Form990
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 07-01-2017 , and ending 06-30-2018
BCheck if applicable:
CName of organization
St John Medical Center Inc
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1923 South Utica Avenue
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Tulsa, OK741046502
D Employer identification number

73-0579286
E Telephone number

G Gross receipts $ 568,261,128
F Name and address of principal officer:
Jeff Nowlin
1923 South Utica Avenue
Tulsa,OK741046502
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.STJOHNHEALTHSYSTEM.COM/medical-center
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet0928
K Form of organization:  
L Year of formation: 1953
M State of legal domicile: OK
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: To improve the health and well-being of all people in the communities we serve.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 9
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 8
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 3,253
6 Total number of volunteers (estimate if necessary) ............. 6 580
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 14,773,824 7,531,917
9 Program service revenue (Part VIII, line 2g) ......... 555,508,222 553,422,832
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 4,140,490 16,166
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 7,093,487 7,172,858
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 581,516,023 568,143,773
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 8,857,351 0
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 190,142,792 181,931,314
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 353,894,610 325,713,686
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 552,894,753 507,645,000
19 Revenue less expenses. Subtract line 18 from line 12....... 28,621,270 60,498,773
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 310,425,401 298,270,621
21 Total liabilities (Part X, line 26)............. 290,296,855 280,163,471
22 Net assets or fund balances. Subtract line 21 from line 20..... 20,128,546 18,107,150
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2019)
Form 990 (2019)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 411,581,924 including grants of $ 0 ) (Revenue $ 554,302,305 )
St. John Medical Center, Inc. is a 495-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, St. John Medical Center, Inc. treated 29,240 adults and children for a total of 152,905 patient days of service. The hospital also provided services for 370,100 outpatient visits, which included 11,977 outpatient surgeries and 58,748 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet411,581,924
Form 990 (2019)
Form 990 (2019)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III..
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part III..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
274
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
3,253
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
Yes
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
 
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
 
Form 990 (2019)
Form 990 (2019)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
9
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
8
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
OK
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletSARA OBRIEN11775 BORMAN DRIVE   MARYLAND HEIGHTS,MO63146 (314) 733-8070
Form 990 (2019)
Form 990 (2019)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) JOSEPH P MORAN III
 
CHAIR
 1.0
.................
0 		X   X       0 0 0
(2) KENNETH SETTER MD
 
VICE CHAIR
 1.0
.................
0 		X   X       0 0 0
(3) JEFFREY D NOWLIN
 
PRESIDENT/SECRETARY/HOSPITAL PRESIDENT SJMC
 50.0
.................
0 		X   X       545,579 0 36,966
(4) SISTER FELICIDAD CHAVEZ
 
DIRECTOR
 1.0
.................
1.0 		X           0 0 0
(5) SISTER LORETTA MARIA HALL
 
DIRECTOR
 1.0
.................
1.0 		X           0 0 0
(6) WILLIS H THOMPSON JR
 
DIRECTOR
 1.0
.................
0 		X           0 0 0
(7) C T DOLAN MD
 
DIRECTOR
 1.0
.................
0 		X           0 0 0
(8) SHAUN GREWAL MD
 
DIRECTOR
 1.0
.................
0 		X           0 0 0
(9) HASTINGS SIEGFRIED
 
DIRECTOR
 1.0
.................
0 		X           0 0 0
(10) MICHAEL MCCULLOUGH
 
TREASURER/CFO-MINISTRY MKT KANSAS
 5.0
.................
45.0 		    X       0 272,112 15,877
(11) LEX ANDERSON
 
TREASURER/EXEC VP & CFO SJHS (END 10/2017)
 5.0
.................
45.0 		    X       0 410,957 29,719
(12) ALAN TOWNSEND
 
TREASURER (START 10/2017) (END 5/2018)
 1.0
.................
5.0 		    X       0 0 0
(13) WILLIAM E WEEKS
 
COO - MINISTRY MKT TULSA
 10.0
.................
40.0 		    X       0 917,476 38,346
(14) KEVIN B STECK
 
SECRETARY/VP INTEGRITY & COMPLIANCE
 8.0
.................
42.0 		    X       0 278,300 16,444
(15) JOHN B FORREST MD
 
CHIEF MEDICAL OFFICER
 15.0
.................
35.0 		      X     0 545,729 31,719
(16) PAMELA KISER
 
CHIEF NURSING OFFICER
 25.0
.................
25.0 		      X     259,964 0 25,705
(17) H WILLIAM ALLRED
 
VP MEDICAL AFFAIRS
 50.0
.................
0 		      X     323,132 0 20,784
Form 990 (2019)
Form 990 (2019)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) KATHLEEN CONLEY SMARINSKY
 
VP CLINICAL SERVICES
 50.0
.......................0 		      X     257,221 0 24,813
(19) MICHAEL R NEVINS
 
CFO - SJMC
 50.0
.......................0 		      X     207,861 0 29,273
(20) TIMBALYN SUE MOSS
 
RN-REGISTERED NURSE
 50.0
.......................0 		        X   183,856 0 31,943
(21) GARY LEE SIGLE
 
DIR-CLINICAL PROGRAM
 50.0
.......................0 		        X   179,340 0 32,119
(22) EMILY K SHERWOOD
 
RN-REGISTERED NURSE
 50.0
.......................0 		        X   177,636 0 24,130
(23) PATRICIA A WRIGHT EVANS
 
RN DIR OPERATING ROOM
 50.0
.......................0 		        X   174,255 0 13,904
(24) MICHAEL J KING
 
CONSULTANT-RADIATION SAFETY
 50.0
.......................0 		        X   171,765 0 35,346
(25) SAMUEL C ANDERSON
 
FORMER OFFICER (END 6/2014)
 0.0
.......................0.0 		          X 254,463 0 1,910










1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 2,735,072 2,424,574 408,998
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet137
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
BOARD OF REGENTS OF THE UNIVERSTY OF OKLAHOMA

4502 E 41ST STREET
ROOM 2B02
TULSA,OK74135 		EDUCATIONAL SERVICES 6,147,674
SYNTHES USA SALES LLC

1101 SYNTHES AVE
MONUMENT,CO80132 		MEDICAL SERVICES 3,528,329
OKLAHOMA CANCER SPECIALISTS & RESEARCH

12697 E 51ST STREET S
TULSA,OH74146 		MEDICAL SERVICES 2,550,064
OBHG OKLAHOMA PC

10 CENTIMETERS DRIVE
MAULDIN,SC296623278 		PHYSICIAN SERVICES 1,345,717
ON CALL MOBILE THERAPIES LLC

15621 W 87TH STREET PKWY
LENEXA,KS662191435 		MEDICAL SERVICES 918,825
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet34
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 7,531,914
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f 3
g Noncash contributions included in lines 1a - 1f:$ 1g 69,797
h Total. Add lines 1a-1f.......MediumBullet 7,531,917
Program Service RevenueAmt Business Code
2a Net Patient Service Revenue 621990 550,115,623 550,115,623    
b Pharmacy Revenue 446110 722,010 722,010    
c Rental Income from Affiliates 531120 352,724 352,724    
d Services to Affiliates 900099 81,525 81,525    
e State Program Revenue 621990 2,127,657 2,127,657    
f All other program service revenue. 23,293 23,293 0 0
g Total. Add lines 2a–2f .....MediumBullet 553,422,832
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 123,774     123,774
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents 452,400 132,616 6a
b Less: rental expenses 0 0 6b
c Rental income or (loss) 452,400 132,616 6c
d Net rental income or (loss).......MediumBullet 585,016     585,016
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 9,746   7a
b Less: cost or other basis and sales expenses 117,355   7b
c Gain or (loss) -107,609 0 7c
d Net gain or (loss).........MediumBullet -107,608     -107,608
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a Cafeteria/Vending Revenue 722514 3,271,675     3,271,675
b Fitness Club Revenue 713940 1,973,966     1,973,966
c Education Revenue 611430 879,473 879,473    
d All other revenue .... 462,728 0 0 462,728
e Total. Add lines 11a–11d ...... MediumBullet 6,587,842
12 Total revenue. See instructions.....MediumBullet 568,143,773 554,302,305 0 6,309,551
Form 990 (2019)
Form 990 (2019)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....    
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 1,731,298 1,662,047 69,251  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........ 148,361,621 142,639,178 5,722,443  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 8,816,759 8,476,647 340,112  
9 Other employee benefits ....... 11,983,369 11,521,079 462,290  
10 Payroll taxes ........... 11,038,267 10,612,343 425,924  
11 Fees for services (non-employees):        
a Management ...... 701,683 555,455 146,228  
b Legal ......... 4,126   4,126  
c Accounting ........... 48,037   48,037  
d Lobbying ........... 33,783   33,783  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 20,403,061 18,527,745 1,875,316 0
12 Advertising and promotion .... 110,743 46,445 64,298  
13 Office expenses ....... 2,242,615 585,549 1,657,066  
14 Information technology ...... 298,378 176,126 122,252  
15 Royalties ..        
16 Occupancy ........... 6,775,872 1,516,090 5,259,782  
17 Travel ............ 124,365 107,743 16,622  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 550,831 491,461 59,370  
20 Interest ........... 93,003   93,003  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 21,362,381 12,711,617 8,650,764  
23 Insurance ... 3,228,657   3,228,657  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Medical Supplies 117,474,507 114,150,451 3,324,056  
b Purchased Services 70,646,176 19,266,939 51,379,237  
c Physician Fees to Affiliate 28,942,605 24,443,432 4,499,173  
d Provider Tax 17,297,566 17,297,566    
e All other expenses 35,375,297 26,794,011 8,581,286 0
25 Total functional expenses. Add lines 1 through 24e 507,645,000 411,581,924 96,063,076 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2019)
Form 990 (2019)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 166,392 1 9,505
2 Savings and temporary cash investments ......... 476,476 2 565,516
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 75,405,485 4 67,284,250
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 30,000 7 30,000
8 Inventories for sale or use ............ 13,129,236 8 13,199,740
9 Prepaid expenses and deferred charges ...... 139,805 9 11,423
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 290,707,887
b Less: accumulated depreciation 10b 98,813,726 197,481,052 10c 191,894,161
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 ..... 0 12  
13 Investments—program-related. See Part IV, line 11 .. 0 13  
14 Intangible assets ............... 6,896,201 14 5,198,785
15 Other assets. See Part IV, line 11 ........... 16,700,754 15 20,077,241
16 Total assets. Add lines 1 through 15 (must equal line 33)... 310,425,401 16 298,270,621
Liabilities 17 Accounts payable and accrued expenses ..... 32,801,797 17 29,509,027
18 Grants payable ...   18  
19 Deferred revenue .........   19  
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 257,495,058 25 250,654,444
26 Total liabilities. Add lines 17 through 25.. 290,296,855 26 280,163,471
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions ..........   27  
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 20,128,546 32 18,107,150
33 Total liabilities and net assets/fund balances ........ 310,425,401 33 298,270,621
Form 990 (2019)
Form 990 (2019)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
568,143,773
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
507,645,000
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
60,498,773
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
20,128,546
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-62,520,169
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
18,107,150
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2019)
Form 990 (2019)
Additional Data


Software ID: 17005876
Software Version: 2017v2.2
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
St John Medical Center Inc
 
Employer identification number

73-0579286
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		  
9 Distributable amount for 2019 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2019 		(iii)
Distributable
Amount for 2019
1 Distributable amount for 2019 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2019:
a From 2014.......  
b From 2015.......  
c From 2016.......  
d From 2017.......  
e From 2018.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2019 distributable amount  
i Carryover from 2014 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2019 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2019 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2019, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.		  
6 Remaining underdistributions for 2019. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.		  
7 Excess distributions carryover to 2020. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a Excess from 2015.....  
b Excess from 2016.....  
c Excess from 2017.....  
d Excess from 2018.....  
e Excess from 2019.....  
Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2019


Additional Data


Software ID: 17005876
Software Version: 2017v2.2
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Name of the organization
St John Medical Center Inc
 
Employer identification number

73-0579286
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2
Name of organization
St John Medical Center Inc
  		Employer identification number
73-0579286
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 3
Name of organization
St John Medical Center Inc
  		Employer identification number

73-0579286
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 4
Name of organization
St John Medical Center Inc
  		Employer identification number

73-0579286
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data


Software ID: 17005876
Software Version: 2017v2.2
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
St John Medical Center Inc
 
Employer identification number

73-0579286
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2019

Schedule C (Form 990 or 990-EZ) 2019
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................    
c Total lobbying expenditures (add lines 1a and 1b) ............................................................    
d Other exempt purpose expenditures ...............................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ..................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2019


Schedule C (Form 990 or 990-EZ) 2019
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
33,783
j
Total. Add lines 1c through 1i ....................................................................................................
33,783
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St. John Medical Center, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St. John Medical Center, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.
Schedule C (Form 990 or 990EZ) 2019


Additional Data


Software ID: 17005876
Software Version: 2017v2.2

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
St John Medical Center Inc
 
Employer identification number

73-0579286
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance .... 11,291,195 11,278,730 11,246,218 11,170,614 11,169,919
b Contributions ... 6,349 -6,859 1,882 1,614 2,570
c Net investment earnings, gains, and losses 96,587 117,266 40,510 89,225 115,494
d Grants or scholarships ... 30,028 36,234 9,880 15,235 14,731
e Other expenditures for facilities
and programs ... 		  61,708     102,638
f Administrative expenses ....          
g End of year balance ...... 11,364,103 11,291,195 11,278,730 11,246,218 11,170,614
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet88 %
c
Term endowment SchDMd Bullet12 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
No
(ii) Related organizations .................
3a(ii)
Yes
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   10,082,018 10,082,018
b Buildings ....   178,167,134 44,022,080 134,145,054
c Leasehold improvements   488,319 327,283 161,036
d Equipment ....   93,189,068 54,148,998 39,040,070
e Other .....   8,781,348 315,365 8,465,983
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 191,894,161
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 3
Part VII
Investments—Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)OTHER MISC ASSETS 3,078,759
(2)Due from Affiliates 10,146,940
(3)Other Receivables 5,953,830
(4)Estimated 3rd Party Payor Settlements 897,712
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 20,077,241
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 250,654,444
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part V, Line 4 Intended uses of endowment funds The "Chapman Fund for Uncompensated Care" endowment was created to underwrite medical services for the uninsured and underinsured residents of the Tulsa Metropolitan Area. Funds are held and administered by St. John Health System Foundation, Inc. on behalf of St. John Medical Center, Inc.
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, 2018.
Schedule D (Form 990) 2019


Additional Data


Software ID: 17005876
Software Version: 2017v2.2




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
St John Medical Center Inc
 
Employer identification number

73-0579286
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    44,194,383 3,778,197 40,416,186 7.96 %
b Medicaid (from Worksheet 3, column a) . . . . .     64,511,832 56,565,724 7,946,108 1.57 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .         0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 108,706,215 60,343,921 48,362,294 9.53 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     360,848 20,810 340,038 0.07 %
f Health professions education (from Worksheet 5) . . .     6,839,765 13,440 6,826,325 1.34 %
g Subsidized health services (from Worksheet 6) . . . .     5,797,559 1,469,188 4,328,371 0.85 %
h Research (from Worksheet 7) .         0 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     1,208,466 0 1,208,466 0.24 %
j Total. Other Benefits . . 0 0 14,206,638 1,503,438 12,703,200 2.50 %
k Total. Add lines 7d and 7j . 0 0 122,912,853 61,847,359 61,065,494 12.03 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development         0 0 %
9 Other         0 0 %
10 Total 0 0 0 0 0 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
 
