TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) CLIFF A ROBERTSON MD...................................................................... PRESIDENT / CEO / DIRECTOR	1.0 ................. 39.0	X	X		0	2,088,903	322,186
(2) BISHOP DAVID A KONDERLA...................................................................... TRUSTEE	1.0 ................. 0.0	X			0	0	0
(3) FATHER GARY KASTL...................................................................... DIRECTOR	1.0 ................. 0.0	X			0	0	0
(4) JEFFREY SMITH...................................................................... TRUSTEE	1.0 ................. 0.0	X			0	0	0
(5) JOHN-KELLY C WARREN...................................................................... TRUSTEE	1.0 ................. 0.0	X			0	0	0
(6) JUDY KISHNER...................................................................... TRUSTEE	1.0 ................. 0.0	X			0	0	0
(7) LAURA STUEMKEY MD...................................................................... DIRECTOR	1.0 ................. 0.0	X			0	0	0
(8) MIKE CASE...................................................................... DIRECTOR	1.0 ................. 0.0	X			0	0	0
(9) MIKE COOKE JD...................................................................... DIRECTOR	1.0 ................. 0.0	X			0	0	0
(10) SAILATHA THOMAS MD...................................................................... DIRECTOR	1.0 ................. 39.0	X			0	382,911	22,850
(11) TOM COOPER...................................................................... DIRECTOR	1.0 ................. 0.0	X			0	0	0
(12) WILLIAM K WARREN JR...................................................................... TRUSTEE	1.0 ................. 0.0	X			0	0	0
(13) WILLIAM R LISSAU...................................................................... EMERITUS DIRECTOR (NON-VOTING)	1.0 ................. 0.0	X			0	0	0
(14) BARRY L STEICHEN...................................................................... VICE PRESIDENT / COO	1.0 ................. 39.0		X		0	1,374,046	180,234
(15) DEBORAH DAGE...................................................................... TREASURER / CFO	1.0 ................. 39.0		X		0	962,434	109,892
(16) MICHAEL J LISSAU...................................................................... SECRETARY	10.0 ................. 30.0		X		0	720,346	104,373
(17) DOUG WILLIAMS...................................................................... Senior Vice President	39.0 ................. 1.0			X	711,220	0	105,156

(A) Name and business address	(B) Description of services	(C) Compensation
CROSSLAND CONSTRUCTION CO INC 833 S EAST AVE COLUMBUS,KS66725	CONSTRUCTION SVCS	19,273,245
ASSOCIATED ANESTHESIOLOGISTS INC 6839 S CANTON TULSA,OK741363402	HEALTH SVCS	16,122,045
MEDEFIS INC 2121 N 117TH AVE OMAHA,OK68164	HEALTH SVCS	10,258,416
EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA,WI53593	HEALTH INFO TECH	7,394,630
ARCO MURRAY NATIONAL PROCESS SOLUTIONS 3113 WOODCREEK DR DOWNERS GROVE,IL605155411	CONSTRUCTION SVCS	5,020,277
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 242

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

SAINT FRANCIS HOSPITAL INC

Employer identification number

73-0700090

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

Name of the organization

SAINT FRANCIS HOSPITAL INC

Employer identification number

73-0700090

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization SAINT FRANCIS HOSPITAL INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization SAINT FRANCIS HOSPITAL INC		Employer identification number 73-0700090

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization SAINT FRANCIS HOSPITAL INC			Employer identification number 73-0700090
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

SAINT FRANCIS HOSPITAL INC

Employer identification number

73-0700090

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2024

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2021	(b) 2022	(c) 2023	(d) 2024	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2024

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

28,812

Total. Add lines 1c through 1i ....................................................................................................

28,812

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	SAINT FRANCIS HOSPITAL, INC., THROUGH ITS MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND CATHOLIC HEALTH ASSOCIATION, PARTICIPATES IN GRASS ROOTS LOBBYING ACTIVITY. IT IS LESS THAN A SUBSTANTIAL PART OF THE TOTAL EXPENDITURES IN A TAXABLE YEAR. THE GRASS ROOTS LOBBYING ACTIVITY IS RELATED TO LEGISLATION AFFECTING THE SAINT FRANCIS HEALTH SYSTEM FOR ITS CHARITABLE PURPOSES, PARTICULARLY THE PROMOTION OF HEALTH. "GRASS ROOTS LOBBYING ACTIVITY" MEANS ANY ATTEMPT BY AHA TO INFLUENCE ANY LEGISLATION THROUGH AN ATTEMPT TO AFFECT THE OPINIONS OF THE PUBLIC OR ANY SEGMENT THEREOF AND INCLUDES ANY ATTEMPT BY THE AHA TO INFLUENCE ANY LEGISLATION THROUGH AN ATTEMPT TO INFLUENCE LEGISLATION THROUGH COMMUNICATIONS WITH ANY MEMBER OR EMPLOYEE OF A LEGISLATIVE BODY WHO MAY PARTICIPATE IN THE FORMULATION OF LEGISLATION.

Return Reference

Explanation

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

SAINT FRANCIS HOSPITAL, INC., THROUGH ITS MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND CATHOLIC HEALTH ASSOCIATION, PARTICIPATES IN GRASS ROOTS LOBBYING ACTIVITY. IT IS LESS THAN A SUBSTANTIAL PART OF THE TOTAL EXPENDITURES IN A TAXABLE YEAR. THE GRASS ROOTS LOBBYING ACTIVITY IS RELATED TO LEGISLATION AFFECTING THE SAINT FRANCIS HEALTH SYSTEM FOR ITS CHARITABLE PURPOSES, PARTICULARLY THE PROMOTION OF HEALTH. "GRASS ROOTS LOBBYING ACTIVITY" MEANS ANY ATTEMPT BY AHA TO INFLUENCE ANY LEGISLATION THROUGH AN ATTEMPT TO AFFECT THE OPINIONS OF THE PUBLIC OR ANY SEGMENT THEREOF AND INCLUDES ANY ATTEMPT BY THE AHA TO INFLUENCE ANY LEGISLATION THROUGH AN ATTEMPT TO INFLUENCE LEGISLATION THROUGH COMMUNICATIONS WITH ANY MEMBER OR EMPLOYEE OF A LEGISLATIVE BODY WHO MAY PARTICIPATE IN THE FORMULATION OF LEGISLATION.

