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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - SAINT FRANCIS HOSPITAL SOUTH, LLC. Saint Francis Hospital South, in conjunction with Saint Francis Hospital conducted its Fiscal Year 2025 Community Health Needs Assessment (CHNA) as part of a joint assessment led by Saint Francis Health System in collaboration with Ascension St. John and the Tulsa Health Department. The University of Oklahoma Hudson College of Public Health was retained to support data collection, analysis, and reporting to ensure compliance with Section 501(r)(3) requirements. This CHNA covered the three-year period through FY25 with an assessment period that occurred between April 2024 and January 2025. The CHNA was adopted by the Saint Francis Health System Board of Directors in April 2025. The community served by Saint Francis Hospital South was defined as Tulsa County, Oklahoma, encompassing 43 zip codes, as validated in collaboration with the local public health department. Input from people representing the broad interests of the community was obtained through community engagement meetings, advisory and core group participation, and a community engagement group composed of local subject matter experts. Participants included representatives of medically underserved, low-income, and minority populations, including community-based organizations and public health agencies serving vulnerable groups. Meeting dates and participants are documented in Appendix C of the CHNA. Primary data collection included a 40-question community-wide survey structured within a Social Determinants of Health framework and incorporating validated screening elements, including PRAPARE. The survey was available in English, Spanish, and Burmese and was distributed over nine weeks via QR codes, hyperlinks, and randomized mailings across Tulsa County. A total of 1,499 complete surveys were collected, including 118 randomized mailings and 1,381 through stakeholder engagement efforts. Secondary data analysis was conducted using the County Health Rankings &amp; Roadmaps framework to assess health outcomes and influencing factors. Significant health needs were identified and prioritized using established criteria, including size and severity of the problem, impact on vulnerable populations, and resource feasibility and sustainability. The prioritized needs for Tulsa County were access to healthcare, food, mental health, and housing.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - SAINT FRANCIS HOSPITAL SOUTH, LLC. The CHNA Joint Assessment was conducted in partnership with Ascension St. John.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - SAINT FRANCIS HOSPITAL SOUTH, LLC. The CHNA Joint Assessment was conducted in partnership with the Oklahoma State Department of Health District 4 and The Oklahoma University Hudson College of Public Health (OU COPH).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - SAINT FRANCIS HOSPITAL SOUTH, LLC. Based on insights from community engagement meetings, surveys, and resident feedback, Tulsa County's most significant health-related needs were identified. These include: * Housing - Homelessness, housing instability, and lack of affordable options, strongly tied to mortality, mental health, and safety. * Mental and Behavioral Health - High suicide rates, firearm fatalities, poor mental health days, and barriers to care access. * Access to Healthcare - Challenges with insurance coverage, medical bills, chronic disease management, and emergency preparedness, with disparities worsened during COVID-19. * Transportation - Limited options restricting access to food, healthcare, jobs, and social connections. * Education - Gaps in quality education and attainment that impact health literacy, income, and long-term well-being. * Employment - While unemployment is relatively low, underemployment and economic instability create barriers to meeting basic needs. * Food Security - Barriers to affordable, nutritious food, particularly for low-income households, often linked to transportation and poverty. * Childcare and Early Childhood Education - Limited affordable options, leading to financial strain for families and long-term impacts on child development. Following the identification of significant community health needs, the leadership of Saint Francis Health System (SFHS) on behalf of Saint Francis South undertook a multi-step prioritization process involving review of survey and data findings, input from approximately 50 leaders, and discussions with Tulsa County leadership. While Saint Francis South acknowledges the importance of all identified needs, four were selected as priorities