Civic Intelligence

St John Medical Center Inc

990 • Fiscal year 2017 • EIN 73-0579286

Jul 01, 2016 to Jun 30, 2017 • Filed on Oct 26, 2017

1923 South Utica AvenueTulsa, OK 74104-6502

(314) 733-8000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

91st percentile

0.94x

Higher debt load relative to assets than 91% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Liabilities / Revenue

46th percentile

0.50x

Higher debt load relative to revenue than 46% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Net Margin

50th percentile

4.9%

Higher net margin than 50% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Top Officer Pay

52nd percentile

$907,288

Higher top officer pay than 52% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Asset Growth

1st percentile

-35%

Faster asset growth than 1% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2016 to 2017

Revenue Growth

21st percentile

-1.0%

Faster revenue growth than 21% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2016 to 2017

Assets

Down

$310,425,401

Down $167,473,197 (-35%) from 2016

Net Assets

Down

$20,128,546

Down $193,130,214 (-91%) from 2016

Liabilities

Up

$290,296,855

Up $25,657,017 (+9.7%) from 2016

Revenue

Down

$581,516,023

Down $5,646,417 (-1.0%) from 2016

Expenses

Up

$552,894,753

Up $44,683,247 (+8.8%) from 2016

Net Income

Down

$28,621,270

Down $50,329,664 (-64%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.0B$500M$0-$500M-$1.0BAssets 2010: $625,202,404Liabilities 2010: $314,879,089Net Assets 2010: $310,323,3152010Assets 2011: $621,116,777Liabilities 2011: $318,602,129Net Assets 2011: $302,514,6482011Assets 2012: $678,722,235Liabilities 2012: $312,837,599Net Assets 2012: $365,884,6362012Assets 2013: $373,955,221Liabilities 2013: $289,506,878Net Assets 2013: $84,448,3432013Assets 2014: $358,264,552Liabilities 2014: $283,987,705Net Assets 2014: $74,276,8472014Assets 2015: $317,722,714Liabilities 2015: $176,653,002Net Assets 2015: $141,069,7122015Assets 2016: $477,898,598Liabilities 2016: $264,639,838Net Assets 2016: $213,258,7602016Assets 2017: $310,425,401Liabilities 2017: $290,296,855Net Assets 2017: $20,128,5462017Assets 2018: $298,270,621Liabilities 2018: $280,163,471Net Assets 2018: $18,107,1502018Assets 2019: $300,496,531Liabilities 2019: $808,965,838Net Assets 2019: -$508,469,3072019Assets 2020: $304,400,525Liabilities 2020: $263,357,544Net Assets 2020: $41,042,9812020Assets 2021: $486,866,682Liabilities 2021: $528,710,203Net Assets 2021: -$41,843,5212021Assets 2022: $283,948,021Liabilities 2022: $134,041,453Net Assets 2022: $149,906,5682022Assets 2023: $289,560,728Liabilities 2023: $106,266,569Net Assets 2023: $183,294,1592023Assets 2024: $328,223,388Liabilities 2024: $58,338,250Net Assets 2024: $269,885,1382024

Highlighted filing

2017

Assets$310,425,401
Liabilities$290,296,855
Net Assets$20,128,546

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$800M$600M$400M$200M$0-$200MExpenses 2010: $516,803,3742010Expenses 2011: $456,825,3522011Expenses 2012: $479,900,0782012Revenue 2013: $422,156,089Expenses 2013: $351,405,850Net Income 2013: $70,750,2392013Revenue 2014: $544,580,960Expenses 2014: $477,738,508Net Income 2014: $66,842,4522014Revenue 2015: $572,669,219Expenses 2015: $504,700,969Net Income 2015: $67,968,2502015Revenue 2016: $587,162,440Expenses 2016: $508,211,506Net Income 2016: $78,950,9342016Revenue 2017: $581,516,023Expenses 2017: $552,894,753Net Income 2017: $28,621,2702017Revenue 2018: $568,143,773Expenses 2018: $507,645,000Net Income 2018: $60,498,7732018Revenue 2019: $578,577,865Expenses 2019: $519,993,482Net Income 2019: $58,584,3832019Revenue 2020: $556,900,559Expenses 2020: $525,133,865Net Income 2020: $31,766,6942020Revenue 2021: $597,921,178Expenses 2021: $550,406,244Net Income 2021: $47,514,9342021Revenue 2022: $584,279,788Expenses 2022: $574,540,516Net Income 2022: $9,739,2722022Revenue 2023: $574,934,353Expenses 2023: $559,459,768Net Income 2023: $15,474,5852023Revenue 2024: $600,395,679Expenses 2024: $615,959,016Net Income 2024: -$15,563,3372024

Highlighted filing

2017

Revenue$581,516,023
Expenses$552,894,753
Net Income$28,621,270
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
Oct 26, 2017
Return Version
2016v3.0
Gross Receipts
$581,539,724
Mission and Program Overview

Mission

Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually-centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words.

