SAINT FRANCIS HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SAINT FRANCIS HOSPITAL INC (EIN 73-0700090)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-05-21
IRS object ID: 202031429349301363
Schema version: 2018v3.3
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	2020-05-21T12:37:07-05:00	ReturnTs
Tax Period End	2019-06-30	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	425 HOUSTON ST SUITE 600	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	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	2020-05-21	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KATHLEEN MOSELEY	PreparerPersonNm
PTIN	P00116760	PTIN
Phone	8173351900	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	162.229.67.241	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	35057220201425000008	FederalOriginalSubmissionId
Federal Original Submission Id	2020-05-21	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	3EE0EA4077A952E7D1F71D0CD73736AA8FC8EC2C	AtSubmissionCreationDeviceId
At Submission Filing Device Id	CCA9B02C92422D8D903F8C535EA08F049314C3B6	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$8,813,813,267	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 provide cost effective methods for protecting against legal risks and liability which arise from health care services provided by SFHS and its employee professionals.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	7071	TotalEmployeeCnt
Total Volunteers	496	TotalVolunteersCnt
Total Gross UBI	$2,563,534	TotalGrossUBIAmt
PY Contributions Grants	$1,066,069	PYContributionsGrantsAmt
CY Contributions Grants	$405,175	CYContributionsGrantsAmt
PY Program Service Revenue	$1,127,041,875	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,194,536,896	CYProgramServiceRevenueAmt
PY Investment Income	$29,863,425	PYInvestmentIncomeAmt
CY Investment Income	$12,197,137	CYInvestmentIncomeAmt
PY Other Revenue	$17,744,695	PYOtherRevenueAmt
CY Other Revenue	$28,455,726	CYOtherRevenueAmt
PY Total Revenue	$1,175,716,064	PYTotalRevenueAmt
CY Total Revenue	$1,235,594,934	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,299,436	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,876,870	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$411,694,987	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$445,998,119	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$560,390,606	PYOtherExpensesAmt
CY Other Expenses	$587,524,421	CYOtherExpensesAmt
PY Total Expenses	$974,385,029	PYTotalExpensesAmt
CY Total Expenses	$1,036,399,410	CYTotalExpensesAmt
PY Revenues Less Expenses	$201,331,035	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$199,195,524	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,356,172,006	TotalAssetsBOYAmt
Total Assets EOY	$2,599,479,060	TotalAssetsEOYAmt
Total Liabilities BOY	$114,727,978	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$125,484,816	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,241,444,028	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,473,994,244	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	$752,390,751	ExpenseAmt
Grant	$2,876,870	GrantAmt
Revenue	$1,196,462,614	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.'s largest hospital Saint Francis Hospital, Inc., is 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 is Tulsa's busiest trauma and emergency center. Additionally, Saint Francis Health System, Inc. employs more than 545 providers with 388 of those serving through Warren Clinic, Inc., which serves the region with over 95 locations throughout eastern Oklahoma. In total, Saint Francis Health System, Inc. has more than 11,000 employees, 1,056 physicians on medical staff and approximately 750 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 be able to obtain medical care. Saint Francis Hospital, Inc., in the fall of 2004, implemented 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, 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 is located on a piece of the homestead of Mr. and Mrs. W.F. Friend, who donated the land in the early 1960's. 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 clini	Desc
Total Program Service Expenses	$752,390,751	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
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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
IRP Document	488	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7071	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	6	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	false	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 (19 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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jake Henry Jr
President/CEO/Director	1.0	39.0	Yes (X)	Yes (X)	$0	$1,849,437	$85,505
Barry L Steichen
Vice President/COO/Director	1.0	39.0	Yes (X)	Yes (X)	$0	$1,018,478	$158,825
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
John A Gaberino
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	1.0	0.0	Yes (X)		$0	$0	$0
Thomas G Neff
Secretary (Until 12/31/18)	39.0	1.0		Yes (X)	$554,766	$0	$61,844
Eric E Schick
Treasurer/CFO	39.0	1.0		Yes (X)	$819,770	$0	$139,320
Michael J Lissau
Secretary (Start 1/1/19)	39.0	1.0		Yes (X)	$0	$0	$0
Lynn Sund
Administrator (Until 10/31/18)	39.0	1.0			$606,604	$0	$57,557	Yes (X)
Doug Williams
Administrator (Start 11/1/18)	39.0	1.0			$315,139	$0	$70,037	Yes (X)
Harsh Patel MD
Physician	1.0	39.0			$2,700	$1,194,816	$40,442		Yes (X)
Frank Schmidt MD
Physician	5.0	35.0			$33,336	$1,148,295	$47,019		Yes (X)
Sanjeev Trehan MD
Physician	5.0	35.0			$11,865	$1,123,289	$54,043		Yes (X)
Ryan Gursky MD
Physician	5.0	35.0			$9,000	$1,056,118	$56,450		Yes (X)
Ralph Ensley MD
Physician	5.0	35.0			$11,349	$794,281	$51,681		Yes (X)
Jeffrey C Sacra
Former Asst Secretary	0.0	0.0			$273,948	$0	$16,833			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,638,477	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,184,714	TotReportableCompRltdOrgAmt
Total Other Compensation	$839,556	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	326	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
Skanska USA Building Inc
389 Interpace Parkway 5th Fl	PARSIPPANY	NJ	07054	Construction Svcs	$21,815,237
Medefis Inc
2121 N 117th Ave Ste 200	OMAHA	NE	68164	Medical Services	$8,691,472
Crossland Construction Co Inc
833 S East Ave	COLUMBUS	KS	66725	Construction Svcs	$7,049,795
Epic Systems Corporation
1979 Milky Way	VERONA	WI	53593	Software Services	$4,523,694
GE Precision Healthcare LLC
3000 N Grandview Blvd	WAUKESHA	WI	53188	Medical Services	$4,235,812

