SSM HEALTH CARE OF OKLAHOMA INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SSM HEALTH CARE OF OKLAHOMA INC (EIN 73-0657693)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-08
IRS object ID: 201913129349301971
Schema version: 2018v3.1
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-08T13:00:51-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	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	Doug Long	PersonNm
Person Title	Secretary	PersonTitleTxt
Signature	2019-11-08	SignatureDt

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	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	Laura Kaiser	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	$616,751,603	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.ssmhealth.com	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 three hospitals operated under St. Anthony Hospital's License (SSM Health St. Anthony Hospital - Oklahoma City, 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	10	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	4025	TotalEmployeeCnt
Total Volunteers	205	TotalVolunteersCnt
Total Gross UBI	$1,385,526	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,344,954	PYContributionsGrantsAmt
CY Contributions Grants	$2,614,157	CYContributionsGrantsAmt
PY Program Service Revenue	$545,358,409	PYProgramServiceRevenueAmt
CY Program Service Revenue	$605,826,599	CYProgramServiceRevenueAmt
PY Investment Income	$349,406	PYInvestmentIncomeAmt
CY Investment Income	$290,559	CYInvestmentIncomeAmt
PY Other Revenue	$4,873,288	PYOtherRevenueAmt
CY Other Revenue	$6,063,813	CYOtherRevenueAmt
PY Total Revenue	$551,926,057	PYTotalRevenueAmt
CY Total Revenue	$614,795,128	CYTotalRevenueAmt
PY Grants And Similar Paid	$579,041	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$623,602	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$235,324,265	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$247,238,327	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$307,088,220	PYOtherExpensesAmt
CY Other Expenses	$348,450,847	CYOtherExpensesAmt
PY Total Expenses	$542,991,526	PYTotalExpensesAmt
CY Total Expenses	$596,312,776	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,934,531	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$18,482,352	CYRevenuesLessExpensesAmt
Total Assets BOY	$423,129,340	TotalAssetsBOYAmt
Total Assets EOY	$638,753,623	TotalAssetsEOYAmt
Total Liabilities BOY	$162,351,835	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$558,048,710	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$260,777,505	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$80,704,913	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	$554,903,457	ExpenseAmt
Grant	$623,602	GrantAmt
Revenue	$605,826,599	RevenueAmt
Desc	PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.	Desc
Total Program Service Expenses	$554,903,457	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	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	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	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	4025	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
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	Yes (true)	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	10	GoverningBodyVotingMembersCnt
Independent Voting Member	7	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
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
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	Eric Ericson	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4052807501	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 (32 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, Regional President - SSM Health Care of Oklahoma	40.0	3.0	Yes (X)	Yes (X)	$753,141	$0	$253,792
Patrick McCruden
Director, Vice Chair, Chief Mission Integration Officer-SSM Health	1.0	42.0	Yes (X)	Yes (X)	$0	$309,915	$131,631
Chad Borin DO
Director, Physician, SSM Health Care of Oklahoma	40.0	2.0	Yes (X)		$53,098	$0	$0
Martha Burger
Director	1.0	2.0	Yes (X)		$0	$0	$0
Mike Collison
Director	1.0	2.0	Yes (X)		$0	$0	$0
Marion McMillan
Director	1.0	2.0	Yes (X)		$0	$0	$0
Margaret Salyer
Director	1.0	2.0	Yes (X)		$0	$0	$0
Paige Bass
Director	1.0	2.0	Yes (X)		$0	$0	$0
Teresa Rose-Crook
Director	1.0	2.0	Yes (X)		$0	$0	$0
Duke Ligon
Director	1.0	2.0	Yes (X)		$0	$0	$0
June Pickett
Secretary, Asst VP Governance & Archives, SSM Health	1.0	71.7		Yes (X)	$0	$286,530	$54,057
Paula Friedman
Vice President, Senior VP-Strategic Development SSM Health	1.0	58.0		Yes (X)	$0	$1,545,828	$309,578
Kris Zimmer
Treasurer, Chief Financial Officer at SSM Health	1.0	66.0		Yes (X)	$0	$1,741,877	$376,259
Shasta Manuel
System Vice President-Finance	30.0	11.0		Yes (X)	$0	$364,715	$102,757
Ramona Carey
Assistant Secretary	40.0	2.0		Yes (X)	$71,633	$0	$22,048
Richard Boothe
Performance/Academic Officer, SSM Health St. Anthony Hospital	40.0	0			$335,939	$0	$31,567	Yes (X)
Tamara L Powell
President, SSM Health Bone & Joint Hospital at St. Anthony	40.0	0			$675,457	$0	$154,990	Yes (X)
Marti F Jourden
Regional VP, Quality and Performance	40.0	0			$0	$217,526	$49,392	Yes (X)
Paul Wright
Medical Director, St. Anthony Physician Group	16.0	24.0			$114,414	$171,621	$48,367	Yes (X)
Stephen D Powell
System VP - Medical Group Operations	40.0	0			$334,647	$0	$71,602	Yes (X)
Kyle Nondorf
Executive VP/COO - SSM Health St. Anthony Hospital	40.0	0			$267,282	$0	$83,991	Yes (X)
Stacy Coleman
Regional VP, Service Lines, SSM Health St. Anthony Hospital	40.0	0			$247,698	$0	$80,412	Yes (X)
Cynthia L Brundige
System VP Human Resources-OK	40.0	0			$0	$275,960	$61,994	Yes (X)
Elain Richardson
VP Nursing/CNO, SSM Health St. Anthony Hospital	40.0	0			$240,922	$0	$71,690	Yes (X)
Kersey Winfree
VP - Medical Affairs, SSM Health Care of Oklahoma	40.0	1.0			$527,010	$0	$121,879	Yes (X)
Aviniash Vyas
Physician	40.0	0			$1,188,614	$0	$45,722		Yes (X)
Leonard Bowen
Physician	40.0	0			$1,366,980	$0	$26,768		Yes (X)
Reji Pappy
Physician	40.0	0			$1,192,503	$0	$36,644		Yes (X)
Keith J Kassabian
Physician	40.0	0			$1,067,032	$0	$27,346		Yes (X)
Vinodh Jeevanantham
Physician	40.0	0			$1,311,557	$0	$41,681		Yes (X)
Laura Kaiser
Former Officer	0.0	49.0			$0	$1,891,562	$841,443			Yes (X)
Christopher Howard
Former Officer	0.0	49.0			$0	$2,492,311	$144,128			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,747,927	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,297,845	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,189,737	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	216	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
SODEXO MARRIOTT SERVICES
1000 NORTH LEE STREET	OKLAHOMA CITY	OK	73101	FOOD SERVICES	$13,798,396
Novitas Solutions Inc
1800 Center Street	Camp Hill	PA	17089	Claims processing	$12,692,884
Comprehensive Cancer Center
3525 NW 56th St	Oklahoma City	OK	73112	Medical services	$7,756,937	Suite 100D
WALDROP CONSTRUCTION INC
1528 LINWOOD BLVD	OKLAHOMA CITY	OK	73106	CONSTRUCTION SERVICES	$6,719,301
HOSPITALISTS MEDICINE PHYSICIANS
1498 PACIFIC AVENUE	TACOMA	WA	98402	PHYSICIAN SERVICES	$3,852,332	SUITE 400

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	99	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$2,614,157	RelatedOrganizationsAmt
Total Contributions	$2,614,157	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621950	BusinessCd
Total Revenue Column	$605,826,599	TotalRevenueColumnAmt
Related Or Exempt Func Income	$605,826,599	RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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)
Total Program Service Revenue	$605,826,599	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$346,762	TotalRevenueColumnAmt
Exclusion	$346,762	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$771,926	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,204,361	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$432,435	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$432,435	TotalRevenueColumnAmt