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
6,509,995
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
233,273,560
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
233,273,560
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
0
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 St John Medical Center Inc
1923 South Utica Avenue
Tulsa,OK74104
https://www.stjohnhealthsystem.com/MEDICAL-CENTER
2265 		X X   X     X      
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
St John Medical Center Inc
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 15
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): www.stjohnhealthsystem.com/about/community-health-needs-assessment
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
St John Medical Center Inc
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
www.stjohnhealthsystem.com/about/payment-for-services
b
www.stjohnhealthsystem.com/about/payment-for-services
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
St John Medical Center Inc
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
St John Medical Center Inc
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 3E To better target 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 programs and resources; addressing disparities of subgroups; availability of evidence-based practices; 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 Medical Center, Inc.. PART A: COMMUNITY INPUT IS A PRIMARY FOCUS OF THE MOST RECENT CHNA THAT WAS ADOPTED AND APPROVED BEFORE 6-30-2016 FOR THE FISCAL YEAR 2017-2019. ACCORDINGLY, INPUT FROM COMMUNITY MEMBERS, COMMUNITY LEADERS AND REPRESENTATIVES, AS WELL AS THE ST. JOHN SYSTEM'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ADVISORY GROUP AND LEADERSHIP WAS OBTAINED TO EXPAND UPON INFORMATION GLEANED FROM THE SECONDARY DATA REVIEW. A CONCERTED EFFORT WAS MADE TO OBTAIN COMMUNITY INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE OF PUBLIC HEALTH ISSUES AND POPULATIONS DEEMED VULNERABLE. THIS ASSESSMENT ALSO TOOK IN TO ACCOUNT THE IMPORTANCE OF ENGAGING COMMUNITIES ON AN ONGOING BASIS AND THE PROMOTION OF A CONTINUAL DIALOGUE. THIS INCLUDES DISSEMINATING THE RESULTS OF THE ASSESSMENT WITHIN THE COMMUNITY AND ENGAGING THE COMMUNITY IN MUTUALLY REINFORCING AND COMMUNITY-DRIVEN ACTIVITIES TO IMPROVE THE COMMUNITY HEALTH AND WELL-BEING. THIS ASSESSMENT EMPLOYED SEVERAL METHODS OF COMMUNITY INPUT TO YIELD THE DESIRED RESULTS. FOR THE PURPOSES OF THIS ASSESSMENT, COMMUNITY INPUT WAS OBTAINED THROUGH THE FOLLOWING METHODS: 1) SURVEY OF 2,428 TULSA COUNTY RESIDENTS, 2) SIXTEEN FOCUS GROUPS WITH 119 COMMUNITY MEMBERS CONDUCTED FOR EACH OF THE EIGHT CHNA REGIONS, 3) THREE TULSA COUNTY HOSPITAL COMMUNITY INPUT MEETINGS WITH 55 COMMUNITY LEADERS AND REPRESENTATIVES, 4) INPUT FROM THE PUBLIC HEALTH WORKFORCE AND LOCAL COALITIONS/PARTNERSHIPS, AND 5) INPUT FROM THE HEALTH'S SYSTEM'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ADVISORY GROUP AND LEADERSHIP. ST. JOHN HEALTH SYSTEM AND THE HOSPITAL PARTNERED WITH THE TULSA-CITY COUNTY HEALTH DEPARTMENT AND MANY OTHER COMMUNITY-BASED ORGANIZATIONS TO CONDUCT A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS WORK WAS LED AND PRIMARILY PERFORMED BY THE TULSA CITY- COUNTY HEALTH DEPARTMENT. CENTRAL TO THIS COMMUNITY ASSESSMENT ARE A SURVEY AND FOCUS GROUPS CONDUCTED BY THE TULSA CITY-COUNTY HEALTH DEPARTMENT, THE OKLAHOMA STATE UNIVERSITY- COLLEGE OF PUBLIC HEALTH, AND SAXUM TO OBTAIN DIRECT INPUT FROM COMMUNITY MEMBERS. THE SURVEY AND FOCUS GROUPS ARE COLLECTIVELY REFERRED TO AS THE 2015-2016 TULSA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE INFORMATION GAINED FROM THIS ASSESSMENT ALLOWS THE COMMUNITY TO IDENTIFY THE AREAS OF GREATEST CONCERN AND DEVELOP STRATEGIES TO EFFECTIVELY TARGET THESE AREAS TO HAVE THE BEST POSSIBLE COMMUNITY HEALTH OUTCOMES. THIS COLLABORATIVE ASSESSMENT WAS SPONSORED BY ST. JOHN HEALTH SYSTEM, SAINT FRANCIS HEALTH SYSTEM, MORNINGCREST HEALTHCARE FOUNDATION, AND THE TULSA CITY-COUNTY HEALTH DEPARTMENT. THE DEVELOPMENT OF THE PLAN FOR THE ASSESSMENT WAS A COLLABORATIVE EFFORT OF THE PARTNERS AS WELL AS THE COLLEGE OF PUBLIC HEALTH AT THE UNIVERSITY OF OKLAHOMA-TULSA, PATHWAYS TO HEALTH, AND OTHER COMMUNITY PARTNERS. THE STUDY AREA FOR THE SURVEY INCLUDES ALL OF TULSA COUNTY, OKLAHOMA. TULSA COUNTY WAS DIVIDED INTO EIGHT GEOGRAPHICAL REGIONS BASED ON ZIP CODES AND ASSOCIATED COMMUNITIES: DOWNTOWN TULSA, EAST TULSA, JENKS/BIXBY/GLENPOOL/TULSA HILLS, MIDTOWN TULSA, NORTH CITY OF TULSA (TULSA NORTH), OWASSO/SPERRY/COLLINSVILLE/SKIATOOK, SAND SPRINGS/WEST TULSA, AND SOUTH TULSA/BROKEN ARROW. ALL ZIP CODES THAT ARE FULLY OR PARTIALLY WITHIN TULSA COUNTY WERE ASSIGNED REGIONS, ALTHOUGH ONLY TULSA COUNTY RESIDENTS COULD COMPLETE THE SURVEY. SURVEYS WITH 2,428 TULSA COUNTY RESIDENTS WERE CONDUCTED BETWEEN MAY 18, 2015 AND SEPTEMBER 29, 2015. THE CELL PHONE FRAME YIELDED 715 COMPLETED CALLS, WHILE THE LANDLINE FRAME YIELDED 1,710 COMPLETED SURVEYS. ALTHOUGH ALL PARTICIPANTS WERE INITIALLY CALLED, THEY WERE ALSO GIVEN THE OPTION TO COMPLETE THE SURVEY VIA TEXT OR EMAIL. THE BREAKDOWN OF MODE OF COMPLETION WAS 2,273 PHONES (29 CONDUCTED IN SPANISH), 118 EMAILS, AND 37 TEXTS. THE ACHIEVED COUNTY-WIDE CONFIDENCE INTERVAL FOR THE SURVEY WAS 95% +/- 2%. ONCE THE INTERVIEWS WERE COMPLETED, THEY WERE WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION TO APPROPRIATELY REPRESENT TULSA COUNTY. ALL ADMINISTRATION OF THE SURVEYS AND DATA COLLECTION WAS CONDUCTED BY THE OKLAHOMA STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH. DATA ANALYSIS WAS CONDUCTED BY THE TULSA CITY-COUNTY HEALTH DEPARTMENT, HEALTH DATA & EVALUATION DIVISION. THE 2015-2016 TULSA COUNTY CHNA FOCUS GROUPS WERE CONDUCTED BY SAXUM, AN AGENCY CONTRACTED BY THE TULSA CITY-COUNTY HEALTH DEPARTMENT. COMMUNITY HEALTH CONCERNS IDENTIFIED BY THE 2015-2016 TULSA CHNA SURVEY SERVED AS A FOUNDATION FOR FOCUS GROUP CONTENT AND QUESTIONS. THE STUDY AREA WAS THE SAME EIGHT GEOGRAPHICAL REGIONS IN TULSA COUNTY USED FOR THE SURVEY. THE THREE MAIN OBJECTIVES OF THE FOCUS GROUPS WERE AS FOLLOWS: 1) DETERMINE TOP COMMUNITY HEALTH CONCERNS, 2) IDENTIFY PERCEPTIONS OF BARRIERS TO ADDRESSING COMMUNITY HEALTH CONCERNS, AND 3) ASSESS AWARENESS OF COMMUNITY RESOURCES AVAILABILITY. THE SAMPLE WAS DRAWN FROM THE NON-INSTITUTIONALIZED ADULT POPULATION RESIDING IN TULSA COUNTY, OKLAHOMA IN TELEPHONE AND E-MAIL EQUIPPED DWELLINGS. RESPONDENTS WERE RECRUITED BY A THIRD-PARTY VENDOR VIA TELEPHONE AND E-MAIL BY ZIP CODE. THE CHNA FOCUS GROUP STUDY INCORPORATED A NON-RANDOMIZED DESIGN. THE DEMOGRAPHIC VARIABLES (E.G., GENDER, AGE, RACE, AND ETHNICITY) ARE UNLIKELY TO PERFECTLY MATCH WITH THE DEMOGRAPHIC MAKEUP OF TULSA COUNTY. TO ACCOUNT FOR THIS GAP, RESPONDENT REQUIREMENTS INCLUDED A MIX OF GENDER, AGE, RACE AND ETHNICITY AND HOUSEHOLD INCOME LEVELS. A SPECIALLY DESIGNED DATABASE WAS UTILIZED TO OBTAIN AN EVEN MIX OF RESPONDENTS TO APPROPRIATELY REPRESENT TULSA COUNTY. SIXTEEN (16) 1.5-HOUR FOCUS GROUP SESSIONS WERE CONDUCTED BETWEEN APRIL 11-28, 2016. TWO FOCUS GROUP SESSIONS WERE CONDUCTED FOR EACH OF THE EIGHT (8) CHNA REGIONS. FOR EACH GROUP, 8 RESPONDENTS WERE RECRUITED IN PLANNING FOR 6-8 TO ATTEND EACH SESSION. EACH PARTICIPANT WAS PROVIDED A $100 VISA GIFT CARD. A TOTAL OF 119 TULSA COUNTY RESIDENTS PARTICIPATED IN THE FOCUS GROUPS. DURING THE MONTH OF APRIL 2016, A TOTAL OF 60 COMMUNITY LEADERS AND REPRESENTATIVES PARTICIPATED IN THREE HOSPITAL COMMUNITY INPUT MEETINGS CONDUCTED AT ST. JOHN HEALTH SYSTEM'S TULSA COUNTY HOSPITAL FACILITIES, ST. JOHN MEDICAL CENTER, INC., ST. JOHN BROKEN ARROW, INC., AND OWASSO MEDICAL FACILITY, INC. THE PURPOSE OF THESE MEETINGS WAS TO SOLICIT COMMUNITY INPUT FROM COMMUNITY LEADERS AND REPRESENTATIVES REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. THESE MEETINGS WERE INTENDED TO OBTAIN COMMUNITY INPUT SPECIFIC TO EACH HOSPITAL AND THEIR SURROUNDING TULSA COUNTY CHNA REGION. A HOSPITAL COMMUNITY INPUT MEETING WITH 14 COMMUNITY LEADERS AND REPRESENTATIVES WAS HELD AT OWASSO MEDICAL FACILITY, INC. ON APRIL 28, 2016. THE MEETING TOOK PLACE OVER A TWO-HOUR PERIOD AND CONSISTED OF FOUR MAIN EXERCISES: 1) HOSPITAL ASSESSMENT EXERCISES, 2) NOMINAL GROUP EXERCISE TO VALIDATE AND PRIORITIZE HEALTH NEEDS BASED ON TOP HEALTH NEEDS IDENTIFIED, 3) COMMUNITY PERCEPTION GROUP EXERCISE, AND 4) COMMUNITY CAPACITY ASSESSMENT EXERCISE. THE FOLLOWING COMMUNITY AGENCIES AND ORGANIZATIONS PARTICIPATED IN THE HOSPITAL'S MEETING: OWASSO CHAMBER OF COMMERCE, OWASSO COMMUNITY RESOURCES, CITY OF OWASSO, ARUBAH COMMUNITY CLINIC, CITY OF COLLINSVILLE, FAMILY AND CHILDREN'S SERVICES, TULSA CITY-COUNTY HEALTH DEPARTMENT, YMCA OF GREATER TULSA, AND THE CITY OF SKIATOOK. A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ADVISORY GROUP WAS FORMED IN THE BEGINNING OF THIS ASSESSMENT PROCESS TO PROVIDE DIRECTION, INPUT, AND GUIDANCE. THIS GROUP MET SEVERAL TIMES DURING THE PROCESS BETWEEN FEBRUARY AND MAY 2016. GROUP MEMBERSHIP CONSISTED OF THIRTEEN KEY REPRESENTATIVES FROM HOSPITAL FACILITIES, ST. JOHN CLINIC, AND DEPARTMENTS THROUGHOUT THE HEALTH SYSTEM. THESE MEMBERS ASSISTED WITH THE DESIGN AND COORDINATION OF THE HOSPITAL COMMUNITY HEALTH INPUT MEETINGS AND HELPED TO COMPILE INFORMATION AND DATA RELATED TO OUR EVALUATION OF IMPACT FROM OUR 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. ADDITIONAL MEMBERS OF HOSPITAL AND HEALTH SYSTEM LEADERSHIP WERE ALSO ENGAGED TO PROVIDE INPUT AND GUIDANCE THROUGHOUT THE PROCESS. A SHORT COMMUNITY HEALTH NEEDS PRIORITIZATION SURVEY WAS EMAILED TO CHNA ADVISORY GROUP MEMBERS AND HOSPITAL/HEALTH SYSTEM LEADERSHIP VIA SURVEYMONKEY IN APRIL 2016. A TOTAL OF FIFTEEN MEMBERS AND LEADERSHIP RESPONDED TO THE SURVEY. COMMUNITY INPUT WAS SOLICITED FROM A DIVERSE SET OF COMMUNITY STAKEHOLDERS SUCH AS COMMUNITY MEMBERS, COMMUNITY ORGANIZATIONS, AND THE PUBLIC HEALTH WORKFORCE. A VARIETY OF SOURCES ENSURED THAT AS MANY DIFFERENT PERSPECTIVES AS POSSIBLE WERE REPRESENTED WHILE SATISFYING THE BROAD INTERESTS OF THE COMMUNITY. (CONTINUED TO PART B)
Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - St. John Medical Center, Inc.. (PART B: CONTINUED FROM PART A) SOURCES OF COMMUNITY INPUT FOR THIS ASSESSMENT WERE AS FOLLOWS: 1) TULSA COUNTY COMMUNITY MEMBERS WHO PARTICIPATED IN THE 2015-2016 TULSA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SURVEY AND FOCUS GROUPS 2) COMMUNITY LEADERS AND REPRESENTATIVES, 3) LOCAL PUBLIC HEALTH WORKFORCE AND COALITIONS/PARTNERSHIPS, 4) MEMBERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, AT-RISK, AND OTHERWISE VULNERABLE POPULATIONS, AND 5) HEALTH SYSTEM CHNA ADVISORY GROUP AND LEADERSHIP. COMMUNITY STAKEHOLDERS WHO PROVIDED COMMUNITY INPUT REPRESENTED A VARIETY OF COMMUNITY SECTORS INCLUDING: COMMUNITY MEMBERS, HEALTHCARE PROVIDERS AND SERVICES, EDUCATION AND ACADEMIA, NON-PROFIT AGENCIES, COMMUNITY-BASED ORGANIZATIONS, PRIVATE BUSINESSES, COMMUNITY DEVELOPERS, FAITH COMMUNITIES AND FAITH-BASED ORGANIZATIONS, GOVERNMENT REPRESENTATIVES, SAFETY NET SERVICE PROVIDERS, ECONOMIC AND WORKFORCE DEVELOPMENT, MENTAL HEALTH/BEHAVIORAL HEALTH SERVICES, LAW ENFORCEMENT AND FIRST RESPONDERS, PUBLIC HEALTH WORKFORCE, AND OTHER INTEREST GROUPS WORKING WITH AT-RISK AND VULNERABLE POPULATIONS. THIS ASSESSMENT ESPECIALLY FOCUSED ON COMMUNITY INPUT FROM THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH AS WELL AS MEMBERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW INCOME, MINORITY, OR OTHERWISE VULNERABLE POPULATIONS. EACH OFFERED CRITICAL STRENGTHS AND INSIGHTS ON THE HEALTH NEEDS AND ASSETS OF THE COMMUNITY.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - St. John Medical Center, Inc.. THE OTHER HOSPITAL FACILITIES, WITH WHICH THE REPORTING HOSPITAL FACILITY CONDUCTED ITS CHNA, INCLUDE: - ST. JOHN BROKEN ARROW, INC. - ST. JOHN SAPULPA, INC. - JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC. - JANE PHILLIPS NOWATA HOSPITAL, INC. - OWASSO MEDICAL FACILITY, INC.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - ST. JOHN MEDICAL CENTER, INC.. THE OTHER ORGANIZATIONS, WITH WHICH THE REPORTING HOSPITAL FACILITY CONDUCTED ITS CHNA, INCLUDE: - TULSA CITY-COUNTY HEALTH DEPARTMENT - PATHWAYS TO HEALTH
