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SSM HEALTH CARE OF OKLAHOMA INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SSM HEALTH CARE OF OKLAHOMA INC (EIN 73-0657693)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-10
IRS object ID
201723149349302972
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-10T14:03:56-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Crowe Horwath LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19600 Brownsboro Road Suite 400AddressLine1Txt
CityLouisvilleCityNm
State AbbreviationKYStateAbbreviationCd
ZIP402411122ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN730657693EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SSM Health Care of OklahomaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSSMHBusinessNameControlTxt
Phone3149947800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110101 Woodfield LaneAddressLine1Txt
CitySt LouisCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63132ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJune L PickettPersonNm
Person TitleSecretaryPersonTitleTxt
Signature2017-11-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRachel SpurlockPreparerPersonNm
PTINP00520729PTIN
Phone5023263996PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1See Schedule OBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Laura KaiserBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110101 Woodfield LaneAddressLine1Txt
CitySt LouisCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63132ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$526,330,338GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.ssmhealth.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionA HEALTHCARE NETWORK ENCOMPASSING SSM HEALTH FACILITIES PRIMARILY IN CENTRAL OKLAHOMA, INCLUDING three hospitals operated under St. Anthony Hospital's License (St. Anthony Oklahoma City, Bone and Joint Hospital and St. Anthony South), A MULTI-SPECIALTY MEDICAL GROUP AND FOUR REGIONAL HEALTHPLEXES.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee3837TotalEmployeeCnt
Total Volunteers164TotalVolunteersCnt
Total Gross UBI$856,038TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,443,010PYContributionsGrantsAmt
CY Contributions Grants$2,181,867CYContributionsGrantsAmt
PY Program Service Revenue$503,740,866PYProgramServiceRevenueAmt
CY Program Service Revenue$517,385,377CYProgramServiceRevenueAmt
PY Investment Income$3,485,616PYInvestmentIncomeAmt
CY Investment Income$389,411CYInvestmentIncomeAmt
PY Other Revenue$6,134,537PYOtherRevenueAmt
CY Other Revenue$4,827,143CYOtherRevenueAmt
PY Total Revenue$514,804,029PYTotalRevenueAmt
CY Total Revenue$524,783,798CYTotalRevenueAmt
PY Grants And Similar Paid$631,844PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$670,132CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$215,333,222PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$223,856,523CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$286,002,934PYOtherExpensesAmt
CY Other Expenses$299,156,322CYOtherExpensesAmt
PY Total Expenses$501,968,000PYTotalExpensesAmt
CY Total Expenses$523,682,977CYTotalExpensesAmt
PY Revenues Less Expenses$12,836,029PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,100,821CYRevenuesLessExpensesAmt
Total Assets BOY$446,490,702TotalAssetsBOYAmt
Total Assets EOY$508,959,331TotalAssetsEOYAmt
Total Liabilities BOY$408,175,896TotalLiabilitiesBOYAmt
Total Liabilities EOY$218,309,914TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$38,314,806NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$290,649,417NetAssetsOrFundBalancesEOYAmt
MissionTHROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$476,973,292ExpenseAmt
Grant$670,132GrantAmt
Revenue$521,183,233RevenueAmt
DescPLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.Desc
Total Program Service Expenses$476,973,292TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee3837EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Eric EricsonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4052807501PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 205AddressLine1Txt
CityOklahoma CityCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73101ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Joe Hodges
Director, Regional President40.04.0Yes (X)Yes (X)$0$826,424$311,976
Christopher Howard
Chair, Pres-Hospital Operations of SSM Health1.055.0Yes (X)Yes (X)$0$1,129,635$404,326
Sr Mary Jean Ryan FSM
Pt Yr Director & Pt Yr Chairperson1.06.0Yes (X)Yes (X)$0$0$0
William Thompson
Vice Chair, President/CEO of SSM Health1.056.0Yes (X)Yes (X)$0$1,732,435$242,602
MT Berry
Director1.02.0Yes (X)$0$0$0
Martha Burger
Director1.02.0Yes (X)$0$0$0
Mike Collison
Director1.02.0Yes (X)$0$0$0
David Harlow
Director1.02.0Yes (X)$0$0$0
Jenee Lister
Director1.03.0Yes (X)$0$0$0
Marion McMillan
Director1.02.0Yes (X)$0$0$0
Robert Rader MD
Director40.02.0Yes (X)$236,813$0$110,447
Margaret Salyer
Director1.02.0Yes (X)$0$0$0
Kersey Winfree MD
Director1.043.0Yes (X)$0$552,811$115,073
Ramona Carey
Assistant Secretary40.02.0Yes (X)$72,342$0$53,871
Paula Friedman
Vice President, Senior VP-Strategic Development SSM Health1.054.0Yes (X)$0$940,690$388,689
Shasta Manuel
System VP Finance/CFO30.011.0Yes (X)$0$367,483$81,312
June Pickett
Secretary1.065.1Yes (X)$0$281,543$35,564
Kris Zimmer
Treasurer, Senior VP-Finance SSM Health1.057.0Yes (X)$0$1,105,377$344,110
Cynthia Brundige
Sys VP Human Resources40.00$0$283,482$200,544Yes (X)
Marti Jourden
Reg VP-Quality and Performance40.00$215,400$0$105,500Yes (X)
Tamara Powell
President-Bone & Joint Hospital40.00$0$742,681$317,276Yes (X)
Stephen Powell
VP Phys Practice Admin40.00$308,432$0$69,582Yes (X)
Richard Boothe
CMO40.00$370,936$0$39,759Yes (X)
Elain Richardson
VP Patient Care/CNO40.00$233,096$0$86,613Yes (X)
Leonard Bowen
Physician40.00$1,330,107$0$107,220Yes (X)
Aviniash Vyas
Physician40.00$1,110,990$0$94,517Yes (X)
Salman Zubair
Physician40.00$867,749$0$62,135Yes (X)
Reji Pappy
Physician40.00$1,076,529$0$33,325Yes (X)
Keith Kassabian
Physician40.00$826,045$0$101,106Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,648,439TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,962,561TotReportableCompRltdOrgAmt
Total Other Compensation$3,305,547TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K189IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TURNER CONSTRUCTION COMPANY
10100 N CENTRAL EXPRESSWAYSUITE 60DALLASTX75231CONSTRUCTION SERVICES$14,507,342
SODEXO MARRIOTT SERVICES
1000 NORTH LEE STREETOKLAHOMA CITYOK73101FOOD SERVICES$12,981,166
MARK 5 CARE GROUP PLLC
PO BOX 118MUSTANGOK73064HOSPITALIST SERVICES$5,987,890
MUSTANG HEALTHCARE PARTNERS
252 NW 70TH STREETOKLAHOMA CITYOK73116PHYSICIAN SERVICES$2,358,528
WALDROP CONSTRUCTION INC
1528 LINWOOD BLVDOKLAHOMA CITYOK73106CONSTRUCTION SERVICES$2,300,913
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K100CntrctRcvdGreaterThan100KCnt
Related Organizations$2,008,445RelatedOrganizationsAmt
Government Grants$173,422GovernmentGrantsAmt
