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        <ExplanationTxt>Facility , 1 - SAINT FRANCIS HOSPITAL, INC.. 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 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>
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        <ExplanationTxt>Facility , 1 - SAINT FRANCIS HOSPITAL, INC.. 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, INC.. 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, Saint Francis Health System (SFHS) 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 SFHS 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 SFHS 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 SFHS is well positioned to lead or collaborate. The remaining needs did not reach the same level of priority as the four needs highlighted, and SFHS is not best positioned to address these needs, as other community stakeholders are already working on solutions for them. Needs are being addressed by carrying out the Implementation Strategy Plan. To improve access to healthcare in Tulsa County, we plan to mitigate barriers related to understanding the cost of care and the most appropriate site of care. This will be accomplished by organizing community education and expanding Medicaid enrollment support. To improve food insecurity in Tulsa County, we plan to extend the reach of nonprofit organizations and better understand the barriers in our communities. This will be accomplished by coordinating food distribution with local nonprofits and analyzing data by geography and demographics. To improve mental and behavioral health in Tulsa County, we plan to increase awareness and expand suicide prevention training and screening. To improve access to affordable housing in Tulsa County, we plan to educate internal stakeholders about legal aid solutions available to patients in need.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - SAINT FRANCIS HOSPITAL, INC.. PATIENTS WHO HAVE BEEN EVALUATED AND IDENTIFIED TO BE FINANCIAL ASSISTANCE PLAN-ELIGIBLE AND MEET THE CRITERIA ESTABLISHED BY SAINT FRANCIS HOSPITAL, INC. ACCORDING TO RELEVANT CIRCUMSTANCES REGARDING INCOME, ASSETS, OR OTHER RESOURCES AVAILABLE TO THE PATIENT OR PATIENT'S FAMILY, ARE CONSIDERED CHARITY AND THEREFORE, BY HOSPITAL POLICY, ARE NOT BILLED FOR ANY SERVICES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - SAINT FRANCIS HOSPITAL, INC.. 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, INC.. 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 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, INC. PRODUCES A CONSOLIDATED COMMUNITY BENEFIT REPORT INCLUDED IN AN ANNUAL ISSUE OF THE SAINT FRANCIS HEALTH SYSTEM MAGAZINE "PRESENCE" THAT IS MADE AVAILABLE TO THE PUBLIC THROUGH THE ORGANIZATION'S WEBSITE AT HTTPS://WWW.SAINTFRANCIS.COM/ABOUT-US/MEDIA/PRESENCE-MAGAZINE</ExplanationTxt>
      </SupplementalInformationDetail>
      <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 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 VI, Line 7 Community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>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 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, INC.</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, Inc. is reported this 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, 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.</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 patient or help them to complete the 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 they been able to complete the financial assistance application. A cost to charge ratio is applied to the gross charges of the identified patients.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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, INC., PRODUCES CONSOLIDATED FINANCIALS WHICH INCLUDE THE FINANCIAL POSITION AND RESULTS OF FINANCIAL OPERATIONS OF SAINT FRANCIS HOSPITAL, 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>
      </SupplementalInformationDetail>
      <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, Inc 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, Inc. 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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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 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/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- SAINT FRANCIS HOSPITAL, INC.: Line 16a URL: WWW.SAINTFRANCIS.COM/PATIENTS-AND-GUESTS/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- SAINT FRANCIS HOSPITAL, INC.: Line 16b URL: WWW.SAINTFRANCIS.COM/PATIENTS-AND-GUESTS/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- SAINT FRANCIS HOSPITAL, INC.: Line 16c URL: WWW.SAINTFRANCIS.COM/PATIENTS-AND-GUESTS/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE;</ExplanationTxt>
      </SupplementalInformationDetail>
      <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. Saint Francis Hospital utilizes its Strategic Planning department to continuously identify unmet health and clinical needs across the communities it serves. Through a methodical planning approach, Strategic Planning evaluates gaps in services using population growth and demographic trends, national, state, and county-level data sources, physician workforce supply, community resource availability, and demand pressures on existing facilities and providers. The Strategic Planning team works in collaboration with hospital leadership, community partners, public health agencies, and other healthcare providers to identify unmet physician, hospital, and community health needs. These needs are prioritized based on feasibility, availability of clinical workforce, financial sustainability, and alignment with system strategy. Based on this prioritization, capital and operating resources are incorporated into Saint Francis Hospital's facility, system budgets, and long-term strategic plans.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>SAINT FRANCIS HEALTH SYSTEM, INC. AND ITS ENTITIES ARE COMMITTED TO PROMOTING HEALTH IN THE COMMUNITY INCLUDING PROVIDING OR FINDING FINANCIAL ASSISTANCE PROGRAMS TO ASSIST PATIENTS. SAINT FRANCIS HEALTH SYSTEM MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY, FINANCIAL ASSISTANCE POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE-REGISTRATION, POST-REGISTRATION AND FOLLOWING DISCHARGE IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. THIS INCLUDES SEVERAL WAYS INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: - A BROCHURE TITLED "PATIENT FINANCIAL POLICY" ON FINANCIAL RIGHTS AND RESPONSIBILITY IS PROVIDED TO EVERY PATIENT AT THE TIME OF THEIR REGISTRATION AND IS AVAILABLE ON THE SAINT FRANCIS HEALTH SYSTEM, INC. AND SAINT FRANCIS HOSPITAL, INC. 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. AND SAINT FRANCIS HOSPITAL, 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>
      </SupplementalInformationDetail>
      <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% has some college or associates degree, and 35% has a bachelors, graduate or professional degree.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>These hospitals are 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. SFHS is dedicated to giving back to the community in which its employees live and work. This can be seen through SFHS's promotion of community health through community events such as sponsored on-site educational seminars, classes on health issues, flu clinics, and more. SFHS'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 SFHS. 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 SFHS. SFHS provides financial assistance in the form of charity care to patients who are indigent and satisfy certain requirements. Additionally, SFHS 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. SFHS 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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>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. Approximately 115,000 patients were seen in the hospital's emergency room. Additionally, Saint Francis Hospital, Inc. admitted over 58,000 patients; provided ancillary and diagnostic services on an outpatient basis to an additional 447,000 patients; and handled approximately 4,300 births. See Schedule H disclosure Part V, Section B, Line 5 for additional information on Saint Francis Hospital, Inc.'s role within the Saint Francis Health System.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>OK</ExplanationTxt>