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - St. John Medical Center, Inc.. PART A: HOW THE CHNA NEEDS WERE MET IN FY 2017 FOR THE CHNA THAT WAS ADOPTED AND APPROVED BEFORE JUNE 30, 2016 FOR FISCAL YEAR 2017-2019: USING THE CHNA COMPLETED IN 2016, THE ST. JOHN SYSTEM DEVELOPED, ADOPTED, AND WORKED ON EXECUTING A FISCAL YEAR 2017-2019 IMPLEMENTATION STRATEGY TO ADDRESS THE PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED IN THE COMMUNITY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT. INPUT FROM COMMUNITY MEMBERS, COMMUNITY LEADERS AND REPRESENTATIVES, AS WELL AS THE ST. JOHN SYSTEM'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ADVISORY GROUP AND LEADERSHIP WAS OBTAINED FOR IDENTIFICATION AND PRIORITIZATION OF NEEDS. A CONCERTED EFFORT WAS MADE TO OBTAIN COMMUNITY INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE OF PUBLIC HEALTH ISSUES AND POPULATIONS DEEMED VULNERABLE. THE HOSPITAL COLLABORATED WITH THE TULSA HEALTH DEPARTMENT, PATHWAYS TO HEALTH, AND A DIVERSE RANGE OF COMMUNITY STAKEHOLDERS IN TULSA COUNTY ON THIS PROCESS. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE SELECTED AS THE TOP FOUR PRIORITIES IN THE 2016 CHNA FOR ST. JOHN SYSTEM AND THE HOSPITAL TO ADDRESS IN FISCAL YEAR 2017-2019: 1) ACCESS TO CARE, 2) BEHAVIORAL HEALTH, 3) WELLNESS AND CHRONIC DISEASE PREVENTION, AND 4) HEALTH LITERACY. IN FISCAL YEAR 2018, THE FOLLOWING INITIATIVES WERE UNDERTAKEN TO ADDRESS THE PRIORITY NEEDS: 1) ACCESS TO CARE: ACCESS TO SERVICES IN OKLAHOMA IS A SIGNIFICANT CHALLENGE DUE TO THE LIMITED AVAILABILITY OF PRIMARY CARE PHYSICIANS AND STRESS ON HOSPITAL EMERGENCY ROOM ACCESS AND INPATIENT BEDS DUE TO A GROWING NUMBER OF TRANSFERS FROM UNDERSERVED RURAL AREAS IN OKLAHOMA. THE ST. JOHN SYSTEM AND HOSPITAL WORKED TO IMPROVE ACCESS AS NEEDED FOR HEALTHCARE SERVICES IN SOLIDARITY WITH THOSE LIVING IN POVERTY AND/OR DEEMED OTHERWISE VULNERABLE THROUGH THE FOLLOWING ACTIVITIES: -HEALTH INSURANCE COVERAGE: THE HOSPITAL AND ST. JOHN SYSTEM PROVIDE TREATMENT TO ALL PEOPLE WHO COME IN NEEDING ASSISTANCE, REGARDLESS OF THEIR ABILITY TO PAY. HOWEVER, ONCE IN THE DOOR, AN ASSOCIATE WILL WORK WITH EACH PATIENT TO SEE IF THEY QUALIFY FOR TRADITIONAL CHARITY CARE AND/OR A GOVERNMENT PROGRAM. IF THEY DO, THE PATIENT IS SIGNED UP STRONGLY ENCOURAGED TO FIND A MEDICAL HOME IF THEY DO NOT CURRENTLY HAVE ONE. IN ADDITION, LOCAL HOSPITAL, ST JOHN SYSTEM AND ASCENSION LEADERSHIP AND ADVOCACY, CONTINUE TO BE STRONG PROPONENTS FOR THE EXPANSION OF MEDICAID IN OKLAHOMA. AFFORDABLE HEALTH CARE, IN OUR CATHOLIC TRADITION, SHOULD BE A RIGHT GIVEN TO ALL, BUT ESPECIALLY FOR THOSE WHO ARE POOR AND VULNERABLE. THE HOSPITAL CONTINUES TO OFFER CHARITY CARE TO THE POOR, TAKES CARE OF THOSE WHO ARE RECIPIENTS OF MEDICAID AND MEDICARE KNOWING THAT THE GOVERNMENT WILL NOT BE PAYING THE FULL COST OF THAT CARE. - ACCESS TO CARE FOR THOSE EXPERIENCING HOMELESSNESS: THE TULSA DAY CENTER FOR THE HOMELESS ("DAY CENTER") HOUSES A MEDICAL CLINIC PARTIALLY FUNDED BY ST. JOHN HEALTH SYSTEM THAT WORKS TO REDUCE BARRIERS TO HEALTH CARE FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. THE CLINIC OPERATIONS AT THE DAY CENTER INCLUDE A NURSE PRACTITIONER (NP) WITH SUPPORT STAFF CONSISTING OF BOTH EMPLOYED AND VOLUNTEER NURSES AND MEDICAL ASSISTANTS. THIS MAKES THE COST PER ENCOUNTER VERY LOW, BUT ALSO LIMITS SOME OF THE SERVICES THAT CAN BE PROVIDED IN THIS SETTING. ACCORDINGLY, A GOAL WAS ESTABLISHED TO INCREASE ACCESS FOR PRIMARY CARE SERVICES DUE TO THE LEVEL OF ACUITY NEEDED FOR THIS POPULATION. METHODS EMPLOYED TO ACHIEVE THIS GOAL INCLUDED INCREASING THE CLINIC HOURS AVAILABLE AND ADDING A PRIMARY CARE PHYSICIAN DURING PART OF THE CLINIC HOURS. BASED ON THE NUMBER OF HOURS SCHEDULED AND WORKED BY PRIMARY CARE PROVIDER AT THE TULSA DAY CENTER FOR THE HOMELESS CLINIC, ACCESS TO PRIMARY CARE COVERAGE WAS INCREASED BY MORE THAN 24 HOURS PER WEEK. THIS WAS A 4 HOUR (20%) INCREASE FROM YEAR TO DATE FY 16 BASELINE OF 20 HOURS PER WEEK. THIS INCREASE HAS BEEN MAINTAINED FOR FY18. - ACCESS TO CARE FOR THOSE LIVING IN POVERTY/VULNERABLE POPULATIONS: PROMOTION OF ACCESS TO AN ONGOING SOURCE OF PRIMARY CARE, PREVENTIVE SERVICES, SPECIALTY SERVICES, AND PRESCRIPTION ASSISTANCE FOR PERSONS WHO ARE UNINSURED, UNDERINSURED, AND/OR LIVING IN POVERTY THROUGH SERVICES OFFERED AT ST. JOHN CLINIC-FAMILY MEDICAL CARE SITE THROUGH THE MEDICAL ACCESS PROGRAM. THROUGH PARTNERSHIPS ESTABLISHED DURING FY 17 AND FY18, THE CLINIC NOW SERVES AS A PRIMARY MEDICAL HOME FOR VICTIMS OF HUMAN TRAFFICKING AND DOMESTIC VIOLENCE WHO ARE ACCESSING LOCAL SHELTERS AS WELL AS CLIENTS OF WOMEN IN RECOVERY (WIR), AN INTENSIVE OUTPATIENT ALTERNATIVE FOR ELIGIBLE WOMEN FACING LONG PRISON SENTENCES FOR NON-VIOLENT, DRUG-RELATED OFFENSES. ACCESS TO SPECIALTY CARE AND PRESCRIPTIONS THROUGH DISPENSARY OF HOPE ARE ALSO OFFERED. - TRANSITIONAL CARE CLINIC: FOLLOW-UP CARE AND SAFE TRANSITION HOME FOR PATIENTS DISCHARGING FROM THE ST. JOHN SYSTEM WHO DO NOT HAVE A PRIMARY CARE PROVIDER OR WHO CANNOT GET AN APPOINTMENT WITH THEIR PROVIDER THROUGH SERVICES PROVIDED BY ST. JOHN SYSTEM' S TWO TRANSITIONAL CARE CLINICS AT THIS HOSPITAL AND JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC. - PRESCRIPTION ASSISTANCE: THE HOSPITAL SUPPORTS EFFORTS TO INCREASE THE PROPORTION OF PERSONS WHO CAN OBTAIN OR NOT DELAY IN OBTAINING NECESSARY PRESCRIPTION MEDICINES THROUGH THE DISPENSARY OF HOPE (DOH) PROGRAM. THE DOH CONNECTS SURPLUS MEDICATIONS FROM MANUFACTURERS, DISTRIBUTORS, AND PROVIDERS TO CLINICS AND PHARMACIES SERVING THE POOR AND UNINSURED. PHARMACY AND CLINIC PARTNERS PROVIDE DOH MEDICATIONS TO PATIENTS FREE OF CHARGE, TRACK AND SEGREGATE DOH INVENTORY, AND QUALIFY PATIENTS (LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY LEVEL). THE PROGRAM SERVES SAFETY NET CLINICS IN THE GREATER TULSA AREA INCLUDING THE GOOD SAMARITAN MOBILE HEALTH CLINICS. IN 2018, 19,000 THIRTY-DAY PRESCRIPTIONS ($223,000 WORTH) WERE FILLED FOR FREE CLINIC PARTNERS. THE DOH HAS DEMONSTRATED TO BE A POSITIVE FACTOR IN IMPROVING OUTCOMES OF UNINSURED PATIENTS WITH CHRONIC CONDITIONS AND HAS BEEN SHOWN TO DECREASE PREVENTABLE HOSPITAL ENCOUNTERS. IN ADDITION, THE HOSPITAL AND ST. JOHN SYSTEM CONTINUE TO LOOK FOR NEW WAYS TO PROCURE MEDICATION DISCOUNTS FOR ALL PATIENTS WHETHER THEY ARE BEING DISCHARGED FROM ONE OF OUR HOSPITALS OR ARE GETTING OUTPATIENT TREATMENT IN ONE OF OUR CLINICS. -TRANSPORTATION ASSISTANCE: REDUCTION IN BARRIERS TO ACCESSING TO HEALTHCARE SERVICES BY PROVIDING TRANSPORTATION ASSISTANCE TO COMMUNITY-DWELLING PERSONS SERVED BY ST. JOHN SYSTEM AND THE HOSPITAL WHO ARE LIVING IN POVERTY AND/OR ARE OTHERWISE DEEMED VULNERABLE. THROUGH AN AGREEMENT WITH MORTON COMPREHENSIVE COMMUNITY HEALTH CENTER (FQHC) FOR THEIR BUS SERVICES, ST. JOHN SYSTEM PROVIDES TRANSPORTATION TO THOSE IN NEED IN THE COMMUNITY WHO MEET SPECIFIC CRITERIA. IN FY18 2,102 RIDES WERE PROVIDED AND OVER $165,000 WAS PROVIDED IN FUNDING FOR THIS INITIATIVE. AN AGREEMENT WITH LYFT WAS ALSO SECURED TO BEGIN PROVIDING ADDITIONAL TRANSPORTATION ASSISTANCE TO PATIENTS IN NEED. IN FY18, 2,006 RIDES WERE PROVIDED AND OVER $31,000 WAS PROVIDED IN FUNDING FOR LYFT ASSISTANCE. -INCREASING PRIMARY CARE ACCESS: THE ST. JOHN SYSTEM AND THE HOSPITAL WORKED TO INCREASE RECRUITMENT AND HIRING OF PROVIDERS TO IMPROVE ACCESS TO PRIMARY CARE AND SPECIALTY SERVICES IN THE COMMUNITIES SERVED. THIS STRATEGY INCLUDED THE EXPLORATION OF METHODS TO EXTEND HOURS AMONG ST. JOHN CLINIC PRIMARY CARE PROVIDERS AND ADOPT PLANS TO UTILIZE VARIOUS HOURS IN PRIMARY CARE CLINICS. MANY COMMUNITIES SERVED BY ST. JOHN SYSTEM AND THE HOSPITAL INCLUDE PARTIAL OR TOTAL IDENTIFIED HEALTHCARE SHORTAGE AREAS. IMPROVING ACCESS TO CARE THROUGH PROVIDER RECRUITMENT ADDRESSES THESE SHORTAGE AREAS, REDUCES HEALTH DISPARITIES, AND PROMOTES HEALTH EQUITY AMONG PERSONS DEEMED VULNERABLE. -SUPPORT OF MEDICAL EDUCATION: THE HOSPITAL AND THE ST. JOHN SYSTEM CONTINUE TO INVEST IN MEDICAL EDUCATION TO SUPPORT THE EXPANSION OF PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS THAT WILL SERVE THE CURRENT AND FUTURE GENERATIONS OF PATIENTS IN THE SERVICE AREA. THE HOSPITALS PARTICIPATE IN ST. JOHN SYSTEM'S COORDINATED EFFORT TO ASSESS COMMUNITY NEED COLLABORATIVELY WITH OTHER INTERESTED PARTIES IN THE COMMUNITY AND TO ALLOCATE CAPITAL AND HUMAN RESOURCES TO ADDRESS THE NEEDS OF THE ENTIRE SERVICE AREA. -ACCESS TO CARE/HEALTH EDUCATION FOR TEEN PARENTS: TEEN PARENTS IN OKLAHOMA FACE A MULTITUDE OF CHALLENGES. OKLAHOMA'S TEEN BIRTH RATE REMAINED SECOND-HIGHEST IN THE NATION FOR THE THIRD YEAR IN A ROW IN 2016. THE STATE'S RATE OF 33.4 BIRTHS PER 1,000 FEMALES AGES 15-19 WAS SECOND ONLY TO ARKANSAS, ACCORDING TO THE OKLAHOMA DEPARTMENT OF HEALTH AND THE NATIONAL CENTER FOR HEALTH STATISTICS. ADOLESCENTS EXPERIENCE GREATER STRUCTURAL AND INTERPERSONAL BARRIERS TO HEALTH CARE COMPARED TO ADULTS. (CONTINUED TO PART B)
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - St. John Medical Center, Inc.. (PART B: CONTINUED FROM PART A) FURTHERMORE, PREGNANT TEENS IN THE UNITED STATES ARE AT HIGH RISK FOR NOT OBTAINING PRENATAL CARE AND FOR HAVING LOW-BIRTH WEIGHT DELIVERIES. UNPLANNED PREGNANCIES PRESENT CHALLENGES, ESPECIALLY FOR TEENS. ACCORDINGLY, THE ST. JOHN SYSTEM AND HOSPITAL ARE PARTNERING WITH THE BROKEN ARROW PUBLIC SCHOOLS MENTORING HEALTH PARENTS PROGRAM TO PROVIDER MATERNAL AND CHILD HEALTH EDUCATION AND IMPROVE ACCESS TO PRE-AND-POST-NATAL CARE AND SERVICES TO FACILITATE HEALTHY BIRTHS AND POSITIVE PARENTING AND HEALTHY DEVELOPMENT AFTER BIRTH. SERVICES PROVIDED THROUGH PARTNERSHIP INCLUDE MATERNAL AND CHILD HEALTH AND WELLNESS EDUCATION CURRICULUM SUPPORT PROVIDED BY A MATERNAL AND CHILD HEALTH NURSE EVERY 2 WEEKS. THE ST. JOHN SYSTEM IS ALSO PILOTING CURRICULUM SUPPORT WITH PHYSICIAN RESIDENTS FROM ST. JOHN FAMILY MEDICAL CARE ONCE A MONTH. -HUMAN TRAFFICKING PREVENTION/EDUCATION: HUMAN TRAFFICKING IS THE FASTEST-GROWING CRIMINAL INDUSTRY IN THE WORLD TODAY. TRAFFICKERS USE FORCE, FRAUD OR COERCION TO ENSLAVE THEIR VICTIMS INTO SITUATIONS INVOLVING SEXUAL EXPLOITATION OR FORCED LABOR. DURING FY18, THIS HOSPITAL AND THE ST. JOHN SYSTEM WORKED TO DEVELOP A LOCAL PROGRAM BASED ON A NATIONAL MODEL FOR ASCENSION HEALTH TO ADDRESS HUMAN TRAFFICKING. THIS LOCAL HUMAN TRAFFICKING EDUCATION AND RESPONSE PROGRAM WILL SERVE TRAIN ALL ASSOCIATES ON INTERNAL PROTOCOL FOR IDENTIFYING AND RESPONDING TO THE NEEDS OF HUMAN TRAFFICKING VICTIMS AND SURVIVORS IN A TRAUMA-INFORMED MANNER, INCLUDING ASSISTANCE WITH REFERRALS TO RESOURCES AS NEEDED. THE HOSPITAL AND ST. JOHN SYSTEM WORKED TO ENGAGE LAW ENFORCEMENT, SOCIAL SERVICE AGENCIES, AND OTHER ORGANIZATIONS TO COLLABORATE ON EFFORTS TO SPREAD AWARENESS AND COMBAT HUMAN TRAFFICKING IN OUR COMMUNITY. TRAINING OF KEY ASSOCIATES WAS PILOTED IN FY18 EARLY FY19 WITH PLANS FOR ROLL-OUT OF EDUCATION TO ALL ASSOCIATES LATER IN FY19. 2) BEHAVIORAL HEALTH: ST. JOHN SYSTEM AND THE HOSPITAL ARE ADDRESSING BEHAVIORAL HEALTH THROUGH EFFORTS TO IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES TO PROMOTE A REDUCTION OF SUICIDE RATES IN TULSA COUNTY AND SURROUNDING AREAS THROUGHOUT THE FOLLOWING ACTIVITIES: EARLY IDENTIFICATION AND INTERVENTION VIA AN INTEGRATED MODEL OF BEHAVIORAL HEALTH IN PRIMARY CARE: THIS WAS ACCOMPLISHED THROUGH THE IMPLEMENTATION OF CLINIC-WIDE PHQ9 DEPRESSION SCREENINGS, FULL SUICIDE RISK ASSESSMENTS FOR HIGH/POSITIVE SCORES ON PHQ9 DEPRESSION SCREENINGS, AND EXPANSION OF THE NUMBER OF BEHAVIORAL HEALTH THERAPISTS EMBEDDED IN CLINICS. - PROMOTION OF ADDITIONAL CAPACITY FOR HUMANIZED BEHAVIORAL HEALTH CRISIS AND ACUTE CARE THROUGH INCREASED ACCESS TO BEHAVIORAL HEALTH PROFESSIONALS AND SERVICES AS WELL AS INCREASED ASSESSMENT AND RECOGNITION OF SUICIDE RISKS AT THE COMMUNITY LEVEL: THIS INCLUDES COLLABORATION WITH THE CITY OF TULSA, TULSA FIRE DEPARTMENT, THE MENTAL HEALTH ASSOCIATION OF OKLAHOMA, AND OTHER COMMUNITY PARTNERS ON A MULTIDISCIPLINARY EMERGENCY RESPONSE SYSTEM THAT FOCUSES ON DE-ESCALATING MENTAL HEALTH CRISES OF INDIVIDUALS WHO FREQUENTLY USE HOSPITAL EMERGENCY DEPARTMENTS AND REDIRECTS THEM TO IMMEDIATE BEHAVIORAL HEALTH SERVICES. ADDITIONALLY, THIS INCLUDED SUICIDE RISK ASSESSMENT TRAINING FOR ASSOCIATES AND COMMUNITY MEMBERS AND THE IMPLEMENTATION OF A SYSTEMATIC APPROACH IN HEALTH SYSTEM TO SUPPORT EFFORTS TO HUMANIZE CRISIS AND ACUTE CARE AT A COMMUNITY LEVEL. 