2023-11-15T19:50:47+00:00 2022-12-31 264532849 Purk & Associates PC 1034 S Brentwood Boulevard Suite 20 00 St Louis MO 63117 990 2022-01-01 455055149 St Anthony Shawnee Hospital Inc STAN 4053955626 10101 Woodfield Lane St Louis MO 63132 Randy Combs Treasurer 3149947800 2023-11-16 true Barbara Potts 999009999 Douglas G Pleus P00013488 3148844022 2022 2023-04-26 12:10:37Z SSM Health St Anthony Hospital - Shawnee Angi Mohr 10101 Woodfield Lane St Louis MO 63132 163622250 false 0928 X https://www.ssmhealth.com/locations/st-anthony-shawnee-hospital X 2012 OK TO POSITIVELY IMPACT HUMAN LIFE THROUGH EXCEPTIONAL HEALTH CARE. OUR CORE VALUES ARE THE FOLLOWING: COMPASSIONATE CARE, CLINICAL EXCELLENCE, PEOPLE FIRST, RESOURCE STEWARDSHIP, AND COMMUNITY OUTREACH. 7 6 1104 18 0 0 6289384 300 158614043 162795083 3300 0 697825 826867 165604552 163622250 197351 110887 0 60717270 66924548 0 0 91370501 100253889 152285122 167289324 13319430 -3667074 189524614 194926189 57409206 66477855 132115408 128448334 THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. false false 158562246 110887 162795083 Please see Schedule O for a complete description of program service accomplishments. 158562246 true false false true false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true false false false true X 0 0 1104 true false false false false false false false false false false false false X 7 6 false false false false true true true true false false false false true true true true true false false true true OK X Jennifer Pierce 4053955626 1102 W McArthur Shawnee OK 74801 Joe Hodges Director, Chair, Regional President - SSM Health Care of Oklahoma 1.0 42.0 X X 0 1095255 579637 Paige Bass Director, Chair 1.0 1.0 X X 0 0 0 Brooks Richardson Director 1.0 3.0 X 0 0 0 Duke Ligon Director 1.0 2.0 X 0 0 0 Iftikhar Ahmad MD Director 1.0 2.0 X 0 0 0 Natalie Shirley Director 1.0 2.0 X 0 0 0 Steve Smoot VICE PRESIDENT, COO of SSM Health 1.0 65.0 X 0 1870292 1033999 Teresa Rose Director 1.0 1.0 X 0 0 0 Angi Mohr Hospital President, SSM Health St. Anthony Hospital - Shawnee 40.0 0 X 440869 0 171424 Douglas Long Secretary, General Counsel at SSM Health 1.0 72.2 X 0 1354027 686727 Ramona Carey Asst Secretary 1.0 41.0 X 0 70520 30523 Randy Combs Treasurer, Chief Financial Officer at SSM Health 1.0 69.0 X 0 1879738 971053 Shasta Manuel System VP Finance - Oklahoma 10.0 32.0 X 0 492700 188305 Cathy Broome VP - Patient Care Services/CNO 40.0 0 X 219644 0 59367 Darin Farrell VP - Hospital Operations 40.0 0 X 241306 0 92297 Christine DiEnna Physician 40.0 0 X 579649 0 46469 David Hadley Physician 40.0 0 X 439947 0 58167 Gaynell Anderson Physician 40.0 0 X 423505 0 50191 Kenneth Darvin Physician 40.0 0 X 437492 0 50069 Venkata Damera Physician 40.0 0 X 693389 0 58828 Kris Zimmer Former Officer 0.0 0.0 X 0 135402 0 Laura Kaiser Former Officer 0.0 44.0 X 0 5770684 2613808 Randy Kamm Former Key Employee 0.0 40.0 X 0 155525 59232 3475801 12824144 6750096 92 true true false Shawnee Medical Center Clinic 1501 N Airport Drive Shawnee OK 74804 Clinical services 15322422 AMN Healthcare Inc 12400 High Bluff Drive San Diego CA 92130 Staffing services 4981490 Shawnee Healthcare Partners LLC 13401 N Western Ave Suite 401 Oklahoma City OK 73114 Medical services 1068088 William J Hale II MD 6824 NE 101st Street Oklahoma City OK 73151 Medical services 813939 CARE STAT INC 2108 N ST STE 4037 SACRAMENTO CA 95816 staffing services 755822 50 300 300 NET PATIENT REVENUE 622110 157785793 157785793 340 PHARMACY REVENUE 446110 4349815 4349815 659475 659475 0 0 162795083 14387 14387 0 14387 14387 0 0 123364 123364 123364 CAFETERIA REVENUE 722320 596543 596543 JOINT VENTURE INCOME 900099 92573 92573 0 0 0 0 689116 163622250 162795083 0 826867 X 110887 110887 1224908 1182036 42872 50814693 49036179 1778514 2154898 2079477 75421 9047624 8730957 316667 3682425 3553540 128885 70849 70849 11958 11958 12091 12091 38060321 35056838 3003483 0 188037 188037 6016344 6016344 3822520 3822520 5988755 6084502 -95747 74530 40071 34459 10828 8078 2750 2582613 2582613 5065333 5065333 2314783 2314783 Medical supplies 27755859 27755859 Medicaid Provider Tax 4109893 4109893 Internal management fees 3227688 3227688 Licenses and taxes 941487 941487 0 0 0 0 167289324 158562246 8727078 0 146690 195343 27378193 27365267 0 0 0 0 3561147 4265175 1317747 2080445 130222295 54148864 72980137 76073431 391718 350373 0 21972988 21950557 61775994 62645598 189524614 194926189 9961076 10197834 0 0 47448130 56280021 57409206 66477855 X 132115408 128448334 132115408 128448334 189524614 194926189 -3667074 0 X false true X true false X false false false false false false false false true 12091 12091 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION PAID DUES TO VARIOUS NATIONAL AND STATE HOSPITAL ASSOCIATIONS AND PORTIONS OF THE DUES WERE ALLOCATED TO LOBBYING ACTIVITIES. 2000668 2000668 71272868 14831838 56441030 1512750 124770 1387980 50631364 39192256 11439108 4804645 0 4804645 76073431 OTHER ASSETS DUE FROM AFFILIATES 47794690 THIRD-PARTY RECEIVABLE 109756 OPERATING RIGHT-OF-USE ASSETS 14741152 62645598 DUE TO AFFILIATES 40039273 CAPITAL LEASE OBLIGATION 824990 Third-party payable 317616 RETIREMENT LIABILITIES 365547 OPERATING LEASE OBLIGATIONS 14732595 56280021 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote ST. ANTHONY SHAWNEE HOSPITAL, INC.'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH (SSMH), A RELATED ORGANIZATION. SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS IN 2022 OR 2021. true true X true X true X true true true false true true 4528462 4528462 0.0271 35822006 31755180 4066826 0.0243 4029950 3680948 349002 0.0021 0 0 44380418 35436128 8944290 0.0535 166186 166186 0.0010 47376 47376 0.0003 0 0.0 0 0.0 154933 154933 0.0009 0 0 368495 0 368495 0.0022 0 0 44748913 35436128 9312785 0.0557 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 12383611 30096517 30805909 -709392 X true true SHAWNEE SURGICAL REALTY LLC MEDICAL BUILDING 0.2671 0.7329 1 1 ST ANTHONY SHAWNEE HOSPITAL 1102 W MCARTHUR SHAWNEE OK 74804 https://www.ssmhealth.com/locations/st-anthony-shawnee-hospital 2162 X X X A A 1 false false true X X X X X X X X X 21 true false false true X https://www.ssmhealth.com/resources/about/community-health X true 22 true https://www.ssmhealth.com/resources/about/community-health false true X 200.0 400.0 X X X X X true true X X X true X https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance X https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance X https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE HOSPITAL FACILITIES ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAVE PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - St. Anthony Shawnee Hospital. Primary/qualitative data was gathered from residents of Pottawatomie County through a Community health survey, Community chats/focus groups, Key informant interviews. Each of these data collection tactics was designed with our focus on health equity in mind. This was done to ensure that the