SAINT FRANCIS HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: SAINT FRANCIS HOSPITAL INC (EIN 73-0700090)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-15
IRS object ID: 201901359349304960
Schema version: 2017v2.3
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	2019-05-15T11:19:19-05:00	ReturnTs
Tax Period End	2018-06-30	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	2017-07-01	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	2019-05-12	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	164.57.159.253	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	35057220191355000001	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	86FD7583EF94FAE7FD1B6B0D29818F992BDFD775	AtSubmissionCreationDeviceId
At Submission Filing Device Id	3EE0EA4077A952E7D1F71D0CD73736AA8FC8EC2C	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	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	6600 S Yale Ave Suite 400	AddressLine1Txt
City	Tulsa	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	741363319	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$4,860,930,221	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://WWW.SAINTFRANCIS.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1960	FormationYr
Legal Domicile State	OK	LegalDomicileStateCd
Activity Or Mission	To extend the presence and healing ministry of Christ in all we do.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	7073	TotalEmployeeCnt
Total Volunteers	427	TotalVolunteersCnt
Total Gross UBI	$329,912	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$566,253	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$466,364	PYContributionsGrantsAmt
CY Contributions Grants	$1,066,069	CYContributionsGrantsAmt
PY Program Service Revenue	$1,056,603,376	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,127,041,875	CYProgramServiceRevenueAmt
PY Investment Income	$24,102,872	PYInvestmentIncomeAmt
CY Investment Income	$29,863,425	CYInvestmentIncomeAmt
PY Other Revenue	$15,993,153	PYOtherRevenueAmt
CY Other Revenue	$17,744,695	CYOtherRevenueAmt
PY Total Revenue	$1,097,165,765	PYTotalRevenueAmt
CY Total Revenue	$1,175,716,064	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,078,461	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,299,436	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$385,830,071	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$411,694,987	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$512,601,684	PYOtherExpensesAmt
CY Other Expenses	$560,390,606	CYOtherExpensesAmt
PY Total Expenses	$902,510,216	PYTotalExpensesAmt
CY Total Expenses	$974,385,029	CYTotalExpensesAmt
PY Revenues Less Expenses	$194,655,549	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$201,331,035	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,170,815,410	TotalAssetsBOYAmt
Total Assets EOY	$2,356,172,006	TotalAssetsEOYAmt
Total Liabilities BOY	$132,791,185	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$114,727,978	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,038,024,225	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,241,444,028	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	$702,915,197	ExpenseAmt
Grant	$2,299,436	GrantAmt
Revenue	$1,125,706,659	RevenueAmt
Desc	Statement of accomplishments Saint Francis Hospital, Inc. is a member of Saint Francis Health System, Inc. Saint Francis Health System, Inc. is a Catholic, not for profit health system whose mission is to extend the presence and healing ministry of Christ in all we do. Saint Francis Health System, Inc. is anchored by Saint Francis Hospital, Inc., a 1,088-bed tertiary center, which includes the region's only children's hospital and Level IV neonatal intensive care unit, a 168-bed heart hospital and Tulsa's leading trauma and emergency center. Additionally, Saint Francis Health System, Inc. employs more than 504 providers with 352 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 10,000 employees, 954 physicians on medical staff and approximately 740 volunteers, making it the largest private employer in Tulsa County, with hospitals, physician clinics, mental health facilities, trauma emergency centers, pharmacy services, rehabilitation facilities, a fitness center, a neonatal intensive care unit, and home health services. As a member of Saint Francis Health System, Inc. and a not for profit organization, each year Saint Francis Hospital, Inc. provides millions of dollars of charity care to patients throughout the State of Oklahoma, Southern Kansas, Southwestern Missouri and Western Arkansas. While this care represents a large percentage of Saint Francis Hospital, Inc.'s gift back to the community, it is still only part of what Saint Francis Hospital, Inc. considers as healing ministry of Christ. Saint Francis Health System, Inc.'s mission of extending the presence and healing ministry of Christ is epitomized in Saint Francis Hospital, Inc.'s giving back to its community. It takes the form of hundreds of programs and acts of charity provided daily across the State of Oklahoma - free health screenings, support groups, medical services, educational programs, health fairs and more. Saint Francis Hospital, Inc. provides significant amounts of uncompensated services. Uncompensated services are the costs of providing free and reduced cost care, which includes charity care and unpaid costs of Medicaid programs. As a not-for-profit hospital, Saint Francis Hospital, Inc. provides services to everyone, regardless of their ability to pay or their insurance coverage. Thus, it provides a much needed safety net for members of the Saint Francis Hospital, Inc. community who would otherwise have no access to medical care. Saint Francis Hospital, Inc., in the fall of 2004, set into place provisions that increase the hospital's ability to offer charity care to those less fortunate and provide those lacking healthcare coverage with free care to lessen the burden and anxiety often caused by healthcare expenses. The Financial Assistance Policy provides access to charity care for those individuals whose gross annual income is equal to or less than 225 percent of the federal poverty level. Further, patients lacking healthcare insurance, regardless of their personal income level, receive a discount from billed charges. Both initiatives exemplify the Saint Francis Health System, Inc.'s mission to extend the presence and healing ministry of Christ, with a particular emphasis on those most in need of health services in Northeastern Oklahoma. All, to improve the health of the people and communities served in a spirit of compassion and charity. Saint Francis History On October 1, 1960, Saint Francis Hospital, Inc., located in eastern Oklahoma, opened with 275 beds. It was a dream of the founders William K. Warren Sr. and his wife Natalie Overall Warren to give a gift to the City of Tulsa that would serve its citizens for years to come. In order to meet patient care requirements, as well as the demands of a rapidly growing population in Southeast Tulsa, Saint Francis Hospital, Inc. was expanded in 1969 to 735 adult and pediatric beds and bassinets. A major milestone occurred on December 3, 1975 - the 15th anniversary of the hospital - when the Natalie Warren Bryant Cancer Center opened its doors. It was one of the first centers where radiation therapy, chemotherapy services, laboratory and support services were grouped in a single location for the patient's convenience. The Natalie Warren Bryant Cancer Center is now known as the Saint Francis Cancer Center and provides state-of-the-art medical oncology and radiotherapy technology to residents in eastern Oklahoma and surrounding states. The first area Warren Clinic, Inc. facility was established in Stillwater, Oklahoma, in January 1987. Warren Clinic, Inc. has grown significantly from the three internal medicine specialists in Stillwater to 334 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 II 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 1960s. The hospital, which opened in 1963, became part of the Saint Francis Health System in December, 2016. It, along with the existing Warren Clinic Vinita and the newly named Saint Francis Health Centers located in Langley and Monkey Island, provide area residents with conveniently located primary and specialty services. In April 2017, Eastar Health System and affiliated clinics became	Desc