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        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>29650</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CATHOLIC CHARITIES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 580460</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74158</ZIPCd>
        </USAddress>
        <RecipientEIN>731171950</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>450000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILD ABUSE NETWORK INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2829 S SHERIDAN RD</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74129</ZIPCd>
        </USAddress>
        <RecipientEIN>731325326</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CLAREHOUSE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7617 S MINGO RD</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74133</ZIPCd>
        </USAddress>
        <RecipientEIN>731603851</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY FOOD BANK OF EASTERN OKLAHOMA INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1304 N KENOSHA</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74106</ZIPCd>
        </USAddress>
        <RecipientEIN>731184980</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EMERGENCY INFANT SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1100 S DENVER</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74119</ZIPCd>
        </USAddress>
        <RecipientEIN>731039524</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FAMILY &amp; CHILDREN SERVICES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>650 S PEORIA</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74120</ZIPCd>
        </USAddress>
        <RecipientEIN>730580270</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FOOD ON THE MOVE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1626</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74101</ZIPCd>
        </USAddress>
        <RecipientEIN>844256720</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GOOD SAMARITAN HEALTH SERVICES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1191</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74101</ZIPCd>
        </USAddress>
        <RecipientEIN>731559561</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GREAT 100 NURSES FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1629 LAKESHORE DR</AddressLine1Txt>
          <CityNm>NEW ORLEANS</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>701222211</ZIPCd>
        </USAddress>
        <RecipientEIN>465606080</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEARTS FOR HEARING FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>11500 PORTLAND AVE</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73120</ZIPCd>
        </USAddress>
        <RecipientEIN>582670613</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HIV RESOURCE CONSORTIUM INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3712 E 11TH ST</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>741123952</ZIPCd>
        </USAddress>
        <RecipientEIN>731388569</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>INDEPENDENT SCHOOL DISTRICT NO 11 TULSA COUNTY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1501 N ASH</AddressLine1Txt>
          <CityNm>OWASSO</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74055</ZIPCd>
        </USAddress>
        <RecipientEIN>730773051</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>84776</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LIFE SENIOR SERVICES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5330 E 31ST ST STE 800</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74135</ZIPCd>
        </USAddress>
        <RecipientEIN>731043783</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LITTLE LIGHT HOUSE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5120 E 36TH ST</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>741355228</ZIPCd>
        </USAddress>
        <RecipientEIN>730939422</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MEDICAL SUPPLIES NETWORK INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1123 S ERIE AVE</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74112</ZIPCd>
        </USAddress>
        <RecipientEIN>731507095</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>214031</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>INVENTORY DONATIONS</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MENTAL HEALTH ASSOCIATION OF TULSA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5330 E 31ST ST STE 1000</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74135</ZIPCd>
        </USAddress>
        <RecipientEIN>730657931</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OKLAHOMA SPEAKER'S BALL INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1524</AddressLine1Txt>
          <CityNm>NORMAN</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>730701524</ZIPCd>
        </USAddress>
        <RecipientEIN>202018083</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OSU FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>400 S MONROE</AddressLine1Txt>
          <CityNm>STILLWATER</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74074</ZIPCd>
        </USAddress>
        <RecipientEIN>736097060</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1500000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PHILOS HOSPITALITY INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 14472</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74159</ZIPCd>
        </USAddress>
        <RecipientEIN>201825789</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RELIGIOUS SISTERS OF MERCY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6161 S YALE AVE</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74136</ZIPCd>
        </USAddress>
        <RecipientEIN>731453048</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>2500000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ROGERS STATE UNIVERSITY FOUNDATION INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1701 W WILL ROGERS BLVD</AddressLine1Txt>
          <CityNm>CLAREMORE</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>740173252</ZIPCd>
        </USAddress>
        <RecipientEIN>730957262</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ROMAN CATHOLIC DIOCESE OF TULSA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 690240</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>741690240</ZIPCd>
        </USAddress>
        <RecipientEIN>730942657</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>98000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RONALD MCDONALD HOUSE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6102 S HUDSON AVE</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74136</ZIPCd>
        </USAddress>
        <RecipientEIN>731313892</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SAFE HAVEN BABY BOXES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>22416 FRONT STREET</AddressLine1Txt>
          <CityNm>WOODBURN</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>467979682</ZIPCd>
        </USAddress>
        <RecipientEIN>473038555</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>11973</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TAHLEQUAH HOSPITAL FOUNDATION INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1008</AddressLine1Txt>
          <CityNm>TAHLEQUAH</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74465</ZIPCd>
        </USAddress>
        <RecipientEIN>731618193</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Broken Arrow Public Schools</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1901 E Albany St</AddressLine1Txt>
          <CityNm>Broken Arrow</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74012</ZIPCd>
        </USAddress>
        <RecipientEIN>731413010</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>62681</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TENACIOUSLY TEAL INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>720 W WILSHIRE</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73116</ZIPCd>
        </USAddress>