voices of the most vulnerable members of the community and the voices of those who care for them were heard in the primary data collection process. Primary data collection instruments were also designed to help identify assets in the community that are making a positive impact on the health of the community. This health asset data was used to help prioritize the health needs identified in this assessment and will be used in the creation of the hospital's 2022 2024 Community Health Improvement Plan. Furthermore: A 28- question community health survey was designed to collect primary data on the health needs of Pottawatomie County. The survey questions were based on the themes of access to healthcare, food, education, and employment. The survey was distributed electronically, and hard copies were made available to community partners such as the public library. Language options for the survey included English and Spanish, and it was available for completion from June 10, 2021 through August 31, 2021. Four "community chats" were arranged by a coordinating task force made up of representatives from the Avedis Foundation, Blue Zones Project of Pottawatomie County, Gateway to Prevention and Recovery, and SSM Health St. Anthony. The task force designed the community chats to gather input from throughout the county, with a special focus on health equity and identifying community assets. 11 community leaders were interviewed, representing healthcare, nonprofits, and government entities in Pottawatomie County. Leaders were asked to share their insights into changes and trends they have recently seen in the county, their concerns about health in the community, assets that already exist in the county, and possible interventions that could improve the community's health, especially for the poor and vulnerable. Secondary data was also used and include information published by the CDC, County Health Rankings, the Center for Applied Research and Engagement Systems (CARES), the State of the State Report, and the United States Department of Agriculture (USDA). Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - St. Anthony Shawnee Hospital. The hospital identified various health needs in the 2021 CHNA. In order to make meaningful impact, and to use its finances most effectively and efficiency, the hospital will place primary focus on the following key priorities: - Food insecurity - Behavioral health - Primary care access Food insecurity Over 16% of Pottawatomie County residents are food insecure. In our 2021 CHNA survey, residents reported that the most significant challenge to accessing healthy foods was cost. Increasing access to healthy foods decreases the rate of chronic diseases and life expectancy. The hospital has implemented the following action plan to assist with food insecurity: - Continue to ensure VeggieRx's long-term sustainability - Create a VeggieRx guide that can be shared with community partners - Continue to promote VeggieRx amongst vulnerable community members - Continue quarterly cohorts with a minimum of 30 participants per cohort - Work with Hunger Free Oklahoma and community partners to establish 2-3 "Double Up Oklahoma" (DUO) sites in Pottawatomie County, allowing SNAP beneficiaries to double the amount of produce they can purchase using their SNAP benefits at participating grocery stores, farmers' markets, and other food vendors - SSM Health's support will include partnering with Hunger Free Oklahoma to secure grant support to sustain the DUO program for the first 2-3 years at participating food vendors - Establish a Food Pharmacy to serve hospital inpatients - The Food Pharmacy program is a partnership with Regional Food Bank of Oklahoma, where the hospital provides a food box with enough nonperishable food to prepare 16 meals for patients who are identified as food insecure - The hospital's Case Management team will conduct these food insecurity screenings, with a goal of offering a food box to 75% of patients who are identified as food insecure - Provide community-based organizations with financial support towards their work in addressing food insecurity in Pottawatomie County Outcome goals of the implementation plan include: - Decreasing the percentage of adults that are food insecure in Pottawatomie County from the current rate of 15% - Increase the consumption of fresh produce in Pottawatomie County - Reduce the burden of disease associated with malnutrition in vulnerable Pottawatomie communities - 60% of VeggieRx patients will lower their BMI on average by 2 points or more Behavioral Health Nearly 20% of adults in Oklahoma had a mental illness from 2013-2014, according to the Oklahoma State Department of Health. Unfortunately, the lack of mental health resources for low-income and uninsured persons in Pottawatomie County is a barrier to seeking life-changing treatment. Intervention and prevention are key steps in combating this multifaceted health indicator. The initiatives below have been adopted by the hospital to improve behavioral health: - Integrate behavioral health into the primary care setting in SSM Health Medical Group practices, with a goal of behavioral health integration across 50% of adult primary care providers in Pottawatomie County by 2024 - Establish a community coalition to identify specific behavioral health needs in the county and address the barriers to meeting those needs - While behavioral health was identified as a general need in the community during the CHNA process, the hospital leadership team and community partners have determined that further work needs to be done to identify which specific types of behavioral health providers and services are needed - This community coalition will identify which providers and services are currently available - both for the insured and the uninsured - and then develop a strategy to meet these specific needs. This strategy may include increasing access to specific kinds of providers through recruitment, partnership, and/or investment in telehealth - Provide community-based organizations with financial support towards their work in addressing behavioral health in Pottawatomie County. As a result of the initiatives, the following goals are set: - Improve the population to provider ratio for mental health providers in Pottawatomie County from the current ratio of 330:1 - Reduce the number of residents who report struggling to access mental health services - Reduce the prevalence of "mental health not good for >=14 days" in census tract 5002 (south Shawnee) from 24.7 per 100,000 (see page 17 of 2021 CHNA) - Reduce the annual suicide rate in Pottawatomie County from 22 per 100,000 (see page 17 of 2021 CHNA) Primary care access In 2018, it was estimated that the population to primary care provider ratio in Pottawatomie County was 2,600:1. In the 2021 CHNA, county residents reported that vulnerable community members frequently delay necessary medical care because of the lack of primary care providers in their neighborhoods or