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      <Desc>Saint Francis Health System, Inc. was formed as the parent entity to support an integrated delivery system as well as control and manage the activities of several nonprofit organizations. The principal goal of the integrated system was to bring the operations of two general acute care hospitals, a psychiatric hospital, a tax-exempt physician clinic, and other ancillary service entities and subsidiaries of directly affiliated entities under the common control of Saint Francis Health System, Inc. The nonprofit supported entities directly controlled and managed by Saint Francis Health System, Inc. are as follows: Saint Francis Hospital, Inc.; Laureate Psychiatric Clinic and Hospital, Inc.; Warren Clinic, Inc.; the Children's Hospital Foundation of Saint Francis; Saint Francis Hospital South, LLC; Saint Francis Hospital Vinita, Inc.; and Saint Francis Hospital Muskogee, Inc. Each of the organizations listed above are recognized as tax-exempt under Internal Revenue Code section 501(c)(3) and 501(a). Saint Francis Health System, Inc. has overall control and supervision of certain ancillary healthcare activities that are operated solely by the entities of which Saint Francis Health System, Inc. is the sole member. Saint Francis Health System, Inc. facilitates the creation of a comprehensive healthcare delivery system serving a geographic region consisting of Tulsa, Oklahoma, and the surrounding areas of Northeastern Oklahoma. The related entities within Saint Francis Health System, Inc. are involved in the direct provision of healthcare services. Saint Francis Health System, Inc. conducts its operations and those of its affiliates in adherence to the religious and ethical directives of the Roman Catholic Church and maintains a Catholic presence throughout its operations. It is also the intention of the Saint Francis Health System, Inc. board of trustees for the operations of Saint Francis Health System, Inc. to be charitable in nature. Saint Francis Health System, Inc. provides management and administrative services to the hospitals, clinics, and medical providers operated by Saint Francis Health System, Inc. for the promotion of health, better and improved medical care, medical research, and education for the benefit of the general public. Saint Francis Health System, Inc., in developing and supervising the operations of a healthcare delivery system and the operations of the supported affiliates, routinely charges patients of the system for their treatment. It is the policy of the hospitals and Saint Francis Health System, Inc. to treat any patient in an emergency room of the hospitals irrespective of ability to pay. GENERAL PURPOSE AND VISION Saint Francis Health System, Inc., along with its supported hospitals and clinics, share a common goal to continually improve the effectiveness and efficiency of services directed at optimizing the health status of the entire community. This common goal has been transformed into a common vision for the related entities and supported organizations. Saint Francis Hospital, Inc., Laureate Psychiatric Clinic and Hospital, Inc., Saint Francis Hospital South, LLC, Saint Francis Hospital Vinita, Inc., Saint Francis Hospital Muskogee, Inc., Warren Clinic, Inc., and all affiliated organizations have come together with Saint Francis Health System, Inc. to form a full-service, seamless health delivery system serving the communities of Tulsa, Oklahoma, and surrounding communities of eastern Oklahoma. The medical community, board, administration, and employees work together to gain regional preeminence as a leading healthcare provider while improving health status and managing per capita costs.</Desc>
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        <ExplanationTxt>Saint Francis Health System, Inc., through its membership dues to the American Hospital Association (AHA), Tulsa Hospital Association, Tulsa Chamber of Commerce, and the Catholic Health Association, participates in lobbying and grass roots lobbying activity. It is less than a substantial part of the total expenditures in a taxable year. The lobbying and grass roots lobbying activity is related to legislation affecting the system and operation of the system for its charitable purposes, particularly the promotion of health. "Grass roots lobbying activity" means any attempt by the AHA to influence any legislation by affecting the opinions of the public or any segment thereof. "Lobbying" means any attempt to influence legislation through communications with any member or employee of a legislative body who may participate in the crafting of legislation.</ExplanationTxt>
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        <ExplanationTxt>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 HEALTH SYSTEM, 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 HEALTH SYSTEM, INC. HAS ASSESSED ITS POSITION ON 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. PART XIII SEE PAGE 5.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds</FormAndLineReferenceDesc>
        <ExplanationTxt>Saint Francis Health System provides funds to various commonly controlled hospitals and affiliates to support their operations. The system determines the amount of the funds provided on an annual basis. As part of its commitment to the communities it serves, Saint Francis Health System has made a grant to other charitable and civic organizations that benefit the communities. Grants are reviewed and approved through the annual budgetary process by the CEO and the Board of Directors. A committee approves each grant and monitors the use of grant funds.</ExplanationTxt>
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        <ExplanationTxt>A select group of highly compensated employees of Saint Francis Health System, Inc., and its related entities, Saint Francis Hospital, Inc., Laureate Psychiatric Clinic and Hospital, Inc., Warren Clinic, Inc., Saint Francis Hospital South, LLC, the Children's Hospital Foundation at Saint Francis, Saint Francis Hospital Vinita, Inc., and Saint Francis Hospital Muskogee, Inc., are eligible to participate in a nonqualified deferred compensation plan under section 457(b) and 457(f) of the Internal Revenue Code of 1986, as amended under the Economic Growth and Tax Relief Reconciliation Act of 2001. Note: None of the individuals listed on Schedule J are compensated as board members of the reporting entity. The reported compensation is for services as employees of the reporting entity or related organization.</ExplanationTxt>