        <RecipientEIN>465034403</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE FOUNDATION FOR TULSA SCHOOLS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3027 S NEW HAVEN STE 116</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>741146131</ZIPCd>
        </USAddress>
        <RecipientEIN>731612027</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>12500</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE PARENT CHILD CENTER OF TULSA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1421 S BOSTON</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74119</ZIPCd>
        </USAddress>
        <RecipientEIN>731113167</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE SPRING SHELTER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1588</AddressLine1Txt>
          <CityNm>SAND SPRINGS</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74063</ZIPCd>
        </USAddress>
        <RecipientEIN>731474319</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE TRISTESSE HEALING HEARTS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2502 E 71ST ST STE A</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74136</ZIPCd>
        </USAddress>
        <RecipientEIN>731619790</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRANSITIONAL LIVING CENTERS OF OKLAHOMA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1607 N HARTFORD AVE</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>741064304</ZIPCd>
        </USAddress>
        <RecipientEIN>300539205</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TULSA AREA UNITED WAY INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1430 S BOULDER AVE</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74119</ZIPCd>
        </USAddress>
        <RecipientEIN>730580283</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1000</CashGrantAmt>
        <NonCashAssistanceAmt>7295</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>GIFT SHOP DONATIONS</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TULSA COMMUNITY COLLEGE FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>909 S BOSTON AVE</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74119</ZIPCd>
        </USAddress>
        <RecipientEIN>237103807</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1030000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TULSA DAY CENTER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>415 W ARCHER</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74103</ZIPCd>
        </USAddress>
        <RecipientEIN>731557819</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TULSA REGIONAL CHAMBER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>ONE W THIRD ST STE 100</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74103</ZIPCd>
        </USAddress>
        <RecipientEIN>730488250</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>24000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TULSA STEM ALLIANCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5103 S SHERIDAN ROAD MAILBOX 370</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74145</ZIPCd>
        </USAddress>
        <RecipientEIN>814051559</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TULSA TOUGH INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>850 E ADMIRAL BLVD</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74120</ZIPCd>
        </USAddress>
        <RecipientEIN>273283740</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>294276</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TULSA'S FUTURE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>ONE W THIRD ST STE 100</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>741033513</ZIPCd>
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        <RecipientEIN>237033283</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF TULSA INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>800 S TUCKER DR</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74104</ZIPCd>
        </USAddress>
        <RecipientEIN>730579298</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>530000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>46</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>275</RecipientCnt>
        <CashGrantAmt>1353500</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part II SCHOLARSHIP APPROVAL PROCESS</FormAndLineReferenceDesc>
        <ExplanationTxt>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, STUDENTS SUBMIT APPLICATIONS WHICH ARE ACCUMULATED AND RANKED BASED ON APPROPRIATE CRITERIA. DEPENDENT ON THE AVAILABILITY OF FUNDS, APPLICANTS ARE SELECTED TO RECEIVE SCHOLARSHIPS. IF APPLICANTS ARE SUBSEQUENTLY OFFERED EMPLOYMENT, APPLICANT 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 ENSURE WITH A THIRD-PARTY COLLECTION AGENCY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds</FormAndLineReferenceDesc>
        <ExplanationTxt>Saint Francis Hospital Inc. provides charitable contributions to other 501(c)(3) and 501(c)(6) exempt organizations that further the exempt purposes of Saint Francis Hospital Inc. The Saint Francis Health System, Inc. executive director of corporate communications and marketing arranges the sponsorships each year as determined by the communities in which Saint Francis Hospital Inc. has a presence. Saint Francis Hospital Inc. does not monitor the use of charitable contributions since contributions are only made to section 501(c)(3) public charities and 501(c)(6) exempt organizations that further the exempt purpose of Saint Francis Hospital Inc.</ExplanationTxt>
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        <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, 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. NONE OF THE INDIVIDUALS LISTED ON SCHEDULE J ARE COMPENSATED AS BOARD MEMBERS OF THE REPORTING ENTITY. THE REPORTED COMPENSATION IS FOR SERVICES AS EMPLOYEES OF THE REPORTING ENTITY OR THE RELATED ORGANIZATION.</ExplanationTxt>
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        <ExplanationTxt>MICHAEL J. LISSAU, SECRETARY, IS THE SON OF WILLIAM R. LISSAU, DIRECTOR OF SAINT FRANCIS HOSPITAL INC. MICHAEL J. LISSAU RECEIVED COMPENSATION FOR HIS SERVICES AS AN OFFICER OF SAINT FRANCIS HOSPITAL, INC. MICHAEL J. LISSAU'S COMPENSATION AND BENEFITS ARE REPORTED ON FORM 990, PART IX, LINE 5.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule M, Part I Column B, Number of contributions or items contributed</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4 STATEMENT OF ACCOMPLISHMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>Saint Francis Health System and Saint Francis Hospital were recognized among the top 10 health systems and hospitals in the country for fair share spending, according to the 2024 Lown Institute Hospital Index. Saint Francis Hospital Muskogee and Saint Francis Hospital South were also named to this national list of recognized hospitals. U.S. News &amp; World Report named Saint Francis Hospital the best hospital in Oklahoma for the eighth consecutive year. Other notable ranking by U.S. News &amp; World Report include: Saint Francis Hospital No. 1 in Oklahoma No. 1 in Tulsa Metro High performing in 11 specialties: Abdominal aortic aneurysm repair Chronic obstructive pulmonary disease (COPD) Colon cancer surgery Heart attack Heart failure Hip replacement Kidney failure Knee replacement Leukemia, lymphoma and myeloma Stroke Maternity care (announced earlier this year) Saint Francis Hospital, Saint Francis Hospital South, Saint Francis Hospital Muskogee and Saint Francis Hospital Vinita were recognized by the American Heart Association's Get with The Guidelines achievement awards. The awards are as follows: Saint Francis Hospital Silver Plus Achievement for Heart Failure Get With the Guidelines Resuscitation: Gold Achievement Get With the Guidelines Stroke: Silver Plus Achievement Target: Stroke Honor Roll Target: Heart Failure Honor Roll Target: Type 2 Diabetes Honor Roll STEMI: Silver Receiving Get With the Guidelines - Rural Coronary Artery Saint Francis Hospital is one of 246 hospitals nationally honored with a Greenhealth Partner for Change Award, presented by Practice Greenhealth, the nation's leading organization dedicated to environmental sustainability in healthcare. 