SAINT FRANCIS HOSPITAL INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: SAINT FRANCIS HOSPITAL INC (EIN 73-0700090)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-14
IRS object ID: 202141349349302619
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-14T10:42:46-05:00	ReturnTs
Tax Period End	2020-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2323 VICTORY AVENUE SUITE 2000	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	730700090	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Saint Francis Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% ERIC E SCHICK	InCareOfNm
Business Name Control	SAIN	BusinessNameControlTxt
Phone	9184948430	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6600 S Yale Ave Suite 400	AddressLine1Txt
City	Tulsa	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	741363319	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ERIC E SCHICK	PersonNm
Person Title	Treasurer/CFO	PersonTitleTxt
Phone	9184948430	PhoneNum
Signature	2021-05-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Stephanie Lew	PreparerPersonNm
PTIN	P01080011	PTIN
Phone	2149698000	PhoneNum
Preparation	2021-05-06	PreparationDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Eric E Schick	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6161 S Yale Ave	AddressLine1Txt
City	Tulsa	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	741363319	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$4,195,387,388	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://WWW.SAINTFRANCIS.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1960	FormationYr
Legal Domicile State	OK	LegalDomicileStateCd
Activity Or Mission	To extend the presence and healing ministry of Christ in all we do.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	7439	TotalEmployeeCnt
Total Volunteers	473	TotalVolunteersCnt
Total Gross UBI	$5,183,257	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$405,175	PYContributionsGrantsAmt
CY Contributions Grants	$5,545,945	CYContributionsGrantsAmt
PY Program Service Revenue	$1,194,536,896	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,256,994,972	CYProgramServiceRevenueAmt
PY Investment Income	$12,197,137	PYInvestmentIncomeAmt
CY Investment Income	$102,226,084	CYInvestmentIncomeAmt
PY Other Revenue	$28,455,726	PYOtherRevenueAmt
CY Other Revenue	$82,753,255	CYOtherRevenueAmt
PY Total Revenue	$1,235,594,934	PYTotalRevenueAmt
CY Total Revenue	$1,447,520,256	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,876,870	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,319,254	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$445,998,119	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$477,822,529	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$587,524,421	PYOtherExpensesAmt
CY Other Expenses	$656,144,467	CYOtherExpensesAmt
PY Total Expenses	$1,036,399,410	PYTotalExpensesAmt
CY Total Expenses	$1,136,286,250	CYTotalExpensesAmt
PY Revenues Less Expenses	$199,195,524	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$311,234,006	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,599,479,060	TotalAssetsBOYAmt
Total Assets EOY	$2,895,637,297	TotalAssetsEOYAmt
Total Liabilities BOY	$125,484,816	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$143,470,432	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,473,994,244	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,752,166,865	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	To extend the presence and healing ministry of Christ in all we do.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$831,418,139	ExpenseAmt
Grant	$2,319,254	GrantAmt
Revenue	$1,261,829,833	RevenueAmt
Desc	Statement of accomplishments Saint Francis Hospital, Inc. is a member of Saint Francis Health System, Inc. Saint Francis Health System, Inc. is a Catholic, not for profit health system whose mission is to extend the presence and healing ministry of Christ in all we do. Saint Francis Health System, Inc. is anchored by Saint Francis Hospital, Inc., a 1,088-bed tertiary center, which includes the region's only children's hospital and Level IV neonatal intensive care unit, a 168-bed heart hospital and Tulsa's leading trauma and emergency center. Additionally, Saint Francis Health System, Inc. employs more than 573 providers with 421 of those serving through Warren Clinic, Inc., which serves the region with over 99 locations throughout eastern Oklahoma. In total, Saint Francis Health System, Inc. has more than 10,000 employees, 1,084 physicians on medical staff and approximately 725 volunteers, making it the largest private employer in Tulsa County, with hospitals, physician clinics, mental health facilities, trauma emergency centers, pharmacy services, rehabilitation facilities, a fitness center, a neonatal intensive care unit, and home health services. As a member of Saint Francis Health System, Inc. and a not for profit organization, each year Saint Francis Hospital, Inc. provides millions of dollars of charity care to patients throughout the State of Oklahoma, Southern Kansas, Southwestern Missouri and Western Arkansas. While this care represents a large percentage of Saint Francis Hospital, Inc.'s gift back to the community, it is still only part of what Saint Francis Hospital, Inc. considers as healing ministry of Christ. Saint Francis Health System, Inc.'s mission of extending the presence and healing ministry of Christ is epitomized in Saint Francis Hospital, Inc.'s giving back to its community. It takes the form of hundreds of programs and acts of charity provided daily across the State of Oklahoma - free health screenings, support groups, medical services, educational programs, health fairs and more. Saint Francis Hospital, Inc. provides significant amounts of uncompensated services. Uncompensated services are the costs of providing free and reduced cost care, which includes charity care and unpaid costs of Medicaid programs. As a not for profit hospital, Saint Francis Hospital, Inc. provides services to everyone, regardless of their ability to pay or their insurance coverage. Thus, it provides a much needed safety net for members of the Saint Francis Hospital, Inc. community who would otherwise have no access to medical care. Saint Francis Hospital, Inc., in the fall of 2004, set into place provisions that increase the hospital's ability to offer charity care to those less fortunate and provide those lacking healthcare coverage with free care to lessen the burden and anxiety often caused by healthcare expenses. The Financial Assistance Policy provides access to charity care for those individuals whose gross annual income is equal to or less than 225 percent of the federal poverty level. Further, patients lacking healthcare insurance, regardless of their personal income level, receive a discount from billed charges. Both initiatives exemplify the Saint Francis Health System, Inc.'s mission to extend the presence and healing ministry of Christ, with a particular emphasis on those most in need of health services in Northeastern Oklahoma. All, to improve the health of the people and communities served in a spirit of compassion and charity. Saint Francis History On October 1, 1960, Saint Francis Hospital, Inc., located in eastern Oklahoma, opened with 275 beds. It was a dream of the founders William K. Warren Sr. and his wife Natalie Overall Warren to give a gift to the City of Tulsa that would serve its citizens for years to come. In order to meet patient care requirements, as well as the demands of a rapidly growing population in Southeast Tulsa, Saint Francis Hospital, Inc. was expanded in 1969 to 735 adult and pediatric beds and bassinets. A major milestone occurred on December 3, 1975 - the 15th anniversary of the hospital - when the Natalie Warren Bryant Cancer Center opened its doors. It was one of the first centers where radiation therapy, chemotherapy services, laboratory and support services were grouped in a single location for the patient's convenience. The Natalie Warren Bryant Cancer Center is now known as the Saint Francis Cancer Center and provides state-of-the-art medical oncology and radiotherapy technology to residents in eastern Oklahoma and surrounding states. The first area Warren Clinic, Inc. facility was established in Stillwater, Oklahoma, in January 1988. Warren Clinic, Inc. has grown significantly from the three internal medicine specialists in Stillwater to 388 providers in practice throughout eastern Oklahoma. Saint Francis Hospital at Broken Arrow officially became part of Saint Francis Health System, Inc. in January 1988. The union initially occurred when Saint Francis Hospital at Broken Arrow affiliated with Saint Francis Hospital, Inc. on January 1, 1986. As the Broken Arrow community grew, the Broken Arrow facility was unable to meet the demands. In June of 2007, the hospital relocated to a new facility and is now known as Saint Francis Hospital South, LLC, where it continues to serve the Broken Arrow community. A fitness park was built where the former hospital once stood for community members to enjoy. Saint Francis Hospital South, LLC opened in 2007 with 96 beds servicing