT IN MEDICAID AND OTHER PUBLIC PROGRAMS. INITIATIVE 3 > TACTIC 2: SCREEN PATIENTS FOR OTHER BARRIERS TO HEALTH AND WELL-BEING, AND CONNECT THEM WITH LOCAL RESOURCES AS APPROPRIATE. PROGRESS INCLUDED: - TY22 RECAP: PATIENTS OPTED INTO TEXT RESPONDED AFFIRMATIVELY 17,331 TIMES TO 10 DIFFERENT QUESTIONS THROUGH AN ONLINE SCREENING ON OTHER DETERMINANTS OF HEALTH (SDOH) IN Q1 AND Q2. DUE TO A GRANT ENDING, METRICS FROM THE ONLINE SCREENING WERE NO LONGER AVAILABLE IN Q3 AND Q4. HOWEVER, THE SCREENING AND RESOURCE PUSHES CONTINUED. PATIENTS NOT OPTED INTO TEXT RESPONDED AFFIRMATIVELY 7,498 TIMES TO 10 DIFFERENT QUESTIONS THROUGH AN IN-PERSON SDOH SCREENING IN FY23. IN Q1, AN EXECUTIVE SPONSOR AND PROJECT MANAGER WERE IDENTIFIED FOR THE OKLAHOMA MARKET'S NEIGHBORHOOD RESOURCE IMPLEMENTATION. IN Q2, THE NEIGHBORHOOD RESOURCE STEERING COMMITTEE WAS ESTABLISHED, WITH BIWEEKLY MEETINGS TO PLAN MARKET IMPLEMENTATION. USER PROVISIONING WAS COMPLETED. IN Q3, THE INTERNAL-FACING NEIGHBORHOOD RESOURCE PLATFORM LAUNCHED. VIRTUAL TRAINING SESSIONS FOR ADVANCED USERS WERE HELD THE WEEK BEFORE GO-LIVE. ALL OTHER USERS WERE PROVIDED ACCESS TO A MYLEARNING TRAINING (PRE-RECORDED VIDEO) VIA E-BLAST. IN Q4, THE NEIGHBORHOOD RESOURCE STEERING COMMITTEE FOCUSED ON POST-IMPLEMENTATION ASSESSMENT AND ADJUSTMENTS. - TY23 Q1: AMBULATORY PATIENTS NOT OPTED INTO TEXT RESPONDED AFFIRMATIVELY 1,835 TIMES TO 10 DIFFERENT QUESTIONS THROUGH AN IN-PERSON SDOH SCREENING. THE NURSING DEPARTMENT EXPANDED THE SCREENING TO INPATIENT AREAS. FOR THESE AREAS, THE SCREENING WAS MODIFIED TO FIVE QUESTION DOMAINS TO ALLEVIATE BANDWIDTH CONCERNS. INTAKE NURSES CONDUCT THE SCREENING AS PART OF THE ADMISSION ASSESSMENT. - TY23 Q2: AMBULATORY PATIENTS NOT OPTED INTO TEXT RESPONDED AFFIRMATIVELY 1,745 TIMES TO 10 DIFFERENT QUESTIONS THROUGH AN IN-PERSON SDOH SCREENING. WHILE DATA WAS NOT YET SYNTHESIZED, INPATIENTS AND AMBULATORY PATIENTS OPTED INTO TEXT WERE SCREENED AS WELL. AS PART OF PHASE 2 OF THE SDOH INPATIENT SCREENING, COMMUNITY IMPACT BEGAN COLLABORATION WITH LOCAL NURSING LEADERSHIP ON HOW TO INTEGRATE DATA WITH THAT FROM THE AMBULATORY SCREENING. THIS MAY INCLUDE THE DESIGN OF AN AUTOMATED NOTIFICATION PROCESS TO CASE MANAGEMENT FOR PATIENTS WITH A POSITIVE SCREENING RESPONSE. - TY23 Q3: AMBULATORY PATIENTS NOT OPTED INTO TEXT RESPONDED AFFIRMATIVELY 1,360 TIMES TO 10 DIFFERENT QUESTIONS THROUGH AN IN-PERSON SDOH SCREENING. WHILE DATA WAS NOT YET SYNTHESIZED, INPATIENTS AND AMBULATORY PATIENTS OPTED INTO TEXT WERE SCREENED AS WELL. WORK CONTINUED ON PHASE 2 OF THE SDOH INPATIENT SCREENING. - TY23 Q4: AMBULATORY PATIENTS NOT OPTED INTO TEXT RESPONDED AFFIRMATIVELY 674 TIMES TO 10 DIFFERENT QUESTIONS THROUGH AN IN-PERSON SDOH SCREENING. WHILE DATA WAS NOT YET SYNTHESIZED, INPATIENTS AND AMBULATORY PATIENTS OPTED INTO TEXT WERE SCREENED AS WELL. WORK CONTINUED ON PHASE 2 OF THE SDOH INPATIENT SCREENING. INITIATIVE 3 > TACTIC 3: REDUCE BARRIERS TO PRESCRIPTION MEDICATIONS FOR UNINSURED INDIVIDUALS WITH LOW INCOMES. PROGRESS INCLUDED: - TY22 RECAP: THE DISPENSARY OF HOPE (DOH) PROGRAMS TOTALED $153,830 IN NON-SALARY EXPENSES, 8,918 PRESCRIPTIONS, AND 2,471 PATIENT ENCOUNTERS. - TY23 Q1: THE DOH PROGRAMS TOTALED $37,472 IN NON-SALARY EXPENSES, 1,983 PRESCRIPTIONS, AND 609 PATIENT ENCOUNTERS. - TY23 Q2: THE DOH PROGRAMS TOTALED $38,748 IN NON-SALARY EXPENSES, 2,315 PRESCRIPTIONS, AND 670 PATIENT ENCOUNTERS. - TY23 Q3: THE DOH PROGRAMS TOTALED $34,868 IN NON-SALARY EXPENSES, 2,267 PRESCRIPTIONS, AND 665 PATIENT ENCOUNTERS. - TY23 Q4: THE DOH PROGRAMS TOTALED $25,097 IN NON-SALARY EXPENSES, 2,791 PRESCRIPTIONS, AND 813 PATIENT ENCOUNTERS. INITIATIVE 4: REDUCE BARRIERS TO CARE FOR PATIENTS WITHOUT RELIABLE TRANSPORTATION. INITIATIVE 4 > TACTIC 1: OFFER FREE TRANSPORTATION OPTIONS TO PATIENTS WITHOUT RELIABLE TRANSPORTATION. PROGRESS INCLUDED: - TY22 RECAP: THROUGH A PARTNERSHIP WITH LYFT INC., 3,099 RIDES WERE PROVIDED TO PATIENTS EXPERIENCING TRANSPORTATION BARRIERS (PRIMARILY INPATIENTS), COSTING THE MARKET $69,297. THROUGH A PARTNERSHIP WITH MORTON COMPREHENSIVE HEALTH SERVICES, 862 RIDES WERE PROVIDED TO PATIENTS (PRIMARILY OUTPATIENTS), COSTING $41,957. DONATIONS OF $145 PER RIDE WERE MADE TO MILLER EMS, 10-33, AND BARTLESVILLE AMBULANCE SERVICE FOR ROUND-TRIP TRANSPORTATION FOR NINE PATIENTS IN RURAL AREAS. AWARENESS OF THESE PROGRAMS WAS EXTENDED TO THE OUTPATIENT REHAB AND CENTER FOR WOMEN'S HEALTH TEAMS. A PRIMARY CARE CLINIC WAS SET UP WITH ITS OWN LOG-IN FOR THE LYFT PROGRAM TO ADDRESS DIFFERENCES IN THE MEDICAID PATIENT POPULATION THERE. - TY23 Q1: THROUGH THE LYFT PARTNERSHIP, 908 RIDES WERE PROVIDED TO PATIENTS EXPERIENCING TRANSPORTATION BARRIERS, COSTING THE MARKET $22,830. THROUGH THE MORTON PARTNERSHIP, 66 RIDES WERE PROVIDED TO PATIENTS, COSTING $2,000. ONE DONATION OF $145 WAS MADE TO BARTLESVILLE EMS FOR ROUND-TRIP TRANSPORTATION FOR ONE PATIENT IN A RURAL AREA. - TY23 Q2: THROUGH THE LYFT PARTNERSHIP, 861 RIDES WERE PROVIDED TO PATIENTS EXPERIENCING TRANSPORTATION BARRIERS, COSTING THE MARKET $27,560. THROUGH THE MORTON PARTNERSHIP, 114 RIDES WERE PROVIDED TO PATIENTS, COSTING $4,770. DONATIONS OF $145 EACH WERE MADE FOR ROUND-TRIP TRANSPORTATION TO 10-33 FOR TWO PATIENTS, MILLER EMS FOR TWO PATIENTS, BARTLESVILLE EMS FOR ONE PATIENT, AND OOLOGAH-TALALA EMERGENCY MEDICAL SERVICES (OTEMS) FOR TWO PATIENTS IN RURAL AREAS. ANOTHER NOTABLE INITIATIVE THAT RELATES TO TRANSPORTATION BARRIERS IS THE MARKET'S NEW MOBILE PET/CT SCAN THAT CAN TRAVEL TO THE OUTLYING HOSPITALS. - TY23 Q3: THROUGH THE LYFT PARTNERSHIP, 799 RIDES WERE PROVIDED TO PATIENTS EXPERIENCING TRANSPORTATION BARRIERS, COSTING THE MARKET $23,853. THROUGH THE MORTON PARTNERSHIP, 140 RIDES WERE PROVIDED TO PATIENTS, COSTING $7,272. DONATIONS OF $145 EACH WERE MADE FOR ROUND-TRIP TRANSPORTATION TO NOWATA EMS FOR ONE PATIENT AND BARTLESVILLE EMS FOR ONE PATIENT IN RURAL AREAS. - TY23 Q4: THROUGH THE LYFT PARTNERSHIP, 638 RIDES WERE PROVIDED TO PATIENTS EXPERIENCING TRANSPORTATION BARRIERS, COSTING THE MARKET $17,629. THROUGH THE MORTON PARTNERSHIP, 116 RIDES WERE PROVIDED TO PATIENTS, COSTING $5,883. (CONTINUED) Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - St. John Broken Arrow - 3. PART 3: INITIATIVE 4 > TACTIC 2: OFFER VIRTUAL CARE OPTIONS TO REDUCE TRANSFERS AND IMPROVE ACCESS TO CARE FOR INDIVIDUALS WITHOUT RELIABLE TRANSPORTATION. PROGRESS INCLUDED: - TY22 RECAP: THE MARKET VIRTUALLY COMPLETED NINE CARDIOVASCULAR CONSULTS, 61 INFECTIOUS DISEASE CONSULTS, THREE NEUROLOGY CONSULTS, ONE NEPHROLOGY CONSULT, AND EIGHT PALLIATIVE CARE CONSULTS. THE NEUROLOGY TEAM CONDUCTED A REVIEW OF TELEHEALTH SERVICE OPTIONS, INCLUDING COSTS AND CARE DELIVERY METHODS, TO DEVELOP PLANS TO PROVIDE ACUTE AND NON-ACUTE STROKE CARE VIRTUALLY TO COMMUNITY HOSPITALS. - TY23 Q1: THE MARKET VIRTUALLY COMPLETED 43 INFECTIOUS DISEASE CONSULTS. - TY23 Q2: THE MARKET VIRTUALLY COMPLETED FOUR CARDIOVASCULAR CONSULTS, 69 INFECTIOUS DISEASE CONSULTS, TWO INTERNAL MEDICINE CONSULTS, TWO NEUROLOGY CONSULTS, AND TWO PALLIATIVE CARE CONSULTS. - TY23 Q3: THE MARKET VIRTUALLY COMPLETED SIX CARDIOVASCULAR CONSULTS, 14 INFECTIOUS DISEASE CONSULTS, AND ONE NEPHROLOGY CONSULT. - TY23 Q4: THE MARKET VIRTUALLY COMPLETED 95 INFECTIOUS DISEASE CONSULTS. INITIATIVE 5: SUPPORT MATERNAL HEALTH CARE COORDINATION TO ADDRESS DIFFERENCES. INITIATIVE 5 > TACTIC 1: EXPLORE INNOVATIVE MODELS OF CARE TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES. PROGRESS INCLUDED: - TY22 RECAP: 1) THE CHIEF ADVOCACY OFFICER MET WITH TULSA BIRTH THROUGH EIGHT STRATEGY (BEST) TO GATHER INFORMATION ON THE BEST CARE MODEL FOR PREGNANT WOMEN ON MEDICAID TO SHARE WITH THE SYSTEM-LEVEL WORKGROUP ON MATERNAL HEALTH DIFFERENCES. THE CHIEF MEDICAL OFFICER WAS ASSIGNED TO LEAD IMPLEMENTATION OF THE BEST CARE MODEL AT ASCENSION ST. JOHN, WITH SUPPORT FROM THE COMMUNITY HEALTH TEAM. 2) THE CHIEF ADVOCACY OFFICER DEDICATED TIME TO THE PROPOSED POLICY TO INCREASE MEDICAID COVERAGE OF POSTPARTUM CARE FROM 60 DAYS TO 12 MONTHS AFTER BIRTH, WHICH WOULD IMPACT AROUND 2,500 PATIENTS STATEWIDE. IN Q2, THE OKLAHOMA HEALTH CARE AUTHORITY ANNOUNCED FEDERAL APPROVAL OF THE EXPANSION TO 12 MONTHS AND UP TO 205 PERCENT OF THE POVERTY RATE. THIS PROJECT IS CONSIDERED COMPLETED. 3) THE CENTER FOR WOMEN'S HEALTH TEAM IMPLEMENTED SURVEYS OF MOTHERS POST-DELIVERY ON THE NEW TEAMBIRTH MODEL OF CARE IN Q1. IN Q3, THE CENTER FOR WOMEN'S HEALTH TEAM REPORTED IMPROVED PATIENT SATISFACTION SCORES SINCE IMPLEMENTATION OF THE TEAMBIRTH MODEL. THIS PROJECT IS CONSIDERED COMPLETED. 4) THE CENTER FOR WOMEN'S HEALTH TEAM IMPLEMENTED A NEW, MULTI-LEVEL APPROACH TO PREVENT POSTPARTUM HEMORRHAGE, ONE OF THE BIGGEST MATERNAL CO-MORBIDITIES. THE APPROACH INCLUDES MEDICATION MANAGEMENT, THE JADA SYSTEM, RISK ASSESSMENTS AT MULTIPLE POINTS, EDUCATION AT DISCHARGE, AND EMERGENCY DEPARTMENT COLLABORATION. THIS NEW CARE MODEL HAS CUT IN HALF THE AVERAGE OF AROUND 140 UNITS OF BLOOD PER QUARTER TO AROUND 70 UNITS OF BLOOD. 5) IN COLLABORATION WITH THE AMERICAN HEART ASSOCIATION (AHA), THE CENTER FOR WOMEN'S HEALTH ESTABLISHED A NEW PROCESS TO SEND HOME FREE BLOOD PRESSURE CUFFS WITH PREGNANT WOMEN WHO MET CRITERIA FOR HYPERTENSION OR PREECLAMPSIA. 6) THE CENTER FOR WOMEN'S HEALTH TEAM CONNECTED IN HIS IMAGE FAMILY MEDICINE RESIDENCY WITH LOCAL NONPROFITS TULSA BIRTH INITIATIVE AND FAMILY & CHILDREN'S SERVICES SO THEY CAN PARTNER TO CARE FOR PREGNANT AND PARENTING FAMILIES WITH SUBSTANCE ABUSE CONCERNS AND IMPLEMENT THE OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES (ODMHSA) FAMILY CARE PLAN. 7) SEVERAL ASSOCIATES FROM THE CENTER FOR WOMEN'S HEALTH TEAM TOOK THE MARCH OF DIMES TRAINING FOR HEALTH-CARE PROFESSIONALS. - TY23 Q1: 8) THE CENTER FOR WOMEN'S HEALTH TEAM WORKED ON PLANS FOR THE EDINBURGH POSTNATAL DEPRESSION SCALE (EPDS) SCREENING TOOL, WHICH WILL BE BUILT IN CERNER. THE TOOL WILL HELP IDENTIFY MOTHERS AT RISK FOR DEPRESSION BEFORE DISCHARGE. THE TEAM CONTINUED TO EDUCATE PATIENTS' PARTNERS ABOUT SIGNS AND SYMPTOMS OF DEPRESSION TO SPREAD AWARENESS. 