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	106	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$55,228	RelatedOrganizationsAmt
All Other Contributions	$349,947	AllOtherContributionsAmt
Noncash Contributions	$55,228	NoncashContributionsAmt
Total Contributions	$405,175	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT CARE REVENUE	621110	$841,940,694	$841,940,694
P'SHIP INCOME RELATED TO PROGRAM SERVICES	541900	$3,296,144	$3,151,459	$144,685
OUTREACH LAB	621500	$17,584,271	$17,584,271
OFFICE SPACE REIMBURSEMENT	531120	$1,435,468	$1,435,468
MEDICARE / MEDICAID	621300	$330,280,319	$330,280,319

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,194,536,896	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,255,582	TotalRevenueColumnAmt
Exclusion	$36,255,582	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$31,129	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$8,839	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$22,290	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,290	TotalRevenueColumnAmt
Exclusion	$22,290	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,553,266,461	SecuritiesAmt
Other	$884,588	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$7,577,210,583	SecuritiesAmt
Other	$998,911	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$23,944,122	SecuritiesAmt
Other	-$114,323	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$24,058,445	TotalRevenueColumnAmt
Exclusion	-$24,058,445	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
FOOD SERVICES	900004	$6,919,653	$6,919,653
AFFIL TELECOM & COMPUTER SUPP REV	621500	$4,273,306	$4,273,306
PHARMACY RBI	621500	$1,681,566	$1,681,566