the needs of Southern Tulsa and Wagoner counties in Oklahoma. Built with a neighborhood feel, the hospital offers general services, as well as many sub-specialties generally reserved for larger city hospitals including a Level IV NICU, Emergency Services, Cardiology, Urology and 24-hour on-site anesthesia. In 1989, the William K. Warren Foundation established Laureate Psychiatric Clinic and Hospital, Inc., as well as the Laureate Psychiatric Research Center. Laureate Psychiatric Clinic and Hospital, Inc. was opened to provide a place where those suffering from mental illness would be treated the same as patients having any other illness. In addition to programs for adolescents and adults, Laureate Psychiatric Clinic and Hospital, Inc. offers successful specialty programs for chemical dependency, mood disorders and eating disorders. The Children's Hospital at Saint Francis, a "hospital within a hospital" was established in 1995 and created with pediatric patients in mind. The goal was to improve access and efficiency, as well as to provide a larger and more "kid friendly" atmosphere for children and their families. The Children's Hospital at Saint Francis is a regional referral center specializing in pediatric inpatient care, as well as neonatal and pediatric intensive care and offers service in more than 25 different pediatric specialties including the regions only Level IV Neonatal Intensive Care Unit, pediatric hematology/oncology clinic and a pediatric cardiac surgery program. In March 2004, Saint Francis Health System, Inc. and area cardiologists joined together as partners to open the Saint Francis Heart Hospital. The need for heart services is great in Oklahoma as heart disease is the leading cause of death in Oklahoma according to a report issued by the Centers for Disease Control and Prevention National Vital Statistic Reports for 2015. Smoking, high blood pressure, high cholesterol and lack of exercise are factors that contribute to the problem and place Oklahoma high on the unhealthy list. Saint Francis Trauma Emergency Center and Patient Tower, the largest expansion of Saint Francis Hospital, Inc.'s history, opened September 2014. The newest facility includes acute and critical care capacity; a new eight-story, 150-bed patient care tower; a new chapel and convent; clinical education rooms; and administrative and physician office spaces. In October 2016, Saint Francis Health System, Inc. began managing the Oklahoma State University Medical Center (OSUMC). Under the terms of the 10-year management agreement, Saint Francis Health System, Inc. provides executive leadership, operational oversight and strategic direction for the hospital and its affiliated clinics and programs to provide access to healthcare to the medically underserved and rural areas in the region. The partnership allows both organizations to bolster their ability to meet the needs of the vulnerable population. Formerly Craig General Hospital, Saint Francis Hospital Vinita, Inc. is located on a piece of the homestead of Mr. and Mrs. W.F. Friend, who donated the land in the early 1960s. The hospital, which opened in 1963, became part of the Saint Francis Health System in December, 2016. It, along with the existing Warren Clinic Vinita and the newly named Saint Francis Health Centers located in Langley and Monkey Island, provide area residents with conveniently located primary and specialty services. In April 2017, Eastar Health System and affiliated c	Desc
Total Program Service Expenses	$831,418,139	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	525	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7439	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	AZ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ERIC E SCHICK	PersonNm
Phone	9184948430	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6161 S YALE AVE	AddressLine1Txt
City	TULSA	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	741363319	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd
Jake Henry Jr
President/CEO/Director	1.0	39.0	Yes (X)	Yes (X)	$0	$2,418,782	$68,070
Robert Garrett MD
Physician	5.0	35.0			$139,050	$2,159,967	$14,833	Yes (X)
Harsh Patel MD
Physician	5.0	35.0			$13,805	$1,231,377	$42,059	Yes (X)
Sanjeev Trehan MD
Physician	5.0	35.0			$14,330	$1,192,886	$55,484	Yes (X)
Barry L Steichen
Vice President/COO/Director	1.0	39.0	Yes (X)	Yes (X)	$0	$1,107,298	$61,110
Eric E Schick
Treasurer/CFO	39.0	1.0		Yes (X)	$880,899	$0	$55,049
Michael Spain MD
Physician	5.0	35.0			$75,390	$794,390	$50,916	Yes (X)
Adam Karpman MD
Physician	5.0	35.0			$73,309	$726,840	$55,484	Yes (X)
Thomas G Neff
Former Secretary	40.0	0.0			$639,601	$0	$64,063		Yes (X)
Michael J Lissau
Secretary	39.0	1.0		Yes (X)	$461,001	$0	$20,258
Doug Williams
Administrator	39.0	1.0			$408,359	$0	$53,640			Yes (X)
Jeffrey C Sacra
Former Asst Secretary	0.0	0.0			$201,704	$0	$0		Yes (X)
Lynn Sund
Former Administrator	0.0	20.0			$70,487	$101,016	$10,102		Yes (X)
Judy Kishner
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
William R Lissau
Director	1.0	0.0	Yes (X)		$0	$0	$0
William K Warren Jr
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
Bishop David A Konderla
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
J Frederick McNeer MD
Trustee (until 12/10/19)	1.0	0.0	Yes (X)		$0	$0	$0
John A Gaberino Jr
Trustee (until 12/10/19)	1.0	0.0	Yes (X)		$0	$0	$0
Jeffrey Smith
Trustee (start 12/10/19)	1.0	0.0	Yes (X)		$0	$0	$0
John-Kelly C Warren
Trustee (start 12/10/19)	1.0	0.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,977,935	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,732,556	TotReportableCompRltdOrgAmt
Total Other Compensation	$551,068	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	394	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Crossland Construction Co Inc
833 S East Ave	COLUMBUS	KS	66725	Construction Svcs	$44,087,556
Skanska USA Building Inc
389 Interpace Parkway 5th Fl	PARSIPPANY	NJ	07054	CONSTRUCTION SVCS	$11,257,849
GE Precision Healthcare LLC
3000 N Grandview Blvd	WAUKESHA	WI	53188	Medical Services	$4,916,937
Epic Systems Corporation
1979 Milky Way	VERONA	WI	53593	Software Services	$4,235,097
Works Lentz of Tulsa Inc
1437 S Boulder Ste 900	TULSA	OK	741193631	Collections Services	$3,410,737

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	153	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$88,065	RelatedOrganizationsAmt
All Other Contributions	$5,457,880	AllOtherContributionsAmt
Noncash Contributions	$250,686	NoncashContributionsAmt
Total Contributions	$5,545,945	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT CARE REVENUE	621110	$737,217,163	$737,217,163
P'SHIP INCOME RELATED TO PROGRAM SERVICES	541900	$3,661,821	$3,512,900	$148,921
OUTREACH LAB	621500	$10,651,911	$10,651,911
OFFICE SPACE REIMBURSEMENT	531120	$1,480,645	$1,480,645
MEDICARE / MEDICAID	621300	$503,983,432	$503,983,432

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,256,994,972	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$38,186,020	TotalRevenueColumnAmt
Exclusion	$38,186,020	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,811,651,157	SecuritiesAmt
Other	$256,039	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$2,746,626,781	SecuritiesAmt
Other	$1,240,351	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$65,024,376	SecuritiesAmt
Other	-$984,312	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$64,040,064	TotalRevenueColumnAmt
Exclusion	$64,040,064	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
ALL SAINTS HOME MEDICAL	900004	$32,612,501	$32,612,501
CARES ACT/COVID	900004	$23,651,086	$23,651,086
FOOD SERVICE RBI	621500	$6,465,554	$6,465,554

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$20,024,114	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,834,861	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,034,336	UnrelatedBusinessRevenueAmt
Exclusion	$10,154,917	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$82,753,255	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,447,520,256	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,261,680,912	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,183,257	UnrelatedBusinessRevenueAmt
Exclusion	$175,110,142	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,825,071	TotalAmt
Program Services	$1,825,071	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$494,183	TotalAmt
Program Services	$494,183	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,929,304	TotalAmt
Management And General	$1,929,304	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,345,786	TotalAmt
Program Services	$344,969	ProgramServicesAmt
Management And General	$1,000,817	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$386,846,026	TotalAmt
Program Services	$334,234,787	ProgramServicesAmt
Management And General	$52,611,239	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$26,249,628	TotalAmt
Program Services	$1,409,168	ProgramServicesAmt
Management And General	$24,840,460	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$35,338,414	TotalAmt
Program Services	$3,307,800	ProgramServicesAmt
Management And General	$32,030,614	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$26,113,371	TotalAmt