Total Contributions$2,181,867TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE621950$505,305,360$505,305,360
OTHER REVENUE900099$11,966,612$11,110,574$856,038
MANAGEMENT FEES541610$113,405$113,405

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$517,385,377TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,730TotalRevenueColumnAmt
Exclusion$21,730ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,051,354RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$940,728RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$110,626RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$110,626TotalRevenueColumnAmt
Exclusion$110,626ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$375,153OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$7,472SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$7,472SecuritiesAmt
Other$375,153OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$367,681TotalRevenueColumnAmt
Exclusion$367,681ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$660,963GrossSalesOfInventoryAmt
Cost Of Goods Sold$598,340CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,623TotalRevenueColumnAmt
Exclusion$62,623ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE722320$3,437,893$3,437,893
JV REVENUE900099$1,216,001$1,216,001

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,653,894OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$524,783,798TotalRevenueColumnAmt
Related Or Exempt Func Income$521,183,233RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$856,038UnrelatedBusinessRevenueAmt
Exclusion$562,660ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$670,132TotalAmt
Program Services$670,132ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,582,242TotalAmt
Program Services$912,665ProgramServicesAmt
Management And General$3,669,577ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$168,084,300TotalAmt
Program Services$156,352,990ProgramServicesAmt
Management And General$11,731,310ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,040,633TotalAmt
Program Services$11,215,836ProgramServicesAmt
Management And General$824,797ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$27,659,316TotalAmt
Program Services$25,409,683ProgramServicesAmt
Management And General$2,249,633ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,490,032TotalAmt
Program Services$10,494,031ProgramServicesAmt
Management And General$996,001ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$17,832,685TotalAmt
Management And General$17,832,685ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$280,736TotalAmt
Management And General$280,736ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$296,370TotalAmt
Management And General$296,370ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$64,496,441TotalAmt
Program Services$62,088,995ProgramServicesAmt
Management And General$2,407,446ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$142,924TotalAmt
Management And General$142,924ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$26,238,350TotalAmt
Program Services$25,661,788ProgramServicesAmt
Management And General$576,562ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$27,707,422TotalAmt
Program Services$25,129,747ProgramServicesAmt
Management And General$2,577,675ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$20,035,731TotalAmt
Program Services$19,683,421ProgramServicesAmt
Management And General$352,310ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$893,401TotalAmt
Program Services$216,366ProgramServicesAmt
Management And General$677,035ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$282,129TotalAmt
Program Services$256,057ProgramServicesAmt
Management And General$26,072ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,836,987TotalAmt
Program Services$5,836,987ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,793,842TotalAmt
Program Services$19,430,125ProgramServicesAmt
Management And General$1,363,717ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,103,778TotalAmt
Program Services$1,030,912ProgramServicesAmt
Management And General$72,866ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$97,174,187$97,174,187
MEDICAID PROVIDER TAX$15,049,896$15,049,896
BOND RELATED FEES$631,944$631,944
LICENSES AND TAXES$243,569$243,544$25

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$115,930TotalAmt
Program Services$115,930ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$523,682,977TotalAmt
Program Services$476,973,292ProgramServicesAmt
Management And General$46,709,685ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,242,566BOYAmt
EOY$4,047,497EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$67,263,324BOYAmt
EOY$70,688,176EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,121,009BOYAmt
EOY$8,812,859EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,007,066BOYAmt
EOY$3,112,182EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$501,013,355LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$302,018,536LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$185,072,738BOYAmt
EOY$198,994,819EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$29,073,428BOYAmt
EOY$28,690,718EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$152,710,571BOYAmt
EOY$194,613,080EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$446,490,702BOYAmt
EOY$508,959,331EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$40,883,506BOYAmt
EOY$56,756,497EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$367,292,390BOYAmt
EOY$161,553,417EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$408,175,896BOYAmt
EOY$218,309,914EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$30,769,551BOYAmt
EOY$283,202,166EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,499,682BOYAmt
EOY$7,401,678EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$45,573BOYAmt
EOY$45,573EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$38,314,806BOYAmt
EOY$290,649,417EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$446,490,702BOYAmt
EOY$508,959,331EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,100,821ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$127,538NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$251,361,328OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$13,054GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$13,054TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYThe organization paid dues to various national hospital associations and a portion of these dues were allocated to lobbying activities.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYThe organization paid dues to various national hospital associations and a portion of these dues were allocated to lobbying activities.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$45,573BeginningYearBalanceAmt
End Year Balance$45,573EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$45,573BeginningYearBalanceAmt
End Year Balance$45,573EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$75,573BeginningYearBalanceAmt
