Civic Intelligence

St John Health System Inc

EIN 73-1215174 • 501(c)3 • St Louis, MO

Profile

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.

C/O Tax Department PO Box 45998St Louis, MO 63145-5998

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

100th percentile

22.11x

Higher debt load relative to assets than 100% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2023

Liabilities / Revenue

93rd percentile

5.32x

Higher debt load relative to revenue than 93% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2023

Net Margin

7th percentile

-30%

Higher net margin than 7% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2023

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

4th percentile

-18%

Faster asset growth than 4% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2022 to 2023

Revenue Growth

65th percentile

13%

Faster revenue growth than 65% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2022 to 2023

Assets

Down

$22,499,721

Down $13,969,739 (-38%) from 2023

Liabilities

Up

$1,157,294,303

Up $350,910,781 (+44%) from 2023

Net Assets

Down

-$1,134,794,582

Down $364,880,520 (-47%) from 2023

Revenue

Down

$135,511,975

Down $16,055,442 (-11%) from 2023

Expenses

Up

$219,930,036

Up $23,497,037 (+12%) from 2023

Net Income

Down

-$84,418,061

Down $39,552,479 (-88%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$2.0B$1.0B$0-$1.0B-$2.0BAssets 2011: $1,040,380,707Liabilities 2011: $368,740,435Net Assets 2011: $671,640,2722011Assets 2012: $1,301,894,176Liabilities 2012: $553,494,930Net Assets 2012: $748,399,2462012Assets 2013: $1,337,532,018Liabilities 2013: $612,525,050Net Assets 2013: $725,006,9682013Assets 2014: $1,379,257,016Liabilities 2014: $594,995,761Net Assets 2014: $784,261,2552014Assets 2015: $796,335,081Liabilities 2015: $586,918,172Net Assets 2015: $209,416,9092015Assets 2016: $656,340,923Liabilities 2016: $569,221,508Net Assets 2016: $87,119,4152016Assets 2017: $722,912,742Liabilities 2017: $578,389,381Net Assets 2017: $144,523,3612017Assets 2018: $625,356,863Liabilities 2018: $578,812,739Net Assets 2018: $46,544,1242018Assets 2019: $1,582,425,616Liabilities 2019: $536,130,159Net Assets 2019: $1,046,295,4572019Assets 2020: $334,642,105Liabilities 2020: $541,640,410Net Assets 2020: -$206,998,3052020Assets 2021: $416,235,544Liabilities 2021: $454,705,029Net Assets 2021: -$38,469,4852021Assets 2022: $44,452,114Liabilities 2022: $588,445,123Net Assets 2022: -$543,993,0092022Assets 2023: $36,469,460Liabilities 2023: $806,383,522Net Assets 2023: -$769,914,0622023Assets 2024: $22,499,721Liabilities 2024: $1,157,294,303Net Assets 2024: -$1,134,794,5822024

Highlighted filing

2024

Assets$22,499,721
Liabilities$1,157,294,303
Net Assets-$1,134,794,582

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400M$200M$0-$200M-$400MRevenue 2011: $55,034,666Expenses 2011: $69,950,372Net Income 2011: -$14,915,7062011Revenue 2012: $58,294,519Expenses 2012: $75,017,043Net Income 2012: -$16,722,5242012Revenue 2013: $164,142,032Expenses 2013: $121,460,317Net Income 2013: $42,681,7152013Revenue 2014: $231,886,607Expenses 2014: $198,472,468Net Income 2014: $33,414,1392014Revenue 2015: $225,698,519Expenses 2015: $259,435,274Net Income 2015: -$33,736,7552015Revenue 2016: $209,103,966Expenses 2016: $277,102,483Net Income 2016: -$67,998,5172016Revenue 2017: $153,143,998Expenses 2017: $260,651,635Net Income 2017: -$107,507,6372017Revenue 2018: $144,588,991Expenses 2018: $363,187,295Net Income 2018: -$218,598,3042018Revenue 2019: $148,062,139Expenses 2019: $225,231,990Net Income 2019: -$77,169,8512019Revenue 2020: $128,884,052Expenses 2020: $207,208,657Net Income 2020: -$78,324,6052020Revenue 2021: $124,878,705Expenses 2021: $207,553,746Net Income 2021: -$82,675,0412021Revenue 2022: $134,643,116Expenses 2022: $186,836,914Net Income 2022: -$52,193,7982022Revenue 2023: $151,567,417Expenses 2023: $196,432,999Net Income 2023: -$44,865,5822023Revenue 2024: $135,511,975Expenses 2024: $219,930,036Net Income 2024: -$84,418,0612024