Program Services	$1,341,021	ProgramServicesAmt
Management And General	$24,772,350	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$41,503,621	TotalAmt
Program Services	$22,096,542	ProgramServicesAmt
Management And General	$19,407,079	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,088,844	TotalAmt
Program Services	$11,025	ProgramServicesAmt
Management And General	$1,077,819	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$950,274	TotalAmt
Program Services	$71,182	ProgramServicesAmt
Management And General	$879,092	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$771,170	TotalAmt
Management And General	$771,170	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,637,091	TotalAmt
Management And General	$2,637,091	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,486,122	TotalAmt
Program Services	$15,346,559	ProgramServicesAmt
Management And General	$139,563	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,878,834	TotalAmt
Program Services	$327,439	ProgramServicesAmt
Management And General	$4,551,395	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$71,725,541	TotalAmt
Program Services	$43,713,517	ProgramServicesAmt
Management And General	$28,012,024	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,572,174	TotalAmt
Program Services	$2,246,689	ProgramServicesAmt
Management And General	-$674,515	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,106,838	TotalAmt
Program Services	$8,919,402	ProgramServicesAmt
Management And General	$10,187,436	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,345,618	TotalAmt
Program Services	$838,312	ProgramServicesAmt
Management And General	$507,306	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	-$8,370,895	TotalAmt
Program Services	-$8,370,895	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$63,085,743	TotalAmt
Program Services	$1,359,406	ProgramServicesAmt
Management And General	$61,726,337	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$15,908,210	TotalAmt
Program Services	$908,823	ProgramServicesAmt
Management And General	$14,999,387	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$288,341,101	$286,573,164	$1,767,937
BAD DEBT EXPENSE	$114,071,672	$114,071,672
ADMINISTRATIVE EXPENSES	$21,676,889	$28,124	$21,648,765
DUES AND LICENSES	$365,620	$320,179	$45,441

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,136,286,250	TotalAmt
Program Services	$831,418,139	ProgramServicesAmt
Management And General	$304,868,111	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$319,178	BOYAmt
EOY	$408,960	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$327,077,850	BOYAmt
EOY	$550,037,122	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$132,185,805	BOYAmt
EOY	$123,509,456	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$28,381,816	BOYAmt
EOY	$34,941,404	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,796,860	BOYAmt
EOY	$17,593,402	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,172,455,323	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$565,074,570	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$559,709,454	BOYAmt
EOY	$607,380,753	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,042,299,380	BOYAmt
EOY	$1,057,768,964	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$469,761,050	BOYAmt
EOY	$464,886,039	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$26,947,667	BOYAmt
EOY	$39,111,197	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,599,479,060	BOYAmt
EOY	$2,895,637,297	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$89,961,180	BOYAmt
EOY	$93,277,143	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$222,718	BOYAmt
EOY	$102,936	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$35,300,918	BOYAmt
EOY	$50,090,353	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$125,484,816	BOYAmt
EOY	$143,470,432	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,473,994,244	BOYAmt
EOY	$2,752,166,865	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,473,994,244	BOYAmt
EOY	$2,752,166,865	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,599,479,060	BOYAmt
EOY	$2,895,637,297	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$311,234,006	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$67,015,377	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$33,953,992	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$771,170	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$771,170	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Supplemental Information	FormAndLineReferenceDesc
Explanation	Saint Francis Hospital, Inc., through its membership dues to the American Hospital Association (AHA) and Catholic Health Association, participates in Grass Roots lobbying activity. It is less than a substantial part of the total expenditures in a taxable year. The lobbying and grass roots lobbying activity is related to legislation affecting the Saint Francis Hospital, Inc. and operation of the hospital for its charitable purposes, in particular the promotion of health. "Grass roots lobbying activity" means any attempt by the AHA to influence any legislation by affecting the opinions of the general public or any segment thereof. "Lobbying" means any attempt to influence legislation through communications with any member or employee of a legislative body who may participate in the crafting of legislation.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
Incl Escrow Custodial Acct Liab	false	InclEscrowCustodialAcctLiabInd
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$153,031	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$10,161,832	OtherCostOrOtherBasisAmt
Book Value	$10,314,863	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$590,879,388	OtherCostOrOtherBasisAmt
Depreciation	$230,002,726	DepreciationAmt
Book Value	$360,876,662	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,891,797	OtherCostOrOtherBasisAmt
Depreciation	$9,794,859	DepreciationAmt
Book Value	$9,096,938	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$471,014,557	OtherCostOrOtherBasisAmt
Depreciation	$325,276,985	DepreciationAmt
Book Value	$145,737,572	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$81,354,718	OtherCostOrOtherBasisAmt
Book Value	$81,354,718	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$607,380,753	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$91,831,645	BookValueAmt
Method Valuation	F	MethodValuationCd

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt
PRIVATE INVEST-MARKETABLE	$264,942,432
PRIVATE INVEST-NONMARKETABLE	$108,111,962

Field	Value	IRS element (for citing)
Total Book Value Securities	$464,886,039	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	SEE SCHEDULE D, PART XIII STMT	Desc
Amt	$50,090,353	Amt

Field	Value	IRS element (for citing)
Total Liability	$50,090,353	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part X, Line 1

Professional liability $ 31,014,646 Operating lease liability $ 11,179,445 Operating lease liability - Current Portion $ 3,261,651 Medicare cost report $ 2,863,936 FAS 106 $ 1,051,730 ARO liability $ 957,162 FIN 45 income guarantees $ 432,757 Other long term liabilities $ 97,087 Comm Care premium/rate risk ($ 768,061) ------------------------------------------------------------- Total $ 50,090,353

Schedule D, Part X, Line 2

Accounting Standards Codification (ASC) 740, Accounting for Uncertainty in Income Taxes, provides guidance regarding recognition, de-recognition, measurement, and disclosure of all tax positions. In accordance with the requirements of ASC 740, Saint Francis Hospital, Inc. identifies and documents uncertain tax positions for all open tax years. If uncertain tax positions are identified, they are analyzed to determine the proper unit of account. Next, they are tested to determine whether a tax asset or a tax liability should be recognized. Saint Francis Hospital, Inc. has assessed its uncertain tax positions and concluded they are more likely than not to be fully sustained upon examination. Therefore, no liability or asset for uncertain tax positions needs to be recorded.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	OfficesOfficesCnt	EmployeeEmployeeCnt
Central America and the Caribbean	Investments	$37,991,747
Europe (Including Iceland and Greenland)	Investments	$731,187	0	0

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$38,722,934	SubtotalSpentAmt
Total Spent	$38,722,934	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Supplemental Information	FormAndLineReferenceDesc
Explanation	The activity listed in Part I relates to foreign investments and the accrual method is used to account for expenditures on the organization's financial statements. The investments do not generate unrelated business income.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	225.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,425,340	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$35,425,340	NetCommunityBenefitExpnsAmt
Total Expense	0.03470	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$139,847,675	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$138,335,824	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,511,850	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$175,273,015	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$138,335,824	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,937,190	NetCommunityBenefitExpnsAmt