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. To meet patient care requirements, as well as the demands of a rapidly growing population in Southeast Tulsa, Saint Francis Hospital, Inc. expanded in 1969 to 735 adult and pediatric beds and bassinets. A major milestone occurred on December 3, 1975 - the 15th anniversary of the hospital - when the Natalie Warren Bryant Cancer Center opened its doors. It was one of the first centers where radiation therapy, chemotherapy services, laboratory and support services were grouped in a single location for the patient's convenience. The Natalie Warren Bryant Cancer Center is now known as the Saint Francis Cancer Center and provides state-of-the-art medical oncology and radiotherapy technology to residents in eastern Oklahoma and surrounding states. The first area Warren Clinic, Inc. facility was established in Stillwater, Oklahoma, in January 1988. Warren Clinic, Inc. has grown significantly from the three internal medicine specialists in Stillwater to 285 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 I NICU, ICU, Emergency Services, Cardiology, Urology, Stroke Center 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. Saint Francis Children's Hospital, a "hospital within a hospital," was established in 1995 and was 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. Saint Francis Children's Hospital 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 region's 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 as partners to open the Saint Francis Heart and Vascular Institute. 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 in Saint Francis Hospital, Inc.'s history, opened September 2014. The 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 part of Saint Francis Health System. Along with Warren Clinic physician offices, the newly named Saint Francis Hospital Muskogee provides area residents with quality care and expanding services. The hospitals 288 beds serve a seven-county area in eastern Oklahoma.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Statement of Accomplishments (Cont.)</FormAndLineReferenceDesc>
        <ExplanationTxt>Summary of Community Benefit Report Saint Francis Health System, Inc. produces an annual community benefit report valuing the cost of charity services. This fiscal year a total of $151,604,589 was returned to our community through charity and uncompensated care, programmatic subsidization, donations to nonprofit agencies and support of the area's educational institutions. Saint Francis Health System, Inc. reinvests its earnings after expenses back into the community with its mission in mind. Providing access to quality healthcare for those in greatest need is fundamental to the mission of Saint Francis Health System, Inc. As Tulsa's only locally governed and operated health system, Saint Francis Health System, Inc. views giving back to the community as both a responsibility and a privilege. During the fiscal year ended June 30, 2024, Saint Francis Health System, Inc. saw 74,372 inpatient admissions, resulting in 383,389 days of patient care; 217,007 emergency room visits; 5,439 total births; and 1,187,169 outpatient and recurring visits. Supported organizations include: American Cancer Society; American Heart Association; Tulsa Area United Way; Catholic Charities of Eastern Oklahoma; Bishop Kelley High School and more. In addition to providing local educational institutions with financial support, Saint Francis Hospital, Inc. works with many educational institutions to provide supervised clinical rotations for students in nursing, pharmacy, surgical and radiology technology, and various allied health disciplines. Furthermore, Saint Francis Hospital, Inc. serves as the primary teaching hospital for the pediatric and the psychiatry residency programs of The University of Oklahoma (OU); and the gastroenterology and cardiology residency programs at Oklahoma State University (OSU). Medicaid Advocacy: As a Catholic organization, Saint Francis Health System, Inc. seeks to reflect the presence of Christ in every personal and corporate encounter. Because Saint Francis Health System, Inc. believes healthcare is a basic human right, services provided to the regional community include working to shape public policy to ensure that the root causes of ill health and suffering are addressed and eradicated. Saint Francis Health System, Inc. seeks to develop programs that reach those most in need - the poor, the alienated, the aged - all who struggle for full dignity within society. For the past several years, Saint Francis Health System, Inc. has actively worked with members of the Oklahoma State legislature to advance strategies designed to assure insurance coverage for that same service. Community Benefits An integral part of providing excellent healthcare for fellow community members-of all ages-is the promotion of fitness and healthy lifestyles. Providing children and their families with the guidance needed to engage in healthier behaviors is one of the many goals set by Saint Francis Health System, Inc. to improve the lives of those living in our community. Community health efforts include: - Flu Vaccine Clinics: Vaccines are available in two drive-thru clinics near the main campus, as well as physician offices. In addition to the flu vaccines provided to health system employees, Saint Francis Health System, Inc. provided 287 flu vaccinations during fiscal year 2025 at various community locations and events including John 3:16 Mission, Iron Gate and Night Light Tulsa. - Saint Francis Hospital, Inc. also offers low dose computed tomography (CT) screening to both employees and the public who are high risk for developing lung cancer. Lung cancer screening has been proven to lower mortality by 20 percent. Saint Francis Health System, Inc. completed 2800 patient CT scans during fiscal year 2025. - Saint Francis is the first health system in Oklahoma to launch a Lifestyle Medicine program for patients who want to improve their health by changing their lifestyle. The program was piloted in 2022 and 2023 with Saint Francis employees and is now open to new patients. Lifestyle Medicine is designed to provide patients with the information, motivation, guidance, and support needed to enhance their well-being by focusing on improving health through the six pillars of Lifestyle Medicine: Nutrition, Exercise, Sleep, Stress Management, Risky Substance use and Social Connections. Saint Francis Health System, Inc. sponsored several free health screenings and low-cost fitness events within the fiscal year for adults and children including the following: - The Health Zone's annual Health and Wellness Expo, which was free and open to the public, provided cholesterol, blood pressure and body composition screenings. Approximately 575 people participated in various screenings and community education about wellness and prevention programs associated with Saint Francis, including screening mammography and lung cancer screening. - Saint Francis Health System, Inc. Medical Town Hall events were hosted to educate the public about medical advancements and healthcare topics. These free and open to the public events featured physician lecturers representing multiple specialties. - The annual Health Zone Kids (mini) Triathlon is a fitness event designed to promote exercise and healthy movement in children. The triathlon is specially designed for children ages 6-13 to inspire kids to participate in new activities and connect fun with fitness. Participation was 114 with 310 spectators for FY25. - Saint Francis Tulsa Tough, the much-anticipated three-day cycling festival, was designed to promote fitness, as well as to highlight the beautiful city and spirit of Tulsa. - Nutrition counseling is provided by Saint Francis Health System, Inc.'s licensed dieticians on both an inpatient and outpatient basis. Outpatient Expansion As the employed physicians of Saint Francis Health System, Inc., Warren Clinic, Inc. has a goal to expand the base of available primary care physicians in eastern Oklahoma. Warren Clinic, Inc. has expanded to locations in eastern Oklahoma cities including Tulsa, Broken Arrow, Bristow, Coweta, Fort Gibson, Glenpool, Jenks, McAlester, Muskogee, Owasso, Sand Springs, Tahlequah and Vinita. Saint Francis Health System, Inc. plans to continue to expand the physical presence of the Warren Clinic, Inc. sites along with urgent care clinics, as well as providing specialty clinics in communities where access to specialty services is limited. Additional details regarding community benefit can be found online at Impact on the Community | Saint Francis Health System. Health Services