Other Expenditures$30,000OtherExpendituresAmt
End Year Balance$45,573EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$75,573BeginningYearBalanceAmt
Investment Earnings Or Losses$2InvestmentEarningsOrLossesAmt
Grants Or Scholarships$2GrantsOrScholarshipsAmt
End Year Balance$75,573EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$75,573BeginningYearBalanceAmt
Investment Earnings Or Losses$3,313InvestmentEarningsOrLossesAmt
Grants Or Scholarships$3,313GrantsOrScholarshipsAmt
End Year Balance$75,573EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.0PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,906,034OtherCostOrOtherBasisAmt
Book Value$8,906,034BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$290,754,557OtherCostOrOtherBasisAmt
Depreciation$155,607,391DepreciationAmt
Book Value$135,147,166BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,152,277OtherCostOrOtherBasisAmt
Depreciation$2,946,264DepreciationAmt
Book Value$1,206,013BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$192,399,585OtherCostOrOtherBasisAmt
Depreciation$143,464,881DepreciationAmt
Book Value$48,934,704BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,800,902OtherCostOrOtherBasisAmt
Book Value$4,800,902BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$198,994,819TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
BENEFICIAL INTEREST IN FOUNDATION$19,984,703F
INVESTMENT IN JOINT VENTURES$8,218,006F
SSM COMPREHENSIVE INVESTMENT PROGRAM$488,009F
FieldValueIRS element (for citing)
Total Book Value Securities$28,690,718TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$3,658,902
DUE FROM THIRD-PARTY PAYOR$0
GOODWILL$1,034,809
DUE FROM AFFILIATES$189,472,015
SOFTWARE$297,465
DEPOSITS$149,889
FieldValueIRS element (for citing)
Total Book Value Other Assets$194,613,080TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
THIRD-PARTY PAYOR$58,315,677
PENSION FUNDING LIABILITY-$8,332,506
ASSET RETIREMENT OBLIGATION$189,705
DUE TO AFFILIATES$103,551,232
DEFERRED REVENUE$156,083
RABBI TRUST LIABILITY$2,286,729
ALLOCATED TAX-EXEMPT BOND DEBT (ISSUED BY SSM HEALTH CARE CORPORATION)
DEFINED CONTRIBUTION LIABILITY$2,955,000
THIRD PARTY PATIENT LOANS$2,431,497
FieldValueIRS element (for citing)
Total Liability$161,553,417TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsTHE 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) footnoteSSM 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 2016 OR 2015.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailablefalseReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,579,008TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,579,008NetCommunityBenefitExpnsAmt
Total Expense0.0412TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$78,473,309TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$81,595,469DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,701,234TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,584,944DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,116,290NetCommunityBenefitExpnsAmt
Total Expense0.0040TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$112,753,551TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$92,180,413DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,695,298NetCommunityBenefitExpnsAmt
Total Expense0.0452TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$387,654TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,035DirectOffsettingRevenueAmt
Net Community Benefit Expns$385,619NetCommunityBenefitExpnsAmt
Total Expense0.0007TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,092,256TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,092,256NetCommunityBenefitExpnsAmt
Total Expense0.0212TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$753,594TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$753,594NetCommunityBenefitExpnsAmt
Total Expense0.0014TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$12,233,504TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,035DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,231,469NetCommunityBenefitExpnsAmt
Total Expense0.0234TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$124,987,055TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$92,182,448DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,926,767NetCommunityBenefitExpnsAmt
Total Expense0.0686TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$779TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$779NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,532TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,532NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$9,311TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,311NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$31,863,139BadDebtExpenseAmt
Reimbursed By Medicare$138,509,516ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$130,259,167CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$8,250,349MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
ST ANTHONY HOSPITAL CARDIOVASCULAR SERVICES INSTITUTE LLC
MANAGEMENT SERVICES0.23530.7647
BONE AND JOINT MANAGEMENT COMPANY
MANAGEMENT SERVICES0.33330.6667
B&JMCBRIDE OFFICE BUILDING LLC
MEDICAL OFFICE BUILDING0.50.5
1110 CLASSEN BOULEVARD LLC
MEDICAL OFFICE BUILDING0.71680.2832
SHAWNEE REAL ESTATE HOLDINGS LLC
MEDICAL OFFICE BUILDING0.50.5
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST ANTHONY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 N LEEAddressLine1Txt
CityOKLAHOMA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73103ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.SAINTSOK.COMWebsiteAddressTxt
State License2304StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Facility Reporting GroupAFacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.saintsok.com/Pages/default.aspxOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLhttps://www.ssmhealth.com/about/community-health-needs-assessmentsOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.ssmhealth.com/about/community-health-needs-assessmentsStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.ssmhealth.com/for-patients/financial-assistanceFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.ssmhealth.com/for-patients/financial-assistanceFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.ssmhealth.com/for-patients/financial-assistanceFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility A, 1Facility A, 1 - St Anthony Hospital. St Anthony Hospital conducted a community perception survey including key stakeholders from the community which encompasses Canadian, Cleveland, Oklahoma and Pottawatomie Counties. Health questionnaires were distributed to a random sample of 21 community leaders, of which 71.4% responded (see list on page 29 of the CHNA). The fifty-question survey covered a wide range of topics from access to care, quality of life, chronic disease and lifestyle factors. Additional data was derived from a variety of sources including the Healthy Communities Institute (HCI) and other SSM Health data analytics platforms.