Schedule C (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

SAINT FRANCIS HOSPITAL INC

Employer identification number

73-0700090

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	12,591,681		12,591,681
b	Buildings ....	899,124,679	397,250,886	501,873,793
c	Leasehold improvements	26,378,617	15,138,303	11,240,314
d	Equipment ....	561,359,272	377,792,654	183,566,618
e	Other .....	18,911,334	0	18,911,334
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				728,183,740

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Federal Income Taxes
PROFESSIONAL LIABILITY	65,364,114
OPERATING LEASE LIABILITY	12,325,691
MEDICARE COST REPORT	12,299,340
FAS 106	1,086,021
VALUATION ALLOWANCE	368,837
ARO LIABILITY	55,444
OTHER LONG TERM LIABILITY

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	91,499,447
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d .....................			2e	0
3	Subtract line 2e from line 1..................			3	0
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	0

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	0
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	0

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

ACCOUNTING STANDARDS CODIFICATION (ASC) 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, PROVIDES GUIDANCE REGARDING RECOGNITION, DE-RECOGNITION, MEASUREMENT, AND DISCLOSURE OF ALL TAX POSITIONS. IN ACCORDANCE WITH THE REQUIREMENTS OF ASC 740, SAINT FRANCIS HOSPITAL, INC. IDENTIFIES AND DOCUMENTS UNCERTAIN TAX POSITIONS FOR ALL OPEN TAX YEARS. IF UNCERTAIN TAX POSITIONS ARE IDENTIFIED, THEY ARE ANALYZED TO DETERMINE THE PROPER UNIT OF ACCOUNT. NEXT, THEY ARE TESTED TO DETERMINE WHETHER A TAX ASSET OR A TAX LIABILITY SHOULD BE RECOGNIZED. SAINT FRANCIS HOSPITAL, INC. HAS ASSESSED ITS UNCERTAIN TAX POSITIONS AND CONCLUDED THEY ARE MORE LIKELY THAN NOT TO BE FULLY SUSTAINED UPON EXAMINATION. THEREFORE, NO LIABILITY OR ASSET FOR UNCERTAIN TAX POSITIONS NEEDS TO BE RECORDED.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE F(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right arrow

Attach to Form 990. Right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization
SAINT FRANCIS HOSPITAL INC

Employer identification number

73-0700090

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	Central America and the Caribbean	0	0	Investments	27,684,893
















3a	Sub-total ....	0	0		27,684,893
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		27,684,893

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) (Rev. 1-2025)

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) (Rev. 1-2025)

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
Schedule F, Part V PART I, GENERAL INFORMATION ON ACTIVITIES OUTSIDE THE UNITED STATES	THE ACTIVITY LISTED IN PART I RELATES TO FOREIGN INVESTMENTS, AND THE ACCRUAL METHOD IS USED TO ACCOUNT FOR EXPENDITURES ON THE ORGANIZATION'S FINANCIAL STATEMENTS.

Schedule F (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

SAINT FRANCIS HOSPITAL INC

Employer identification number

73-0700090

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 25000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			50,617,862		50,617,862	3.154 %
b	Medicaid (from Worksheet 3, column a) . . . . .			319,794,065	324,614,721	0	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .					0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	370,411,927	324,614,721	50,617,862	3.154 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).			11,311,459		11,311,459	0.705 %
f	Health professions education (from Worksheet 5) . . .			10,501,263		10,501,263	0.654 %
g	Subsidized health services (from Worksheet 6) . . . .			111,313,070		111,313,070	6.935 %
h	Research (from Worksheet 7) .			315,397	276,094	39,303	0.002 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .					0	0 %
j	Total. Other Benefits . .	0	0	133,441,189	276,094	133,165,095	8.296 %
k	Total. Add lines 7d and 7j .	0	0	503,853,116	324,890,815	183,782,957	11.450 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing					0	0 %
2	Economic development					0	0 %
3	Community support			2,682,681		2,682,681	0.167 %
4	Environmental improvements					0	0 %
5	Leadership development and training for community members					0	0 %
6	Coalition building					0	0 %
7	Community health improvement advocacy			6,311,218		6,311,218	0.393 %
8	Workforce development					0	0 %
9	Other					0	0 %
10	Total	0	0	8,993,899	0	8,993,899	0.560 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

59,755,906

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

13,414,823

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

280,544,634

Enter Medicare allowable costs of care relating to payments on line 5.....

285,884,344

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-5,339,710

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	SAINT FRANCIS HOSPITAL INC 6600 S YALE AVE SUITE 400 TULSA,OK741363319 WWW.SAINTFRANCIS.COM 2362	X	X	X	X

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	SAINT FRANCIS HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 25

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): https://www.saintfrancis.com/about-us/commitment-to-community

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 25

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTPS://WWW.SAINTFRANCIS.COM/ABOUT-US/COMMITMENT-TO-COMMUNITY

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	SAINT FRANCIS HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.0%
and FPG family income limit for eligibility for discounted care of 400.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.SAINTFRANCIS.COM/PATIENTS-AND-GUESTS/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

WWW.SAINTFRANCIS.COM/PATIENTS-AND-GUESTS/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
WWW.SAINTFRANCIS.COM/PATIENTS-AND-GUESTS/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	SAINT FRANCIS HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	SAINT FRANCIS HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a 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

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 5 Facility , 1	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 & 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.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - SAINT FRANCIS HOSPITAL, INC.. The CHNA Joint Assessment was conducted with Ascension St. John.
Schedule H, Part V, Section B, Line 6b Facility , 1	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).
Schedule H, Part V, Section B, Line 11 Facility , 1	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.
Schedule H, Part V, Section B, Line 13 Facility , 1	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.
Schedule H, Part V, Section B, Line 16 Facility , 1	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.
Schedule H, Part V, Section B, Line 20 Facility , 1	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