towns. This leads to a high utilization of emergency services for preventable health challenges, decreased life expectancy, and poor overall health outcomes throughout the county. The hospital will take the steps below to increase access to primary care: - Bring a new primary care provider (open to all payors) to the community, working with community partners to address the trust and transportation challenges that have historically prevented vulnerable populations in south Shawnee and southern Pottawatomie County from accessing primary care - Provide in-kind services (such as lab and imaging) to support area clinics that offer primary care to the uninsured and underinsured - Continue to provide support the Pottawatomie County Free Health Clinic and the clinic at Aydelotte Baptist Church and identify additional opportunities to support these and other mission-aligned primary care clinics - Work with the City of Shawnee to identify areas of collaboration to support the health needs of people experiencing homelessness - Provide community-based organizations with financial support towards their work in addressing primary care access in Pottawatomie County Health goals for primary care access are: - Decrease the adult prevalence rates for the diseases in which Pottawatomie County received a rating of "F" in the most recent State of the State Health Report (Diabetes: 13.3%, High blood pressure (ever): 41.6%, High cholesterol: 38.8%) - Improve the population to provider ratio for primary care providers in Pottawatomie County from the current ratio of 2600:1 The hospital has no plans to discontinue other community benefit efforts addressing the remaining CHNA-identified needs. 5 SSM HEALTH MEDICAL GROUP 3204 MEDICAL PARK DRIVE SHAWNEE OK 74804 OUTPATIENT CLINIC SSM HEALTH MEDICAL GROUP 3315 KETHLEY ROAD SHAWNEE OK 74804 OUTPATIENT CLINIC SSM HEALTH MEDICAL GROUP 3214 KETHLEY ROAD SHAWNEE OK 74804 OUTPATIENT CLINIC SSM HEALTH MEDICAL GROUP 3700 N KICKAPOO AVENUE SHAWNEE OK 74804 OUTPATIENT CLINIC SSM HEALTH SURGERY CENTER 1106 W MCARTHUR SHAWNEE OK 74804 OUTPATIENT SURGERY Schedule H, Part I, Line 3c DISCOUNTED CARE EXCEPTIONS Patients whose family income exceeds 400% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the hospital; however the discounted rates shall not be greater than the amounts generally billed to commercially insured [or Medicare] patients. In such cases, other factors may be considered in determining their eligibility for discounted or free services, including: * Bank accounts, investments and other assets * Employment status and earning capacity * Amount and frequency of bills for health care services * Other financial obligations and expenses * Generally, financial responsibility will be no more than 25% of gross family income. The hospital may utilize predictive analytical software or other criteria to assist in making a determination of financial assistance eligibility in situations where the patient qualifies for financial assistance but has not provided the necessary documentation to make a determination. This process is called "presumptive eligibility." Schedule H, Part I, Line 6a Community benefit report prepared by related organization SSM Health Care Corporation, 46-6029223 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The amounts reported on Form 990, Schedule H, Part I, Line 7a, 7b, and 7c were determined using the cost to charge ratio derived from worksheet 2 in the schedule h instructions. Form 990, schedule h, part I, Lines 7e, 7f, 7g, 7h, and 7i are reported at cost as reported in the organization's financial statements. The calculation of Schedule H, Part I, Line 7, Column F utilizes 990, Part IX, Line 25, Column A, which does not include Bad Debt Expense. Schedule H, Part II Community Building Activities ST. ANTHONY SHAWNEE HOSPITAL PARTICIPATES IN A WIDE ARRAY OF COMMUNITY AND CIVIC ORGANIZATIONS IN THE PROMOTION OF HEALTH CARE AND COMMUNITY BUILDING ACTIVITIES. SPECIFIC ACTIVITIES REPORTED IN PART II OF SCHEDULE H INCLUDE THE FOLLOWING: ECONOMIC DEVELOPMENT: Shawnee Forward (the combination of Shawnee Area Chamber of Commerce and Economic Development Foundation), an organization leading Shawnee and the surrounding region in both community and economic development efforts; COMMUNITY SUPPORT: ACTIVE IN THE Blue Zones Project Pottawatomie County, a community-wide well-being improvement initiative to help make healthy choices easier for everyone in our community; COALITION BUILDING: INVOLVEMENT WITH THE UNITED WAY BOARD AND INITIATIVES. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount AS A RESULT OF NEW ACCOUNTING GUIDANCE, BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology FOR FINANCIAL STATEMENT PURPOSES, SSM Health HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER NORTON HOSPITAL'S FINANCIAL ASSISTANCE POLICY ON A GROSS BASIS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote St. Anthony Shawnee Hospital, Inc. is part of the SSM Health consolidated audit. The footnote that references the treatment of uncollectible accounts and implicit price concessions in the December 31, 2022 consolidated audit is contained on page 13, 14 and 15 of the attached financial statements. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COST REPORTED CAME FROM THE MEDICARE COST REPORT. SSM HEALTH ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SSM HEALTH BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES, AS MEDICARE ALLOWED COST IS LESS THAN ACTUAL COST. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance St. Anthony Shawnee Hospital has established a written credit and collection policy and procedures. The billing and collection policies and practices reflect the mission and values of SSM Health, including our special concern for people who are poor and vulnerable, The Health Center embraces its responsibility to serve the communities in which it participates by establishing sound business practices. The Health Center's billing and collection practices will be fairly and consistently applied. All staff and vendors are expected to treat all patients consistently and fairly regardless of their ability to pay. They respond to patients in a prompt and courteous manner regarding any questions about their bills and provide notification of the availability of financial assistance. All uninsured patients will be provided a standard discount for medically necessary inpatient and outpatient services, including services provided at off-campus outpatient sites. The hospital determined the amount of the discount based on the local managed care market, applicable statutory requirements and other relevant local circumstances. The rate must be no less than the lowest effective discount rate and no greater than the highest effective discount rate for the current managed care contracts of the hospital. Uninsured patients may also qualify for an additional discount based upon financial need under the system financial assistance policy. All accounts due from the patient will receive a statement after discharge or after final adjudication from patient's insurance. Generally the patient will receive 4 months (120 days) of in-house collection efforts (including early out vendors) and 12 months of bad debt collection efforts. The hospital will make Reasonable Efforts to determine FAP eligibility including: 1. The financial assistance summary will be included with each billing statement 2. Extraordinary Collection Activity (ECAs) may not occur until bad debt placement and only after 120 days. 3. ECAs must be suspended if a guarantor submits a FAP application during the application period. 