3) WELLNESS AND CHRONIC DISEASE PREVENTION: ST. JOHN SYSTEM AND THE HOSPITAL ADDRESSED WELLNESS AND CHRONIC DISEASE PREVENTION THROUGH THE FOLLOWING ACTIVITIES: - EFFORTS TO IMPROVE HEALTH OUTCOMES FOR INDIVIDUALS WHO ARE IN A PRE-CONDITION STATE OR WHO HAVE BEEN DIAGNOSED WITH A CHRONIC DISEASE: THE ST. JOHN SYSTEM AND HOSPITAL HAVE WORKED TO PROMOTE HEALTHY DIET, PHYSICAL ACTIVITY, AND PREVENTION-ORIENTED WELLNESS THROUGH HEALTH SYSTEM SUPPORT OF COMMUNITY-BASED INITIATIVES IN PARTNERSHIP WITH LOCAL HEALTH DEPARTMENTS, COALITIONS, COMMUNITY-BASED ORGANIZATIONS, AND SCHOOLS; PARTICIPATION IN LOCAL ACTIVITIES, EDUCATION CLASSES, LUNCH AND LEARNS, EVENTS, AND HEALTH FAIRS; AND CHRONIC DISEASE MANAGEMENT SUPPORT. - PROMOTION OF EQUITABLE AND PATIENT-CENTERED PRE-DIABETIC AND DIABETIC CARE IN SOLIDARITY WITH THOSE LIVING IN POVERTY AND/OR WHO MAY BE OTHERWISE DEEMED VULNERABLE: ST. JOHN SYSTEM AND THE HOSPITAL IMPLEMENTED AN INITIATIVE TO SUPPORT PATIENTS DIAGNOSED WITH DIABETES OR PRE-DIABETES DISCHARGING FROM THE HOSPITAL WHO LACK PRIMARY CARE FOLLOW-UP THROUGH PATIENT-CENTERED TRANSITION OF CARE, EDUCATION, AND DISEASE MANAGEMENT SUPPORT SERVICES THROUGH COLLABORATION AMONG THE DIABETES EDUCATORS, TRANSITIONAL CARE CLINIC, AND THE MEDICAL ACCESS PROGRAM. DIABETES IS MORE PREVALENT AMONG PERSONS LIVING IN POVERTY AND MINORITY POPULATIONS, AND/OR POPULATIONS WHO ARE OTHERWISE DEEMED VULNERABLE; THROUGH EQUITABLE PREVENTION AND CARE MANAGEMENT PROGRAMS SUCH AS THIS INITIATIVE, HEALTH DISPARITIES ARE ADDRESSED. -DIABETES AWARENESS AND PREVENTION: IN FY18, THE HOSPITAL AND ST. JOHN SYSTEM ADDRESSED 2 GOALS RELATED TO DIABETES AWARENESS AND PREVENTION: 1) TO IMPROVE AWARENESS OF THE RISKS OF TYPE 2 DIABETES IN THE COMMUNITY AND 2) TO INCREASE PARTICIPANT PARTICIPATION AND RETENTION IN THE DPP THROUGH PARNTERSHIPS IN THE COMMUNITY. BOTH GOALS WERE MET SUCCESSFULLY FOR FY18 WITH ALL OUTPUTS EITHER ACHIEVED AS OUTLINED OR EXCEEDING EXPECTATIONS. A TOTAL OF FIVE AWARENESS EVENTS WERE HELD IN COLLABORATION WITH THE TWO COMMUNITY PARTNERS IDENTIFIED AT THE BEGINNING OF FY18 WHICH EXCEEDED OUR OUTPUT GOAL BY TWO EVENTS. DIABETES RISK ASSESSMENTS, PRESENTATIONS, AND AWARENESS EDUCATION WERE OFFERED AT THESE EVENTS. THE DIABETES TEAM ALSO ATTENDED SEVEN ADDITIONAL COMMUNITY EVENTS. DIABETES RISK ASSESSMENTS, CONDENSED PRESENTATIONS, AND AWARENESS EDUCATION WERE OFFERED AT THE ADDITIONAL EVENTS. -PATHWAYS TO HEALTH: THE ST. JOHN SYSTEM AND THE HOSPITAL ALSO ACTIVELY PARTICIPATE IN THE COMMUNITY-WIDE COALITION, PATHWAYS TO HEALTH (P2H), WHICH SUPPORTS THE TULSA HEALTH DEPARTMENT AND A MULTITUDE OF COMMUNITY PARTNERS. P2H WAS FORMED BY THE TULSA HEALTH DEPARTMENT IN 2008 IN RESPONSE TO A CHALLENGE TO DECREASE THE OVERLAP OF HEALTH SERVICES AND IDENTIFY GAPS WHERE LEADERS ARE MISSING VULNERABLE POPULATIONS. TODAY, P2H IS AN INCORPORATED NON-PROFIT ENTITY WITH THE GOAL TO CONNECT COMMUNITY HEALTH RESOURCES TO THOSE WHO NEED IT MOST. P2H LEVERAGES COMMUNITY-WIDE PARTNERSHIPS WITH MORE THAN 90 LOCAL AGENCIES, ORGANIZATIONS, CORPORATIONS AND HEALTH SYSTEMS TO IMPROVE THE HEALTH AND WELLNESS OF RESIDENTS OF TULSA COUNTY. -TOUR DE TULSA SPONSORSHIP AND PARTICIPATION: THE ST. JOHN SYSTEM WAS THE PRESENTING SPONSOR FOR THE 31ST ANNUAL TOUR DE TULSA CHARITY BIKE RIDE ON MAY 5TH, 2018. THE EVENT IS COORDINATED BY THE TULSA BIKE CLUB AND TULSA HEALTH DEPARTMENT WITH PROCEEDS BENEFITING PATHWAYS TO HEALTH (P2H), THE NON-PROFIT ARM OF THE TULSA HEALTH DEPARTMENT. EACH YEAR THE SPONSORSHIP FUNDS ARE USED TO GIVE BACK TO THE COMMUNITY AND HELP FUND COMMUNITY PARTNER'S PROJECTS THAT HAVE THE GRAVEST NEED, REACH THE MOST PEOPLE, USE BEST PRACTICES, AND CAN BE SUSTAINED OVERTIME. LAST YEAR THE RIDE NETTED ABOUT $26,000 AND PROCEEDS WERE DISTRIBUTED TO COMMUNITY AGENCIES TO IMPROVE POPULATION HEALTH IN TULSA COUNTY. ST. JOHN HEALTH SYSTEM WAS PROUD TO BE THE PRESENTING SPONSOR OF THE TOUR DE TULSA CHARITY BIKE RIDE. THIS EVENT PAIRED OUR ONGOING COMMITMENT TO ENCOURAGE PHYSICAL ACTIVITY FOR INDIVIDUALS OF ALL AGES, WHILE SUPPORTING VITAL COMMUNITY PROGRAMS THAT FOCUS ON INITIATIVES TO IMPROVE OVERALL HEALTH OUTCOMES TO AREA RESIDENTS. -HEALTH AND WELLNESS PROMOTION/EDUCATION: THE ST. JOHN HEALTH SYSTEM AND ITS HOSPITALS SPONSORED AND PARTICIPATED OVER 100 COMMUNITY EVENTS AND WELLNESS ACTIVITIES THROUGHOUT THE FY 2018. HOSPITAL ASSOCIATES PROMOTED HEALTH AND WELLNESS THROUGH HEALTH SCREENINGS AND PUBLIC EDUCATION AT THESE EVENTS. THE HEALTH SYSTEM AND HOSPITAL ALSO HOSTED A MULTITUDE OF PUBLIC HEALTH EDUCATION SEMINARS, CLASSES, LUNCH AND LEARNS, AND SYMPOSIUMS ON A VARIETY OF WELLNESS TOPICS INCLUDING, BUT NOT LIMITED TO: DIABETES, HEART HEALTH, STROKE, SAFETY AND PREVENTION, TRAUMA, MATERNAL AND CHILD HEALTH, JOINT CARE, CANCER CARE, HEALTHY DIET AND NUTRITION, AND THE PROMOTION OF PHYSICAL ACTIVITY. THE HOSPITAL ANNUALLY HOSTS ON-SITE BLOOD DRIVES IN SUPPORT OF THE AMERICAN RED CROSS. (CONTINUED TO PART C)
Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - St. John Medical Center, Inc.. (PART C: CONTINUED FROM PART B) THE ST. JOHN SYSTEM AND THE HOSPITAL SPONSORED AND PARTICIPATED IN SEVERAL LOCAL HEALTH PROMOTION WALKS AND RUNS DURING FY 18 INCLUDING, BUT NOT LIMITED TO THE: AMERICAN CANCER SOCIETY'S RELAY FOR LIFE EVENTS, AMERICAN HEART AND AMERICAN STROKE ASSOCIATIONS' HEART WALK, SUSAN G. KOMEN'S RACE FOR THE CURE, PARKINSON'S FOUNDATION OF OKLAHOMA'S TULSA PARKINSON'S WALK & 5K, THE OKLAHOMA CHAPTER OF THE ALZHEIMER'S ASSOCIATION'S WALK TO END ALZHEIMER'S, THE COLON CANCER COALITION'S GET YOUR REAR IN GEAR TULSA EVENT, THE LEUKEMIA AND LYMPHOMA SOCIETY'S LIGHT THE NIGHT WALK, THE ST. JOHN ZOO RUN, MARCH OF DIMES' MARCH FOR BABIES, PATHWAYS TO HEALTH TOUR DE TULSA, AMERICAN DIABETES ASSOCIATION'S TOUR DE CURE, AND THE ARTHRITIS FOUNDATION'S JINGLE BELL RUN. 4) HEALTH LITERACY: THE ST. JOHN SYSTEM AND HOSPITAL ARE ADDRESSING HEALTH LITERACY TO THE HELP PERSONS OF DIVERSE BACKGROUNDS NAVIGATE HEALTH SERVICES AND GAIN EMPOWERMENT IN TAKING CHARGE OF THEIR OWN HEALTH THROUGH THE FOLLOWING ACTIVITIES: - HEALTH LITERACY SCREENINGS PILOT: ASSESSMENT OF HEALTH LITERACY NEEDS AMONG PATIENTS OF DIVERSE BACKGROUNDS TO WORK TOWARDS ASSISTING PATIENTS IN UNDERSTANDING HOW TO NAVIGATE HEALTH SERVICES AND GAIN EMPOWERMENT IN TAKING CHARGE OF THEIR OWN HEALTH IMPROVEMENT WITH THE ST. JOHN MEDICAL CENTER TRANSITIONAL CARE CLINIC AS THE PILOT SITE FOR THIS EFFORT. -EARLY CHILDHOOD LITERACY/HEALTH LITERACY PROMOTION: ST. JOHN SYSTEM, THE HOSPITAL, AND CLINICS HAVE PARTNERED WITH A NATIONAL NON-PROFIT ORGANIZATION, REACH OUT AND READ, TO INCORPORATE BOOKS WITH PEDIATRIC CARE. DURING ROUTINE PEDIATRIC VISITS, HEALTHCARE PROVIDERS GIVE BRAND-NEW BOOKS AND RESOURCES TO FAMILIES TO PROMOTE HEALTHY CHILDHOOD DEVELOPMENT. PROVIDERS ARE ABLE SEE HOW WHETHER CHILDREN INTERACT WITH THE BOOK ON A DEVELOPMENTALLY APPROPRIATE LEVEL AND DISCUSS WITH PARENTS FAMILIES THE IMPORTANCE OF INTERACTING AND READING WITH CHILDREN TO INCREASE LANGUAGE SKILLS, EMOTIONAL RESILIENCE, AND EARLY LITERACY. INTERACTIONS BETWEEN PARENTS OR CAREGIVERS AND CHILDREN RIGHT FROM INFANCY AND EARLY LITERACY ARE CRITICALLY IMPORTANT IN THE CHILD'S HEALTHY DEVELOPMENT. ACCORDINGLY, THE AMERICAN ACADEMY OF PEDIATRICS AND THE AMERICAN ACADEMY OF FAMILY PHYSICIANS HAVE DEVELOPED POLICIES RECOMMENDING EARLY CHILDHOOD LITERACY AS IMPORTANT HEALTHCARE INTERVENTIONS. THE ST. JOHN SYSTEM AND HOSPITAL DONATED $35,000 FOR NEARLY 5,000 BOOKS IN ENGLISH AND SPANISH AS PART OF ITS COMMUNITY BENEFIT EFFORTS IN FY18. COMMUNITY ENGAGEMENT AND COMMUNITY BENEFIT DONATIONS/SPONSORSHIPS: IN ADDITION TO THE ABOVE, THE ST. JOHN SYSTEM HAS ESTABLISHED A PROCESS FOR SUPPORTING COMMUNITY REQUESTS FOR SPONSORSHIPS THAT ALIGN WITH THE 4 PRIORITY COMMUNITY HEALTH NEEDS AS AFOREMENTIONED. EACH YEAR A BUDGET IS ESTABLISHED FOR THIS PURPOSE AND IS EXCEEDED THROUGH IDENTIFICATION OF ADDITIONAL COMMUNITY REQUESTS. A COMMUNITY ENGAGEMENT COMMITTEE CONSISTING OF KEY ST. JOHN SYSTEM LEADERSHIP HAS BEEN ESTABLISHED TO IMPROVE THE COORDINATION, PROCESS, AND TRACKING FOR THIS CATEGORY OF COMMUNITY BENEFIT SPEND. IN FY 18, A TOTAL OF $182,403 WAS PROVIDED TO SUPPORT ACTIVITIES LED COMMUNITY-BASED ORGANIZATIONS TO ADDRESS THE 4 PRIORITY COMMUNITY HEALTH NEEDS. THE ST. JOHN SYSTEM DONATED COMMUNITY BENEFIT FUNDING/SPONSORED ACTIVITIES LED BY THE FOLLOWING ORGANIZATIONS IN FY18: TULSA DAY CENTER FOR THE HOMELESS, GOOD SAMARITAN HEALTH SERVICES, TULSA CHARITY FLIGHT NIGHT INC., CREEK COUNTY COMMUNITY PARTNERSHIP, WASHINGTON-NOWATA COUNTY SANE, PREGNANCY RESOURCE CENTER OF OWASSO, ARTHRITIS FOUNDATION, CLAREHOUSE INC., TULSA ZOO MANAGEMENT INC., REACH OUT AND READ, INC., TULSA AFFILIATE - SUSAN G. KOMEN BREAST CANCER FOUNDATION, BISHOP KELLEY HIGH SCHOOL, UNIVERSITY OF TULSA, TRI COUNTY TECH ENDOWMENT FUND INC., ALZHEIMERS ASSOCIATION, SUSAN G. KOMEN, PATHWAYS TO HEALTH COMMUNITY PARTNERSHIP, KENDALL WHITTIER MAIN STREET, INC., OKLAHOMA CENTER FOR COMMUNITY AND JUSTICE, AMERICAN CANCER SOCIETY INC., THE PARENT CHILD CENTER OF TULSA, INC., COMMUNITY HEALTH CONNECTION, INC., CHILD ABUSE NETWORK, INC., MENTAL HEALTH ASSOCIATION OKLAHOMA, HIV RESOURCE CONSORTIUM INC./TULSA CARES, TULSA COUNTY MEDICAL SOCIETY FOUNDATION, THE FOUNDATION FOR TULSA SCHOOLS, CARING COMMUNITY FRIENDS INC., AMERICAN HEART ASSOCIATION, OPERATION AWARE OF OKLAHOMA, DOMESTIC VIOLENCE INTERVENTION SERVICES INC., JUVENILE DIABETES RESEARCH (JDRF), COMMUNITY FOOD BANK OF EASTERN OKLAHOMA, COLON CANCER COALITION, AMERICAN DIABETES ASSOCIATION, MUSCULAR DYSTROPHY ASSOCIATION, TULSA HUB, SAND SPRINGS COMMUNITY SERVICES INC., TULSA DREAM CENTER, INC., BRADY CRAFT INC./108 CONTEMPORARY, ABILITY RESOURCES, INC., GOODWILL INDUSTRIES OF TULSA, HOSPITALITY HOUSE OF TULSA, JOY IN THE CAUSE COMPANY, RETIRED SENIOR VOLUNTEER PROGRAM OF TULSA, PARKINSON FOUNDATION OF OKLAHOMA, LIFESHARE FOUNDATION, PORTA CAELI HOUSE CORPORATION, AND RIVER PARKS AUTHORITY FOUNDATION. NEEDS NOT ADDRESSED: THE COMMUNITY HEALTH NEEDS ASSESSMENT COMPLETED BY JUNE 30, 2016, INEVITABLY IDENTIFIED MORE SIGNIFICANT HEALTH NEEDS THAN THE HOSPITAL, ST. JOHN SYSTEM, AND COMMUNITY PARTNERS CAN OR SHOULD ADDRESS AS PRIORITY HEALTH NEEDS. IT WOULD NOT BE PRUDENT TO SPREAD HOSPITAL AND COMMUNITY RESOURCES ACROSS TOO MANY INITIATIVES. ACCORDINGLY, THE HOSPITAL, ST. JOHN SYSTEM, AND COMMUNITY PARTNERS INSTEAD DECIDED TO FOCUS ATTENTION ON PRIORITY AREAS TO HELP ENSURE SUFFICIENT RESOURCES ARE AVAILABLE. SOME REASONS FOR NOT ADDRESSING CERTAIN NEEDS INCLUDE: 1) NEED BEING ADDRESSED BY OTHERS; 2) INSUFFICIENT RESOURCES (FINANCIAL AND PERSONNEL) TO ADDRESS THE NEED; 3) ISSUE IS NOT A PRIORITY FOR COMMUNITY MEMBERS AND THEREFORE APPROACH IS UNLIKELY TO SUCCEED; 4) LACK OF EVIDENCE-BASED APPROACH FOR ADDRESSING THE PROBLEM; 5) NEED IS NOT AS PRESSING AS OTHER PROBLEMS; 6) NEED IS NOT AS LIKELY TO BE RESOLVED AS OTHER PROBLEMS; AND 7) HOSPITAL AND/OR HEALTH SYSTEM DOES NOT HAVE EXPERTISE TO EFFECTIVELY ADDRESS THE NEED. THE FOLLOWING SIGNIFICANT HEALTH NEED WAS IDENTIFIED, BUT WILL NOT BE ADDRESSED DIRECTLY BY THE HOSPITAL AND ST. JOHN SYSTEM AS A PRIORITY HEALTH NEED: - TOBACCO USE AND CESSATION: THE COMMUNITY IDENTIFIED THIS NEED AS ONE THAT WAS ALREADY BEING SUFFICIENTLY ADDRESSED AT THE TIME AND DID NOT FEEL ISSUE WAS AS PRESSING OTHER NEEDS IDENTIFIED (THIS WAS A CHANGE IN PERSPECTIVE FROM OUR PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN 2013 WHEN THE NEED WAS IDENTIFIED AS A PRIORITY NEED). IT IS IMPORTANT THAT NOTE THAT, ALTHOUGH NOT A PRIORITY HEALTH NEED FOR THE PURPOSES OF THIS PROCESS, THE HOSPITAL AND ST. JOHN SYSTEM WILL CONTINUE EXISTING ACTIVITIES REGARDING TOBACCO USE AND CESSATION. WHILE NOT NECESSARILY NOTED AS ONE OF OUR FOUR PRIORITY HEALTH NEEDS, THE REMAINDER OF SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED WERE CLOSELY INTER-RELATED WITH THE PRIORITY NEEDS. SO, WHILE, THEY MAY NOT BE EXPLICITLY LISTED AS A PRIORITY HEALTH NEED, THE HOSPITAL AND ST. JOHN SYSTEM DO FEEL CONFIDENT THAT THE NEEDS ARE BEING ADDRESSED BY ADDRESSING THE FOUR SELECTED PRIORITY HEALTH NEEDS.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - St. John Medical Center, Inc.. SIGNS ARE POSTED IN WAITING ROOMS AND AT THE ADMISSIONS OFFICES TO NOTIFY PATIENTS THAT THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY. IN ADDITION, EVERY BILLING STATEMENT, THE HOSPITAL'S WEBSITE, AND ADMISSION PACKETS INCLUDE INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY. THE POLICY IS PROVIDED AT THE REQUEST OF THE PATIENT.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?0