Schedule H, Part V, Section B, Line 6a Facility A, 1Facility A, 1 - St Anthony Hospital. Primary data collection was performed in collaboration with St Anthony Hospital Shawnee, a member of SSM Health.
Schedule H, Part V, Section B, Line 11 Facility A, 1Facility A, 1 - St. Anthony Hospital. SSM Health's mission statement is "Through our exceptional health care services, we reveal the healing presence of God." In 2015, in collaboration with our community partners, St. Anthony Hospital conducted a Community Health Needs Assessment (CHNA) and developed a strategic implementation plan for the 2016-2018 cycle. The strategic priorities we will address over the next three years include: mental health, diabetes, and heart disease. The SSM Health Care of Oklahoma Regional Board approved this CHNA on November 11, 2015. St. Anthony Hospital last conducted a CHNA in 2012. St. Anthony Hospital in downtown Oklahoma City has served the needs of Oklahomans for more than 100 years, offering a wide range of services and state-of-the-art facilities with physicians and staff who are dedicated to providing exceptional health care consistent with our mission. A recent report by the United Health Foundation found Oklahoma to be one of the unhealthiest states in the nation, ranked 48th based on measures of health outcomes, disease rates, and access to care. St. Anthony is currently following a plan to address high-priority needs in mental health, substance abuse, heart disease, obesity, and diabetes. St. Anthony Hospital's CHNA is a snapshot of health status in the hospital's primary service area (Oklahoma, Canadian, Cleveland, and Pottawatomie Counties). The CHNA takes into account the health of the people in the community through data and statistics; identifies and prioritizes health needs that exist; and proposes how these concerns can be addressed to help improve the health of the community. The St Anthony Hospital 2016 - 2018 CHNA identified mental health as a high- priority need for the hospital. Unfavorable health effects of mental illness are often caused and/or compounded with substance abuse. The St. Anthony Behavioral Medicine Center is one of the state's largest behavioral health facilities and treats adults, geriatric, and child patients through inpatient and outpatient services. The following goals were set in 2016 to address mental health: - Goal: Decrease the age-adjusted death rate per 100,000 persons due to suicide in the served counties of Canadian, Cleveland, Oklahoma, and Pottawatomie, rates declined in Canadian, Oklahoma, and Pottawatomie counties. - Goal: Decrease the percentage of readmissions with a mental health diagnosis at St. Anthony Hospital from 4.18% in 2015 to 3.18 % by 2018, readmissions rate in 2016 was 5.7%. The St Anthony Hospital 2016 - 2018 CHNA identified diabetes as a high-priority need for the hospital. A leading cause of death in the United States, diabetes disproportionately affects minority populations and the elderly. More than 25 million people have diabetes, including both diagnosed and undiagnosed cases, with direct medical expenditures attributable to diabetes are over $116 billion nationwide. The following goals were identified for 2016 to address diabetes: - Goal: Decrease the age-adjusted death rate per 100,000 persons due to diabetes in the served counties of Canadian, Cleveland, Oklahoma, and Pottawatomie. - Goal: Increase diabetes hemoglobin A1C testing for SSM Health Care of Oklahoma primary care providers from 84.9% in 2015 to 89% in 2018, testing rate of 89.3% was achieved in 2016. The St Anthony Hospital 2016 - 2018 CHNA identified heart disease as a high-priority need for the hospital. Heart disease is affected by numerous lifestyle behaviors including smoking, uncontrolled blood pressure and cholesterol, diabetes, stress and depression, an unhealthy diet and lack of exercise. SSM Health and St. Anthony Hospital offer a wide scope of programs with the goal of creating healthy lifestyle behaviors and reducing the risk of heart disease in the community. The following goals were identified for 2016 to address heart disease: - Goal: Decrease the age-adjusted death rate per 100,000 persons due to coronary heart disease in the served counties of Canadian, Cleveland, Oklahoma, and Pottawatomie, rates decreased in Canadian, Cleveland, and Pottawatomie counties in 2016. - Goal: Reduce congestive heart failure readmissions at St. Anthony Hospital from 19.94% in 2015 to 15.3% by 2018, readmissions fell to 9.3% in 2016. Using a point rating system, the top ten community health needs were identified. A full list of needs and points totals can be found on page 7 of the CHNA. The prioritization process resulted in three needs being prioritized, with details on this process on page 28 of the 2015 CHNA. Community health needs cannot all be address due to limited resources, however, and a list of needs the hospital will not address and why can be found in the 2015 CHNA, page 30.
