SSM HEALTH CARE OF OKLAHOMA INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: SSM HEALTH CARE OF OKLAHOMA INC (EIN 73-0657693)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-15
IRS object ID: 202333199349329398
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-15T19:39:41+00:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	264532849	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Purk & Associates PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1034 S Brentwood Boulevard Suite 20	AddressLine1Txt
Address Line2	00	AddressLine2Txt
City	St Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63117	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	730657693	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SSM Health Care of Oklahoma	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SSMH	BusinessNameControlTxt
Phone	3149947800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10101 Woodfield Lane	AddressLine1Txt
City	St Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63132	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Randy Combs	PersonNm
Person Title	Treasurer	PersonTitleTxt
Phone	3149947800	PhoneNum
Signature	2023-11-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Barbara	PersonFirstNm
Person Last	Potts	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Douglas G Pleus	PreparerPersonNm
PTIN	P00013488	PTIN
Phone	3148844022	PhoneNum

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	See Schedule O	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Joe Hodges	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10101 Woodfield Lane	AddressLine1Txt
City	St Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63132	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$935,622,730	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://www.ssmhealth.com/oklahoma	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1987	FormationYr
Legal Domicile State	OK	LegalDomicileStateCd
Activity Or Mission	A HEALTHCARE NETWORK ENCOMPASSING SSM HEALTH FACILITIES PRIMARILY IN CENTRAL OKLAHOMA, INCLUDING four hospitals operated under St. Anthony Hospital's License (SSM Health St. Anthony Hospital - Oklahoma City, SSM Health St. Anthony Hospital - Midwest, SSM Health Bone & Joint Hospital at St. Anthony, and SSM Health St. Anthony South), A MULTI-SPECIALTY MEDICAL GROUP AND FOUR REGIONAL HEALTHPLEXES.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	5507	TotalEmployeeCnt
Total Volunteers	167	TotalVolunteersCnt
Total Gross UBI	$1,267,301	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$691,003	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$32,029,634	PYContributionsGrantsAmt
CY Contributions Grants	$16,625,334	CYContributionsGrantsAmt
PY Program Service Revenue	$852,088,357	PYProgramServiceRevenueAmt
CY Program Service Revenue	$900,970,601	CYProgramServiceRevenueAmt
PY Investment Income	$15,502,524	PYInvestmentIncomeAmt
CY Investment Income	$2,350,065	CYInvestmentIncomeAmt
PY Other Revenue	$7,377,786	PYOtherRevenueAmt
CY Other Revenue	$14,298,377	CYOtherRevenueAmt
PY Total Revenue	$906,998,301	PYTotalRevenueAmt
CY Total Revenue	$934,244,377	CYTotalRevenueAmt
PY Grants And Similar Paid	$678,701	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$993,099	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$348,066,938	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$401,962,694	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$520,338,619	PYOtherExpensesAmt
CY Other Expenses	$571,662,243	CYOtherExpensesAmt
PY Total Expenses	$869,084,258	PYTotalExpensesAmt
CY Total Expenses	$974,618,036	CYTotalExpensesAmt
PY Revenues Less Expenses	$37,914,043	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$40,373,659	CYRevenuesLessExpensesAmt
Total Assets BOY	$640,999,933	TotalAssetsBOYAmt
Total Assets EOY	$619,522,152	TotalAssetsEOYAmt
Total Liabilities BOY	$450,936,721	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$487,546,284	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$190,063,212	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$131,975,868	NetAssetsOrFundBalancesEOYAmt
Mission	THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$913,343,620	ExpenseAmt
Grant	$993,099	GrantAmt
Revenue	$907,782,568	RevenueAmt
Desc	PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.	Desc
Total Program Service Expenses	$913,343,620	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	5507	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	false	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Shasta Manuel	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4052727282	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 205	AddressLine1Txt
City	Oklahoma City	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	73101	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Joe Hodges
Director, Vice Chair, Regional President - SSM Health Care of Oklahoma	40.0	3.0	Yes (X)	Yes (X)	$0	$1,095,255	$579,637
Paige Bass Stratton
Director, Chair	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Brooks Richardson
Director	1.0	3.0	Yes (X)		$0	$0	$0
Duke Ligon
Director	1.0	2.0	Yes (X)		$0	$0	$0
Iftikhar Ahmad MD
Director	1.0	2.0	Yes (X)		$0	$0	$0
Natalie Shirley
Director	1.0	2.0	Yes (X)		$0	$0	$0
Teresa Rose-Crook
Director	1.0	0	Yes (X)		$0	$0	$0
Douglas Long
Secretary, General Counsel at SSM Health	1.0	72.2		Yes (X)	$0	$1,354,027	$686,727
Ramona Carey
Assistant Secretary	40.0	2.0		Yes (X)	$70,520	$0	$30,523
Randy Combs
Treasurer, Chief Financial Officer at SSM Health	1.0	69.0		Yes (X)	$0	$1,879,738	$971,053
Shasta Manuel
System VP Finance - Oklahoma	30.0	12.0		Yes (X)	$0	$492,700	$188,305
Steve Smoot
Vice President, COO of SSM Health	1.0	65.0		Yes (X)	$0	$1,870,292	$1,033,999
Darin Smith
VP-Operations, Hospital	40.0	0			$266,986	$0	$80,261	Yes (X)
Elain Richardson
Regional VP-Patient Care Services/CNO	40.0	0			$354,458	$0	$147,224	Yes (X)
Kersey Winfree
Regional Chief Medical Officer	40.0	0			$632,906	$0	$210,463	Yes (X)
Kevin Lewis MD
Regional Chief Clinical Officer	40.0	0.0			$0	$928,530	$298,874	Yes (X)
Paul Wright
VP-Medical Practice, St. Anthony Physician Group	40.0	0			$379,480	$0	$108,485	Yes (X)
Robert Rader MD
VP-Medical Affairs	40.0	0			$305,623	$0	$99,177	Yes (X)
Ryan Oss
System VP - Medical Group Operations	40.0	0			$312,895	$0	$104,052	Yes (X)
Stacy Coleman
Regional VP, Service Lines, SSM Health St. Anthony Hospital	40.0	0			$343,646	$0	$138,348	Yes (X)
Stephen Powell
System VP - Medical Group Operations	0.0	40.0			$0	$508,910	$72,333	Yes (X)
Tammy Powell
President - St. Anthony Hospital - Oklahoma City	40.0	0			$797,640	$0	$300,669	Yes (X)
Avinash Vyas
Physician	40.0	0			$1,360,638	$0	$93,674		Yes (X)
Brent Hisey
Physician	40.0	0			$1,525,903	$0	$59,092		Yes (X)
Faisal Latif
Physician	40.0	0			$1,411,654	$0	$58,058		Yes (X)
Michael Hahn II
Physician	40.0	0			$1,900,742	$0	$55,099		Yes (X)
Reji Pappy
Physician	40.0	0			$1,399,556	$0	$28,465		Yes (X)
Kris Zimmer
Former Officer	0.0	0.0			$0	$135,402	$0			Yes (X)
Kyle Nondorf
Former Key Employee	0.0	43.0			$0	$662,981	$257,476			Yes (X)
Laura Kaiser
Former Officer	0.0	44.0			$0	$5,770,684	$2,613,808			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,062,647	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$14,698,519	TotReportableCompRltdOrgAmt
Total Other Compensation	$8,215,799	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	823	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
AMN HEALTHCARE INC
12400 HIGH BLUFF DRIVE	SAN DIEGO	CA	92130	STAFFING SERVICES	$30,356,291
SODEXO MARRIOTT SERVICES
1000 NORTH LEE STREET	OKLAHOMA CITY	OK	73101	FOOD SERVICES	$21,007,307
Oklahoma Sports thopedics
1110 N Lee Avenue	Oklahoma City	OK	73103	Medical services	$10,437,437	Suite 200
Comprehensive Cancer Center
3525 NW 56th St	Oklahoma City	OK	73112	Medical services	$5,896,903	Suite 100D
HOSPITALIST MEDICINE PHYSICIANS
1498 PACIFIC AVENUE STE 400	TACOMA	WA	98402	HOSPITALIST SERVICES	$5,735,067