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part VI, Line 5 Promotion of Community Health: Part B PART B (CONTINUED FROM PART A): THE "MEDICAL ACCESS PROGRAM" ("MAP"): CONSISTENT WITH OUR MISSION AND VALUES, THE ST. JOHN SYSTEM HAS CREATED PROGRAMS TO SEEK OUT BETTER WAYS TO SERVE THE UNINSURED AND VULNERABLE. THE ST. JOHN SYSTEM AND HOSPITAL HAVE CONTINUED WORK ON AN OUTREACH PROJECT TO IMPROVE ACCESS TO MEDICAL CARE TO THE POOR THAT IS REFERRED TO AS THE "MEDICAL ACCESS PROGRAM" ("MAP"). SUPPORTED IN PART BY FUNDING FROM THE CHAPMAN TRUSTS (A COLLECTION OF PRIVATE TRUSTS OF WHICH THE MEDICAL CENTER IS ONE OF THE BENEFICIARIES), THE PROGRAM IS A COMPREHENSIVE EFFORT TO PROVIDE INCREASED ACCESS TO MEDICAL SERVICES ACROSS A BROAD CONTINUUM OF CARE TO THE POOR AND DISADVANTAGED IN THE TULSA METROPOLITAN AREA. THE PROGRAM IS A COLLABORATIVE EFFORT LED BY THE MEDICAL CENTER THAT INCLUDES FINANCIAL SUPPORT FOR NEW AND EXISTING COMMUNITY OUTREACH ACTIVITIES. KEY ELEMENTS OF THE PROGRAM INCLUDE: - EXPANDED ACCESS TO FREE PRIMARY CARE CLINIC VISITS PROVIDED PRIMARILY THROUGH DIRECT FUNDING TO THE UNIVERSITY OF OKLAHOMA'S FREE CLINICS AND GOOD SAMARITAN MOBILE CLINICS. - INCLUDING THE ABOVE TWO FREE ACCESS POINTS TO PRIMARY CARE, THE MAP PROGRAM SUPPORTS A TOTAL OF 8 FREE AND 2 SLIDING SCALE CLINICS THROUGH THE "VOUCHER" PROGRAM, WHICH PROVIDES PATIENTS OF THE PRIMARY CARE PROVIDERS FREE ACCESS TO: - DIAGNOSTIC AND SPECIALTY TESTING; - DIAGNOSTIC IMAGING SERVICES, INCLUDING BASIC X-RAY, CT, ULTRASOUND AND MRI; - 23 SPECIALTY MEDICAL SERVICES AVAILABLE THRU ST. JOHN EMPLOYED PROVIDERS, UNIVERSITY OF OKLAHOMA PROVIDERS, AND OTHER SPECIALTY MEDICAL SERVICE PROVIDERS IN THE COMMUNITY; - THE DELIVERY OF SPECIALIZED CARE IN BOTH AN OUTPATIENT AND INPATIENT SETTING; I.E., ALL EXPENSES RELATING TO THAT EPISODE OF CARE IS FREE TO THE PATIENT: THE SPECIALIST FEE, FACILITY CHARGES, LAB, RADIOLOGY, ANESTHESIOLOGY; UNTIL THE PATIENT IS DISCHARGED FROM THE SPECIALIST BACK TO THE PATIENT'S PRIMARY CARE PROVIDER AT THEIR MEDICAL HOME; -EXPANSION OF ACCESS TO FREE PRESCRIPTIONS AND OTHER MEDICATIONS IN COLLABORATION WITH THE DISPENSARY OF HOPE (DOH) PHARMACY OPERATED BY ST. JOHN MEDICAL CENTER. IT IS HOPED THAT MAP CAN CONTINUE TO GROW AND SERVE AS A MODEL FOR COLLABORATION AND OUTREACH THAN CANNOT ONLY BE USED TO PROVIDE MORE EFFECTIVE HEALTH CARE IN TULSA TO ITS MOST NEEDY CITIZENS, BUT ALSO SERVE AS A MODEL FOR OTHER COMMUNITIES. ST. JOHN HOSPITALS ALSO PARTICIPATED IN A PROGRAM SPONSORED BY THE TULSA MEDICAL SOCIETY TO PROVIDE FREE SURGICAL SERVICES TO CERTAIN PATIENTS. SUPPORT FOR MEDICAL EDUCATION: THE HOSPITALS CONTINUE TO INVEST IN MEDICAL EDUCATION TO SUPPORT THE EXPANSION OF PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS THAT WILL SERVE THE CURRENT AND FUTURE GENERATIONS OF PATIENTS IN THE SERVICE AREA. THE HOSPITALS PARTICIPATE IN ST. JOHN SYSTEM'S COORDINATED EFFORT TO ASSESS COMMUNITY NEED COLLABORATIVELY WITH OTHER INTERESTED PARTIES IN THE COMMUNITY AND TO ALLOCATE CAPITAL AND HUMAN RESOURCES TO ADDRESS THE NEEDS OF THE ENTIRE SERVICE AREA. OTHER PROMOTION OF COMMUNITY HEALTH: EACH ST. JOHN SYSTEM HOSPITAL PROVIDES SUBSIDIZED VITAL EMERGENCY SERVICES IN ITS COMMUNITY. THE ST. JOHN SYSTEM IS ATTEMPTING TO PROMOTE COMMUNITY HEALTH IN SEVERAL ADDITIONAL WAYS. MOST OF THE AFFILIATED PRIMARY CARE PHYSICIANS HAVE OR ARE ESTABLISHING ADVANCED PRIMARY CARE MODELS OF CARE THAT ARE ATTEMPTING TO IMPROVE HEALTH STATUS OF THEIR PATIENTS BY BETTER EMPHASIZING PREVENTIVE CARE AND HEALTH SCREENING AND BY BETTER MANAGEMENT OF CHRONIC DISEASE. THIS INCLUDES PARTICIPATION IN THE MEDICARE COMPREHENSIVE PRIMARY CARE PLUS MODEL AND OKLAHOMA'S FIRST MEDICARE SHARED SAVINGS PROGRAM ACCOUNTABLE CARE ORGANIZATION (ACO). THE AFFILIATED PRIMARY CARE PHYSICIANS UTILIZE A SOPHISTICATED ELECTRONIC MEDICAL RECORD THAT HELPS PROVIDE REAL TIME INFORMATION TO MAKE IT EASIER TO MANAGE PATIENTS' CARE. THE HOSPITALS AND THE OTHER HOSPITALS IN THE SYSTEM HAVE INVESTED HEAVILY IN CLINICAL INFORMATION SYSTEMS AND ELECTRONIC MEDICAL RECORDS AS TO BETTER MANAGE PATIENT CARE DURING EACH EPISODE OF ACUTE CARE. THE ST. JOHN SYSTEM SUPPORTS AND PARTICIPATES IN A REGIONAL HEALTH INFORMATION EXCHANGE WHICH FURTHER PROMOTES THE EXCHANGE OF HEALTH DATA IN AN EFFORT TO IMPROVE QUALITY AND REDUCE COST OF CARE FOR THE COMMUNITY. ST. JOHN IS INVESTING IN NEW SYSTEMS OF CARE TO PROVIDE BETTER COORDINATION OF CARE BETWEEN ALL THE DIFFERENT PROVIDERS RESPONSIBLE FOR PORTIONS OF EACH PATIENT'S CARE WITH AN EMPHASIS ON PREVENTION, SCREENING AND COORDINATION OF CHRONIC CARE. THE HOSPITALS AND THE ST. JOHN HEALTH SYSTEM HAVE INVESTED IN TERTIARY SERVICES THAT ARE NEEDED BY THE COMMUNITY. EXAMPLES OF WHICH INCLUDE DEVELOPMENT OF OKLAHOMA'S ONLY ACS LEVEL II TRAUMA CENTER (THE HIGHEST ACCREDITED CENTER IN TULSA), NORTHEASTERN OKLAHOMA'S ONLY JOINT COMMISSION ACCREDITED STROKE CENTER, NEONATAL INTENSIVE CARE, SOPHISTICATED MEDICAL TECHNOLOGY INCLUDING ALL-DIGITAL DIAGNOSTIC RADIOLOGY, CYBERKNIFE, AND OTHER FORMS OF RADIATION THERAPY, A KIDNEY TRANSPLANT CENTER, DAVINCI ROBOTIC SURGERY, AN ENDOVASCULAR OPERATING SUITE, ORTHOPEDIC AND NEUROSURGICAL CENTERS OF EXCELLENCE, SOPHISTICATED CARDIOVASCULAR CARE THAT EMPHASIZES RAPID AND EFFECTIVE INTERVENTION FOR HEART ATTACK VICTIMS AND PREVENTIVE CARE FOR THOSE WITH CHRONIC HEART CONDITIONS. THE ST. JOHN SYSTEM IS ALSO ACCREDITED AS A PARTICIPANT IN THE MD ANDERSON CANCER NETWORK BRINGING EXPERTISE IN SUB-SPECIALTY CANCER CARE TO RESIDENTS OF OUR COMMUNITY. THE HOSPITALS HAVE AN OPEN MEDICAL STAFF AND HAVE COMMUNITY, RELIGIOUS AND PHYSICIAN REPRESENTATIVES SERVING ON ITS BOARD. THE MEDICARE SHARED SAVINGS PROGRAM ACCOUNTABLE CARE ORGANIZATION INCLUDES COMMUNITY REPRESENTATIVES ON THE BOARD AND A HEALTH DEPARTMENT REPRESENTATIVE ON AN ACTIVE COMMITTEE. THE ST. JOHN SYSTEM HAS CREATED AND IS CONTINUING TO CREATE SYSTEMS AND POLICIES TO PROMOTE BETTER COORDINATION OF CARE AND ALLOCATION OF RESOURCES THROUGHOUT THE SYSTEM. THE HOSPITALS PARTICIPATE IN MANY COMMUNITY-WIDE HEALTH SCREENING AND HEALTH EDUCATION EVENTS AS WELL AS HOSTING MANY SUCH EVENTS THAT ARE OPEN TO THE PUBLIC. DURING THIS FISCAL YEAR, THE ORGANIZATION PARTICIPATED IN OVER 100 DOCUMENTED EVENTS SYSTEM-WIDE. THE THOUSANDS OF ASSOCIATES, PHYSICIANS AND VOLUNTEERS THAT MAKE UP ST. JOHN HEALTH SYSTEM, INC. TOUCH THE LIVES OF THOUSANDS OF PATIENTS EVERY DAY AND MILLIONS OF PATIENTS EVERY YEAR. AS WE SEEK TO TRANSFORM HEALTH CARE IN OKLAHOMA AND THE U.S., ST. JOHN IS CHALLENGED BY MANY FACTORS INCLUDING: LACK OF PUBLIC RESOURCES IN OKLAHOMA THAT ARE DEVOTED TO BOTH CARE FOR THE POOR; REDUCTIONS IN REIMBURSEMENT DUE TO A STRUGGLING OIL INDUSTRY; HEALTH CARE INFRASTRUCTURE, AND MEDICAL EDUCATION; COMPETITION FROM INVESTOR-OWNED HEALTH CARE FACILITIES THAT DO NOT SHARE ST. JOHN'S MISSION OF SERVICE AND EMPHASIS ON SERVICE TO THE POOR AND POWERLESS BUT WHICH SEEK TO GAIN MARKET SHARE IN COMMERCIALLY INSURED PATIENTS; POOR ECONOMIC AND HEALTH CARE DEMOGRAPHIC FACTORS CONTRIBUTING TO GENERALLY POOR HEALTH STATUS AND HIGH RATES OF POVERTY AND UNINSURED IN OKLAHOMA; AND THE CHALLENGE OF TRANSITION TO PAYMENT FOR VALUE. FINALLY, AS ONE OF ONLY TWO MAJOR TAX-EXEMPT HEALTH SYSTEMS IN OUR SERVICE AREA, THE ST. JOHN SYSTEM REINVESTS PROFITS GENERATED INTO NEW OR EXPANDED SERVICES FOR THE COMMUNITY.
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 SOCIAL DETERMINANTS OF HEALTH AND QUALITY OF LIFE PLAY A MAJOR ROLE IN THE HEALTH STATUS OF INDIVIDUALS AND COMMUNITIES. COMMUNITY BUILDING ACTIVITIES, WHICH FOCUS ON IMPROVING THE QUALITY OF LIFE WITHIN A COMMUNITY, ULTIMATELY INFLUENCE AND IMPROVE HEALTH STATUS. ST. JOHN SYSTEM AND THE HOSPITAL RECOGNIZE THE VITAL ROLE COMMUNITY BUILDING ACTIVITIES PLAY IN IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. COMMUNITY SUPPORT AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY: THE ST. JOHN SYSTEM AND HOSPITAL ACTIVELY SUPPORT HEALTH IMPROVEMENT IN THE COMMUNITY THROUGH VARIOUS COMMUNITY INITIATIVES SUPPORTING IMPROVEMENTS IN OUTCOMES FOR SOCIAL DETERMINANTS OF HEALTH AND QUALITY OF LIFE. ONE NEW AND SIGNIFICANT INITIATIVE IN WHICH ST. JOHN SYSTEM HAS BEEN ACTIVELY ENGAGED IS THE ACCOUNTABLE HEALTH COMMUNITIES (AHC) MODEL. THE CENTERS FOR MEDICARE AND MEDICAID SERVICES SELECTED OKLAHOMA'S ROUTE 66 COALITION TO RECEIVE A $4.5 MILLION GRANT TO CREATE AN ACCOUNTABLE HEALTH COMMUNITY, WHICH WILL ADDRESS THE INTERSECTION OF SOCIAL AND MEDICAL ISSUES FACING COMMUNITIES ACROSS THE STATE. LED BY OKLAHOMA'S NON-PROFIT HEALTH INFORMATION NETWORK, MYHEALTH ACCESS NETWORK, THE ROUTE 66 COALITION ALSO INCLUDES THE OKLAHOMA CITY-COUNTY AND TULSA HEALTH DEPARTMENTS, AND MORE THAN 200 OTHER HEALTH CARE AND SOCIAL SERVICE ORGANIZATIONS IN OKLAHOMA. ANOTHER NEW AND SIGNIFICANT INITIATIVE IS ST. JOHN SYSTEM'S COLLABORATION WITH THE CITY OF TULSA AND TULSA FIRE DEPARTMENT ON TWO MOBILE INTEGRATED HEALTHCARE (MIH) PROGRAMS: THE COMMUNITY ACCESS, EDUCATION, AND REFERRAL SERVICES (CARES) PROGRAM; AND THE COMMUNITY RESPONSE TEAM (CRT) PROGRAM. THE MIH PROGRAMS ARE DESIGNED TO ADDRESS THE COMPLEX PHYSICAL, BEHAVIORAL, AND SOCIAL NEEDS OF INDIVIDUALS, WHO ARE HIGH NEED, INEFFICIENT UTILIZERS OF PUBLIC SAFETY, CRIMINAL JUSTICE SYSTEMS, AND HEALTHCARE RESOURCES. THE CARES PROGRAM IS INTENDED TO FOSTER COLLABORATION ACROSS DISCIPLINES AND PARTNER WITH THE COMMUNITY TO DECREASE BARRIERS TO COMPREHENSIVE NON-EMERGENCY HEALTH CARE THAT ENCOMPASSES SOCIAL, BEHAVIORAL, AND ENVIRONMENTAL FACTORS AS WELL AS TRADITIONAL HEALTHCARE DELIVERY, WHILE INCREASING THE EFFICIENCY AND COST-EFFECTIVENESS OF PUBLIC RESOURCES. THE CRT PROGRAM IS A MULTIDISCIPLINARY EMERGENCY RESPONSE SYSTEM THAT FOCUSES ON DE-ESCALATING MENTAL HEALTH CRISES OF INDIVIDUALS WHO FREQUENTLY USE HOSPITAL EMERGENCY DEPARTMENTS AND REDIRECTS THEM TO IMMEDIATE BEHAVIORAL HEALTH SERVICES. SEVERAL ADDITIONAL COMMUNITY PARTNERS ASSIST IN COLLABORATION AND COORDINATION OF THE MIH PROGRAMS, INCLUDING WITHOUT LIMITATION: EMERGENCY MEDICAL SERVICES AUTHORITY, FAMILY AND CHILDREN'S SERVICES, MENTAL HEALTH ASSOCIATION OKLAHOMA, UNIVERSITY OF OKLAHOMA-TULSA, ANNE AND HENRY ZARROW SCHOOL OF SCHOOL OF SOCIAL WORK, OFFICE OF THE MEDICAL DIRECTOR FOR METROPOLITAN TULSA, AND THE TULSA POLICE DEPARTMENT PARTICIPATION IN COMMUNITY COALITIONS AND OTHER COLLABORATIVE EFFORTS WITH THE COMMUNITY TO ADDRESS HEALTH IS ONE WAY IN WHICH ST. JOHN SYSTEM AND THE HOSPITAL ENGAGE IN COMMUNITY BUILDING ACTIVITIES. WE RECOGNIZE WORKING TOGETHER HAS A GREATER IMPACT THAN WORKING ALONE. ENGAGING THE COMMUNITY AND JOINING FORCES WITH COMMUNITY STAKEHOLDERS ALLOWS ALL INVOLVED TO SHARE IN THE EXPERIENCE OF UNDERSTANDING COMMUNITY HEALTH NEEDS AND TO WORK COLLABORATIVELY WITH THE COMMUNITIES WE SERVE. THE ST. JOHN SYSTEM AND THE HOSPITAL ENGAGED, PARTNERED, AND COLLABORATED WITH A DIVERSE SET OF COMMUNITY STAKEHOLDERS IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND THE DEVELOPMENT AND IMPLEMENTATION OF THE FISCAL YEAR 2017-2019 IMPLEMENTATION STRATEGY. THESE STAKEHOLDERS REPRESENT A VARIETY OF COMMUNITY SECTORS INCLUDING: COMMUNITY MEMBERS, NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS, SAFETY NET PROVIDERS, LOCAL SCHOOLS AND EDUCATIONAL INSTITUTIONS, LOCAL GOVERNMENT OFFICIALS AND AGENCIES, CHURCHES AND FAITH-BASED ORGANIZATIONS, HEALTHCARE PROVIDERS, PRIVATE BUSINESSES, COMMUNITY DEVELOPERS, LAW ENFORCEMENT, COMMUNITY HEALTH CENTERS, HEALTHCARE CONSUMER ADVOCATES, AND THE PUBLIC HEALTH WORKFORCE. IT IS IMPORTANT TO NOTE THAT EACH SECTOR IN THE COMMUNITY, INCLUDING COMMUNITY MEMBERS, HAS A UNIQUE ROLE. EACH SECTOR BRINGS CRITICAL STRENGTHS AND INSIGHTS TO OUR COLLABORATION. WORKING IN PARTNERSHIP WITH A DIVERSE SET OF COMMUNITY STAKEHOLDERS ENSURES WE ARE WELL-POSITIONED TO HELP IMPROVE HEALTH OUTCOMES AMONG VULNERABLE AND DISPARATE POPULATIONS. THIS WORK WILL ULTIMATELY ALLOW US TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AND QUALITY OF LIFE TO MEASURABLY IMPROVE THE HEALTH OUR COMMUNITY. FURTHERMORE, IT IS OUR HOPE THAT OUR ENGAGEMENT OF THE COMMUNITY WILL SERVE TO EMPOWER COMMUNITY-DRIVEN SOLUTIONS FOR COMMUNITY HEALTH IMPROVEMENT. THE ST. JOHN SYSTEM AND THE HOSPITAL ALSO ACTIVELY PARTICIPATE IN THE COMMUNITY-WIDE COALITION, PATHWAYS TO HEALTH (P2H), WHICH SUPPORTS THE TULSA HEALTH DEPARTMENT AND A MULTITUDE OF COMMUNITY PARTNERS. P2H WAS FORMED BY THE TULSA HEALTH DEPARTMENT IN 2008 IN RESPONSE TO A CHALLENGE TO DECREASE THE OVERLAP OF HEALTH SERVICES AND IDENTIFY GAPS WHERE LEADERS ARE MISSING VULNERABLE POPULATIONS. TODAY, P2H IS AN INCORPORATED NON-PROFIT ENTITY WITH THE GOAL TO CONNECT COMMUNITY HEALTH RESOURCES TO THOSE WHO NEED IT MOST. P2H LEVERAGES COMMUNITY-WIDE PARTNERSHIPS