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,558,911	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,925,718	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,418,849	UnrelatedBusinessRevenueAmt
Exclusion	$11,214,344	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$28,433,436	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,235,594,934	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,196,317,929	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,563,534	UnrelatedBusinessRevenueAmt
Exclusion	$36,308,296	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,258,970	TotalAmt
Program Services	$2,258,970	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$617,900	TotalAmt
Program Services	$617,900	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	$2,689,975	TotalAmt
Management And General	$2,689,975	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$574,379	TotalAmt
Program Services	$271,665	ProgramServicesAmt
Management And General	$302,714	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$358,992,954	TotalAmt
Program Services	$313,916,569	ProgramServicesAmt
Management And General	$45,076,385	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$23,979,730	TotalAmt
Program Services	$680,612	ProgramServicesAmt
Management And General	$23,299,118	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$35,342,887	TotalAmt
Program Services	$2,156,385	ProgramServicesAmt
Management And General	$33,186,502	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$24,418,194	TotalAmt
Program Services	$688,645	ProgramServicesAmt
Management And General	$23,729,549	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$38,051,548	TotalAmt
Program Services	$18,363,352	ProgramServicesAmt
Management And General	$19,688,196	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$923,253	TotalAmt
Program Services	$24,874	ProgramServicesAmt
Management And General	$898,379	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$812,516	TotalAmt
Program Services	$79,930	ProgramServicesAmt
Management And General	$732,586	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$407,657	TotalAmt
Management And General	$407,657	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	$3,201,699	TotalAmt
Management And General	$3,201,699	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,982,128	TotalAmt
Program Services	$13,878,351	ProgramServicesAmt
Management And General	$103,777	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,328,753	TotalAmt
Program Services	$319,804	ProgramServicesAmt
Management And General	$5,008,949	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$64,327,562	TotalAmt
Program Services	$41,448,668	ProgramServicesAmt
Management And General	$22,878,894	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	-$2,202,369	TotalAmt
Program Services	$1,930,560	ProgramServicesAmt
Management And General	-$4,132,929	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$17,420,513	TotalAmt
Program Services	$7,207,709	ProgramServicesAmt
Management And General	$10,212,804	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$810,732	TotalAmt
Program Services	$522,852	ProgramServicesAmt
Management And General	$287,880	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	-$7,697,302	TotalAmt
Program Services	-$7,697,302	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$61,076,686	TotalAmt
Program Services	$1,274,590	ProgramServicesAmt
Management And General	$59,802,096	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$11,752,491	TotalAmt
Program Services	$813,296	ProgramServicesAmt
Management And General	$10,939,195	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$266,994,398	$266,340,968	$653,430
BAD DEBT EXPENSE	$86,912,922	$86,912,922	$0
ADMINISTRATIVE EXPENSES	$25,092,045	$90,592	$25,001,453
DUES AND LICENSES	$329,189	$288,839	$40,350

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,036,399,410	TotalAmt
Program Services	$752,390,751	ProgramServicesAmt
Management And General	$284,008,659	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	$1,083,092	BOYAmt
EOY	$319,178	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$298,314,629	BOYAmt
EOY	$327,077,850	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	$124,611,922	BOYAmt
EOY	$132,185,805	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	$26,439,142	BOYAmt
EOY	$28,381,816	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,955,047	BOYAmt
EOY	$12,796,860	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,084,214,040	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$524,504,586	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$524,255,653	BOYAmt
EOY	$559,709,454	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$908,471,100	BOYAmt
EOY	$1,042,299,380	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$434,989,484	BOYAmt
EOY	$469,761,050	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	$27,051,937	BOYAmt
EOY	$26,947,667	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,356,172,006	BOYAmt
EOY	$2,599,479,060	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$80,060,006	BOYAmt
EOY	$89,961,180	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	$0	BOYAmt
EOY	$222,718	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	$34,667,972	BOYAmt
EOY	$35,300,918	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$114,727,978	BOYAmt
EOY	$125,484,816	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,241,444,028	BOYAmt
EOY	$2,473,994,244	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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	$2,241,444,028	BOYAmt
EOY	$2,473,994,244	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,356,172,006	BOYAmt
EOY	$2,599,479,060	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$199,195,524	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$18,402,738	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$14,951,954	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	$407,657	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$407,657	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 Grass Roots lobbying activity is related to legislation affecting the Saint Francis Health System for its charitable purposes, in particular the promotion of health. "Grass Roots lobbying activity" means any attempt by AHA to influence any legislation through an attempt to affect the opinions of the general public or any segment thereof and includes any attempt by the AHA to influence any legislation through an attempt to affect to influence legislation through communications with any member or employee of a legislative body who may participate in the formulation 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	$275,001	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$10,161,831	OtherCostOrOtherBasisAmt
Book Value	$10,436,832	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$535,153,084	OtherCostOrOtherBasisAmt
Depreciation	$208,181,372	DepreciationAmt
Book Value	$326,971,712	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,371,658	OtherCostOrOtherBasisAmt
Depreciation	$11,955,320	DepreciationAmt
Book Value	$7,416,338	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$438,765,150	OtherCostOrOtherBasisAmt
Depreciation	$304,367,894	DepreciationAmt
Book Value	$134,397,256	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$80,487,316	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$80,487,316	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$559,709,454	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$88,260,008	BookValueAmt
Method Valuation	F	MethodValuationCd