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?0
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Schedule H, Part I, Line 3c FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA	INCOME-BASED CRITERIA IS USED AS THE BASIS IN DETERMINING ELIGIBILITY FOR FREE HEALTH SERVICES.
Schedule H, Part I, Line 6a NAME OF RELATED ORGANIZATION THAT PREPARED COMMUNITY BENEFIT REPORT	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
Schedule H, Part V, Section B, Line 22 LINE 22B - AMOUNTS GENERALLY BILLED	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.
Schedule H, Part VI, Line 7 Community benefit report	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
Schedule H, Part I, Line 7g Subsidized Health Services	100% of Subsidized health services from worksheet 6 are allocatable to physician clinic costs
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	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.
Schedule H, Part II Community Building Activities	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.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	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.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	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.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	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).
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	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.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	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
Schedule H, Part V, Section B, Line 16a FAP website	- SAINT FRANCIS HOSPITAL, INC.: Line 16a URL: WWW.SAINTFRANCIS.COM/PATIENTS-AND-GUESTS/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16b FAP Application website	- SAINT FRANCIS HOSPITAL, INC.: Line 16b URL: WWW.SAINTFRANCIS.COM/PATIENTS-AND-GUESTS/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- SAINT FRANCIS HOSPITAL, INC.: Line 16c URL: WWW.SAINTFRANCIS.COM/PATIENTS-AND-GUESTS/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE;
Schedule H, Part VI, Line 2 Needs assessment	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.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	SAINT FRANCIS HEALTH SYSTEM, INC. AND ITS ENTITIES ARE COMMITTED TO PROMOTING HEALTH IN THE COMMUNITY INCLUDING PROVIDING OR FINDING FINANCIAL ASSISTANCE PROGRAMS TO ASSIST PATIENTS. SAINT FRANCIS HEALTH SYSTEM MAKES EVERY EFFORT TO EDUCATE PATIENTS ON ITS CHARITY, FINANCIAL ASSISTANCE POLICY AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS DURING REGISTRATION, PRE-REGISTRATION, POST-REGISTRATION AND FOLLOWING DISCHARGE IN LANGUAGES APPROPRIATE FOR THE POPULATION BEING SERVED. THIS INCLUDES SEVERAL WAYS INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: - A BROCHURE TITLED "PATIENT FINANCIAL POLICY" ON FINANCIAL RIGHTS AND RESPONSIBILITY IS PROVIDED TO EVERY PATIENT AT THE TIME OF THEIR REGISTRATION AND IS AVAILABLE ON THE SAINT FRANCIS HEALTH SYSTEM, INC. AND SAINT FRANCIS HOSPITAL, INC. 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.
Schedule H, Part VI, Line 4 Community information	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.
Schedule H, Part VI, Line 5 Promotion of community health	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.
Schedule H, Part VI, Line 6 Affiliated health care system	Saint Francis Hospital, Inc., the largest entity within Saint Francis Health System, Inc., has one of the busiest emergency rooms in the state of Oklahoma. 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.
Schedule H, Part VI, Line 7 State filing of community benefit report	OK

Schedule H (Form 990) 2024

Additional Data

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Schedule I
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
SAINT FRANCIS HOSPITAL INC