Total Program Service Expenses	$702,915,197	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	506	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7073	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
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 (17 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
Jake Henry Jr
President/CEO/Director	1.0	39.0	Yes (X)	Yes (X)	$0	$5,273,282	$81,823
Barry L Steichen
Vice President/COO/Director	1.0	39.0	Yes (X)	Yes (X)	$0	$997,892	$154,074
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	1.0	39.0		Yes (X)	$491,368	$0	$60,041
Jeffrey C Sacra
Asst Secretary (Until 6/1/18)	1.0	39.0		Yes (X)	$319,217	$0	$60,841
Eric E Schick
Treasurer/CFO	1.0	39.0		Yes (X)	$781,206	$0	$135,089
Lynn Sund
Administrator	1.0	39.0			$601,117	$0	$104,568	Yes (X)
Ryan Gursky MD
Physician	5.0	35.0			$19,500	$1,068,284	$53,041		Yes (X)
Ralph Ensley MD
Physician	5.0	35.0			$15,654	$778,247	$50,826		Yes (X)
Sanjeev Trehan MD
Physician	5.0	35.0			$15,400	$1,052,569	$46,388		Yes (X)
Joseph Lynch MD
Physician	5.0	35.0			$83,566	$675,565	$46,388		Yes (X)
Spencer Voth DO
Physician	5.0	35.0			$24,500	$711,063	$53,138		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,351,528	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,556,902	TotReportableCompRltdOrgAmt
Total Other Compensation	$846,217	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	273	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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
Epic Systems Corporation
1979 Milky Way	VERONA	WI	53593	Software Services	$6,804,140
Medefis Inc
2121 N 117th Ave Ste 200	OMAHA	NE	68164	Medical Services	$4,815,393
Skanska USA Building Inc
389 Interpace Parkway 5th Fl	PARSIPPANY	NJ	07054	Construction Svcs	$27,276,041
Flintco LLC
8800 Page Ave	ST LOUIS	MO	63114	Construction Svcs	$12,601,468
Crossland Construction Co Inc
833 S East Ave	COLUMBUS	KS	66725	Construction Svcs	$7,049,795

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	401	CntrctRcvdGreaterThan100KCnt
Related Organizations	$706,527	RelatedOrganizationsAmt
All Other Contributions	$359,542	AllOtherContributionsAmt
Noncash Contributions	$118,330	NoncashContributionsAmt
Total Contributions	$1,066,069	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT CARE REVENUE	621110	$793,748,760	$793,748,760
P'SHIP INCOME RELATED TO PROGRAM SERVICES	541900	$2,855,950	$2,777,482	$78,468
OUTREACH LAB	621500	$19,083,527	$19,083,527
OFFICE SPACE REIMBURSEMENT	531120	$1,270,129	$1,270,129
MEDICARE / MEDICAID	621300	$310,083,509	$310,083,509

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,127,041,875	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,463,808	TotalRevenueColumnAmt
Exclusion	$28,463,808	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	$30,216	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$9,197	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$21,019	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,019	TotalRevenueColumnAmt
Unrelated Business Revenue	$21,019	UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,686,383,146	SecuritiesAmt
Other	$221,431	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,684,566,657	SecuritiesAmt
Other	$638,303	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,816,489	SecuritiesAmt
Other	-$416,872	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,399,617	TotalRevenueColumnAmt
Exclusion	$1,399,617	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	$6,410,079	$6,410,079
AFFIL TELECOM & COMPUTER SUPP REV	621500	$4,191,996	$4,191,996
PHARMACY RBI	621500	$1,141,293	$1,141,293

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,980,308	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$1,335,216	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$230,425	UnrelatedBusinessRevenueAmt
Exclusion	$7,085,099	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$17,723,676	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,175,716,064	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,125,628,191	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$329,912	UnrelatedBusinessRevenueAmt
Exclusion	$48,691,892	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,676,544	TotalAmt
Program Services	$1,676,544	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$622,892	TotalAmt
Program Services	$622,892	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	$3,443,883	TotalAmt
Management And General	$3,443,883	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$292,597	TotalAmt
Program Services	$292,597	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$333,859,990	TotalAmt
Program Services	$292,906,540	ProgramServicesAmt
Management And General	$40,953,450	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$21,999,806	TotalAmt
Program Services	$268,462	ProgramServicesAmt
Management And General	$21,731,344	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$29,684,827	TotalAmt
Program Services	$1,768,275	ProgramServicesAmt
Management And General	$27,916,552	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$22,413,884	TotalAmt
Program Services	$296,662	ProgramServicesAmt
Management And General	$22,117,222	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$32,292,018	TotalAmt
Program Services	$13,562,264	ProgramServicesAmt
Management And General	$18,729,754	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$590,321	TotalAmt
Program Services	$57,920	ProgramServicesAmt
Management And General	$532,401	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$759,819	TotalAmt
Program Services	$63,876	ProgramServicesAmt
Management And General	$695,943	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$98,456	TotalAmt
Management And General	$98,456	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,469,409	TotalAmt
Management And General	$2,469,409	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,631,617	TotalAmt
Program Services	$13,528,594	ProgramServicesAmt
Management And General	$103,023	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,492,458	TotalAmt
Program Services	$210,701	ProgramServicesAmt
Management And General	$4,281,757	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$56,432,903	TotalAmt
Program Services	$36,503,674	ProgramServicesAmt
Management And General	$19,929,229	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	-$1,414,887	TotalAmt
Program Services	$1,576,897	ProgramServicesAmt
Management And General	-$2,991,784	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$15,994,981	TotalAmt
Program Services	$5,863,680	ProgramServicesAmt
Management And General	$10,131,301	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$558,990	TotalAmt
Program Services	$290,172	ProgramServicesAmt
Management And General	$268,818	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	-$6,291,849	TotalAmt
Program Services	-$6,291,849	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$58,535,783	TotalAmt
Program Services	$1,234,776	ProgramServicesAmt
Management And General	$57,301,007	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$16,689,820	TotalAmt
Program Services	$863,198	ProgramServicesAmt
Management And General	$15,826,622	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$244,632,829	$243,644,561	$988,268