Total Expense	0.03620	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,807,694	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,807,694	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,488,461	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,488,461	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$246,868,907	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$181,566,893	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$65,302,014	NetCommunityBenefitExpnsAmt
Total Expense	0.06390	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$255,165,062	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$181,566,893	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,598,169	NetCommunityBenefitExpnsAmt
Total Expense	0.07200	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$430,438,077	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$319,902,717	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$110,535,359	NetCommunityBenefitExpnsAmt
Total Expense	0.10820	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,748,817	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,748,817	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,807,807	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,807,807	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,556,624	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,556,624	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$114,071,672	BadDebtExpenseAmt
Bad Debt Expense Attributable	$13,631,451	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$256,483,909	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$241,824,573	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$14,659,336	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Saint Francis Hospital Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6600 S Yale Ave Suite 400	AddressLine1Txt
City	Tulsa	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	741363319	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SAINTFRANCIS.COM	WebsiteAddressTxt
State License	2362	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Saint Francis Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Schedule H, Part V, Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Schedule H, Part V, Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Schedule H, Part V, Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Schedule H, Part V, Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	Schedule H, Part V Section C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Section B, Line 5	The most recent Community Health Needs Assessment (CHNA) completed by Saint Francis Health System, Inc. to assess the health needs of the communities served by the hospital components of its health system: Saint Francis Hospital, Inc., Laureate Psychiatric Clinic and Hospital, Inc., Saint Francis Hospital Muskogee, Inc., Saint Francis Hospital South, LLC, and Saint Francis Hospital Vinita, Inc., included the collection and analysis of both quantitative (over 140 public health indicators and quantitative survey methods) and qualitative (organization and community representative interviews and qualitative survey methods) data to identify and create a comprehensive list of health needs for each community. Community input was obtained from a broad range of community members through key informant interviews, focus groups and a multi-modal consumer survey of over 600 community residents. Individuals with knowledge, information and expertise relevant to the health needs in the community were consulted including representatives from county and state public health departments as well as leaders, representatives and members of vulnerable populations and other individuals with strong expertise in local health needs. The names of the organizations providing input is provided in Appendix A: CHNA Data Sources and Dates and Appendix B: List of Organizations Represented in Key Informant Interviews and Community Feedback of the CHNA located at https://www.saintfrancis.com/about-us/commitment-to-community.
Part V, Section B, Line 6a	The hospital facilities included in the CHNA included Saint Francis Hospital, Inc., Saint Francis Hospital South, LLC, Laureate Psychiatric Clinic and Hospital, Inc., Saint Francis Hospital Vinita, Inc. and Saint Francis Hospital Muskogee, Inc.
Part V, Section B, Line 7a	https://www.saintfrancis.com/about-us/commitment-to-community
Part V, Section B, Line 10a	https://www.saintfrancis.com/about-us/commitment-to-community
Part V, Section B, Line 11	The Community Health Needs Assessment (CHNA) identified 19 conditions as community health needs (in order of highest priority) of the primary service area as lack of health insurance; education; access to healthcare providers (primary or specialty); substance abuse (including tobacco); ability to pay for healthcare; access to healthy food/groceries; access to primary care (screenings); chronic diseases (diabetes, cancer, heart disease); stroke; housing/homelessness; mental health; poverty; access to dental care; transportation; domestic violence; physical activity; child abuse/neglect; sexual health; and safety (motor vehicle crash, unintentional injury). After prioritizing the health needs identified, a final list of priority needs was selected by considering additional criteria, such as Saint Francis Health System, Inc.'s scope of services as a health provider and its ability to effectively address the priority health need. Saint Francis Health System Inc.'s entities, including Saint Francis Hospital, Inc., are addressing the following significant health needs identified as referenced in its Community Health Needs Assessment and Implementation Strategy that is made widely available on the website listed in Schedule H, Part V, Section B, Line 10a. - Access to healthcare (primary care/screening and primary care/specialty providers) - Behavioral health (substance abuse and mental health) - Chronic disease and stroke - Lack of health insurance/ability to pay for healthcare
Part V, Section B, Line 13b	Patients who have been evaluated and identified to be financial assistance plan eligible and meet the criteria established by Saint Francis Hospital, Inc. according to relevant circumstances regarding income, assets, or other resources available to the patient or patient's family, are considered charity and therefore, by hospital policy, are not billed for any services.
Part V, Section B, Lines 16a, b and c	https://www.saintfrancis.com/patients-and-guests/for-patients/billing-and- insurance/financial-assistance
Part V, Section B, Line 16j	The billing statement includes information regarding financial assistance availability. Additionally, MyChart, a secure online tool that allows patients to connect with their personal health information 24/7, provides a link which takes the patient to the financial assistance letter and application form.
Part V, Section B, Line 20e	The following actions are completed prior to initiating collection actions: - Proactive phone calls - Statements are sent - Messages are sent to MyChart users
Part V, Section B, Line 22d	Amounts generally billed are determined under the prospective method using Medicaid reimbursement rates. Additionally, a self-pay discount of 20 percent is provided on all charges for uninsured patients.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c	Income based criteria is used as the basis in determining eligibility for free health services.
Part I, Line 6a	Saint Francis Health System, Inc. 73-1501972, the parent organization of Saint Francis Hospital, Inc. produces a consolidated community benefit report included in an annual issue of the Saint Francis Health System magazine "Presence" that is made available to the public through the organization's website at https://www.saintfrancis.com/about-us/media/presence-magazine
Part I, Line 7	Costing Methodology: A ratio of patient care cost to charges, as determined in Worksheet 2, was used to report the amounts in Part I, Lines 7a - 7c. For amounts reported on lines 7e - 7i, actual expenses for each community benefit activity are tracked and reported using the organization's accounting general ledger and are not based on a cost to charge ratio. The number reflected on line 7, column (f) excludes bad debt expense. The supplemental hospital offset payment program (SHOPP) was created and implemented in calendar year 2011 for the purpose of assuring access to quality care for Oklahoma Medicaid members. The program is designed to assess Oklahoma hospitals, unless exempt, a supplemental hospital offset payment program fee. The collected fees are placed in pools and then allocated to hospitals based on Medicaid revenues as directed by legislation. The Oklahoma Health Care Authority (OHCA) does not guarantee that allocation will equal or exceed the amount of the supplemental hospital offset payment program fees that were paid by Saint Francis Hospital, Inc.