Employer identification number
73-0700090

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) ALZHEIMER'S DIVERSITY OUTREACH SERVICES INC 3340 E 30TH PL N TULSA,OK741152421	46-2901396	501(C)(3)	7,500				PROGRAM SUPPORT
(2) AMERICAN HEART ASSOCIATION INC PO BOX 4002903 DES MOINES,IA503402903	13-5613797	501(C)(3)	30,000				PROGRAM SUPPORT
(3) AMERICAN KIDNEY FUND 11921 ROCKVILLE PIKE STE 300 ROCKVILLE,MD20852	23-7124261	501(C)(3)	165,000				PROGRAM SUPPORT
(4) BISHOP KELLEY HIGH SCHOOL 3905 S HUDSON AVE TULSA,OK74135	73-0706623	501(C)(3)	86,050				PROGRAM SUPPORT
(5) BOY SCOUTS OF AMERICA 4295 S GARNETT RD TULSA,OK74146	73-0579230	501(C)(3)	15,000				PROGRAM SUPPORT
(6) BROKEN ARROW INDEPENDENT SCHOOL DISTRICT 721003 701 S MAIN ST BROKEN ARROW,OK740125528	73-6060638	GOV	6,000				PROGRAM SUPPORT
(7) CASCIA HALL SCHOOL CORPORATION 2520 S YORKTOWN AVE TULSA,OK74114	73-1328398	501(C)(3)	29,650				PROGRAM SUPPORT
(8) CATHOLIC CHARITIES PO BOX 580460 TULSA,OK74158	73-1171950	501(C)(3)	450,000				PROGRAM SUPPORT
(9) CHILD ABUSE NETWORK INC 2829 S SHERIDAN RD TULSA,OK74129	73-1325326	501(C)(3)	20,000				PROGRAM SUPPORT
(10) CLAREHOUSE INC 7617 S MINGO RD TULSA,OK74133	73-1603851	501(C)(3)	25,000				PROGRAM SUPPORT
(11) COMMUNITY FOOD BANK OF EASTERN OKLAHOMA INC 1304 N KENOSHA TULSA,OK74106	73-1184980	501(C)(3)	15,000				PROGRAM SUPPORT
(12) EMERGENCY INFANT SERVICES 1100 S DENVER TULSA,OK74119	73-1039524	501(C)(3)	10,000				PROGRAM SUPPORT
(13) FAMILY & CHILDREN SERVICES INC 650 S PEORIA TULSA,OK74120	73-0580270	501(C)(3)	30,000				PROGRAM SUPPORT
(14) FOOD ON THE MOVE INC PO BOX 1626 TULSA,OK74101	84-4256720	501(C)(3)	10,000				PROGRAM SUPPORT
(15) GOOD SAMARITAN HEALTH SERVICES INC PO BOX 1191 TULSA,OK74101	73-1559561	501(C)(3)	6,000				PROGRAM SUPPORT
(16) GREAT 100 NURSES FOUNDATION 1629 LAKESHORE DR NEW ORLEANS,LA701222211	46-5606080	501(C)(3)	7,500				PROGRAM SUPPORT
(17) HEARTS FOR HEARING FOUNDATION 11500 PORTLAND AVE OKLAHOMA CITY,OK73120	58-2670613	501(C)(3)	10,000				PROGRAM SUPPORT
(18) HIV RESOURCE CONSORTIUM INC 3712 E 11TH ST TULSA,OK741123952	73-1388569	501(C)(3)	10,000				PROGRAM SUPPORT
(19) INDEPENDENT SCHOOL DISTRICT NO 11 TULSA COUNTY 1501 N ASH OWASSO,OK74055	73-0773051	GOV	84,776				PROGRAM SUPPORT
(20) LIFE SENIOR SERVICES INC 5330 E 31ST ST STE 800 TULSA,OK74135	73-1043783	501(C)(3)	25,000				PROGRAM SUPPORT
(21) LITTLE LIGHT HOUSE INC 5120 E 36TH ST TULSA,OK741355228	73-0939422	501(C)(3)	15,000				PROGRAM SUPPORT
(22) MEDICAL SUPPLIES NETWORK INC 1123 S ERIE AVE TULSA,OK74112	73-1507095	501(C)(3)		214,031	FMV	INVENTORY DONATIONS	PROGRAM SUPPORT
(23) MENTAL HEALTH ASSOCIATION OF TULSA 5330 E 31ST ST STE 1000 TULSA,OK74135	73-0657931	501(C)(3)	30,000				PROGRAM SUPPORT
(24) OKLAHOMA SPEAKER'S BALL INC PO BOX 1524 NORMAN,OK730701524	20-2018083	501(C)(3)	20,000				PROGRAM SUPPORT
(25) OSU FOUNDATION 400 S MONROE STILLWATER,OK74074	73-6097060	501(C)(3)	1,500,000				PROGRAM SUPPORT
(26) PHILOS HOSPITALITY INC PO BOX 14472 TULSA,OK74159	20-1825789	501(C)(3)	7,500				PROGRAM SUPPORT
(27) RELIGIOUS SISTERS OF MERCY 6161 S YALE AVE TULSA,OK74136	73-1453048	501(C)(3)	2,500,000				PROGRAM SUPPORT
(28) ROGERS STATE UNIVERSITY FOUNDATION INC 1701 W WILL ROGERS BLVD CLAREMORE,OK740173252	73-0957262	501(C)(3)	10,000				PROGRAM SUPPORT
(29) ROMAN CATHOLIC DIOCESE OF TULSA PO BOX 690240 TULSA,OK741690240	73-0942657	501(C)(3)	98,000				PROGRAM SUPPORT
(30) RONALD MCDONALD HOUSE 6102 S HUDSON AVE TULSA,OK74136	73-1313892	501(C)(3)	25,000				PROGRAM SUPPORT
(31) SAFE HAVEN BABY BOXES 22416 FRONT STREET WOODBURN,IN467979682	47-3038555	501(C)(3)	11,973				PROGRAM SUPPORT
(32) TAHLEQUAH HOSPITAL FOUNDATION INC PO BOX 1008 TAHLEQUAH,OK74465	73-1618193	501(C)(3)	8,000				PROGRAM SUPPORT
(33) Broken Arrow Public Schools 1901 E Albany St Broken Arrow,OK74012	73-1413010	501(c)(3)	62,681				PROGRAM SUPPORT
(34) TENACIOUSLY TEAL INC 720 W WILSHIRE OKLAHOMA CITY,OK73116	46-5034403	501(C)(3)	10,000				PROGRAM SUPPORT
(35) THE FOUNDATION FOR TULSA SCHOOLS 3027 S NEW HAVEN STE 116 TULSA,OK741146131	73-1612027	501(C)(3)	12,500				PROGRAM SUPPORT
(36) THE PARENT CHILD CENTER OF TULSA 1421 S BOSTON TULSA,OK74119	73-1113167	501(C)(3)	50,000				PROGRAM SUPPORT
(37) THE SPRING SHELTER INC PO BOX 1588 SAND SPRINGS,OK74063	73-1474319	501(C)(3)	10,000				PROGRAM SUPPORT
(38) THE TRISTESSE HEALING HEARTS 2502 E 71ST ST STE A TULSA,OK74136	73-1619790	501(C)(3)	10,000				PROGRAM SUPPORT
(39) TRANSITIONAL LIVING CENTERS OF OKLAHOMA 1607 N HARTFORD AVE TULSA,OK741064304	30-0539205	501(C)(3)	15,000				PROGRAM SUPPORT
(40) TULSA AREA UNITED WAY INC 1430 S BOULDER AVE TULSA,OK74119	73-0580283	501(C)(3)	1,000	7,295	FMV	GIFT SHOP DONATIONS	PROGRAM SUPPORT
(41) TULSA COMMUNITY COLLEGE FOUNDATION 909 S BOSTON AVE TULSA,OK74119	23-7103807	501(C)(3)	1,030,000				PROGRAM SUPPORT
(42) TULSA DAY CENTER INC 415 W ARCHER TULSA,OK74103	73-1557819	501(C)(3)	10,000				PROGRAM SUPPORT
(43) TULSA REGIONAL CHAMBER INC ONE W THIRD ST STE 100 TULSA,OK74103	73-0488250	501(C)(6)	24,000				PROGRAM SUPPORT
(44) TULSA STEM ALLIANCE 5103 S SHERIDAN ROAD MAILBOX 370 TULSA,OK74145	81-4051559	501(C)(3)	10,000				PROGRAM SUPPORT
(45) TULSA TOUGH INC 850 E ADMIRAL BLVD TULSA,OK74120	27-3283740	501(C)(3)	294,276				PROGRAM SUPPORT
(46) TULSA'S FUTURE INC ONE W THIRD ST STE 100 TULSA,OK741033513	23-7033283	501(C)(3)	50,000				PROGRAM SUPPORT
(47) UNIVERSITY OF TULSA INC 800 S TUCKER DR TULSA,OK74104	73-0579298	501(C)(3)	530,000				PROGRAM SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) SCHOLARSHIPS	275	1,353,500
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

Schedule I, Part II SCHOLARSHIP APPROVAL PROCESS

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.

Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds

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.