BAD DEBT EXPENSE	$93,650,395	$93,650,395
ADMINISTRATIVE EXPENSES	$26,949,294	$64,757	$26,884,537
DUES & LICENSES	$318,249	$259,609	$58,640

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$974,385,029	TotalAmt
Program Services	$702,915,197	ProgramServicesAmt
Management And General	$271,469,832	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$442,221	BOYAmt
EOY	$1,083,092	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$267,587,289	BOYAmt
EOY	$298,314,629	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	$108,377,146	BOYAmt
EOY	$124,611,922	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	$24,782,599	BOYAmt
EOY	$26,439,142	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$15,861,617	BOYAmt
EOY	$10,955,047	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,014,406,100	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$490,150,447	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$489,620,686	BOYAmt
EOY	$524,255,653	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$852,068,183	BOYAmt
EOY	$908,471,100	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$378,418,336	BOYAmt
EOY	$434,989,484	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	$33,657,333	BOYAmt
EOY	$27,051,937	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,170,815,410	BOYAmt
EOY	$2,356,172,006	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$81,034,808	BOYAmt
EOY	$80,060,006	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	$0	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	$51,756,377	BOYAmt
EOY	$34,667,972	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$132,791,185	BOYAmt
EOY	$114,727,978	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,038,024,225	BOYAmt
EOY	$2,241,444,028	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	$2,038,024,225	BOYAmt
EOY	$2,241,444,028	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,170,815,410	BOYAmt
EOY	$2,356,172,006	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$201,331,035	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$18,579,800	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$16,491,032	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

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	$98,456	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$98,456	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 Hospital, Inc.'s charitable purposes, in particular the promotion of health. "Grassroots 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 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)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$473,172,989	OtherCostOrOtherBasisAmt
Depreciation	$184,336,988	DepreciationAmt
Book Value	$288,836,001	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$18,163,709	OtherCostOrOtherBasisAmt
Depreciation	$13,672,399	DepreciationAmt
Book Value	$4,491,310	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$412,201,862	OtherCostOrOtherBasisAmt
Depreciation	$292,141,060	DepreciationAmt
Book Value	$120,060,802	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$100,430,708	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$100,430,708	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$524,255,653	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$88,361,330	BookValueAmt
Method Valuation	F	MethodValuationCd

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
PRIVATE INVEST-MARKETABLE	$256,485,348	F
PRIVATE INVEST-NONMARKETABLE	$90,142,806	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$434,989,484	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	$34,667,972	Amt

Field	Value	IRS element (for citing)
Total Liability	$34,667,972	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 $28,275,076 Medicare Cost Report $12,965,296 ARO Liability $ 1,505,725 Scholarship Fund Liability $ 968,523 FAS 106 $ 950,597 FIN 45 Income Guarantees $ 615,475 Other Long-Term Liabilities $ 371,710 Operating Lease Liability $ 360,568 Comm Care Premium/Rate Risk ($11,344,998) ----------- Total $34,667,972

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.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	Investments	$24,545,077
Europe (Including Iceland and Greenland)	Investments	$2,170,255

Field	Value	IRS element (for citing)
Subtotal Spent	$26,715,332	SubtotalSpentAmt
Total Spent	$26,715,332	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 used to account for expenditures on the organization's financial statements. The investments do not generate unrelated business income.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,878,682	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$31,878,682	NetCommunityBenefitExpnsAmt
Total Expense	0.03620	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$147,946,735	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$120,241,835	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,704,900	NetCommunityBenefitExpnsAmt
Total Expense	0.03150	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$179,825,417	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$120,241,835	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$59,583,582	NetCommunityBenefitExpnsAmt
Total Expense	0.06770	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,291,864	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,291,864	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,643,729	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,643,729	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$220,224,495	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$162,159,974	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$58,064,521	NetCommunityBenefitExpnsAmt
Total Expense	0.06590	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$227,160,088	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$162,159,974	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$65,000,114	NetCommunityBenefitExpnsAmt
Total Expense	0.07380	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$406,985,505	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$282,401,809	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$124,583,696	NetCommunityBenefitExpnsAmt
Total Expense	0.14150	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,670,047	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,670,047	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,717,837	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,717,837	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,387,884	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,387,884	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$93,650,395	BadDebtExpenseAmt
Bad Debt Expense Attributable	$15,462,055	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$230,347,293	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$223,957,079	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$6,390,214	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	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	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	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Schedule H, Part V, Section C	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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
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 (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Section B, Line 5	The Community Health Needs Assessment (CHNA) report uses quantitative data derived from primary research and secondary data (American Community Survey data, Census Bureau data) obtained from the Tulsa County Health Department. The survey instrument used for this study was created by the Tulsa City-County Health Department, Health Data and Evaluation Division, with input from community partners. Community input focus group sessions were conducted in each of the eight Tulsa Health Department defined regions.