9) THE SYSTEM-WIDE PROGRAM TO REDUCE FALLS EXTENDED TO THE CENTER FOR WOMEN'S HEALTH. - TY23 Q2: 5) THE CENTER FOR WOMEN'S HEALTH TEAM EXPLORED OPTIONS TO EXPAND THE AHA BLOOD PRESSURE CUFF PROGRAM TO POSTPARTUM MOTHERS. 10) THE CENTER FOR WOMEN'S HEALTH TEAM PARTNERED WITH THE PHARMACY TEAM TO ADD NALOXONE KITS TO THE MEDICATION DISPENSING SYSTEM ON THEIR FLOOR. THE KITS ARE AVAILABLE FOR DISTRIBUTION TO PATIENTS WHO HAVE BEEN IDENTIFIED AS HIGH-RISK FOR OPIOID OVERDOSE. - TY23 Q3: NO UPDATES WERE REPORTED FOR THIS QUARTER. - TY23 Q4: NO UPDATES WERE REPORTED FOR THIS QUARTER. PRIORITIZED NEED 2: MENTAL AND BEHAVIORAL HEALTH INITIATIVE 1: SUPPORT COMMUNITY-BASED INITIATIVES THAT CREATE AN ENVIRONMENT FOR MENTAL WELL-BEING AND INCREASED ACCESS TO CARE. INITIATIVE 1 > TACTIC 1: SUPPORT COMMUNITY ORGANIZATIONS AND COALITIONS IN EFFORTS TO INCREASE ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE FOR ADOLESCENTS. PROGRESS INCLUDED: - TY22 RECAP: THE CHIEF ADVOCACY OFFICER PARTICIPATED IN BIWEEKLY MEETINGS OF THE TULSA PEDIATRIC BEHAVIORAL HEALTH WORK GROUP TO EXPLORE A CONCEPT FOR A MENTAL/BEHAVIORAL HEALTH FACILITY SPECIFICALLY FOR ADOLESCENTS. A SHADOW MOUNTAIN FACILITY WOULD COST AN ESTIMATED $20 MILLION AND YIELD 24 BEDS. THE OLD PARKSIDE BUILDING WOULD YIELD 40 BEDS. THE COMMITTEE EXPANDED TO INCLUDE "KEY PLAYERGANIZATIONS, SUCH AS PARKSIDE AND OKLAHOMA STATE UNIVERSITY CENTER FOR HEALTH SCIENCES. THE BEHAVIORAL HEALTH TEAM PARTICIPATED IN MONTHLY MEETINGS OF THE PARKSIDE COMMITTEE SPECIFIC TO CHILDREN AND ADOLESCENT MENTAL/BEHAVIORAL HEALTH. A STRATEGY FOR WHICH PLANNING WAS INITIATED IN Q1 WAS A SHARED ONLINE PLATFORM WHERE ALL AREA FACILITIES CAN LOG IN TO UPDATE BED STATUSES, IDENTIFY BED OPENINGS, ETC. IN REAL TIME. BY Q3, THE PARKSIDE COMMITTEE WAS DISBANDED, AND THE TULSA PEDIATRIC BEHAVIORAL HEALTH WORK GROUP TEMPORARILY SUSPENDED MEETINGS. - TY23 Q1: IT WAS CONFIRMED THAT THE TULSA PEDIATRIC BEHAVIORAL HEALTH WORK GROUP PERMANENTLY DISBANDED DUE TO LACK OF RESOURCES. - TY23 Q2: NO UPDATES WERE REPORTED FOR THIS QUARTER. - TY23 Q3: NO UPDATES WERE REPORTED FOR THIS QUARTER. - TY23 Q4: NO UPDATES WERE REPORTED FOR THIS QUARTER. INITIATIVE 1 > TACTIC 2: SUPPORT COMMUNITY ORGANIZATIONS AND COALITIONS IN EFFORTS TO INCREASE ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE FOR ADULTS. PROGRESS INCLUDED: - TY22 RECAP: THE BEHAVIORAL HEALTH MANAGER PARTICIPATED IN QUARTERLY MEETINGS OF THE COMMUNITY'S PROGRAM OF ASSERTIVE COMMUNITY TREATMENT (PACT) COMMITTEES FOR HIGH UTILIZERS OF PSYCHIATRIC HOSPITALIZATION. THE ASCENSION ST. JOHN MINISTRY & MISSION COMMITTEE CONDUCTED A DONATION COLLECTION OF HYGIENE ITEMS, WINTER CLOTHING, ETC. FOR PACT FAMILIES. IN Q2, A COUNSELOR FROM THE BEHAVIORAL HEALTH TEAM STARTED TO ATTEND PACT MEETINGS WITH THE MANAGER. ASCENSION ST. JOHN DONATED SPACE FOR THE PACT COMMITTEE MEETINGS THROUGHOUT THE YEAR. THE COMMUNITY BENEFIT DIRECTOR JOINED THE STRESS & MENTAL HEALTH WORKGROUP FOR TULSA HEALTH DEPARTMENT'S FIVE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). - TY23 Q1: THE BEHAVIORAL HEALTH TEAM CONTINUED TO PARTICIPATE ON THE PACT COMMITTEES. ASCENSION ST. JOHN DONATED SPACE FOR THOSE MEETINGS. THE COMMUNITY BENEFIT DIRECTOR CONTINUED TO PARTICIPATE ON THE CHIP STRESS & MENTAL HEALTH WORKGROUP. - TY23 Q2: THE BEHAVIORAL HEALTH MANAGER PARTICIPATED IN THE SEQUENTIAL INTERCEPT MODEL (SIM) MAPPING WORKSHOP ON HOW INDIVIDUALS WITH MENTAL/BEHAVIORAL HEALTH DISORDERS MOVE THROUGH THE CRIMINAL JUSTICE SYSTEM. THE BEHAVIORAL HEALTH TEAM CONTINUED TO PARTICIPATE ON THE PACT COMMITTEES. ASCENSION ST. JOHN DONATED SPACE FOR THOSE MEETINGS. THE COMMUNITY BENEFIT DIRECTOR CONTINUED TO PARTICIPATE ON THE CHIP STRESS & MENTAL HEALTH WORKGROUP. - TY23 Q3: THE BEHAVIORAL HEALTH TEAM CONTINUED TO PARTICIPATE ON THE PACT COMMITTEES. ASCENSION ST. JOHN DONATED SPACE FOR THOSE MEETINGS. THE PSYCHIATRIC EMERGENCY PROVIDER COMMUNITY MEETING SERIES RESTARTED; THE BEHAVIORAL HEALTH TEAM PARTICIPATED. THE COMMUNITY BENEFIT DIRECTOR CONTINUED TO PARTICIPATE ON THE CHIP STRESS & MENTAL HEALTH WORKGROUP. - TY23 Q4: THE BEHAVIORAL HEALTH TEAM CONTINUED TO PARTICIPATE ON THE PACT COMMITTEES. ASCENSION ST. JOHN DONATED SPACE FOR THOSE MEETINGS. THE BEHAVIORAL HEALTH TEAM CONTINUED TO PARTICIPATE IN THE PSYCHIATRIC EMERGENCY PROVIDER COMMUNITY MEETINGS, MOST RECENTLY DISCUSSING UPDATES TO THE "BLUE STREETS" AGREEMENT RELATED TO PATIENT MEDICAL CLEARANCE AND PLACEMENT. (CONTINUED) Schedule H, Part V, Section B, Line 11 Facility , 4 Facility , 4 - St. John Broken Arrow - 4. PART 4: INITIATIVE 1 > TACTIC 3: PROVIDE GRANT FUNDING TO COMMUNITY MENTAL AND BEHAVIORAL HEALTH INITIATIVES, WITH A FOCUS ON THOSE SERVING VULNERABLE POPULATIONS. PROGRESS INCLUDED: - TY22 RECAP: THE COMMUNITY HEALTH CATALYST STRATEGY (CHECS) AND COMMUNITY BENEFIT & ENGAGEMENT COMMITTEE (CBEC) FUNDING PROGRAMS AWARDED $619,753 IN GRANTS TO 16 COMMUNITY-BASED INITIATIVES THROUGH 16 ORGANIZATIONS. - TY23 Q1: THE CHECS FUNDING PROGRAM AWARDED $646,860 IN GRANTS TO NINE COMMUNITY-BASED INITIATIVES THROUGH NINE ORGANIZATIONS. - TY23 Q2: THE CBEC FUNDING PROGRAM AWARDED A $3,700 GRANT TO ONE COMMUNITY-BASED INITIATIVE. - TY23 Q3: THE CHECS AND CBEC FUNDING PROGRAMS AWARDED $598,870 IN GRANTS TO 13 COMMUNITY-BASED INITIATIVES THROUGH 13 ORGANIZATIONS. - TY23 Q4: THE CHECS AND COMMUNITY INVESTMENT COUNCIL (CIC) (FORMERLY COMMUNITY BENEFIT & ENGAGEMENT COMMITTEE) FUNDING PROGRAMS AWARDED $24,525 IN GRANTS TO TWO COMMUNITY-BASED INITIATIVES THROUGH TWO ORGANIZATIONS. (ONE WAS AN INSTALLMENT.) INITIATIVE 2: DELIVER COMPREHENSIVE, COMPASSIONATE CARE AND TREATMENT FOR PATIENTS WITH MENTAL AND BEHAVIORAL HEALTH CONDITIONS, PARTICULARLY THOSE WHO HAVE EXPERIENCED TRAUMA. INITIATIVE 2 > TACTIC 1: IMPLEMENT AND EVALUATE DIFFERENT MODELS OF CARE TO IMPROVE ACCESS TO AND TIMELINESS OF MENTAL AND BEHAVIORAL HEALTH CARE. PROGRESS INCLUDED: - TY22 RECAP: MEETINGS BETWEEN COMMUNITY IMPACT AND ASCENSION MEDICAL GROUP ST. JOHN WERE HELD TO DISCUSS IMPLEMENTATION READINESS FOR THE COLLABORATIVE CARE MODEL (COCM). COCM TOOLS AND A GUIDE WERE PROVIDED. VARIOUS MEETINGS AMONG MARKET AND HOSPITAL ADMINISTRATION AND COMMUNITY IMPACT WERE HELD TO INITIATE PLANS FOR AN EMPATH UNIT ON THE MAIN CAMPUS. THE BEHAVIORAL HEALTH TEAM MET WITH ASCENSION INDIANA TO DISCUSS ZERO SUICIDE, A HOLISTIC SUICIDE PREVENTION PROGRAM TO BE FUNDED THROUGH A SHARED SUBSTANCE ABUSE & MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) GRANT. THE DISCUSSION INCLUDED LOGISTICS AND ALLOCATION OF FUNDS. THROUGH THE PROGRAM, ALL BEHAVIORAL HEALTH ASSOCIATES AND OTHER ASSOCIATES AS APPROPRIATE WILL RECEIVE ASSESSING AND MANAGING SUICIDE RISK (AMSR) TRAINING - DETAILS REPORTED SEPARATELY BELOW - AND A PROCESS WILL BE IMPLEMENTED TO CONDUCT FOLLOW-UP CALLS WITH PATIENTS IDENTIFIED AS AT-RISK FOR SUICIDE THROUGH THE COLUMBIA SUICIDE SEVERITY RATING SCALE (C-SSRS) SCREENING. IN Q2, THE COCM INITIATIVE WAS PUT ON HOLD DUE TO LIMITED CLINICAL BANDWIDTH. THE EMPATH UNIT INITIATIVE WAS PUT ON HOLD DUE TO ECONOMIC RECOVERY. THE BEHAVIORAL HEALTH TEAM KICKSTARTED FOLLOW-UP CALLS TO PATIENTS IDENTIFIED AS AT-RISK FOR SUICIDE, AS PART OF THE ZERO SUICIDE INITIATIVE. THE BEHAVIORAL HEALTH TEAM MAINTAINED CONTACT INFORMATION FOR ALL PACT LEADERS SO THEY COULD INTERFACE WITH THEM IMMEDIATELY WHEN ONE OF THEIR PATIENTS PRESENTED IN AN ASCENSION ST. JOHN EMERGENCY ROOM. IN Q3, ASCENSION ST. JOHN SIGNED ON WITH ASCENSION INDIANA TO PARTICIPATE IN THE SAMHSA-FUNDED ZERO SUICIDE PROGRAM FOR ANOTHER YEAR. - TY23 Q1: THE BEHAVIORAL HEALTH TEAM BEGAN DATA COLLECTION FOR FOLLOW-UP CALLS TO PATIENTS IDENTIFIED AS AT-RISK FOR SUICIDE, AS PART OF THE ZERO SUICIDE INITIATIVE. THE TEAM ATTEMPTED CONTACT WITH 100 PERCENT OF PATIENTS IDENTIFIED AS AT-RISK FOR SUICIDE; THEY MADE DIRECT CONTACT WITH 97 OF THE 257 PATIENTS, LEFT UNANSWERED VOICEMAILS FOR 120, AND FOUND CONTACT INFORMATION TO BE INCORRECT OR NONEXISTENT FOR 40. - TY23 Q2: THE BEHAVIORAL HEALTH TEAM ATTEMPTED CONTACT WITH 100 PERCENT OF PATIENTS IDENTIFIED AS AT-RISK FOR SUICIDE; THEY MADE DIRECT CONTACT WITH 60 OF THE 209 PATIENTS, LEFT UNANSWERED VOICEMAILS FOR 83, AND FOUND CONTACT INFORMATION TO BE INCORRECT OR NONEXISTENT FOR 66. - TY23 Q3: THE BEHAVIORAL HEALTH TEAM ATTEMPTED CONTACT WITH 92 PERCENT OF PATIENTS IDENTIFIED AS AT-RISK FOR SUICIDE; THEY MADE DIRECT CONTACT WITH 76 OF THE 210 PATIENTS, LEFT UNANSWERED VOICEMAILS FOR 60, AND FOUND CONTACT INFORMATION TO BE INCORRECT OR NONEXISTENT FOR 57. - TY23 Q4: THE BEHAVIORAL HEALTH TEAM ATTEMPTED CONTACT WITH 58 PERCENT OF PATIENTS IDENTIFIED AS AT-RISK FOR SUICIDE; THEY MADE DIRECT CONTACT WITH 27 OF THE 123 PATIENTS, LEFT UNANSWERED VOICEMAILS FOR 24, AND FOUND CONTACT INFORMATION TO BE INCORRECT OR NONEXISTENT FOR 20. INITIATIVE 2 > TACTIC 2: PROVIDE TRAUMA-INFORMED CARE TO PATIENTS AT RISK OF TRAUMA-RELATED MENTAL AND BEHAVIORAL HEALTH CONDITIONS (E.G., SUSPECTED VICTIMS OF HUMAN TRAFFICKING). PROGRESS INCLUDED: - TY22 RECAP: MORE THAN 360 HOURS WERE SPENT BY ASSOCIATES ON HUMAN TRAFFICKING ASSESSMENTS FOR 103 SUSPECTED VICTIMS. THE HUMAN TRAFFICKING EDUCATION & RESPONSE PROGRAM HIRED A DEDICATED PATIENT ADVOCATE TO INCREASE COMMUNITY PARTNERSHIPS. - TY23 Q1: ABOUT 177 HOURS WERE SPENT BY ASSOCIATES ON HUMAN TRAFFICKING ASSESSMENTS FOR 43 SUSPECTED VICTIMS. - TY23 Q2: ABOUT 224 HOURS WERE SPENT BY ASSOCIATES ON HUMAN TRAFFICKING ASSESSMENTS FOR 31 SUSPECTED VICTIMS. - TY23 Q3: ABOUT 362 HOURS WERE SPENT BY ASSOCIATES ON HUMAN TRAFFICKING ASSESSMENTS FOR 79 SUSPECTED VICTIMS. - TY23 Q4: ABOUT 358 HOURS WERE SPENT BY ASSOCIATES ON HUMAN TRAFFICKING ASSESSMENTS FOR 71 SUSPECTED VICTIMS. INITIATIVE 2 > TACTIC 3: OFFER VIRTUAL CARE OPTIONS TO REDUCE BARRIERS TO MENTAL AND BEHAVIORAL HEALTH CARE. PROGRESS INCLUDED: - TY22 RECAP: THE MARKET VIRTUALLY COMPLETED 151 BEHAVIORAL HEALTH ASSESSMENTS AND 229 PSYCHIATRY CONSULTS. THE BEHAVIORAL HEALTH TEAM EXPANDED VIRTUAL BEHAVIORAL HEALTH CARE TO BROKEN ARROW. - TY23 Q1: THE MARKET VIRTUALLY COMPLETED 62 BEHAVIORAL HEALTH ASSESSMENTS AND 123 PSYCHIATRY CONSULTS. THROUGH