for the formal CHNA implementation strategy: (1) Access to Healthcare, due to cost, insurance, and appointment barriers identified as the top concern; (2) Food Security, based on both internal screening data and survey findings highlighting affordability and preparation challenges; (3) Mental Health, given limited access, affordability issues, and alignment with existing Saint Francis South behavioral health investments and the Tulsa Health Department's Community Health Improvement Plan; and (4) Housing, due to its broad impact, prominence in screening data, and strong community momentum to address homelessness. These prioritized needs reflect areas where Saint Francis South is well positioned to lead or collaborate. The remaining needs did not reach the same level of priority as the four needs highlighted, and Saint Francis South is not best positioned to address these needs, as other community stakeholders are already working on solutions for them.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - SAINT FRANCIS HOSPITAL SOUTH, LLC. PATIENTS WHO HAVE BEEN EVALUATED AND IDENTIFIED TO BE FINANCIAL ASSISTANCE PLAN-ELIGIBLE AND MEET THE CRITERIA ESTABLISHED BY SAINT FRANCIS HOSPITAL SOUTH, LLC ACCORDING TO RELEVANT CIRCUMSTANCES REGARDING INCOME, ASSETS, OR OTHER RESOURCES AVAILABLE TO THE PATIENT OR PATIENT'S FAMILY, ARE CONSIDERED CHARITY AND THEREFORE, BY HOSPITAL POLICY, ARE NOT BILLED FOR ANY SERVICES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - SAINT FRANCIS HOSPITAL SOUTH, LLC. 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - SAINT FRANCIS HOSPITAL SOUTH, LLC. THE FOLLOWING ACTIONS ARE COMPLETED PRIOR TO INITIATING COLLECTION ACTIONS: - PROACTIVE PHONE CALLS - STATEMENTS ARE SENT - MESSAGES ARE SENT TO MYCHART USERS</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>0</FacilityNum>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 22 LINE 22B - AMOUNTS GENERALLY BILLED</FormAndLineReferenceDesc>
        <ExplanationTxt>Amounts generally billed (AGB) are determined under the look-back method based on claims allowed by Medicare for fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period. Additionally, a self-pay discount of 60 percent is provided on all charges for uninsured patients.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA</FormAndLineReferenceDesc>
        <ExplanationTxt>INCOME-BASED CRITERIA IS USED AS THE BASIS IN DETERMINING ELIGIBILITY FOR FREE HEALTH SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a NAME OF RELATED ORGANIZATION THAT PREPARED COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>SAINT FRANCIS HEALTH SYSTEM, INC. 73-1501972, THE PARENT ORGANIZATION OF SAINT FRANCIS HOSPITAL SOUTH, LLC PRODUCES A CONSOLIDATED COMMUNITY BENEFIT REPORT INCLUDED IN AN ISSUE OF THE SAINT FRANCIS HEALTH SYSTEM MAGAZINE "PRESENCE" THAT IS MADE AVAILABLE TO THE PUBLIC THROUGH THE ORGANIZATION'S WEBSITE AT HTTPS://WWW.SAINTFRANCIS.COM/ABOUT-US/MEDIA/PRESENCE-MAGAZINE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b DEBT COLLECTION POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>Saint Francis Hospital South, LLC's debt collection policy is to pursue collections of patient balances from patients who can pay for the services. Saint Francis Hospital South, LLC applies its collections efforts consistently and fairly to all patients regardless of insurance. Saint Francis Hospital South, LLC works with those individuals who do not have the financial resources to pay outstanding balances to qualify for Saint Francis Hospital South, LLC's financial assistance policy. Charges to patients qualifying for charity care under the Saint Francis Hospital South, LLC financial assistance policy are written off based on a sliding scale of family income relative to the federal poverty level such that persons with an annual family income up to 250% of the federal poverty level receive a 100% discount, persons with an annual family income between 251% and 300% of the federal poverty level receive an 80% discount and persons with an annual family income 301% to 400% of the federal poverty level receive a 70% discount. The policy is described on the website at: HTTPS://WWW.SAINTFRANCIS.COM/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>Saint Francis Health System, Inc., which includes Saint Francis Hospital South, LLC publishes a community benefit report in Oklahoma. The State of Oklahoma does not require a community benefit report. SFHS publishes a community benefit report annually. A written report is included in an annual issue of the SFHS magazine "Presence", and can be found at: Presence Magazine | Saint Francis Health System.