To improve the health and well-being of all people in the communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$195,938,116$197,481,052▲ $1,542,936
Accounts Receivable$92,288,609$75,405,485▼ $16,883,124
Inventories for Sale or Use$16,198,030$13,129,236▼ $3,068,794
Intangible Assets$3,298,368$6,896,201▲ $3,597,833
Investments Program Related$2,087,219--
Savings and Temporary Cash Investments$8,668,044$476,476▼ $8,191,568
Cash and Non-Interest-Bearing Accounts$0$166,392▲ $166,392
Prepaid Expenses and Deferred Charges$125,805$139,805▲ $14,000
Other Notes and Loans Receivable, Net$0$30,000▲ $30,000
Receivable From Disqualified Prsn$0--
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Loans From Officers Directors$0--
Total Assets$477,898,598$310,425,401▼ $167,473,197
Other Assets Total$159,294,407$16,700,754▼ $142,593,653
Liabilities
Other Liabilities$232,830,070$257,495,058▲ $24,664,988
Accounts Payable and Accrued Expenses$31,809,768$32,801,797▲ $992,029
Total Liabilities$264,639,838$290,296,855▲ $25,657,017
Net Assets / Fund Balance
Unrestricted Net Assets$213,258,760$20,128,546▼ $193,130,214
Total Net Assets Fund Balance$213,258,760$20,128,546▼ $193,130,214
Total Liabilities and Net Assets / Fund Balance$477,898,598$310,425,401▼ $167,473,197

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$135,043,472$34,795,031$169,838,503
Equipment$44,414,370$43,771,220$88,185,590
Land$10,082,018-$10,082,018
Other Land Buildings$7,701,007$284,820$7,985,827
Leasehold Improvements$240,185$248,134$488,319
Other Assets Org$7,126,567--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2016$10,000,000$0→ $0$0$10,000,000
2015$10,000,000$0→ $0$0$10,000,000
2014$10,000,000$0→ $0$0$10,000,000
2013$10,000,000$0→ $0$0$10,000,000
2012$10,000,000$0→ $0$0$10,000,000
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-President/COO/hospital President SjmcFT$441,422$224,554$665,976
-Chief Medical OfficerFT$419,065$199,604$618,669
-VP of Med Affairs/med EdFT$404,035$214,071$618,106
-Former Officer (end 6/2014)-$482,528$499,478$499,478
-CFO SjmcFT$246,949$125,671$372,620
-Chief Nursing OfficerFT$214,652$122,106$336,758
-VP Clinical ServicesFT$213,939$92,353$306,292
-Rn Nurse Project Special ManagerFT$152,524$66,377$218,901
-Rn Director Materianl Child ServicesFT$141,727$73,510$215,237
-Rn Director Cardiac CareFT$121,891$91,447$213,338
-Director, Patient Access Financial CounselingFT$125,649$82,941$208,590
-Director, PharmacyFT$151,076$52,381$203,457

Board Members and Trustees

NameTitle
-Chairman
-VICE-CHAIRman
-Director
-Director/Director CAP. Budg. & Comm. Ben.
-Secretary - VP Integrity & Compliance
-Treasurer/exec VP Sjhs CFO/VP Ah CFO Oktul

Highest Paid Contractors

ContractorServicesLocationCompensation
Healthtrust Inc-the Hospital CompanyMedical And Surgical Services10001100 CHARLOTTE AVE, SUITE 1600, Nashville, TN 37203-4532$9,007,837
Board Of Regents Of The Universty Of OklahomaEducational Services4502 E 41ST STREET, ROOM 2B02, Tulsa, OK 74135$1,246,626
Obhg Oklahoma PCPhysician Services10 CENTIMETERS DRIVE, Mauldin, SC 29662-3278$914,193
Oklahoma Cancer Specialists & ResearchMedical Services12697 E 51ST STREET S, Tulsa, OH 74146$715,316
Tulsa Bone & Joint Associates LLCMedical Services4802 S 109TH EAST AVENUE, Tulsa, OH 74146$553,000
Revenue and Support