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        <ExplanationTxt>Saint Francis Payroll Services, LLC, EIN 45-0470422, has been authorized to act as a common pay agent under section 3504 of the Internal Revenue Code for Saint Francis Health System, Inc., effective July 1, 2002, in accordance with Revenue Procedure 70-6, 1970-1 C.B. 420. Saint Francis Payroll Services, LLC assumed reporting obligations for federal income tax, Social Security, Medicare withholding tax purposes as well as advance payment of earned income credit for Saint Francis Health System, Inc., effective July 1, 2002.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 DESCRIPTION OF RELATIONSHIPS</FormAndLineReferenceDesc>
        <ExplanationTxt>Many of the persons listed on part VII have a "business relationship" with each other by virtue of serving on related Saint Francis Health System, Inc. entity boards and other corporation boards. There are also "family relationships" requiring disclosure. The organization has determined these associations do not present a conflict of interest. Cliff A. Robertson, M.D., an officer and director, served on a board outside of Saint Francis Health System, Inc. with William R. Lissau, a director. 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. William R. Lissau, a director, is the father of Michael Lissau, an officer, and has a family relationship. Bishop David Konderla, a trustee, serves on other boards outside of Saint Francis Health System, Inc. with William R. Lissau, a director.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a INDEPENDENT BOARD OF DIRECTORS</FormAndLineReferenceDesc>
        <ExplanationTxt>SAINT FRANCIS HEALTH SYSTEM, INC.'S BOARD OF DIRECTORS IS COMPRISED OF 9 DIRECTORS, 7 OF WHICH ARE INDEPENDENT. SAINT FRANCIS HEALTH SYSTEM, INC. ALSO HAS A BOARD OF TRUSTEES. EITHER THE BOARD OF DIRECTORS AND A MAJORITY OF THE TRUSTEES OR UNANIMOUS TRUSTEE APPROVAL IS REQUIRED FOR THE SALE OF CORPORATE ASSETS VALUED AT $10,000,000 OR MORE. ADDITIONALLY, THE TRUSTEES HAVE SOLE AUTHORITY TO: - AMEND THE CERTIFICATE OF INCORPORATION - APPROVE MERGERS OR CONSOLIDATIONS - APPROVE THE SALE, LEASE OR TRANSFER OF ALL, OR SUBSTANTIALLY ALL, OF THE ASSETS OF THE CORPORATION - AMEND THE BYLAWS - APPOINT BOARD MEMBERS - APPROVE DISSOLUTION OR REVOCATION OF DISSOLUTION OF THE CORPORATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS FIVE TRUSTEES WHO ELECT THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>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, and approve dissolution or revocation of dissolution of the corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The finance committee, a sub-committee of the board of directors of Saint Francis Health System, Inc., has access to the password-protected Form 990 online prior to filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>A request for information on potential conflicts is solicited annually from directors, trustees, and all employees that are manager level and above to monitor proposed or ongoing transactions for conflicts of interest and dealing with potential or actual conflicts. The director, trustees, and officer/director with potential conflicts recuse themselves from events that would result in a conflict. Conflicts are regularly disclosed and addressed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation of TOP MANAGEMENT OFFICIALS is reviewed annually and approved by the compensation committee with guidance from independent consultants and the use of comparative data.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED ANNUALLY AND APPROVED BY THE COMPENSATION COMMITTEE WITH GUIDANCE FROM INDEPENDENT CONSULTANTS AND THE USE OF COMPARATIVE DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THESE REQUESTS ARE DETERMINED ON A CASE-BY-CASE BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1a OFFICER &amp; DIRECTOR HOURS</FormAndLineReferenceDesc>
        <ExplanationTxt>The hours per week reported on Form 990, part VII for officers and directors are the hours spent on the filing entity only. The remaining portion of the 40 hours per week of the officers and directors with related compensation is allocated among the entities reported on Schedule R.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Equity transfers from related organizations - 16290027; Total - 16290027;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LAUREATE PSYCHIATRIC CLINIC &amp; HOSP INC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WARREN CLINIC INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>6600 S YALE AVE STE 400</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE CHILDREN'S HOSP FDN AT SAINT FRANCIS</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>WILLIAM K WARREN MEDICAL RESEARCH CTR</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>LAUREATE MENTAL HEALTH CORPORATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 470372</AddressLine1Txt>
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        <EIN>731328882</EIN>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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          <ZIPCd>741363319</ZIPCd>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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          <AddressLine1Txt>6161 S YALE AVE</AddressLine1Txt>
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          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74136</ZIPCd>
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        <EIN>995088497</EIN>
        <PrimaryActivitiesTxt>HOLDING CO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>SFH</BusinessNameLine1Txt>