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g Subsidized Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>100% of Subsidized health services from worksheet 6 are allocatable to physician clinic costs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>1445342</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTING METHODOLOGY: A RATIO OF PATIENT CARE COST TO CHARGES, AS DETERMINED IN WORKSHEET 2, WAS USED TO REPORT THE AMOUNTS IN PART I, LINES 7A - 7C. FOR AMOUNTS REPORTED ON LINES 7E - 7I, ACTUAL EXPENSES FOR EACH COMMUNITY BENEFIT ACTIVITY ARE TRACKED AND REPORTED USING THE ORGANIZATION'S ACCOUNTING GENERAL LEDGER AND ARE NOT BASED ON A COST TO CHARGE RATIO. THE NUMBER REFLECTED ON LINE 7, COLUMN (F) EXCLUDES BAD DEBT EXPENSE. THE SUPPLEMENTAL HOSPITAL OFFSET PAYMENT PROGRAM (SHOPP) WAS CREATED AND IMPLEMENTED IN CALENDAR YEAR 2011 FOR THE PURPOSE OF ASSURING ACCESS TO QUALITY CARE FOR OKLAHOMA MEDICAID MEMBERS. THE PROGRAM IS DESIGNED TO ASSESS OKLAHOMA HOSPITALS, UNLESS EXEMPT, A SUPPLEMENTAL HOSPITAL OFFSET PAYMENT PROGRAM FEE. THE COLLECTED FEES ARE PLACED IN POOLS AND THEN ALLOCATED TO HOSPITALS BASED ON MEDICAID REVENUES AS DIRECTED BY LEGISLATION. THE OKLAHOMA HEALTH CARE AUTHORITY (OHCA) DOES NOT GUARANTEE THAT ALLOCATION WILL EQUAL OR EXCEED THE AMOUNT OF THE SUPPLEMENTAL HOSPITAL OFFSET PAYMENT PROGRAM FEES THAT WERE PAID BY SAINT FRANCIS HOSPITAL SOUTH, LLC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>Community-building activities are undertaken to improve community health and safety by addressing the root causes of health problems. These activities enhance the community's capacity to promote the health and well-being of residents through the expertise and resources of the healthcare organization. Related costs include cash contributions and expenses associated with the development of community-building programs and partnerships. Additional information regarding the community-building activities of Saint Francis Health System, Inc. and Saint Francis Hospital South, Inc. is disclosed in Schedule H Part V, Section B, Line 5.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>SAINT FRANCIS HOSPITAL SOUTH, LLC HAS AN ESTABLISHED PROCESS TO DETERMINE THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTABLE RECEIVABLES THAT RELIES ON SEVERAL 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 SOUTH, LLC UTILIZES INCLUDE, BUT ARE NOT LIMITED TO, HISTORICAL CASH COLLECTION EXPERIENCE, REVENUE TRENDS BY PAYER CLASSIFICATION, AND REVENUE DAYS IN ACCOUNTS RECEIVABLE. ACCOUNTS RECEIVABLES ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH SAINT FRANCIS HOSPITAL SOUTH, LLC'S POLICIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS CALCULATED FROM A SAMPLE REVIEW OF ALL BAD DEBT ACCOUNTS AND SUBSEQUENT INFORMATION. Many patients would qualify for financial assistance under the Saint Francis Financial Assistance Policy if the application process was completed,but for a number of reasons, patients are sometimes unable to complete the process. As result, their accounts end up in bad debt.For this reason, the cost associated with these accounts should be considered community benefit.Saint Francis exhausts all efforts to either collect from the patientor help them to completethe financial assistance process. After all efforts have been exhausted, Saint Francis Hospital uses data sources and quantitative analysis to identify the population of patients that, more likely than not, would have qualified for charity care had theybeen able to completethe financial assistance application. A cost to charge ratio is applied to the gross charges of the identified patients.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>SAINT FRANCIS HEALTH SYSTEM, INC. 73-1501972, THE PARENT ORGANIZATION OF SAINT FRANCIS HOSPITAL SOUTH, INC., PRODUCES CONSOLIDATED FINANCIALS WHICH INCLUDE THE FINANCIAL POSITION AND RESULTS OF FINANCIAL OPERATIONS OF SAINT FRANCIS HOSPITAL SOUTH, INC. THE CONSOLIDATED FINANCIAL STATEMENTS ARE AUDITED ON AN ANNUAL BASIS. SAINT FRANCIS HEALTH SYSTEM, INC'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS PROVIDE A SEPARATE FOOTNOTE ADDRESSING THE ORGANIZATION'S NET PATIENT ACCOUNTS RECEIVABLES ON PAGE 9. SAINT FRANCIS HEALTH SYSTEM, INC. REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP).</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO AND THE MEDICARE FILED COST REPORT. THE SHORTFALL ON SCHEDULE H, PART III, SECTION B, LINE 7 IS CONSIDERED COMMUNITY BENEFIT. SAINT FRANCIS HOSPITAL SOUTH, LLC PROVIDES SERVICES TO MANY LOW-INCOME MEDICARE RECIPIENTS. THE MEDICARE LOSSES SUSTAINED AT THE HOSPITAL ARE A RESULT OF MEDICARE REIMBURSING AT LESS THAN OPERATING COSTS. 