Revenue Composition

Contributions and Grants
$14,773,824
Program Service Revenue
$555,508,222
Investment Income
$4,140,490
Other Revenue
$7,093,487
All Other Contributions
$181
Change in Net Assets
$28,621,270
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$353,894,610
Salaries, Compensation, and Employee Benefits$190,142,792
Grants and Similar Amounts Paid$8,857,351
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$117,984,066$29,801,406-$147,785,472
Fees for Services Management-$36,470,955-$36,470,955
All Other Expenses$21,923,381$2,973,423$0$24,896,804
Other Employee Benefits$17,519,620$4,425,253-$21,944,873
Depreciation Depletion$13,786,849$7,180,786-$20,967,635
Other Expenses$13,287,872$89,742-$13,377,614
Fees for Services Other$11,519,237$51,595$0$11,570,832
Payroll Taxes$8,724,266$2,185,345-$10,909,611
Interest$10,222,566--$10,222,566
Grants to Domestic Orgs$8,857,351--$8,857,351
Occupancy$6,538,751$74,084-$6,612,835
Pension Plan Contributions$5,267,011$1,330,386-$6,597,397
Office Expenses$3,533,154$1,177,717-$4,710,871
Current Officers, Directors, Trustees, and Key Employees$2,533,542$371,897-$2,905,439
Insurance$1,230,668--$1,230,668
Conferences and Meetings$520,832$57,420-$578,252
Information Technology$62,287$102,420-$164,707
Advertising$159,145$238-$159,383
Travel$125,636$13,852-$139,488
Fees for Services Lobbying-$22,882-$22,882
Fees for Services Legal-$3,145-$3,145
Fees for Services Accounting-$-1,953-$-1,953
Total Functional Expenses$465,933,992$86,960,761$0$552,894,753
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
In His ImageTulsa, OK501(c)(3)Operating Support$4,843,926
University of OklahomaTulsa, OKGOV'T ENTITYOperating Support$2,045,425
Board of Regents of the University of OklahomaTulsa, OK501(c)(3)Operating Support$1,910,000
The Catholic University of OklahomaShawnee, OK501(c)(3)Operating Support$50,000
Oklahoma Nurses AssociationOklahoma City, OK501(c)(6)Operating Support$5,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0--
Receivables from Disqualified Persons$0--
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Self Insurance Liability$224,127,800
Debt With Ascension Health$31,908,629
Estimated Settlement to Third Party Payor$1,438,703
Recovery Tail Liability$19,926
Other Misc Liabilities-
Due to Affiliates-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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

REVENUE FROM AFFILIATES - Total Revenue: 86815, Related or Exempt Function Revenue: 86815, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Form 990, Part VIII, Line 11D Other Miscellaneous Revenue

CONSULTING REVENUE - Total Revenue: 27979, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 27979; MEDICAL RECORDS - Total Revenue: 173498, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 173498; RECYCLING REVENUE - Total Revenue: 25000, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 25000; TELEPHONE REVENUE - Total Revenue: 136733, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 136733; OTHER MISCELLANEOUS REVENUE - Total Revenue: 615240, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 615240;

Filing and Contact Details

Filer

Filer Name
St John Medical Center Inc
EIN
73-0579286
Phone
3147338000
Address
1923 South Utica Avenue, Tulsa, OK 74104-6502

Signing Officer

Name
Tonya Mershon
Title
Tax Officer
Signed
2017-10-26

Organization Details

Formed
1953
Legal Domicile
Ok
Voting Board Members
9
Independent Board Members
8
Employees
3,430
Volunteers
580
Supplemental Narrative

Additional Explanations

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 - 71552931; transfer intercompany balances to parent - -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.

Financial Statement Notes

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, 2017.

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IRS990/Form990PartVIISectionAGrp/TitleTxt12VP CLINICAL SERVICES
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IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR, PHARMACY
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IRS990/Form990PartVIISectionAGrp/TitleTxt18DIRECTOR, PATIENT ACCESS FINANCIAL COUNSELING
IRS990/Form990PartVIISectionAGrp/TitleTxt19RN DIRECTOR MATERIANL CHILD SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt20RN DIRECTOR CARDIAC CARE
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IRS990/MissionDesc0Our 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.
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$328$58.3$270$600$616$15.6
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$290$106$183$575$559$15.5
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$284$134$150$584$575$9.74
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$487$529$41.8$598$550$47.5
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$304$263$41.0$557$525$31.8
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$300$809$508$579$520$58.6
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$298$280$18.1$568$508$60.5
2017Detailed filing. Detailed filing data is available for this year.$310$290$20.1$582$553$28.6
2016Detailed filing. Detailed filing data is available for this year.$478$265$213$587$508$79.0
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$318$177$141$573$505$68.0
2014Detailed filing. Detailed filing data is available for this year.$358$284$74.3$545$478$66.8
2013Summary only. Only limited summary data is available for this year.$374$290$84.4$422$351$70.8
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$679$313$366$480
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$621$319$303$457
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$625$315$310$517