Saint Francis Hospital, Inc. is a comprehensive community resource for healthcare and a center of excellence for treating cancer, heart disease, and complex medical, surgical, maternal, and pediatric problems. Since its inception, Saint Francis Hospital, Inc. has strived to provide the highest quality of care to all. To monitor and continually improve the quality of care given to patients, Saint Francis Hospital, Inc. has elected to participate in a variety of national and state quality initiatives including participating in the Centers for Medicare and Medicaid Services national quality initiatives. These efforts focus on improving both outcomes (i.e., mortality and complications) and clinical processes (i.e. medication administration and discharge instructions). Care for the community is provided through education, inpatient and outpatient services, and the use of affordable home health and hospice services for patients returning home. All services are provided based on need without consideration for a patient's ability to pay. Extensive resources are devoted each year to organizing and delivering free and subsidized benefits to community residents. The entities that comprise Saint Francis Hospital, Inc. offer a wide range of highly quality inpatient, outpatient and ancillary services. Excellence in medical care along with research, staff education, support groups for patients and their families, and educational programs for the community, allow Saint Francis Hospital, Inc. to achieve its mission. Specialized centers of excellence have been developed through various entities affiliated with Saint Francis Hospital, Inc. to provide a high standard of care for our communities. Each of these centers and service lines bring a rich history of serving the region. The services of Saint Francis Hospital, Inc. entities are listed below: - Saint Francis Trauma Emergency Center - Henry Zarrow Neonatal Intensive Care Unit - Saint Francis Children's Hospital - Saint Francis Heart and Vascular Institute - Saint Francis Imaging Center - Saint Francis Breast Center - Saint Francis Genetics - Sleep Disorders Center - Home Health Services - Hospice Services - Natalie Warren Bryant Cancer Center/Saint Francis Cancer Center - Healthlink - Health Information Center - Saint Francis Hospital Education Center</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Statement of Accomplishments (Cont.)</FormAndLineReferenceDesc>
        <ExplanationTxt>Trauma Emergency Center The Saint Francis Hospital, Inc. Trauma Emergency Center and patient tower were built with the future in mind. As a result, the hospital's critical care capacity and acute care access have been increased, and the bar for clinical excellence in an emergency setting has been raised in the Tulsa community. This expansion, the largest in Saint Francis Health System, Inc.'s 60-year history, allows Saint Francis Hospital, Inc. to offer its patients the highest level of care in the most clinically advanced environment in eastern Oklahoma. The trauma emergency center provided care to over 217,000 patients during the past fiscal year. The Saint Francis Hospital, Inc. Trauma Emergency Center Outreach Activities include the Saint Francis Trauma and Stroke Symposium which provides an opportunity for area physicians, nurses, and emergency medical technicians to interact with and learn from nationally and internationally recognized experts and strengthens regional trauma and stroke systems. Henry Zarrow Neonatal Intensive Care Unit (NICU) Saint Francis Hospital, Inc. established the first intensive care nursery for neonatal patients in Oklahoma. Today, the NICU cares for over 900 newborns and their families annually and serves as a trusted regional center for Oklahoma and neighboring states. The center provides services specifically designed for babies born prematurely or with serious medical problems. The center is a 58-bed unit with neonatologists available in house, 24 hours a day, 7 days a week. Due to the large number of Medicaid and uninsured patients, reimbursement for services in the NICU is low; however, the hospital chose to specialize in the care of high-risk infants because it was an unmet need in the community. Saint Francis Hospital, Inc. accepted the cost burden that such technology usually brings. NICU Community outreach activities include the following: - Neonatal Education Service Lectures monthly to provide ongoing support to the NICU referral base facilities to provide educational lectures related to the care and treatment of both term and preterm newborns. - The Children's Hospital provided a Neonatal/Pediatric Spring Symposium in May for physicians, nurses, therapists, and others involved in the care of sick neonates and children. - STABLE educational courses are offered every two months to help referral hospitals feel comfortable with basic stabilization until a transport team arrives to transport the child to the NICU. - Community outreach also included NRP certification with OSU Medical Center new resident staff and maintenance for nursing staff. - Saint Francis Children's Hospital NICU transport team continues to provide ground and air transporting services for eastern Oklahoma, western Arkansas, southwestern Missouri, south Kansas and occasionally parts of western Oklahoma. The specialized team members and equipment dedicated to this service provides the highest-level NICU care for infants in the region that need Level IV care. Saint Francis Children's Hospital Francis Children's Hospital is dedicated to caring for children of all ages and stages of growth and improving the health of children through the provision of high-quality coordinated programs of patient care, education, research and advocacy. Francis Children's Hospital has the most comprehensive pediatric intensive care program in eastern Oklahoma. The pediatric intensive care unit (PICU) receives most of the critically ill, abused children or young trauma victims in this area. The Neonatal Intensive Care Unit (NICU) is designated as a Level 4 NICU providing care for the most complex patients. The neonatal transport service which covers northeastern Oklahoma and southern Kansas transports approximately 200 babies a year to the NICU. Newsweek magazine in 2024 ranked our neonatology care 50th in the nation. The St. Jude Affiliate Clinic at Saint Francis Children's Hospital, the only such facility in the state, sees more than 850 patients per year with over 4,300 office visits, diagnosing an average of 55 new cases of pediatric cancer each year. Newsweek magazine in 2024 ranked our pediatric oncology care as 25th in the nation. Saint Francis Children's Hospital admitted approximately 8,200 patients plus approximately 2,000 for observation this fiscal year without regard for a family's ability to pay. Approximately 68 percent of the children currently treated at Saint Francis Children's Hospital are reliant upon Medicaid. Saint Francis Children's Hospital is also a member of the Children's Miracle Network Hospitals (CMNH) program, a nonprofit organization that raises funds for 170 children's hospitals that provide 32 million treatments each year to kids across the United States and Canada; and Flashes of Hope, a national nonprofit organization that creates free uplifting portraits of children who are fighting chronic illnesses and raises money for pediatric cancer research. The Pediatric Emergency Center provides 24/7 service for children. The volume of patients seen under 18 years of age was 34,652 patients during this fiscal year. Saint Francis Children's Hospital community outreach activities include the following: - Children's Miracle Network (CMN) Hospital's campaign - Being a part of CMN Hospitals means Saint Francis Children's Hospital has access to invaluable resources, support and a platform to raise awareness about the critical needs of pediatric patients. Our CMN corporate partners include Ace Hardware, Costco, Credit Unions, Dairy Queen, Marriott, Panda Express, REMAX and Walmart/Sams club. Thanks to these partnerships the hospital is able to provide cutting-edge treatments and services, all while ensuring that families receive the emotional and financial support, they need during difficult times - Camp Strong 20243 -Saint Francis Children's Hospital hosted its annual overnight summer camp for children with cancer and heart conditions at Shepherd's Fold Ranch in