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 SOUTH, LLC. IRS REV. RUL. 69-545 ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR HOSPITALS AND CONSIDERS A HOSPITAL THAT SERVES PATIENTS COVERED BY GOVERNMENTAL HEALTH BENEFITS (INCLUDING MEDICARE) AS OPERATING TO PROMOTE THE HEALTH OF THE COMMUNITY AND FURTHERANCE OF ITS EXEMPT PURPOSES. ACCORDINGLY, TREATING MEDICARE PATIENTS IS CONSIDERED A COMMUNITY BENEFIT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- SAINT FRANCIS HOSPITAL SOUTH, LLC: Line 16a URL: WWW.SAINTFRANCIS.COM/PATIENTS-AND-GUESTS/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- SAINT FRANCIS HOSPITAL SOUTH, LLC: Line 16b URL: WWW.SAINTFRANCIS.COM/PATIENTS-AND-GUESTS/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- SAINT FRANCIS HOSPITAL SOUTH, LLC: Line 16c URL: WWW.SAINTFRANCIS.COM/PATIENTS-AND-GUESTS/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>Using a mixed-methods approach grounded in a Social Determinants of Health framework, the CHNA incorporated a community survey, direction from a community advisory board, stakeholder engagement meetings with local leaders and organizations, and secondary data analysis using County Health Rankings and Roadmaps (CHRR). A structured governance model was established to ensure broad input and accountability. The core group oversaw survey development, data analysis, and prioritization of health needs. Advisory groups, including the local county health departments, provided additional guidance and alignment. Engagement groups, consisting of community subject matter experts and organizational stakeholders, were convened at key stages to provide context, interpret findings, and validate emerging themes. This structure ensured that community voices were central to the process and that the final CHNA reflected both quantitative data and the lived experiences of the communities served. The organization's CHNA process is comprehensive; therefore, no additional assessments are undertaken.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SAINT FRANCIS HEALTH SYSTEM, INC. AND ITS ENTITIES ARE COMMITTED TO PROMOTING HEALTH IN THE COMMUNITY INCLUDING PROVIDING OR FINDING FINANCIAL ASSISTANCE PROGRAMS TO ASSIST PATIENTS. SAINT FRANCIS HEALTH SYSTEM MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY, FINANCIAL ASSISTANCE POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE-REGISTRATION, POST-REGISTRATION AND FOLLOWING DISCHARGE IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. THIS INCLUDES SEVERAL WAYS INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: - A BROCHURE TITLED "PATIENT FINANCIAL POLICY" ON FINANCIAL RIGHTS AND RESPONSIBILITY IS PROVIDED TO EVERY PATIENT AT THE TIME OF THEIR REGISTRATION AND IS AVAILABLE ON THE SAINT FRANCIS HEALTH SYSTEM, INC. WEBSITE. 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. WEBSITE IN ENGLISH AND THE LIMITED ENGLISH PROFICIENCY LANGUAGES OF THE PRIMARY SERVICE AREA (PSA). - SAINT FRANCIS HEALTH SYSTEM, INC. PRINTS A PHONE NUMBER ON THE BACK OF BILLING INVOICES WHERE PATIENTS CAN OBTAIN INFORMATION ABOUT FINANCIAL ASSISTANCE. - 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 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>The Community has been defined as Tulsa County, which includes 43 zip codes. Tulsa County, located in northeastern Oklahoma, is the second most populous county in the state with a population of around 680,000. The county seat and largest city is Tulsa, which has a population exceeding 410,000, making it the 47th most populous city in the United States. Total population by race for this county includes: * White: 58.4% * Black: 10.1% * American Indian: 6.0% * Asian: 3.8% * Other Race: 7.2% * 2+ Races: 14.5% When looking at the at-risk populations, 113,070 individuals are above 65+, 70,043 of households have a disability, 16,370 households don't have a vehicle, 13% are below the poverty level, 12% are on SNAP, and 4% are unemployed. About 10% of the population does not have a high school diploma, 22% of the population has a high school diploma, 30% have some college or associates degree, and 35% has a bachelors, graduate or professional degree.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>Saint Francis Hospital South, 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. As a Catholic organization, SFHS seeks to reflect the presence of Christ in every personal and corporate encounter. Saint Francis Hospital South, Inc. is dedicated to giving back to the community in which its employees live and work. This can be seen through Saint Francis Hospital South, Inc. 