4. Reasonable measures must be taken to reverse ECAs if the application is approved which may include refunding any payments made in excess of amounts owed as an FAP-eligible individual. 5. Bad Debt vendors will gain written approval from SSM prior to engaging in ECAs. SSM will review the accounts and verify satisfactory completion of reasonable efforts during the notification and application period. A waiver is not considered reasonable efforts. Obtaining a signed waiver that an individual does not wish to apply for FAP assistance or receive FAP application information will not meet the requirement to make "reasonable efforts" to determine whether the individual is FAP-eligible before engaging in ECAs. All outside collection agencies must comply with state and federal laws, comply with the association of credit and collection professional's code of ethics and professional responsibility and comply with St. Anthony Shawnee Hospital collection and financial assistance policies. Schedule H, Part V, Section B, Line 16a FAP website A - ST ANTHONY SHAWNEE HOSPITAL: Line 16a URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website A - ST ANTHONY SHAWNEE HOSPITAL: Line 16b URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - ST ANTHONY SHAWNEE HOSPITAL: Line 16c URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment SSM Health (SSMH) participates in Community Benefit according to our vision. Through our participation in the healing ministry of Jesus Christ, communities, especially those that are economically, physically, and socially marginalized, will experience improved health in mind, body, spirit and environment. In the tradition of our founders, the Franciscan Sisters of Mary, caring for those in greatest need remains our organizational priority. Today our System Board monitors Community Benefit efforts, and views achievement of our vision as a primary responsibility. The purpose of SSM's Community Benefit program is to assess and address community health needs. Making our communities healthier in measurable ways is always our goal. To fulfill this commitment, SSM's Community Benefit is divided into two parts: 1) Community Health Needs Assessment (CHNA), and 2) Community Benefit Inventory for Social Accountability (CBISA). The CHNA is an assessment and prioritization of community health needs and the adoption and implementation of strategies to address those needs. A CHNA is conducted every three years by each hospital according to the following steps: * Assess and prioritize community health needs: Gather CHNA data from secondary sources; obtain input from stakeholders representing the broad interests of the community through interviews and focus groups; use data to select top health priorities; and complete written CHNA. * Develop, adopt, and implement strategies to address top-health priorities: Establish strategies to address priorities; complete Strategic Implementation Plan; obtain Regional/Divisional Board approval; and integrate strategies into operational plan. * Make CHNA widely available to the public: Publish CHNA and summary document on hospital's website. * Monitor, track, and report progress on top health priorities: Collect data and evaluate progress; report to Regional/Divisional Board every six months and System Board every year; share findings with community stakeholders; and send results to finance for submission to the Internal Revenue Service (IRS). System Office staff and leaders oversee and monitor SSMH's Community Benefit Program, and ensure reporting is in compliance with IRS regulations. In collaboration with community stakeholders and partner organizations, SSM Health Care Corporation also identifies needs based on assessments and research, and SSMH facilities also involve case managers and care team staff to pinpoint critical health issues in the community. All hospital CHNAs are completed, approved, and integrated into the organization's strategic plan. We continue to monitor and assess the progress of our local efforts in the spirit of caring for others and improving community health. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Each entity providing medical service shall provide information to the public regarding its charity care policies and the qualification requirements for each of its facilities. When standard system notices and communication regarding charity care are available, these must be used. Modifications to the standard may be made to comply with state and local laws, as well as reflect culturally sensitive terminology for the policy. All notices are easy to understand by the general public, culturally appropriate and available in those languages that are prevalent in the community. They provide information about: * The patient's responsibility for payment, * The availability of financial assistance from public programs and entity charity care and payment arrangements, * The entity's charity policy and application process, and * Who to contact to get additional information or financial counseling. The following types of notices to the public are provided: * Signs in the emergency department, website resources, and public waiting areas. * Brochures or fliers provided at time of registration and available in the financial counseling areas. * Notices sent with or on patient bills or communications sent to patients and guarantors related to medical services. * Applications provided to uninsured patients at the time of registration. The application for charity care, together with any instructions, must clearly state the policies regarding charity care, including excluded services, eligibility criteria and documentation requirements. Information about the entity's charity policies is also provided to public agencies. Schedule H, Part VI, Line 4 Community information SSM Health St. Anthony Hospital - Shawnee is located in Shawnee, Oklahoma and defines its primary service area as in Pottawatomie County, which according to 2020 population estimates, had a population of 7,454 persons. Residents of the county account for nearly 72% of the total patients served by the hospital. The hospital is on the north side of Shawnee, the 14th largest city in Oklahoma with a population of 31,476. Of the hospital's community, only 20% have at least a Bachelor's degree and 11% do not have a High School diploma. The south side of Shawnee