Schedule I (Form 990) Rev. 1-2025

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

SAINT FRANCIS HOSPITAL INC

Employer identification number

73-0700090

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1CLIFF A ROBERTSON MD PRESIDENT / CEO / DIRECTOR	(i) (ii)	0 ------------- 1,394,422	0 ------------- 647,000	0 ------------- 47,481	0 ------------- 301,850	0 ------------- 20,336	0 ------------- 2,411,089	0 ------------- 0
2SAILATHA THOMAS MD DIRECTOR	(i) (ii)	0 ------------- 382,911	0 ------------- 0	0 ------------- 0	0 ------------- 21,850	0 ------------- 1,000	0 ------------- 405,761	0 ------------- 0
3BARRY L STEICHEN VICE PRESIDENT / COO	(i) (ii)	0 ------------- 856,493	0 ------------- 474,879	0 ------------- 42,674	0 ------------- 154,300	0 ------------- 25,934	0 ------------- 1,554,280	0 ------------- 0
4DEBORAH DAGE TREASURER / CFO	(i) (ii)	0 ------------- 648,635	0 ------------- 272,715	0 ------------- 41,084	0 ------------- 101,625	0 ------------- 8,267	0 ------------- 1,072,326	0 ------------- 0
5MICHAEL J LISSAU SECRETARY	(i) (ii)	0 ------------- 459,913	0 ------------- 220,105	0 ------------- 40,328	0 ------------- 80,140	0 ------------- 24,233	0 ------------- 824,719	0 ------------- 0
6DOUG WILLIAMS Senior Vice President	(i) (ii)	481,512 ------------- 0	205,187 ------------- 0	24,521 ------------- 0	81,223 ------------- 0	23,933 ------------- 0	816,376 ------------- 0	0 ------------- 0
7SCOTT DULL MD PHYSICIAN	(i) (ii)	232,300 ------------- 1,793,960	0 ------------- 0	0 ------------- 0	0 ------------- 21,850	0 ------------- 25,723	232,300 ------------- 1,841,533	0 ------------- 0
8ROBERT GARRETT MD PHYSICIAN	(i) (ii)	30,000 ------------- 1,245,562	0 ------------- 325,000	0 ------------- 0	0 ------------- 21,850	0 ------------- 18,236	30,000 ------------- 1,610,648	0 ------------- 0
9NIKHIL MUKHI MD PHYSICIAN	(i) (ii)	1,714,350 ------------- 0	0 ------------- 0	23,000 ------------- 0	21,850 ------------- 0	0 ------------- 0	1,759,200 ------------- 0	0 ------------- 0
10JONATHAN LEVINE MD PHYSICIAN	(i) (ii)	1,266,617 ------------- 0	30,000 ------------- 0	0 ------------- 0	21,850 ------------- 0	23,098 ------------- 0	1,341,565 ------------- 0	0 ------------- 0
11DONALD SCHLEICHER II MD PHYSICIAN	(i) (ii)	213,500 ------------- 1,137,629	0 ------------- 0	0 ------------- 29,250	0 ------------- 21,850	0 ------------- 11,694	213,500 ------------- 1,200,423	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation

SAINT FRANCIS HOSPITAL, INC. IS AN ENTITY OF THE SAINT FRANCIS HEALTH SYSTEM, INC. SAINT FRANCIS HEALTH SYSTEM, INC.'S COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION OF THE OFFICERS.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

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.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule L
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

SAINT FRANCIS HOSPITAL INC

Employer identification number

73-0700090

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No




Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) (Rev. 1-2025)

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) MICHAEL LISSAU	SON OF DIRECTOR	845,617	OFFICER COMPENSATION		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
Schedule L, Part IV LINE 1	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.

Schedule L (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

SAINT FRANCIS HOSPITAL INC

Employer identification number

73-0700090

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..	X		3,557	Cost
5 Clothing and household goods .......	X		96,606	Cost
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...		805	9,749	Cost
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( GIFT CARDS )	X	18	375	Cost
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2024)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
Schedule M, Part I Column B, Number of contributions or items contributed	The amounts present in column b represent the number of items contributed.

Schedule M (Form 990) (2024)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

SAINT FRANCIS HOSPITAL INC

Employer identification number

73-0700090

Return Reference	Explanation
Form 990, Part III, Line 4 STATEMENT OF ACCOMPLISHMENTS	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 & World Report named Saint Francis Hospital the best hospital in Oklahoma for the eighth consecutive year. Other notable ranking by U.S. News & 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.
Form 990, Part III, Line 4a Statement of Accomplishments (Cont.)	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
Form 990, Part III, Line 4a Statement of Accomplishments (Cont.)	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.
Form 990, Part III, Line 4a Statement of Accomplishments (Cont.)	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.
Form 990, Part III, Line 4a Statement of Accomplishments (Cont.)	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.
Form 990, Part V, Line 2b COMMON PAY AGENT	SAINT FRANCIS PAYROLL SERVICES, LLC, EIN 45-0470422, HAS BEEN AUTHORIZED TO ACT AS A COMMON PAY AGENT UNDER SECTION 3504 OF THE INTERNAL REVENUE CODE FOR SAINT FRANCIS HEALTH SYSTEM, INC. EFFECTIVE JULY 1, 2002, IN ACCORDANCE WITH REVENUE PROCEDURE 70-6, 1970-1 C.B. 420. SAINT FRANCIS PAYROLL SERVICES, LLC ASSUMED REPORTING OBLIGATIONS FOR FEDERAL INCOME TAX, SOCIAL SECURITY, MEDICARE WITHHOLDING TAX PURPOSES AS WELL AS ADVANCE PAYMENT OF EARNED INCOME CREDIT FOR SAINT FRANCIS HEALTH SYSTEM, INC. AND YEAR-END REPORTING EFFECTIVE JULY 1, 2002.
Form 990, Part V, Line 15 COMMON LAW EMPLOYEES	INDIVIDUALS LISTED AS OFFICERS OF THE ORGANIZATION THAT ARE PAID FULL TIME BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF SAINT FRANCIS HEALTH SYSTEM, INC., A SEPARATE LEGAL ENTITY. IT IS THE INTENTION OF SAINT FRANCIS HEALTH SYSTEM, INC. AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE SAINT FRANCIS HEALTH SYSTEM, INC. EMPLOYEES WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION.
Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS	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.
Form 990, Part VI, Line 1a INDEPENDENT BOARD OF DIRECTORS	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
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	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.
Form 990, Part VI, Line 15b PROCESS TO ESABLISH COMPENSATION OF OFFICERS AND KEY EMPLOYEES	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.
Form 990, Part VI, Line 3 Delegation of management duties	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
Form 990, Part VI, Line 6 Classes of members or stockholders	The sole member of Saint Francis Hospital is Saint Francis Health System, Inc.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE ORGANIZATION HAS FIVE TRUSTEES WHO ELECT THE GOVERNING BODY.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	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
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FINANCE COMMITTEE, A SUB-COMMITTEE OF THE BOARD OF DIRECTORS OF SAINT FRANCIS HEALTH SYSTEM, INC., HAS ACCESS TO THE PASSWORD-PROTECTED FORM 990 ONLINE PRIOR TO FILING WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	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.
Form 990, Part VI, Line 19 Required documents available to the public	THESE REQUESTS ARE DETERMINED ON A CASE-BY-CASE BASIS.
Form 990, Part VII, Section A OFICERS & DIRECTORS HOURS	THE HOURS PER WEEK REPORTED ON FORM 990, PART VII FOR OFFICERS AND DIRECTORS ARE THE HOURS SPENT ON THE FILING ENTITY ONLY. THE REMAINING PORTION OF THE 40 HOURS PER WEEK OF THE OFFICERS AND DIRECTORS WITH RELATED COMPENSATION IS ALLOCATED AMONG THE ENTITIES REPORTED ON SCHEDULE R.
Form 990, Part VII, Section B, Line 1 CROSSLAND CONSTRUCTION CO, INC. & ARCO MURRAY	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.
Form 990, Part VIII, Line 11d MISCELLANEOUS REVENUE	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.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	OTHER - Total Revenue: 13401880, Related or Exempt Function Revenue: 3528409, Unrelated Business Revenue: 9873471, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	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;