Part V, Section B, Line 6a	Saint Francis Hospital, Inc. conducted the CHNA with Saint Francis Hospital South, LLC and Laureate Psychiatric Clinic and Hospital, Inc.
Part V, Section B, Line 6b	Saint Francis Hospital Inc.s CHNA was conducted by the Tulsa County Health Department.
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 the top ten needs (in order of highest priority) of the Tulsa community as poor diet/inactivity; chronic diseases; alcohol/drug abuse; access to healthcare; tobacco use; lack of education; aging problems; safety/crime; poverty/unemployment; and mental health. Saint Francis Hospital, Inc. does not intend to address the health needs due to lack of education; aging problems; safety/crime; and poverty/unemployment due to lack of expertise in these areas. It is an unfortunate matter that certain socioeconomic burdens to the health of our community cannot be fully or effectively addressed by individual private institutions. The hospitals comprising Saint Francis Health System, Inc. provide millions of dollars each year in uncompensated care to the poor in the form of free or discounted care to the uninsured, the underinsured, and the Medicaid beneficiaries. Saint Francis Hospital, Inc., as well as Saint Francis Hospital South, LLC, Laureate Psychiatric Clinic and Hospital, Inc., Saint Francis Hospital Vinita, Inc., Saint Francis Hospital Muskogee, Inc. and the senior leadership and Board of Directors of the Saint Francis Health System, Inc. will continue to work with community and state-level policy and political leaders, safety net providers, and community advocates to build sustainable partnerships to better address these broader community needs. Saint Francis Health System, Inc. and all of its entities, including those not covered by the CHNA implementation strategy, will continue to be an advocate for the poor, the vulnerable and the underserved. Saint Francis Hospital, Inc. and the other Saint Francis Health System, Inc. entities are addressing the community needs of access to healthcare; alcohol/drug abuse; chronic diseases; poor diet/inactivity; tobacco use; and mental health through various programs designed to improve access to healthcare, advance knowledge, identify root causes, and improve health status and quality of life. Access to healthcare Access to comprehensive, quality health services is necessary for health equity and a healthy quality of life for individuals in our community. Access to healthcare can impact physical, social and mental health, disease and disability prevention, and life expectancy, among other things. Not having healthcare coverage obstructs the ability to access medical care; reduces utilization of preventive services; and contributes greatly to the costs of healthcare. Uninsured people are also less likely to receive medical care, more likely to die early, and more likely to have poor health status as they tend to delay treatment; experience diagnoses at later stages of disease progression; and may receive less medical care than patients with health insurance. Current policy efforts focus on the provision of insurance coverage as the principal means of ensuring access to healthcare amount the general population. Almost two-thirds of Tulsa County adults surveyed ages 18 - 64 reported they had employer provided or private insurance (63.1 percent). An additional 14.3 percent reported insurance through a government sponsored program (Medicaid, Medicare, military benefits, or tribal/Indian health benefits). This age group was defined in order to exclude the Medicare population age 65 and older. However, 13.4 percent of Tulsa County adults ages 18-64 reported having no health coverage. This was lower than both Oklahoma (17.2 percent) and the US (20.0 percent). None of these regions met the Healthy People 2020 goal of universal coverage (no one without insurance). Saint Francis Health System, Inc. and Saint Francis Hospital, Inc. in its mission to extend the presence and healing ministry of Christ in all we do, addresses these community health needs by providing charity care to those families meeting the 225% Federal Poverty Guidelines criteria. Additionally, the Xavier Medical Clinic, an entity fully owned and operated by Saint Francis Health System, Inc. offers the resources of 50 volunteer physicians, pharmacists, nurses and other health professionals to women, children and men who are uninsured or underserved. The clinic has two components, Xavier Medical Clinic and Xavier Pregnancy Program. Xavier Medical Clinic seeks to provide free, limited outpatient primary health care services, facilitate referrals to volunteer specialists, educate in good health practices and increase access to traditional healthcare. The Xavier Pregnancy Program provides pregnancy screening services and prenatal servers to expectant mothers, many of whom lack the financial means necessary to purchase insurance. They follow the mother and baby throughout the pregnancy and during the postpartum time, assisting when needed as any identifiable need surfaces. Patients are referred to Saint Francis Hospital, Inc. for inpatient care including childbirth, as well as surgery and ancillary services. In fiscal year 2018, Xavier Medical Clinic received 8,900 patient visits, aided over 140 patients to receive referrals outside of the clinic, provided over 180 prescriptions with an equivalent cost of over $201,197 dispensed over 11,479 prescriptions and the Xavier Pregnancy Program assisted 472 women, resulting in 410 births at Saint Francis Hospital, Inc. Because of its dedicated and caring staff, Xavier Clinic is able to reach a group that might otherwise avoid or have difficulties accessing basic healthcare services. Saint Francis Health System, Inc. also holds several health fairs over the course of a year to disseminate health information and/or to provide health screenings to the community at large. 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. will serve as acute care hubs for the patients that utilize the health system's primary, urgent, and specialty care at outlying locations. These are a few of the many ways Saint Francis Health System, Inc. is addressing the need for improving access to healthcare. Alcohol and drug use Substance abuse has a major impact on individuals, families, and communities, and contributes to poor public health outcomes. These costly social, physical, mental, and public health problems include teenage pregnancies, HIV/AIDS and other STDs, domestic violence, child abuse, motor vehicle accidents, physical fights, crime, homicide, and suicide. Estimates of individuals who have a substance abuse disorder are high, indicating the importance of prevention efforts and improved access to treatment for substance abuse. Overall, 2.3 percent of Tulsa County adults reported that they had been told by a healthcare or support service provider that they had an alcohol dependency, and a total of 2.3 percent of Tulsa Country adults reported they had been told by a healthcare or support service provider that they had a drug dependency. These self-reported rates appear to be lower than much literature would suggest, lending support to the theory that mental health needs in general are a major area of need for both the service area and the nation as a whole. Saint Francis Hospital, Inc. is not addressing this issue; however, Laureate Psychiatric Clinic and Hospital, Inc., an entity of Saint Francis Health System, Inc. offers substance abuse counseling for adults on an inpatient basis, and adults and adolescents on an outpatient basis to address alcohol and drug abuse. Other entities in the community addressing this issue include Parkside Psychiatric Hospital, Brookhaven Hospital, Indian Healthcare Resource Center of Tulsa, Oxford House, St. John Health