Part II: Community Building Activities	Community building activities improve the community's health and safety by addressing the root cause of health problems. These activities strengthen the community's capacity to promote the health and well-being of its residents by offering the expertise and resources of the healthcare organization. Costs for these activities include cash donations and expenses for the development of a variety of community-building programs and partnerships. See Schedule O for additional information regarding Saint Francis Health System, Inc.'s and Saint Francis Hospital, Inc.'s community building activities aimed at promoting the health of the community.
Part III, Section A, Line 2	Saint Francis Hospital, Inc. has an established process to determine the adequacy of the allowance for uncollectable receivables that relies on a number of analytical tools and benchmarks to arrive at a reasonable allowance. No single statistic or measurement determines the adequacy of the allowance for uncollectable receivables. Some of the analytical tools that Saint Francis Hospital, Inc. utilizes include, but are not limited to, historical cash collection experience, revenue trends by payer classification, and revenue days in accounts receivable. Accounts receivable are written off after collection efforts have been followed in accordance with Saint Francis Hospital, Inc.'s policies.
Part III, Section A, Line 3	The bad debt expense attributable to patients eligible under the organization's financial assistance policy is calculated from a sample review of all bad debt accounts and subsequent information.
Part III, Section A, Line 4	Saint Francis Hospital, Inc.'s audited financial statements provide a separate footnote addressing the organization's net patient accounts receivable on pages 6, 7 and 8.
Part III, Section B, Line 8	Costing Methodology: Medicare allowable costs were calculated using a cost-to-charge ratio and the Medicare filed cost report.
Part III, Section C, Line 9b	Saint Francis Hospital, Inc.'s debt collection policy is to pursue collections of patient balances from patients who have the ability to pay for the services. Saint Francis Hospital, Inc. applies its collections efforts consistently and fairly to all patients regardless of insurance. Saint Francis Hospital, Inc. works with those individuals who do not have the financial resources to pay outstanding balances to qualify for Saint Francis Hospital, Inc.'s financial assistance policy. Charges to patients qualifying for charity care under the Saint Francis Hospital, Inc. financial assistance policy are written off 100 percent.
Part VI, Line 2	Needs Assessment The Community Health Needs Assessment (CHNA), an essential function for Saint Francis Health System, Inc. and its hospitals, helps identify the major health needs of the community and offers insight into the services to be offered to address those needs. Saint Francis Health System, Inc. developed the community health implementation plan based upon prioritization of the community health needs assessment. Saint Francis Health System, Inc. and its hospitals have the common goal of increasing health education and preventative care provided in the community setting through partnership with community organizations, faith-based organizations and other institutions. The CHNA and implementation strategies information is available to the public and posted on the Saint Francis Health System, Inc. and its hospital websites at https://www.saintfrancis.com/about-us/commitment-to-community.
Part VI, Line 3	Patient Education of Eligibility for Financial Assistance Saint Francis Health System, Inc. and its entities are committed to promoting health in the community including providing or finding financial assistance programs to assist patients. Saint Francis Health System, Inc. makes every effort to educate patients on charity, its financial assistance policy and about their eligibility for assistance under Federal, State, or local government programs during registration, pre-registration, post registration and following discharge in languages appropriate for the population being served. This includes several ways including, but not limited to, the following: - A brochure titled "Patient Financial Policy" on financial rights and responsibility is provided to every patient at the time of their registration and is available on the Saint Francis Health System, Inc. and Saint Francis Hospital, Inc. websites. The brochure provides financial assistance program details. - The financial assistance policy, plain language summary, and application are posted on the Saint Francis Health System, Inc. and Saint Francis Hospital, Inc. websites in English and the Limited English Proficiency languages of the Primary Service Area (PSA). - Saint Francis Health System, Inc. prints a phone number where patients can obtain information about financial assistance on the back of the billing invoices. - Self-pay patients are visited by a financial counselor upon admission to verify their self-pay status. The financial counselor works with the self-pay patients to determine if the patient may qualify for assistance under a government sponsored plan. If the patient does not qualify for a government sponsored plan then the financial counselor works with the patient to determine if they qualify for charity based on the Saint Francis Health System, Inc.'s financial assistance policy. - Saint Francis Health System, Inc. offers the financial assistance policy, as well as payment options during the follow up collection calls.
Part VI, Line 4	Community Information The Primary Service Area (PSA) of Saint Francis Health System, Inc. and Saint Francis Hospital, Inc. consists of Tulsa County, where a significant majority of inpatient admissions originate. Additional information regarding the community can also be found below, and in the community health needs assessment and implementation strategy located on the organization's website at https://www.saintfrancis.com/about-us/commitment-to-community. The PSA is comprised of the following representation: - 60% Caucasian - 13% Hispanic or Latino - 10% African-American - 7% Native-Americans - 6% Two or more races - 4% Asian In 2020, the median household income in Tulsa County was $56,303 (about 22 percent below the US median) and the 2019 mean household income was $82,068 (about 8 percent below the US average). The per capita income is slightly below the national median, but higher than the average for Oklahoma. In 2019, approximately 14 percent of the PSA's population lives in poverty, with the number climbing to almost 20 percent for those under 18. Nearly 11 percent of households in the county received food stamps/Supplemental Nutrition Assistance Program (SNAP) benefits within 2019. The uninsured rate in Tulsa County is approximately 14 percent. Distressingly, when narrowing focus to the PSA civilian population age 19 to 64 that participates in the labor force, the uninsured rate rises to nearly 17 percent. During Oklahoma's 2020 fiscal year, there were 1,005,671 unduplicated Medicaid enrollees; meaning 25 percent of the state's population was enrolled in the Medicaid program at some point in time. Tulsa County was home to approximately 164,000 unduplicated enrollees or approximately 25 percent of the PSA's population.
Part VI, Line 5	Promotion of Community Health Saint Francis Hospital, Inc. is part of an integrated healthcare delivery system with the mission of extending the presence and healing ministry of Christ in all we do. Saint Francis Health System, Inc., as a Catholic organization, seeks to reflect the presence of Christ in every personal and corporate encounter. Saint Francis Hospital, Inc. is dedicated to giving back to the community in which its employees live and work. This can be seen through Saint Francis Hospital, Inc.'s promotion of community health through community events such as sponsored on-site educational seminars and classes on health issues. Saint Francis Health System, Inc. and Saint Francis Hospital, Inc.'s governing body is comprised of community representatives on the Board of Directors that provide leadership and governance for the organization. The Board of Directors has the overall responsibility for the charitable and the mission of Saint Francis Hospital, Inc. and the other entities that are part of Saint Francis Health System, Inc. The members of the Board of Directors are selected based on their areas of expertise and experience including such areas as education, research, business and government. The members of the governing body contribute their wisdom, insights, and expertise to ensure the organization is fulfilling its mission and charitable purpose while providing efficient administrative support services and direction for Saint Francis Health System, Inc. Saint Francis Hospital, Inc. provides financial assistance in the form of charity care to patients who are indigent and satisfy certain requirements. Additionally, Saint Francis Hospital, Inc. is committed to treating patients who are eligible for means tested government programs such as Medicaid and other government sponsored programs including Medicare, which is provided regardless of the reimbursement shortfall, and thereby relieves the state and federal government of the burden of paying the full cost of care for those patients. Often, patients are unaware of the federal, state and local programs available to them for financial assistance, or they are unable to access them due to the cumbersome enrollment process required to receive these benefits. Saint Francis Health System, Inc. offers assistance in enrollment to these government programs or extends financial assistance in the form of charity care through the organization's Financial Assistance Policy. Saint Francis Hospital, Inc. reinvests its net operating income back into the facility to improve patient care, to benefit society and to allow Saint Francis Hospital, Inc. to carry out its vision to be the regional leader in the delivery of quality Catholic healthcare services.
