St John Broken Arrow Inc

“Compensation for all executives in st. John health system, inc. (sjhs), of which st. John broken arrow, inc. Is a part, is analyzed by an independent health care consulting firm. The analysis includes a fair market value assessment and establishment of a range for each position based on research of comparable health care systems of similar size. The report and recommended compensation levels for each executive management position is reviewed and approved by the executive compensation committee of the sjhs board of directors.”

“St. John Broken Arrow, Inc. has a single corporate member, St. John Health System, Inc.”

“St. John Broken Arrow, Inc. has a single corporate member, St. John Health System, Inc., who has the ability to elect members to the governing body of St. John Broken Arrow, Inc.”

“All decisions that have a material impact to St. John Broken Arrow, 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 & major transactions; governing documents; appointments/removals; evaluations; debt limits; strategic & financial plans; assets; and system policies & procedures. These areas are subject to certain levels of approval by Ascension Health per the system authority matrix.”

“St. John Broken Arrow, Inc. (SJBA) is an affiliate of St. John Health System, Inc. (SJHS). Management and Vice President/Chief Financial Officer and Controller of SJHS works diligently to complete the form 990 and attached schedules in a thorough manner. Management presents the form 990 to a designated committee of the board to review and answer any questions. Prior to filing the returns, all board members are provided the form 990 and management team members are available to answer any board member questions.”

“At every fiscal year end, St. John Health System, Inc. (SJHS) distributes a copy of the current Conflict of Interest Policy and Procedure Bulletin, together with an explanation and questionnaire to the members of the Board of Directors, administrative officers and key employees of SJHS, its subsidiaries and affiliates, including St. John Broken Arrow, Inc. The board members, administrative officers and key employees of SJHS, its subsidiaries and affiliates must complete the questionnaire and return it to the designated SJHS official within two weeks of receipt. Completed questionnaires are reviewed and summarized by the Vice President, Corporate Compliance and Integrity, or his/her designee. That individual then presents the questionnaire results to the heads of each hospital for further provision to the various boards' Audit and Compliance Committees. The Audit and Compliance Committees, as appropriate, submit a confidential report to their Board Chairman summarizing the questionnaire results. The Board Chairman, as appropriate, may review with the Executive Committee the responses to the questionnaire results. Members of a committee with governing board delegated powers annually sign a statement which affirms such person has received a copy of the Conflict of Interest Policy, has read and understands the Policy, has agreed to comply with the Policy, and understands that the Organization is charitable and, in order to maintain its federal tax exemption, it must engage primarily in activities which accomplish its tax-exempt purpose.”

“The Organization will provide any documents open to public inspection upon request.”

“Compensation of independent contractors is paid by and reported on Form 1096, Annual Summary and Transmittal of U.S. Information Returns, of St. John Medical Center, Inc., EIN 73-0579286. Expenses are allocated to and reimbursed by the filing organization to St. John Medical Center, Inc. As such, the organization has not reported independent contractors paid on Form 990, Part VII, Section B.”