System, Hillcrest Health System, Alcoholics Anonymous, Shadow Mountain Behavioral Health System, Tulsa Center for Behavioral Health and Family and Children's Services. Chronic disease In the US, chronic diseases are the main causes of poor health, disability, and death, and account for most of healthcare expenditures. Chronic diseases are responsible for 7 of 10 deaths each year, and treating people with chronic diseases accounts for 86 percent of our nation's healthcare costs per the Centers for Disease Control and Prevention (CDC). Around half of adults in the US have at least one chronic condition and 26 percent have two or more conditions. The chronic disease burden in the US largely results from a short list of risk factors - including socioeconomic status, tobacco use, poor diet and physical inactivity (both strongly associated with obesity) - that can be effectively addressed for individuals and populations. To effectively and equitably address the chronic disease burden, public health and healthcare systems need to deploy integrated approaches that bundle strategies and interventions, address many risk factors and conditions simultaneously, create population - wide changes, help the population subgroups most affected, and rely on implementation by many sectors, including
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/
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	Proactive phone calls and statements are sent before collection actions are taken.
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 the spring 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/commitment-to-community
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 organizations accounting general ledger and are not based on a cost to charge ratio. The number reflected on line 7, column (f) excludes bad debt expense. The supplemental hospital offset payment program (SHOPP) was created and implemented in calendar year 2011 for the purpose of assuring access to quality care for Oklahoma Medicaid members. The program is designed to assess Oklahoma hospitals, unless exempt, a supplemental hospital offset payment program fee. The collected fees are placed in pools and then allocated to hospitals based on Medicaid revenues as directed by legislation. The Oklahoma Health Care Authority (OHCA) does not guarantee that allocation will equal or exceed the amount of the supplemental hospital offset payment program fees that were paid by Saint Francis Hospital, Inc.
Part II: Community Building Activities	Community building activities improve the 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 organizations accounts receivable and allowance for doubtful accounts 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 and the aging of the accounts.
Part III, Section B, Line 8	Costing Methodology: Medicare allowable costs were calculated using a cost-to-charge ratio and the Medicare filed cost report.
Part III, Section C, Line 9b	Saint Francis Hospital, Inc.s debt collection policy is to pursue collections of patient balances from patients who have the ability to pay for the services. Saint Francis Hospital, Inc. applies its collections efforts consistently and fairly to all patients regardless of insurance. Saint Francis Hospital, Inc. works with those individuals who do not have the financial resources to pay outstanding balances to qualify for Saint Francis Hospital, Inc.s financial assistance policy. Charges to patients qualifying for charity care under the Saint Francis Hospital, Inc. financial assistance policy are written off 100 percent.
Part VI, Line 2	Needs assessment One of Saint Francis Hospital, Inc.s fundamental operational goals is to identify and address the needs of the defined community that it serves. Justice is one of the core values of Saint Francis Hospital, Inc. and Saint Francis Health System, Inc. It calls for the organization to advocate for systems and structures that are attuned to the needs of the vulnerable and disadvantaged and to promote a sense of community among all persons. To effectively do this requires that Saint Francis Health System, Inc.: 1.Gathers and obtains information identifying those needs; and 2.Develops programs and services that address and provides access to those in greatest need of healthcare services. Historically, Saint Francis Health System, Inc. and its entities focus have been caring for those who are sick or vulnerable. In order to make informed decisions on how to care for the sick, at-risk and minority populations, Saint Francis Health System, Inc. must first identify priority health needs. During the fiscal year 2016, Saint Francis Health System, Inc. conducted a Community Health Needs Assessment (CHNA) to address the healthcare needs of the community for each of its licensed hospital facilities and developed an implementation strategy to address the needs identified in the CHNA. The assessment is a compilation of national survey results, health information databases, government data, and analytical feedback from state and local partners. This data is used to identify potential courses of action based on existing healthcare facilities, available resources within the community, and capabilities of the community in terms of both socioeconomic and education status. Providing access to comprehensive, quality health services; providing effective treatments and services in the community for substance abuse disorders and mental health disorders; promoting the prevention of disease; reducing obesity and promoting healthy eating; cessation of tobacco use; and promoting the health of low-income and at-risk communities are among the public health issues that the assessment seeks to prioritize. The CHNA and implementation strategies are available to the public on Saint Francis Health System, Inc.s website at https://www.saintfrancis.com/Documents/CHNA.pdf
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, Inc. uses a multi-faceted approach to educate our patients on the availability of charity, as well as state and federal financial assistance. 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. The tertiary service area is encompassed by the whole of eastern Oklahoma. The most recent needs assessment of fiscal year 2016 identified approximately 630,000 people in the PSA. Over one-quarter of Tulsa County residents are under the age of 18, and 13 percent of the population is over the age of 65. Both of these figures indicate that the PSA has a slightly younger population than both the State of Oklahoma and the nation as a whole. The PSA is comprised of the following representation: - 64% Caucasian - 12% Hispanic or Latino - 11% African-American - 7% Native-American - 6% Two or more races In 2018, the median household income in Tulsa County was $52,959, (about 9 percent below the US median) and the 2017 mean household income was $74,062 (about 10 percent below the US average). The per capita income is slightly below the national median, but higher than the average for Oklahoma. Approximately 16 percent of the PSA's population lives in poverty, with the number climbing to almost 23 percent for those under 18. Nearly 13 percent of households in the county received food stamps/Supplemental Nutrition Assistance Program (SNAP) benefits within 2017. The uninsured rate in Tulsa County is approximately 15 percent. Of those in the PSA that do have insurance, 79 percent of hold private insurance policies. Distressingly, when narrowing focus to the PSA civilian population age 19 to 64 that participates in the labor force, the uninsured rate rises to nearly 18 percent. During Oklahoma's 2018 fiscal year, there were 1,020,726 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 165,085 of those unduplicated enrollees or approximately 26 percent of the PSA's population.