Exclusion	-$432,435	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$43,253	SecuritiesAmt
Other	$12,950	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$43,253	SecuritiesAmt
Other	-$12,950	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$56,203	TotalRevenueColumnAmt
Exclusion	-$56,203	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$887,145	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$695,911	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$191,234	TotalRevenueColumnAmt
Exclusion	$191,234	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA	722320	$3,853,403	$3,853,403
LABORATORY	621500	$910,512		$910,512
PHARMACY	446110	$436,473		$436,473

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,104,626	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$38,541	UnrelatedBusinessRevenueAmt
Exclusion	$1,066,085	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,305,014	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$614,795,128	TotalRevenueColumnAmt
Related Or Exempt Func Income	$605,826,599	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,385,526	UnrelatedBusinessRevenueAmt
Exclusion	$4,968,846	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	$623,602	TotalAmt
Program Services	$623,602	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,532,559	TotalAmt
Program Services	$4,161,670	ProgramServicesAmt
Management And General	$370,889	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$188,770,849	TotalAmt
Program Services	$173,324,162	ProgramServicesAmt
Management And General	$15,446,687	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$14,221,622	TotalAmt
Program Services	$13,130,241	ProgramServicesAmt
Management And General	$1,091,381	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$27,144,286	TotalAmt
Program Services	$24,934,429	ProgramServicesAmt
Management And General	$2,209,857	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,569,011	TotalAmt
Program Services	$11,555,013	ProgramServicesAmt
Management And General	$1,013,998	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,611,263	TotalAmt
Program Services	$2,610,763	ProgramServicesAmt
Management And General	$500	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$606,640	TotalAmt
Management And General	$606,640	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$211,580	TotalAmt
Management And General	$211,580	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$81,605,758	TotalAmt
Program Services	$79,057,866	ProgramServicesAmt
Management And General	$2,547,892	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$198,549	TotalAmt
Management And General	$198,549	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$27,692,174	TotalAmt
Program Services	$27,198,004	ProgramServicesAmt
Management And General	$494,170	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$26,767,808	TotalAmt
Program Services	$26,632,502	ProgramServicesAmt
Management And General	$135,306	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$20,954,862	TotalAmt
Program Services	$20,656,629	ProgramServicesAmt
Management And General	$298,233	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,722,949	TotalAmt
Program Services	$1,180,166	ProgramServicesAmt
Management And General	$542,783	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$499,349	TotalAmt
Program Services	$253,916	ProgramServicesAmt
Management And General	$245,433	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,237,410	TotalAmt
Program Services	$2,237,410	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,209,468	TotalAmt
Program Services	$22,209,468	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,596,535	TotalAmt
Program Services	$3,596,535	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$127,626,893	$127,626,893
MEDICAID PROVIDER TAX	$13,754,403	$13,754,403
MANAGEMENT FEES - AFFILIATES	$15,995,421		$15,995,421
LICENSES & TAXES	$159,785	$159,785

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	$596,312,776	TotalAmt
Program Services	$554,903,457	ProgramServicesAmt
Management And General	$41,409,319	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
EOY	$1,321,492	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$45,677,958	BOYAmt
EOY	$71,197,546	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$76,956,218	BOYAmt
EOY	$91,218,138	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)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,871,118	BOYAmt
EOY	$11,655,285	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,927,041	BOYAmt
EOY	$4,001,594	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$529,381,850	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$343,610,408	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$186,867,986	BOYAmt
EOY	$185,771,442	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$12,170,622	BOYAmt
EOY	$11,991,805	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$22,575,658	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$1,034,810	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$88,658,397	BOYAmt
EOY	$237,985,853	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$423,129,340	BOYAmt
EOY	$638,753,623	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$64,567,042	BOYAmt
EOY	$43,481,984	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$97,179	BOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$97,687,614	BOYAmt
EOY	$514,566,726	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$162,351,835	BOYAmt
EOY	$558,048,710	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$252,928,660	BOYAmt
EOY	$70,992,652	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,803,272	BOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$45,573	BOYAmt
EOY	$9,712,261	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$260,777,505	BOYAmt
EOY	$80,704,913	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$423,129,340	BOYAmt
EOY	$638,753,623	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$18,482,352	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$15,346	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$198,539,598	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	$14,296	OtherActivitiesAmt
Total Lobbying Expenditures	$14,296	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 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	$45,573	BeginningYearBalanceAmt
End Year Balance	$45,573	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$75,573	BeginningYearBalanceAmt
Other Expenditures	$30,000	OtherExpendituresAmt
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	$9,430,481	OtherCostOrOtherBasisAmt
Book Value	$9,430,481	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$309,148,726	OtherCostOrOtherBasisAmt
Depreciation	$177,441,663	DepreciationAmt
Book Value	$131,707,063	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,071,955	OtherCostOrOtherBasisAmt
Depreciation	$5,077,745	DepreciationAmt
Book Value	$2,994,210	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$201,796,668	OtherCostOrOtherBasisAmt
Depreciation	$161,091,000	DepreciationAmt
Book Value	$40,705,668	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$934,020	OtherCostOrOtherBasisAmt
Book Value	$934,020	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$185,771,442	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES
GOODWILL
DUE FROM AFFILIATES	$227,386,398
SOFTWARE
DEPOSITS	$41,949
BENEFICIAL INTEREST IN FOUNDATION
PENSION ADJUSTMENT ASSET	$10,557,506

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$237,985,853	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
THIRD-PARTY PAYOR	$41,116,579
PENSION FUNDING LIABILITY
ASSET RETIREMENT OBLIGATION	$189,705
DUE TO AFFILIATES	$238,913,769
RETIREMENT LIABILITIES	$7,274,334
RABBI TRUST LIABILITY
ALLOCATED TAX-EXEMPT BOND DEBT (ISSUED BY SSM HEALTH CARE CORPORATION)	$225,000,000
DEFINED COMPENSATION LIABILITY
THIRD PARTY PATIENT LOANS	$2,055,762
OTHER LIABILITIES	$16,577

Field	Value	IRS element (for citing)
Total Liability	$514,566,726	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 2018 OR 2017.