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	377	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,613,155	RelatedOrganizationsAmt
Government Grants	$15,011,979	GovernmentGrantsAmt
All Other Contributions	$200	AllOtherContributionsAmt
Noncash Contributions	$55,917	NoncashContributionsAmt
Total Contributions	$16,625,334	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622110	$659,112,328	$659,112,328
340B PHARMACY REVENUE	446110	$30,332,778	$30,332,778
Laboratory	621500	$197,465,303	$196,355,907	$1,109,396
Medical Director Revenue	621110	$4,520,631	$4,520,631

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,539,561	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,539,561	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$900,970,601	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,955,449	TotalRevenueColumnAmt
Exclusion	$2,955,449	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,323,720	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,323,720	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,323,720	TotalRevenueColumnAmt
Exclusion	$1,323,720	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$591,293	SecuritiesAmt
Other	$14,091	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$591,293	SecuritiesAmt
Other	-$14,091	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$605,384	TotalRevenueColumnAmt
Exclusion	-$605,384	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$1,068,819	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$772,969	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$295,850	TotalRevenueColumnAmt
Exclusion	$295,850	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA	722514	$4,381,847	$4,381,847
PHARMACY	446110	$8,079,268		$7,921,363	$157,905
Parking	900099	$217,692	$217,692

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$12,678,807	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$934,244,377	TotalRevenueColumnAmt
Related Or Exempt Func Income	$907,782,568	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,267,301	UnrelatedBusinessRevenueAmt
Exclusion	$8,569,174	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$993,099	TotalAmt
Program Services	$993,099	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,585,650	TotalAmt
Program Services	$7,439,060	ProgramServicesAmt
Management And General	$146,590	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$321,253,049	TotalAmt
Program Services	$315,044,933	ProgramServicesAmt
Management And General	$6,208,116	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,555,025	TotalAmt
Program Services	$12,312,403	ProgramServicesAmt
Management And General	$242,622	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$38,782,684	TotalAmt
Program Services	$38,033,221	ProgramServicesAmt
Management And General	$749,463	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$21,786,286	TotalAmt
Program Services	$21,365,273	ProgramServicesAmt
Management And General	$421,013	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$5,601,705	TotalAmt
Program Services	$4,212,831	ProgramServicesAmt
Management And General	$1,388,874	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$641,248	TotalAmt
Program Services	$20,603	ProgramServicesAmt
Management And General	$620,645	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$164,813,100	TotalAmt
Program Services	$164,813,100	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$600,436	TotalAmt
Program Services	$217,036	ProgramServicesAmt
Management And General	$383,400	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$23,563,792	TotalAmt
Program Services	$21,797,376	ProgramServicesAmt
Management And General	$1,766,416	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$25,122,988	TotalAmt
Program Services	$25,072,948	ProgramServicesAmt
Management And General	$50,040	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$31,923,837	TotalAmt
Program Services	$30,288,129	ProgramServicesAmt
Management And General	$1,635,708	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$836,527	TotalAmt
Program Services	$558,875	ProgramServicesAmt
Management And General	$277,652	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$157,828	TotalAmt
Program Services	$72,679	ProgramServicesAmt
Management And General	$85,149	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$25	TotalAmt
Program Services	$25	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$45,362,001	TotalAmt
Program Services	$5,590,441	ProgramServicesAmt
Management And General	$39,771,560	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,024,111	TotalAmt
Program Services	$26,846,194	ProgramServicesAmt
Management And General	$1,177,917	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,128,250	TotalAmt
Program Services	$1,778,999	ProgramServicesAmt
Management And General	$6,349,251	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
Medical supplies	$214,195,730	$214,195,730
Medicaid Provider Tax	$19,614,620	$19,614,620
Licenses and taxes	$3,076,045	$3,076,045

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$974,618,036	TotalAmt
Program Services	$913,343,620	ProgramServicesAmt
Management And General	$61,274,416	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$95,699	BOYAmt
EOY	$42,334	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$348,347	BOYAmt
EOY	$105,762	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$124,212,507	BOYAmt
EOY	$137,726,648	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$18,212,944	BOYAmt
EOY	$19,988,790	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,982,790	BOYAmt
EOY	$4,713,884	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$540,077,578	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$329,266,463	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$197,746,072	BOYAmt
EOY	$210,811,115	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$185,472,483	BOYAmt
EOY	$162,986,942	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$30,614,281	BOYAmt
EOY	$36,846,720	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,137,987	BOYAmt
EOY	$2,272,813	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$78,176,823	BOYAmt
EOY	$44,027,144	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$640,999,933	BOYAmt
EOY	$619,522,152	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$87,263,417	BOYAmt
EOY	$71,829,057	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$628,575	BOYAmt
EOY	$997,050	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$363,044,729	BOYAmt
EOY	$414,720,177	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$450,936,721	BOYAmt
EOY	$487,546,284	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$178,555,285	BOYAmt
EOY	$115,866,388	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,507,927	BOYAmt
EOY	$16,109,480	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$190,063,212	BOYAmt
EOY	$131,975,868	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$640,999,933	BOYAmt
EOY	$619,522,152	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$40,373,659	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$18,376,424	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$662,739	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$15,642	OtherActivitiesAmt
Total Lobbying Expenditures	$15,642	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	The organization paid dues to various national and state hospital associations and a portion of these dues were allocated to lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,358,781	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$1,192,638	InvestmentEarningsOrLossesAmt
Other Expenditures	$338,863	OtherExpendituresAmt
End Year Balance	$6,827,280	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,602,602	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,077,481	InvestmentEarningsOrLossesAmt
Other Expenditures	$271,598	OtherExpendituresAmt
Administrative Expenses	$49,704	AdministrativeExpensesAmt
End Year Balance	$8,358,781	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,920,655	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,001,726	InvestmentEarningsOrLossesAmt
Other Expenditures	$270,197	OtherExpendituresAmt
Administrative Expenses	$49,582	AdministrativeExpensesAmt
End Year Balance	$7,602,602	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$45,573	BeginningYearBalanceAmt
Contributions	$6,842,315	ContributionsAmt
Investment Earnings Or Losses	$752,016	InvestmentEarningsOrLossesAmt
Other Expenditures	$572,842	OtherExpendituresAmt
Administrative Expenses	$146,407	AdministrativeExpensesAmt
End Year Balance	$6,920,655	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$45,573	BeginningYearBalanceAmt
End Year Balance	$45,573	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,344,692	OtherCostOrOtherBasisAmt
Book Value	$10,344,692	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$312,092,059	OtherCostOrOtherBasisAmt
Depreciation	$201,493,156	DepreciationAmt
Book Value	$110,598,903	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,836,022	OtherCostOrOtherBasisAmt
Depreciation	$6,530,169	DepreciationAmt
Book Value	$9,305,853	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$178,121,768	OtherCostOrOtherBasisAmt
Depreciation	$121,243,138	DepreciationAmt
Book Value	$56,878,630	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,683,037	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$23,683,037	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$210,811,115	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN JOINT VENTURES	$5,316,422	F
SSM COMPREHENSIVE INVESTMENT PROGRAM	$157,670,520	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$162,986,942	TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Beneficial interest in foundation	$31,248,726	F
INVESTMENT - SUBSIDIARIES	$5,597,994	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$36,846,720	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$0
OTHER ASSETS	$5,785,756
OPERATING RIGHT-OF-USE ASSETS	$38,241,388