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
PRIVATE INVEST-MARKETABLE	$277,243,103	F
PRIVATE INVEST-NONMARKETABLE	$104,257,939	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$469,761,050	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	$35,300,918	Amt

Field	Value	IRS element (for citing)
Total Liability	$35,300,918	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 $25,188,045 Medicare Cost Report $ 9,646,030 ARO Liability $ 1,240,737 FAS 106 $ 1,026,743 Operating Lease Liability $ 911,019 FIN 45 Income Guarantees $ 429,475 Other Long-Term Liabilities $ 171,709 Comm Care Premium/Rate Risk ($ 3,312,840) ----------- Total $35,300,918

Schedule D, Part X, Line 2, ASC 740-10

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. The Tax Cuts and Jobs Act (the Act) was enacted on December 22, 2017. The provisions of the Act do not have a material tax effect on the Saint Francis Hospital consolidated financial statements. Certain regulatory guidance provides for a measurement period of up to one year during which accounting for the tax effects of the Act may be completed. Saint Francis Hospital will continue to evaluate the impact of the Act and may record adjustments as additional information and guidance is released by the Internal Revenue Services.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	0	0	Investments	$32,488,063
Europe (Including Iceland and Greenland)	0	0	Investments	$1,241,235

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$33,729,298	SubtotalSpentAmt
Total Spent	$33,729,298	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 organizations 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	$32,151,657	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$32,151,657	NetCommunityBenefitExpnsAmt
Total Expense	0.03390	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$135,515,537	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$124,719,298	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,796,239	NetCommunityBenefitExpnsAmt
Total Expense	0.01140	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$167,667,194	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$124,719,298	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,947,896	NetCommunityBenefitExpnsAmt
Total Expense	0.04530	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,980,973	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,980,973	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,077,043	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,077,043	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$239,355,026	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$186,269,649	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$53,085,377	NetCommunityBenefitExpnsAmt
Total Expense	0.05590	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$246,413,042	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$186,269,649	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$60,143,393	NetCommunityBenefitExpnsAmt
Total Expense	0.06330	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$414,080,236	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$310,988,947	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$103,091,289	NetCommunityBenefitExpnsAmt
Total Expense	0.10860	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,881,800	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,881,800	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,160,706	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,160,706	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,042,506	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,042,506	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$86,912,922	BadDebtExpenseAmt
Bad Debt Expense Attributable	$14,559,653	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$252,647,326	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$243,046,152	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$9,601,174	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 reassess 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 in 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 and 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 needs. 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 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 patients 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 (AGB) 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 each 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 communitys health and safety by addressing the root cause of health problems. These activities strengthen the communitys 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 organizations 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. Saint Francis Hospital, Inc. reports bad debt in accordance with Generally Accepted Accounting Principles (GAAP). Healthcare Financial Management Associate Statement 15 is followed to the extent that the provision for bad debt at cost is determined using the same cost to charge ratio that is used to calculate charity care and Medicaid shortfalls. Discounts and allowances are accounted for separately from the provision for bad debt. Accounts receivable are valued at net realizable value. Saint Francis Hospital, Inc. estimates the allowances for uncollectable receivables based on historic write-offs.