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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$23,571,964	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,571,964	NetCommunityBenefitExpnsAmt
Total Expense	0.0395	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$88,052,003	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$83,884,507	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,167,496	NetCommunityBenefitExpnsAmt
Total Expense	0.0070	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,416,947	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,903,160	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$513,787	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	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	$131,040,914	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$102,787,667	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,253,247	NetCommunityBenefitExpnsAmt
Total Expense	0.0474	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$242,412	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,675	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$231,737	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,229,302	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,743,708	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,485,594	NetCommunityBenefitExpnsAmt
Total Expense	0.0193	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	$167,999	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$167,999	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$13,639,713	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,754,383	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,885,330	NetCommunityBenefitExpnsAmt
Total Expense	0.0199	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$144,680,627	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$104,542,050	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,138,577	NetCommunityBenefitExpnsAmt
Total Expense	0.0673	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	$83,936,261	BadDebtExpenseAmt
Reimbursed By Medicare	$145,459,258	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$139,748,457	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$5,710,801	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	0.2105	0.7895
BONE AND JOINT MANAGEMENT COMPANY
MANAGEMENT SERVICES	0.3333	0.6667
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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SSM Health St Anthony Hospital - Oklahoma City	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 N LEE	AddressLine1Txt
City	OKLAHOMA CITY	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	73103	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://www.ssmhealth.com/locations/st-anthony-hospital	WebsiteAddressTxt
State License	2304	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	A	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.ssmhealth.com/locations/st-anthony-hospital	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	https://www.ssmhealth.com/about/chna	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.ssmhealth.com/about/chna	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.ssmhealth.com/for-patients/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.ssmhealth.com/for-patients/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.ssmhealth.com/for-patients/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 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. Methods of collecting and analyzing data and information included online surveys, community chats, published data, and hospital specific data. Community chats were conducted to dialogue directly with local community members. There was a targeted effort to conduct chats with at-risk populations in low socioeconomic zip codes and at minority health fairs throughout the county. Community partners that assisted in data collection for community chats included Linwood Elementary School, the Wellness Now Coalition, Reaching Our City, and Men's Zion Group. Community surveys were available online. Each partner utilized social media to publicize the survey to residents of Oklahoma County. Partners assisting in the dissemination of the online survey included Oklahoma City Indian Clinic, Southern Plains Tribal Health Board, Men's Health University, Hispanic Initiative, Crossings Community Center, and the Wellness Now Coalition. INTEGRIS, Mercy Hospital OKC, SSM Health St. Anthony Hospital, OCCHD, OSDH, and UWCO collaborated to gather community input from Oklahoma County residents of all backgrounds, socioeconomic status, and demographics. Additionally, the hospitals provided internal data for analysis and consideration in the CHNA process. In addition to the input from community chats, online surveys and dot voting, the compilation of public health data, state and national data, gave a broader view of the overall health status of the county. By looking at past and present data and identifying trends, strategic development for the Community Health Improvement Plan will be more efficient and ultimately more effective.
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 2018 CHNA with Integris Health and Mercy Hospital Oklahoma City.
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 2018 CHNA with the Oklahoma City-County Health Department, the Oklahoma State Department of Health, and the United Way of Central Oklahoma.