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$44,027,144	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
THIRD-PARTY PAYOR	$35,103,156
ASSET RETIREMENT OBLIGATION	$189,705
DUE TO AFFILIATES	$109,577,116
RETIREMENT LIABILITIES	$4,900,629
ALLOCATED TAX-EXEMPT BOND DEBT (ISSUED BY SSM HEALTH CARE CORPORATION)	$225,000,000
THIRD PARTY PATIENT LOANS	-$18,635
OTHER LIABILITIES	$0
OPERATING LEASE OBLIGATIONS	$39,968,206

Field	Value	IRS element (for citing)
Total Liability	$414,720,177	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4 Intended uses of endowment funds

THE PERMANENT ENDOWMENT FUNDS ARE HELD FOR THE PURPOSE OF PROVIDING NURSING SCHOLARSHIPS TO NURSING STUDENTS.

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

SSM HEALTH CARE OF OKLAHOMA'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 RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS IN 2022 OR 2021.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,799,125	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,799,125	NetCommunityBenefitExpnsAmt
Total Expense	0.0162	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$96,357,978	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$69,047,369	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,310,609	NetCommunityBenefitExpnsAmt
Total Expense	0.0280	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,661,652	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,781,288	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$137,818,755	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$94,828,657	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,109,734	NetCommunityBenefitExpnsAmt
Total Expense	0.0442	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$624,698	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$622,698	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,921,723	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,078,687	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,843,036	NetCommunityBenefitExpnsAmt
Total Expense	0.0152	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$761,493	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$113,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$648,493	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$17,307,914	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,193,687	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,114,227	NetCommunityBenefitExpnsAmt
Total Expense	0.0165	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$155,126,669	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$96,022,344	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$59,223,961	NetCommunityBenefitExpnsAmt
Total Expense	0.0608	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$105,101,966	BadDebtExpenseAmt
Reimbursed By Medicare	$176,121,015	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$192,186,526	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$16,065,511	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
ST ANTHONY HOSPITAL CARDIOVASCULAR SERVICES INSTITUTE LLC
MANAGEMENT SERVICES	0.2632	0.7368
BONE AND JOINT MANAGEMENT COMPANY
MANAGEMENT SERVICES	0.3939	0.6061
1110 CLASSEN BOULEVARD LLC
MEDICAL OFFICE BUILDING	0.7168	0.2832
SHAWNEE REAL ESTATE HOLDINGS LLC
MEDICAL OFFICE BUILDING	0.5	0.5

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
SSM Health St Anthony Hospital - Oklahoma City
1	1000 N LEE	OKLAHOMA CITY	OK	73103	https://www.ssmhealth.com/locations/st-anthony-hospital	2304	Yes (X)	Yes (X)	Yes (X)	A
SSM Health St Anthony Hospital - Midwest
2	2825 Parklawn Drive	Midwest City	OK	73110	https://www.ssmhealth.com/locations/st-anthony-hospital-midwest		Yes (X)	Yes (X)	Yes (X)	B