's promotion of community health through community events such as sponsored on-site educational seminars, classes on health issues, flu clinics, and more. Saint Francis Hospital South, 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 contributions and the mission of Saint Francis Hospital South, 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 Hospital South, Inc. Saint Francis Hospital South, Inc. provides financial assistance in the form of charity care to patients who are indigent and satisfy certain requirements. Additionally, Saint Francis Hospital South, Inc. is committed to treating patients who are eligible for means-tested government programs such as Medicaid and other government-sponsored programs including Medicare, with care being 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. SFHS assists in enrollment to these government programs or extends financial assistance in the form of charity care through the organization's Financial Assistance Policy. Saint Francis Hospital South, Inc. reinvests its net operating income back into the facility to improve patient care, to benefit society and to allow SFHS to carry out its vision to be the regional leader in the delivery of quality Catholic healthcare services.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>Saint Francis Hospital South, Inc. is a member of Saint Francis Health System, Inc., a Catholic, not-for-profit integrated health care system serving eastern Oklahoma. The system includes multiple hospitals, clinics, and related health care organizations that operate under common governance and leadership to promote the health of the communities served. Community benefit activities are coordinated at the health system level. The health system maintains centralized policies and procedures related to charity care, financial assistance, community benefit reporting, and community health improvement planning that apply uniformly across member hospitals. System leadership provides oversight of community benefit initiatives and monitors implementation through administrative leadership and board-level review. Member hospitals collaborate in assessing and addressing community health needs. Saint Francis Hospital South participates with other system entities and community partners in a joint community health needs assessment and in the development and implementation of community health improvement strategies. The health system allocates resources, supports partnerships with public health agencies and community organizations, and coordinates programs across facilities to improve access to care, address behavioral health needs, and respond to social determinants of health. Through this integrated structure, Saint Francis Hospital South contributes to and benefits from system-wide programs, shared expertise, and coordinated outreach efforts designed to improve the overall health of the population served by the health system.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>OK</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds</FormAndLineReferenceDesc>
        <ExplanationTxt>Saint Francis Hospital South, LLC provides charitable contributions to other 501(c)(3) and 501(c)(6) exempt organizations that further the exempt purposes of Saint Francis Hospital South, LLC. The Saint Francis Health System, Inc. executive director of corporate communications and marketing arranges the sponsorships each year as determined by the communities in which Saint Francis Hospital South, LLC has a presence. Saint Francis Hospital South, LLC does not monitor the use of charitable contributions since contributions are only made to section 501(c)(3) public charities and 501(c)(6) exempt organizations that further the exempt purpose of Saint Francis Hospital South, LLC.</ExplanationTxt>
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        <TotalCompensationRltdOrgsAmt>934085</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEE RAMOS DO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>35400</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>664983</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>20856</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>35400</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>685839</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN KING JR MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Richard Saint MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>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, ALL SAINTS HOME MEDICAL, LLC, THE CHILDREN'S HOSPITAL FOUNDATION AT SAINT FRANCIS, SAINT FRANCIS HOSPITAL VINITA, INC., AND SAINT FRANCIS HOSPITAL MUSKOGEE, INC. ARE ELIGIBLE TO PARTICIPATE IN A NONQUALIFIED DEFERRED COMPENSATION PLAN UNDER SECTION 457(B) AND 457(F) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED UNDER THE ECONOMIC GROWTH AND TAX RELIEF RECONCILIATION ACT OF 2001. NOTE: NONE OF THE INDIVIDUALS LISTED ON SCHEDULE J ARE COMPENSATED AS BOARD MEMBERS OF THE REPORTING ENTITY. THE REPORTED COMPENSATION IS FOR SERVICES AS EMPLOYEES OF THE REPORTING ENTITY OR RELATED ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Establishing compensation for the organization's CEO/Executive Director</FormAndLineReferenceDesc>