Avant, OK with over 100 registered campers. - Safe Kids Tulsa Area, led by Saint Francis Children's Hospital, is a group of organizations and concerned citizens that joined forces in early 1993 to prevent unintentional injuries, the leading cause of death and disability in children. The program has coordinated and participated in a wide variety of public safety-oriented events for financially impoverished families. Locally, Safe Kids has given away more than 300 bicycle helmets, 300 personal floatation devices to a local school and held 67 car seat checkup events in which 947 seats were checked, and 481 car seats were distributed. Safe Kids Tulsa has been able to work with local partners such as Saint Francis Children's Hospital and the Tulsa City County Health Department to provide Medication Take Back Events and educate 2,000 parents/caregivers and to help prevent occurrences where young children got into medicine. Safe Kids Tulsa's other educational opportunities include partnering schools to educate 1,000 students on bike safety and pedestrian safety, partnered with the Tulsa City County Health Department to host a Community Baby Shower to educate parents and caregivers on safe sleep, we have partnered with the US Army Corps of Engineers to educate parents, caregivers and children about water safety, and reached over 10,000 trick-or-treaters on Halloween safety. Throughout the year, Safe Kids Tulsa Area reached over 30,000 parents, caregivers and children with education or hands-on events. - Pediatric Leadership Symposium - This is an annual forum for physicians to join and discuss new programs and services, receive updates about Saint Francis Children's Hospital and interact with pediatric subspecialists. - Children's Day Hospital (CDH) - Saint Francis Children's Hospital provides the CDH as an option for children requiring extended treatment or undergoing observation. The CDH offers a wide range of outpatient services, which include rehydration therapy, IV antibiotic infusions, immune modulators therapy, enzyme infusions and blood transfusions. The CDH also hosts the rehabilitation clinic monthly to focus on tone and spasticity management, Spina Bifida clinics bi-monthly, the Sickle Cell clinics semi-monthly, and weekly bilirubin clinics.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Statement of Accomplishments (Cont.)</FormAndLineReferenceDesc>
        <ExplanationTxt>Saint Francis Heart and Vascular Institute The Saint Francis Heart and Vascular Institute provides patients with the most advanced diagnostic heart care services available. Heart disease is the number one killer in the U.S., as well as a major cause of disability. Oklahoma has the highest rate in the nation of residents dying from heart disease, according to the Centers for Disease Control and Prevention in a report stating in Oklahoma there are 257 deaths per 100,000 people. From state-of-the-art technology to the most sophisticated cardiology procedures and comprehensive rehabilitation and wellness programs, the Saint Francis Heart and Vascular offers Institute offers the highest level of cardiology services. The Heart Hospital at Saint Francis Saint Francis Heart and Vascular Institute staff provide the highest level of professional integrity and excellence in caring for patients throughout all phases of heart disease. The cardiology specialists perform a full spectrum of cardiovascular treatments, including angioplasty and stenting, catheter ablations, and implanting pacemakers and defibrillators, which can help to reduce the risk for heart attack and support overall cardiovascular health and wellness. Saint Francis Imaging Center The Saint Francis Imaging Center offers the latest in diagnostic radiology, nuclear medicine, magnetic resonance imaging (MRI), computerized axial tomography (CT) scan and ultrasound. The all-digital facility offers state-of-the-art technology in a patient-focused environment. The Department of Radiology offers over 450 different procedures with 100 percent of testing performed on-site. In addition to the outstanding technical capabilities of the center, patients and their families are treated to a variety of amenities to make their experience more relaxing. This includes a concierge desk where patients are given a pager to notify them when their room is available; a staff host to assist them to their room and through the entire process; and slippers and robes instead of hospital gowns. Patients and family members have access to an internet station, children's play area, televisions, a coffee bar and much more as they wait in the comfortable reception area. Saint Francis Breast Center The Saint Francis Breast Center offers the latest in screening, diagnostic and interventional, breast services including breast magnetic resonance imaging, tomosynthesis mammography (3D), computer-aided detection, mammography, ultrasonography, ABUS (automatied whole breast ultrasound), and various biopsy interventions. The Breast Center makes available the most advanced technology on the healthcare horizon today to the residents of eastern Oklahoma. Also located within the Breast Center is a dedicated osteoporosis clinic that provides Saint Francis Hospital, Inc. with a level of clinical effectiveness that few providers have and provides patients with an expansive scope of services. The Saint Francis Breast Center outreach activities for fiscal year 2025 include the following: *Oklahoma Project Woman -- Oklahoma Project Woman is a state-wide comprehensive program providing access to breast health care that will facilitate early diagnosis and decrease the mortality associated with breast cancer for uninsured women with limited financial resources. Over 800 procedures were provided free of charge, including diagnosis, biopsy and mammogram. Center for Genetic Testing at Saint Francis The Center for Genetic Testing at Saint Francis is a comprehensive facility that integrates state-of-the-art genetic diagnostic testing for patients and their families in Oklahoma, nationwide, and worldwide. The Center for Genetic Testing at Saint Francis is an internationally recognized center breaking new ground in the fields of clinical and diagnostic genetics. The center specializes in genetic testing for the diagnosis of congenital and inherited diseases as well as infectious disease and oncology. Center for Genetic Testing at Saint Francis outreach activities include the following: - The Center for Genetic Testing at Saint Francis is providing college students from University of Tulsa, University of Oklahoma, Oklahoma State University, and other institutions opportunities to volunteer and gain exposure to a highly complex and well- equipped diagnostic genetics lab. - The Center for Genetic Testing at Saint Francis is assisting the School of Medical Laboratory Science at Saint Francis in providing clinical rotation in genetic diagnostics to students. Sleep Disorders Center The Sleep Disorders Center at Saint Francis Hospital, Inc., one of only a few centers in eastern Oklahoma accredited by the American Academy of Sleep Medicine, offers a variety of services that can help to determine the causes of sleep disorders. Home Health Services Saint Francis Home Health, Inc., certified by Medicare and accredited by The Joint Commission, employs highly trained and skilled staff members to provide services such as intravenous infusion; wound and ostomy management; medication management; post stroke and neurological rehabilitation; post amputation care; speech, language, and occupational therapy; nutritional counseling; social work assessment and counseling; and certified home health aides. Social workers, who handle discharge planning, work closely with Saint Francis Home Health, Inc. nurses and family members to ensure optimum care for patients returning home. Saint Francis Home Health, Inc. provided 57,014 patient visits during fiscal year 2025, with approximately 38 percent being Medicare patients. Hospice Services Saint Francis Hospice, a division of Saint Francis Home Health, Inc., provides physical, spiritual, and psychological care needed by terminally ill patients and their families. Saint Francis Hospice also provides quality and compassionate end-of-life care for each of its patients with the goal of controlling the patient's pain and symptoms. Saint Francis Hospice provided 37,242 patient days during fiscal year 2025, with