“Owasso medical facility, inc. ("st. John owasso"), st. John health system foundation, inc. ("st. John foundation"), st. John building corporation ("sjbc"), st. John broken arrow, inc. ("st. John broken arrow"), and jane phillips nowata hospital, inc. ("jp nowata"). St. John, these subsidiaries, and all other subsidiaries under st. John's direct or indirect control or ownership are referred to herein as "the st. John system". The st. John system supports the purpose and activities of ascension health and both st. John's and ascension health's powers must be exercised in accordance with the teachings, traditions and canon law of the roman catholic church and the ethical and religious directives for catholic health facilities promulgated by the national conference of catholic bishops of the united states catholic conference. Mission and values: as a catholic healthcare organization, st. John carries on the mission of its sponsors, through ascension health, of continuing the healing ministry of jesus christ. It aspires to provide health care that works, health care that is safe, and health care that leaves no one behind, with a promise to our patients and the communities we serve of providing medical excellence and compassionate care. It operates in conformance with "the ethical and religious directives for catholic health facilities." faithful to the sponsorship mission, philosophy and values, st. John's mission is to provide healthcare and related ministries for the people served, especially the sick, the poor and the powerless. The board of directors, management and employees of st. John are guided in their day-to-day actions and interactions with those who serve and who are served by the values of service to the poor, wisdom, reverence, creativity, dedication and integrity. St. John and the hospital collaborate with other individuals and institutions in the various communities served to ascertain community needs and provide a broad range of services along the healthcare continuum to help meet those needs. Programs and services include preventive, diagnostic, therapeutic and rehabilitative programs, including an emphasis on health promotion and disease prevention. St. John also advocates for public policies which advance a healthy and just society. St. John works with local, state and national leaders and organizations to bring about a healthcare delivery system that provides dignified access to and affordable, high quality healthcare for all persons. Community needs assessment: each owned hospital in the st. John system has completed a community health needs assessment and implementation strategy. These have been posted to each hospital's website and also the health system website. St. John continues to look for ways to meet unmet community needs in a sustainable and collaborative way with other organizations to build healthier communities. The st. John system serves a diverse representation of health disparities in one of the lowest ranked states in the united states for health status (45th in 2015). Within the state of oklahoma, counties served rank from 17th out of 77 to 63rd out of 77.”

“Using the chna completed in 2013, the st. John system developed, adopted, and worked on executing a 2014-2016 implementation strategy to address the community health needs identified in the community-wide community health needs assessment. Many of these are done in collaboration with individuals representing interests of the community and/or in support of community based programs. The hosptial additionally collaborated with the tulsa city-county health department, pathways to health, and stakeholders in tulsa county for identification and prioritization of needs. Upon completion of the assessment with input from local public health officials and other leaders, st. John broken arrow, inc. Identified collaboratively worked toward addressing the following priority needs as a hospital within a larger health system and through supporting the needs identified for a community-wide plan: 1. Diet, inactivity, and obesity - active participaton by several associates in the community wide coalition, pathways to health (p2h). P2h supports the tulsa city-county health department and a multitude of community partners. P2h was formed by the tulsa city-county 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. During 2015, pathways to health community foundation set obesity prevention as its primary focus. St. John health system also collaborated with p2h on a number of health and wellness initiatives, activities, and events throughout fy 2014-2016 including, but not limited to: -the 29th annual tour de tulsa presented by st. John health system.-this community bike ride took place on saturday, may 7, 2016 with more than 700 cyclists from across the state and region participating. Cyclists completed their choice of 22, 50, 62, or 100 mile routes and families were encouraged to participate in a family fun ride. Tour de tulsa is hosted annually by the tulsa city-county health department and the tulsa bicycle club as a way to promote health in the community. St. John health system was proud to be the first-ever presenting sponsor of the tour de tulsa. 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. -p2h block parties- st. John health system associates participated in a series of free community block parties throughout tulsa county hosted by p2h in 2013-2015. The interactive and family-friendly events included activities such as cooking demonstrations, fitness classes, games, health screenings, snacks, and fun for all ages. -food on the move- st. John health system associates participated in six food on the move mobile food initiative events in 2015-2016. Food on the move is a collaboration of food and health experts and community partners to mobilize quality food into hard to reach economically challenged areas, helping combat hunger in tulsa and oklahoma in a new way. Health and wellness education and screenings (e.g. Blood pressure, healthy nutrition) were offered by nurses, a dietician, and a physician from st. John health system at these events. - the st. John health system participated in 269 community events, many focused-on health promotion and wellness. In particular, the health system sponsored and participated in a number of local health promotion walks and runs during this time period 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 ra”