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
A
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	21	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://www.ssmhealth.com/resources/about/community-health	Yes (X)	Yes (true)	22	Yes (true)	https://www.ssmhealth.com/resources/about/community-health	false	Yes (true)	Yes (X)	200.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.ssmhealth.com/for-patients/financial-assistance/hospital-financial-assistance	Yes (X)	https://www.ssmhealth.com/for-patients/financial-assistance/hospital-financial-assistance	Yes (X)	https://www.ssmhealth.com/for-patients/financial-assistance/hospital-financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
B
2	false	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	21	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://www.ssmhealth.com/resources/about/community-health		Yes (true)	22	Yes (true)	https://www.ssmhealth.com/resources/about/community-health	false	Yes (true)	Yes (X)	200.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.ssmhealth.com/for-patients/financial-assistance/hospital-financial-assistance	Yes (X)	https://www.ssmhealth.com/for-patients/financial-assistance/hospital-financial-assistance	Yes (X)	https://www.ssmhealth.com/for-patients/financial-assistance/hospital-financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 - SSM Health St. Anthony Hospital - Oklahoma City. We began the CHNA process with a review of the previous CHNA report and gathered feedback from internal and external stakeholders. Public Health and Population Based Data Sources The secondary data indicators included in this CHNA were based on the top health priority areas identified by the 2021 Oklahoma City-County Wellness Score completed by the Oklahoma City-County Health Department. Throughout the iterative process, indicators were also included if they related to one of the four main priority areas or themes identified through the qualitative data from the stakeholder meetings and community chats. Data representing the most recent year available are reported for all sources. We reviewed approximately 100 indicators including health outcomes and associated health factors for Oklahoma County residents. Indicators included demographic data, mortality data, economic and social factors, education, built environment, and health care access and quality. All indicators were assessed through the lens of health equity, keeping in mind the social determinants of health. We assembled a group of 65 community stakeholders representing 45 organizations including health care providers, social service providers, foundations, chambers of commerce, community development and finance organizations, education and employment training services, government services, transportation services, food and food security services, and elected officials. Populations experiencing health inequities were represented throughout the various stakeholder organizations involved. We presented a comprehensive overview of health indicator findings for Oklahoma County, and used a "real time" survey process to engage stakeholders and assess their views on the greatest factors for poor health outcomes in Oklahoma County. Stakeholder Meeting We assembled a group of 65 community stakeholders representing 45 organizations including health care providers, social service providers, foundations, chambers of commerce, community development and finance organizations, education and employment training services, government services, transportation services, food and food security services, and elected officials. Populations experiencing health inequities were represented throughout the various stakeholder organizations involved. We presented a comprehensive overview of health indicator findings for Oklahoma County, and used a "real time" survey process to engage stakeholders and assess their views on the greatest factors for poor health outcomes in Oklahoma County. Convenience Sample Survey We used the findings from the stakeholder meeting to create a community survey to collect information from Oklahoma County residents. To create the community survey, we contacted the Robert Wood Johnson Foundation for examples of surveys from other states that were successful in gathering information related to social determinants of health. We also considered questions from the Behavioral Risk Factor Surveillance Survey and other surveys. Through our partnership with the Oklahoma City- ounty Health Department, we utilized COVID-19 vaccination events to collect surveys. In addition, we enlisted the help of our stakeholders to send targeted emails to specific population groups. Surveys were made available in English and Spanish. After exclusion of incomplete surveys and those with a ZIP code outside of Oklahoma County, we had a final sample size of 956. Although this was not a probability sample, the demographics of the survey respondents are comparable to that of Oklahoma County with a few exceptions. To make the results more generalizable to Oklahoma County, we used post-stratification weighting. We used the American Community Survey to create benchmark totals for the following variables: Age, Sex, and Race. The survey questionnaire and full results are available in Appendix B. We facilitated sixteen "Community Chats" in the form of guided community chats to delve deeper into how people experience each of the four priority topic areas. We created facilitation guides for each priority topic to collect information on personal experiences, barriers to access, community perceptions, and opportunities to improve conditions in the community. Each Community Chat was moderated by a staff member from one of the partner health systems. As an expression of this CHNA's emphasis on health equity, we used intentional recruiting strategies to ensure Community Chat participants were representative of underserved members of the community. These strategies included partnering with charity clinics to recruit and host the conversations using a purposive, snowball sampling approach to recruit participants, and providing small giftcard incentives for participation. Our partners in recruitment included the Oklahoma City and Millwood Public School Districts, Good Shepherd Clinic, Crossings Community Clinic, Hilltop Clinic, Mary Mahoney Health Center, and the Health Alliance for the Uninsured. We were intentional about inviting Community Health Workers, frontline public health workers who are trusted members of the community, and those with lived and/or shared experiences of the underserved populations in Oklahoma County. Between May 23 and June 30, 2021, 111 participants engaged in 16 Community Chats: 4 on Health Care Access, 4 on Food Access, 3 on Education and 5 on Employment. All sessions were recorded, and audio files were anonymously transcribed to text documents. Text documents were uploaded to the qualitative data analysis software tool "Dedoose" for coding. Dedoose is a web-based program that allowed the researchers to organize and analyze research data into text formats for quantitative and qualitative data and facilitated mixed methods research output.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - SSM Health St. Anthony Hospital - Oklahoma City. The hospital facility completed a joint 2021 CHNA with Integris Health, Mercy Hospital Oklahoma City, OU Health, and St. Anthony Hospital - Midwest.
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - SSM Health St. Anthony Hospital - Oklahoma City. The hospital facility completed a joint 2021 CHNA with the Oklahoma City-County Health Department.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - SSM Health St. Anthony Hospital - Oklahoma City. 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: - Access to care - Access to healthy food - Education & employment Access to care Financial barriers and lack of insurance were the most significant barriers to accessing care identified during the CHNA. In Oklahoma County, the hypertension mortality rate was above the national age-adjusted death rate, as was the percentage of people who use tobacco products. Regular and reliable access to health services can increase quality of life and detect and treat preventable health conditions. Because of its urban setting, St. Anthony Hospital -Oklahoma City is uniquely positioned to support programs designed to address health needs of the city's homeless population. The hospital's action plan includes the following initiatives to improve access to care in the community served: - Partner with Cardinal Community House to provide respite care for patients experiencing homelessness. The respite shelter at Cardinal Community House provides patients a safe, medically appropriate environment to rest and heal after a hospitalization. Participants receive case management services, meals, and medication assistance. St. Anthony and Cardinal Community House will evaluate patient outcomes and readmission rates. - Partner with Mental Health Association Oklahoma to pilot a Street Medicine Team to provide care for persons experiencing homelessness in Oklahoma City. The team will provide primary care, mental health, and other support for people living on the streets. The OKC Street Medicine team will begin serving the city in 2022. - Launch Health Coaches for Hypertension classes in Oklahoma City. This is an eight-week course designed to improve hypertension self-management through group educational sessions and support offered by a trained health coach. Goal to conduct one cohort per quarter and reported program outcomes quarterly. - Utilize the Health Alliance for the Uninsured's Care Navigation program to provide successful referrals to community organizations for vulnerable patients. This program is a central hub for basic health, vision, dental, and social services to improve individual health outcomes. - Provide training for the hospital Case Management team on how to utilize the program and track monthly referrals. - Continue to provide support for Catholic Charities of the Archdiocese of Oklahoma City to offer counseling services in 6 