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 2018 CHNA. In order to make meaningful impact, and to use its finances most effectively and efficiency, the hospital will place primary focus on the following key priorities: - Food insecurity - Mental health - Tobacco Food insecurity Access to healthy foods is identified as a priority issue for the hospital. In Oklahoma, one in six people struggle with hunger with one in four children being food insecure. Nearly half of the households that receive Supplemental Nutrition Assistance Program (SNAP) benefits in Oklahoma have children. Over 16% of Oklahoma County residents are food insecure, with an annual food budget shortfall of $63,422,000. Additionally, statistics show: - There is growing momentum on addressing food access and insecurity in Oklahoma County. Access to healthy food was identified by the community and secondary data as a need. Food access issues combined to make the top social determinant issue on dot voting, and it was the fifth most frequent chat response. Food insecurity is an important variable tied to the social determinant of poverty which was also ranked highly by community members. INTEGRIS, Mercy Hospital OKC, and SSM Health St. Anthony are collaborating with the Regional Food Bank of Oklahoma to address hunger and malnutrition in the county. - Poverty was ranked second on dot voting for the top three social determinant indicators. - The food insecurity rate in both Oklahoma and Oklahoma County is 16.2%, with approximately 635,740 food insecure individuals in the state and 124,250 in the county. - About 17.2% of Oklahoma lives in a "food desert," and about 10.3% in Oklahoma County do. The hospital's action plan includes the following initiatives to improve food insecurity in the community served: - Establish a Backpacks for Kids program for a public school located in a vulnerable area in Oklahoma County where SSM Health funds the backpacks and provides the volunteers. The backpack program provides children with food access issues with food for the weekends when they are not able to be fed by the schools - Develop a food pharmacy on site at SSM Health St. Anthony for patients screened as food insecure - Expand SSM Health St. Anthony's relationship with the Food Bank by increasing the number of volunteer days from 2 in 2018 to 6 in 2019 - SSM Health St. Anthony South will be joining the main campus of SSM Health St. Anthony in a partnership with the Needs Foundation program. For the Needs Foundation, we collect any leftover foods on Main Campus and at Starbucks, it is packaged in metal containers and the local organization pick up on a daily basis to use at their sites to feed homeless. Mental Health One in four people have been diagnosed with some form of mental health issue. Depression is a significantly debilitating mental health condition and is a leading cause of disability. Feelings of hopelessness, sadness, and fatigue can be overwhelming and may potentially lead to substance abuse as a form of self-medication. Suicide rates are high among those suffering from depression and addiction. Unfortunately, the lack of mental health resources for low income and uninsured persons is a barrier to seeking life changing treatment. Intervention and prevention are key steps in combating this multifaceted health indicator. Additionally, statistics show: - Nearly half of online survey respondents indicated that they experience anxiety/depression and a third of dot voters marked mental health issues as a priority health issue. With alarming public health statistics, mental health is easily one of the top identified health needs in Oklahoma County. Scarce resources leave those suffering from mental health issues with few options for treatment, especially for the uninsured and underinsured members of the community. Identified mental health needs can include, but are not limited to, anxiety, depression, substance abuse disorders, and suicide - Suicides maintained a letter D on the 2016 State of the State's Health Report - In 2016, Oklahoma County had 18.6 deaths due to suicide per 100,000 compared to the United States of 13.42 deaths due to suicide per 100,000 - Oklahoma has 20.9 drug related deaths per 100,000 people compared to the United States which is 14 drug related deaths per 100,000. The hospital's action plan includes the following initiatives to address mental health in the community served: - Increase the SSM Health Medical Group QPP (Quality Payment Program) screenings for depression (CMS-2) from the 40th percentile in 2018 to the 60th percentile in 2021 - Expand the SBIRT (tobacco, alcohol use and depression screenings) project to include the DAST (Drug Abuse Screening Test) for the Family Medicine Center and the OB clinic. These clinics were selected to include the DAST due the large vulnerable population these clinics serve - SSM Health St. Anthony will provide brief counseling and resources for all patients that screened positive for tobacco, substance abuse and/or depression - Implement the GPRA (Government Performance and Results Modernization Act) data collection tool in the OB clinic in order to track and measure the success of interventions - Build a referral network for outpatient mental health services specifically for counseling. Tobacco The hospital continues to view tobacco use as a health issue that should be addressed. The community stresses tobacco's role in increasing the rate of related health issues such as cancer, respiratory problems, stroke, and heart disease. Additionally, statistics show: - Over 40% of online survey participants responded that they suffered from cardiovascular disease which is linked to tobacco use and second-hand smoke - Oklahoma County is still above the national average for adults who smoke - The state of Oklahoma continues to have a grade of "F" in heart disease deaths and a grade of "D" in lung cancer incidence - With the expansion of electronic cigarettes and vapes, nicotine dependency continues to be a widespread public health concern for Oklahoma County residents. The hospital's action plan includes the following initiatives to improve tobacco use in the community served: - Continue to lead the legislative effort to remove smokers as a protected class in employment status - Support legislation regarding clean air which would make all bars and restaurants in Oklahoma smoke-free - Increase the total number of partners in the OK to Quit Campaign from 41 in 2019 to 81 in 2021 - Increase the OK to Quit media pieces from 5 in 2019 to 7 in 2021 The hospital has no plans to discontinue other community benefit efforts addressing the remaining CHNA-identified needs and address additional community needs within its efforts. The following community needs were identified but have not been prioritized due to the hospital's limited resources at this time (additional descriptions available in the 2018 CHNA): - Education - Poverty - Safety - Obesity - Diabetes - Access to care