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

SAINT FRANCIS HOSPITAL INC

Employer identification number

73-0700090

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) SAINT FRANCIS OUTREACH SERVICES LLC 6600 S YALE AVE STE 400 TULSA,OK741363319 14-1841340	HEALTH SVCS	OK	30,465,489	4,074,100	SFH
(2) CARE COMMUNICATIONS LLC 6600 S YALE AVE STE 400 TULSA,OK741363319 26-0015989	COMM SVCS	OK	5,005,270	4,180,490	SFH

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)SAINT FRANCIS HEALTH SYSTEM INC 6600 S YALE AVE STE 400 TULSA,OK74136 73-1501972	HEALTH SVCS	OK	501(c)(3)	Type II	NA		No
(2)SAINT FRANCIS HOSPITAL SOUTH LLC 6600 S YALE AVE STE 400 TULSA,OK74136 01-0603214	HEALTH SVCS	OK	501(c)(3)	3	SFHS	Yes
(3)LAUREATE PSYCHIATRIC CLINIC & HOSP INC 6600 S YALE AVE STE 400 TULSA,OK74136 73-1308273	HEALTH SVCS	OK	501(c)(3)	3	SFHS	Yes
(4)THE CHILDREN'S HOSP FDN AT SAINT FRANCIS 6600 S YALE AVE STE 400 TULSA,OK74136 20-2843418	HEALTH SVCS	OK	501(c)(3)	Type I	SFHS	Yes
(5)SAINT FRANCIS HOSPITAL VINITA INC 6600 YALE AVE STE 400 TULSA,OK74136 81-3747248	HEALTH SVCS	OK	501(c)(3)	3	SFHS	Yes
(6)SAINT FRANCIS HOSPITAL MUSKOGEE INC 6600 S YALE AVE STE 400 TULSA,OK74136 81-4322087	HEALTH SVCS	OK	501(c)(3)	3	SFHS	Yes
(7)WARREN CLINIC INC 6600 S YALE AVE STE 400 TULSA,OK74136 73-1310891	HEALTH SVCS	OK	501(c)(3)	3	SFHS	Yes
(8)ALL SAINTS HOME MEDICAL LLC 6600 S YALE AVE STE 400 TULSA,OK74136 73-1558644	DURABLE MEDICAL EQUIPMENT	OK	501(c)(3)	Type I	SFH	Yes
(9)SAINT FRANCIS FOUNDATION 6600 S YALE AVE STE 400 TULSA,OK74136 92-2443296	HEALTH SVCS	OK	501(c)(3)	3	SFHS	Yes
(10)XAVIER VENTURE PROPERTIES LLC 6161 S YALE AVE TULSA,OK74136 99-5088497	HOLDING CO	OK	501(c)(2)		SFH	Yes
(11)SAINT FRANCIS CONNECT LLC 6161 S YALE AVE TULSA,OK74136 99-5100432	HEALTH SVCS	OK	501(c)(3)	Type I	SFH	Yes
(12)WILLIAM K WARREN MEDICAL RESEARCH CTR 6585 S YALE AVE STE 900 TULSA,OK74136 23-7275389	MED RESEARCH	OK	501(c)(3)	Type III-FI	SFHS	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) IMAGING PARTNERS OF TULSA INC 8610 EXPLORER DR STE 300 COLORADO SPRINGS,CO80920 92-2540165	HEALTH SVCS	CO	SFH	Related				No	0		No	51 %
(2) TULSA REHABILITATION HOSPITAL LLC 450 CENTURY PARKWAY STE 220 ALLEN,TX75013 86-3131904	HEALTH SVCS	TX	SFH	Unrelated				No	166,401		No	51 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) RELATED HEALTH SERVICES INC 6600 S YALE AVE STE 400 TULSA,OK74136 73-1288715	HEALTH SVCS	OK	SFH	S Corporation	9,502,236	62,642,735	100 %	Yes
(2) XAVIER INSURANCE COMPANY INC 76 ST PAUL ST STE 500 BURLINGTON,VT054014477 03-0333599	CAPTIVE INSURANCE	VT	NA	C Corporation				Yes
(3) SAINT FRANCIS PAYROLL SERVICES LLC 6600 S YALE AVE STE 400 TULSA,OK74136 45-0470422	COMMON PAY AGENT	OK	NA	C Corporation				Yes
(4) SAINT FRANCIS HLTH SYS GEN-PROF LIA PO BOX 3038 MILWAUKEE,WI532013038 75-6583874	SELF INSURANCE	WI	NA	Trust				Yes
(5) SAINT FRANCIS PHARMACY SERVICES INC 6600 S YALE AVE STE 400 TULSA,OK74136 81-3127970	PHARMACY	OK	SFH	S Corporation	-2,276,230	0	100.00 %	Yes