Part VI, Line 6	Affiliated Healthcare System Saint Francis Hospital, Inc., the largest entity within Saint Francis Health System, Inc., has one of the busiest emergency rooms in the State of Oklahoma. Over 106,000 patients were seen in the hospital's emergency room. Additionally, Saint Francis Hospital, Inc. admitted approximately 47,900 patients; provided ancillary and diagnostic services on an outpatient basis to an additional 345,700 patients; and handled approximately 4,500 births. See Schedule O for additional information regarding Saint Francis Hospital, Inc.'s role within Saint Francis Health System, Inc.
Part VI, Line 7	Saint Francis Health System, Inc., which includes Saint Francis Hospital, Inc., publishes a community benefit report annually. A written report is included in an annual issue of the Saint Francis Health System, Inc. magazine "Presence", which is distributed to more than 40,000 households across eastern Oklahoma and to all Saint Francis Health System, Inc. locations for display and pick up. The report helps educate the community on the benefits that Saint Francis Hospital, Inc. and Saint Francis Health System, Inc. provide to the communities we serve in return for our not-for-profit status. The report is also made available to the public on the health system's website.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
American Cancer Society Inc
4110 S 100th E Ave 101	Tulsa	OK	74146	741185665	501(c)(3)	$7,000	Program Support
American Kidney Fund
11921 Rockville Pike Ste 300	Rockville	MD	20852	237124261	501(c)(3)	$114,000	Program Support
Bishop Kelley High School
3905 S Hudson Ave	Tulsa	OK	74135	730706623	501(c)(3)	$250,000	Program Support
Diocese of Tulsa
2450 N Harvard Ave	Tulsa	OK	74115	731171950	501(c)(3)	$50,000	Eastern Oklahoma Catholic Magazine
Osteopathic Founders Foundation Inc
8801 S Yale Ave Ste 400	Tulsa	OK	74137	730583936	501(c)(3)	$21,736	Winterfest 2020
Tulsa Cares
3712 East 11th Street	Tulsa	OK	74112	731388569	501(c)(3)	$6,000	Red Ribbon Gala
Tulsa Community Foundation
7030 S Yale Ave Ste 600	Tulsa	OK	74136	731554474	501(c)(3)	$200,000	Funding E'ee Emgncy Fund
Tulsa Tough Inc
214 N Main St 203	Tulsa	OK	74103	273283740	501(c)(3)	$129,970	Tulsa Tough Sponsorship
Oklahoma Project Woman
PO Box 14026	Tulsa	OK	74159	731616817	501(C)(3)	$10,000	program support
Tulsa Area United Way
PO Box 1859	Tulsa	OK	74101	730580283	501(C)(3)	$66,571	Program Support
CITIZENS FOR TULSA INC
1 W Third St Ste 100	Tulsa	OK	74103	731503283	501(c)(3)	$25,000	IMPROVE OUR TULSA
PORTA CAELI HOUSE CORP
2440 N Harvard Ave	Tulsa	OK	74115	465544538	501(C)(3)	$550,000	PROGRAM SUPPORT
ST PHILIP NERI NEWMAN CENTER
440 S Florence Ave	Tulsa	OK	74104	730942657	501(C)(3)	$8,000	PROGRAM SUPPORT
Connors Development Foundation
700 College Rd	Warner	OK	74469	731096349	501(C)(3)	$125,378	Nursing Scholarships
Catholic Charities
2450 N Harvard Ave	Tulsa	OK	74115	731171950	501(C)(3)	$115,000	Program Support	$30,007	FMV	DONATED MASKS
Christ for Humanity
6314 E 13th Street	Tulsa	OK	74112	731421083	501(c)(3)	$24,995	Program Support
Lake Area United Way Inc
PO Box 1612	Muskogee	OK	74402	730581441	501(C)(3)	$5,142	Program Support
Religious Sisters of Mercy
1965 Michigan Avenue	Alma	MI	48801	382350857	501(c)(3)	$18,119	Program support - car purchased from Bill Knight Ford and given to Sisters
Rib Crib BBQ Inc
4535 S Harvard Ave	Tulsa	OK	74136	731398864		$5,500	Rib Crib Golf Tnmnt	$45,010	FMV	Donated Masks
Reasors Holding Co Inc
420 S 145th E Ave Suite B	Tulsa	OK	74108	264318955			Program Support	$75,018	FMV	Donated Masks

Field	Value	IRS element (for citing)
Total501c3 Org	18	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Scholarships	GrantTypeTxt
Recipient	162	RecipientCnt
Cash Grant	$494,183	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Question 2	FormAndLineReferenceDesc
Explanation	Saint Francis Health System, Inc. offers scholarship opportunities to individuals in the nursing and allied health arena. The application process, approval process, monitoring, and in the event of default, collection process takes place in the Human Resource Department of Saint Francis Health System, Inc. To qualify for a scholarship, employees submit applications which are accumulated and ranked based on appropriate criteria. Dependent on the availability of funds, applicants are selected to receive scholarships. Chosen applicants must sign a work agreement for six months for each semester which they receive funding. Official transcripts must be submitted to document successful completion for each semester. In the event an applicant does not fulfill their scholarship agreement they are contacted via certified mail that all funds awarded are due within 30 days. If the balance is not paid in full within 30 days, collection efforts ensue with a third party collection agency. Saint Francis Hospital, Inc. provides charitable contributions to other 501(c)(3) exempt organizations that further the exempt purposes of Saint Francis Hospital, Inc. The Saint Francis Health System, Inc. executive director of corporate communications and marketing arranges the sponsorships each year as determined by the communities in which Saint Francis Hospital, Inc. has a presence. Saint Francis Hospital, Inc. does not monitor the use of charitable contributions since contributions are only made to section 501(c)(3) public charities that further the exempt purpose of Saint Francis Hospital, Inc.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jake Henry Jr
President/CEO/Director	$0	$1,396,805	$0	$1,000,850	$0	$21,127	$0	$36,385	$0	$31,685	$0	$2,486,852	$0	$0
Thomas G Neff
Former Secretary	$510,629	$0	$112,190	$0	$16,782	$0	$36,385	$0	$27,678	$0	$703,664	$0	$0	$0
Jeffrey C Sacra
Former Asst Secretary	$0	$0	$0	$0	$201,704	$0	$0	$0	$0	$0	$201,704	$0	$0	$0
Barry L Steichen
Vice President/COO/Director	$0	$820,483	$0	$279,800	$0	$7,015	$0	$36,385	$0	$24,725	$0	$1,168,408	$0	$0
Eric E Schick
Treasurer/CFO	$636,309	$0	$238,520	$0	$6,070	$0	$31,185	$0	$23,864	$0	$935,948	$0	$0	$0
Lynn Sund
Former Administrator	$70,487	$101,016	$0	$0	$0	$0	$0	$0	$0	$10,102	$70,487	$111,118	$0	$0
Michael J Lissau
Secretary	$352,467	$0	$105,000	$0	$3,534	$0	$0	$0	$20,258	$0	$481,259	$0	$0	$0
Doug Williams
Administrator	$312,367	$0	$93,000	$0	$2,992	$0	$34,685	$0	$18,955	$0	$461,999	$0	$0	$0
Robert Garrett MD
Physician	$139,050	$1,856,967	$0	$300,000	$0	$3,000	$0	$0	$0	$14,833	$139,050	$2,174,800	$0	$0
Harsh Patel MD
Physician	$13,805	$1,231,377	$0	$0	$0	$0	$0	$34,685	$0	$7,374	$13,805	$1,273,436	$0	$0
Sanjeev Trehan MD
Physician	$14,330	$1,173,886	$0	$0	$0	$19,000	$0	$34,685	$0	$20,799	$14,330	$1,248,370	$0	$0