vulnerable south Oklahoma City zip codes. - Provide community-based organizations with financial support for their work in addressing access to care in Oklahoma City Hospital goals for access to care are to: - Decrease the cardiovascular disease mortality rate in Oklahoma County from 281 per 100,000 (2016-2018 average, see page 8 of CHNA) - Decrease the hypertension mortality rate in Oklahoma County from 53 per 100,000 (2016-2018 average, see page 50 of CHNA) - Decrease the overall mortality rate for Oklahoma County of 932.6 deaths per 100,000 (2016-2018, see page 48 of CHNA) Access to healthy food 14% of Oklahoma County residents are food insecure. Food insecurity has an impact on a community's socioeconomic and health status. A healthy diet is difficult without access to nutritious food. The hospital's action plan includes the following initiatives to address a lack of access to healthy food: - Continue food insecurity screenings and the Food Pharmacy program at Family Medicine Center. - Commit FMC staff time to screen and distribute fresh produce and food boxes - Report the number of families served and evaluate the percentage of patients who access community food pantries and SNAP benefits using the resources included in the food boxes - Continue to sponsor the Backpacks for Kids program at Rockwood Elementary. Regional Food Bank of Oklahoma's Backpacks for Kids program provides children with food access issues food for the weekends when the schools cannot feed them. - Ongoing utilization of land, utilities, and financial support for the 8th Street Urban Farm. The 8th Street Urban Farm is located on the St. Anthony campus and operated by the Midtown Community Development Foundation. The farm was established in 2021. A portion of the harvested produce is distributed to Family Medicine Center patients as a supplement to the Food Pharmacy program. - Provide community-based organizations with financial support towards work in addressing food insecurity in Oklahoma City. Hospital goals for access to health food are to: - Decrease the heart disease mortality rate in Oklahoma County from 22.9 deaths per 100,000 (2016-2018, see page 50 of the CHNA) - Increase knowledge and encourage sustained behavior change as healthy foods are introduced from 8th Street Urban Farm - Increase the percentage of Oklahoma County residents who have access to healthy food for their family (see page 78 of CHNA) Education & Employment SSM Health is a proud member of the Healthcare Anchor Network. Members of the Healthcare Anchor Network commit to use their role as an "Anchor Institution" in their community to address the structural disparities that affect equitable health outcomes. In 2022 the entire SSM Health system, including St. Anthony Hospital -Oklahoma City, will begin to formulate a strategy to support the creation of equitable employment opportunities for marginalized community members. Local health ministries will determine whether to begin with a strategy focused on supply chain practices (making strategic purchasing decisions that support local and minority-owned/operated businesses) or job-training and hiring practices that increase access to meaningful employment in historically underserved segments of our local community. St. Anthony Hospital - Oklahoma City looks forward to participating in the Anchor Network strategy and believes that it presents an opportunity for a systemic response to the education and employment priorities identified in the Oklahoma County CHNA. The hospital has no plans to discontinue other community benefit efforts addressing the remaining CHNA-identified needs.
Schedule H, Part V, Section B, Line 2	SSM Health St. Anthony Hospital - Midwest was purchased by SSM Health Care of Oklahoma, Inc., in April 2021.
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 B, 1	Facility B, 1 - SSM Health St. Anthony Hospital - Midwest. We began the CHNA process with a review of the previous CHNA report and gathered feedback from internal and external stakeholders. Public Health and Population Based Data Sources The secondary data indicators included in this CHNA were based on the top health priority areas identified by the 2021 Oklahoma City-County Wellness Score completed by the Oklahoma City-County Health Department. Throughout the iterative process, indicators were also included if they related to one of the four main priority areas or themes identified through the qualitative data from the stakeholder meetings and community chats. Data representing the most recent year available are reported for all sources. We reviewed approximately 100 indicators including health outcomes and associated health factors for Oklahoma County residents. Indicators included demographic data, mortality data, economic and social factors, education, built environment, and health care access and quality. All indicators were assessed through the lens of health equity, keeping in mind the social determinants of health. We assembled a group of 65 community stakeholders representing 45 organizations including health care providers, social service providers, foundations, chambers of commerce, community development and finance organizations, education and employment training services, government services, transportation services, food and food security services, and elected officials. Populations experiencing health inequities were represented throughout the various stakeholder organizations involved. We presented a comprehensive overview of health indicator findings for Oklahoma County, and used a "real time" survey process to engage stakeholders and assess their views on the greatest factors for poor health outcomes in Oklahoma County. Stakeholder Meeting We assembled a group of 65 community stakeholders representing 45 organizations including health care providers, social service providers, foundations, chambers of commerce, community development and finance organizations, education and employment training services, government services, transportation services, food and food security services, and elected officials. Populations experiencing health inequities were represented throughout the various stakeholder organizations involved. We presented a comprehensive overview of health indicator findings for Oklahoma County, and used a "real time" survey process to engage stakeholders and assess their views on the greatest factors for poor health outcomes in Oklahoma County. Convenience Sample Survey We used the findings from the stakeholder meeting to create a community survey to collect information from Oklahoma County residents. To create the community survey, we contacted the Robert Wood Johnson Foundation for examples of surveys from other states that were successful in gathering information related to social determinants of health. We also considered questions from the Behavioral Risk Factor Surveillance Survey and other surveys. Through our partnership with the Oklahoma City- ounty Health Department, we utilized COVID-19 vaccination events to collect surveys. In addition, we enlisted the help of our stakeholders to send targeted emails to specific population groups. Surveys were made available in English and Spanish. After exclusion of incomplete surveys and those with a ZIP code outside of Oklahoma County, we had a final sample size of 956. Although this was not a probability sample, the demographics of the survey respondents are comparable to that of Oklahoma County with a few exceptions. To make the results more generalizable to Oklahoma County, we used post-stratification weighting. We used the American Community Survey to create benchmark totals for the following variables: Age, Sex, and Race. The survey questionnaire and full results are available in Appendix B. We facilitated sixteen "Community Chats" in the form of guided community chats to delve deeper into how people experience each of the four priority topic areas. We created facilitation guides for each priority topic to collect information on personal experiences, barriers to access, community perceptions, and opportunities to improve conditions in the community. Each Community Chat was moderated by a staff member from one of the partner health systems. As an expression of this CHNA's emphasis on health equity, we used intentional recruiting strategies to ensure Community Chat participants were representative of underserved members of the community. These strategies included partnering with charity clinics to recruit and host the conversations using a purposive, snowball sampling approach to recruit participants, and providing small giftcard incentives for participation. Our partners in recruitment included the Oklahoma City and Millwood Public School Districts, Good Shepherd Clinic, Crossings Community Clinic, Hilltop Clinic, Mary Mahoney Health Center, and the Health Alliance for the Uninsured. We were intentional about inviting Community Health Workers, frontline public health workers who are trusted members of the community, and those with lived and/or shared experiences of the underserved populations in Oklahoma County. Between May 23 and June 30, 2021, 111 participants engaged in 16 Community Chats: 4 on Health Care Access, 4 on Food Access, 3 on Education and 5 on Employment. All sessions were recorded, and audio files were anonymously transcribed to text documents. Text documents were uploaded to the qualitative data analysis software tool "Dedoose" for coding. Dedoose is a web-based program that allowed the researchers to organize and analyze research data into text formats for quantitative and qualitative data and facilitated mixed methods research output.
Schedule H, Part V, Section B, Line 6a Facility B, 1	Facility B, 1 - SSM Health St. Anthony Hospital - Midwest. The hospital facility completed a joint 2021 CHNA with Integris Health, Mercy Hospital Oklahoma City, OU Health, and St. Anthony Hospital - Oklahoma City.
Schedule H, Part V, Section B, Line 6b Facility B, 1	Facility B, 1 - SSM Health St. Anthony Hospital - Midwest. The hospital facility completed a joint 2021 CHNA with the Oklahoma City-County Health Department.