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

Yes

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC	L	2,244,928	TRANS REVIEW
(2) LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC	M	69,635	TRANS REVIEW
(3) LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC	P	65,375,224	TRANS REVIEW
(4) LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC	Q	92,955,218	TRANS REVIEW
(5) LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC	R	3,671,218	TRANS REVIEW
(6) WARREN CLINIC INC	I	60,986	TRANS REVIEW
(7) WARREN CLINIC INC	J	1,795,649	TRANS REVIEW
(8) WARREN CLINIC INC	K	2,911,335	TRANS REVIEW
(9) WARREN CLINIC INC	L	13,129,318	TRANS REVIEW
(10) WARREN CLINIC INC	M	17,136,095	TRANS REVIEW
(11) WARREN CLINIC INC	P	768,664,023	TRANS REVIEW
(12) WARREN CLINIC INC	Q	861,073,864	TRANS REVIEW
(13) WARREN CLINIC INC	R	3,418,873	TRANS REVIEW
(14) WARREN CLINIC INC	S	471,962	TRANS REVIEW
(15) RELATED HEALTH SERVICES INC	C	5,768,341	TRANS REVIEW
(16) RELATED HEALTH SERVICES INC	L	84,313	TRANS REVIEW
(17) RELATED HEALTH SERVICES INC	P	3,781,441	TRANS REVIEW
(18) RELATED HEALTH SERVICES INC	Q	5,418,627	TRANS REVIEW
(19) RELATED HEALTH SERVICES INC	R	7,367,713	TRANS REVIEW
(20) SAINT FRANCIS HOSPITAL SOUTH LLC	K	98,050	TRANS REVIEW
(21) SAINT FRANCIS HOSPITAL SOUTH LLC	L	15,443,559	TRANS REVIEW
(22) SAINT FRANCIS HOSPITAL SOUTH LLC	M	130,180	TRANS REVIEW
(23) SAINT FRANCIS HOSPITAL SOUTH LLC	P	362,053,421	TRANS REVIEW
(24) SAINT FRANCIS HOSPITAL SOUTH LLC	Q	375,349,579	TRANS REVIEW
(25) SAINT FRANCIS HOSPITAL SOUTH LLC	R	4,874,459	TRANS REVIEW
(26) SAINT FRANCIS HOSPITAL SOUTH LLC	S	155,598	TRANS REVIEW
(27) SAINT FRANCIS PHARMACY SERVICES LLC	Q	33,826,137	TRANS REVIEW
(28) SAINT FRANCIS PHARMACY SERVICES LLC	P	34,119,157	TRANS REVIEW
(29) SAINT FRANCIS PHARMACY SERVICES LLC	R	56,627	TRANS REVIEW
(30) SAINT FRANCIS PHARMACY SERVICES LLC	C	4,456,309	TRANS REVIEW
(31) SAINT FRANCIS PHARMACY SERVICES LLC	B	5,297,828	TRANS REVIEW
(32) SAINT FRANCIS HOSPITAL VINITA INC	L	1,368,096	TRANS REVIEW
(33) SAINT FRANCIS HOSPITAL VINITA INC	M	67,299	TRANS REVIEW
(34) SAINT FRANCIS HOSPITAL VINITA INC	P	26,870,719	TRANS REVIEW
(35) SAINT FRANCIS HOSPITAL VINITA INC	Q	23,908,356	TRANS REVIEW
(36) SAINT FRANCIS HOSPITAL VINITA INC	R	3,398,495	TRANS REVIEW
(37) SAINT FRANCIS HOSPITAL MUSKOGEE INC	L	18,854,421	TRANS REVIEW
(38) SAINT FRANCIS HOSPITAL MUSKOGEE INC	M	450,025	TRANS REVIEW
(39) SAINT FRANCIS HOSPITAL MUSKOGEE INC	P	210,847,062	TRANS REVIEW
(40) SAINT FRANCIS HOSPITAL MUSKOGEE INC	Q	290,222,072	TRANS REVIEW
(41) SAINT FRANCIS HOSPITAL MUSKOGEE INC	R	32,884,255	TRANS REVIEW
(42) SAINT FRANCIS HOSPITAL MUSKOGEE INC	S	286,569	TRANS REVIEW
(43) THE CHILDREN'S HOSPITAL FDN AT SAINT FRANCIS	C	137,801	TRANS REVIEW
(44) THE CHILDREN'S HOSPITAL FDN AT SAINT FRANCIS	P	132,741	TRANS REVIEW
(45) THE CHILDREN'S HOSPITAL FDN AT SAINT FRANCIS	Q	394,360	TRANS REVIEW
(46) THE CHILDREN'S HOSPITAL FDN AT SAINT FRANCIS	S	212,206	TRANS REVIEW
(47) ALL SAINTS HOME MEDICAL LLC	C	583,803	TRANS REVIEW
(48) ALL SAINTS HOME MEDICAL LLC	J	398,784	TRANS REVIEW
(49) ALL SAINTS HOME MEDICAL LLC	L	272,246	TRANS REVIEW
(50) ALL SAINTS HOME MEDICAL LLC	P	22,018,951	TRANS REVIEW
(51) ALL SAINTS HOME MEDICAL LLC	Q	20,804,256	TRANS REVIEW
(52) ALL SAINTS HOME MEDICAL LLC	C	583,803	TRANS REVIEW
(53) XAVIER VENTURE PROPERTIES LLC	I	6,895,116	TRANS REVIEW
(54) SAINT FRANCIS CONNECT LLC	L	261,002	TRANS REVIEW
(55) SAINT FRANCIS CONNECT LLC	Q	1,780,105	TRANS REVIEW
(56) SAINT FRANCIS CONNECT LLC	P	524,022	TRANS REVIEW
(57) SAINT FRANCIS CONNECT LLC	R	152,458	TRANS REVIEW
(58) TULSA REHABILITATION HOSPITAL LLC	L	399,661	TRANS REVIEW
(59) WILLIAM K WARREN MEDICAL RESEARCH CENTER	C	1,043,949	TRANS REVIEW

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

1	Briefly describe the organization’s mission or most significant activities: TO EXTEND THE PRESENCE AND HEALING MINISTRY OF CHRIST IN ALL WE DO.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	9
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	9,515
6	Total number of volunteers (estimate if necessary) .............	6	606
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	15,159,551
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	4,816,888

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,953,633	2,840,241
9	Program service revenue (Part VIII, line 2g) .........	1,630,618,610	1,723,257,240
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	98,167,205	159,134,895
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	29,375,463	66,740,866
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,760,114,911	1,951,973,242
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	6,522,289	8,018,835
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	662,781,659	769,731,936
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	782,196,880	827,363,959
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,451,500,828	1,605,114,730
19	Revenue less expenses. Subtract line 18 from line 12.......	308,614,083	346,858,512
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	4,126,374,411	4,372,769,002
21	Total liabilities (Part X, line 26).............	266,140,664	273,419,330
22	Net assets or fund balances. Subtract line 21 from line 20.....	3,860,233,747	4,099,349,672