is one of the most vulnerable areas in the state, with a CDC Social Vulnerability Score of 0.9502 (0 being lowest vulnerability, 1 highest vulnerability. The average household income for this area is only $20,038. For Pottawatomie County and Oklahoma, 15% of the population report food insecurity. Smoking prevalence for those 18 and older was 36.6% for the county and state, and 36.6% for the south Shawnee area. More information and statistical data on the SSM Health St Anthony Hospital - Shawnee service area can be found in the 2021 CHNA. Schedule H, Part VI, Line 5 Promotion of community health St. Anthony Shawnee Hospital, Inc. participates in a wide array of community programs throughout the area to further its exempt purpose of promoting the health of the community. The community initiatives build on the strengths of our communities and systems to improve the quality of life and to create a sense of hope. Community Benefit initiatives build community capacity and individual empowerment through community organizing, leadership development, partnerships, and coalition building. Our Community Health programs provide compassionate and competent care while they promote health improvement by reaching directly into the community to ensure that low-income and under-served persons can access health care services. In response to the global coronavirus pandemic, St. Anthony Shawnee Hospital, Inc. worked relentlessly to respond to community needs by developing and implementing strategies to address social needs of those served, providing screening & testing services, personal protective equipment and education throughout the community, as well as treatment for those who presented with COVID-19. St. Anthony Hospital Shawnee, Inc. promotes grassroots advocacy and engages persons of influence to affect social and public policy change in order to promote both community health and healthy communities. St. Anthony Shawnee Hospital, Inc. also furthers its exempt purpose with the following activities: * Operates an emergency room that is open to all persons regardless of ability to pay, * Has an open medical staff with privileges available to all qualified physicians in the area, * Engages in the training and education of health care professionals, * Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs * All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system. Schedule H, Part VI, Line 6 Affiliated health care system ST. ANTHONY SHAWNEE HOSPITAL IS A 501(C) (3) ORGANIZATION AND IS A MEMBER OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. ALONG WITH SSM HEALTH CARE OF OKLAHOMA, INC. THE HOSPITAL IS PURSUING A VISION TO CREATE A COMPREHENSIVE, REGIONAL HEALTH CARE ENTERPRISE FOR THE CENTRAL OKLAHOMA REGION. SSM Health (SSMH) is a centrally managed, fully integrated health care delivery system with its headquarters based in St. Louis, Missouri. SSM Health Care Corporation (SSMHCC) (doing business as SSMH) is the principal not-for-profit corporation and has been established as the parent corporation. SSMH owns and operates 22 adult hospitals, one pediatric hospital, thirteen post-acute care facilities, a national pharmacy benefit management company (PBM), an extensive network of physician practice operations, and other health care businesses. SSMH's hospital operations are located primarily in Missouri, Wisconsin, Oklahoma and Illinois, and its related businesses provide health related services in 50 states. SSMH's mission statement is as follows: Through our exceptional health care services, we reveal the healing presence of God. SSMHCC and most of its affiliated subsidiary corporations have been granted exemption from federal income tax as charitable organizations under Section 501(c)(3) of the Internal Revenue Code (IRC). Certain subsidiaries of SSMH are for-profit entities that are taxable under the IRC. SSMH is sponsored by SSM Health Ministries, an independent nine-member body composed of two Franciscan Sisters of Mary, one Sister of St. Agnes, one Jesuit priest, and five lay persons who collectively hold certain reserved powers over SSMH. Schedule H, Part VI, Line 7 State filing of community benefit report OK true OKLAHOMA BAPTIST UNIVERSITY 500 W University Street Shawnee OK 74804 730579264 501(C )(3) 81000 FMV HIGHER EDUCATION SUPPORT CITIZEN POTAWATOMI NATION 1601 S GORDON COOPER DRIVE Shawnee OK 74801 730945447 501(c)(3) 29059 FMV HOUSING, EDUCATION, HEALTH CARE, VETERANS AND CAREER SERVICES 2 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE PROCEDURES USED TO MONITOR THE USE OF GRANT FUNDING VARIES BASED ON THE GRANT RECIPIENT. GRANTS TO RELATED ENTITIES ARE MONITORED DIRECTLY BY THE ORGANIZATION WHEREBY THE RECIPIENT REPORTS ON THE SPECIFIC USE OF THE FUNDING. FOR GRANTS TO UNRELATED ENTITIES, THE ORGANIZATION UTILIZES THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) TO TRACK, STORE AND REPORT A WIDE RANGE OF INFORMATION RELATED TO GRANTS AND OVERALL COMMUNITY IMPACT. IN CERTAIN CIRCUMSTANCES, QUALIFYING EXPENSES MAY BE PAID ON BEHALF OF SYSTEM EMPLOYEES BASED UPON DEMONSTRATED FINANCIAL HARDSHIP CAUSED BY NATURAL DISASTERS, ILLNESS, OR OTHER UNFORESEEN TRAGEDY. false true false false false false false false false Joe Hodges Director, Chair, Regional President - SSM Health Care of Oklahoma 0 642969 0 367335 0 84951 0 538438 0 41199 0 1674892 0 447967 Steve Smoot VICE PRESIDENT, COO of SSM Health 0 1084584 0 672081 0 113627 0 995370 0 38629 0 2904291 0 672081 Laura Kaiser Former Officer 0 1929589 0 1636383 0 2204713 0 2594363 0 19444 0 8384492 0 2010054 Kris Zimmer Former Officer 0 0 0 0 0 135402 0 0 0 0 0 135402 0 372 Douglas Long Secretary, General Counsel at SSM Health 0 724576 0 460492 0 168959 0 664054 0 22673 0 2040753 0 460492 Shasta Manuel System VP Finance - Oklahoma 0 356556 0 99950 0 36194 0 148868 0 39438 0 681005 0 139946 Randy Combs Treasurer, Chief Financial Officer at SSM Health 0 1144254 0 475226 0 260259 0 938234 0 32819 0 2850792 0 475226 Angi Mohr Hospital President, SSM Health St. Anthony Hospital - Shawnee 334314 0 96502 0 10053 0 137072 0 34352 0 612293 0 104626 0 Randy Kamm Former Key Employee 0 154783 0 0 0 742 0 24615 0 34617 0 214758 0 0 Cathy Broome VP - Patient Care Services/CNO 188256 0 29651 0 1737 0 47242 0 12125 0 279011 0 29651 0 Darin Farrell VP - Hospital Operations 205890 0 34733 0 684 0 53490 0 38807 0 333604 0 34733 0 Gaynell Anderson Physician 309464 0 112683 0 1358 0 14267 0 35924 0 473695 0 0 0 Venkata Damera Physician 503767 0 188734 0 888 0 17699 0 41129 0 752217 0 0 0 Christine DiEnna Physician 393477 0 185278 0 893 0 14331 0 32138 0 626118 0 0 0 David Hadley Physician 313983 0 123392 0 2573 0 17540 0 40627 0 498114 0 0 0 Kenneth Darvin Physician 314510 0 121624 0 1358 0 8700 0 41369 0 487561 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The organization's top management official (Hospital President) has compensation that is determined by a related organization. The related organization utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the SSM Health President. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Pension Restoration Plan: SSM Health (SSMH) provides this supplemental defined benefit nonqualified retirement plan to any employee who is a participant in the SSMH qualified defined benefit plan who earns over the Internal Revenue Service compensation limit. The plan "restores" the benefits to these employees that would have been provided under the SSMH qualified plan if the regulations did not impose compensation limits. An individual can take a distribution from the plan at (1) age 65 or older if the individual is still employed by SSMH or (2) age 55 or older if the individual is no longer employed by SSMH. No individuals listed on Part VII of Form 990 received distributions from the plan in 2022. Capital Accumulation Plan: SSMH provides this supplemental nonqualified retirement plan to executive level employees. The organization contributed a percentage of the employee's base salary into their choice of a select list of investments. The deposits and earnings of the plan are owned by SSMH and are tax-deferred until a distribution is made to the employee. In addition, the plan has special safeguards in place to protect the funds from contingencies, other than insolvency. For contributions made to the plan in 2014 or after, the distribution will occur after the completion of four plan years for all executives that are still actively employed on the distribution date. Any active participant 65 years or older will receive the contribution in the current year. THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DEFERRALS FROM THIS PLAN IN 2022: Joe Hodges $139,252 Randall Combs $251.115 Douglas Long $159,815 Shasta Manuel $35,825 Angi Mohr $17,285 Cathy Broome $8,889 Laura Kaiser $708,350 The following individuals listed on Part VII of the Form 990 received distributions from this plan in 2022. All distributions received from the plan in the current year were included in the individual's taxable compensation. Joe Hodges $79,749 Shasta Manuel $34,306 Angi Mohr $8,020 Laura Kaiser $1,488,789 Form 990, Part III, Line 4a Program Service Accomplishments Briefly describe the organization's mission: Since it was founded in 1872 by Catholic sisters, SSM Health (SSMH) has existed to meet the health needs of the communities it serves. SSMH is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through one of the largest integrated delivery systems in the nation. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSMH includes 23 acute care hospitals, one children's hospital, more than 300 physician offices and other outpatient and virtual care services, 10 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company, and an Accountable Care Organization. The health system employs nearly 40,000 people and is affiliated with 11,000 physicians making it one of the largest employers in every community it serves. In the tradition of its founding sisters, SSMH strives to fulfill its mission by providing exceptional health care to everyone who comes to its hospitals, regardless of their ability to pay. About St. Anthony Shawnee Hospital: SSM Health St. Anthony Hospital - Shawnee has been providing health care services for over 50 years to Shawnee and the surrounding communities of Pottawatomie County. St Anthony Shawnee along with SSM Health Care of Oklahoma comprise the Oklahoma region of SSMH. St Anthony Shawnee also includes an urgent care facility, with services including acute care, newborn deliveries, Intensive Care, Emergency department, orthopedics, cardiology, diagnostic laboratory and imaging, sleep lab, physical therapy, occupational therapy, speech therapy, cancer center and rehabilitation services, respiratory care, and women's services. In 2018, the hospital earned the Guardian of Excellence - Clinical Quality award from Press Ganey, and also the Premier Award for Quality, High-Value Health Care Citation of Merit in 2017. SSM Health St. Anthony Hospital - Shawnee has received an 'A' Leapfrog Hospital Safety Grade annually since 2016. St. Anthony Shawnee Hospital also furthers its exempt purpose with the following activities: * Operates an emergency room that is open to all persons regardless of ability to pay * Has an open medical staff with privileges available to all qualified physicians in the area * Engages in the training and education of health care professionals, * Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs * All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system Quantifiable Uncompensated Care: This section includes a list of the types of programs and services that could be quantified as uncompensated care: Traditional Charity Care $ 4,528,462 Unpaid Cost of Medicaid $ 4,066,826 Unpaid Cost of Other Means-Tested $ 349,002 Unpaid Cost of Medicare $ 709,392 Total Quantifiable Uncompensated Care $ 9,653,682 Form 990, Part V, Line 1a ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223. Form 990, Part VI, Line 15a Process for determining compensation A related organization utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee. Form 990, Part VI, Line 15b Process for determining compensation A related organization utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE CORPORATE MEMBER OF THE CORPORATION IS SSM HEALTH CARE OF OKLAHOMA, INC. SSM HEALTH CARE OF OKLAHOMA, INC. IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH ST. ANTHONY SHAWNEE HOSPITAL, INC. AND SSM HEALTH CARE OF OKLAHOMA, INC. ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBER HAS THE POWER TO APPOINT AND REMOVE THE APPOINTED DIRECTORS AND THE EX-OFFICIO DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS C. TO ELECT AND REMOVE THE APPOINTED DIRECTORS AND THE EX-OFFICIO DIRECTORS D. TO APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION AND THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION E. TO APPROVE THE AMENDMENTS TO THE Certificate of INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN F. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION G. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION H. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY I. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION J. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY K. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY L. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS, TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS, AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS M. TO APPROVE THE STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION N. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION O. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTERESTS IN THE PROPERTY OF THE CORPORATION P. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER of the member OR TO ANY ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY THE MEMBER of the member, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS, AND OBJECTIVE OF THE MEMBER of the member AS DETERMINED BY THE MEMBER of the member. Q. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER of the member, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE MEMBER APPROVAL; AND R. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY NON-CONTROLLED SUBSIDIARY. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body The organization does not have any committees with authority to act on behalf of the governing body. Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 is prepared by the Tax Department of the parent organization, SSM Health Care Corporation (SSM). The Form 990 is reviewed by certain members of Senior Management. Any questions are addressed to the Tax Director of SSM prior to filing the Form 990 with the Internal Revenue Service. A copy of the Form 990 is provided to the Board of Directors at the next regularly scheduled board meeting. Form 990, Part VI, Line 12c Conflict of interest policy BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY OF THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISION ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUST BE COMPLETED ON LINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR END. Form 990, Part VI, Line 19 Required documents available to the public THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR SSM HEALTH ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE OKLAHOMA SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. Form 990, Part VIII, Line 2f Other Program Service Revenue All other program service revenue - Total Revenue: 659475, Related or Exempt Function Revenue: 659475, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Medical and other professional fees - Total Expense: 38060321, Program Service Expense: 35056838, Management and General Expenses: 3003483, Fundraising Expenses: ; SSM Health Care Corporation 10101 Woodfield Lane St Louis MO 63132 466029223 Health Care MO 501(c)(3) Type I SSM Health Ministries false SSMHC Liability Trust I 10101 Woodfield Lane St Louis MO 63132 436331003 Insurance MO 501(c)(3) Type I SSM Health Care Corporation false SSM Consolidated Health Services 10101 Woodfield Lane St Louis MO 63132 431473657 Health Care MO 501(c)(3) 10 SSM Health Care Corporation false SSM Policy Institute 10101 Woodfield Lane St Louis MO 63132 431788151 Health Care MO 501(c)(4) SSM Health Care Corporation false SSM Health Care Portfolio Management Co 10101 Woodfield Lane St Louis MO 63132 431825256 Management MO 501(c)(3) Type I SSM Health Care Corporation false SSM Cardinal Glennon Children's Hospital 10101 Woodfield Lane St Louis MO 63132 430738490 Health Care MO 501(c)(3) 3 SSM Health Care St Louis false Cardinal Glennon Children's Foundation 10101 Woodfield Lane St Louis MO 63132 431754347 Fundraising MO 501(c)(3) 7 SSM Cardinal Glennon Children's Hospital false SSM Health Foundation - St Louis 10101 Woodfield Lane St Louis MO 63132 431552945 Fundraising MO 501(c)(3) 7 SSM Health Care St Louis false SSM Health Care of Oklahoma Inc 10101 Woodfield Lane St Louis MO 63132 730657693 Health Care OK 501(c)(3) 3 SSM Health Care Corporation false The St Anthony Hospital Foundation Inc 10101 Woodfield Lane St Louis MO 63132 736104300 Fundraising OK 501(c)(3) 7 SSM Health Care of Oklahoma false SSM Health Care of Wisconsin Inc 10101 Woodfield Lane St Louis MO 63132 430688874 Health Care WI 501(c)(3) 3 SSM Health Care Corporation false Dells Medical Building Inc 10101 Woodfield Lane St Louis MO 63132 391613292 MOB WI 501(c)(2) SSM Health Care of Wisconsin false St Mary's Foundation Inc 10101 Woodfield Lane St Louis MO 63132 431940686 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false St Clare Health Care Foundation Inc 10101 Woodfield Lane St Louis MO 63132 431940683 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false Home Health United Inc 2802 Walton Commons Lane Madison WI 53718 391539827 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin false Home Care United Inc 2802 Walton Commons Lane Madison WI 53718 391776340 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin false HHU Xtra Care Inc 2802 Walton Commons Lane Madison WI 53718 391705111 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin false SSM Health at Home Foundation of Wisconsin Inc 2802 Walton Commons Lane Madison WI 53718 391839309 Fundraising WI 501(c)(3) Type I Home Health United Inc false SSM Regional Health Services 10101 Woodfield Lane St Louis MO 63132 440579850 Health Care MO 501(c)(3) 3 SSM Health Care Corporation false St Mary's Health Center Jefferson City Missouri Foundation 10101 Woodfield Lane St Louis MO 63132 431575307 Fundraising MO 501(c)(3) Type I SSM Regional Health Services false Good Samaritan Regional Health Center 10101 Woodfield Lane St Louis MO 63132 430653587 Health Care IL 501(c)(3) 3 SSM Regional Health Services false St Mary's Hospital Centralia Illinois 10101 Woodfield Lane St Louis MO 63132 370662580 Health Care IL 501(c)(3) 3 SSM Regional Health Services false St Mary's - Good Samaritan Inc 10101 Woodfield Lane St Louis MO 63132 364170833 Health Care IL 501(c)(3) Type I SSM Regional Health Services false Good Samaritan Regional Health Center Foundation 10101 Woodfield Lane St Louis MO 63132 262884795 Fundraising IL 501(c)(3) 7 St Mary's-Good Samaritan Inc false St Mary's Hospital Foundation 10101 Woodfield Lane St Louis MO 63132 364636691 Fundraising IL 501(c)(3) 7 St Mary's-Good Samaritan Inc false St Mary's Hospital Auxiliary 400 N Pleasant Centralia IL 62801 237126345 Fundraising IL 501(c)(3) 10 St Mary's Hospital Foundation false SSM Health Businesses 10101 Woodfield Lane St Louis MO 63132 431333488 Health Care MO 501(c)(3) 10 SSM Health Care Corporation false SSM Health Care St Louis 10101 Woodfield Lane St Louis MO 63132 431343281 Health Care MO 501(c)(3) 3 SSM Health Care Corporation false Centralia Medical Services Bldg Assoc 10101 Woodfield Lane St Louis MO 63132 237408025 MOB IL 501(c)(3) Type I SSM Regional Health Services false St Mary's Janesville Foundation Inc 10101 Woodfield Lane St Louis MO 63132 273439133 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false SSM Health Ministries 3221 McKelvey Road Suite 107 Bridgeton MO 63044 431012492 Religious Organization MO 501(c)(3) 1 NA false Lee Dewey Corporation 10101 Woodfield Lane St Louis MO 63132 731279603 MOB OK 501(c)(3) Type I SSM Health Care of Oklahoma false St Mary's Hospital Auxiliary 100 St Marys Medical Plaza Jefferson City MO 65101 436049878 Fundraising MO 501(c)(3) Type II NA false Good Samaritan Hospital Auxiliary 1 Good Samaritan Way Mount Vernon IL 62864 237049599 Fundraising IL 501(c)(3) Type III-FI NA false St Anthony Shawnee Hospital Inc 1000 N Lee Ave Oklahoma City OK 73102 455055149 Health Care OK 501(c)(3) 3 SSM Health Care of Oklahoma false SSM Audrain Health Care Inc 10101 Woodfield Lane St Louis MO 63132 431550298 Health Care MO 501(c)(3) 3 SSM Regional Health Services false SSM-SLUH Inc 10101 Woodfield Lane St Louis MO 63132 474196634 Health Care MO 501(c)(3) 3 SSM Health Care