approximately 83 percent being Medicare patients. Saint Francis Cancer Center Saint Francis Cancer Center treats patients using the most sophisticated forms of medicine and provides state-of-the-art medical oncology and radiotherapy technology to residents in eastern Oklahoma and surrounding states. Saint Francis Cancer Center's treatment practices include board-certified physicians who provide multidisciplinary care in a professional, patient- and family-focused setting. Saint Francis Cancer Center offers three multidisciplinary cancer conferences weekly. The cancer conferences include two site-specific conferences focused on breast and lung and a general cancer conference for all other sites. Each conference consists of a multidisciplinary team of physicians representing medical oncology, pathology, radiology, radiation oncology and surgery. Discussions include cancer staging, prognostic indicators and treatment options using evidence-based treatment guidelines. Nursing and ancillary staff also attend to provide additional support, such as financial assistance, genetic counseling input, etc.. Saint Francis Cancer Center's dedicated nurse navigators work closely with the patients and physicians to ensure the highest level of patient care is provided. Saint Francis Cancer Center provides patients the convenience of infusion treatment, chemotherapy, radiation, medical oncologists office practice, laboratory services, medical imaging, nutrition, nurse navigation services, a pharmacy, social workers and financial counselors, rehabilitation therapy including lymphedema therapy and support all in one location. Saint Francis Cancer Center helps connect patients to resources in the community in which they live including transportation assistance. Saint Francis Hospital/ Cancer Center diagnosed and/or treated over 3,000 new cancers patients during FY 25. The oncology clinic physicians and Radiation Oncology received more than 4,700 new patient consult referrals to the Oncology clinic and Radiation Oncology in FY 25. Over $2 million in patient financial assistance (outpatient oncology drug replacement and/or outpatient drug co-pay cards for oncology patients) was obtained for patients in the cancer program through Saint Francis Cancer Center's financial counselors and the outpatient oncology retail pharmacy. All services are provided regardless of a patient's ability to pay.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Statement of Accomplishments (Cont.)</FormAndLineReferenceDesc>
        <ExplanationTxt>Saint Francis Cancer Center outreach activities are dedicated to prevention and screening programs, activities that celebrate cancer survivorship and overall wellness. Saint Francis Cancer Center's outreach activities include the following: * Skin Cancer screening event as part of the SFHS Health Zone's Open House on January 13, 2025. 119 individuals participated in the screening event. * Lung Cancer Prevention Education session provided at the Health Zone's Open House on June 27, 2024, with 160 participants. Additionally, in 2025, Saint Francis Cancer Center aided patients without resources for transportation assistance to and from SFCC for treatment or doctor appointments (Send-A-Ride or gas cards) more than $59,000. Healthlink Healthlink is a physician referral service for Saint Francis Hospital, Inc. Calls from people seeking a doctor or a referral for medical issues are received on this line. Patients are referred to physicians who agree to see them as promptly as the next day. Healthlink annually processes approximately 89,000 calls. Health Information and Family Resource Center The Health Information and Family Resource Center at Saint Francis Hospital, Inc. is open to serve patients, their families and friends, and health professionals by providing reliable information about health and medical conditions, treatments, and available services in the hospital and community. The Health Information and Family Resource Center provides information regarding common diseases to rare, unusual ailments and has trained information representatives to help people find the information they need through books, pamphlets, videos, and computers with internet and medical database access. The Health Information and Family Resource Center provides information about classes, support groups, and community services. The materials are provided free of charge. Saint Francis Hospital Education Center Saint Francis Hospital, Inc. provides classrooms for educational programs for Saint Francis Health System, Inc. personnel, expectant parents/families, the community, nursing education programs for area nursing schools, vocational training groups, physician's lectures and meetings, and educational programs open to professionals in the five-state referral area. Additional educational resources available to the community include: - Channel 15 - Saint Francis Hospital, Inc. broadcasts the daily, on-site mass along with religious video content, music, and prayer. - Patient Education Channels - Saint Francis Hospital, Inc. has two patient education and one newborn channel which offer current health information on a variety of topics including up-to-date videos on self-management of chronic diseases including chronic obstructive pulmonary disease and other lung diseases; diabetes; heart disease; heart attack and stroke; joint replacement; cancer; patient safety and discharge planning; relaxation techniques; and pastoral care. - Online patient education materials are available for print on demand pertaining to diabetes, cardiovascular, pediatric, healthcare instructions, grief and loss, infection control, lab tests, obstetrics/gynecology, oncology, COVID-19, discharge instructions and many other topics. - Community Education - Saint Francis Hospital, Inc. provides a variety of educational classes in areas of children's health, women's health, breast health, nursing mothers, disease management, support groups and healthy lifestyles, among other topics. The hospital also provides learning opportunities in multiple formats, both online and virtually. - On-site Clinical Experiences - Saint Francis Health System, Inc. is affiliated with multiple community colleges and universities for nursing and allied health programs including advanced practice nursing, paramedic, laboratory education and surgical technologist programs. The Saint Francis Health System, Inc. information (medical records) department accepts students from Tulsa Community College for practicum in coding, transcription and operations. Support of Educational and Not-for-Profit Organizations and Community Events Educational Services Saint Francis Hospital, Inc. is a major teaching hospital for the University of Oklahoma College of Medicine Tulsa, the University of Oklahoma and The University of Tulsa School of Community Medicine, Oklahoma State University College of Osteopathic Medicine, In His Image and Comanche County Memorial Hospital. Saint Francis Health System, Inc. and Saint Francis Hospital, Inc. support Oklahoma State University, University of Oklahoma, The University of Tulsa, Tulsa Community College, as well as out-of-state nursing and allied health students, through sponsorships and scholarships to students seeking a degree in the health industry. Physicians volunteer to teach medical students and residents who rotate through pediatrics, orthopedic surgery and intensive care, surgery, obstetrics and gynecology, internal medicine, family practice as well as the psychiatric program with our affiliate, Laureate Psychiatric Clinic and Hospital, Inc. The American Association of Medical Colleges projects a shortage of approximately 68,000 physicians and 260,000 nurses by 2025. Bureau of Labor Statistics projects that registered nurse job growth of 36 percent will continue to attract new high school graduates to the profession. Cognizant of the need for qualified healthcare personnel, Saint Francis Health System, Inc. and Saint Francis Hospital, Inc. play an integral role in the education and recruitment of prospective nursing students in the Tulsa area. Saint Francis Hospital, Inc. supports several nursing schools, including the University of Oklahoma - Tulsa, The University of Tulsa, Rogers State University, Oklahoma State University, Oral Roberts University, and Tulsa Community College, with scholarships, direct funds, provision of clinical facilities, and