Michael Spain MD
Physician	$75,390	$775,390	$0	$0	$0	$19,000	$0	$34,685	$0	$16,231	$75,390	$845,306	$0	$0
Adam Karpman MD
Physician	$73,309	$707,840	$0	$0	$0	$19,000	$0	$34,685	$0	$20,799	$73,309	$782,324	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 3	FormAndLineReferenceDesc
Explanation	Saint Francis Hospital, Inc. is an entity of the Saint Francis Health System, Inc. Saint Francis Health System, Inc.'s compensation committee reviews and approves the compensation of the officers. Part I, Line 4b A select group of highly compensated employees of Saint Francis Health System, Inc. and its related entities Saint Francis Hospital, Inc., Laureate Psychiatric Clinic and Hospital, Inc., Warren Clinic, Inc., Saint Francis Hospital South, LLC, Saint Francis Home Health, Inc., The Children's Hospital Foundation at Saint Francis, Saint Francis Hospital Vinita, Inc., and Saint Francis Hospital Muskogee, Inc. are eligible to participate in a nonqualified deferred compensation plan under Section 457(b) and 457(f) of the Internal Revenue Code of 1986, as amended under the Economic Growth and Tax Relief Reconciliation Act of 2001. Note: None of the individuals listed on Schedule J are compensated as board members of the reporting entity. The reported compensation is for services as employees of the reporting entity or the related organization.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Martina Hum MD
Married to Former Secretary	$344,969	Physician Compensation	false
Michael J Lissau
Son of Director	$481,259	Officer Compensation	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part IV, Line 1	FormAndLineReferenceDesc
Explanation	Dr. Martina Hum, is an employed physician of Warren Clinic, Inc. Effective July 2015, Dr. Hum began working for Saint Francis Hospital, Inc., but continues to be an employed physician of Warren Clinic, Inc. Dr. Hum's compensation is reimbursed to Warren Clinic, Inc. by Saint Francis Hospital, Inc. Dr. Hum is married to Thomas G. Neff, Senior Vice President of Strategic Planning for Saint Francis Health System, Inc. Dr. Hum's compensation and benefits are reported on Form 990, Part IX, Line 6. Michael J. Lissau, Secretary, is the son of William R. Lissau, director of Saint Francis Hospital, Inc. Michael J. Lissau received compensation for his services as an officer of Saint Francis Hospital, Inc. Michael J. Lissau's compensation and benefits are reported on Form 990, Part IX, Line 5.	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	In-kind	Desc
Contribution	156	ContributionCnt
Noncash Contributions Rpt F990	$250,686	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Fair Market Value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part V, Line 2b	Saint Francis Payroll Services, LLC, EIN 45-0470422, has been authorized to act as a common pay agent under Section 3504 of the Internal Revenue Code for Saint Francis Health System, Inc. effective July 1, 2002, in accordance with revenue procedure 70-6, 1970-1 C.B. 420. Saint Francis Payroll Services, LLC assumed reporting obligations for federal income tax, social security, Medicare withholding tax purposes as well as advance payment of earned income credit for Saint Francis Health System, Inc. and year-end reporting effective July 1, 2002. Form 990, Part V, Line 15 Common Law Employees: Individuals listed as officers of the organization that are paid full time by a related organization are common law employees of Saint Francis Health System, Inc., a separate legal entity. It is the intention of Saint Francis Health System, Inc. and the filing organization to make information accessible and transparent, reporting those Saint Francis Health System, Inc. employees who have officer and key employee responsibilities to the filing organization. Form 990, Part VI, Section A, Line 1a The Organization delegates its governance to the Saint Francis Health System, Inc. Board of Directors. Saint Francis Hospital, Inc.'s Board of Directors is comprised of 8 directors, 5 of which are independent.
Form 990, Part VI, Section A, Line 2	Governing Body and Management Relationships Many of the persons listed on Part VII have a "Business Relationship" with each other by virtue of serving on related Saint Francis Health System, Inc. entity boards and other corporation boards. There are also "Family Relationships" requiring disclosure. The Organization has determined these associations do not present a conflict of interest. Jake Henry Jr., an officer and director, served on a board outside of Saint Francis Health System, Inc. with William R. Lissau, a director and John-Kelly Warren, a trustee. Jake Henry Jr., an officer and director, serves on other boards outside of Saint Francis Health System, Inc. with Barry Steichen, an officer and director, and Eric Schick, an officer. William K. Warren, Jr., a trustee, and John-Kelly C. Warren, a trustee, have a family relationship. William R. Lissau, a director, and Michael Lissau, an officer, have a family relationship.
Form 990, Part VI, Section A, Line 3	The organization delegates it director responsibilities to the Saint Francis Health System, Inc. board of directors . Either the Board of Directors and a majority of the trustees or unanimous trustee approval is required for the sale of corporate assets valued at $10,000,000 or more. Additionally, the trustees have sole authority to: - Amend the Certificate of Incorporation - Approve mergers or consolidations - Approve the sale, lease or transfer of all, or substantially all, of the assets of the corporation - Amend the bylaws - Appointment of board members - Approve dissolution or revocation of dissolution of the corporation
Form 990, Part VI, Section A, Line 6	The Organization has five trustees who elect the governing body.
Form 990, Part VI, Section A, Line 7a	The Organization has five trustees who elect the governing body.
Form 990, Part VI, Section A, Line 7b	Either the Board of Directors and a majority of the trustees or unanimous trustee approval is required for the sale of corporate assets valued at $10,000,000 or more. Additionally, the trustees have sole authority to: - Amend the Certificate of Incorporation - Approve mergers or consolidations - Approve the sale, lease or transfer of all, or substantially all, of the assets of the corporation - Amend the bylaws - Appointment of board members - Approve dissolution or revocation of dissolution of the corporation
Form 990, Part VI, Section B, Line 11b	The Finance Committee, a sub-committee of the board of directors of Saint Francis Health System, Inc. has access to the password protected form 990 online prior to filing with the IRS.