WITH MORE THAN 90 LOCAL AGENCIES, ORGANIZATIONS, CORPORATIONS AND HEALTH SYSTEMS TO IMPROVE THE HEALTH AND WELLNESS OF RESIDENTS OF TULSA COUNTY. ADDITIONALLY, ST. JOHN SYSTEM AND THE HOSPITAL HAVE JOINED THAN 65+ COMMUNITY PARTNERS, LED BY THE TULSA HEALTH DEPARTMENT AND PATHWAYS TO HEALTH, TO WORK TOGETHER TO CREATE THE 2017 COMMUNITY HEALTH IMPROVEMENT PLAN FOR TULSA COUNTY (CHIP). THE OVERALL GOAL OF THE PLAN IS TO IMPROVE THE HEALTH AND WELL-BEING OF TULSA COUNTY RESIDENTS TO BECOME THE HEALTHIEST COUNTY IN THE STATE. THE CHIP IS DIVIDED INTO TWO PRIORITY AREAS TO ADDRESS ACCESS TO HEALTH RESOURCES AND HEALTH EDUCATION AND EDUCATION SYSTEMS. THIS PLAN ALIGNS WITH GOALS IN THE FISCAL YEAR 2017-2019 IMPLEMENTATION STRATEGY DEVELOPED FOR ST. JOHN HEALTH SYSTEM AND ITS HOSPITALS. THE ST. JOHN SYSTEM AND THE HOSPITAL PARTICIPATE IN SEVERAL ADDITIONAL COALITIONS AND COLLABORATIVE EFFORTS INCLUDING, BUT NOT LIMITED TO: - THE TULSA AREA FREE CLINIC COALITION WHICH PROMOTES AND SUPPORTS THE PROVISION OF COMPASSIONATE HEALTHCARE FOR THE MEDICALLY UNDERSERVED IN THE TULSA AREA. - THE TULSA CHILD TRAFFICKING TASK FORCE, A PARTNERSHIP BETWEEN SEVERAL COMMUNITY AGENCIES AND LAW ENFORCEMENT AGENCIES COMMITTED TO IMPROVING THE RESPONSE TO CHILD TRAFFICKING IN OKLAHOMA THROUGH PREVENTION, TREATMENT, AND COMMUNITY ENGAGEMENT AND AWARENESS. THE ST. JOHN SYSTEM IS THE FIRST HEALTHCARE PROVIDER TO PARTNER WITH THE TASK FORCE AND IS CURRENTLY WORKING ON DEVELOPING A LOCAL INITIATIVE TO TRAIN ITS HEALTHCARE PROVIDERS TO IDENTIFY AND RESPOND TO VICTIMS OF HUMAN TRAFFICKING WHO PRESENT FOR HEALTHCARE SERVICES. - THE INDIGENT CARE EXPANSION GROUP WHICH CONSISTS OF SEVERAL KEY SAFETY NET SERVICE STAKEHOLDERS AND FUNDERS WHO REGULARLY MEET TO DISCUSS CURRENT RESOURCES AND UNMET NEEDS FOR THE MEDICALLY UNDERSERVED TO ACCESS CARE IN THE TULSA AREA. - ACTIVE PARTICIPANT IN THE MYHEALTH ACCESS NETWORK, A ROBUST COMMUNITY/STATE-WIDE HEALTH INFORMATION EXCHANGE. THE OKLAHOMA NON-PROFIT ORGANIZATION (501C3) WAS CREATED BY A GRASS ROOTS, COMMUNITY-DRIVEN EFFORT OF MORE THAN 250 ORGANIZATIONS, NOW OVER 400 ORGANIZATIONS. IT IS FOCUSED ON A COMMON OBJECTIVE TO IMPROVE THE HEALTH OF OUR COMMUNITY BY IMPROVING THE OKLAHOMA HEALTHCARE SYSTEM FOR THE BENEFIT OF ALL PATIENTS, EMPLOYERS, AND PROVIDERS. SUPPLEMENTAL INFORMATION COMMUNITY BENEFIT ACTIVITIES (SEE SCHEDULE H, PART V, SECTION B, LINE 11 AND PART III, LINES 4A - 4D/SCHEDULE O).
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 the patient 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. After applying the cost-to-charge ratio, the share of the bad debt expense in fiscal year 2018 was $24,111,091 at charges, ($6,509,995 at cost).
Schedule H, Part III, Line 3 Bad Debt Expense Methodology The provision for doubtful accounts is based upon management's assessment of expected net collections considering historical experience, economic conditions, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense is located on page 21.
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 EXPENSE TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT. 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 MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE ORGANIZATION 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. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED.
Schedule H, Part V, Section B, Line 16a FAP website - St. John Medical Center, Inc.: Line 16a URL: www.stjohnhealthsystem.com/about/payment-for-services;
Schedule H, Part V, Section B, Line 16b FAP Application website - St. John Medical Center, Inc.: Line 16b URL: www.stjohnhealthsystem.com/about/payment-for-services;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website - St. John Medical Center, Inc.: Line 16c URL: www.stjohnhealthsystem.com/about/payment-for-services;
Schedule H, Part VI, Line 2 Needs assessment FOLLOWING THE 2016 CHNA, THE ST. JOHN SYSTEM AND HOSPITAL HAVE CONTINUED DIALOGUE WITH THE COMMUNITY AND PARTICIPATE IN ADDITIONAL ONGOING COMMUNITY-BASED NEEDS ASSESSMENTS. THE ST. JOHN SYSTEM AND THE HOSPITAL HAVE JOINED WITH MORE THAN 65+ COMMUNITY PARTNERS, LED BY THE TULSA HEALTH DEPARTMENT AND PATHWAYS TO HEALTH, TO WORK TOGETHER TO CREATE THE 2017-2019 COMMUNITY HEALTH IMPROVEMENT PLAN FOR TULSA COUNTY (CHIP). THE OVERALL GOAL OF THE PLAN IS TO IMPROVE THE HEALTH AND WELL-BEING OF TULSA COUNTY RESIDENTS TO BECOME THE HEALTHIEST COUNTY IN THE STATE. THE CHIP IS DIVIDED INTO TWO PRIORITY AREAS TO ADDRESS ACCESS TO HEALTH RESOURCES AND HEALTH EDUCATION AND EDUCATION SYSTEMS. THIS PLAN ALIGNS WITH GOALS IN THE FISCAL YEAR 2017-2019 IMPLEMENTATION STRATEGY DEVELOPED FOR ST. JOHN HEALTH SYSTEM AND ITS HOSPITALS. ST. JOHN SYSTEM AND THE HOSPITAL PARTICIPATE IN THE TULSA AREA FREE CLINIC COALITION WHICH ASSESSES, PROMOTES, AND SUPPORTS THE PROVISION OF COMPASSIONATE HEALTH ARE THE MEDICALLY UNDERSERVED IN THE TULSA AREA, WITH MANY OF THE PARTICIPANTS PROVIDING ACCESS TO CARE. IN ADDITION, ST. JOHN SYSTEM AND THE HOSPITAL PARTICIPATE IN THE INDIGENT CARE EXPANSION GROUP WHICH CONSISTS OF SEVERAL KEY SAFETY NET SERVICE STAKEHOLDERS AND FUNDERS WHO REGULARLY MEET TO DISCUSS CURRENT RESOURCES AND UNMET NEEDS FOR THE MEDICALLY UNDERSERVED TO ACCESS CARE IN THE TULSA AREA. THE CANCER COMMITTEE WORKS YEAR-ROUND TO UPHOLD QUALITY STANDARDS ESTABLISHED AND EVALUATED BY THE COMMISSION ON CANCER, A PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS. THROUGH THESE EFFORTS, THE CANCER COMMITTEE PROMOTES AND IMPROVES CANCER PREVENTION, TREATMENT, RESEARCH AND EDUCATION THROUGH VARIOUS PROGRAMS AND ACTIVITIES AT BOTH ST. JOHN MEDICAL CENTER, INC. AND OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE (OCSRI), ST. JOHN SYSTEM'S PARTNER IN CANCER CARE. PROGRAMS AND ACTIVITIES ARE CONCERNED WITH THE FULL CONTINUUM OF CANCER, FROM PREVENTION TO SURVIVORSHIP AND END-OF-LIFE CARE. A COMMUNITY NEEDS ASSESSMENT IS CONDUCTED EVERY THREE YEARS BY THE CANCER COMMITTEE TO DRIVE A PATIENT NAVIGATION PROCESS, AS WELL AS DECISIONS FOR ANNUAL PREVENTION, SCREENING AND COMMUNITY OUTREACH PROGRAMS. THE ASSESSMENT HELPS ENSURE THAT PROGRAMS AND ACTIVITIES OF THE COMMITTEE ARE WORKING TO ADDRESS HEALTH CARE DISPARITIES AND BARRIERS TO CANCER CARE, ESPECIALLY AT THE ST. JOHN SYSTEM AND OCSRI. IN ADDITION TO THE ABOVE, THE MEDICAL ACCESS PROGRAM ("MAP") WAS CREATED THROUGH JOINT ENDEAVORS OF CERTAIN CHAPMAN TRUSTS AND THE ST. JOHN SYSTEM. THIS PROGRAM SUPPORTS AND ENHANCES ACCESS TO HEALTH CARE SERVICES TO THE MOST VULNERABLE MEMBERS OF THE TULSA COMMUNITY. ST. JOHN SYSTEM HOSPITALS, INCLUDING ST. JOHN SAPULPA, INC., ST. JOHN BROKEN ARROW, INC., OWASSO MEDICAL FACILITY, INC., AND ST. JOHN MEDICAL CENTER, INC. PARTICIPATE IN THIS INITIATIVE. THIS INDIGENT CARE PROGRAM IS OVERSEEN BY REPRESENTATIVES OF ST. JOHN AND, TRUSTEES OF THE CHAPMAN TRUSTS. INPUT IS ALSO SOLICITED FROM THE UNIVERSITY OF OKLAHOMA SCHOOL OF COMMUNITY MEDICINE IN TULSA. THE MAP PROGRAM INCLUDES PARTICIPATION OF OTHER HEALTH CARE PROVIDERS INCLUDING GOOD SAMARITAN CLINICS, DAY CENTER FOR THE HOMELESS, COMMUNITY HEALTH CONNECTION FQHC, MORTON HEALTH FQHC, TULSA DREAM CENTER, ARUBAH CLINIC, AND A NETWORK OF VOLUNTEER PHYSICIAN PROVIDERS AND OTHER ORGANIZATIONS. THE MAP PROGRAM REGULARLY RECEIVES INPUT FROM ALL THESE ORGANIZATIONS ON NEEDED SERVICES IN THE COMMUNITY WHICH HELPS TO PRIORITIZE THE LIMITED RESOURCES AVAILABLE TO ADDRESS COMMUNITY NEEDS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE ST. JOHN SYSTEM IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL (OR HEALTH SYSTEM), 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, THE ST. JOHN SYSTEM'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; THE ST. JOHN SYSTEM PROVIDES FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 400% OF THE FEDERAL POVERTY LEVEL. THE ST. JOHN SYSTEM 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://www.stjohnhealthsystem.com/about/payment-for-services THE ST. JOHN SYSTEM 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. THE ST. JOHN SYSTEM 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. THE ST. JOHN SYSTEM 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 AS DESCRIBED ABOVE, THE HOSPITAL IS PART OF ST. JOHN HEALTH SYSTEM, INC. ("ST. JOHN SYSTEM"). ALTHOUGH THE ST. JOHN SYSTEM PROVIDES A FULL SPECTRUM OF HEALTH-RELATED SERVICES THROUGHOUT EASTERN OKLAHOMA AND SOUTHEASTERN KANSAS, ITS TERTIARY OPERATIONS AND A LARGE PART OF ITS OTHER SERVICES ARE CONCENTRATED IN THE TULSA METROPOLITAN STATISTICAL AREA (THE "TULSA MSA"). ACCORDING TO THE 2010 CENSUS, THE STATE OF OKLAHOMA HAD A RESIDENT POPULATION OF 3,751,351 PERSONS COMPARED TO 3,450,654 PERSONS IN 2000. THIS IS AN 8.7% INCREASE. IT HAD AN ESTIMATED RESIDENT POPULATION OF 3,923,561 PERSONS IN 2016; 4.6% INCREASE FROM 2010. THE U.S. CENSUS BUREAU ESTIMATED THAT IN 2009 13.5% OF THE OKLAHOMA RESIDENT POPULATION WAS ELIGIBLE FOR MEDICARE, COMPARED TO 14.7% IN 2000 (17% IN 2015). TULSA COUNTY, OKLAHOMA AND THE COUNTIES THAT MAKE UP THE TULSA MSA, ACCORDING TO THE 2010 CENSUS, HAD POPULATIONS OF 603,403 AND 1,008,460, RESPECTIVELY. THIS COMPARES TO POPULATIONS OF 563,299 AND 803,235 PERSONS, RESPECTIVELY IN 2000 AND REPRESENTS POPULATION GROWTH OF 7.1% AND 25.5%, RESPECTIVELY. THE DATA SHOWS THAT THE COUNTIES IN THE TULSA MSA THAT SURROUND TULSA COUNTY GREW MUCH FASTER FROM 2000 TO 2010. AT THE SAME TIME, THE POPULATION WITHIN TULSA COUNTY SHIFTED AWAY FROM THE CITY OF TULSA AND TO SUBURBS SUCH AS OWASSO AND BROKEN ARROW. THE CITIES OF BROKEN ARROW AND OWASSO ARE SERVED BY ST. JOHN BROKEN ARROW INC. AND OWASSO MEDICAL FACILITY INC. RESPECTIVELY AND WERE TWO OF THE FASTEST GROWING COMMUNITIES IN OKLAHOMA BETWEEN 2000 AND 2010. THE POPULATION OF THE CITY OF OWASSO GREW 56% TO 28,915 FROM 2000 TO 2010 AND THE POPULATION OF THE CITY OF BROKEN ARROW GREW 32% TO 98,850 FROM 2000 TO 2010. THE 2010 COMBINED POPULATION OF PRIMARY SERVED BY THE ST. JOHN SYSTEM, INC. COUNTIES (WASHINGTON, NOWATA, CREEK, AND TULSA COUNTIES) WAS 1,139,939. THE AREA SERVED APPEARS TO BE FOLLOWING THE STATE AND NATIONAL TREND OF A DECLINING SHARE OF YOUNG PEOPLE (LOSS OF 8% OF THE POPULATION SHARE IN TULSA COUNTY) AND A GROWING PROPORTION OF THE OLDER POPULATION (GAIN OF 4% IN TULSA COUNTY). THIS EVOLVING POPULATION AGE COMPOSITION PRESENTS NEW CHALLENGES AND OPPORTUNITIES FOR THE COMMUNITY AS A WHOLE. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR TULSA COUNTY IN 2013 WAS $48,181. THE ESTIMATED PER CAPITA INCOME FOR WASHINGTON COUNTY IN 2013 WAS $27,513. THE ESTIMATED PER CAPITA INCOME FOR NOWATA COUNTY IN 2013 WAS $20,523. THE ESTIMATED PER CAPITA INCOME FOR CREEK COUNTY IN 2013 WAS $22,736. THERE WAS CLEAR RACIAL INEQUALITY AMONG MEDIAN HOUSEHOLD INCOMES. ADDITIONALLY, MEDIAN HOUSEHOLD INCOMES INCREASED WITH AGE UNTIL THE 65 AND OLDER AGE GROUP. THIS IS MOST LIKELY ATTRIBUTABLE TO LOWER INCOMES AFTER RETIREMENT. ESTIMATES FOR 2013 STATED THAT THE POVERTY RATE (BELOW 100%) FOR TULSA COUNTY WAS 15.9 PERCENT. ACCORDING TO THE OKLAHOMA STATE DEPARTMENT OF HEALTH'S 2014 STATE OF THE STATE'S HEALTH REPORT, ONE IN SIX PEOPLE IN CREEK COUNTY, NOWATA COUNTY, AND WASHINGTON COUNTY LIVED IN POVERTY AND ONE IN SEVEN PEOPLE IN TULSA COUNTY LIVED IN POVERTY. RACIAL AND AGE DISPARITY AMONG THOSE LIVING IN POVERTY IS EVIDENT IN THE AREA SERVED. SINCE 2013, OKLAHOMA IS PARTICIPATING IN THE FEDERALLY-FACILITATED HEALTH INSURANCE MARKETPLACE. IN 2013, BEFORE THE FIRST OPEN ENROLLMENT PERIOD FOR THE HEALTH INSURANCE MARKETPLACE, OKLAHOMA'S UNINSURED RATE OF 20.5 PERCENT AND WAS 4.1 PERCENT GREATER THAN THE NATIONAL UNINSURED RATE. IN 2015, OKLAHOMA'S UNINSURED RATE IMPROVED AS IT DECREASED TO 15.4%. THE 2015 OKLAHOMA UNINSURED RATE IS A 5.1 PERCENT DECREASE SINCE 2013 PRIOR TO THE FIRST OPEN ENROLLMENT PERIOD. OKLAHOMA'S RATE OF UNINSURED WAS 4.7 PERCENT GREATER THAN THE NATIONAL RATE. THE 2015 RATE OF UNINSURED WAS 13 PERCENT FOR TULSA COUNTY. DESPITE SOME RECENT ATTENTION TO MEDICAID EXPANSION IN STATE LEGISLATURE IN 2016 AFTER YEARS OF NO TRACTION, AS OF 2017 OKLAHOMA HAS NOT EXPANDED MEDICAID COVERAGE TO LOW-INCOME ADULTS. TULSA COUNTY HAD 157,240 UNDUPLICATED MEDICAID ENROLLEES DURING 2013 WHICH REPRESENTS 25.8 PERCENT OF THE TOTAL POPULATION. THERE IS SIGNIFICANT DISPARITY IN THE GENERAL HEALTH OF POPULATIONS WITHIN THE SERVICE AREA DEPENDING UPON WHERE AN INDIVIDUAL LIVES AND TO WHAT SOCIOECONOMIC AND ETHNIC GROUP THEY BELONG. FOR EXAMPLE, CITIZENS WHO RESIDE IN "NORTH" TULSA AND IN