Highlighted filing

2024

Revenue$135,511,975
Expenses$219,930,036
Net Income-$84,418,061

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$22.5$1,157$1,135$136$220$84.4
2023Detailed filing. Detailed filing data is available for this year.$36.5$806$770$152$196$44.9
2022Detailed filing. Detailed filing data is available for this year.$44.5$588$544$135$187$52.2
2021Detailed filing. Detailed filing data is available for this year.$416$455$38.5$125$208$82.7
2020Detailed filing. Detailed filing data is available for this year.$335$542$207$129$207$78.3
2019Detailed filing. Detailed filing data is available for this year.$1,582$536$1,046$148$225$77.2
2018Detailed filing. Detailed filing data is available for this year.$625$579$46.5$145$363$219
2017Detailed filing. Detailed filing data is available for this year.$723$578$145$153$261$108
2016Detailed filing. Detailed filing data is available for this year.$656$569$87.1$209$277$68.0
2015Detailed filing. Detailed filing data is available for this year.$796$587$209$226$259$33.7
2014Detailed filing. Detailed filing data is available for this year.$1,379$595$784$232$198$33.4
2013Summary only. Only limited summary data is available for this year.$1,338$613$725$164$121$42.7
2012Summary only. Only limited summary data is available for this year.$1,302$553$748$58.3$75.0$16.7
2011Summary only. Only limited summary data is available for this year.$1,040$369$672$55.0$70.0$14.9
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 13, 2025
Return Version
2023v6.0
Gross Receipts
$135,511,975
Mission and Program Overview

Mission

Continue the healing ministry of Jesus Christ by providing medical excellence and compassionate care to all who need it with a special emphasis for the poor and powerless.

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$15,411,617$10,791,361▼ $4,620,256
Investments Program Related$6,168,588$4,719,301▼ $1,449,287
Savings and Temporary Cash Investments$6,059,379$4,413,161▼ $1,646,218
Intangible Assets$1,718,959$1,371,051▼ $347,908
Pledges and Grants Receivable$6,917$14,179▲ $7,262
Prepaid Expenses and Deferred Charges$0$1,472▲ $1,472
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments in Publicly Traded Securities$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$36,469,460$22,499,721▼ $13,969,739
Other Assets Total$7,104,000$1,189,196▼ $5,914,804
Liabilities
Other Liabilities$804,744,600$1,156,582,236▲ $351,837,636
Accounts Payable and Accrued Expenses$1,638,922$712,012▼ $926,910
Deferred Revenue$0$55▲ $55
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$806,383,522$1,157,294,303▲ $350,910,781
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$-769,914,062$-1,134,794,582▼ $364,880,520
Total Net Assets Fund Balance$-769,914,062$-1,134,794,582▼ $364,880,520
Total Liabilities and Net Assets / Fund Balance$36,469,460$22,499,721▼ $13,969,739

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$7,394,110$19,997,437$27,391,547
Other Land Buildings$1,984,691$1,487,364$3,472,055
Buildings$1,386,930$1,590,367$2,977,297
Leasehold Improvements$25,630$759,721$785,351
Investment Program Related Org$4,719,301--
Land$0-$0
Other Assets Org$817,314--
Compensation and Service Providers

Employees

NameTitleOtherTotal
Alecia Anne Siegfried RnSecretary$40,215$40,215

Board Members and Trustees

NameTitle
Milann SiegfriedChair
Arthur H Mcelroy IiVice Chair
Clifton TaulbertDirector
David KingDirector
Hastings SiegfriedDirector
Robert SullivanDirector
Shaun Grewal MdDirector
Rebecca a TuckerAssistant Treasurer/CFO, Ministry Market (end 2/2024)
Heather a SchneiderCFO, Ministry Market (start 6/2024)
Carl Bo BeaudryEx-officio/CEO, Ministry Market (start 9/2023)
Michael McculloughFormer Officer (end 11/2020)
Jeffrey D NowlinFormer Officer (end 4/2023)
Bryanie W SwilleyInterim CEO, Ministry Market (end 9/2023)
Cherie French-edwardsInterim CFO, Ministry Market (start 2/2024 - End 5/2024)
Jeffrey a SandersTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
World Wide Technology LLCTechnology Services1 WORLD WIDE WAY, Saint Louis, MO 63146-3002$396,084
Professional Research ConsultantsHealthcare Consulting11326 P ST, Omaha, NE 68137-2316$190,500
Revenue and Support