Field	Value	IRS element (for citing)
Facility	38	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (38 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SSM Health Bone & Joint Hospital at St Anthony
1111 N Dewey Ave	Oklahoma City	OK	73103	Orthopedic hospital
Rehabilitation Center at SSM Health St Anthony Hospital Oklahoma City
1000 N Lee Ave	Oklahoma City	OK	73102	Specialty Care Clinic
SSM Health Medical Group
1011 N Dewey Ave	Oklahoma City	OK	73102	Specialty Care Clinic
SSM Health Medical Group
1111 N Lee Suite 300	Oklahoma City	OK	73103	Specialty care clinic
SSM Health Medical Group
1111 N Lee Suite 305	Oklahoma City	OK	73103	Primary Care Clinic
SSM Health Medical Group
120 N Chisholm Trail Way	Mustang	OK	73064	Primary Care Clinic
SSM Health Medical Group
120 N Robinson Suite 153W	Oklahoma City	OK	73102	Primary Care Clinic
SSM Health St Anthony Healthplex
13401 N Western Ave	Oklahoma City	OK	73114	Primary Care Clinic
SSM Health St Anthony Healthplex
13500 S Tulsa Drive	Oklahoma City	OK	73170	Primary Care Clinic
SSM Health Medical Group
15679 NE 23rd Street	Choctaw	OK	73020	Primary Care Clinic
SSM Health Medical Group
2002 N Council Ave	Blanchard	OK	73010	Primary Care Clinic
SSM Health St Anthony Healthplex
201 S Sara Road Suite 200	Mustang	OK	73064	Primary Care Clinic
SSM Health Dermatology
330 S 5th Street Suite 400	Enid	OK	73701	Specialty Care Clinic
SSM Health St Anthony Healthplex
3400 S Douglas Blvd	Oklahoma City	OK	73150	Primary Care Clinic
SSM Health Medical Group
3700 W Robinson Suite 108	Norman	OK	73072	Primary Care Clinic
SSM Health Medical Group
535 NW 9th Street Suite 205	Oklahoma City	OK	73102	Specialty Care Clinic
SSM Health Medical Group
535 NW 9th Street Suite 210	Oklahoma City	OK	73102	Specialty care clinic
SSM Health Medical Group
535 NW 9th Street Suite 220	Oklahoma City	OK	73102	Specialty care clinic
SSM Health Medical Group
535 NW 9th Street Suite 330	Oklahoma City	OK	73102	Specialty care clinic
SSM Health Medical Group
535 NW 9th Street Suite 235	Oklahoma City	OK	73102	Neurology Clinic
SSM Health Medical Group
535 NW 9th Street Suite 300	Oklahoma City	OK	73102	Specialty Care Clinic
SSM Health Medical Group
608 NW 9th Street Suite 1100	Oklahoma City	OK	73102	Primary Care Clinic
SSM Health Medical Group
608 NW 9th Street Suite 3000	Oklahoma City	OK	73102	Specialty Care Clinic
SSM Health Medical Group
608 NW 9th Street Suite 3110	Oklahoma City	OK	73102	Specialty care clinic
SSM Health Medical Group
608 NW 9th Street Suite 3206	Oklahoma City	OK	73102	Specialty Care Clinic
SSM Health Medical Group
608 NW 9th Street Suite 5000	Oklahoma City	OK	73102	Specialty Care Clinic
SSM Health Medical Group
608 NW 9th Street Suite 5204	Oklahoma City	OK	73102	Specialty Care Clinic
SAPO SSM Health Neurosurgery
608 NW 9th Street Suite 5010	Oklahoma City	OK	73102	Primary Care Clinic
SSM Health Medical Group
608 NW 9th Street Suite 4000	Oklahoma City	OK	73102	Primary Care Clinic
SSM Health Medical Group
608 NW 9th Street Suite 4106	Oklahoma City	OK	73102	Primary Care Clinic
SSM Health Medical Group
6201 North Santa Fe Suite 1010	Oklahoma City	OK	73118	Primary Care Clinic
SCORE Program at SSM Health Medical Group
6201 North Santa Fe Suite 2000	Oklahoma City	OK	73118	Specialty care clinic
SSM Health Medical Group
6201 North Santa Fe Suite 2010	Oklahoma City	OK	73118	Primary Care Clinic
SSM Health Medical Group
6205 North Santa Fe Suite 105	Oklahoma City	OK	73118	Specialty care clinic
SSM Health Dermatology
6908 E Reno Ave Suite 102	Midwest City	OK	73110	Specialty care clinic
SAPO Northwest Family Care
7221 W Hefner Rd	Oklahoma City	OK	73162	Primary care clinic
SAPO Chesapeake Health Center
924 NW 58th Street	Oklahoma City	OK	73118	Primary care clinic
SSM Health Dermatology
9720 N Broadway Ext	Oklahoma City	OK	73114	Specialty Care Clinic

Supplemental Information Detail SupplementalInformationDetail (17 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 III, Line 2 Bad debt expense - methodology used to estimate amount	THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	SSM Health Care of Oklahoma, Inc. did not make an estimate of the organization's bad debt attributable to patients eligible under the organization's financial assistance policy.
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, 2018 consolidated audit is contained on page 23 and 24 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;
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;
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;
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, outpatient and inpatient registration 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 is located in Oklahoma City, Oklahoma in the center of Oklahoma County. St Anthony Hospital's defines its primary Service Area (PSA) as Oklahoma County, which according to 2016 population estimates, had a population of 770,101 persons. There are 16.3% of persons in poverty for both Oklahoma County and the state as a whole, while the median household income for the County is $48,897, slightly above the state's median of $48,038. Oklahoma County is comprised of 70% Caucasians and 16% African-Americans, with a few other minority groups represented. Oklahoma County has a higher rate of its population with a Bachelor's degree at 30.8%, compared to only 24.5% for the State of Oklahoma. In the County, approximately 86.4% of persons are high school graduates. Additional detailed information on the SSM Health St Anthony Hospital - Oklahoma City service area can be found in the 2018 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. Focusing on a broad definition of health, SSM Health Care of Oklahoma's hospital, clinics and programs provide medical and mental health services, health education, health management, prevention, referrals, insurance enrollment and in-home primary care services and support, while fostering collaboration and incorporating Community Benefit strategies. 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.