“- process outcomes are measured for mental health and tobacco use screening through both the comprehensive primary care program and the medicare shared savings program in which st. John hospitals and employed st. John physicians participate. Through these programs, we are now able to track the volume of patients who receive counseling and referrals. - each hospital maintains ongoing patient education related to smoking; materials are provided to patients and referrals are made to the oklahoma tobacco helpline at 1-800-quitnow and okhelpline.com for tobacco cessation - through a hospital outpatient department at st. John broken arrow, inc., mental health and drug and alcohol counseling are provided. Patients from any of our hospitals and clinics may be referred to this service which has a convenient, accessible location. There are currently four embedded outpatient behavioral health therapists that are shared across 12 sites. Referrals are also made to area agencies. 3. Chronic disease management - st. John broken arrow, inc. Participates as an accountable care organization (aco) participant in the medicare shared savings program, which establishes several quality and process outcome measures that pertain to chronic disease management such as diabetes, hypertension, coronary artery disease, and copd. - employed physicians of the health system also participate in comprehensive primary care which focuses on a medical home model in care for high risk patients with chronic conditions. 4. 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 health insurance marketplace, a part of the affordable care act (aca), was launched in october 2013, giving americans a variety of new options for health coverage. Since then, st. John health system has expended considerable effort encouraging individuals to sign up for coverage through the health insurance marketplace. Though we still have a long way to go, our efforts bring our communities closer to ascension's goal of 100% access and 100% coverage. St. John health system partners with the midland group to help connect consumers with a certified application counselor (cac) for enrollment assistance. Cacs minimize confusion about marketplace options and ensure desired providers and benefits are included in the selected plan. They can also assist with detailed questions about the marketplace. During the open enrollment period, st. John's cac is available on an appointment-only basis at st. John broken arrow in tulsa and jane phillips medical center in bartlesville to provide free enrollment assistance. Midland's on-site public benefits screeners also work to educate self-pay patients within our hospitals about the marketplace and hand out information for further assistance with navigations. St. John health system's health insurance marketplace ambassador program (often abbreviated as hix ambassador program) was established in october 2013 prior to the first marketplace open enrollment period. St. John health system associates apply to participate in this program as paid volunteers and are known as health insurance marketplace (hix) ambassadors. These ambassadors receive in-depth training on the marketplace and serve to promote the marketplace through outreach, education, and awareness efforts. These efforts include: 1) volunteering at on-site and community events and activities to promote the marketplace, 2) encouraging enrollment in the plans that include the st. John health system network by referring to the midland group for enrollment assistance with a certified application counselor (cac), 3) educating individuals on our financial assistance programs, 4) providing basic health education and screenings at events. During the fiscal year ending in june 30, 2016, st. John”

“Governance: the administrative powers of st. John broken arrow, inc. Are vested in its board of directors, which controls and manages the properties, affairs and funds of the hospital, subject to reservation of certain powers by st. John. The board meets regularly and it works in concert with, and when appropriate, under the direction of the st. John health system, inc. Board. The board reviews and approves the community health needs assessment and recommended implementation initiatives. Community benefit: in measuring and reporting quantifiable community benefit, st. John follows guidelines promulgated by the catholic health association of the united states and endorsed by other organizations. Uncompensated care and other elements of community benefit are measured at the unreimbursed estimated cost of services or resources provided. Safety net and emergency services (subpart a of access to services): the st. John system serves as an important safety net provider of a broad continuum of health care services to the citizens of northeastern oklahoma and the surrounding region. Each of its six main hospitals operates a full-service, 24-hour, 365-day emergency room providing both urgent and emergency care to all individuals, regardless of their ability to pay. St. John broken arrow, inc., a level iv emergency care center, provides much needed services for residents of broken arrow, oklahoma and the surrounding areas. Each hospital is an integral part of the mission of service and the continuum of medical care provided by st. John. Patients seen in the st. John system for the fiscal year ended june 30, 2016: total discharges (excluding normal newborns) - 43,290 total observation days - 17,359 combined discharges and observation days - 60,649 total patient days (excl. Normal newborn and observations) - 196,237 births - 3,543 emergency room visits - 158,909 selected outpatient visits (excl. Er & one day surgeries) - 366,194 inpatient surgical cases - 11,642 outpatient surgical cases - 18,480 physician office patient visits - 534,721 urgent care clinic patient visits - 63,926 combined physician office and urgent care visits - 598,647 total laboratory procedures (incl. Hospital & reference labs) - 8,466,898”