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          <AddressLine1Txt>6161 S YALE AVE</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74136</ZIPCd>
        </USAddress>
        <EIN>995100432</EIN>
        <PrimaryActivitiesTxt>HEALTH SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SFH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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          <AddressLine1Txt>8610 EXPLORER DR STE 300</AddressLine1Txt>
          <CityNm>COLORADO SPRINGS</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80920</ZIPCd>
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        <EIN>922540165</EIN>
        <PrimaryActivitiesTxt>HEALTH SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TULSA REHABILITATION HOSPITAL LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>450 CENTURY PARKWAY STE 220</AddressLine1Txt>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75013</ZIPCd>
        </USAddress>
        <EIN>863131904</EIN>
        <PrimaryActivitiesTxt>HEALTH SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>XAVIER INSURANCE COMPANY INC</BusinessNameLine1Txt>
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        <USAddress>
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          <CityNm>BURLINGTON</CityNm>
          <StateAbbreviationCd>VT</StateAbbreviationCd>
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        <EIN>030333599</EIN>
        <PrimaryActivitiesTxt>CAPTIVE INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VT</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SFHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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        <OwnershipPct>1</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS PAYROLL SERVICES LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6600 S YALE AVE STE 400</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>741363319</ZIPCd>
        </USAddress>
        <EIN>450470422</EIN>
        <PrimaryActivitiesTxt>COMMON PAY AGENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>SFHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <OwnershipPct>1</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
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          <AddressLine1Txt>PO BOX 3038</AddressLine1Txt>
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          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>532013038</ZIPCd>
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        <EIN>756583874</EIN>
        <PrimaryActivitiesTxt>SELF INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>SFHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>Trust</EntityTypeTxt>
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        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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          <AddressLine1Txt>6600 S YALE AVE STE 400</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74136</ZIPCd>
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        <EIN>731288715</EIN>
        <PrimaryActivitiesTxt>HEALTH SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
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        <EntityTypeTxt>S Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ARROWHEAD RIDGE OWNERS ASSOCIATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>6600 S YALE AVE STE 400</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74136</ZIPCd>
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        <EIN>522418279</EIN>
        <PrimaryActivitiesTxt>ADMIN SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS PHARMACY SERVICES INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>6600 S YALE AVE STE 400</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74136</ZIPCd>
        </USAddress>
        <EIN>813127970</EIN>
        <PrimaryActivitiesTxt>PHARMACY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>S Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>53463</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>125864416</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL INC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>106856697</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>14241202</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL INC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>132819</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>THE CHILDREN'S HOSP FDN AT SAINT FRANCIS</BusinessNameLine1Txt>
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        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>551088</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LAUREATE PSYCHIATRIC CLINIC &amp; HOSPITAL INC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>28976481</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LAUREATE PSYCHIATRIC CLINIC &amp; HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>1059507</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL MUSKOGEE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>62864985</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL MUSKOGEE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>1850347</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL SOUTH LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>21417273</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL SOUTH LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>1264342</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL VINITA INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>4059222</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SAINT FRANCIS HOSPITAL VINITA INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>724842</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WARREN CLINIC INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>89646094</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WARREN CLINIC INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>764154</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WARREN CLINIC INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>2238086</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>TRANS REVIEW</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>