Field	Value	IRS element (for citing)
Facility	36	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (40 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SSM HEALTH BONE & JOINT HOSPITAL AT ST ANTHONY
1111 N DEWEY	OKLAHOMA CITY	OK	73103	Other health care facility
SSM HEALTH MEDICAL GROUP
13401 N WESTERN AVENUE SUITE 200	OKLAHOMA CITY	OK	73114	Other health care facility
SSM HEALTH HEART & VASCULAR CARE
608 NW 9TH ST SUITE 2200	OKLAHOMA CITY	OK	73102	Other health care facility
SSM HEALTH ST ANTHONY HEALTHPLEX
13401 N WESTERN AVENUE SUITE 100	OKLAHOMA CITY	OK	73114	Other health care facility
SSM HEALTH ST ANTHONY HEALTHPLEX
13500 S TULSA DRIVE	OKLAHOMA CITY	OK	73170	Other health care facility
SSM HEALTH MEDICAL GROUP
13500 S TULSA DRIVE SUITE	OKLAHOMA CITY	OK	73170	Other health care facility
SSM HEALTH MEDICAL GROUP
15679 NE 23RD STREET	CHOCTAW	OK	73020	Other health care facility
SSM HEALTH ST ANTHONY HEALTHPLEX
201 S SARA ROAD SUITE 100	MUSTANG	OK	73064	Other health care facility
SSM HEALTH MEDICAL GROUP
201 S SARA ROAD SUITE 200	MUSTANG	OK	73064	Other health care facility
SSM HEALTH OUTPATIENT CENTER
201 S SARA ROAD SUITE 210	MUSTANG	OK	73064	Other health care facility
SSM HEALTH ST ANTHONY SOUTH
2129 SW 59TH STREET	OKLAHOMA CITY	OK	73119	Other health care facility
SSM HEALTH ST ANTHONY HEALTHPLEX
3400 S DOUGLAS BLVD SUITE 100	OKLAHOMA CITY	OK	73150	Other health care facility
SSM HEALTH MEDICAL GROUP
13401 N WESTERN AVE STE 407	OKLAHOMA CITY	OK	73114	Other health care facility
SSM HEALTH SURGERY CENTER
1110 N LEE AVENUE SUITE 100	OKLAHOMA CITY	OK	73103	Other health care facility
SSM HEALTH ST ANTHONY LAB
1110 N CLASSEN BLVD STE 205	OKLAHOMA CITY	OK	73106	Other health care facility
SSM HEALTH CANCER CARE
1011 N DEWEY AVENUE	OKLAHOMA CITY	OK	73102	Other health care facility
SSM HEALTH MEDICAL GROUP
6908 E RENO SUITE 202	MIDWEST CITY	OK	73110	Other health care facility
SSM HEALTH MEDICAL GROUP
6908 E RENO SUITE 201	MIDWEST CITY	OK	73110	Other health care facility
SSM BEHAVIORAL HEALTH
416 WEST 15TH STREET BUILDING 700 S	EDMOND	OK	73013	Other health care facility
SSM HEALTH BREAST CARE
535 NW 9TH SUITE 100	OKLAHOMA CITY	OK	73102	Other health care facility
SSM HEALTH NEUROSCIENCES
535 NW 9TH SUITE 205	OKLAHOMA CITY	OK	73102	Other health care facility
SSM HEALTH MEDICAL GROUP
608 NW 9TH STREET STE 1100	OKLAHOMA CITY	OK	73102	Other health care facility
SSM HEALTH ST ANTHONY URODYNAMIC DIAGNOSTICS
608 NW 9TH STREET STE 3100	OKLAHOMA CITY	OK	73102	Other health care facility
SSM HEALTH OUTPATIENT CENTER
608 NW 9TH STREET STE 3106	OKLAHOMA CITY	OK	73102	Other health care facility
SSM HEALTH MEDICAL GROUP
608 NW 9TH STREET STE 3110	OKLAHOMA CITY	OK	73102	Other health care facility
SSM HEALTH MEDICAL GROUP
608 NW 9TH STREET STE 5204	OKLAHOMA CITY	OK	73102	Other health care facility
SSM HEALTH PHARMACY
608 NW 9TH STREET SUITE 3200	OKLAHOMA CITY	OK	73102	Other health care facility
SSM HEALTH MEDICAL GROUP
608 NW 9TH STREET SUITE 4106	OKLAHOMA CITY	OK	73102	Other health care facility
SSM HEALTH MEDICAL GROUP
608 NW 9TH SUITE 3206	OKLAHOMA CITY	OK	73102	Other health care facility
SSM HEALTH OUTPATIENT CENTER
6201 N SANTA FE AVE STE 1000	OKLAHOMA CITY	OK	73118	Other health care facility
SSM HEALTH OUTPATIENT CENTER
6201 N SANTA FE AVE STE 2000	OKLAHOMA CITY	OK	73118	Other health care facility
SSM HEALTH MEDICAL GROUP
6201 N SANTA FE AVE SUITE 2010	OKLAHOMA CITY	OK	73118	Other health care facility
SSM HEALTH MEDICAL GROUP
6205 N SANTA FE AVE SUITE 201	OKLAHOMA CITY	OK	73118	Other health care facility
SSM HEALTH NEUROLOGY
800 NW 9TH STREET SUITE 100	OKLAHOMA CITY	OK	73106	Other health care facility
ST ANTHONY HOSP-CANCER SPECIALISTS OF OK
3525 NW 56TH ST STE 100D	OKLAHOMA CITY	OK	73112	Other health care facility
ST ANTHONY PHYSICIANS NEUROLOGY
535 NW 9TH ST STE 235	OKLAHOMA CITY	OK	73102	Other health care facility
SSM Health Therapy Services
9060 Harmony Dr STE A	Midwest City	OK	731306253	other health care facility
SSM Health Medical Group Heart & Vascular
3400 S Douglas Blvd STE 305	Oklahoma City	OK	731501018	Other health care facility
SSM Health St Anthony El Reno
2115 Parkview Drive Suite 200	El Reno	OK	730362109	other healthcare facility
SSM Health Neurosciences
535 NW 9th Street STE 325	Oklahoma City	OK	731021035	other healthcare facility