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 (12 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)	$40,000	General support
American Indian Cultural Center Foundation
900 N Broadway	Oklahoma City	OK	73102	731554119	501(c)(3)	$10,000	General support	Suite 200
Arts Council of Oklahoma City Inc
400 W California Avenue	Oklahoma City	OK	73102	736112471	501(c)(3)	$12,500	General support
Oklahoma City Ballet
7421 N Classen Blvd	Oklahoma City	OK	73116	237003520	501(C)(3)	$10,000	General support
Catholic Charities
3577 High Point Road	Madison	WI	53744	390807067	501(c)(3)	$9,500	General support
Civic Center Foundation
201 N Walker	Oklahoma City	OK	73102	731606322	501(c)(3)	$7,500	General support
Health Alliance for the Uninsured Inc
3000 United Founders Blvd	Oklahoma City	OK	73112	261789292	501(c)(3)	$165,000	General support
Red Bud Foundation
421 Avondale Drive	Oklahoma City	OK	73116	731293464	501(c)(3)	$20,250	General support	Suite 204-A
Myriad Gardens Foundation
301 W Reno	Oklahoma City	OK	73102	731293008	501(c)(3)	$10,000	General support
Next Gen Under 30 Foundation
220 W Wilshire Blvd Suite F2	Oklahoma City	OK	73116	810915191	501(c)(3)	$10,000	General support
YMCA of Greater Oklahoma City
500 N Broadway Avenue	Oklahoma City	OK	73102	730579270	501(C)(3)	$13,000	General support
Alzheimer's Disease & Related Disorders Association Inc
225 N Michigan Ave 17th Floor	Chicago	IL	60601	133039601	501(c)(3)	$6,000	Support health and research programs

Field	Value	IRS element (for citing)
Total501c3 Org	12	Total501c3OrgCnt
Total Other Org	0	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 ORGANIZATION'S GRANTS WERE MADE TO ORGANIZATIONS TAX EXEMPT UNDER IRC SECTION 501(c)(3) or 501(c)(6). THESE ORGANIZATIONS HAVE DEVELOPED INTERNAL CONTROL PROCEDURES FOR THE USE OF GRANT FUNDS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	Yes (true)	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, Regional President - SSM Health Care of Oklahoma	$631,619	$0	$0	$0	$121,522	$0	$226,306	$0	$27,486	$0	$1,006,933	$0	$78,531	$0
Patrick McCruden
Director, Vice Chair, Chief Mission Integration Officer-SSM Health	$0	$219,509	$0	$0	$0	$90,405	$0	$114,575	$0	$17,055	$0	$441,545	$0	$0
Laura Kaiser
Former Officer	$0	$1,469,008	$0	$400,000	$0	$22,554	$0	$834,575	$0	$6,868	$0	$2,733,005	$0	$0
Christopher Howard
Former Officer	$0	$556,972	$0	$600,000	$0	$1,335,339	$0	$123,963	$0	$20,165	$0	$2,636,440	$0	$1,285,002
June Pickett
Secretary, Asst VP Governance & Archives, SSM Health	$0	$229,703	$0	$0	$0	$56,827	$0	$39,862	$0	$14,195	$0	$340,587	$0	$23,155
Paula Friedman
Vice President, Senior VP-Strategic Development SSM Health	$0	$724,285	$0	$450,000	$0	$371,543	$0	$299,866	$0	$9,712	$0	$1,855,406	$0	$550,740
Kris Zimmer
Treasurer, Chief Financial Officer at SSM Health	$0	$870,069	$0	$600,000	$0	$271,808	$0	$356,499	$0	$19,760	$0	$2,118,136	$0	$705,454
Shasta Manuel
System Vice President-Finance	$0	$334,114	$0	$0	$0	$30,601	$0	$77,746	$0	$25,011	$0	$467,472	$0	$27,295
Richard Boothe
Performance/Academic Officer, SSM Health St. Anthony Hospital	$325,745	$0	$0	$0	$10,194	$0	$4,125	$0	$27,442	$0	$367,506	$0	$0	$0
Tamara L Powell
President, SSM Health Bone & Joint Hospital at St. Anthony	$542,518	$0	$0	$0	$132,939	$0	$152,508	$0	$2,482	$0	$830,447	$0	$40,908	$0
Marti F Jourden
Regional VP, Quality and Performance	$0	$182,270	$0	$0	$0	$35,256	$0	$28,359	$0	$21,033	$0	$266,918	$0	$15,037
Paul Wright
Medical Director, St. Anthony Physician Group	$111,725	$167,588	$1,200	$1,800	$1,489	$2,233	$9,050	$13,575	$10,297	$15,445	$133,761	$200,641	$0	$0
Stephen D Powell
System VP - Medical Group Operations	$296,346	$0	$0	$0	$38,300	$0	$51,240	$0	$20,362	$0	$406,248	$0	$31,876	$0
Kyle Nondorf
Executive VP/COO - SSM Health St. Anthony Hospital	$245,873	$0	$0	$0	$21,409	$0	$58,459	$0	$25,532	$0	$351,273	$0	$18,543	$0
Stacy Coleman
Regional VP, Service Lines, SSM Health St. Anthony Hospital	$227,342	$0	$0	$0	$20,356	$0	$54,309	$0	$26,103	$0	$328,110	$0	$17,930	$0
Cynthia L Brundige
System VP Human Resources-OK	$0	$238,382	$0	$0	$0	$37,577	$0	$56,345	$0	$5,649	$0	$337,953	$0	$26,312
Elain Richardson
VP Nursing/CNO, SSM Health St. Anthony Hospital	$232,136	$0	$0	$0	$8,786	$0	$45,381	$0	$26,309	$0	$312,612	$0	$7,600	$0
Kersey Winfree
VP - Medical Affairs, SSM Health Care of Oklahoma	$422,106	$0	$0	$0	$104,904	$0	$96,780	$0	$25,099	$0	$648,889	$0	$75,579	$0
Aviniash Vyas
Physician	$826,525	$0	$312,628	$0	$49,461	$0	$21,625	$0	$24,097	$0	$1,234,335	$0	$0	$0
Leonard Bowen
Physician	$737,074	$0	$570,653	$0	$59,253	$0	$4,125	$0	$22,643	$0	$1,393,747	$0	$0	$0
Reji Pappy
Physician	$836,905	$0	$304,293	$0	$51,305	$0	$13,800	$0	$22,844	$0	$1,229,147	$0	$0	$0
Keith J Kassabian
Physician	$679,824	$0	$333,039	$0	$54,170	$0	$4,125	$0	$23,222	$0	$1,094,379	$0	$0	$0
Vinodh Jeevanantham
Physician	$818,650	$0	$492,147	$0	$760	$0	$21,514	$0	$20,167	$0	$1,353,238	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	The following individuals listed on Part VII Section A received a tax indemnification/gross up payment in 2018. These payments were included in their taxable compensation. Joe Hodges Tamara L Powell Stephen D Powell Paul Wright Kersey Winfree Aviniash Vyas Leonard Bowen Reji Pappy Keith J Kassabian
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 4a Severance or change-of-control payment	SSM Health has adopted a severance policy to provide a financial transition in the event of involuntary termination without cause for executive level positions. The amount of the compensation is based on the position held and length of service with SSMH. The following individuals listed in Part VII of the Form 990 received payments under the plan in the current year. Christopher Howard $352,692