SOME AREAS OF "EAST" AND "WEST" TULSA GENERALLY HAVE POORER HEALTH AND SHORTER LIFE SPANS THAN INDIVIDUALS WHO LIVE IN "SOUTH" TULSA. GEOGRAPHIC HEALTH DISPARITIES SUCH AS THIS EXIST ACROSS THE AREA SERVED. MEMBERS OF MINORITY GROUPS (MANY OF WHOM RESIDE IN THE GEOGRAPHIC AREAS DESCRIBED ABOVE) SHARE THESE SAME HEALTH CHARACTERISTICS. IT HAS BEEN DEMONSTRATED THAT THESE INDIVIDUALS HAVE LESS ACCESS TO REGULAR HEALTH CARE SERVICES, INCLUDING SPECIALTY CARE AND MANY SEEK EVEN THEIR PRIMARY CARE IN HOSPITAL EMERGENCY ROOMS, INCLUDING ALL OF THE ST. JOHN HEALTH SYSTEM, INC. HOSPITALS. SOME SIGNIFICANT MINORITY GROUPS IN THE HOSPITAL AND ST. JOHN HEALTH SYSTEM, INC.'S PRINCIPAL SERVICE AREA INCLUDES NATIVE AMERICANS, HISPANICS AND AFRICAN AMERICANS. EACH OF THESE GROUPS SHARES COMMON SOCIOECONOMIC CHALLENGES MAKING THEM MORE LIKELY TO EXPERIENCE HEALTH DISPARITIES. EACH OF THESE GROUPS HAS UNIQUE ETHNIC HEALTH RISK FACTORS THAT CONTRIBUTE TO HEALTH STATUS THAT IS GENERALLY POORER THAN THEIR WHITE COUNTERPARTS. HOWEVER, EVEN AMONG THE WHITE POPULATION IN THE HOSPITALS SERVICE AREA, THERE IS SIGNIFICANT ADVERSE HEALTH CARE STATUS. OKLAHOMA (INCLUDING THE HOSPITAL SERVICE AREA) RANKS NEAR THE BOTTOM IN MANY IF NOT MOST MEASURES OF HEALTH STATUS IN THE U.S. THE ST. JOHN HEALTH SYSTEM AND HOSPITALS SERVE A DIVERSE REPRESENTATION OF HEALTH DISPARITIES IN ONE OF THE LOWEST RANKED STATES IN THE UNITED STATES FOR HEALTH STATUS (46TH IN 2016). WITHIN THE STATE OF OKLAHOMA, COUNTIES SERVED BY THE HEALTH SYSTEM RANK FROM 16TH OUT OF 77 TO 63RD OUT OF 77. TULSA COUNTY RANKED 15 OUT OF 77. THIS RANKING IS BASED ON EACH STATE'S PERFORMANCE ON THE CORE MEASURES WHICH INCLUDE BEHAVIORS, COMMUNITY AND ENVIRONMENTAL FACTORS, HEALTH POLICY, CLINICAL CARE, AND OUTCOMES. AMONG HEALTH DETERMINANTS, OKLAHOMA RANKS NUMBER 47, AND AMONG HEALTH OUTCOMES, NUMBER 44. AMONG SENIORS, OKLAHOMA RANKS NUMBER 49, AND AMONG WOMEN AND CHILDREN, NUMBER 46. OKLAHOMA'S MOST EXTREME CHALLENGES INCLUDE RISKY HEALTH BEHAVIORS SUCH AS HIGH LEVELS OF SMOKING, HIGH LEVELS OF UNINSURED, HIGH LEVELS OF POVERTY, LIMITED ACCESS TO PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES, INADEQUATE PRENATAL CARE, AND HIGH RATES OF PREMATURE DEATH. THERE ARE HIGH RATES OF INFANT MORTALITY, DEATHS BY SUICIDE AND DRUG OVERDOSE, DIABETES, OBESITY, UPPER RESPIRATORY ILLNESS, CHRONIC HEART CONDITIONS, AND MANY OTHER FACTORS. ACCESS TO SERVICES IN OKLAHOMA IS A SIGNIFICANT CHALLENGE DUE TO THE LIMITED AVAILABILITY OF PRIMARY CARE PHYSICIANS AND STRESS ON HOSPITAL EMERGENCY ROOM ACCESS AND INPATIENT BEDS DUE TO A GROWING NUMBER OF TRANSFERS FROM UNDERSERVED RURAL AREAS IN OKLAHOMA. INA ADDITION, THERE ARE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THE COMMUNITY. THESE FACTORS AMONG INDIVIDUALS AND FAMILIES IN THE COMMUNITIES AND GEOGRAPHIES SERVED BY THE HOSPITAL WHICH CREATE MANY CHALLENGES IN MEETING THE DEMAND FOR BASIC SERVICES AND IN IMPROVING THE HEALTH STATUS OF THE POPULATION.
Schedule H, Part VI, Line 5 Promotion of community health PART A: THE ST. JOHN SYSTEM IS A GROWING INTEGRATED DELIVERY SYSTEM THAT SERVES EASTERN OKLAHOMA, SOUTHEASTERN KANSAS, AND THE SURROUNDING AREA. IT HAS GROWN SIGNIFICANTLY IN RECENT YEARS, WITH INCREASING REVENUES FROM OUTPATIENT AND PHYSICIAN PROFESSIONAL SERVICES AS WELL AS OTHER POST-ACUTE SERVICES. ACUTE CARE SERVICES ARE PROVIDED ON SIX HOSPITAL CAMPUSES THAT ARE OWNED BY THE ST. JOHN SYSTEM. THE OWNED HOSPITALS ARE ST. JOHN MEDICAL CENTER, INC. (THE TERTIARY CENTER IN TULSA, OKLAHOMA), JANE PHILLIPS MEMORIAL MEDICAL CENTER INC. IN BARTLESVILLE, OWASSO MEDICAL FACILITY, INC. IN OWASSO, OKLAHOMA, ST. JOHN BROKEN ARROW, INC. IN BROKEN ARROW, OKLAHOMA, AND ST. JOHN NOWATA HOSPITAL, INC., A CRITICAL ACCESS HOSPITAL IN NOWATA, OKLAHOMA, AND ST. JOHN SAPULPA, INC., A CRITICAL ACCESS HOSPITAL IN SAPULPA, OKLAHOMA. ACUTE CARE SERVICES ARE ALSO PROVIDED AT AN ADDITIONAL RURAL CRITICAL ACCESS HOSPITAL WHICH IS OWNED OR MANAGED BY JANE PHILLIPS. DIAGNOSTIC SERVICES AND CERTAIN ACUTE CARE SERVICES ARE ALSO PROVIDED IN A VARIETY OF FREE-STANDING (INCLUDING HOSPITAL-BASED) SETTINGS. SERVING OKLAHOMA FOR MORE THAN 90 YEARS, THE ST. JOHN SYSTEM NOW INCLUDES OVER 500 EMPLOYED PHYSICIANS AND "MID-LEVEL PROVIDERS", AND SEVERAL URGENT CARE CLINICS. COMMUNITY BENEFIT REPORT: ST. JOHN HEALTH SYSTEM, INC.'S (THE "ST. JOHN SYSTEM" OR "ST. JOHN") MISSION IS TO IMPROVE THE HEALTH STATUS OF THE INDIVIDUALS WHO LIVE IN THE COMMUNITIES WE SERVE WITH A SPECIAL EMPHASIS ON THOSE LIVING IN POVERTY AND THOSE WHO ARE VULNERABLE AMONG US; FAITHFUL TO THE TEACHING OF JESUS CHRIST AND THE VALUES OF OUR SPONSORS AND THE CATHOLIC CHURCH. OUR PROMISE TO OUR PATIENTS AND TO OUR COMMUNITIES IS TO PROVIDE MEDICAL EXCELLENCE AND COMPASSIONATE CARE. WE STRIVE TO PROVIDE HEALTHCARE THAT WORKS, HEALTHCARE THAT IS SAFE, AND HEALTHCARE THAT LEAVES NO ONE BEHIND. TO MEET THIS MISSION THE ST. JOHN SYSTEM HAS OPERATED SINCE THE 1920'S; GROWING FROM A FLEDGLING COMMUNITY HOSPITAL IN WHAT WAS THEN THE SOUTHERN EDGE OF TULSA, OKLAHOMA TO AN INTEGRATED HEALTH CARE DELIVERY SYSTEM SERVING NORTHEASTERN OKLAHOMA AND SURROUNDING STATES. THE ST. JOHN SYSTEM INCLUDES: THOUSANDS OF ASSOCIATES (8,000 IN FY 2017), EMPLOYED PHYSICIANS, AND ADVANCED PRACTICE PROVIDERS, HUNDREDS MORE INDEPENDENT PHYSICIANS, AND DOZENS OF VOLUNTEERS. THEY SERVE PATIENTS IN THE SIX OWNED HOSPITALS OPERATING NEARLY 800 BEDS; DOZENS OF PHYSICIAN OFFICES, CLINICS, AND URGENT CARE CENTERS, A REFERENCE LABORATORY, AND PARTNERSHIPS AND VENTURES THAT INCLUDE A HEALTH INSURANCE COMPANY, SEVERAL AMBULATORY SURGERY CENTERS, AND OTHER HEALTHCARE ACTIVITIES. TOGETHER OUR ASSOCIATES, PHYSICIANS, AND VOLUNTEERS TOUCH THE LIVES OF THOUSANDS OF PATIENTS EVERY DAY, INCLUDING THOSE LIVING IN POVERTY AND/OR DEEMED OTHERWISE VULNERABLE. THE ST. JOHN SYSTEM IS COMMITTED TO CONTINUE THE LEGACY OF HEALTH CARE EXCELLENCE AND SERVICE STARTED BY OUR ORIGINAL FOUNDERS AND SPONSORS THE SISTERS OF THE SORROWFUL MOTHER BY CONTINUING TO PROVIDE VITAL SERVICES TO THE COMMUNITIES WITH CONTINUED EMPHASIS ON SERVICE TO THE THOSE LIVING IN POVERTY AND/OR WHO MAY OTHERWISE BE DEEMED VULNERABLE OR POWERLESS. WE ENDEAVOR TO ESTABLISH TRUSTED RELATIONSHIPS WITH OUR PATIENTS OVER THEIR ENTIRE LIVES: SEEKING TO IMPROVE THEIR HEALTH AND WORKING TO HEALTH THEIR MINDS AND BODIES WHEN AFFLICTED BY INJURY OR ILLNESS. OUR ENABLING STRENGTHS: WE USE OUR ENABLING STRENGTHS TO ACHIEVE OUR MISSION AND VISION. THOSE STRENGTHS INCLUDE: A MODEL COMMUNITY OF INSPIRED PEOPLE WORKING TO PROVIDE OUR SERVICES AND ACHIEVE OUR MISSION; EMPOWERING KNOWLEDGE - CLINICAL AND BUSINESS INFORMATION SYSTEMS THAT PROVIDE OUR ASSOCIATES ACTIONABLE, TIMELY DATA AND INFORMATION UPON WHICH THEY CAN MAKE INFORMED DECISIONS; THE CREATION OF TRUSTED PARTNERSHIPS WITH EXTERNAL PARTNERS TO EXPAND OUR CAPABILITIES, COMPLEMENT OUR SERVICE OFFERINGS AND FULFILL OUR MISSION; AND ACHIEVING VITAL PRESENCE IN THE COMMUNITIES WE SERVE. THIS VITAL PRESENCE CONTEMPLATES CREATION AND CONTINUATION OF IMPORTANT SAFETY NET SERVICES, WORLD-CLASS CENTERS OF CLINICAL EXCELLENCE AND CREATION OF MEDICAL HOMES THAT PROMOTE EACH INDIVIDUAL'S PARTICIPATION IN THEIR OWN HEALTH AND WELL-BEING AND WHICH CREATE AND SUSTAIN THE INFRASTRUCTURE FOR PROMOTING HEALTH COMMUNITIES. OUR POINT OF VIEW: HEALTH CARE DELIVERY AND FINANCING IN THE U.S. MUST CHANGE. THE COST OF THE CURRENT SYSTEM RELATIVE TO THE VALUE THAT COMMUNITIES AND INDIVIDUALS ARE RECEIVING IS NOT SUSTAINABLE. IN ORDER TO MEET THE HEALTH CARE NEEDS AND CONTRIBUTE TO ECONOMIC VITALITY OF COMMUNITIES, WITH SPECIAL ATTENTION TO THE POOR AND VULNERABLE, HEALTH CARE PROVIDERS MUST FUNDAMENTALLY RECONFIGURE DELIVERY SYSTEMS, CARE PROCESSES AND COST STRUCTURES. DELIVERING SAFE, HIGH-QUALITY CARE THAT IS LOW COST WITH AN EXCEPTIONAL PATIENT EXPERIENCE WILL INCREASINGLY REQUIRE PROVIDERS TO HAVE A STRONG REGIONAL PRESENCE, INTEGRATED PHYSICIAN RELATIONSHIPS AND CAPABILITIES ACROSS THE CARE CONTINUUM. SUSTAINING THE ST. JOHN MISSION INTO THE FUTURE WILL REQUIRE A MORE CONTINUOUS, DYNAMIC RELATIONSHIP WITH THOSE WE SERVE AND THE ABILITY TO SHARE RISK WITH HEALTHCARE PURCHASERS, AS OPPORTUNITIES FOR INPATIENT GROWTH OR COMMERCIAL RATE INCREASES WILL BE LIMITED. THE MOVEMENT TO MANAGING HEALTH OF DEFINED POPULATIONS DEMANDS MASSIVE TRANSFORMATIONAL CHANGE. THIS REQUIRES RAPID ASSESSMENT, ASSEMBLY AND DEPLOYMENT OF THE NECESSARY CAPABILITIES. WE BELIEVE THE ST. JOHN SYSTEM IS WELL POSITIONED TO LEAD THIS TRANSFORMATION. COMMUNITY BENEFIT: THE COMMUNITY BENEFIT PROVIDED BY THE ST. JOHN SYSTEM INCLUDES: UNCOMPENSATED CARE FOR THE POOR, SUPPORT FOR THE EDUCATION OF MEDICAL PROFESSIONALS, PROVISION OF SUBSIDIZED HEALTH SERVICES, SUPPORT FOR OTHER COMMUNITY ORGANIZATIONS, INITIATIVES TO IMPROVE COMMUNITY HEALTH, AND MEDICAL RESEARCH TO BE SOME OF THE KEY AREAS OF FOCUS FOR PROVIDING COMMUNITY BENEFIT. THE ST. JOHN SYSTEM DOES NOT INCLUDE AMOUNTS RECORDED AS BAD DEBT; PAYMENT OF PROPERTY, SALES, USE, INCOME, PAYROLL, AND OTHER TAXES; CONSIDERABLE ECONOMIC VALUE PROVIDED TO THE LOCAL COMMUNITIES IN WHICH WE OPERATE AS COMPONENTS OF COMMUNITY BENEFIT. THE ST. JOHN SYSTEM DOES INCLUDE MEDICARE SHORTFALLS. CARE FOR THE POOR: "CARE FOR THE POOR" (WHICH INCLUDES THE ESTIMATED COST OF SERVICES PROVIDED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE (CHARITY) AND THE UNCOMPENSATED COST OF CARE PROVIDED TO MEDICAID BENEFICIARIES) IS THE LARGEST FINANCIAL CATEGORY OF COMMUNITY BENEFIT. SUPPORT FOR GRADUATE AND ALLIED HEALTH MEDICAL EDUCATION IS THE SECOND LARGEST. ST. JOHN PROVIDES DISCOUNTS OF AT LEAST 50% TO ALL UNINSURED PATIENTS AND ADDITIONAL DISCOUNTS OF AT LEAST 10% TO UNINSURED PATIENTS WHO MAKE THE AGREED UPON TIMELY PAYMENTS FOR SERVICES THEY RECEIVE. ALL UNINSURED INDIVIDUALS LIVING IN HOUSEHOLDS WITH INCOMES AT OR BELOW 400% OF THE FEDERAL POVERTY LIMIT QUALIFY FOR FREE CARE FOR MEDICALLY NECESSARY SERVICES. INSURED PATIENTS AND OTHERS WHO ARE FACED WITH FINANCIALLY CATASTROPHIC MEDICAL BILLS ARE ALSO ELIGIBLE FOR AND ENCOURAGED TO SEEK FINANCIAL ASSISTANCE. (CONTINUED IN PART B)
Schedule H, Part VI, Line 6 Affiliated health care system ST. JOHN HEALTH SYSTEM, INC., HEADQUARTERED IN TULSA, OKLAHOMA, AND WITH FACILITIES LOCATED THROUGHOUT EASTERN OKLAHOMA AND SOUTHEASTERN KANSAS, IS AN OKLAHOMA NONPROFIT HEALTH SYSTEM. IT OWNS AND OPERATES AN INTEGRATED TERTIARY HEALTH CARE DELIVERY SYSTEM THAT PROVIDES SERVICES EASTERN OKLAHOMA AND SOUTHEASTERN KANSAS. ST. JOHN HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES, AFFILIATES, AND EMPLOYED AND AFFILIATED PHYSICIANS, PROVIDE HEALTH CARE SERVICES FOR PATIENTS OF ALL AGES ACROSS A BROAD CONTINUUM OF CARE, FROM PHYSICIAN PRIMARY CARE AND SPECIALTY SERVICES TO AMBULATORY, AND INPATIENT ACUTE AND POST-ACUTE SERVICES. THE HEALTH MINISTRY IS RELATED TO ASCENSION HEALTH'S OTHER SPONSORED ORGANIZATIONS THROUGH COMMON CONTROL. SUBSTANTIALLY ALL EXPENSES OF THE HEALTH MINISTRY ARE RELATED TO PROVIDING HEALTH CARE SERVICES. 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, LOCATED IN 23 STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ORGANIZATIONS/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. MISSION: THE ST. JOHN SYSTEM DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING, AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH THE ST. JOHN SYSTEM'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE ST. JOHN SYSTEM USES FIVE CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS: - TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. - UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS. - COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY (OTHER PROGRAMS FOR PERSONS WHO ARE POOR) INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. - COMMUNITY BENEFIT (OTHER PROGRAMS FOR THE GENERAL COMMUNITY) CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH. DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED BY REDUCING CHARGES FORGONE BY A FACTOR DERIVED FROM THE RATIO OF EACH ENTITY'S TOTAL OPERATING EXPENSES TO THE ENTITY'S BILLED CHARGES FOR PATIENT CARE. CERTAIN COSTS SUCH AS GRADUATE MEDICAL EDUCATION AND CERTAIN OTHER ACTIVITIES ARE EXCLUDED FROM TOTAL OPERATING EXPENSES FOR PURPOSES OF THIS COMPUTATION. - MEDICARE SHORTFALL CONSISTS OF THE CALCULATED UNREIMBURSED COSTS OF SERVICES PROVIDED TO MEDICARE PATIENTS.
Schedule H, Part VI, Line 7 State filing of community benefit report OK
Schedule H (Form 990) 2019
Additional Data