Part III, Section B, Line 8	Costing Methodology: Medicare allowable costs are 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 hospital 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 hospitals websites at https://www.saintfrancis.com/about-us/commitment-to-community.
Part VI, Line 3	Patient Education of Eligibility for 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 makes every effort to educate patients on its charity, 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 as part of the patient responsibility 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 of Tulsa County is comprised of the following representation: - 60% Caucasian - 13% Hispanic or Latino - 11% African-American - 7% Native-American - 6% Two or more races - 3% Asian In 2019, the median household income in Tulsa County was $53,327, about 9 percent below the US median. The per capita income is slightly below the national median, but higher than the average for Oklahoma. Approximately 14 percent of the PSA's population lives in poverty. Nearly 12 percent of households in the county received food stamps/Supplemental Nutrition Assistance Program (SNAP) benefits. During Oklahoma's 2019 fiscal year, there were 998,209 unduplicated Medicaid enrollees; meaning over 25 percent of the state's population was enrolled in the Medicaid program at some point in time. Tulsa County was home to 164,066 of those 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 furtherance of the charitable purpose 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 open 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 organizations 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 112,600 patients were seen in the hospitals emergency room. Additionally, Saint Francis Hospital, Inc. admitted approximately 49,000 patients; provided ancillary and diagnostic services on an outpatient basis to an additional 347,900 patients; and handled approximately 4,100 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 that 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 to help 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 (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Alzheimer's Association Inc
2448 E 81st St Ste 3000	Tulsa	OK	74137	133039601	501(c)(3)	$7,500	Program Support
American Cancer Society Inc
4110 S 100th E Ave 101	Tulsa	OK	74146	741185665	501(c)(3)	$7,000	Program Support
American Heart Association Inc
PO Box 4002903	Des Moines	IA	503402903	135613797	501(c)(3)	$11,000	Program Support
American Kidney Fund
11921 Rockville Pike Ste 300	Rockville	MD	20852	237124261	501(c)(3)	$100,500	Program Support
American Red Cross Tulsa Area Chapt
431 18th Street NW	Washington	DC	20006	530196605	501(c)(3)	$100,000	Program Support
Bishop Kelley High School
3905 S Hudson Ave	Tulsa	OK	74135	730706623	501(c)(3)	$10,000	Program Support
Diocese of Tulsa
2450 N Harvard Ave	Tulsa	OK	74115	731171950	501(c)(3)	$50,000	Porta Caeli House operations
Flashes of Hope
36 S Franklin St	Chagrin Falls	OH	44022	043648694	501(c)(3)	$7,500	Program Support
Greater Muskogee Area Chamber of Commerce
310 W Broadway St	Muskogee	OK	74401	730366960	501(c)(6)	$5,500	Program Support
Holy Family Cathedral
122 W 8th St	Tulsa	OK	74119	730630357	501(c)(3)	$50,000	Program Support
IRN Reuse Network
7 South State St Ste 2	Concord	NH	03301	030381073		$216,135	Program Support
Mental Health Association
1870 S Boulder	Tulsa	OK	741195234	730657931	501(c)(3)	$140,500	Program Support
Oklahoma State University Center for Health Scienc
400 South Monroe	Stillwater	OK	74074	736097060	501(c)(3)	$1,000,000	Program Support
Osteopathic Founders Foundation Inc
8801 S Yale Ave Ste 400	Tulsa	OK	74137	730583936	501(c)(3)	$21,736	Winterset 2019
The Foundation for Tulsa Schools
3027 S New Haven Ste 600	Tulsa	OK	74114	731612027	501(c)(3)	$20,000	Program Support
The Gospel Rescue
PO Box 7004	Muskogee	OK	74402	736104283	501(c)(3)	$10,000	Program Support FTS Golf Tournament 2017
The Parent Child Center of Tulsa
1421 S Boston	Tulsa	OK	74119	731113167	501(c)(3)	$6,500	Program Support
Tulsa Area United Way Inc
PO Box 1859	Tulsa	OK	74101	730580283	501(c)(3)	$78,337	Program Support
Tulsa Cares
3712 East 11th Street	Tulsa	OK	74112	731388569	501(c)(3)	$6,000	Program Support
Tulsa Community Foundation
7030 S Yale Ave Ste 600	Tulsa	OK	74136	731554474	501(c)(3)	$75,000	Program Support
Tulsa Day Center for the Homelss
415 West Archer St	Tulsa	OK	74103	731557819	501(c)(3)	$52,000	Program Support
Tulsa Tough Inc
214 N Main St 203	Tulsa	OK	74103	273283740	501(c)(3)	$247,500	Tulsa Tought Sponsorship