A PROGRAM OF THE OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES (ODMHSAS), ASCENSION ST. JOHN JANE PHILLIPS HAS IPADS THROUGHOUT THE HOSPITAL TO VIRTUALLY CONNECT PATIENTS IN MENTAL HEALTH CRISIS WITH GRAND MENTAL HEALTH CENTER WHEN THE BEHAVIORAL HEALTH DEPARTMENT IS NOT AVAILABLE. - TY23 Q2: THE MARKET VIRTUALLY COMPLETED 49 BEHAVIORAL HEALTH ASSESSMENTS AND 85 PSYCHIATRY CONSULTS. - TY23 Q3: THE MARKET VIRTUALLY COMPLETED 43 BEHAVIORAL HEALTH ASSESSMENTS AND 43 PSYCHIATRY CONSULTS. - TY23 Q4: THE MARKET VIRTUALLY COMPLETED 59 BEHAVIORAL HEALTH ASSESSMENTS AND 117 PSYCHIATRY CONSULTS. INITIATIVE 3: EXPLORE OPPORTUNITIES TO HOLISTICALLY SUPPORT PATIENTS AT RISK OF SUICIDE. INITIATIVE 3 > TACTIC 1: EXPLORE INTERNAL OPPORTUNITIES TO PROVIDE SUICIDE PREVENTION TRAINING. THIS TACTIC IS CONSIDERED COMPLETE, AS ALL BEHAVIORAL HEALTH ASSOCIATES ARE NOW TRAINED IN ASSESSING AND MANAGING SUICIDE RISK (AMSR). - TY22 RECAP: THROUGH THE SAMHSA-FUNDED ZERO SUICIDE PROGRAM MENTIONED ABOVE, THE PLANNING PROCESS BEGAN FOR ALL BEHAVIORAL HEALTH ASSOCIATES AND OTHER ASSOCIATES AS APPROPRIATE TO RECEIVE AMSR TRAINING BY THE END OF CALENDAR YEAR 2023. EIGHT BEHAVIORAL HEALTH ASSOCIATES, SIX AMBULATORY THERAPISTS, AND SOME PRIMARY CARE ASSOCIATES WERE TRAINED IN AMSR. ONE BEHAVIORAL HEALTH ASSOCIATE ATTENDED THE OKLAHOMA DEPARTMENT OF MENTAL HEALTH & SUBSTANCE ABUSE (OSDMHS) ZERO SUICIDE SUMMIT. INITIATIVE 4: INCREASE ACCESS TO MENTAL AND BEHAVIORAL HEALTH SUPPORT AND RESOURCES FOR PATIENTS. INITIATIVE 4 > TACTIC 1: CONNECT PATIENTS WITH COMMUNITY RESOURCES FOR MENTAL AND BEHAVIORAL HEALTH CARE COORDINATION, CLOSING REFERRAL GAPS. PROGRESS INCLUDED: - TY22 RECAP: DURING THE FIRST TWO QUARTERS, THE BEHAVIORAL HEALTH TEAM REFERRED PATIENTS TO COMMUNITY RESOURCES VIA CHESS HEALTH AS NEEDED. DUE TO SYSTEM RESTRICTIONS, SPECIFIC METRICS WERE UNABLE TO BE REPORTED AT THE TIME. IN Q3, THE BEHAVIORAL HEALTH TEAM GAINED ACCESS TO THE NEIGHBORHOOD RESOURCE INTERNAL-FACING SITE AND WAS SET UP AS A GROUP. THE TEAM BEGAN TO USE NEIGHBORHOOD RESOURCE TO SEEK OUT COMMUNITY RESOURCES FOR PATIENTS AND, THEREFORE, DISCONTINUED USE OF CHESS. - TY23 Q1: THE BEHAVIORAL HEALTH TEAM BEGAN TO DISCHARGE PATIENTS WITH COMPLIMENTARY TRANSPORTATION TO FAMILY & CHILDREN'S SERVICES (F&CS) FOR A WALK-IN APPOINTMENT, WHEN DEEMED NECESSARY. - TY23 Q2: THE BEHAVIORAL HEALTH TEAM ADDED CANCER-SPECIFIC RESOURCES FOR PATIENTS WITH A CANCER DIAGNOSIS. - TY23 Q3: THE BEHAVIORAL HEALTH TEAM CONTINUED TO WORK WITH F&CS ON A PROCESS TO BRIDGE PATIENTS DIRECTLY TO THEIR OUTPATIENT SERVICES. THE BEHAVIORAL HEALTH TEAM ALSO CONTINUED TO UTILIZE NEIGHBORHOOD RESOURCE TO GUIDE PATIENTS TO APPROPRIATE COMMUNITY RESOURCES. - TY23 Q4: THE BEHAVIORAL HEALTH TEAM CONTINUED TO UTILIZE NEIGHBORHOOD RESOURCE TO GUIDE PATIENTS TO APPROPRIATE COMMUNITY RESOURCES. (CONTINUED) Schedule H, Part V, Section B, Line 11 Facility , 5 Facility , 5 - St. John Broken Arrow - 5. PART 5: PRIORITIZED NEED 3: FOOD SECURITY INITIATIVE 1: SUPPORT COMMUNITY INITIATIVES TO ADDRESS FOOD INSECURITY. INITIATIVE 1 > TACTIC 1: PROVIDE GRANT FUNDING TO COMMUNITY FOOD SECURITY INITIATIVES, WITH A FOCUS ON THOSE SERVING POOR AND VULNERABLE POPULATIONS. PROGRESS INCLUDED: - TY22 RECAP: THE COMMUNITY HEALTH CATALYST STRATEGY (CHECS) AND COMMUNITY BENEFIT & ENGAGEMENT COMMITTEE (CBEC) FUNDING PROGRAMS AWARDED MORE THAN $1.5 MILLION IN GRANTS TO 23 COMMUNITY-BASED INITIATIVES THROUGH 21 ORGANIZATIONS. - TY23 Q1: THE CHECS FUNDING PROGRAM AWARDED $571,520 IN GRANTS TO NINE COMMUNITY-BASED INITIATIVES THROUGH NINE ORGANIZATIONS. - TY23 Q2: NO UPDATES WERE REPORTED FOR THIS QUARTER. - TY23 Q3: THE CHECS AND CBEC FUNDING PROGRAMS AWARDED $331,400 IN GRANTS TO 11 COMMUNITY-BASED INITIATIVES THROUGH 10 ORGANIZATIONS. - TY23 Q4: THE CHECS AND COMMUNITY INVESTMENT COUNCIL (CIC) (FORMERLY COMMUNITY BENEFIT & ENGAGEMENT COMMITTEE) FUNDING PROGRAMS AWARDED $515,000 IN GRANTS TO TWO COMMUNITY-BASED INITIATIVES THROUGH TWO ORGANIZATIONS. INITIATIVE 1 > TACTIC 2: ENGAGE WITH COMMUNITY ORGANIZATIONS AND COALITIONS ON EFFORTS TO ADDRESS FOOD INSECURITY. PROGRESS INCLUDED: - TY22 RECAP: POTENTIAL PARTNERSHIPS AND SPONSORSHIPS SPECIFIC TO FOOD SECURITY WERE DISCUSSED WITH THE NOWATA COMMUNITY FOUNDATION. A COMMUNITY BENEFIT ASSOCIATE PARTICIPATED ON THE BOARD OF DIRECTORS FOR CARING COMMUNITY FRIENDS. THE COMMUNITY BENEFIT TEAM TOURED GLOBAL GARDENS TO LEARN MORE ABOUT HOW SCHOOL-BASED GARDENING PROGRAMS ADDRESS FOOD INSECURITY. ASCENSION ST. JOHN HOSPITALS DONATED MEETING ROOM SPACE TO ORGANIZATIONS FOCUSED ON FOOD SECURITY THROUGHOUT THE FISCAL YEAR, E.G., TSET HEALTHY LIVING. - TY23 Q1: A COMMUNITY BENEFIT ASSOCIATE CONTINUED TO PARTICIPATE ON THE CARING COMMUNITY FRIENDS BOARD. - TY23 Q2: A COMMUNITY BENEFIT ASSOCIATE CONTINUED TO PARTICIPATE ON THE CARING COMMUNITY FRIENDS BOARD. THE COMMUNITY BENEFIT TEAM MET WITH GLOBAL GARDENS TO EXPLORE ADDITIONAL PARTNERSHIP OPPORTUNITIES. - TY23 Q3: THE COMMUNITY BENEFIT TEAM MET WITH ST. ANDREW COMMUNITY MISSION TO DISCUSS BARRIERS TO FOOD SECURITY AND EXPLORE OPPORTUNITIES FOR ASCENSION ST. JOHN SUPPORT. A COMMUNITY BENEFIT ASSOCIATE CONTINUED TO PARTICIPATE ON THE CARING COMMUNITY FRIENDS BOARD. - TY23 Q4: A COMMUNITY BENEFIT ASSOCIATE CONTINUED TO PARTICIPATE ON THE CARING COMMUNITY FRIENDS BOARD. INITIATIVE 2: INCREASE ACCESS TO HEALTHY FOOD BY PROVIDING HOLISTIC SUPPORT FOR PATIENTS. INITIATIVE 2 > TACTIC 1: SCREEN PATIENTS FOR BARRIERS TO HEALTHY FOOD AND CONNECT THEM WITH LOCAL RESOURCES AS APPROPRIATE. PROGRESS INCLUDED: - TY22 RECAP: PATIENTS OPTED INTO TEXT RESPONDED AFFIRMATIVELY 9,209 TIMES TO TWO DIFFERENT QUESTIONS ON FOOD INSECURITY THROUGH AN ONLINE OTHER DETERMINANTS OF HEALTH (SDOH) SCREENING DURING Q1 AND Q2. (DUE TO A GRANT ENDING, METRICS FROM THE ONLINE SCREENING'S TWO FOOD INSECURITY QUESTIONS WERE NO LONGER AVAILABLE BEGINNING Q3. HOWEVER, THE SCREENING AND RESOURCE PUSHES CONTINUED.) PATIENTS NOT OPTED INTO TEXT RESPONDED AFFIRMATIVELY 707 TIMES TO A QUESTION ON FOOD INSECURITY THROUGH AN IN-PERSON SDOH SCREENING IN FY23. - TY23 Q1: AMBULATORY PATIENTS NOT OPTED INTO TEXT RESPONDED AFFIRMATIVELY 176 TIMES TO A QUESTION ON FOOD INSECURITY THROUGH AN IN-PERSON SDOH SCREENING. THE NURSING DEPARTMENT EXPANDED THE SCREENING TO INPATIENT AREAS. INTAKE NURSES CONDUCT THE SCREENING AS PART OF THE ADMISSION ASSESSMENT. FOR THESE AREAS, THE SCREENING WAS MODIFIED TO FIVE QUESTION DOMAINS TO ALLEVIATE BANDWIDTH CONCERNS. THE FOOD INSECURITY QUESTION WAS INCLUDED: "IN THE LAST 12 MONTHS DID YOU EVER EAT LESS THAN YOU FELT YOU SHOULD BECAUSE THERE WASN'T ENOUGH MONEY FOR FOOD?" (METRICS FROM THE ONLINE AND INPATIENT SCREENINGS WERE UNAVAILABLE.) - TY23 Q2: AMBULATORY PATIENTS NOT OPTED INTO TEXT RESPONDED AFFIRMATIVELY 159 TIMES TO A QUESTION ON FOOD INSECURITY THROUGH AN IN-PERSON SDOH SCREENING. WHILE DATA WAS NOT YET SYNTHESIZED, INPATIENTS AND AMBULATORY PATIENTS OPTED INTO TEXT WERE SCREENED AS WELL. - TY23 Q3: AMBULATORY PATIENTS NOT OPTED INTO TEXT RESPONDED AFFIRMATIVELY 123 TIMES TO A QUESTION ON FOOD INSECURITY THROUGH AN IN-PERSON SDOH SCREENING. WHILE DATA WAS NOT YET SYNTHESIZED, INPATIENTS AND AMBULATORY PATIENTS OPTED INTO TEXT WERE SCREENED AS WELL. - TY23 Q4: AMBULATORY PATIENTS NOT OPTED INTO TEXT RESPONDED AFFIRMATIVELY 59 TIMES TO A QUESTION ON FOOD INSECURITY THROUGH AN IN-PERSON SDOH SCREENING. WHILE DATA WAS NOT YET SYNTHESIZED, INPATIENTS AND AMBULATORY PATIENTS OPTED INTO TEXT WERE SCREENED AS WELL. PRIORITIZED NEED 4: ALCOHOL AND DRUG USE INITIATIVE 1: SUPPORT COMMUNITY INITIATIVES TO ADDRESS ALCOHOL AND DRUG USE. INITIATIVE 1 > TACTIC 1: PROVIDE GRANT FUNDING TO COMMUNITY INITIATIVES THAT HELP ADDRESS ALCOHOL AND DRUG USE, INCLUDING PREVENTION AND HARM REDUCTION, WITH A FOCUS ON THOSE SERVING POOR AND VULNERABLE POPULATIONS. PROGRESS INCLUDED: - TY22 RECAP: THE COMMUNITY BENEFIT & ENGAGEMENT COMMITTEE (CBEC) FUNDING PROGRAM AWARDED A $10,000 GRANT TO ONE COMMUNITY-BASED INITIATIVE THROUGH ONE ORGANIZATION. - TY23 Q1: NO UPDATES WERE REPORTED FOR THIS QUARTER. - TY23 Q2: NO UPDATES WERE REPORTED FOR THIS QUARTER. - TY23 Q3: THE CBEC FUNDING PROGRAM AWARDED $22,000 IN GRANTS TO THREE COMMUNITY-BASED INITIATIVES THROUGH THREE ORGANIZATIONS. - TY23 Q4: NO UPDATES WERE REPORTED FOR THIS QUARTER. INITIATIVE 2: INCREASE OPPORTUNITIES FOR PATIENTS TO ENGAGE IN ALCOHOL AND/OR DRUG USE TREATMENT. INITIATIVE 2 > TACTIC 1: INCREASE ACCESS TO A VARIETY OF SUBSTANCE USE TREATMENT INCLUDING MEDICATION-ASSISTED TREATMENT AND INNOVATIVE MODELS OF CARE. PROGRESS INCLUDED: - TY22 RECAP: THE CHIEF ADVOCACY OFFICER HELPED GET THE PHARMACY TEAM RECONNECTED WITH AND APPROVED FOR THE OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES (ODMHSA) OPIOID OVERDOSE PREVENTION PROJECT TO RECEIVE NALOXONE KITS. THE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) PROCESS WAS USED WITH TRAUMA PATIENTS AND INPATIENTS. A SYSTEM-LEVEL INITIATIVE WAS ESTABLISHED TO EXPAND SBIRT TO ALL PATIENTS 12+ IN FAMILY MEDICINE, PEDIATRICS, AND INTERNAL MEDICINE. THE PHARMACY TEAM WENT LIVE WITH THE NALOXONE KIT PROJECT. NINE KITS WERE DISPENSED TO PATIENTS IN NEED. THE BEHAVIORAL HEALTH TEAM ESTIMATED THAT MORE THAN 50 PERCENT OF ITS CONSULTATIONS WERE FOR ALCOHOL AND DRUG USE. - TY23 Q1: SEVEN NALOXONE KITS WERE DISPENSED TO PATIENTS IN NEED. THE SBIRT PROCESS CONTINUED TO BE USED WITH TRAUMA PATIENTS AND INPATIENTS. - TY23 Q2: THIRTEEN NALOXONE KITS WERE DISPENSED TO PATIENTS IN NEED. THE PHARMACY TEAM PARTNERED WITH THE CENTER FOR WOMEN'S HEALTH TEAM TO ADD NALOXONE KITS TO THE MEDICATION DISPENSING SYSTEM ON THEIR FLOOR. THE KITS ARE AVAILABLE FOR DISTRIBUTION TO PATIENTS WHO HAVE BEEN IDENTIFIED AS HIGH-RISK FOR OPIOID OVERDOSE. THE SBIRT PROCESS CONTINUED TO BE USED WITH TRAUMA PATIENTS AND INPATIENTS. THE SYSTEM-LEVEL INITIATIVE TO EXPAND SBIRT WAS SCOPED FOR Q1; HOWEVER, DUE TO FUNDING BARRIERS, THE PROJECT WAS PUT ON HOLD. - TY23 Q3: EIGHT NALOXONE KITS WERE DISPENSED TO PATIENTS IN NEED. - TY23 Q4: THREE NALOXONE KITS WERE DISPENSED TO PATIENTS IN NEED. INITIATIVE 2 > TACTIC 2: CONNECT PATIENTS WITH COMMUNITY RESOURCES FOR CARE COORDINATION TO ADDRESS ALCOHOL AND DRUG USE, CLOSING REFERRAL GAPS. PROGRESS INCLUDED: - TY22 RECAP: DURING THE FIRST TWO QUARTERS, THE BEHAVIORAL HEALTH TEAM REFERRED PATIENTS TO COMMUNITY RESOURCES VIA CHESS HEALTH AS NEEDED. DUE TO SYSTEM RESTRICTIONS, SPECIFIC METRICS WERE UNABLE TO BE REPORTED AT THE TIME. IN Q3, THE BEHAVIORAL HEALTH TEAM GAINED ACCESS TO THE NEIGHBORHOOD RESOURCE INTERNAL-FACING SITE AND WAS SET UP AS A GROUP. THE TEAM BEGAN TO USE NEIGHBORHOOD RESOURCE TO SEEK OUT COMMUNITY RESOURCES FOR PATIENTS AND, THEREFORE, DISCONTINUED USE OF CHESS. AMONG THE TOP 15 TERMS SEARCHED BY ALL ASSOCIATES WERE "SUBSTANCE ABUSE COUNSELING," "DETOX "SOBER LIVING." THE CENTER FOR WOMEN'S HEALTH TEAM CONNECTED IN HIS IMAGE FAMILY MEDICINE RESIDENCY WITH LOCAL NONPROFIT TULSA BIRTH INITIATIVE SO THEY CAN PARTNER TO CARE FOR PREGNANT AND PARENTING FAMILIES WITH SUBSTANCE ABUSE CONCERNS. - TY23 Q1: THE BEHAVIORAL HEALTH DEPARTMENT CONTINUED TO UTILIZE NEIGHBORHOOD RESOURCE TO GUIDE PATIENTS TO APPROPRIATE COMMUNITY RESOURCES. - TY23 Q2: THE BEHAVIORAL HEALTH DEPARTMENT CONTINUED TO UTILIZE NEIGHBORHOOD RESOURCE TO GUIDE PATIENTS TO APPROPRIATE COMMUNITY RESOURCES. - TY23 Q3: THE BEHAVIORAL HEALTH DEPARTMENT CONTINUED TO UTILIZE NEIGHBORHOOD RESOURCE TO GUIDE PATIENTS TO APPROPRIATE COMMUNITY RESOURCES. (CONTINUED) Schedule H, Part V, Section B, Line 11 Facility , 6 Facility , 6 - St. John Broken Arrow - 6. PART 6: - TY23 Q4: THE BEHAVIORAL HEALTH TEAM CONTINUED TO UTILIZE NEIGHBORHOOD RESOURCE TO GUIDE PATIENTS TO APPROPRIATE COMMUNITY RESOURCES. THROUGHOUT FY 2023 AND FY 2024, COMMUNITY BENEFIT AND ASCENSION ST. JOHN SAPULPA ASSOCIATES PARTICIPATED IN THE CREEK COUNTY ALCOHOL & SUBSTANCE ABUSE COALITION TO FORM AND STRENGTHEN COMMUNITY CONNECTIONS. SIGNIFICANT NEEDS THAT WILL NOT BE ADDRESSED DIRECTLY: ST. JOHN HEALTH SYSTEM, INC. AND THE HOSPITAL ARE COMMITTED TO IMPROVING COMMUNITY HEALTH BY ADDRESSING HEALTH NEEDS OF THE COMMUNITY. HOWEVER, THE TAX YEAR 2021 CHNA INEVITABLY IDENTIFIED MORE SIGNIFICANT NEEDS THAN THE HEALTH SYSTEM, HOSPITALS, AND COMMUNITY PARTNERS CAN PRIORITIZE. IT WOULD NOT BE PRUDENT TO SPREAD RESOURCES ACROSS TOO MANY INITIATIVES. INSTEAD, ST. JOHN HEALTH SYSTEM, INC. AND THE HOSPITAL DECIDED TO FOCUS ATTENTION ON PRIORITY AREAS OF NEED TO ENSURE SUFFICIENT RESOURCES ARE AVAILABLE. IT WAS DISCUSSED AT LENGTH THAT THESE REMAINING NEEDS, WHILE NOT CHOSEN AS PRIORITIES, ARE INTERRELATED TO THE FOUR CHOSEN PRIORITIES AND WILL THEREFORE BE ADDRESSED INDIRECTLY. FURTHERMORE, AND AS AFOREMENTIONED, HEALTH AND JUSTICE WERE DEEMED UNDERLYING CURRENTS OF THE PRIORITY NEEDS, WHICH WILL ULTIMATELY CROSS OVER EFFORTS INTO OTHER NEED AREAS. BASED ON THE PRIORITIZATION CRITERIA, THE NEEDS IDENTIFIED THROUGH THE CHNA THAT ST. JOHN BROKEN ARROW DOES NOT PLAN TO ADDRESS AT THIS TIME INCLUDE: - HEALTH LITERACY: THIS NEED WAS NOT SELECTED BECAUSE IT DID NOT RANK AS HIGH AS OTHER NEEDS. IN ADDITION, STAFF CAPACITY IS EXTREMELY LIMITED, WHICH WOULD BE A MAJOR BARRIER TO HEALTH LITERACY STRATEGIES. - COVID-19: THIS NEED WAS NOT SELECTED BECAUSE IT WAS DETERMINED TO BE AN UNDERLYING CURRENT OF ALL STRATEGIES TO ADDRESS THE PRIORITY HEALTH NEEDS. ADDITIONAL FACTORS IMPACT THE HOSPITAL'S ABILITY TO FULLY ADDRESS ALL NEEDS, INCLUDING THE FOLLOWING: - NEED BEING ADDRESSED BY OTHERS - INSUFFICIENT RESOURCES (FINANCIAL AND PERSONNEL) TO ADDRESS THE NEED - ISSUE IS NOT A PRIORITY FOR COMMUNITY MEMBERS AND THEREFORE APPROACH IS UNLIKELY TO SUCCEED - LACK OF EVIDENCE-BASED APPROACH FOR ADDRESSING THE PROBLEM - NEED IS NOT AS PRESSING AS OTHER PROBLEMS - NEED IS NOT AS LIKELY TO BE RESOLVED AS OTHER PROBLEMS - HOSPITAL AND/OR HEALTH SYSTEM DOES NOT HAVE EXPERTISE TO EFFECTIVELY ADDRESS THE NEED WHILE HEALTH LITERACY, AND COVID-19 ARE NOT THE FOCUS OF THE CURRENT IMPLEMENTATION STRATEGY, ST. JOHN BROKEN ARROW MAY CONSIDER INVESTING RESOURCES IN THESE AREAS AS APPROPRIATE, DEPENDING ON OPPORTUNITIES TO LEVERAGE ORGANIZATIONAL AND COMMUNITY ASSETS. THESE ISSUES DESERVE FURTHER ATTENTION AND STUDY BY HEALTH SYSTEMS, AS THEY REFLECT IMPORTANT FACTORS ADVERSELY AFFECTING TULSA COUNTY. ALSO, THIS REPORT DOES NOT ENCOMPASS A COMPLETE INVENTORY OF EVERYTHING ST. JOHN BROKEN ARROW DOES TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY. THE HOSPITAL UNDERSTANDS THE IMPORTANCE OF ALL COMMUNITY NEEDS AND IS COMMITTED TO PLAYING AN ACTIVE ROLE IN RESPONDING TO THEM. 0 Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG IN ADDITION TO FPG, THE ORGANIZATION USES MEDICAL INDIGENCY, ASSET TEST, INSURANCE STATUS AND RESIDENCY AS OTHER FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. A PATIENT MAY NOT BE ELIGIBLE FOR THE FINANCIAL ASSISTANCE IF SUCH PATIENT IS DEEMED TO HAVE SUFFICIENT ASSETS TO PAY PURSUANT TO AN "ASSET TEST." THE ASSET TEST INVOLVES A SUBSTANTIVE ASSESSMENT OF A PATIENT'S ABILITY TO PAY BASED ON THE CATEGORIES OF ASSETS MEASURED IN THE FAP APPLICATION. A PATIENT WITH SUCH ASSETS THAT EXCEED 250% OF SUCH PATIENT'S FPL AMOUNT MAY NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE. AN ASSET TEST APPLIES IF A PATIENT HAS ELIGIBLE LIQUID ASSETS THAT EXCEED 250% OF THE PATIENT'S FPG LEVEL FOR CONSIDERATION OF FINANCIAL ASSISTANCE ELIGIBILITY. LIQUID ASSETS INCLUDE ASSETS THAT CAN BE CONVERTED TO CASH WITHIN 1 YEAR. THESE INCLUDE ITEMS SUCH AS CHECKING ACCOUNTS, SAVINGS ACCOUNTS, TRUST FUNDS AND LUXURY ITEMS SUCH AS RECREATIONAL VEHICLES, BOATS, A SECOND HOME, ETC. Schedule H, Part I, Line 5a BUDGET AMOUNTS FOR FREE OR DISCOUNTED CARE THE ORGANIZATION ADMINISTERS ITS FINANCIAL ASSISTANCE POLICY IN ACCORDANCE WITH THE TERMS OF THE POLICY. Schedule H, Part I, Line 6a Community benefit report prepared by related organization ST. JOHN BROKEN ARROW, INC. REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE FOLLOWING RELATED ORGANIZATION'S ANNUAL COMMUNITY BENEFIT REPORT: St. John Medical Center, Inc. EIN 73-0579286 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED. Schedule H, Part II Community Building Activities RESEARCH SHOWS THAT QUALITY OF LIFE PLAYS A MAJOR ROLE IN THE HEALTH STATUS OF INDIVIDUALS AND COMMUNITIES. COMMUNITY BUILDING ACTIVITIES, WHICH FOCUS ON IMPROVING QUALITY OF LIFE WITHIN A COMMUNITY, ULTIMATELY INFLUENCE AND IMPROVE HEALTH OUTCOMES. ST. JOHN BROKEN ARROW, INC. SUPPORTED THE FOLLOWING COMMUNITY BUILDING ACTIVITIES: - ECONOMIC DEVELOPMENT: LONG-TERM IMPROVEMENTS IN HEALTH ARE TIED TO ECONOMIC OPPORTUNITIES IN COMMUNITIES AND ECONOMIC GROWTH. FOR EXAMPLE, STUDIES DEMONSTRATE CITIZENS OF NATIONS WITH HIGHER AVERAGE INCOMES TEND TO LIVE LONGER AND EXPERIENCE FEWER YEARS OF DISABILITY. ST. JOHN BROKEN ARROW, INC. SUPPORTED ECONOMIC DEVELOPMENT BY PROVIDING A HEALTHCARE PERSPECTIVE IN DISCUSSIONS ON ECONOMIC ISSUES IN BROKEN ARROW CHAMBER OF COMMERCE AND BROKEN ARROW ECONOMIC DEVELOPMENT CORP. MEETINGS. - WORKFORCE DEVELOPMENT: EMPLOYMENT AND JOB CREATION BUILD PROSPERITY AND CARRY IMPORTANT HEALTH BENEFITS, BOTH FOR INDIVIDUALS AND ENTIRE COMMUNITIES. ST. JOHN BROKEN ARROW, INC. SUPPORTED WORKFORCE DEVELOPMENT BY ADMINISTERING A JUNIOR VOLUNTEER PROGRAM TO PROVIDE A VARIETY OF HEALTHCARE SITE EXPERIENCES AND EDUCATION FOR LOCAL HIGH SCHOOL STUDENTS. ADDITIONALLY, THE HOSPITAL HAD REPRESENTATION ON THE UNIVERSITY OF TULSA ADVISORY BOARD, SPECIFICALLY ADVISING THE NURSING PROGRAM. THE HOSPITAL HOSTED THE PROGRAMS TU STRETCHED AND BA STEM TO TOUR UNDERSERVED STUDENTS AND ENGAGE THEM IN HEALTHCARE ACTIVITIES. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount After satisfaction of amounts due from insurance and reasonable efforts to collect from patients who do not qualify for charity care have been exhausted, the corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of 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 corporation's policies. Schedule H, Part III, Line 3 Bad Debt Expense Methodology BASED ON THE ORGANIZATION'S ADMINISTRATION OF ITS FINANCIAL ASSISTANCE PROGRAM, NO ESTIMATE FOR BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS IS DEEMED APPLICABLE TO HOSPITAL OPERATIONS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION IS PART OFASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSESBAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 17-20, OF THE AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE GROSS CHARGES TO CALCULATE MEDICARE COSTS, WHICH ARE THEN COMPARED TO MEDICARE PAYMENTS RECEIVED, TO DETERMINE A MEDICARE GAIN OR LOSS. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT A MEDICARE SHORTFALL (LOSS) IS NOT TREATED AS COMMUNITY BENEFIT, EVEN THOUGH THE HOSPITAL HAS INCURRED LOSSES IN PROVIDING CARE TO MEDICARE PATIENTS. THEREFORE, NONE OF THE AMOUNT ON LINE 7 IS TREATED AS COMMUNITY BENEFIT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance ST. JOHN BROKEN ARROW, INC. FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED IF ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. QUALIFYING PATIENT ACCOUNTS THAT ARE STILL OPEN AND BEING PURSUED AS WELL AS ANY NEW BALANCES FOR THE NEXT SIX (6) MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT SUBMITS AN APPLICATION AND IS PENDING A DECISION AND / OR QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED FOR THE AMOUNTS FOR WHICH THE PATIENT QUALIFIES OR UNTIL THEIR APPLICATION IS DENIED IF THEY WERE DEEMED INELIGIBLE. Schedule H, Part V, Section B, Line 16a FAP website - St. John Broken Arrow: Line 16a URL: https://healthcare.ascension.org/financial-assistance/oklahoma; Schedule H, Part V, Section B, Line 16b FAP Application website - St. John Broken Arrow: Line 16b URL: https://healthcare.ascension.org/financial-assistance/oklahoma; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - St. John Broken Arrow: Line 16c URL: https://healthcare.ascension.org/financial-assistance/oklahoma; Schedule H, Part VI, Line 2 Needs assessment ST. JOHN BROKEN ARROW, INC. USES RELIABLE, THIRD PARTY REPORTS, INCLUDING DATA FROM GOVERNMENT SOURCES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THESE REPORTS