Part VI, Line 5	Promotion of community health Saint Francis Hospital, Inc. is part of an integrated healthcare delivery system with the mission of extending the presence and healing ministry of Christ in all we do. Saint Francis Health System, Inc., as a Catholic organization, seeks to reflect the presence of Christ in every personal and corporate encounter. Saint Francis Hospital, Inc. is dedicated to giving back to the community in which its employees live and work. This can be seen through Saint Francis Hospital, Inc.s promotion of community health through community events such as sponsored on-site educational seminars and classes on health issues. Saint Francis Health System, Inc. and Saint Francis Hospital, Inc.s governing body is comprised of community representatives on the Board of Directors that provide leadership and governance for the organization. The Board of Directors has the overall responsibility for the charitable and the mission of Saint Francis Hospital, Inc. and the other entities that are part of Saint Francis Health System, Inc. The members of the Board of Directors are selected based on their areas of expertise and experience including such areas as education, research, business and government. The members of the governing body contribute their wisdom, insights, and expertise to ensure the organization is fulfilling its mission and charitable purpose while providing efficient administrative support services and direction for Saint Francis Health System, Inc. The goal of Saint Francis Health System, Inc. is to sustain and grow its technology, to attract talented healthcare professionals from across the country and to provide high quality patient care to all the residents of northeastern Oklahoma and the neighboring states we serve. This can be seen in numerous construction projects that have been undertaken over the past several years. Most notable is the decision by our Board of Directors to construct a childrens hospital when there was only one other childrens facility in the state. Saint Francis Hospital, Inc. also undertook the financial strain that comes from running a childrens hospital in a state where 60 plus percent of all the children are insured under the state Medicaid program. The construction of the building notable, however, so is the infrastructure needed to make the hospital successful, including the ongoing recruitment of numerous pediatric sub-specialists, which helps to ensure the highest quality of care is given to this most valuable patient population. Another notable decision by our Board of Directors was to construct a level II trauma emergency center which was completed in September 2014 to meet the healthcare needs of eastern Oklahoma and provide more access to needed emergency services. The trauma center provides comprehensive critical care to those facing complex, life-threatening emergencies. The trauma center specialists adhere to the highest standards of critical care medicine and the services are greatly enhanced by the many sub-specialty services available within the hospital. The trauma center accommodates more than 112,000 patient visits annually (average of 300 per day). Adjacent to the trauma center is eastern Oklahomas only Pediatric Emergency Center, which can accommodate over 34,800 pediatric patients each year. The trauma center also has the ability to adapt to offer high volume triage and receive mass casualties during a disaster if necessary. 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 112,000 patients were seen in the hospitals emergency room. Additionally, Saint Francis Hospital, Inc. admitted approximately 45,500 patients; provided ancillary and diagnostic services on an outpatient basis to an additional 328,600 patients; and handled approximately 4,200 births. See Schedule O for additional information regarding Saint Francis Hospital, Inc.s role within Saint Francis Health System, Inc
Part VI, Line 7	State filing of community benefit report Saint Francis Health System, Inc., which includes Saint Francis Hospital, Inc., publishes a community benefit report in Oklahoma. A written report that is included in the spring issue of the Saint Francis Health System, Inc. magazine "Presence" which is distributed to 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
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)	$81,000	Program Support
American Kidney Fund
11921 Rockville Pike Ste 300	Rockville	MD	20852	237124261	501(c)(3)	$48,000	Program Support
Bishop Kelley High School
3905 S Hudson Ave	Tulsa	OK	74135	730706623	501(c)(3)	$110,000	Program Support
Catholic Charities of the Diocese of Tulsa
2450 N Harvard Ave	Tulsa	OK	74115	731171950	501(c)(3)	$336,344	Program Support
City of Muskogee
837 E Okmulgee Street	Muskogee	OK	74403	736005340	Govt	$5,500	Program Support
Connors Development Foundation Inc
700 College Rd	Warner	OK	74469	731096349	501(c)(3)	$100,000	Program Support
Greater Muskogee Area Chamber of Commerce
310 W Broadway St	Muskogee	OK	74401	730366960	501(c)(6)	$6,200	Program Support
Hospitality House of Oklahoma Inc
635 Short Stonewall St	Mcalester	OK	74501	731442108	501(c)(3)	$12,100	Program Support
IRN Reuse Network
7 South State St Ste 2	Concord	NH	03301	030381073		$59,433	Program Support
John Hope Franklin Center for Reconciliation
322 N Greenwood Ave	Tulsa	OK	74120	264767477	501(c)(3)	$10,000	Program Support
Mental Health Association