        <ExplanationTxt>SAINT FRANCIS HOSPITAL SOUTH, LLC IS AN ENTITY OF THE SAINT FRANCIS HEALTH SYSTEM, INC. SAINT FRANCIS HEALTH SYSTEM, INC.'S COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION OF THE OFFICERS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Program Service Accomplishments</FormAndLineReferenceDesc>
        <ExplanationTxt>In fiscal year 2025, Saint Francis Hospital South, LLC provided approximately $7,501,042 of unreimbursed charity care (measured at established rates). Saint Francis Hospital South, LLC is committed to continual improvement in both patient service and clinical quality to better serve our community. In 2025, Saint Francis Hospital South, LLC was recognized by Premier as one of the nation's top 100 hospitals. The American Heart Association's Get With The Guidelines achievement awards were awarded to Saint Francis South for treatment of heart failure and diabetes. Saint Francis Hospital South is designated as Primary Stroke Centers and can treat most ischemic strokes locally. As a 2025 recognized Primary Stroke Center, doctors and staff provide a full spectrum of stroke care including diagnosis, treatment, rehabilitation and education.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2b Federal Employment Tax Returns</FormAndLineReferenceDesc>
        <ExplanationTxt>SAINT FRANCIS PAYROLL SERVICES, LLC, EIN 45-0470422, HAS BEEN AUTHORIZED TO ACT AS A COMMON PAY AGENT UNDER SECTION 3504 OF THE INTERNAL REVENUE CODE FOR SAINT FRANCIS HEALTH SYSTEM, INC. EFFECTIVE JULY 1, 2002, IN ACCORDANCE WITH REVENUE PROCEDURE 70-6, 1970-1 C.B. 420. SAINT FRANCIS PAYROLL SERVICES, LLC ASSUMED REPORTING OBLIGATIONS FOR FEDERAL INCOME TAX, SOCIAL SECURITY, MEDICARE WITHHOLDING TAX PURPOSES AS WELL AS ADVANCE PAYMENT OF EARNED INCOME CREDIT FOR SAINT FRANCIS HEALTH SYSTEM, INC. AND YEAR-END REPORTING EFFECTIVE JULY 1, 2002.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 15 COMMON LAW EMPLOYEES</FormAndLineReferenceDesc>
        <ExplanationTxt>INDIVIDUALS LISTED AS OFFICERS OF THE ORGANIZATION THAT ARE PAID FULL TIME BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF SAINT FRANCIS HEALTH SYSTEM, INC., A SEPARATE LEGAL ENTITY. IT IS THE INTENTION OF SAINT FRANCIS HEALTH SYSTEM, INC. AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE SAINT FRANCIS HEALTH SYSTEM, INC. EMPLOYEES WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS</FormAndLineReferenceDesc>
        <ExplanationTxt>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. Cliff A. Robertson M.D, an officer and director, served on a board outside of Saint Francis Health System, Inc. with another director, William R. Lissau. William K. Warren, Jr., a trustee, is the father of John-Kelly C. Warren, a director and chairman of the board, and has a family relationship. William R. Lissau, a director, has business relationships with William K. Warren Jr., a trustee, and John-Kelly C. Warren, a director and chairman of the board. Bishop David Konderla, a Trustee, serves on other boards outside of Saint Francis Health System, Inc. with William R. Lissau, a director. William R. Lissau, a director, is the father of Michael Lissau, an officer, have a family relationship.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF TOP MANAGEMENT OFFICIALS IS REVIEWED ANNUALLY AND APPROVED BY THE COMPENSATION COMMITTEE WITH GUIDANCE FROM INDEPENDENT CONSULTANTS AND THE USE OF COMPARATIVE DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES IS REVIEWED ANNUALLY AND APPROVED BY THE COMPENSATION COMMITTEE WITH GUIDANCE FROM INDEPENDENT CONSULTANTS AND THE USE OF COMPARATIVE DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DELEGATES ITS GOVERNANCE TO THE SAINT FRANCIS HEALTH SYSTEM, INC. BOARD OF DIRECTORS. SAINT FRANCIS HOSPITAL SOUTH, LLC'S BOARD OF DIRECTORS IS COMPRISED OF 9 DIRECTORS, 7 OF WHICH ARE INDEPENDENT. SAINT FRANCIS HOSPITAL SOUTH, LLC ALSO HAS A BOARD OF TRUSTEES. EITHER THE BOARD OF DIRECTORS AND A MAJORITY OF THE TRUSTEES OR UNANIMOUS TRUSTEE APPROVAL IS REQUIRED FOR THE SALE OF CORPORATE ASSETS VALUED AT $10,000,000 OR MORE. ADDITIONALLY, THE TRUSTEES HAVE SOLE AUTHORITY TO: - AMEND THE CERTIFICATE OF INCORPORATION - APPROVE MERGERS OR CONSOLIDATIONS - APPROVE THE SALE, LEASE OR TRANSFER OF ALL, OR SUBSTANTIALLY ALL, OF THE ASSETS OF THE CORPORATION - AMEND THE BYLAWS - APPOINT BOARD MEMBERS - APPROVE DISSOLUTION OR REVOCATION OF DISSOLUTION OF THE CORPORATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 3 Delegation of management duties</FormAndLineReferenceDesc>