PROVIDE INFORMATION ABOUT KEY HEALTH, AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED AND INCLUDE BUT ARE NOT LIMITED TO REPORTS FROM: - LOCAL DEPARTMENTS OF HEALTH - OKLAHOMA STATE DEPARTMENT OF HEALTH - LOCAL GOVERNMENT PLANNING DEPARTMENTS - LOCAL UNIVERSITIES - US CENSUS BUREAU - ECONOMIC IMPACT STUDIES - OKLAHOMA HOSPITAL ASSOCIATION - COMMUNITY SERVICE COUNCIL OF GREATER TULSA - CENTERS FOR MEDICARE & MEDICAID SERVICES - AMERICAN COMMUNITY SURVEY - AMERICAN LUNG ASSOCIATION - ANNIE E. CASEY FOUNDATION - CENTERS FOR DISEASE CONTROL AND PREVENTION - COUNTY HEALTH RANKINGS - FEEDING AMERICA - NATIONAL CANCER INSTITUTE - NATIONAL CENTER FOR EDUCATION STATISTICS - OKLAHOMA STATE BUREAU OF INVESTIGATION - SMALL AREA HEALTH INSURANCE ESTIMATES - THE DARTMOUTH ATLAS OF HEALTHCARE - U.S. BUREAU OF LABOR STATISTICS - U.S. DEPARTMENT OF AGRICULTURE - FOOD ENVIRONMENT ATLAS - U.S. ENVIRONMENTAL PROTECTION AGENCY - ST. JOHN MEDICAL ACCESS PROGRAM AND SAFETY-NET CLINIC PARTNERS - COMMUNITY PARTNER AGENCIES ST. JOHN BROKEN ARROW, INC. UTILIZES INFORMATION FROM THESE SECONDARY SOURCES TO DEVELOP PROGRAMS AND PROVIDE SERVICES THROUGHOUT THE REGION. IN ADDITION, ST. JOHN BROKEN ARROW, INC. CONSIDERS THE HEALTH CARE NEEDS OF THE OVERALL COMMUNITY WHEN EVALUATING INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance ST. JOHN BROKEN ARROW, INC IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL, IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, ST. JOHN BROKEN ARROW, INC's FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES; ST. JOHN BROKEN ARROW, INC PROVIDES FULL FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 250% OF THE FEDERAL POVERTY LEVEL AND SLIDING SCALE ASSISTANCE AS NOTED IN SCHEDULE H. ST. JOHN BROKEN ARROW, INC WIDELY PUBLICIZES ITS: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY VIA THE HOSPITAL FACILITY'S WEBSITE - https://healthcare.ascension.org/financial-assistance/oklahoma ST. JOHN BROKEN ARROW, INC MAKES PAPER COPIES OF THE: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - AMOUNT GENERALLY BILLED CALCULATION. THE PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. ST. JOHN BROKEN ARROW, INC INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION MAY BE FOUND. ST. JOHN BROKEN ARROW, INC INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS. Schedule H, Part VI, Line 4 Community information ST. JOHN BROKEN ARROW, INC. IS A GROWING COMMUNITY HOSPITAL WHOSE PRIMARY SERVICE AREA IS TULSA COUNTY, OKLA., AND THE SURROUNDING COUNTIES. HOWEVER, ST. JOHN BROKEN ARROW, INC. SERVES PATIENTS WHO LIVE THROUGHOUT THE NORTHEASTERN OKLAHOMA REGION AND BEYOND. FOR THE PURPOSES OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT, THE COMMUNITY SERVED IS DEFINED AS TULSA COUNTY. THE DECISION TO FOCUS ON THE GEOPOLITICAL DEFINITION OF TULSA COUNTY WAS LARGELY INFLUENCED BY THE FACT THAT A SIGNIFICANT NUMBER OF PATIENTS WHO UTILIZE ST. JOHN BROKEN ARROW, INC SERVICES RESIDE IN TULSA COUNTY. ST. JOHN BROKEN ARROW, INC. IS BASED OUT OF THE CITY OF BROKEN ARROW. ACCORDINGLY, THE SOUTH TULSA AND BROKEN ARROW REGION SERVES AS THE PRIMARY AREA OF FOCUS WITHIN THE TULSA COUNTY COMMUNITY. ST. JOHN BROKEN ARROW, INC.'S COMMUNITY HEALTH IMPROVEMENT EFFORTS THAT RESULT FROM THIS COMMUNITY HEALTH NEEDS ASSESSMENT WILL PRIMARILY CENTER ON THE SOUTH TULSA AND BROKEN ARROW REGION. HOWEVER, AN EFFORT WAS MADE TO CONSIDER THE HEALTH NEEDS AND ASSETS OF TULSA COUNTY AS A WHOLE. OTHER TULSA COUNTY REGIONS WILL BE THE FOCUS OF COMMUNITY HEALTH IMPROVEMENT EFFORTS OF ST. JOHN MEDICAL CENTER, INC. AND OWASSO MEDICAL FACILITY, INC. TULSA COUNTY IS A METROPOLITAN WITH AN ESTIMATED POPULATION OF AROUND 673,000, ACCORDING TO THE 2023 DATA SET FROM COUNTY HEALTH RANKINGS & ROADMAPS. ALSO ACCORDING TO THE DATA SET: TULSA COUNTY RANKS 18TH OUT OF 77 OKLAHOMA COUNTIES IN OVERALL HEALTH OUTCOMES (DOWN FROM 16TH IN 2021) AND SEVENTH OUT OF 77 OKLAHOMA COUNTIES IN OVERALL HEALTH FACTORS (UP SIGNIFICANTLY FROM 16TH IN 2021). THE MEDIAN HOUSEHOLD INCOME IS ABOUT $59,232 ANNUALLY, HIGHER THAN THE STATE AVERAGE. THE UNEMPLOYMENT RATE IS 4 PERCENT IN TULSA COUNTY, WHICH IS SLIGHTLY HIGHER THAN THE STATE BUT LOWER THAN THE U.S. TULSA COUNTY'S MEDICALLY UNINSURED RATE IS 18 PERCENT, WHICH IS ON PAR WITH THE STATE BUT SIGNIFICANTLY HIGHER THAN THE U.S. ROUGHLY 14.7 PERCENT OF THE TULSA COUNTY POPULATION ARE LIVING IN POVERTY, WHICH IS LOWER THAN THE STATE BUT HIGHER THAN THE U.S., ACCORDING TO 2021 DATA FROM THE U.S. DEPARTMENT OF AGRICULTURE. TULSA COUNTY IS REPORTED TO HAVE 16 GENERAL MEDICAL/SURGICAL HOSPITALS, 6 FEDERALLY QUALIFIED HEALTH CENTER SITES, 19 FREE CLINICS, 1 INDIAN HEALTH SERVICES PROVIDER (FEDERAL), 3 VETERAN'S AFFAIRS FACILITIES AND 22 URGENT CARE CENTERS. ACCORDING TO 2021 U.S. HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA) DATA, TULSA COUNTY IS DESIGNATED A HEALTH PROFESSIONAL SHORTAGE AREA FOR PRIMARY CARE, DENTAL, AND MENTAL HEALTH. THERE ARE FIVE AREAS IN THE COUNTY DESIGNATED BY HRSA AS MEDICALLY UNDERSERVED AREAS/POPULATIONS. Schedule H, Part VI, Line 5 Promotion of community health ST. JOHN BROKEN ARROW, INC.'S GOVERNING BODY IS COMPRISED OF PERSONS REPRESENTING DIFFERENT ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF ST. JOHN BROKEN ARROW, INC.'S GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA; WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. ST. JOHN BROKEN ARROW, INC. APPLIES SURPLUS FUNDS TO FUND IMPROVEMENTS IN COMMUNITY HEALTH AND WELLNESS, MEDICAL ACCESS, PATIENT CARE, MEDICAL EDUCATION AND RESEARCH BY DONATIONS TO OR PARTNERING WITH NON-PROFIT AGENCIES, COMMUNITY ORGANIZATIONS AND UNIVERSITIES. IN FY21, A STRATEGIC PLAN WAS CREATED FOR BUILDING HEALTH IN THE COMMUNITY THROUGH COLLABORATION WITH COMMUNITY PARTNERS. FUNDING OF PROGRAMS BEGAN IN FY22 AND HAS CONTINUED THROUGH FY24. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY INFORMATION REPORTED HEREIN RELATE TO THE TAX YEAR ENDED JUNE 30, 2024. Schedule H, Part VI, Line 6 Affiliated health care system ST. JOHN BROKEN ARROW INC. IS A MEMBER OF ASCENSION. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS 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 HEALTHCARE FACILITIES, OR HEALTH MINISTRIES. 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, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. ST. JOHN BROKEN ARROW, INC. OPERATES A HOSPITAL FACILITY IN TULSA COUNTY AND IS PART OF ST. JOHN HEALTH SYSTEM WHICH OWNS AND OPERATES HEALTH CARE RELATED ENTITIES, INCLUDING JANE PHILLIPS MEMORIAL MEDICAL CENTER, JANE PHILLIPS NOWATA HEALTH CENTER, OWASSO MEDICAL FACILITY, ST. JOHN BROKEN ARROW, ST. JOHN SAPULPA AND ST JOHN MEDICAL CENTER. THE HEALTH SYSTEM PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF EASTERN OKLAHOMA AND SOUTHEASTERN KANSAS. true MEDICAL BRIDGES INC 2706 MAGNET STREET HOUSTON TX 77054 760548161 501(C)(3) 5494 BOOK VALUE INVENTORY MEDICAL SUPPLIES FOR REDISTRIBUTION 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. St. John Broken Arrow, Inc. provides funds to various organizations to support their operations. St. John Broken Arrow, Inc. determines the amount of the funds provided on an annual basis. We have dedicated staff who meet with grant recipients and who monitor use of funds for intended purposes. true true false false false false false false false CARL BO BEAUDRY CEO, MINISTRY MARKET (START 9/2023) 0 117175 0 30000 0 154025 0 3750 0 12613 0 317563 0 0 MICHAEL J CHRISTIAN DIRECTOR 0 165598 0 34600 0 4687 0 12456 0 27629 0 244970 0 0 DWAN R BORENS FORMER OFFICER (END 6/2022) 0 139828 0 14687 0 680 0 9761 0 28117 0 193073 0 0 MICHAEL J MCBRIDE FORMER OFFICER (END 5/2023) 0 212761 0 402050 0 326010 0 6519 0 11897 0 959237 0 0 MICHAEL MCCULLOUGH FORMER OFFICER (END 11/2020) 0 470365 0 374800 0 69787 0 18150 0 23243 0 956345 0 0 MATTHEW DENNIS ADAMS PRESIDENT 0 230939 0 48000 0 516 0 14400 0 28523 0 322378 0 0 CHERIE FRENCH-EDWARDS INTERIM CFO, MINISTRY MARKET (START 2/2024 - END 5/2024) 0 227536 0 71070 0 2549 0 14974 0 29824 0 345953 0 0 BRYANIE W SWILLEY INTERIM CEO MINISTRY MARKET (END 9/2023) 0 367808 0 0 0 2467 0 6600 0 19316 0 396191 0 0 REBECCA A TUCKER TREASURER/CFO, MINISTRY MARKET (END 2/2024) 0 372945 0 212838 0 46693 0 16500 0 20279 0 669255 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED. Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING CALENDAR YEAR 2023: MICHAEL J MCBRIDE - $282,692 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan 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. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS. Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENTS THE ACTIVITY OF THE FILING ORGANIZATION IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF THE FILING ORGANIZATION IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF THE FILING ORGANIZATION. Form 990, Part VI, Line 15a & 15B - PROCESS FOR DETERMINING COMPENSATION THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. Form 990, Part VI, Line 6 Classes of members or stockholders St. John Broken Arrow, Inc. has a single corporate member, St. John Health System, Inc. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body St. John Broken Arrow, 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 Broken Arrow, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to St. John Broken Arrow, Inc.'s financial information or corporation as a whole are subject to approval by its sole corporate member, St. John Health System, Inc. Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS WHICH MAY INCLUDE, AS NEEDED, FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO DESIGNATED MANAGEMENT TEAM MEMBERS WITH EXPERIENCE IN TAX IN LIEU OF THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts 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, Line 19 Required documents available to the public The Organization will provide any documents open to public inspection upon request. Form 990, Part VII, Section A Related Entities The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting. Form 990, Part VIII, Line 2f Other Program Service Revenue Pharmacy Revenue - Total Revenue: 1272, Related or Exempt Function Revenue: 1272, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Miscellaneous Revenue - Total Revenue: 790, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 790; Form 990, Part IX, Line 11g Other Fees Physician Fees - Total Expense: 6850810, Program Service Expense: 6355417, Management and General Expenses: 495393, Fundraising Expenses: ; Consulting Fees - Total Expense: 46848, Program Service Expense: 46848, Management and General Expenses: , Fundraising Expenses: ; Professional Fees - Total Expense: 88802, Program Service Expense: 62000, Management and General Expenses: 26802, Fundraising Expenses: ; Contract Labor - Total Expense: 1122162, Program Service Expense: 1116883, Management and General Expenses: 5279, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers with Affiliates - 2936992; Form 990, Part XII, Line 2c AUDIT COMMITTEE THE FILING ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. THE FINANCE AND AUDIT COMMITTEE OF ASCENSION HEALTH ALLIANCE'S BOARD ASSUMES RESPONSIBILITY FOR THE CONSOLIDATED ORGANIZATION AS A WHOLE. FORM 990, PAGE 1 PHYSICAL ADDRESS THE PHYSICAL ADDRESS FOR THIS ENTITY IS 1923 SOUTH UTICA AVENUE, TULSA, OK 74104-6502. THE ADDRESS ON PAGE 1 IS FOR MAILING PURPOSES ONLY. FORM 990, PAGE 1, ITEM J ENTITY WEBSITE https://healthcare.ascension.org/locations/oklahoma/oktul/broken-arrow-ascension-st-john-broken-arrow AFFINITY HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391568866 HEALTH SYSTEM IL 501(c)(3) Type II MINISTRY HEALTH CARE INC true ALABAMA PROVIDENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 462847744 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 10 GULF COAST HEALTH SYSTEM true ALEXIAN BROTHERS AMBULATORY GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364336931 PHYSICIANS SERVICES IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251848 BEHAVIORAL HEALTH HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS BONAVENTURE HOUSE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363527899 HOUSING AND SUPPORTIVE CARE SERVICES FOR PERSONS WITH HIV/AIDS IL 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363045007 OUTPATIENT COMMUNITY MENTAL HEALTH SERVICES IL 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS COMMUNITY SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364344423 PACE- COMPREHENSIVE & COORDINATED COMMUNITY BASED SERVICES IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363260495 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS FOR WHICH IT IS A MEMBER IL 501(c)(3) Type III-FI ASCENSION HEALTH true ALEXIAN BROTHERS HOSPITAL NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363276552 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS IL 501(c)(3) Type II Alexian Brothers Health System true ALEXIAN BROTHERS LANSDOWNE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431470362 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS MEDICAL CARE GROUP NFP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 471930457 PHYSICIANS SERVICES IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS MEDICAL CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362596381 ACUTE CARE HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS MEDICAL GROUP SPECIALTY CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 811110738 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 ALEXIAN BROTHERS HEALTH SYSTEM true ALEXIAN BROTHERS OF SAN JOSE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 941530037 ACUTE CARE HOSPITAL (sold in 1998) TX 501(c)(3) Type I Alexian Brothers Health System true ALEXIAN BROTHERS SENIOR MINISTRIES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364484290 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS IL 501(c)(3) Type II Alexian Brothers Health System true ALEXIAN BROTHERS SERVICES INC 3040 SALT CREEK LANE ARLINGTON HEIGHTS IL 60005 431295333 HUD HOUSING MO 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS SHERBROOKE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431592502 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS SPECIALTY GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 800710751 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN VILLAGE OF MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391351584 CONTINUING CARE RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN VILLAGE OF TENNESSEE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621136742 CONTINUING CARE RETIREMENT COMMUNITY TN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALVERNO PROVENA HOSPITAL LABORATORIES INC 2434 INTERSTATE PLAZA DRIVE HAMMOND IN 46234 203238867 HEALTH CARE IN 501(c)(3) 3 Presence Central & Suburban Hospitals Network AND PRESENCE CHICAGO HOSPITAL S NETWORK true AMERICAN SPORTS MEDICINE INSTITUTE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630952490 SPORTS MEDICINE AL 501(c)(3) 7 ST VINCENT'S BIRMINGHAM true ARTHUR MERKLE - CLARA KNIPPRATH NURSING HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362841358 RETIREMENT COMMUNITY IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true ASCENSION ALL SAINTS HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391570877 FOUNDATION WI 501(c)(3) 7 ASCENSION ALL SAINTS HOSPITAL INC true ASCENSION ALL SAINTS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391264986 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ARIZONA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860455920 HOSPITAL AZ 501(c)(3) 3 ASCENSION HEALTH true ASCENSION BORGESS ALLEGAN FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382802463 FUNDRAISING MI 501(c)(3) Type I ASCENSION MICHIGAN true ASCENSION BORGESS ALLEGAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359180 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237222558 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS HOSPITAL true ASCENSION BORGESS HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381360526 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS LEE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382860459 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS-LEE HOSPITAL true ASCENSION BORGESS-LEE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381490190 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BRIGHTON CENTER FOR RECOVERY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381576680 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION CALUMET HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390905385 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION CARE MANAGEMENT INSURANCE HOLDINGS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 461121862 HEALTH CARE MO 501(c)(3) Type I Ascension Care Management LLC true ASCENSION DEPAUL HOLDINGS OF EL PASO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742734755 SUPPORTING ORGANIZATION TX 501(c)(3) Type I ASCENSION HEALTH true ASCENSION EASTWOOD BEHAVIORAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381958763 HEALTH CARE MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 862197504 FOUNDATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION GENESYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383591148 FOUNDATION MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true ASCENSION GENESYS HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382377821 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ASCENSION HEALTH - IS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651257719 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE T RUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 367046706 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH GLOBAL MISSION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651205990 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH SENIOR CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431227406 PARENT COMPANY MO 501(c)(3) Type II ASCENSION HEALTH true ASCENSION LIVING - LAKESHORE AT SIENA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 824710412 RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION LIVING ST VINCENT PACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 872516723 PACE- COMPREHENSIVE & COORDINATED COMMUNITY BASED SERVICES IN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION MACOMB OAKLAND HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383322109 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION MEDICAL GROUP GENESYS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 831617112 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP MICHIGAN true ASCENSION MEDICAL GROUP MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383494637 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP PROMED C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383193801 HEALTHCARE SERVICES MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391127163 CLINICAL HEALTHCARE SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391791586 MEDICAL GROUP WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382631907 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION HEALTH true ASCENSION MICHIGAN CMG C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382601348 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION MINISTRY AND MISSION FUND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273174701 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION NE WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816818 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION PROVIDENCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109636 HEALTHCARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383526629 FUNDRAISING MI 501(c)(3) 7 ASCENSION PROVIDENCE HOSPITAL true ASCENSION PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742683112 SUPPORT CHARITABLE PURPOSE OF ASCENSION PROVIDENCE TX 501(c)(3) Type I ASCENSION PROVIDENCE true ASCENSION PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381358212 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION PROVIDENCE ROCHESTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382627336 SUPPORTING MI 501(c)(3) Type I ASCENSION PROVIDENCE ROCHESTER HOSPITAL true ASCENSION PROVIDENCE ROCHESTER HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359247 GENERAL HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION RIVER DISTRICT HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383160564 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION SE WISCONSIN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816857 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION SETON C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109643 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION SETON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742212968 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SETON HAYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 262842608 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SETON WILLIAMSON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205330986 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382262856 HEALTH CARE MI 501(c)(3) 3 ST JOHN PROVIDENCE true ASCENSION ST CLARE'S HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 721531917 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION ST ELIZABETH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391256677 FOUNDATION WI 501(c)(3) 7 AFFINITY HEALTH SYSTEM true ASCENSION ST FRANCIS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390907740 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ST JOHN FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 202961579 FUNDRAISING MI 501(c)(3) 7 ASCENSION ST JOHN HOSPITAL true ASCENSION ST JOHN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359063 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST JOSEPH FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 010790428 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST JOSEPH HOSPITAL true ASCENSION ST JOSEPH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381443395 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MARY'S FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382246366 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST MARY'S HOSPITAL true ASCENSION ST MARY'S HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 380997730 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION STANDISH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381671120 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION TEXAS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364243 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION HEALTH true ASCENSION TEXAS CARDIOVASCULAR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273220767 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II SETON CLINICAL ENTERPRISE CORPORATION true ASCENSION VIA CHRISTI HEALTH PARTNERS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480958974 MANAGEMENT COMPANY KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172107 HEALTH SYSTEM PARENT KS 501(c)(3) Type I ASCENSION HEALTH true ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481186704 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480543778 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL ST TERESA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271965272 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITALS WICHITA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172106 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI PROPERTY SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480948571 PROPERTY MANAGEMENT KS 501(c)(4) ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481158274 REHABILITATION HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION WELFARE BENEFITS TRUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431601369 VEBA IL 501(c)(9) ASCENSION HEALTH ALLIANCE true ASCENSION WISCONSIN FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391494981 FOUNDATION WI 501(c)(3) 7 COLUMBIA ST MARY'S INC true ASCENSION WISCONSIN LABORATORIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391701402 LABORATORY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION WISCONSIN PHARMACY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391613624 PHARMACY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true BAPTIST HEALTH CARE AFFILIATES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581509251 COMMUNITY HEALTH PROMOTION TN 501(c)(3) Type I SAINT THOMAS NETWORK true BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581861378 INACTIVE TN 501(c)(3) Type I SAINT THOMAS WEST HOSPITAL true BINGHAMTON HEALTH CORPORATION 169 RIVERSIDE DRIVE BINGHAMTON NY 13905 881655027 HEALTH CARE NY 501(c)(3) 3 OUR LADY OF LOURDES MEMORIAL HOSPITAL INC true BLUE LADIES MINERALS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742971975 OWN OIL AND MINERAL RIGHTS, REAL ESTATE TX 501(c)(3) Type III-FI ASCENSION SETON FOUNDATION true BORGESS AMBULATORY CARE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382468823 HOLDING COMPANY MI 501(c)(3) 3 BORGESS HEALTH ALLIANCE INC true BORGESS HEALTH ALLIANCE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382335286 HEALTH SYSTEM PARENT MI 501(c)(3) 10 ASCENSION MICHIGAN true BORGESS NURSING HOME INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382555589 SKILLED NURSING FACILITY MI 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true CARONDELET FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860749574 FOUNDATION AZ 501(c)(3) Type I ASCENSION ARIZONA true CARONDELET HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431276738 HEALTH SYSTEM PARENT MO 501(c)(3) Type I ASCENSION HEALTH true CARONDELET LONG-TERM CARE FACILITIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742505427 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CARROLL MANOR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 832068871 SKILLED NURSING FACILITY DC 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CATALPA HEALTH INC 4635 WEST COLLEGE AVENUE APPLETON WI 54914 454681563 BEHAVIORAL HEALTH SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true CENTER FOR GERONTOLOGY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382514708 ADULT DAY CARE MI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351869951 FREESTANDING OUTPATIENT CENTER IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true COLUMBIA COLLEGE OF NURSING Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391596986 COLLEGE WI 501(c)(3) 10 COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC true COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390806315 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391834639 HEALTH SYSTEM WI 501(c)(3) Type I ASCENSION HEALTH true CORNERSTONE ASSISTED LIVING INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481241079 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true DELL CHILDREN'S FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 200468031 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true DELL CHILDREN'S MEDICAL GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742800601 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true FIELD NEUROSCIENCES INSTITUTE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382790703 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION ST MARY'S HOSPITAL true GENESYS AMBULATORY HEALTH SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382371754 HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true GENESYS CONVALESCENT CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382317364 CONVALESCENT CENTER MI 501(c)(3) Type I GENESYS AMBULATORY HEALTH SERVICES true GENESYS HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383339703 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true GULF COAST HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630934712 HEALTH SYSTEM AL 501(c)(3) Type III-FI ST VINCENT'S HEALTH SYSTEM INC true HAVEN OF OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 593620346 NURSING HOME FL 501(c)(3) 10 SACRED HEART HEALTH SYSTEM INC true HUMPHREYS COUNTY COMMUNITY HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 261861676 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true JANE PHILLIPS MEMORIAL MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730606129 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true JANE PHILLIPS NOWATA HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731440267 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true LAVERNA TERRACE HOUSING CORPORATION 18927 HICKORY CREEK DRIVE SUITE 300 MOKENA IL 60448 363438977 LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED INDIVIDUALS IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true LOURDES FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 911528577 FUNDRAISING WA 501(c)(3) Type I OUR LADY OF LOURDES HOSPITAL AT PASCO true LOURDES REALTY COMPANY INC 169 RIVERSIDE DRIVE BINGHAMTON NY 13905 222873637 RENTAL OF HEALTH CARE FACILITIES NY 501(c)(2) OUR LADY OF LOURDES MEMORIAL HOSPITAL INC true MERCY HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237140261 FOUNDATION WI 501(c)(3) Type II AFFINITY HEALTH SYSTEM true MINISTRY HEALTH CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391490371 PARENT CORPORATION WI 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF LOURDES HOSPITAL AT PASCO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 910349750 HEALTHCARE WA 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF LOURDES MEMORIAL HOSPITAL INC 169 RIVERSIDE DRIVE BINGHAMTON NY 13905 150532221 HOSPITAL NY 501(c)(3) 3 ASCENSION HEALTH true OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 161608735 SKILLED NURSING FACILITY NY 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true OWASSO MEDICAL FACILITY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 203700131 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true PRESENCE AMBULATORY SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364286236 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE BEHAVIORAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362709982 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483587 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE TRANSFORMATION CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363366652 MGMT SUPPORT IL 501(c)(3) Type III-FI Alexian Brothers Health System true PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364195126 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CHICAGO HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362235165 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE HEALTH PARTNERS SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362644178 HEALTH CARE IL 501(c)(3) Type II Alexian Brothers Health System true PRESENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363330928 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE HOME CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483581 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE LIFE CONNECTIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 371127787 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PRESENCE SENIOR SERVICES CHICAGOLAND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237061646 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PROVIDENCE BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630914564 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(2) GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630915493 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 7 GULF COAST HEALTH SYSTEM true PROVIDENCE HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742696970 PHYSICIAN PRACTICES TX 501(c)(3) 3 ASCENSION PROVIDENCE true PROVIDENCE HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275583 FUNDRAISING ORGANIZATION DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275587 PHYSICIAN PRACTICES DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 530196636 HOSPITAL DC 501(c)(3) 3 ASCENSION HEALTH true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630288861 HOSPITAL AL 501(c)(3) 3 GULF COAST HEALTH SYSTEM true PROVIDENCE PARK INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611759304 SKILLED NURSING FACILITY TX 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true RAINBOW HOSPICE AND PALLIATIVE CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363296367 HEALTH CARE IL 501(c)(3) 7 PRESENCE CARE TRANSFORMATION CORPORATION true SACRED HEART FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 592436597 FOUNDATION FL 501(c)(3) 7 SACRED HEART HEALTH SYSTEM INC true SACRED HEART HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 590634434 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true SACRED HEART HEALTH VENTURES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 571183283 INVESTMENT FL 501(c)(3) Type I SACRED HEART HEALTH SYSTEM INC true SACRED HEART REHABILITATION INSTITUTE Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390902199 REHAB SERVICES WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true SAINT THOMAS HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581716804 SYSTEM PARENT TN 501(c)(3) Type I ASCENSION HEALTH true SAINT THOMAS HEALTH FOUNDATIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581663055 OPERATES FOUNDATION TN 501(c)(3) 7 SAINT THOMAS NETWORK true SAINT THOMAS HICKMAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581737573 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true SAINT THOMAS HOME HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621836937 HOME HEALTH CARE TN 501(c)(3) 10 SAINT THOMAS HICKMAN HOSPITAL true SAINT THOMAS MEDICAL PARTNERS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621529858 HEALTHCARE PROVIDER TN 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SAINT THOMAS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621284994 HEALTH INVESTMENT ENTITY TN 501(c)(3) 10 SAINT THOMAS HEALTH true SAINT THOMAS REGIONAL HOSPITALS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 474063046 HOSPITALS TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS RUTHERFORD FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621167917 FOUNDATION TN 501(c)(3) Type I SAINT THOMAS RUTHERFORD HOSPITAL true SAINT THOMAS RUTHERFORD HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620475842 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS WEST HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620347580 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SALINA REGIONAL HOME MEDICAL SERVICES LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431948057 MEDICAL EQUIPMENT KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH PARTNERS INC true SAVELLI PROPERTIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363308965 OWNS OR LEASES PROPERTIES WHERE HEALTHCARE SERVICES ARE DELIVERED IL 501(c)(2) Alexian Brothers Health System true SETON CLINICAL ENTERPRISE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364681 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II ASCENSION TEXAS true SETON FAMILY OF DOCTORS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 264562522 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON FAMILY OF PEDIATRIC SURGEONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271311790 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382820107 SOCIAL WELFARE MI 501(c)(4) ST JOHN PROVIDENCE true SETON HOSPITALIST SERVICE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 452498998 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION SETON true SETON INSURANCE SERVICES CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364813 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II ASCENSION TEXAS true SETON MANOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 232960726 SKILLED NURSING FACILITY PA 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true SETON MEDICAL GROUP INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 392064992 PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY MD 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SETON MEDICAL MANAGEMENT INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630937704 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) Type II GULF COAST HEALTH SYSTEM true SETON ORAL & MAXILLOFACIAL SURGERY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 421670843 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON PROPERTY CORPORATION OF NORTH ALABAMA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237326976 REAL ESTATE AL 501(c)(2) ST VINCENT'S HEALTH SYSTEM true SETONUT AUSTIN DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742869762 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SJRMC INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 820204264 HOSPITAL ID 501(c)(3) 3 ASCENSION HEALTH true SOUTHERN TIER MEDICAL CARE - NY PC 169 RIVERSIDE DRIVE BINGHAMTON NY 13905 821103087 HEALTHCARE NY 501(c)(3) 3 OUR LADY OF LOURDES MEMORIAL HOSPITAL INC true ST AGNES FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521415083 FUNDRAISING MD 501(c)(3) Type I ST AGNES HEALTHCARE INC true ST AGNES HEALTHCARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 520591657 HOSPITAL MD 501(c)(3) 3 ASCENSION HEALTH true ST ALEXIUS MEDICAL CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251846 ACUTE CARE HOSPITAL IL 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VINCENT HEALTH INC true ST VINCENT ANDERSON REGIONAL HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352053693 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT ANDERSON REGIONAL HOSPITAL INC true ST VINCENT ANDERSON REGIONAL HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460877261 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT CARMEL HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 743107055 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT CLAY HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352112529 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT DUNN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 272192831 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT FISHERS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454243702 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC 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501(c)(3) Type III-FI ST VINCENT HEALTH INC true THE HEALTH SOURCE GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382427678 PRG RELATED INVESTMENTS MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true THE SETON COVE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742727509 SPIRITUALITY CENTER TX 501(c)(3) Type II ASCENSION TEXAS true TRI-COUNTY CLINICAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 264562712 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true TWENTY-SIX DOORS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742855201 TO HOLD TITLE TO REAL PROPERTY TX 501(c)(25) ASCENSION SETON FOUNDATION true UNIVERSAL HEALTH SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630932323 PHYSICIAN GROUP AL 501(c)(3) Type II ST VINCENT'S HEALTH SYSTEM true VIA CHRISTI FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364943550 FOUNDATION KS 501(c)(3) 7 ASCENSION VIA CHRISTI HEALTH INC 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VIA CHRISTI VILLAGE PONCA CITY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731153337 RETIREMENT COMMUNITY OK 501(c)(3) 10 VIA CHRISTI VILLAGES INC true VIA CHRISTI VILLAGES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480559086 MANAGEMENT COMPANY KS 501(c)(3) Type III-FI ASCENSION HEALTH SENIOR CARE true VOLUNTEERS IN PARTNERSHIP WITH WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 930838390 FOUNDATION WI 501(c)(3) 10 ASCENSION ALL SAINTS HOSPITAL INC true WAMEGO HOSPITAL ASSOCIATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 721526400 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC true WHEATON FRANCISCAN HEALTHCARE - TERRACE AT ST FRANCIS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391486775 RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 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