FieldValueIRS element (for citing)
Facility43FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (46 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Bone and Joint Hospital
1111 N Dewey AveOklahoma CityOK73103Orthopedic hospital
St Anthony Interventional Radiology
1000 N Lee Ave 4th FloorOklahoma CityOK73102Specialty Care Clinic
St Anthony Physicians Family Medicine Midtown
1111 N Lee Suite 305Oklahoma CityOK73103Primary Care Clinic
St Anthony Physicians Internal Medicine
1111 N Lee Suite 334Oklahoma CityOK73103Primary Care Clinic
St Anthony Physicians Blanchard
2002 N Council AveBlanchardOK73010Primary Care Clinic
St Anthony Physicians Midtown
608 NW 9th Street Suite 4106Oklahoma CityOK73102Primary Care Clinic
St Anthony Physicians Healthplex North
13401 N Western AveOklahoma CityOK73114Primary Care Clinic
St Anthony Physicians Healthplex Mustang
201 S Sara Road Suite 200MustangOK73064Primary Care Clinic
St Anthony Physicians Dermatology Center
9720 N Broadway ExtOklahoma CityOK73114Specialty Care Clinic
St Anthony Physicians Family Medicine
608 NW 9th St Suite 1100Oklahoma CityOK73102Primary Care Clinic
St Anthony Physicians Heritage Family Medicine
6908 E Reno AveMidwest CityOK73110Primary Care Clinic
St Anthony Physician Neurology Center
535 NW 9th Street Suite 235Oklahoma CityOK73102Neurology Clinic
St Anthony Physicians Healthplex - East
3400 S Douglas BlvdOklahoma CityOK73150Primary Care Clinic
St Anthony Physicians Healthplex - South
13500 S Tulsa DriveOklahoma CityOK73170Primary Care Clinic
St Anthony Physicians HematologyOncology
1011 N Dewey AveOklahoma CityOK73102Specialty Care Clinic
St Anthony Physicians Midtown Pediatrics
608 NW 9th Street Suite 3000Oklahoma CityOK73102Specialty Care Clinic
Saint Anthony Physicians North
6201 North Santa Fe Suite 2010Oklahoma CityOK73118Primary Care Clinic
St Anthony Physicians Dermatology Enid
330 S 5th St Ste 400ENIDOK73701Specialty Care Clinic
St Anthony Physicians Cardiovascular Ins
608 NW 9th Street Suite 4000Oklahoma CityOK73102Specialty Care Clinic
St Anthony Physicians Choctaw
15679 NE 23rd StreetChoctawOK73020Primary Care Clinic
St Anthony Physicians Norman
3700 W Robinson Suite 108NormanOK73072Primary Care Clinic
St Anthony Physicians Metro Medical Assoc
120 N Robinson Suite 153WOklahoma CityOK73102Primary Care Clinic
St Anthony Physicians Interventional Pain
535 NW 9th Street Suite 205Oklahoma CityOK73102Specialty Care Clinic
St Anthony Physicians Center for Integra
535 NW 9th Suite 220Oklahoma CityOK73102Specialty Care Clinic
St Anthony Physicians Vascular Associates
608 NW 9th St Suite 5204Oklahoma CityOK73102Specialty Care Clinic
St Anthony Physicians Mustang
120 N Chisholm Trail WayMustangOK73064Primary Care Clinic
St Anthony Physicians Internal Medicine
608 NW 9th Street Suite 4106Oklahoma CityOK73102Primary Care Clinic
St Anthony Physician Surgery Center
535 NW 9th Suite 330OKlahoma CityOK73102Surgery Center
St Anthony Physicians Gastroenterology
608 NW 9th Street Suite 3206Oklahoma CityOK73102Specialty Care Clinic
St Anthony Physicians Cardiovascular Disease
608 NW 9th St Ste 6105Oklahoma CityOK73102Specialty Care Clinic
St Anthony Physicians Endocrinology Assoc
608 NW 9th St Ste 5000Oklahoma CityOK73102Specialty Care Clinic
St Anthony Physicians Stroud
2308 B Hwy 66STROUDOK74079Primary Care Clinic
St Anthony Physicians Pulmonary Associates
608 NE 9th Street Suite 3110Oklahoma CityOK73102Specialty Care Clinic
St Anthony Physicians Midtown Renal Care
810 NW 10th St Ste AOklahoma CityOK73106Specialty Care Clinic
St Anthony Physicians Dermatology
6908 E Reno Ave Suite 102Midwest CityOK73110Specialty care clinic
St Anthony Physicians Interventional
608 NW 9th Street Suite 4000Oklahoma CityOK73102Primary care clinic
Midtown Sports
400 NW 13thOklahoma CityOK73103Specialty Care Clinic
St Anthony Physicians Obstetrics
1111 N Lee Suite 300Oklahoma CityOK73103Specialty care clinic
St Anthony Physicians Rheumatology
1111 N LeeOklahoma CityOK73103Specialty care clinic
St Anthony Breast Care Service
535 NW 9th Street Suite 220Oklahoma CityOK73102Specialty care clinic
St Anthony Physicians McLoud
704 S 8th StreetMcloudOK74851Primary care clinic
St Anthony Physicians Cardiology
608 NW 9th Street Suite 5010Oklahoma CityOK73102Specialty care clinic
St Anthony Physician North
6201 North Santa Fe Suite 1010Oklahoma CityOK73118Primary care clinic
SAPO Chesapeake Health Center
924 NW 59th StreetOklahoma CityOK73118Primary care clinic
Pasteur Ambulatory Diagnostic
1111 N LeeOklahoma CityOK73102Specialty care clinic
St Anthony Physicians
6201 N Santa Fe Suite 2000Oklahoma CityOK73118Specialty care clinic

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3b ELIGIBILITY FOR DISCOUNTED CAREServices eligible under the financial assistance policy will be made available to the patient on a sliding fee scale, in accordance with financial need, as determined in reference to Federal Poverty Levels (FPL) in effect at the time of the determination. The basis for the amounts the hospital will charge patients qualifying for financial assistance is as follows: Patients whose family income is above 200% but not more than 400% of the FPL are eligible to receive discounted services at amounts no greater than the amounts generally billed to the hospital's commercially insured or Medicare patients.