Field	Value	IRS element (for citing)
Total501c3 Org	20	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	216	RecipientCnt
Cash Grant	$617,900	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.	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 (12 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	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	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt
Jake Henry Jr
President/CEO/Director	$1,318,935	$472,500	$58,002	$0	$35,856	$0	$49,649	$0	$1,934,942	$0	$0
Thomas G Neff
Secretary (Until 12/31/18)				$35,857	$0	$25,987	$0	$616,610	$0	$0	$0	$424,910	$108,922	$20,934
Jeffrey C Sacra
Former Asst Secretary				$9,925	$0	$6,908	$0	$290,781	$0	$0	$0	$271,313	$0	$2,635
Barry L Steichen
Vice President/COO/Director	$775,447	$231,385	$11,646	$0	$135,021	$0	$23,804	$0	$1,177,303	$0	$0
Eric E Schick
Treasurer/CFO				$116,377	$0	$22,943	$0	$959,090	$0	$0	$0	$608,964	$199,549	$11,257
Lynn Sund
Administrator (Until 10/31/18)				$35,856	$0	$21,701	$0	$664,161	$0	$0	$0	$468,313	$121,695	$16,596
Harsh Patel MD
Physician	$1,194,816			$0	$33,450	$0	$6,992	$2,700	$1,235,258	$0	$0	$2,700
Frank Schmidt MD
Physician	$1,129,795	$0	$18,500	$0	$34,106	$0	$12,913	$33,336	$1,195,314	$0	$0	$33,336
Sanjeev Trehan MD
Physician	$1,102,289	$2,500	$18,500	$0	$34,106	$0	$19,937	$11,865	$1,177,332	$0	$0	$11,865
Ryan Gursky MD
Physician	$1,037,618		$18,500	$0	$34,106	$0	$22,344	$9,000	$1,112,568	$0	$0	$9,000
Ralph Ensley MD
Physician	$775,781		$18,500	$0	$34,106	$0	$17,575	$11,349	$845,962	$0	$0	$11,349
Doug Williams
Administrator (Start 11/1/18)				$54,399	$0	$15,638	$0	$385,176	$0	$0	$0	$241,367	$69,649	$4,123

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 4b	FormAndLineReferenceDesc
Explanation	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

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Martina Hum MD	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Married to Secretary	RelationshipDescriptionTxt
Transaction	$271,665	TransactionAmt
Transaction	Physician Compensation	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

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., a member of Saint Francis Health System, Inc. Dr. Hum is married to Thomas G. Neff, Senior Vice President of Strategic Planning and Secretary for Saint Francis Health System, Inc. Thomas G. Neff was the Senior Vice President of strategic planning the entire fiscal year 2019 and Secretary until December 31, 2018. Dr. Hum's compensation and benefits are reported on Form 990, Part IX, Line 6.	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	146	ContributionCnt
Noncash Contributions Rpt F990	$55,228	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 (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, 6 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. 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. Bishop David Konderla, a Trustee, serves on other boards outside of Saint Francis Health System, Inc. with William R. Lissau, a director. 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 its 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 with 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, two Trustees and one Officer/Director on the System Board of Directors with potential conflicts that were addressed by the governing body. The Directors and Officer/Director 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, Lines 15a and 15b	Compensation of officers and senior level management is reviewed annually and approved by the 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 $14,951,954 is made up of the activity in the post retirement benefit obligation activity for the year ($294,431), beneficial interest in Childrens Hospital Foundation activity for the year $903,352, equity transfers from/to related parties $8,981,919, University of Oklahoma/Tulsa University endowment funding $914,606, and equity earnings and investments $4,446,508.