Software ID: 17005876
Software Version: 2017v2.2
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
St John Medical Center Inc
 
Employer identification number

73-0579286
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1JEFFREY D NOWLIN
 
PRESIDENT/SECRETARY/HOSPITAL PRESIDENT SJMC 		(i)

(ii)		 451,716
-------------
0 		46,546
-------------
0 		47,317
-------------
0 		14,850
-------------
0 		22,116
-------------
0 		582,545
-------------
0 		0
-------------
0
2SAMUEL C ANDERSON
 
FORMER OFFICER (END 6/2014) 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		254,463
-------------
0 		0
-------------
0 		1,910
-------------
0 		256,373
-------------
0 		0
-------------
0
3MICHAEL MCCULLOUGH
 
TREASURER/CFO-MINISTRY MKT KANSAS 		(i)

(ii)		 0
-------------
262,455 		0
-------------
0 		0
-------------
9,657 		0
-------------
7,267 		0
-------------
8,610 		0
-------------
287,989 		0
-------------
0
4LEX ANDERSON
 
TREASURER/EXEC VP & CFO SJHS (END 10/2017) 		(i)

(ii)		 0
-------------
279,255 		0
-------------
95,484 		0
-------------
36,218 		0
-------------
15,400 		0
-------------
14,319 		0
-------------
440,676 		0
-------------
0
5WILLIAM E WEEKS
 
COO - MINISTRY MKT TULSA 		(i)

(ii)		 0
-------------
515,732 		0
-------------
323,280 		0
-------------
78,464 		0
-------------
16,200 		0
-------------
22,146 		0
-------------
955,822 		0
-------------
0
6KEVIN B STECK
 
SECRETARY/VP INTEGRITY & COMPLIANCE 		(i)

(ii)		 0
-------------
237,849 		0
-------------
24,212 		0
-------------
16,239 		0
-------------
13,874 		0
-------------
2,570 		0
-------------
294,744 		0
-------------
0
7JOHN B FORREST MD
 
CHIEF MEDICAL OFFICER 		(i)

(ii)		 0
-------------
440,237 		0
-------------
45,205 		0
-------------
60,287 		0
-------------
13,500 		0
-------------
18,219 		0
-------------
577,448 		0
-------------
0
8PAMELA KISER
 
CHIEF NURSING OFFICER 		(i)

(ii)		 218,170
-------------
0 		22,657
-------------
0 		19,137
-------------
0 		14,534
-------------
0 		11,171
-------------
0 		285,669
-------------
0 		0
-------------
0
9H WILLIAM ALLRED
 
VP MEDICAL AFFAIRS 		(i)

(ii)		 247,636
-------------
0 		42,739
-------------
0 		32,757
-------------
0 		9,450
-------------
0 		11,334
-------------
0 		343,916
-------------
0 		0
-------------
0
10KATHLEEN CONLEY SMARINSKY
 
VP CLINICAL SERVICES 		(i)

(ii)		 220,505
-------------
0 		22,657
-------------
0 		14,059
-------------
0 		15,465
-------------
0 		9,348
-------------
0 		282,034
-------------
0 		0
-------------
0
11MICHAEL R NEVINS
 
CFO - SJMC 		(i)

(ii)		 199,030
-------------
0 		0
-------------
0 		8,831
-------------
0 		10,981
-------------
0 		18,292
-------------
0 		237,134
-------------
0 		0
-------------
0
12TIMBALYN SUE MOSS
 
RN-REGISTERED NURSE 		(i)

(ii)		 183,584
-------------
0 		150
-------------
0 		122
-------------
0 		12,091
-------------
0 		19,852
-------------
0 		215,799
-------------
0 		0
-------------
0
13GARY LEE SIGLE
 
DIR-CLINICAL PROGRAM 		(i)

(ii)		 174,140
-------------
0 		4,332
-------------
0 		868
-------------
0 		11,773
-------------
0 		20,346
-------------
0 		211,459
-------------
0 		0
-------------
0
14EMILY K SHERWOOD
 
RN-REGISTERED NURSE 		(i)

(ii)		 173,867
-------------
0 		0
-------------
0 		3,769
-------------
0 		6,128
-------------
0 		18,002
-------------
0 		201,766
-------------
0 		0
-------------
0
15PATRICIA A WRIGHT EVANS
 
RN DIR OPERATING ROOM 		(i)

(ii)		 41,780
-------------
0 		0
-------------
0 		132,475
-------------
0 		7,163
-------------
0 		6,741
-------------
0 		188,159
-------------
0 		0
-------------
0
16MICHAEL J KING
 
CONSULTANT-RADIATION SAFETY 		(i)

(ii)		 171,413
-------------
0 		0
-------------
0 		352
-------------
0 		11,385
-------------
0 		23,961
-------------
0 		207,111
-------------
0 		0
-------------
0
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Ascension Health, a related organization of St. John Medical Center, Inc., uses the following methods to establish the compensation of the Organization's President: -Compensation Committee -Independent Compensation Consultant -Compensation Survey or Study -Approval by the Board or Compensation Committee
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: Patricia A Wright Evans - $128,400 Samuel C Anderson - $74,918
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.
Schedule J (Form 990) 2019

Additional Data


Software ID: 17005876
Software Version: 2017v2.2
SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
St John Medical Center Inc
 
Employer identification number

73-0579286
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( EQUIPMENT ) X 1 69,797 Market value
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
0
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
 
No
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2019)
Schedule M (Form 990) (2019)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Schedule M, Part I Explanations of reporting method for number of contributions Other - EQUIPMENT NUMBER OF CONTRIBUTORS
Schedule M (Form 990) (2019)

Additional Data


Software ID: 17005876
Software Version: 2017v2.2
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
St John Medical Center Inc
 
Employer identification number

73-0579286
Return Reference Explanation
Form 990, Part VI, Line 15a COMPENSATION OF CEO In determining the compensation of the Organization's CEO, the process performed by Ascension Health, a related organization of St. John Medical Center, Inc., included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Compensation Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the Committee minutes. The individual was not present when his compensation was decided.
Form 990, Part VI, Line 15b COMPENSATION OF OFFICERS IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS, THE PROCESS PERFORMED BY St. John Health System, Inc., A RELATED ORGANIZATION OF ST. JOHN MEDICAL CENTER, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE St. John Health System, Inc. EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 6 Classes of members or stockholders St. John Medical Center, 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 Medical Center, Inc. has a single corporate member, St. John Health System, Inc., who has the ability to elect members to the governing body of St. John Medical Center, Inc.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to St. John Medical Center, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, St. John Health System, Inc. Ascension Health, the sole corporate member of St. John Health System, Inc., has designated a system authority matrix which assigns authority for key decisions that are necessary in the operation of the System. Specific areas that are identified in the authority matrix are: new organizations and major transactions; governing documents; appointments/removals; evaluations; debt limits; strategic and financial plans; assets; and system policies and procedures. These areas are subject to certain levels of approval by Ascension Health per the system authority matrix.
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 INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS 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 VIII, Line 2f Other Program Service Revenue Consulting Fees - Total Revenue: 23293, Related or Exempt Function Revenue: 23293, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Medical Records Fees - Total Revenue: 187397, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 187397; Miscellaneous Revenue - Total Revenue: 162283, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 162283; Telephone Revenues - Total Revenue: 113048, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 113048;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS WITH ALPHA FUND - -XXX-XX-XXXX; NET TRANSFERS WITH AFFILIATES - XXX-XX-XXXX;
Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTS The activity of St. John Medical Center, Inc. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of St. John Medical Center, Inc. is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance, which include the activity of St. John Medical Center, Inc..
Form 990, Part XII, Line 2c AUDIT COMMITTEE ST. JOHN MEDICAL CENTER, INC. 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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


Software ID: 17005876
Software Version: 2017v2.2
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
St John Medical Center Inc
 
Employer identification number

73-0579286
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)ASCENSION HEALTH ALLIANCE
PO BOX 45998

ST LOUIS,MO631455998
45-3358926 		NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA
 
 
No
(2)ASCENSION HEALTH
PO BOX 45998

ST LOUIS,MO631455998
31-1662309 		NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE
 
 
No
(3)ST JOHN HEALTH SYSTEM INC
1923 SOUTH UTICA AVENUE

TULSA,OK74104
73-1215174 		SYSTEM PARENT OK 501(c)(3) Type I ASCENSION HEALTH
 
 
No
(4)ST JOHN SAPULPA INC
1923 SOUTH UTICA AVENUE

TULSA,OK74104
73-0662663 		HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(5)JANE PHILLIPS MEMORIAL MEDICAL CENTER
3500 E FRANK PHILLIPS BLVD

BARTLESVILLE,OK74006
73-0606129 		HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(6)ST JOHN HEALTH SYSTEM FOUNDATION INC
1923 SOUTH UTICA AVENUE

TULSA,OK74104
73-1133139 		HEALTH CARE OK 501(c)(3) 7 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(7)OWASSO MEDICAL FACILITY INC
1923 SOUTH UTICA AVENUE

TULSA,OK74104
20-3700131 		HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(8)ST JOHN BROKEN ARROW INC
1923 SOUTH UTICA AVENUE

TULSA,OK74104
38-3833117 		HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(9)ST JOHN AUXILIARY INC
1923 SOUTH UTICA AVENUE

TULSA,OK74104
73-0999759 		HEALTH CARE OK 501(c)(3) 10 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(10)ST JOHN BUILDING CORPORATION
1923 SOUTH UTICA AVENUE

TULSA,OK74104
61-1659782 		REAL ESTATE OK 501(c)(2)   ST JOHN HEALTH SYSTEM INC
 
Yes
 
(11)JANE PHILLIPS NOWATA HOSPITAL INC
237 SOUTH LOCUST

NOWATA,OK74048
73-1440267 		HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) Oklahoma Cancer Specialists Real Estate Company LLC

12697 E 51st St South
TULSA,OK74146
47-3843491 		REAL ESTATE HOLDING OK NA
  		N/A                
(2) SJFI LLC

1923 SOUTH UTICA AVENUE
TULSA,OK74104
46-2713285 		ACCOUNTABLE CARE ORGANIZATION OK NA
  		N/A                










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) UTICA SERVICES INC

1923 SOUTH UTICA AVENUE
TULSA,OK74104
73-1057650 		MEDICAL SERVICES OK NA
  		C Corporation       Yes  
(2) REGIONAL MEDICAL LABORATORIES INC

1923 SOUTH UTICA AVENUE
TULSA,OK74104
73-1131608 		MEDICAL SERVICES OK NA
  		C Corporation       Yes  
(3) PHYSICIAN SUPPORT SERVICES INC

1923 SOUTH UTICA AVENUE
TULSA,OK74104
73-1437252 		MEDICAL SERVICES OK NA
  		C Corporation       Yes  
(4) OMNI MEDICAL GROUP INC

1923 SOUTH UTICA AVENUE
TULSA,OK74104
73-1335536 		MEDICAL SERVICES OK NA
  		C Corporation       Yes  
(5) ST JOHN URGENT CARE CLINICS INC

1923 SOUTH UTICA AVENUE
TULSA,OK74104
20-4990275 		MEDICAL SERVICES OK NA
  		C Corporation       Yes  
(6) ST JOHN ANESTHESIA SERVICES INC

1923 SOUTH UTICA AVENUE
TULSA,OK74104
20-3690446 		MEDICAL SERVICES OK NA
  		C Corporation       Yes  
(7) ST JOHN PHYSICIANS INC

1923 SOUTH UTICA AVENUE
TULSA,OK74104
73-1321032 		MEDICAL SERVICES OK NA
  		C Corporation       Yes  
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
Yes
 
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) REGIONAL MEDICAL LABORATORIES INC

 J 157,349 FAIR MARKET VALUE
(2) REGIONAL MEDICAL LABORATORIES INC

 L 7,169,148 FAIR MARKET VALUE
(3) REGIONAL MEDICAL LABORATORIES INC

 P 3,480,983 FAIR MARKET VALUE
(4) REGIONAL MEDICAL LABORATORIES INC

 Q 929,713 FAIR MARKET VALUE
(5) ST JOHN PHYSICIANS INC

 J 195,375 FAIR MARKET VALUE
(6) ST JOHN PHYSICIANS INC

 L 18,435,539 FAIR MARKET VALUE
(7) ST JOHN PHYSICIANS INC

 M 3,156,084 FAIR MARKET VALUE
(8) ST JOHN PHYSICIANS INC

 P 2,241,943 FAIR MARKET VALUE
(9) ST JOHN PHYSICIANS INC

 Q 2,356,917 FAIR MARKET VALUE
(10) PHYSICIAN SUPPORT SERVICES INC

 L 4,881,496 FAIR MARKET VALUE
(11) PHYSICIAN SUPPORT SERVICES INC

 Q 405,133 FAIR MARKET VALUE
(12) JANE PHILLIPS MEMORIAL MEDICAL CENTER

 L 491,093 FAIR MARKET VALUE
(13) ST JOHN ANESTHESIA SERVICES INC

 L 8,445,097 FAIR MARKET VALUE
(14) ST JOHN ANESTHESIA SERVICES INC

 Q 879,555 FAIR MARKET VALUE
(15) OMNI MEDICAL GROUP INC

 L 743,395 FAIR MARKET VALUE
(16) ST JOHN BUILDING CORPORATION

 K 784,248 FAIR MARKET VALUE
(17) OWASSO MEDICAL FACILITY INC

 L 205,358 FAIR MARKET VALUE
(18) OWASSO MEDICAL FACILITY INC

 Q 314,724 FAIR MARKET VALUE
(19) ST JOHN BROKEN ARROW INC

 L 316,000 FAIR MARKET VALUE
(20) ST JOHN BROKEN ARROW INC

 Q 658,598 FAIR MARKET VALUE
(21) ST JOHN SAPULPA INC

 L 595,761 FAIR MARKET VALUE
(22) ST JOHN SAPULPA INC

 Q 331,804 FAIR MARKET VALUE
(23) ST JOHN HEALTH SYSTEM FOUNDATION INC

 L 435,062 FAIR MARKET VALUE
(24) ST JOHN HEALTH SYSTEM FOUNDATION INC

 C 7,462,117 FAIR MARKET VALUE
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2019

Additional Data


Software ID: 17005876
Software Version: 2017v2.2