Form 990, Part VI, Line 12c	A request for information on potential conflicts is solicited annually from Directors, Trustees and all employees at a Manager level and above to monitor for proposed or ongoing transactions for conflicts of interest and dealing with potential or actual conflicts. There is one Director, four Trustees one Officer and one Officer/Director on the System Board of Directors with potential conflicts that were addressed by the governing body. The Directors, Trustees and Officers with potential conflicts recuse themselves from events that would result in a conflict. Conflicts are regularly disclosed and addressed.
Form 990, Part VI, Section B, Line 15a and 15b	Compensation of officers and senior level management is reviewed annually and approved by a compensation committee with guidance from independent consultants and the use of comparative data.
Form 990, Part VI, Section C, Line 19	These requests are determined on a case-by-case basis.
Form 990, Part VII, Section A	The hours per week reported on Form 990, Part VII for officers and directors are the hours spent on the filing entity only. The remaining portion of the 40 hours per week of the officers and directors with related compensation is allocated among the entities reported on Schedule R.
Form 990, Part VIII, Line 11d	Saint Francis Hospital, Inc. provides health and medical education to patients, employees, and other community members. Saint Francis Hospital, Inc. is able to better serve the community by providing additional services such as home health care and hospice services.
Form 990, Part XI, Line 9	The other changes in net assets or fund balances of $33,953,992 is made up of the activity in the post retirement benefit obligation activity for the year ($256,591), beneficial interest in Children's Hospital Foundation activity for the year $1,126,490, equity transfers from/to related parties $35,342,565, University of Oklahoma/Tulsa University endowment funding ($201,156), and equity earnings and investments ($2,057,316).

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Saint Francis Outreach Services LLC
6600 S Yale Ave Ste 400	Tulsa	OK	74136	141841340	Health Svcs	OK	$22,314,672	$2,837,381	SFH
Care Communications LLC
6600 S Yale Ave Ste 400	Tulsa	OK	74136	260015989	Comm Svcs	OK	$4,816,483	$6,043,245	SFH
All Saints Home Medical LLC
6600 S Yale Ave Ste 400	Tulsa	OK	74136	731558644	Med Equipment	OK	$17,987,935	$3,272,256	SFH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Saint Francis Health System Inc
6600 S Yale Ave Ste 400	Tulsa	OK	74136	731501972	Health Svcs	OK	501(c)(3)	12b Type II	NA	false
Saint Francis Hospital South LLC
6600 S Yale Ave Ste 400	Tulsa	OK	74136	010603214	Health Svcs	OK	501(c)(3)	3	SFHS	Yes (true)
Laureate Psychiatric Clinic & Hosp Inc
6600 S Yale Ave Ste 400	Tulsa	OK	74136	731308273	Health Svcs	OK	501(c)(3)	3	SFHS	Yes (true)
The Children's Hosp Fdn at Saint Francis
6600 S Yale Ave Ste 400	Tulsa	OK	74136	202843418	Health Svcs	OK	501(c)(3)	12a Type I	SFHS	Yes (true)
Saint Francis Hospital Vinita Inc
6600 Yale Ave Ste 400	Tulsa	OK	74136	813747248	Health Svcs	OK	501(c)(3)	3	SFHS	Yes (true)
Saint Francis Hospital Muskogee Inc
6600 S Yale Ave Ste 400	Tulsa	OK	74136	814322087	Health Svcs	OK	501(c)(3)	3	SFHS	Yes (true)
Saint Francis Home Health Inc
6600 S Yale Ave Ste 400	Tulsa	OK	74136	731234331	Health Svcs	OK	501(c)(3)	12a Type I	SFH	Yes (true)
Warren Clinic Inc
6600 S Yale Ave Ste 400	Tulsa	OK	74136	731310891	Health Svcs	OK	501(c)(3)	3	SFHS	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
Related Health Services Inc
6600 S Yale Ave Ste 400	Tulsa	OK	74136	731288715	Health Svcs	OK	SFH	S Corp	$863,259	$70,272,795	1.00000	Yes (true)
Xavier Insurance Company Inc
76 St Paul St Ste 500	Burlington	VT	054014477	030333599	Captive Insurance	VT	SFHS	C Corp	$0	$0	0.00000	Yes (true)
Saint Francis Payroll Services LLC
6600 S Yale Ave Ste 400	Tulsa	OK	74136	450470422	Common Pay Agent	OK	SFHS	C Corp	$0	$0	0.00000	Yes (true)
Saint Francis Hlth Sys Gen-Prof Lia
PO Box 3038	Milwaukee	WI	532013038	756583874	Self Insurance	WI	SFHS	Trust	$0	$0	0.00000	Yes (true)
Saint Francis Pharmacy Services Inc
6600 S Yale Ave Ste 400	tulsa	OK	74136	813127970	Pharmacy	OK	SFH	S Corp	$3,142,553	$2,610,768	1.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (35 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Laureate Psychiatric Clinic & Hospital Inc
M	$182,627	Trans Review
Laureate Psychiatric Clinic & Hospital Inc
L	$2,539,242	Trans Review
Laureate Psychiatric Clinic & Hospital Inc
P	$43,195,783	Trans Review
Laureate Psychiatric Clinic & Hospital Inc
Q	$46,570,286	Trans Review
Laureate Psychiatric Clinic & Hospital Inc
R	$8,673,923	Trans Review
Warren Clinic Inc
J	$1,160,166	Trans Review
Warren Clinic Inc
K	$1,054,427	Trans Review
Warren Clinic Inc
L	$7,437,351	Trans Review
Warren Clinic Inc
M	$10,114,923	Trans Review
Warren Clinic Inc
P	$366,462,805	Trans Review
Warren Clinic Inc
Q	$429,811,102	Trans Review
Warren Clinic Inc
R	$2,013,955	Trans Review
Related Health Services Inc
L	$303,183	Trans Review
Related Health Services Inc
Q	$4,812,481	Trans Review
Related Health Services Inc
P	$517,860	Trans Review
Related Health Services Inc
B	$2,228,400	Trans Review
Saint Francis Hospital South LLC
L	$5,281,375	Trans Review
Saint Francis Hospital South LLC
P	$144,464,544	Trans Review
Saint Francis Hospital South LLC
Q	$96,379,257	Trans Review
Saint Francis Hospital South LLC
R	$16,402,664	Trans Review
Saint Francis Hospital South LLC
S	$66,269	Trans Review
Saint Francis Pharmacy Services Inc
L	$135,675	Trans Review
Saint Francis Pharmacy Services Inc
Q	$23,466,013	Trans Review
Saint Francis Pharmacy Services Inc
P	$27,940,955	Trans Review
Saint Francis Pharmacy Services Inc
C	$4,226,304	Trans Review
The Children's Hospital Fdn At Saint Francis
Q	$218,402	Trans Review
The Children's Hospital Fdn at Saint Francis
C	$86,234	Trans Review
Saint Francis Hospital Vinita Inc
R	$169,036	Trans Review
Saint Francis Hospital Vinita Inc
L	$928,935	Trans Review
Saint Francis Hospital Vinita Inc
P	$23,775,147	Trans Review
Saint Francis Hospital Vinita Inc
Q	$17,245,408	Trans Review
Saint Francis Hospital Muskogee Inc
L	$4,291,567	Trans Review
Saint Francis Hospital Muskogee Inc
P	$153,136,875	Trans Review
Saint Francis Hospital Muskogee Inc
Q	$128,085,740	Trans Review
Saint Francis Hospital Muskogee Inc
S	$152,168	Trans Review