1870 S Boulder	Tulsa	OK	741195234	730657931	501(c)(3)	$60,000	Center For Criminal Justice Reform $50,000, Zarrow Mental Symposium $10,000
Metro Tulsa Chamber of Commerce Inc
1 W 3rd St Ste 100	Tulsa	OK	74103	730488250	501(c)(6)	$24,650	Program Support
Oklahoma Center for Community and Justice
100 West Fifth St Ste 401	Tulsa	OK	74103	870744050	501(c)(3)	$25,000	59th Annual Award Dinner Honoring Judy Kishner
Osteopathic Founders Foundation Inc
8801 S Yale Ave Ste 400	Tulsa	OK	74137	730583936	501(c)(3)	$21,736	Winterset 2018
Roman Catholic Diocese of Tulsa
PO Box 690240	Tulsa	OK	74169	730942657	501(c)(3)	$50,000	Eastern OK Catholic Magazine
Children's Hospital Foundation at Saint Francis
6600 S Yale Ave Ste 400	Tulsa	OK	74137	202843418	501(c)(3)	$300,000	Painted Pony Event FTS Golf Tournament 2017
Tulsa Area United Way Inc
PO Box 1859	Tulsa	OK	74101	730580283	501(c)(3)	$77,000	Program Support
HIV Resorce Consortium Tulsa Cares
3712 East 11th Street	Tulsa	OK	74112	731388569	501(c)(3)	$6,000	Program Support
Tulsa International Mayfest Inc
616 S Boston 316	Tulsa	OK	74119	731279685	501(c)(3)	$10,000	Program Support
Tulsa Tough Inc
214 N Main St 203	Tulsa	OK	74103	273283740	501(c)(3)	$225,000	Tulsa Tought Sponsorship
University of Tulsa Inc
800 S Tucker Dr	Tulsa	OK	74104	730579298	501(c)(3)	$51,000	All American Tennis Championships

Field	Value	IRS element (for citing)
Total501c3 Org	19	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Scholarships	GrantTypeTxt
Recipient	186	RecipientCnt
Cash Grant	$622,892	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)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
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 (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jake Henry Jr
President/CEO/Director	$0	$1,255,548	$0	$3,950,000	$0	$67,734	$0	$35,140	$0	$46,683	$0	$5,355,105	$0	$0
Thomas G Neff
Secretary	$366,175	$0	$106,266	$0	$18,927	$0	$35,140	$0	$24,901	$0	$551,409	$0	$0	$0
Jeffrey C Sacra
Asst Secretary (Until 6/1/18)	$248,645	$0	$66,120	$0	$4,452	$0	$50,399	$0	$10,442	$0	$380,058	$0	$0	$0
Barry L Steichen
Vice President/COO/Director	$0	$763,321	$0	$224,646	$0	$9,925	$0	$131,417	$0	$22,657	$0	$1,151,966	$0	$0
Eric E Schick
Treasurer/CFO	$576,921	$0	$193,737	$0	$10,548	$0	$113,370	$0	$21,719	$0	$916,295	$0	$0	$0
Lynn Sund
Administrator	$459,419	$0	$126,147	$0	$15,551	$0	$79,663	$0	$24,905	$0	$705,685	$0	$0	$0
Ryan Gursky MD
Physician	$19,500	$1,050,284	$0	$0	$0	$18,000	$0	$33,340	$0	$19,701	$19,500	$1,121,325	$0	$0
Ralph Ensley MD
Physician	$15,654	$760,247	$0	$0		$18,000	$0	$33,340	$0	$17,486	$15,654	$829,073	$0	$0
Sanjeev Trehan MD
Physician	$15,400	$1,031,877	$0	$2,500	$0	$18,192	$0	$33,340	$0	$13,048	$15,400	$1,098,957	$0	$0
Joseph Lynch MD
Physician	$83,566	$675,267	$0	$0	$0	$298	$0	$33,340	$0	$13,048	$83,566	$721,953	$0	$0
Spencer Voth DO
Physician	$24,500	$693,063	$0	$0	$0	$18,000	$0	$33,340	$0	$19,798	$24,500	$764,201	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	Certain individuals included in Schedule J, Part II participated in key business activities accompanied by their spouse. Additionally, these same individuals may have incurred personal expenses related to these key business activities. With proper documentation and approval, Saint Francis Health System, Inc., includes these reimbursements as W-2 wages for the employee. These wages are grossed up to provide tax indemnification to the employee.
Part I, Line 4b	A select group of highly compensated employees of Saint Francis Health System, Inc. and its related entities Saint Francis Hospital, Inc., Laureate Psychiatric Clinic and Hospital, Inc., Warren Clinic, Inc., Saint Francis Hospital South, LLC, Saint Francis Home Health, Inc., The Childrens 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. 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.
Part II, Column B(ii)	The following individual received a one-time retention bonus during the year. These payments are included in Schedule J, Part II, column B(ii): Jake Henry Jr. $3,000,000

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Martina Hum MD
Married to Secretary	$292,597	Physician Compensation	false
Acrobat Ant Advertising
See Part V	$3,051,855	Marketing Services	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part IV, Line 1	FormAndLineReferenceDesc
Explanation	Dr. Martina Hum, is an employed physician of Warren Clinic, Inc. Effective July 2015, Dr. Hum began working for Saint Francis Hospital, Inc., but continues to be an employed physician of Warren Clinic, Inc. Dr. Hums compensation is reimbursed to Warren Clinic, Inc. by Saint Francis Hospital, Inc. Dr. Hum is married to Thomas G. Neff, Senior Vice President of Strategic Planning and Secretary for Saint Francis Health System, Inc. Dr. Hums compensation and benefits are reported on Form 990, Part IX, Line 6. Acrobat Ant Advertising and Marketing Services provides services to Saint Francis Hospital, Inc. and received compensation of $3,051,855 for their services in fiscal year 2018. The owner of Acrobat Ant Advertising and Marketing Services is Diane Davis, daughter of W. R. Lissau, director of Saint Francis Hospital, Inc.	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	176	ContributionCnt
Noncash Contributions Rpt F990	$118,330	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 Health System, 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, 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 W.R. Lissau.