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 2018. 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 2018. THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). Patrick McCruden $33,000 Joe Hodges $76,879 Paula Friedman $87,389 Kris Zimmer $105,240 Shasta Manuel $27,254 Tamara L Powell $43,600 Stephen D Powell $11,383 Kyle Nondorf $10,118 Stacy Coleman $18,800 Cynthia L Brundige $19,502 Elain Richardson $9,600 Kersey Winfree $34,301 Christopher Howard $110,040 Laura Kaiser $264,600 The following individuals listed on Part VII of the Form 990 received distributions from this plan in 2018. All distributions received from the plan in the current year were included in the individual's taxable compensation. Joe Hodges $78,531 Paula Friedman $100,740 Kris Zimmer $105,454 June Pickett $41,882 Shasta Manuel $27,295 Tamara L Powell $40,908 Stephen D Powell $31,876 Kyle Nondorf $18,543 Stacy Coleman $17,930 Cynthia L Brundige $26,312 Marti F Jourden $30,051 Elain Richardson $7,600 Kersey Winfree $75,579 Christopher Howard $685,002 During 2018, the following individuals participated in a nonqualified retirement plan from the organization or a related organization. The amounts reported below represent the change in accrued benefit for each individual and also include amounts accrued under the pension restoration plan. The amounts below are in addition to those reported in Part II, Column C: Joe Hodges $-41,163 Paula Friedman $252,107 Kris Zimmer $137,310 June Pickett $-101,871 Ramona Carey $108 Shasta Manuel $-2,929 Tamara L Powell $47,540 Stephen D Powell $27,735 Kyle Nondorf $-12,200 Paul Wright $10,190 Cynthia L Brundige $13,678 Marti F Jourden $182,759 Elain Richardson $3,187 Richard Boothe $-166,892 Kersey Winfree $12,586 Aviniash Vyas $-20,817 Leonard Bowen $-2,759 Reji Pappy $-4,333 Keith J Kassabian $46,671 Christopher Howard $399,961

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 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 more than 40,000 people and is affiliated with more than 9,900 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. 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 2019. 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 $ 23,571,964 Unpaid Cost of Medicaid $ 4,167,496 Unpaid Cost of Other Government Programs $ 513,787 Total Quantifiable Uncompensated Care $ 28,253,247
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	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.
Form 990, Part VI, Line 15b Process for determining 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.
Form 990, Part VI, Line 4 Significant changes to organizational documents	UPDATES WERE MADE TO THE ORGANIZATION'S BYLAWS DURING THE YEAR AS FOLLOWS: A. CHANGES TO THOSE SERVING AS EX-OFFICIO DIRECTORS B. VICE-CHAIRPERSON WILL NOW BE THE SENIOR VICE-PRESIDENT OF MISSION, INTEGRATION AND ETHICS OF THE MEMBER OF THE MEMBER
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 11d Other Miscellaneous Revenue	ALL OTHER REVENUE - Total Revenue: 1104626, Related or Exempt Function Revenue: , Unrelated Business Revenue: 38541, Revenue Excluded from Tax Under Sections 512, 513, or 514: 1066085;
Form 990, Part IX, Line 11g Other Fees	Medical and other professional fees - Total Expense: 81605758, Program Service Expense: 79057866, Management and General Expenses: 2547892, Fundraising Expenses: ;
Form 990, Part X, Line 29 Adoption of ASC 958-205	Effective for the 2018 calendar year, the organization has adopted ASC 958-205, which modifies how Not-for-Profit Entities present their net asset balances for Financial Statement reporting. The organization will report ending balances on Part X, Balance Sheet, in accordance with ASC 958-205 and include all amounts previous reported as temporarily restricted net assets and permanently restricted net assets on line 29.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Change in beneficial interest in foundation - -363713; Transfers to affiliates - -XXX-XX-XXXX;
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 - OKLAHOMA CITY SSM HEALTH ST. ANTHONY SOUTH SSM HEALTH SURGERY CENTER SSM HEALTH URGENT CARE VEIN AND CIRCULATION CENTER AT ST. ANTHONY HOSPITAL

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	$27,934,131	$5,469,243	SSM HEALTH CARE OF OKLAHOMA
SSMOK ACO LLC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	470964302	HEALTH PROMOTION	OK	$0	$2,200	SSM HEALTH CARE OF OKLAHOMA
B&J McBride Office Building LLC
1000 N Lee Ave	Oklahoma City	OK	73102	731533449	MOB	OK	-$214,127	$1,919,096	SSM Health Care of Oklahoma

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (49 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
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)
SSM Hospice & Home Care Foundation
10101 Woodfield Lane	St Louis	MO	63132	300012246	Fundraising	MO	501(c)(3)	7	SSM Health Businesses	false
St Mary's Hospital Auxiliary
100 St Marys Medical Plaza	Jefferson City	MO	65101	436049878	Fundraising	MO	501(c)(3)	Type II	NA	false
Good Samaritan Hospital Auxiliary
1 Good Samaritan Way	Mount Vernon	IL	62864	237049599	Fundraising	IL	501(c)(3)	Type III-FI	NA	false
St Anthony Shawnee Hospital Inc
1000 N Lee Ave	Oklahoma City	OK	73102	455055149	Health Care	OK	501(c)(3)	3	SSM Health Care of Oklahoma	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
Audrain Medical Center Foundation Inc