St Louis false Agnesian Healthcare Inc 430 E Division St Fond du Lac WI 54935 390807236 Health Care WI 501(c)(3) 3 SSM Health Care of Wisconsin false Ripon Medical Center Inc 845 Parkside Street Ripon WI 54971 391101287 Health Care WI 501(c)(3) 3 Agnesian Healthcare Inc false Waupun Memorial Hospital Inc 620 West Brown Street Waupun WI 53963 390806265 Health Care WI 501(c)(3) 3 Agnesian Healthcare Inc false St Francis Home of Fond du Lac Wisconsin Inc 33 Everett Street Fond du Lac WI 54935 391029998 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false Sister Servants of Christ the King Villa Loretto N8114 County WW Mount Calvary WI 53057 391022770 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false Villa Rosa Inc N8120 County WW Mount Calvary WI 53057 421670962 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false The Christian Home and Rehabilitation Center Incorporated 331 Bly Street Waupun WI 53963 390884514 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false The Monroe Clinic Inc 515 22nd Avenue Monroe WI 53566 390808509 Health Care WI 501(c)(3) 3 SSM Health Care of Wisconsin false Monroe Clinic and Hospital Foundation Inc 515 22nd Avenue Monroe WI 53566 205769038 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false Agnesian Healthcare Foundation Inc 430 E Division St Fond du Lac WI 54935 391684956 Fundraising WI 501(c)(3) Type I SSM Health Care of Wisconsin false Shared Magnetic Resonance Imaging Facility Inc 1104 John Nolen Drive Madison WI 53713 391534744 Health Care WI 501(c)(3) Type I SSM Health Care of Wisconsin false SSM Health Cardinal Glennon Transport 10101 Woodfield Lane St Louis MO 63132 863519607 Health Care MO 501(c)(3) Type I SSM Cardinal Glennon Children's Hospital false SSM Health Foundation 10101 Woodfield Lane St Louis MO 63132 874109859 Fundraising MO 501(c)(3) Type I SSM Health Care Corporation false SSM Health Care Group 10101 Woodfield Lane St Louis MO 63132 880988603 Health Care MO 501(c)(3) 10 SSM Health Care St Louis false The Sarah Community 10101 Woodfield Lane St Louis MO 63132 431784657 Health Care MO 501(c)(3) 10 SSM Health Businesses false SSM St Joseph Endoscopy Center LLC 10101 Woodfield Lane St Louis MO 63132 270046559 Surgery Services MO NA N/A St Clare Imaging Services LLC 707 14th Street Suite A Baraboo WI 53913 200122365 Diag. Services WI NA N/A Mt Vernon Radiation Therapy Center LLC 10101 Woodfield Lane St Louis MO 63132 201382620 Radiation Therapy IL NA N/A Sleep & Neurology Center of Southern Illinois LLC 10101 Woodfield Lane St Louis MO 63132 208468195 Diag. Services IL NA N/A CHOWSMGSI Office Building LLC 10101 Woodfield Lane St Louis MO 63132 371383861 MOB IL NA N/A Oza Cancer Center LLC 10101 Woodfield Lane St Louis MO 63132 201382727 MOB IL NA N/A Shawnee Real Estate Holdings LLC 1000 N Lee Ave Oklahoma City OK 73102 455458304 MOB OK NA N/A Dean Clinic & St Mary's Hospital Accountable Care Organization LLC 1808 West Beltline Highway Madison WI 53713 452995500 Accountable Care Organization WI NA N/A Wisconsin Integrated Information Technology and Telemedicine Systems LLC 1808 West Beltline Highway Madison WI 53713 392016715 Information Technology Services WI NA N/A Wingra Building Group 1808 West Beltline Highway Madison WI 53713 390237060 MOB WI NA N/A Janesville Riverview Clinic Building Partnership 1808 West Beltline Highway Madison WI 53713 396220698 MOB WI NA N/A 1110 N Classen Blvd LLC 1110 N Classen Boulevard Oklahoma City OK 73106 731158158 MOB OK NA N/A SSM St Clare Surgical Center LLC 10101 Woodfield Lane St Louis MO 63132 261439695 Surgery Services MO NA N/A Windmill LLP 50 Village View Lane Chesterfield MO 63017 431804651 Investments MO NA N/A Navitus Health Solutions LLC 361 Integrity Drive Madison WI 53717 043608530 Pharmacy Benefits WI NA N/A SSM Select Rehab St Louis LLC 4714 Gettysburg Road Mechanicsburg PA 17055 263694972 Health Care DE NA N/A Epiphany Rx LLC 361 Integrity Drive Madison WI 53717 364855405 Pharmacy Benefits DE NA N/A Bain Capital Global Direct Lending 2021 (L Offshore) LP 200 Clarendon Street FL 41 Boston MA 021165016 981506451 Investments DE NA N/A Bloom Tree Long-Only Fund QP LP fka Bloom Tree Ponderosa Funds QP LP 101 Park Avenue 33rd FL New York NY 10178 823704522 Investments DE NA N/A Carlyle Property Investors LP 1001 Pennsylvania Ave NW STE 220 Washington DC 20004 371789359 Investments DE NA N/A NECICF II AIV2-B LP 300 Delaware Ave STE 210 Wilmington DE 19801 845058167 Investments DE NA N/A SSM Managed Care Organization LLC 10101 Woodfield Lane St Louis MO 63132 431708511 Health Promotion MO NA C Corporation false FPP INC & Subs 10101 Woodfield Lane St Louis MO 63132 431465174 Health Care MO NA C Corporation false Diversified Health Services Corp 10101 Woodfield Lane St Louis MO 63132 431369305 Medical Equipment MO NA C Corporation false SSM Properties Inc 10101 Woodfield Lane St Louis MO 63132 431462486 Property Services MO NA C Corporation false HealthFirst Physician Management Services 10101 Woodfield Lane St Louis MO 63132 731534336 Medical Services OK NA C Corporation false SSMHC Liability Trust II 10101 Woodfield Lane St Louis MO 63132 816128118 Insurance MO NA C Corporation false SSM Medical Group Inc 10101 Woodfield Lane St Louis MO 63132 431664107 Physician Offices MO NA C Corporation false SSMHC Insurance Company PO Box 1051 GT Grand Cayman CJ KY11102 030310431 Insurance CJ NA C Corporation false Physicians Services Corp of Southern Illinois Inc 10101 Woodfield Lane St Louis MO 63132 364161526 Health Care IL NA C Corporation false Dean Health Systems Inc 1808 West Beltline Highway Madison WI 53713 391128616 Physician Offices WI NA C Corporation false Dean Health Insurance Inc PO Box 56099 Madison WI 53705 391830837 Insurance WI NA C Corporation false Dean Retail Services Inc 1808 West Beltline Highway Madison WI 53713 391717636 Property Services WI NA C Corporation false Oza Oncology Inc 4117 Veterans Memorial Drive Mt Vernon IL 62804 371343746 Physician Offices IL NA S Corporation false SSM Health Janesville Campus Condominium Association Inc 1808 West Beltline Highway Madison WI 53713 832038674 Condo association WI NA C Corporation false SSM Health Pharmacy LLC 10101 Woodfield Lane St Louis MO 63132 264031708 Pharmacy MO NA C Corporation false Navitus Holdings LLC 1808 West Beltline Highway Madison WI 53713 800968174 Pharmacy WI NA C Corporation false MS Community JV LLC 401 Carlson Parkway CP330 Minnetonka MN 55305 873240022 Insurance DE NA C Corporation false Quality Drug Corporation 239 Broadway Laguna Beach CA 92651 330644268 Pharmacy benefits CA NA C Corporation false St Mary's Hospital Campus Condominium Owners Association Inc 707 South Mills Street Madison WI 53715 000000000 Condo association WI NA C Corporation false Partners Group PMC Private Credit LP c/o Maples Corporate Services LTD George Town CJ KY11104 981439264 Investment CJ NA C Corporation false false false true false false false false false false false true false true true true false false false false