Schedule H, Part I, Line 3c DISCOUNTED CARE EXCEPTIONSPatients 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 ANNUAL REPORTSSM Health Care of Oklahoma, Inc. is part of the integrated health system known as SSM Health. In an effort to strengthen its community benefit program, SSM Health plans for, measures, and communicates community benefits provided to persons who are low income, the unpaid costs of public programs and other activities that respond to community need, improve community health, or reach out to low income and vulnerable persons.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceFinancial Assistance Methodology: The cost of financial assistance is calculated in compliance with catholic health association (CHA) guidelines. A cost to charge ratio calculated using the IRS worksheet 2, ratio of patient care cost to charges, was used to compute financial assistance at cost. This is the ratio of total adjusted operating expense to total gross patient revenue. The gross revenue amount is a gross amount - prior to contractual adjustments and bad debts. Both gross revenue and costs are based on charges at date/time of service. Unreimbursed Medicaid Costing Methodology: The cost of unreimbursed Medicaid is calculated in compliance with Catholic Health Association (CHA) guidelines. A cost to charge ratio calculated utilizing IRS Worksheet 2, Ratio of patient care cost to charges, was used to compute unreimbursed Medicaid costs. This is the ratio of total adjusted operating expenses to total gross patient revenue. The gross revenue amount is gross amount - prior to contractual adjustments and bad debts. Both gross revenue and costs are based on charges at date/time of service. Community health improvement services and community benefit operations costing methodology: The costs for these programs were derived from the actual costs incurred in these areas. Subsidized health services costing methodology: The expenditures are determined based on actual invoices or dollar amounts spent and charged to these departments, reduced by any grant revenues restricted for these services, if any. Research costing methodology: Research expenses were taken from the income and expense statements for the research departments, derived from the accounting system. Cash and In-Kind contributions to community groups costing methodology: Contribution expenditures are based on actual invoices that were captured and reported for this program, derived from the accounting system.
Schedule H, Part II Community Building ActivitiesSSM HEALTH CARE OF OKLAHOMA PARTICIPATES IN A WIDE ARRAY OF COMMUNITY AND CIVIC ORGANIZATIONS IN THE PROMOTION OF HEALTH CARE AND COMMUNITY BUILDING ACTIVITIES. SPECIFIC ACTIVITIES REPORTED IN PART II OF SCHEDULE H INCLUDE THE FOLLOWING: COMMUNITY BUILDING - PHYSICAL IMPROVEMENTS/HOUSING: EMPLOYEES PARTICIPATED IN OKC BEAUTIFUL, WHICH ENHANCES THR IMAGE AND APPEARANCE OF OKLAHOMA CITY THROUGH EDUCATION AND COMMUNITY PROGRAMS. COMMUNITY BUILDING - COMMUNITY HEALTH IMPROVEMENT ADVOCACY: HOSPITAL EMPLOYEES CONDUCTED COMMUNITY HEALTH EDUCATION CLASSES FOR VARIOUS ARTHRITIS AND ORTHOPEDIC TOPICS. STAFF ALSO PARTICIPATED IN A UNITED WAY CAMPAIGN.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountBAD DEBT EXPENSE IS REPORTED BASED ON THE ORGANIZATION'S FINANCIAL STATEMENT REPORTING.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologySSM 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 footnoteSSM Health Care of Oklahoma, Inc. is part of the SSM Health consolidated audit. The footnote that references bad debt expense in the December 31, 2016 consolidated audit is contained on page 18 and 19 of the attached financial statements.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsThe Medicare costs reported on Line 6 were obtained from the 2016 Medicare cost report.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceSSM 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 the expiration of the notification period. 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 websiteA - ST ANTHONY HOSPITAL: Line 16a URL: https://www.ssmhealth.com/for-patients/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application websiteA - ST ANTHONY HOSPITAL: Line 16b URL: https://www.ssmhealth.com/for-patients/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary websiteA - ST ANTHONY HOSPITAL: Line 16c URL: https://www.ssmhealth.com/for-patients/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessmentSSM 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, & 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 SSMH'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, SSMH'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). CBISA is the gathering, collecting, and reporting of all data relating to community benefit activities and programs across the System. A CBISA is conducted every year by each hospital according to the following steps: * Collect and enter data: Send out emails reminding staff to submit activities; enter data into Lyon; and run reports to share with leaders. * Finalize and report on prior year: Enter all prior year data into Lyon by January 31; and communicate final prior year figures to IRS, System Board, and the community. System Office staff and leaders oversee and monitor SSM's Community Benefit Program, and ensure reporting is in compliance with IRS regulations. In collaboration