experiences. Saint Francis Hospital, Inc. is also the clinical setting for programs training laboratory medical technologists; radiology technologists; respiratory therapists; physical, occupational, and speech therapists; and surgical support personnel. Saint Francis Hospital, Inc. works with Tulsa Technology Center for the training of a wide variety of technical personnel. American Cancer Society Saint Francis Hospital, Inc. sponsors several community education projects with the American Cancer Society and participates in several special events to educate the public about the benefits of early detection and prompt treatment for cancer, to celebrate cancer survivors, to help fund breast cancer research, and to encourage people to stop smoking. American Heart Association Heart disease is Oklahoma's leading cause of death. Saint Francis Hospital, Inc. has sought to support organizations whose primary mission is to reduce the incidence of heart disease within the local community. Saint Francis Hospital, Inc. employees participate in the Heart Walk and numerous other programs fostering better cardiac health. American Kidney Fund Saint Francis Hospital, Inc. supports the American Kidney Fund, a national, not-for-profit health organization by providing care for indigent patients living with permanent kidney failure.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2b COMMON PAY AGENT</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 K. WARREN, JR., A TRUSTEE, AND JOHN KELLY C. WARREN, A TRUSTEE, HAVE A FAMILY RELATIONSHIP. WILLIAM R. LISSAU, A DIRECTOR, AND MICHAEL LISSAU, AN OFFICER, HAVE A FAMILY RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a INDEPENDENT BOARD OF DIRECTORS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DELEGATES ITS GOVERNANCE TO THE SAINT FRANCIS HEALTH SYSTEM, INC. BOARD OF DIRECTORS. SAINT FRANCIS HOSPITAL, INC.'S BOARD OF DIRECTORS IS COMPRISED OF 9 DIRECTORS, 7 OF WHICH ARE INDEPENDENT. SAINT FRANCIS HOSPITAL, INC. 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 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 ESABLISH COMPENSATION OF OFFICERS AND KEY EMPLOYEES</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED ANNUALLY, AND APPROVED BY THE COMPENSATION COMMITTEE WITH GUIDANCE FROM INDEPENDENT CONSULTANTS AND THE USE OF COMPARATIVE DATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 3 Delegation of management duties</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DELEGATES ITS DIRECTOR RESPONSIBILITIES TO THE SAINT FRANCIS HEALTH SYSTEM, INC. BOARD OF DIRECTORS. EITHER THE BOARD OF DIRECTORS AND A MAJORITY OF THE TRUSTEES OR UNANIMOUS TRUSTEE APPROVAL IS REQUIRED FOR THE SALE OF CORPORATE ASSETS VALUED AT $10,000,000 OR MORE. ADDITIONALLY, THE TRUSTEES HAVE SOLE AUTHORITY TO: - AMEND THE CERTIFICATE OF INCORPORATION - APPROVE MERGERS OR CONSOLIDATIONS - APPROVE THE SALE, LEASE OR TRANSFER OF ALL, OR SUBSTANTIALLY ALL, OF THE ASSETS OF THE CORPORATION - AMEND THE BYLAWS - APPOINT BOARD MEMBERS - APPROVE DISSOLUTION OR REVOCATION OF DISSOLUTION OF THE CORPORATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole member of Saint Francis Hospital is Saint Francis Health System, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS FIVE TRUSTEES WHO ELECT THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DELEGATED AUTHORITY TO SAINT FRANCIS HEALTH SYSTEM, INC. 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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>A REQUEST FOR INFORMATION ON POTENTIAL CONFLICTS IS SOLICITED ANNUALLY FROM DIRECTORS, TRUSTEES AND ALL EMPLOYEES THAT ARE MANAGER LEVEL AND ABOVE TO MONITOR PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND DEALING WITH POTENTIAL OR ACTUAL CONFLICTS. 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 TWELVE DIRECTORS, TEN OF WHICH ARE INDEPENDENT. THE BOARD OF TRUSTEES ARE MADE UP OF FIVE INDIVIDUALS, ALL OF WHICH ARE INDEPENDENT. THE DIRECTOR, TRUSTEES AND OFFICER/DIRECTOR WITH POTENTIAL CONFLICTS RECUSE THEMSELVES FROM EVENTS THAT WOULD RESULT IN A CONFLICT. 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 OFICERS &amp; DIRECTORS 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 1 CROSSLAND CONSTRUCTION CO, INC. &amp; ARCO MURRAY</FormAndLineReferenceDesc>
        <ExplanationTxt>Amounts reported in Part VII, Section B include both service fees and expense reimbursements paid to Crossland Construction Co, Inc and ARCO MURRAY NATIONAL PROCESS SOLUTIONS, as the amounts are not easily separated.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d MISCELLANEOUS REVENUE</FormAndLineReferenceDesc>
        <ExplanationTxt>SAINT FRANCIS HOSPITAL, INC. PROVIDES HEALTH AND MEDICAL EDUCATION TO PATIENTS, EMPLOYEES, AND OTHER COMMUNITY MEMBERS. SAINT FRANCIS HOSPITAL, INC. CAN BETTER SERVE THE COMMUNITY BY PROVIDING ADDITIONAL SERVICES SUCH AS HOME HEALTH CARE AND HOSPICE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER - Total Revenue: 13401880, Related or Exempt Function Revenue: 3528409, Unrelated Business Revenue: 9873471, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>BENEFICIAL INTEREST IN CHILDREN'S HOSPITAL FOUNDATION FOR THE YEAR - 1405799; POST RETIREMENT BENEFITS - -213865; UNIVERSITY OF OKLAHOMA/TULSA UNIVERSITY ENDOWMENT FUND TRANSFERS - -448705; EQUITY TRANSFERS FROM/TO RELATED PARTIES - -XXX-XX-XXXX; Total - -XXX-XX-XXXX;</ExplanationTxt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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        <InvolvedAmt>210847062</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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        <InvolvedAmt>32884255</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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        <InvolvedAmt>286569</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>THE CHILDREN'S HOSPITAL FDN AT SAINT FRANCIS</BusinessNameLine1Txt>
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        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>137801</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>THE CHILDREN'S HOSPITAL FDN AT SAINT FRANCIS</BusinessNameLine1Txt>
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        <InvolvedAmt>132741</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>THE CHILDREN'S HOSPITAL FDN AT SAINT FRANCIS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>394360</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>THE CHILDREN'S HOSPITAL FDN AT SAINT FRANCIS</BusinessNameLine1Txt>
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        <TransactionTypeTxt>S</TransactionTypeTxt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ALL SAINTS HOME MEDICAL LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>583803</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ALL SAINTS HOME MEDICAL LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ALL SAINTS HOME MEDICAL LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ALL SAINTS HOME MEDICAL LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>22018951</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ALL SAINTS HOME MEDICAL LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>20804256</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ALL SAINTS HOME MEDICAL LLC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>583803</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>XAVIER VENTURE PROPERTIES LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>I</TransactionTypeTxt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS CONNECT LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>261002</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS CONNECT LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>1780105</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS CONNECT LLC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>524022</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS CONNECT LLC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>152458</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TULSA REHABILITATION HOSPITAL LLC</BusinessNameLine1Txt>
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        <InvolvedAmt>399661</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WILLIAM K WARREN MEDICAL RESEARCH CENTER</BusinessNameLine1Txt>
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      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