620 E Monroe St	Mexico	MO	65265	431265060	Fundraising	MO	501(c)(3)	Type I	NA	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
SSM Health Plan
1277 Deming Way	Madison	WI	53717	831979548	Insurance	MO	501(c)(4)		SSM Health Businesses	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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 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	UBI Code VUBICodeVAmt	OwnershipOwnershipPct	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
SSM St Joseph Endoscopy Center LLC
10101 Woodfield Lane	St Louis	MO	63132	270046559	Surgery Services	MO	NA	N/A	$0	$0	$0	0
St Clare Imaging Services LLC
707 14th Street Suite A	Baraboo	WI	53913	200122365	Diag. Services	WI	NA	N/A	$0	$0	$0	0
Mt Vernon Radiation Therapy Center LLC
10101 Woodfield Lane	St Louis	MO	63132	201382620	Radiation Therapy	IL	NA	N/A	$0	$0	$0	0
Sleep & Neurology Center of Southern Illinois LLC
10101 Woodfield Lane	St Louis	MO	63132	208468195	Diag. Services	IL	NA	N/A	$0	$0	$0	0
CHOWSMGSI Office Building LLC
10101 Woodfield Lane	St Louis	MO	63132	371383861	MOB	IL	NA	N/A	$0	$0	$0	0
Oza Cancer Center LLC
10101 Woodfield Lane	St Louis	MO	63132	201382727	MOB	IL	NA	N/A	$0	$0	$0	0
Shawnee Real Estate Holdings LLC
1000 N Lee Ave	Oklahoma City	OK	73102	455458304	MOB	OK	SSM Health Care of Oklahoma	Excluded	$317,409	$6,187,597	$0	0.50	false	false
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	$0	$0	$0	0
Wisconsin Integrated Information Technology and Telemedicine Systems LLC
1808 West Beltline Highway	Madison	WI	53713	392016715	Information Technology Services	WI	NA	N/A	$0	$0	$0	0
Dean Health Holdings LLC
1277 Deming Way	Madison	WI	53717	261594709	Support Services	WI	NA	N/A	$0	$0	$0	0
Wingra Building Group
1808 West Beltline Highway	Madison	WI	53713	390237060	MOB	WI	NA	N/A	$0	$0	$0	0
Janesville Riverview Clinic Building Partnership
1808 West Beltline Highway	Madison	WI	53713	396220698	MOB	WI	NA	N/A	$0	$0	$0	0
1110 N Classen Blvd LLC
1110 N Classen Boulevard	Oklahoma City	OK	73106	731158158	MOB	OK	SSM Health Care of Oklahoma	Excluded	$4,213	$149,080	$0	0.7168	false	false
SSM St Clare Surgical Center LLC
10101 Woodfield Lane	St Louis	MO	63132	261439695	Surgery Services	MO	NA	N/A	$0	$0	$0	0
Windmill LLP
50 Village View Lane	Chesterfield	MO	63017	431804651	Investments	MO	NA	N/A	$0	$0	$0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
SSM Managed Care Organization LLC
10101 Woodfield Lane	St Louis	MO	63132	431708511	Health Promotion	MO	NA	C Corporation	$0	$0	0	false
FPP INC & Subs
10101 Woodfield Lane	St Louis	MO	63132	431465174	Health Care	MO	NA	C Corporation	$0	$0	0	false
Diversified Health Services Corp
10101 Woodfield Lane	St Louis	MO	63132	431369305	Medical Equipment	MO	NA	C Corporation	$0	$0	0	false
SSM Cardiovascular and Thoracic Services Inc
10101 Woodfield Lane	St Louis	MO	63132	260286559	Health Care	MO	NA	C Corporation	$0	$0	0	false
SSM Properties Inc
10101 Woodfield Lane	St Louis	MO	63132	431462486	Property Services	MO	NA	C Corporation	$0	$0	0	false
SSM DePaul Medical Group Inc
10101 Woodfield Lane	St Louis	MO	63132	431715106	Health Care	MO	NA	C Corporation	$0	$0	0	false
SSM St Charles Clinic Medical Group Inc
10101 Woodfield Lane	St Louis	MO	63132	430626408	Physician Offices	MO	NA	C Corporation	$0	$0	0	false
HealthFirst Physician Management Services
10101 Woodfield Lane	St Louis	MO	63132	731534336	Medical Services	OK	NA	C Corporation	$0	$0	0	false
SSMHC Liability Trust II
10101 Woodfield Lane	St Louis	MO	63132	816128118	Insurance	MO	NA	C Corporation	$0	$0	0	false
SSM Neurosciences Inc
10101 Woodfield Lane	St Louis	MO	63132	263413981	Health Care	MO	NA	C Corporation	$0	$0	0	false
SSM Medical Group Inc
10101 Woodfield Lane	St Louis	MO	63132	431664107	Physician Offices	MO	NA	C Corporation	$0	$0	0	false
SSMHC Insurance Company
10101 Woodfield Lane	St Louis	MO	63132	030310431	Insurance		NA	C Corporation	$0	$0	0	false
SSM Orthopedic Inc
10101 Woodfield Lane	St Louis	MO	63132	271557033	Health Care	MO	NA	C Corporation	$0	$0	0	false
SSM Cancer Care Inc
10101 Woodfield Lane	St Louis	MO	63132	271557324	Health Care	MO	NA	C Corporation	$0	$0	0	false
Physicians Services Corp of Southern Illinois Inc
10101 Woodfield Lane	St Louis	MO	63132	364161526	Health Care	IL	NA	C Corporation	$0	$0	0	false
Dean Health Systems Inc
1808 West Beltline Highway	Madison	WI	53713	391128616	Physician Offices	WI	NA	C Corporation	$0	$0	0	false
Dean Health Insurance Inc
PO Box 56099	Madison	WI	53705	391830837	Insurance	WI	NA	C Corporation	$0	$0	0	false
Dean Health Plan Inc
PO Box 56099	Madison	WI	53705	391535024	Insurance	WI	NA	C Corporation	$0	$0	0	false
SMDV Office Building
1808 West Beltline Highway	Madison	WI	53713	391628491	Physician Offices	WI	NA	C Corporation	$0	$0	0	false
Dean Retail Services Inc
1808 West Beltline Highway	Madison	WI	53713	391717636	Property Services	WI	NA	C Corporation	$0	$0	0	false
Navitus Holdings LLC
1808 West Beltline Highway	Madison	WI	53713	800968174	Pharmacy Benefits	WI	NA	C Corporation	$0	$0	0	false
Oza Oncology Inc
4117 Veterans Memorial Drive	Mt Vernon	IL	62804	371343746	Physician Offices	IL	NA	C Corporation	$0	$0	0	false
SSM Health Janesville Campus Condominium Association Inc
1808 West Beltline Highway	Madison	WI	53713	832038674	Condo association	WI	NA	C Corporation	$0	$0	0	false
SSM Health Pharmacy LLC
10101 Woodfield Lane	St Louis	MO	63132	264031708	Pharmacy	MO	NA	C Corporation	$0	$0	0	false

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
THE ST ANTHONY HOSPITAL FOUNDATION
Q	$872,114	CASH
THE ST ANTHONY HOSPITAL FOUNDATION
C	$2,614,157	CASH
LEE DEWEY CORPORATION
K	$1,095,721	CASH