        <ExplanationTxt>The director functions are delegated to the Saint Francis Health System, Inc. board of directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>SAINT FRANCIS HEALTH SYSTEM, INC., IS THE SOLE MEMBER OF SAINT FRANCIS HOSPITAL SOUTH, LLC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>SAINT FRANCIS HEALTH SYSTEM, INC., THE SOLE MEMBER OF SAINT FRANCIS HOSPITAL SOUTH, LLC APPOINTS THE MANAGERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>AS THE SOLE MEMBER OF SAINT FRANCIS HOSPITAL SOUTH, LLC, SAINT FRANCIS HEALTH SYSTEM, INC., HAS AUTHORITY TO FOLLOW ITS BYLAWS WHICH DICTATES THE FOLLOWING: EITHER THE BOARD OF DIRECTORS AND A MAJORITY OF THE TRUSTEES OR UNANIMOUS TRUSTEE APPROVAL IS REQUIRED FOR THE SALE OF CORPORATE ASSETS VALUED AT $10,000,000 OR MORE. ADDITIONALLY, THE TRUSTEES HAVE SOLE AUTHORITY TO: - AMEND THE CERTIFICATE OF INCORPORATION - APPROVE MERGERS OR CONSOLIDATIONS - APPROVE THE SALE, LEASE OR TRANSFER OF ALL, OR SUBSTANTIALLY ALL, OF THE ASSETS OF THE CORPORATION - AMEND THE BYLAWS - APPOINT BOARD MEMBERS - APPROVE DISSOLUTION OR REVOCATION OF DISSOLUTION OF THE CORPORATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization uses the conflict of interest, whistleblower and record-retention policies of Saint Francis Health System, Inc. A request for information on potential conflicts is solicited annually from directors, trustees and all employees at manager level and above to monitor proposed or ongoing transactions for conflicts of interest and dealing with potential or actual conflicts. Four directors, three trustees, one officer/directors reported potential conflicts that were addressed by the governing body. Conflicts are regularly disclosed and addressed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THESE REQUESTS ARE DETERMINED ON A CASE-BY-CASE BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A OFFICER AND DIRECTOR HOURS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOURS PER WEEK REPORTED ON FORM 990, PART VII FOR OFFICERS AND DIRECTORS ARE THE HOURS SPENT ON THE FILING ENTITY ONLY. THE REMAINING PORTION OF THE 40 HOURS PER WEEK OF THE OFFICERS AND DIRECTORS WITH RELATED COMPENSATION IS ALLOCATED AMONG THE ENTITIES REPORTED ON SCHEDULE R.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section B, Line 2 Crossland Construction Company, Inc.</FormAndLineReferenceDesc>
        <ExplanationTxt>Amounts reported in Part VII, Section B, include both service fees and expense reimbursements paid to Crossland Construction Company, Inc., as the amounts are not easily separated.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Revenue - Total Revenue: 134051, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 134051;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>contract and professional fees - Total Expense: 21927673, Program Service Expense: 12761872, Management and General Expenses: 9165801, Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>net equity transfer settling intercompany payables and receivables within sfhs - 21417275; Total - 21417275;</ExplanationTxt>
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          <BusinessNameLine1Txt>SAINT FRANCIS FOUNDATION DBA SAINT FRANCIS CHARITABLE FUND</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>XAVIER VENTURE PROPERTIES LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>6161 S YALE AVE</AddressLine1Txt>
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          <BusinessNameLine1Txt>SFH</BusinessNameLine1Txt>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SAINT FRANCIS CONNECT LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>6161 S YALE AVE</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74136</ZIPCd>
        </USAddress>
        <EIN>995100432</EIN>
        <PrimaryActivitiesTxt>HEALTH SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SFH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALL SAINTS HOME MEDICAL LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>6600 S YALE AVE</AddressLine1Txt>
          <AddressLine2Txt>STE 400</AddressLine2Txt>
          <CityNm>Tulsa</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>741363319</ZIPCd>
        </USAddress>
        <EIN>731558644</EIN>