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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	SSM HEALTH CARE OF OKLAHOMA 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: LEADERSHIP DEVELOPMENT/TRAINING FOR COMMUNITY MEMBERS: FIRST AID TRAINING FOR GIRL SCOUT TROOP.
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	SSM Health Care of Oklahoma, 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	SSM Health Care of Oklahoma, Inc. 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 Hospital's collection and financial assistance policies.
Schedule H, Part V, Section B, Line 16a FAP website	A - SSM Health St. Anthony Hospital - Oklahoma City: Line 16a URL: https://www.ssmhealth.com/for-patients/financial-assistance/hospital-financial-assistance; B - SSM Health St. Anthony Hospital - Midwest: Line 16a URL: https://www.ssmhealth.com/for-patients/financial-assistance/hospital-financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - SSM Health St. Anthony Hospital - Oklahoma City: Line 16b URL: https://www.ssmhealth.com/for-patients/financial-assistance/hospital-financial-assistance; B - SSM Health St. Anthony Hospital - Midwest: Line 16b URL: https://www.ssmhealth.com/for-patients/financial-assistance/hospital-financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - SSM Health St. Anthony Hospital - Oklahoma City: Line 16c URL: https://www.ssmhealth.com/for-patients/financial-assistance/hospital-financial-assistance; B - SSM Health St. Anthony Hospital - Midwest: Line 16c URL: https://www.ssmhealth.com/for-patients/financial-assistance/hospital-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 - Oklahoma City and SSM Health St. Anthony Hospital - Midwest are located in Oklahoma County, Oklahoma, the most populous county in the state. The County had an estimated population of 797,434 residents in 2019, about 24% of Oklahoma's total. Oklahoma County is more diverse than other areas within the state, with 17.4% Hispanic/Latino, 14.8% black, and 56.0% white. The number of people living in poverty in Oklahoma County was estimated as one in six in 2018 (16.7%). This figure was higher than both the state poverty rate of 16.0% and the national poverty rate of 14.1% in 2018. Likewise, median household income for Oklahoma County was $52,855, slightly above $51,424 for the state, but significantly below the U.S. median household income of $60,293. Among Oklahoma County residents 18 and older, 30% held a bachelor's degree or higher in 2019. Unemployment numbers released in 2021 from the U.S. Bureau of Labor Statistics show that Oklahoma City ranks first for Metropolitan communities with a 2010 Census population of one million or more. Oklahoma City has an unemployment rate of 2.6%.19 This is the lowest rate since December 2019. Additional detailed information on the community for both hospitals is found throughout the 2021 CHNA.
Schedule H, Part VI, Line 5 Promotion of community health	SSM Health Care of Oklahoma, 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, SSM Health Care of Oklahoma 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. SSM Health Care of Oklahoma 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. SSM Health Care of Oklahoma 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	SSM Health Care of Oklahoma, Inc. is a 501(c)(3) organization and is a member of the integrated health care system known as SSM Health. 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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
Allied Arts Foundation
1015 N Broadway Avenue	Oklahoma City	OK	73102	730804291	501(c)(3)	$25,500	CHARITABLE SUPPORT
Boy Scouts of America 480 Last Frontier Council
3031 NW 64th St	Oklahoma City	OK	73116	237161175	501(c)(3)	$10,000	CHARITABLE SUPPORT
The Brendon McLarty Memorial Foundation
PO Box 54944	Oklahoma City	OK	73154	815044833	501(c)(3)	$82,500	CHARITABLE SUPPORT
Casady School
PO Box 20390	Oklahoma City	OK	73156	730587209	501(c)(3)	$15,000	CHARITABLE SUPPORT
Catholic Charities of the Archdiocese of Oklahoma City Inc
1232 N Classen Blvd	Oklahoma City	OK	73106	730636561	501(c)(3)	$20,000	CHARITABLE SUPPORT
Cristo Rey Oklahoma City Catholic High School Inc
900 N Portland Avenue	Oklahoma City	OK	73107	475521087	501(c)(3)	$63,500	CHARITABLE SUPPORT
Del City Chamber of Commerce
PO Box 15643	Oklahoma City	OK	73155	730707048	501(c)(6)	$6,150	CHARITABLE SUPPORT
Greater Oklahoma City Chamber of Commerce
123 Park Avenue	Oklahoma City	OK	73102	730381180	501(c)(6)	$131,105	CHARITABLE SUPPORT
Girl Scouts - Western Oklahoma Inc
6100 N Robinson Ave	Oklahoma City	OK	73118	730677849	501(c)(3)	$5,250	CHARITABLE SUPPORT
Health Alliance for the Uninsured Inc
3000 United Founders Blvd	Oklahoma City	OK	73112	261789292	501(c)(3)	$135,000	CHARITABLE SUPPORT
Hearts for Hearing Foundation
11500 N Portland Ave	Oklahoma City	OK	73120	582670613	501(c)(3)	$10,000	CHARITABLE SUPPORT
Langston University
701 Sammy Davis Jr Dr	Langston	OK	73050			$5,175	CHARITABLE SUPPORT
Mental Health Association Oklahoma
5330 E 31st Street	Tulsa	OK	74135	730657931	501(c)(3)	$100,000	CHARITABLE SUPPORT	Suite 1000
Midwest City Chamber of Commerce
5905 Trosper Road	Midwest City	OK	73110	730564140	501(c)(6)	$11,025	CHARITABLE SUPPORT
Midwest City-Del City Independent School District No 52
7217 SE 15th Street	Midwest City	OK	73110			$37,925	CHARITABLE SUPPORT
Oklahoma Baptist University
500 W University St	Shawnee	OK	74804	730579264	501(c)(3)	$30,000	CHARITABLE SUPPORT
Oklahoma Center for Community and Justice
100 West 5th Street Suite 335	Tulsa	OK	74103	870744050	501(c)(3)	$6,000	CHARITABLE SUPPORT
Oklahoma City National Memorial Foundation
PO Box 323	Oklahoma City	OK	73101	731472725	501(c)(3)	$50,336	CHARITABLE SUPPORT
Oklahoma County Medical Society
313 NE 50th St Ste 2	Oklahoma City	OK	73105	730381790	501(c)(6)	$13,000	CHARITABLE SUPPORT
Oklahoma Hospital Association
4000 N Lincoln Blvd	Oklahoma City	OK	73105	730618552	501(c)(6)	$13,900	CHARITABLE SUPPORT
PulsePoint Foundation
PO Box 12594	Pleasanton	CA	94588	452725805	501(c)(3)	$18,000	CHARITABLE SUPPORT
Red Bud Foundation
421 Avondale Drive	Oklahoma City	OK	73116	731293464	501(c)(3)	$20,500	CHARITABLE SUPPORT	Suite 204-A
Regional Food Bank of Oklahoma
PO Box 270968	Oklahoma City	OK	73137	731100380	501(C)(3)	$20,500	CHARITABLE SUPPORT
Rose State College
6420 SE 15th St	Midwest City	OK	73110			$10,000	CHARITABLE SUPPORT
Scissortail Park Foundation Inc
301 W Reno Ave	Oklahoma City	OK	73102	811857531	501(C)(3)	$15,000	CHARITABLE SUPPORT
Uncommon Collective Foundation
701 NW 8th Street	Oklahoma City	OK	73102	833017938	501(C)(3)	$10,000	CHARITABLE SUPPORT
United Way of Central Oklahoma
1444 NW 28th Street	Oklahoma City	OK	73106	730589829	501(C)(3)	$90,097	CHARITABLE SUPPORT
YMCA of Greater Oklahoma City
500 N Broadway Avenue	Oklahoma City	OK	73102	730579270	501(C)(3)	$15,500	CHARITABLE SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	20	Total501c3OrgCnt
Total Other Org	8	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Joe Hodges
Director, Vice Chair, Regional President - SSM Health Care of Oklahoma	$0	$642,969	$0	$367,335	$0	$84,951	$0	$538,438	$0	$41,199	$0	$1,674,892	$0	$447,967
Laura Kaiser
Former Officer	$0	$1,929,589	$0	$1,636,383	$0	$2,204,713	$0	$2,594,363	$0	$19,444	$0	$8,384,492	$0	$2,010,054
Kris Zimmer
Former Officer	$0	$0	$0	$0	$0	$135,402	$0	$0	$0	$0	$0	$135,402	$0	$372
Douglas Long
Secretary, General Counsel at SSM Health	$0	$724,576	$0	$460,492	$0	$168,959	$0	$664,054	$0	$22,673	$0	$2,040,753	$0	$460,492
Shasta Manuel
System VP Finance - Oklahoma	$0	$356,556	$0	$99,950	$0	$36,194	$0	$148,868	$0	$39,438	$0	$681,005	$0	$139,946
Randy Combs
Treasurer, Chief Financial Officer at SSM Health	$0	$1,144,254	$0	$475,226	$0	$260,259	$0	$938,234	$0	$32,819	$0	$2,850,792	$0	$475,226
Steve Smoot
Vice President, COO of SSM Health	$0	$1,084,584	$0	$672,081	$0	$113,627	$0	$995,370	$0	$38,629	$0	$2,904,291	$0	$672,081
Kyle Nondorf
Former Key Employee	$0	$506,982	$0	$142,267	$0	$13,732	$0	$215,272	$0	$42,204	$0	$920,457	$0	$165,576
Tammy Powell
President - St. Anthony Hospital - Oklahoma City	$560,191	$0	$187,161	$0	$50,288	$0	$258,644	$0	$42,025	$0	$1,098,310	$0	$231,828	$0
Paul Wright
VP-Medical Practice, St. Anthony Physician Group	$309,553	$0	$50,730	$0	$19,196	$0	$77,116	$0	$31,370	$0	$487,965	$0	$79,699	$0
Stacy Coleman
Regional VP, Service Lines, SSM Health St. Anthony Hospital	$252,293	$0	$71,080	$0	$20,273	$0	$112,974	$0	$25,373	$0	$481,993	$0	$89,814	$0
Elain Richardson
Regional VP-Patient Care Services/CNO	$271,547	$0	$71,588	$0	$11,323	$0	$117,948	$0	$29,275	$0	$501,681	$0	$81,112	$0
Kersey Winfree
Regional Chief Medical Officer	$445,996	$0	$122,970	$0	$63,941	$0	$175,495	$0	$34,968	$0	$843,369	$0	$122,970	$0
Kevin Lewis MD
Regional Chief Clinical Officer	$0	$635,820	$0	$240,827	$0	$51,882	$0	$262,965	$0	$35,909	$0	$1,227,404	$0	$184,086
Stephen Powell
System VP - Medical Group Operations	$0	$213,734	$0	$131,270	$0	$163,906	$0	$54,793	$0	$17,540	$0	$581,243	$0	$151,491
Darin Smith
VP-Operations, Hospital	$236,504	$0	$28,208	$0	$2,275	$0	$58,785	$0	$21,476	$0	$347,248	$0	$28,208	$0
Robert Rader MD
VP-Medical Affairs	$289,191	$0	$15,000	$0	$1,432	$0	$64,317	$0	$34,859	$0	$404,800	$0	$0	$0
Ryan Oss
System VP - Medical Group Operations	$267,978	$0	$44,379	$0	$539	$0	$67,514	$0	$36,538	$0	$416,947	$0	$44,379	$0
Brent Hisey
Physician	$995,159	$0	$521,600	$0	$9,144	$0	$17,850	$0	$41,242	$0	$1,584,995	$0	$0	$0
Avinash Vyas
Physician	$811,065	$0	$496,896	$0	$52,677	$0	$59,402	$0	$34,272	$0	$1,454,312	$0	$0	$0
Faisal Latif
Physician	$843,381	$0	$566,563	$0	$1,710	$0	$17,850	$0	$40,208	$0	$1,469,711	$0	$0	$0
Michael Hahn II
Physician	$1,789,755	$0	$106,085	$0	$4,902	$0	$3,519	$0	$51,580	$0	$1,955,841	$0	$0	$0
Reji Pappy
Physician	$324,450	$0	$1,074,446	$0	$660	$0	$11,710	$0	$16,754	$0	$1,428,021	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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