with community stakeholders and partner organizations, all hospital CHNAs were 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 assistanceAll SSMH facilities will strive to provide exceptional health care services to all persons in need regardless of their ability to pay. All billing and collection policies reflect the mission and values of SSMH, including our special concern for people who are poor and vulnerable. SSMH facilities offer discounts for hospital services to all uninsured persons. Self-pay discounts apply to everyone who does not have health insurance, no matter their ability to pay. SSMH applies its charity care policies fairly and consistently. Each person is treated as an individual with specific needs for assistance without regard to payment. SSMH embraces its responsibility to serve the communities in which we participate by establishing sound business practices. Charity care is provided to patients based on a sliding scale for household incomes up to four times the federal poverty level. Patients whose household income is no more than two times the federal poverty level are eligible for free hospital services. In addition, an exception to the sliding scale is provided for a patient's balance due if the amount is too large to be reasonably paid through an installment plan over four years given the family income and expenses. 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 informationSt. Anthony Hospital is located in Oklahoma City, Oklahoma in the center of Oklahoma County. In addition to Oklahoma County, St Anthony Hospital's Primary Service Area (PSA) includes Canadian, Cleveland and Pottawatomie Counties. The 2011 estimated population of the four-county PSA is 1,186,563. The four-county PSA has an expected growth rate of 5.0% from 2011 to 2016. The 2011 projected population for the PSA is slightly younger than the national average, with 51.1% under age 35. All four PSA counties are projected to see an increase in the number of infants and youth under age 18 from 2011 to 2016. For this same period, the total PSA is also projected to see a growth rate of 16.0% for seniors age 65 and above. Distribution of race/ethnicity in our community is white/Caucasian: 68%; black/African-American: 11%; Hispanic: 11%; other: 10%. Additional detailed information on the St Anthony Hospital service area can be found beginning on page 14 of the 2015 CHNA. 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. 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. Our 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. 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 a Occupational Health Network.
Schedule H, Part VI, Line 5 Promotion of community healthSSM 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, * Has a governing body in which independent persons representative of the community comprise a majority * 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 systemSSM 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 reportOK

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (21 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Franciscan Sisters of Mary
3221 McKelvey RdSuite 107BridgetonMO63044431012492501(c)(3)$5,000General support
Midtown Redevelopment Corporation
211 N Robinson AveSuite 225Oklahoma CityOK73102731489699501(c)(3)$50,000General support
Allied Arts Foundation
1015 N Broadway AvenueOklahoma CityOK73102730804291501(C)(3)$26,000General support
Archdiocese of Oklahoma City
7501 NW ExpresswayOklahoma CityOK73123730632924501(c)(3)$67,350General support
Arts Council of Oklahoma City Inc
400 W California AveOklahoma CityOK73102736112471501(c)(3)$12,500General support
Oklahoma City Ballet
7421 N Classen BlvdOklahoma CityOK73116237003520501(c)(3)$10,000General support
The CARE Center - Child Abuse Response & Evaluation Center Inc
PO Box 1125Oklahoma CityOK73101731393193501(c)(3)$5,000General support
Catholic Charities
3577 High Point RoadMadisonWI53744390807067501(c)(3)$50,000General support
Downtown OKC
210 Park AveOklahoma CityOK73102731593759501(c)(3)$5,250General support
Eastern Oklahoma County Partnership
PO Box 987ChoctawOK73020461254474501(c)(6)$15,000General support
Greater Oklahoma City Chamber of Commerce
123 Park AvenueOklahoma CityOK73102730391180501(c)(3)$65,000General support
Health Alliance for the Uninsured Inc
3000 United Founders BlvdOklahoma CityOK73112261789292501(c)(3)$45,000General support
ITN Central Oklahoma Inc
313 Northeast 50th Suite 2Oklahoma CityOK73105462250170501(c)(3)$5,000General support
Leadership Oklahoma City Inc
730 W Wilshire BlvdSuite 116Oklahoma CityOK73116731164548501(c)(3)$5,000General support
Oklahoma Contemporary Arts Center Inc
3000 General Pershing BlvdOklahoma CityOK73107731334271501(c)(3)$10,000General support
Oklahoma Policy Inc
907 South Detriot AvenueSuite 1005TulsaOK74120331178624501(c)(3)$5,000General support
Red Bud Foundation
421 Avondale DrSuite 204-AOklahoma CityOK73116731293464501(c)(3)$20,000General support
Shartel Boulevard Development Authority Inc
301 NW 18th StreetOklahoma CityOK73103731572000501(c)(3)$15,000General support
St Gregory's University
1900 W MacArthurShawneeOK74804730685198501(c)(3)$25,000General support
United Way of Central Oklahoma Inc
1444 NW 28th StreetOklahoma CityOK73106730589829501(c)(3)$26,532General support
Oklahoma Christian University
PO Box 1100Oklahoma CityOK73136730555460501(c)(3)$40,000General support
