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Schedule I
(Form 990)
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.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2017
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
1
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? ........................
2
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) American Cancer Society Inc
4110 S 100th E Ave 101
Tulsa,OK74146 		74-1185665 501(c)(3) 7,000       Program Support
(2) American Heart Association Inc
PO Box 4002903
Des Moines,IA503402903 		13-5613797 501(c)(3) 81,000       Program Support
(3) American Kidney Fund
11921 Rockville Pike Ste 300
Rockville,MD20852 		23-7124261 501(c)(3) 48,000       Program Support
(4) Bishop Kelley High School
3905 S Hudson Ave
Tulsa,OK74135 		73-0706623 501(c)(3) 110,000       Program Support
(5) Catholic Charities of the Diocese of Tulsa
2450 N Harvard Ave
Tulsa,OK74115 		73-1171950 501(c)(3) 336,344       Program Support
(6) City of Muskogee
837 E Okmulgee Street
Muskogee,OK74403 		73-6005340 Govt 5,500       Program Support
(7) Connors Development Foundation Inc
700 College Rd
Warner,OK74469 		73-1096349 501(c)(3) 100,000       Program Support
(8) Greater Muskogee Area Chamber of Commerce
310 W Broadway St
Muskogee,OK74401 		73-0366960 501(c)(6) 6,200       Program Support
(9) Hospitality House of Oklahoma Inc
635 Short Stonewall St
Mcalester,OK74501 		73-1442108 501(c)(3) 12,100       Program Support
(10) IRN Reuse Network
7 South State St Ste 2
Concord,NH03301 		03-0381073   59,433       Program Support
(11) John Hope Franklin Center for Reconciliation
322 N Greenwood Ave
Tulsa,OK74120 		26-4767477 501(c)(3) 10,000       Program Support
(12) Mental Health Association
1870 S Boulder
Tulsa,OK741195234 		73-0657931 501(c)(3) 60,000       Center For Criminal Justice Reform $50,000, Zarrow Mental Symposium $10,000
(13) Metro Tulsa Chamber of Commerce Inc
1 W 3rd St Ste 100
Tulsa,OK74103 		73-0488250 501(c)(6) 24,650       Program Support
(14) Oklahoma Center for Community and Justice
100 West Fifth St Ste 401
Tulsa,OK74103 		87-0744050 501(c)(3) 25,000       59th Annual Award Dinner Honoring Judy Kishner
(15) Osteopathic Founders Foundation Inc
8801 S Yale Ave Ste 400
Tulsa,OK74137 		73-0583936 501(c)(3) 21,736       Winterset 2018
(16) Roman Catholic Diocese of Tulsa
PO Box 690240
Tulsa,OK74169 		73-0942657 501(c)(3) 50,000       Eastern OK Catholic Magazine
(17) Children's Hospital Foundation at Saint Francis
6600 S Yale Ave Ste 400
Tulsa,OK74137 		20-2843418 501(c)(3) 300,000       Painted Pony Event FTS Golf Tournament 2017
(18) Tulsa Area United Way Inc
PO Box 1859
Tulsa,OK74101 		73-0580283 501(c)(3) 77,000       Program Support
(19) HIV Resorce Consortium Tulsa Cares
3712 East 11th Street
Tulsa,OK74112 		73-1388569 501(c)(3) 6,000       Program Support
(20) Tulsa International Mayfest Inc
616 S Boston 316
Tulsa,OK74119 		73-1279685 501(c)(3) 10,000       Program Support
(21) Tulsa Tough Inc
214 N Main St 203
Tulsa,OK74103 		27-3283740 501(c)(3) 225,000       Tulsa Tought Sponsorship
(22) University of Tulsa Inc
800 S Tucker Dr
Tulsa,OK74104 		73-0579298 501(c)(3) 51,000       All American Tennis Championships
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
19
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
3
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2017
Page 2

Schedule I (Form 990) 2017
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 186 622,892      
(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
Part I, Question 2 Saint Francis Health System, Inc. offers scholarship opportunities to individuals in the nursing and allied health arena. The application process, approval process, monitoring, and in the event of default, collection process takes place in the Human Resource Department of Saint Francis Health System, Inc. To qualify for a scholarship, employees submit applications which are accumulated and ranked based on appropriate criteria. Dependent on the availability of funds, applicants are selected to receive scholarships. Chosen applicants must sign a work agreement for six months for each semester which they receive funding. Official transcripts must be submitted to document successful completion for each semester. In the event an applicant does not fulfill their scholarship agreement they are contacted via certified mail that all funds awarded are due within 30 days. If the balance is not paid in full within 30 days, collection efforts ensue with a third party collection agency.
Schedule I (Form 990) 2017



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