The organization's top management official, regional president, is compensated by a related organization that utilized the following to determine compensation: (1) Independent Compensation Consultant; (2) compensation survey or study; (3) approval by the board or compensation committee.

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 Tammy Powell $58,316 Paul Wright $14,628 Stacy Coleman $25,485 Elain Richardson $27,558 Kersey Winfree $43,937 Kevin Lewis, MD $62,007 Darin Smith $10,794 Avinash Vyas $41,552 Leonard Bowen $15,768 Laura Kaiser $708,350 Kyle Nondorf $48,758 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 Tammy Powell $45,186 Stacy Coleman $18,968 Elain Richardson $9,908 Kevin Lewis $49,260 Laura Kaiser $1,488,789 Kyle Nondorf $12,653

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KRISTI MCKEE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF STACY COLEMAN, KEY EMPLOYEE	RelationshipDescriptionTxt
Transaction	$176,228	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	Care items/PPE for patients and staff	Desc
Contribution	30	ContributionCnt
Noncash Contributions Rpt F990	$55,917	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Other - Care items/PPE for patients and staff NUMBER OF CONTRIBUTIONS	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a Description of 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 SSM Health Care of Oklahoma: SSM Health Care of Oklahoma (SSMOK) is a health-care network that encompasses SSM Health Care facilities primarily in central Oklahoma. This includes SSM Health St. Anthony Hospital - Oklahoma City, SSM Health Bone & Joint Hospital at St. Anthony and St. Anthony Physicians Group, a multi-specialty medical group with locations geographically spread among the communities we serve. SSMOK is also the sole corporate member of SSM Health St Anthony Hospital - Shawnee in Shawnee, Oklahoma. In addition to the main hospital campuses, the region also encompasses St Anthony North, located in North Oklahoma City, and St Anthony South, located in South Oklahoma City, St Anthony Healthplex East and St Anthony Healthplex South, in east and south Oklahoma City. These state-of-the-art campuses feature freestanding emergency rooms, ambulatory services and physicians. In April 2021, SSMOK acquired SSM Health St. Anthony Hospital - Midwest, located in Midwest City, Oklahoma. SSM Health St. Anthony Hospital operates as a regional referral facility located in midtown Oklahoma City and serving the needs of Central Oklahoma as well as many counties throughout the state of Oklahoma. St. Anthony provides general, tertiary acute care services including cardiology, oncology, behavioral medicine, surgery, kidney transplantation, and a variety of other disciplines. St. Anthony has brought many "firsts" to health care in Oklahoma (first ICU, first kidney transplant, first neurosurgical institute), including bringing the state's only Cyberknife technology to Oklahomans. In 2018, the hospital was awarded the "Patient Safety Excellence Award by Heathgrades and an "A" grade from Leapfrog for patient safety. The St. Anthony Physicians Group was also honored with the National Committee for Quality Assurance's highest level of recognition. SSM Health Bone and Joint Hospital at St. Anthony is unique in that the hospital, physicians and other health care professionals are committed solely to orthopedic care. Staff offers a range of orthopedic services including hip and knee replacement, spine surgery, pain management, sports medicine, arthroscopic procedures, foot and ankle surgery, hand surgery, and robotic surgery. Recognized as one of the top orthopedic hospitals in the United States, Bone and Joint Hospital at St. Anthony rates in the top 4% in patient satisfaction. Bone and Joint Hospital has earned The Joint Commission's Gold Seal of Approval for its total knee and total hip replacement program multiple times, most recently in 2021. Located in Midwest City, SSM Health St. Anthony Hospital - Midwest serves the health care needs of eastern Oklahoma County and surrounding communities. The hospital offers a wide range of services with physicians and staff dedicated to providing exceptional care. Specialties include cardiology, orthopedics, surgery and behavioral health. Through Saints Medical Group, SSM Health Care of Oklahoma provides Primary Care Physicians in Family Medicine, Internal Medicine and Pediatrics. Specialty service lines include Cardiology, Dermatology, Neurology, Obstetrics/Gynecology, Orthopedics, Pulmonary, Thoracic Surgery, Vascular Surgery, Diagnostic/Medical Testing Services, and an Occupational Health Network. SSMOK also includes St. Anthony Affiliate Health Network that encompasses 16 affiliate hospitals, including six tier one affiliate hospitals. Physician specialty clinics, mobile diagnostics and telehealth capabilities are offered to communities throughout the network, thus improving access to health care in the communities located some distance from a metropolitan area. SSM Health Care of Oklahoma 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 $ 15,799,125 uNPAID cOST OF medicaid $ 27,310,609 Unpaid Cost of Medicare $ 16,065,511 Total Quantifiable Uncompensated Care $ 59,175,245
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 4 Significant changes to organizational documents	The organization's bylaws were updated during the year to reflect the acquisition of an additional hospital in Midwest City, Oklahoma.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE CORPORATION. SSM HEALTH CARE CORPORATION IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH SSM HEALTH CARE OF OKLAHOMA AND SSM HEALTH CARE CORPORATION 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 ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND 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 ARTICLES 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 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 INTEREST IN THE PROPERTY OF THE CORPORATION P. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO 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, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS, AND OBJECTIVE OF THE MEMBER AS DETERMINED BY THE MEMBER Q. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN 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 DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUST BE COMPLETED ONLINE. 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 THE SSM HEALTH SYSTEM 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: 9539561, Related or Exempt Function Revenue: 9539561, 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 services - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 0, Fundraising Expenses: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Change in beneficial interest in foundation - 634445; Fund transfers - 1162829; Inherent contribution - St. Anthony Midwest - -1134535;
FORM 990, PART I DOING BUSINESS AS	SSM HEALTH CARE OF OKLAHOMA, INC. CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING REGISTERED NAMES: "SCORE" - SPECIALIZED CENTER OF REJUVENATION AND EXERCISE "START" - ST. ANTHONY RECOVERY AND TREATMENT PROGRAM EXCELLENCE IS THE BEST MEDICINE SSM HEALTH SSM HEALTH BEHAVIORAL HEALTH SSM HEALTH BONE & JOINT HOSPITAL AT ST. ANTHONY SSM HEALTH BREAST CARE SSM HEALTH CANCER CARE SSM HEALTH CANCER CARE FRANK C. LOVE CANCER INSTITUTE SSM HEALTH HEART & VASCULAR CARE SSM HEALTH IMAGING SERVICES SSM HEALTH MEDICAL GROUP SSM HEALTH NEUROSCIENCES SSM HEALTH OUTPATIENT CENTER SSM HEALTH PEDIATRICS SSM HEALTH PHARMACY SSM HEALTH SLEEP SERVICES SSM HEALTH ST. ANTHONY HEALTHPLEX SSM HEALTH ST. ANTHONY HOSPITAL - MIDWEST SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY SSM HEALTH ST. ANTHONY SOUTH SSM HEALTH SURGERY CENTER SSM HEALTH URGENT CARE

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SAINTS MEDICAL GROUP
10101 Woodfield Lane	ST LOUIS	MO	63132	760825755	MEDICAL SERVICES	OK	$32,320,828	$32,078,603	SSM HEALTH CARE OF OKLAHOMA
SSMOK ACO LLC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	470964302	HEALTH PROMOTION	OK	$0	$0	SSM HEALTH CARE OF OKLAHOMA
B&J McBride Office Building LLC
1000 N Lee Ave	Oklahoma City	OK	73102	731533449	MOB	OK	-$91,995	$2,916,690	SSM Health Care of Oklahoma

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (52 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
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	Yes (true)
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	Yes (true)
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	Yes (true)
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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
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	SSMH HEALTHCARE OF OKLAHOMA	Excluded	$75,119	$5,668,591	false	$0	false	0.5
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	SSM HEALTHCARE OF OKLAHOMA	Excluded	$9,058	$179,125	false		false	0.7168
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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
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
				030310431	Insurance		NA	C Corporation	false	PO Box 1051 GT	Grand Cayman	CJ	KY11102	CJ
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
				981439264	Investment		NA	C Corporation	false	c/o Maples Corporate Services LTD	George Town	CJ	KY11104	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
St Anthony Hospital FOUNDATION
Q	$1,007,696	CASH
St Anthony Hospital FOUNDATION
C	$1,806,418	CASH
LEE DEWEY CORPORATION
K	$1,036,811	CASH