Revenue Composition

Contributions and Grants
$446,536
Program Service Revenue
$133,986,637
Investment Income
$10,450
Other Revenue
$1,068,352
All Other Contributions
$104,463
Change in Net Assets
$-84,418,061
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$217,649,467
Grants and Similar Amounts Paid$2,280,569
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Interest-$16,377,993-$16,377,993
Insurance-$10,797,408-$10,797,408
Depreciation Depletion$1,876,648$3,866,509-$5,743,157
Other Expenses$23,955$4,780,033-$4,803,988
Occupancy$849,202$1,749,633-$2,598,835
Grants to Domestic Orgs$2,280,569--$2,280,569
Office Expenses$16,788$772,119-$788,907
Advertising$142,442$376,252-$518,694
Information Technology$36,200$199,566-$235,766
Travel$24,043$40,559-$64,602
Conferences and Meetings$2,866$6,941-$9,807
Fees for Services Management-$-2,176-$-2,176
Fees for Services Other$5,500$-647,278$0$-641,778
All Other Expenses$286,792$-6,118,136$0$-5,831,344
Total Functional Expenses$160,940,184$58,989,852$0$219,930,036
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
St John Health System Foundation IncSt Louis, MO501(c)(3)General Support$1,873,266
Tulsas Future IncTulsa, OK501(c)(3)Acceleration Program$100,000
Bishop Kelley High SchoolTulsa, OK501(c)(3)pledge to Bishop Kelley High School towards Strength/Conditioning Coach and Athletic Trainer salaries$23,250
Catholic Charities Diocese of TulsaTulsa, OK501(c)(3)to support the part-time case manager salary for the Pregnancy Care program in Tulsa County$17,689
St Andrew Community Mission Program IncTulsa, OK501(c)(3)to support the Day Labor Food Go Bags program in Tulsa$15,000
River Parks FoundationTulsa, OK501(c)(3)to support the Park Patrol program$13,500
Project Orphans IncTulsa, OK501(c)(3)to support Health & Wellness Enhancement program in Creek County$12,500
B the Light Mission FoundationBartlesville, OK501(c)(3)to support your ride voucher program in Washington County$10,000
Bartlesville Public Schools FoundationBartlesville, OK501(c)(3)to support Bruins on the Run in Washington County$10,000
Caring Community Friends IncSapulpa, OK501(c)(3)to support the healthy food access programs in Creek county$10,000
Stand 4 Justice MovementBixby, OK501(c)(3)to support your Survivor Empowerment Program$9,775
Family Safety CenterTulsa, OK501(c)(3)to support Protection Hope and Healing navigator services in Tulsa County$9,000
Mental Health Association in Tulsa IncTulsa, OK501(c)(3)Mental and Behavioral Support Services$9,000
Hiv Resource Consortium IncTulsa, OK501(c)(3)to support Mental Health services$8,600
Emergency Infant ServicesTulsa, OK501(c)(3)Infant Formula Program in Tulsa$7,500
Resonance Center for Women IncTulsa, OK501(c)(3)to support the Substance Abuse Treatment Program$7,500
The Spring Shelter IncSand Springs, OK501(c)(3)to support the Mental health services for survivors of domestic abuse and sex trafficking in Tulsa County$7,500
USA Bmx Foundation IncGilbert, AZ501(c)(3)to support your RISE Youth Program in Tulsa County$7,500
Ywca TulsaTulsa, OK501(c)(3)to support the Community Investment program$7,500
Just the Beginning IncTulsa, OK501(c)(3)to support the #HealthyMatters substance abuse life skills classes$7,000
Family Hope House IncTulsa, OK501(c)(3)to support Behavioral Health Therapy Services in Tulsa County$5,920
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

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

Other Reported Liabilities

LiabilityAmount
Due to Affiliates/Centralized cash mgmt activity$715,106,004
Debt with Ascension Health Alliance$418,769,230
IBNR Capitation Claims$12,781,000
Other Miscellaneous Liabilities$8,318,487
Lease Liabilities$842,170
WORKER'S COMPENSATION LIABILITY$731,095
Accrued Real Estate Tax Liability$30,000
Accrued Sales and Use Tax Liability$2,633
Accrued Excise Tax Liability$1,617
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 35% controlled entity
No
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 & 15B - PROCESS FOR DETERMINING COMPENSATION

The process for determining compensation of the organization's ceo, executive director, or top management official, as well as that of any other officers or senior executives (if any), is directed by a related organization. The related organization's board committee responsible for compensation oversees the process, utilizing independent delegees within the organization as appropriate, depending on the role. In some cases, the process may utilize comparability data and analysis from a national third-party compensation firm; or, if more appropriate for the role, it may instead utilize other applicable sources of market comparability data as needed to verify reasonableness. The process also includes contemporaneous substantiation of the analysis and decision regarding the compensation arrangement. Compensation is reviewed at least annually and the process is administered to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.