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,360,108,259 including grants of $ 8,018,835 ) (Revenue $ 1,784,190,967 )
	BOTH SAINT FRANCIS HEALTH SYSTEM, INC. AND SAINT FRANCIS HOSPITAL ARE COMMITTED TO PROVIDING EXCELLENT CARE AND CONTINUALLY SEEK TO IMPROVE THE CLINICAL QUALITY OF THE CARE DELIVERED AS WELL AS THE OVERALL PATIENT EXPERIENCE. COMMENDATIONS RECEIVED IN THE FISCAL YEAR INCLUDE: SAINT FRANCIS HEALTH SYSTEM WAS NAMED A TOP 15 HEALTH SYSTEM BY PREMIER PINC AI, A NATIONWIDE STUDY PUBLISHED ANNUALLY BY FORTUNE MAGAZINE. IN PRESENTING THE HONORS AT A NATIONAL CONFERENCE, PREMIER PRESIDENT AND CEO MICHAEL J. ALKIRE SAID THE SAINT FRANCIS "CULTURE OF EXCELLENCE" USES DATA AND ANALYTICS TO IMPROVE CONSTANTLY. "SAID SIMPLY... YOU INSPIRE US," ALKIRE SAID. ALL FOUR SAINT FRANCIS HOSPITAL CAMPUSES ACHIEVED FOUR-STAR QUALITY RATINGS FROMTHE U.S. CENTERS FOR MEDICARE AND MEDICAID SERVICES, A UNIQUE ACHIEVEMENT IN THE HEALTH SYSTEM. (Continued on Schedule O.)

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,360,108,259

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) DONALD SCHLEICHER II MD........................................................................ PHYSICIAN	5.0 .......................35.0	X	213,500	1,166,879	33,544
(19) JONATHAN LEVINE MD........................................................................ PHYSICIAN	40.0 .......................0.0	X	1,296,617	0	44,948
(20) NIKHIL MUKHI MD........................................................................ PHYSICIAN	40.0 .......................0.0	X	1,737,350	0	21,850
(21) ROBERT GARRETT MD........................................................................ PHYSICIAN	1.0 .......................39.0	X	30,000	1,570,562	40,086
(22) SCOTT DULL MD........................................................................ PHYSICIAN	5.0 .......................35.0	X	232,300	1,793,960	47,573

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	4,220,987	10,060,041	1,032,692

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	573,415
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	2,266,826

g	Noncash contributions included in lines 1a - 1f:$		1g	110,287

h Total. Add lines 1a-1f.......		2,840,241

		Business Code
2a	PATIENT CARE REVENUE	621110	792,591,856	792,591,856
b	OUTREACH LAB	621500	30,465,489	28,191,708	2,273,781
c	MEDICARE / MEDICAID RBI	621300	900,199,895	900,199,895
d
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		1,723,257,240

3 Investment income (including dividends, interest, and othersimilar amounts) ......			134,986,793			134,986,793
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	0	0
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	447,459,710	25,688
b	Less: cost or other basis and sales expenses	7b	423,203,717	133,579
c	Gain or (loss)	7c	24,255,993	-107,891
d	Net gain or (loss).........			24,148,102			24,148,102
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	SAINT FRANCIS PHARMACY SERVICES		904002	24,021,952	21,711,034	2,310,918
b	LABORATORY SERVICES		620000	15,441,064	14,739,683	701,381
c	INTERCOMPANY REVENUE		560000	13,875,970	13,875,970
d	All other revenue ....			13,401,880	3,528,409	9,873,471	0
e	Total. Add lines 11a–11d ......			66,740,866
12	Total revenue. See instructions.....			1,951,973,242	1,774,838,555	15,159,551	159,134,895

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	6,665,335	6,665,335
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	1,353,500	1,353,500
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......	0	0
5	Compensation of current officers, directors, trustees, and key employees ...........	837,141		837,141
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	601,697,455	428,036,086	173,661,369
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	27,112,468	19,322,233	7,790,235
9	Other employee benefits .......	97,745,978	70,377,622	27,368,356
10	Payroll taxes ...........	42,338,894	30,098,277	12,240,617
11	Fees for services (non-employees):
a	Management ......	45,627,714	38,740,601	6,887,113
b	Legal .........	1,328,279	1,328,279
c	Accounting ...........	867,237		867,237
d	Lobbying ...........	28,812		28,812
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	4,767,448		4,767,448
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	28,503,252	27,648,154	855,098	0
12	Advertising and promotion ....	3,225,044	3,225,044
13	Office expenses .......	69,638,988	68,246,208	1,392,780
14	Information technology ......	31,164,784	23,948,537	7,216,247
15	Royalties ..
16	Occupancy ...........	20,091,571	19,399,726	691,845
17	Travel ............	1,457,386	1,355,369	102,017
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	84,377,902	84,377,902
23	Insurance ...	50,008,179	50,008,179
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	424,652,231	424,652,231	0
b	MEDICAID SHOPP FEE	52,231,588	52,231,588	0
c	DUES AND LICENSES	537,732	237,576	300,156
d	administrative expense	6,149,624	6,149,624
e	All other expenses	2,706,188	2,706,188	0	0
25	Total functional expenses. Add lines 1 through 24e	1,605,114,730	1,360,108,259	245,006,471	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			1,885,007	1	1,641,908
2	Savings and temporary cash investments .........			1,176,473,638	2	1,024,392,132
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			185,180,680	4	201,964,885
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			33,043,550	8	35,581,178
9	Prepaid expenses and deferred charges ......			36,052,939	9	28,322,038
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,518,365,583
b	Less: accumulated depreciation	10b	790,181,843	726,460,612	10c	728,183,740
11	Investments—publicly traded securities .			1,787,044,442	11	2,151,563,839
12	Investments—other securities. See Part IV, line 11 .....			100,865,669	12	99,807,981
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			79,367,874	15	101,311,301
16	Total assets. Add lines 1 through 15 (must equal line 33)...			4,126,374,411	16	4,372,769,002

17	Accounts payable and accrued expenses .....	170,529,718	17	153,192,480
18	Grants payable ...		18
19	Deferred revenue .........	29,638,582	19	28,727,403
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	65,972,364	25	91,499,447
26	Total liabilities. Add lines 17 through 25..	266,140,664	26	273,419,330

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	3,860,233,747	27	4,099,349,672
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	3,860,233,747	32	4,099,349,672
33	Total liabilities and net assets/fund balances ........	4,126,374,411	33	4,372,769,002

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No