Form 990, Part VI, Section A, Line 3	The director functions are delegated to the Saint Francis Health System, Inc. board of directors. The Board of Directors and a majority of the Members approve the sale of corporate assets valued at $10,000,000 or more. The Members 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 - Amendment of bylaws - Appointment of Board members
Form 990, Part VI, Section A, Line 6	The Organization has five Members/Trustees who elect the governing body. Form 990, Part VI, Section A, Line 7a The Organization has five Members/Trustees who elect the governing body. Form 990, Part VI, Section A, Line 7b The Board of Directors and a majority of the Members approve the sale of corporate assets valued at $10,000,000 or more. The Members 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 - Amendment of bylaws - Appointment of Board of Directors
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, Line 15a and 15b	Compensation of officials and key employees 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 amongst 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 ($16,491,032) is made up of the activity in the post retirement benefit obligation activity for the year ($40,184), beneficial interest in Children's Hospital Foundation activity for the year ($3,677,785), equity transfers from/to related parties ($17,032,661), University of Oklahoma/Tulsa University endowment funding $965,274, equity earnings and investments $3,294,952, and other ($628).

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 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	$21,079,292	$1,879,930	SFH
Care Communications LLC
6600 S Yale Ave Ste 400	Tulsa	OK	74136	260015989	Comm Svcs	OK	$4,201,453	$5,943,510	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 (6 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
Springer Clinic Inc
6600 S Yale Ave Ste 400	Tulsa	OK	74136	731414359	Health Svcs	OK	SFH	S Corp	$0	$0	1.00000	Yes (true)
Related Health Services Inc
6600 S Yale Ave Ste 400	Tulsa	OK	74136	731288715	Health Svcs	OK	SFH	S Corp	-$1,980,378	$65,399,155	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	$1,576,117	$4,756,053	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	Yes (true)	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 (48 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Laureate Psychiatric Clinic & Hospital Inc
L	$2,224,139	Trans Review
Laureate Psychiatric Clinic & Hospital Inc
Q	$56,280,198	Trans Review
Laureate Psychiatric Clinic & Hospital Inc
P	$41,747,492	Trans Review
Laureate Psychiatric Clinic & Hospital Inc
S	$13,230,613	Trans Review
Laureate Psychiatric Clinic & Hospital Inc
M	$112,789	Trans Review
Laureate Psychiatric Clinic & Hospital Inc
R	$8,092,648	Trans Review
Warren Clinic Inc
K	$442,396	Trans Review
Warren Clinic Inc
J	$975,232	Trans Review
Warren Clinic Inc
M	$6,082,522	Trans Review
Warren Clinic Inc
L	$7,123,136	Trans Review
Warren Clinic Inc
Q	$412,264,770	Trans Review
Warren Clinic Inc
P	$288,294,904	Trans Review
Warren Clinic Inc
S	$74,677,891	Trans Review
Warren Clinic Inc
R	$3,324,443	Trans Review
Related Health Services Inc
L	$369,060	Trans Review
Related Health Services Inc
P	$5,517,871	Trans Review
Related Health Services Inc
Q	$4,788,076	Trans Review
Related Health Services Inc
C	$3,518,087	Trans Review
Saint Francis Hospital South LLC
I	$10,215,808	Trans Review
Saint Francis Hospital South LLC
K	$215,840	Trans Review
Saint Francis Hospital South LLC
L	$4,249,411	Trans Review
Saint Francis Hospital South LLC
Q	$124,699,423	Trans Review
Saint Francis Hospital South LLC
P	$104,227,751	Trans Review
Saint Francis Hospital South LLC
S	$40,841,888	Trans Review
Saint Francis Hospital South LLC
R	$15,574,699	Trans Review
Saint Francis Home Health Inc
L	$900,109	Trans Review
Saint Francis Home Health Inc
Q	$20,719,619	Trans Review
Saint Francis Home Health Inc
P	$10,911,552	Trans Review
Saint Francis Home Health Inc
S	$6,954,953	Trans Review
Saint Francis Home Health Inc
R	$4,667,675	Trans Review
Saint Francis Home Health Inc
C	$619,164	Trans Review
The Children's Hospital Fdn at Saint Francis
Q	$1,374,671	Trans Review
The Children's Hospital Fdn at Saint Francis
P	$76,126	Trans Review
The Children's Hospital Fdn at Saint Francis
C	$7,154,134	Trans Review
Saint Francis Pharmacy Services Inc
L	$81,468	Trans Review
Saint Francis Pharmacy Services Inc
Q	$31,885,659	Trans Review
Saint Francis Pharmacy Services Inc
P	$10,838,227	Trans Review
Saint Francis Pharmacy Services Inc
C	$1,853,388	Trans Review
Saint Francis Hospital Vinita Inc
R	$366,956	Trans Review
Saint Francis Hospital Vinita Inc
L	$645,023	Trans Review
Saint Francis Hospital Vinita Inc
Q	$18,477,510	Trans Review
Saint Francis Hospital Vinita Inc
P	$15,719,473	Trans Review
Saint Francis Hospital Vinita Inc
S	$73,126	Trans Review
Saint Francis Hospital Muskogee Inc
L	$309,594	Trans Review
Saint Francis Hospital Muskogee Inc
Q	$122,643,912	Trans Review
Saint Francis Hospital Muskogee Inc
P	$8,653,312	Trans Review
Saint Francis Hospital Muskogee Inc
R	$123,867	Trans Review
The Children's Hospital Fdn at Saint Francis
B	$300,000	Trans Review