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	$22,263,814	$2,519,350	SFH
Care Communications LLC
6600 S Yale Ave Ste 400	Tulsa	OK	74136	260015989	Comm Svcs	OK	$4,306,396	$5,866,162	SFH
All Saints Home Medical LLC
6600 S Yale Ave Ste 400	Tulsa	OK	74136	731558644	Med Equipment	OK	$1,483,071	$6,536,030	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	-$165,124	$67,204,476	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		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		Yes (true)
Saint Francis Hlth Sys Gen-Prof Lia
PO Box 3038	Milwaukee	WI	532013038	756583874	Self Insurance	WI	SFHS	Trust	$0	$0		Yes (true)
Saint Francis Pharmacy Services Inc
6600 S Yale Ave Ste 400	tulsa	OK	74136	813127970	Pharmacy	OK	SFH	S Corp	$1,136,081	$3,532,257	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 (41 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Laureate Psychiatric Clinic & Hospital Inc
L	$1,953,467	Trans Review
Laureate Psychiatric Clinic & Hospital Inc
Q	$46,288,363	Trans Review
Laureate Psychiatric Clinic & Hospital Inc
P	$43,277,781	Trans Review
Laureate Psychiatric Clinic & Hospital Inc
R	$8,860,998	Trans Review
Warren Clinic Inc
K	$501,486	Trans Review
Warren Clinic Inc
J	$1,162,904	Trans Review
Warren Clinic Inc
M	$9,990,584	Trans Review
Warren Clinic Inc
L	$6,986,318	Trans Review
Warren Clinic Inc
Q	$371,085,579	Trans Review
Warren Clinic Inc
P	$322,881,021	Trans Review
Warren Clinic Inc
S	$842,653	Trans Review
Warren Clinic Inc
R	$3,346,114	Trans Review
Related Health Services Inc
L	$339,114	Trans Review
Related Health Services Inc
Q	$6,288,983	Trans Review
Related Health Services Inc
P	$1,508,746	Trans Review
Related Health Services Inc
B	$1,979,077	Trans Review
Saint Francis Hospital South LLC
L	$4,118,187	Trans Review
Saint Francis Hospital South LLC
Q	$91,301,327	Trans Review
Saint Francis Hospital South LLC
P	$122,539,678	Trans Review
Saint Francis Hospital South LLC
S	$72,020	Trans Review
Saint Francis Hospital South LLC
R	$17,113,431	Trans Review
Saint Francis Home Health Inc
C	$779,411	Trans Review
Saint Francis Home Health Inc
L	$155,055	Trans Review
Saint Francis Home Health Inc
Q	$7,590,727	Trans Review
Saint Francis Home Health Inc
P	$5,836,483	Trans Review
Saint Francis Home Health Inc
R	$2,000,136	Trans Review
The Children's Hospital Fdn at Saint Francis
Q	$892,905	Trans Review
The Children's Hospital Fdn at Saint Francis
S	$549,610	Trans Review
The Children's Hospital Fdn at Saint Francis
C	$98,878	Trans Review
Saint Francis Pharmacy Services Inc
L	$111,042	Trans Review
Saint Francis Pharmacy Services Inc
Q	$28,555,106	Trans Review
Saint Francis Pharmacy Services Inc
P	$27,231,384	Trans Review
Saint Francis Pharmacy Services Inc
C	$2,409,265	Trans Review
Saint Francis Hospital Vinita Inc
R	$785,811	Trans Review
Saint Francis Hospital Vinita Inc
L	$582,638	Trans Review
Saint Francis Hospital Vinita Inc
Q	$18,662,360	Trans Review
Saint Francis Hospital Vinita Inc
P	$17,085,688	Trans Review
Saint Francis Hospital Muskogee Inc
L	$3,115,311	Trans Review
Saint Francis Hospital Muskogee Inc
Q	$147,927,650	Trans Review
Saint Francis Hospital Muskogee Inc
P	$145,923,924	Trans Review
Saint Francis Hospital Muskogee Inc
S	$251,097	Trans Review