Form 990, Part VI, Line 2 Family/business relationships amongst interested persons

Alecia Anne Siegfried, RN, Milann Siegfried and Hastings Siegfried - Family relationship

Form 990, Part VI, Line 6 Classes of members or stockholders

St. John Health System, Inc. has a single corporate member, Ascension Health.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

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

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

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 which may include, as needed, finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance in order to prepare a complete and accurate return. A complete final copy of the return is provided to designated management team members with experience in tax in lieu of the full board.

Form 990, Part VI, Line 12C Conflict of interest policy

The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.

Form 990, Part VI, Line 19 Required documents available to the public

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

Form 990, Part VII, Section A Related Entities

The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting.

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

Other Miscellaneous Revenue - Total Revenue: 25125, Related or Exempt Function Revenue: 3667, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 21458;

Filing and Contact Details

Filer

Filer Name
St John Health System Inc
EIN
73-1215174
Phone
3147338000
Address
C/O TAX DEPARTMENT PO BOX 45998, ST LOUIS, MO 63145-5998
Doing Business As
Ascension St John

Signing Officer

Name
Tonya Mershon
Title
Vice President, Tax
Signed
2025-05-13
Discuss with paid preparer
Yes

Organization Details

Formed
1982
Legal Domicile
Ok
Voting Board Members
10
Independent Board Members
8
Employees
0
Volunteers
8

Preparer

Firm
Ernst & Young US Llp
Address
200 Clarendon Street, Boston, MA 02116
Preparer
Lindsey Pigg
Phone
6172662000
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

TRANSFERS WITH AFFILIATES - -XXX-XX-XXXX; Change in Share of Investment in Net Assets - 61258; FAS 158 Pension Adjustment - -4175212;

Form 990, Part XII, Line 2B AUDITED FINANCIAL STATEMENTS

The activity of the filing organization is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of the filing organization is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of the filing organization.

Form 990, Part XII, Line 2C AUDIT COMMITTEE

The filing organization is included in the consolidated financial statements of ascension health alliance. The finance and audit committee of ascension health alliance's board assumes responsibility for the consolidated organization as a whole.

Form 990, Page 1 Physical Address

The physical address for this entity is 1923 south utica avenue, tulsa, ok 74104. The address on page 1 is for mailing purposes only.

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

The system accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The system has determined that no material unrecognized tax benefits or liabilities exist as of june 30, 2024.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0THE FILING ORGANIZATION IS A PART OF THE ASCENSION CATHOLIC HEALTH MINISTRY. ASCENSION IS A FAITH-BASED HEALTHCARE ORGANIZATION THAT DELIVERS PERSONALIZED, COMPASSIONATE CARE TO ALL, ESPECIALLY TO THOSE WHO NEED IT THE MOST. St. John Health System, Inc. (St. John), is a wholly owned subsidiary of non-profit Ascension Health. St. John and affiliates own and operate a comprehensive tertiary health care delivery system which provides a full spectrum of health-related services in eastern Oklahoma and southeastern Kansas. St. John, headquartered in Tulsa, Oklahoma, conducts its operations through several wholly-owned or wholly-controlled subsidiaries, including: St. John Medical Center, Inc., St. John Sapulpa, Inc., Jane Phillips Memorial Medical Center, Utica Services, Inc. , Owasso Medical Facility, Inc., St. John Health System Foundation, Inc., St. John Building Corporation, St. John Broken Arrow, Inc., and Jane Phillips Nowata Hospital, Inc. 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". As the parent company of the St. John System, St. John supports the activities of Ascension Health and the entire health system by providing executive leadership, centralized support, and managerial functions. Parent-level activities in support of the St. John System include strategic planning, capital and operational budgeting, human resources administration, centralized cash management and treasury functions, accounting and financial reporting, information technology development and support, business office decision support, and other support and management functions. Some of these functions have recently been outsourced to related entities that are part of, or affiliated with, Ascension Health.
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IRS990/MissionDesc0Rooted 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.
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