“Direct care for the poor and vulnerable (subpart b of access to services): the st. John system considers care for the poor to be an essential part of its mission of service to the community. The total cost of care for the poor includes the cost of charity care, the unreimbursed cost of services to medicaid beneficiaries (together referred to as "uncompensated care for the poor") and the cost of special programs or other activities specifically targeted to increase access to care or provide other services to the poor. "care for the poor" includes the estimated cost of care classified as charity care plus the estimated excess of the cost of services provided to medicaid beneficiaries over the payments received from medicaid. "care for the poor" does not include the cost of services classified and written off as bad debts or the excess of the cost of services provided to medicare beneficiaries over the payments received from medicare. Charity and uncompensated care: the st. John system's hospitals and other facilities provide services without regard to a patient's ability to pay. In fy 16, the st. John system hospitals provided a discount of at least 40% of billed charges to all uninsured patients. Uninsured patients also could qualify for an additional 15% prompt pay discount. In addition to these automatic discounts, patients can apply for financial assistance up to and including free care. The determination of the patient's qualification for financial assistance is based on an objective determination of the patient's financial resources and ability to pay. In general, all uninsured patients with household incomes of less than 300% of the federal poverty guidelines qualify for free or substantially discounted care. Other entities in the st. John system also provide charity care based on individual determinations of need. Management for st. John believes that all of its billing and collection policies and procedures comply with irs guidelines and directives. Other community benefit and outreach activities: the st. John system and st. John broken arrow provide other forms of community benefit in the form of free, or reduced-charge educational seminars for the general public on wide ranging topics from prenatal care to chronic disease management. St. John broken arrow participates in community-wide health screening events, blood donation drives, and a number of other outreach activities to improve the health status of the residents of northeastern oklahoma and the surrounding area. Ongoing community input: in addition to the many organizations with which st. John health system, inc. Engages in the community, the medicare shared savings program has sought community feedback by including two patients who are medicare beneficiaries on the accountable care organization's board and maintains a seat designated for a health department representative on one of the primary committees. St. John health system and several associates actively participate in the community-wide coalition, pathways to health (p2h), which supports the tulsa city-county health department and a multitude of community partners. P2h was formed by the tulsa city-county 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. During 2015, the p2h community foundation set obesity prevention as its primary focus.”

“Other program service accomplishments: as previously discussed, the st. John system is organized and operated to provide medical excellence and compassionate care to the citizens of northeastern oklahoma, with a special preference for the poor and disadvantaged. Summary: the st. John system's role as one of the significant safety-net health care providers for the region continues to grow in prominence. St. John reinvests 100% of any profits derived into new and expanded services to the community. The st. John system is very proud of its history of service to the community and views its responsibility to continue to provide medical services to everyone, especially the poor and disadvantaged, very seriously. As the st. John system continues to face growing financial challenges, it becomes increasingly difficult to sustain our mission of service. Nevertheless, we believe that the quantifiable community benefit, as well as the many other areas of service provided by the st. John system and the hospital, continue a sound record of stewardship and a significant contribution to the well-being of both the collective communities and the individuals within those communities we serve. The hospital is an important part of st. John health system, inc.”

“The activity of St. John Broken Arrow, Inc. (SJBA) is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of SJBA is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance, which include the activity of SJBA.”

“The salaries reflected on form 990 were all reported on form 941, employer's quarterly federal tax return of st. John medical center, inc. (sjmc). These salaries were reimbursed to sjmc by the filing organization and were included in the number of employees on sjmc's calendar year 2015 form w-3. The number of employees reported on part v, line 2a of form 990 by the filing organization represents the number of employees providing services to the filing organization during calendar year 2015.”

“Purchased Services - Total Expense: 5108261, Program Service Expense: 4750683, Management and General Expenses: 357578, Fundraising Expenses: ; Consulting Fees - Total Expense: 102676, Program Service Expense: 95489, Management and General Expenses: 7187, Fundraising Expenses: ; Physician Fees - Total Expense: 542397, Program Service Expense: 504429, Management and General Expenses: 37968, Fundraising Expenses: ; Other Professional Fees - Total Expense: 2149678, Program Service Expense: 1999201, Management and General Expenses: 150477, Fundraising Expenses: ; Contract Labor - Total Expense: 865376, Program Service Expense: 804800, Management and General Expenses: 60576, Fundraising Expenses: ;”

“Transfers with Affiliates - 44527;”