        <PrimaryActivitiesTxt>DURABLE MEDICAL EQUIPMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SFH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>IMAGING PARTNERS OF TULSA INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>8610 EXPLORER DR STE 300</AddressLine1Txt>
          <CityNm>COLORADO SPRINGS</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80920</ZIPCd>
        </USAddress>
        <EIN>922540165</EIN>
        <PrimaryActivitiesTxt>HEALTH Svcs</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TULSA REHABILITATION HOSPITAL LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>450 CENTURY PARKWAY STE 220</AddressLine1Txt>
          <CityNm>ALLEN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75013</ZIPCd>
        </USAddress>
        <EIN>863131904</EIN>
        <PrimaryActivitiesTxt>HEALTH SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS PAYROLL SERVICES LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6600 S YALE AVE STE 400</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>741363319</ZIPCd>
        </USAddress>
        <EIN>450470422</EIN>
        <PrimaryActivitiesTxt>COMMON PAY AGENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HLTH SYS GEN-PROF LIA</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3038</AddressLine1Txt>
          <CityNm>MILWAUKEE</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53215</ZIPCd>
        </USAddress>
        <EIN>756583874</EIN>
        <PrimaryActivitiesTxt>self INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>Trust</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ARROWHEAD RIDGE OWNERS ASSOCIATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6600 S YALE AVE STE 400</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>741363319</ZIPCd>
        </USAddress>
        <EIN>522418279</EIN>
        <PrimaryActivitiesTxt>ADMIN SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SFH SOUTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <OwnershipPct>0.500</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>XAVIER INSURANCE COMPANY INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>76 ST PAUL ST STE 500</AddressLine1Txt>
          <CityNm>BURLINGTON</CityNm>
          <StateAbbreviationCd>VT</StateAbbreviationCd>
          <ZIPCd>054014477</ZIPCd>
        </USAddress>
        <EIN>030333599</EIN>
        <PrimaryActivitiesTxt>CAPTIVE INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VT</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Saint Francis Pharmacy Services Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6600 S YALE AVE STE 400</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>741363319</ZIPCd>
        </USAddress>
        <EIN>813127970</EIN>
        <PrimaryActivitiesTxt>PHARMACY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>S Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Related Health Services Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6600 S YALE AVE STE 400</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>741363319</ZIPCd>
        </USAddress>
        <EIN>731288715</EIN>
        <PrimaryActivitiesTxt>HEALTH SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>S Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>true</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>98050</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>130180</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>15443559</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>375349579</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>362053421</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>155598</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>4874459</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WARREN CLINIC INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>340636</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WARREN CLINIC INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>88334</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WARREN CLINIC INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>10547279</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WARREN CLINIC INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>13557357</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL VINITA INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>139548</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL MUSKOGEE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>132494</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL MUSKOGEE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>86339</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LAUREATE PSYCHIATRIC CLINIC &amp; HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>325529</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>