FieldValueIRS element (for citing)
Total501c3 Org20Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION'S GRANTS WERE MADE TO ORGANIZATIONS TAX EXEMPT UNDER IRC SECTION 501(C)(3). THESE ORGANIZATIONS HAVE DEVELOPED INTERNAL CONTROL PROCEDURES FOR THE USE OF GRANT FUNDS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Joe Hodges
Director, Regional President$0$635,030$0$144,149$0$47,245$0$278,981$0$32,995$0$1,138,400$0$144,149
Christopher Howard
Chair, Pres-Hospital Operations of SSM Health$0$872,531$0$157,325$0$99,779$0$369,852$0$34,474$0$1,533,961$0$157,325
William Thompson
Vice Chair, President/CEO of SSM Health$0$1,010,243$0$384,123$0$338,069$0$221,076$0$21,526$0$1,975,037$0$460,221
Robert Rader MD
Director$234,605$0$0$0$2,208$0$82,690$0$27,757$0$347,260$0$0$0
Kersey Winfree MD
Director$0$430,645$0$71,460$0$50,706$0$74,423$0$40,650$0$667,884$0$71,460
Paula Friedman
Vice President, Senior VP-Strategic Development SSM Health$0$705,000$0$114,197$0$121,493$0$368,230$0$20,459$0$1,329,379$0$114,197
Shasta Manuel
System VP Finance/CFO$0$336,478$0$27,680$0$3,325$0$56,044$0$25,268$0$448,795$0$27,680
June Pickett
Secretary$0$229,851$0$19,802$0$31,890$0$10,977$0$24,587$0$317,107$0$19,802
Kris Zimmer
Treasurer, Senior VP-Finance SSM Health$0$870,802$0$148,371$0$86,204$0$310,798$0$33,312$0$1,449,487$0$148,371
Cynthia Brundige
Sys VP Human Resources$0$251,146$0$19,807$0$12,529$0$191,955$0$8,589$0$484,026$0$19,807
Marti Jourden
Reg VP-Quality and Performance$182,863$0$16,422$0$16,115$0$80,079$0$25,421$0$320,900$0$16,422$0
Tamara Powell
President-Bone & Joint Hospital$0$523,755$0$68,657$0$150,269$0$306,253$0$11,023$0$1,059,957$0$68,657
Stephen Powell
VP Phys Practice Admin$281,880$0$22,026$0$4,526$0$48,879$0$20,703$0$378,014$0$22,026$0
Richard Boothe
CMO$360,018$0$0$0$10,918$0$3,975$0$35,784$0$410,695$0$0$0
Elain Richardson
VP Patient Care/CNO$213,410$0$17,569$0$2,117$0$59,913$0$26,700$0$319,709$0$17,569$0
Leonard Bowen
Physician$1,275,299$0$0$0$54,808$0$71,359$0$35,861$0$1,437,327$0$0$0
Aviniash Vyas
Physician$1,060,817$0$0$0$50,173$0$55,109$0$39,408$0$1,205,507$0$0$0
Salman Zubair
Physician$846,814$0$0$0$20,935$0$23,380$0$38,755$0$929,884$0$0$0
Reji Pappy
Physician$1,074,615$0$0$0$1,914$0$5,226$0$28,099$0$1,109,854$0$0$0
Keith Kassabian
Physician$800,536$0$0$0$25,509$0$72,221$0$28,885$0$927,151$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up paymentsThe following individuals listed on Part VII Section A received a tax indemnification/gross up payment in 2016. These payments were included in their taxable compensation. Stephen Powell Leonard Bowen Aviniash Vyas Keith Kassabian
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationThe organization's top management official, hospital regional president, is compensated by a related organization that utilized the following to determine compensation: (1) Independent Compensation Consultant; (2) compensation survey or study; (3) approval by the board or compensation committee.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planPension 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 SSMH's 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 reportable individuals listed on Part VII of Form 990 received distributions from this plan during 2016. 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 distributions from this plan in 2016. All distributions received from the plan in the current year were included in the individuals' taxable compensation. William Thompson $294,066 June Pickett $18,727 During 2016, the following individuals received supplemental nonqualified retirement plan accruals from the organization or a related organization: Joe Hodges $198,127 Christopher Howard $257,997 William Thompson $3,108 Robert Rader, MD $79,750 Kersey Winfree, MD $36,300 Ramona Carey $34,315 Paula Friedman $276,866 Shasta Manuel $24,815 June Pickett ($11,000) Kris Zimmer $201,583 Cynthia Brundige $168,608 Marti Jourden $62,205 Tamara Powell $259,665 Stephen Powell $33,521 Elain Richardson $47,881 Leonard Bowen $67,384 Aviniash Vyas $51,134 Salman Zubair $20,475 Reji Pappy $3,697 Keith Kassabian $68,355

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4a Description of Program ServiceBriefly 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 19 acute care hospitals, one children's hospital, more than 60 outpatient care sites, a pharmacy benefit company, an insurance company, two long-term care facilities, comprehensive home care and hospice services, a technology company, and two Accountable Care Organizations. The health system employs more than 31,000 people and is affiliated with more than 8,500 physicians making it one of the largest employers in every community it serves. SSMH is sponsored by SSM Health Ministries, an independent 8- member body comprised of three Franciscan Sisters of Mary and five lay people who collectively hold certain reserved powers over SSMH. 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 St. Anthony Hospital in Oklahoma City, Bone and 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 St Anthony Shawnee Hospital 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. Two new three-story facilities, St Anthony Healthplex East and St Anthony Healthplex South, are now open in east and south Oklahoma City. These state-of-the-art campuses feature freestanding emergency rooms, ambulatory services and physicians. In 2010, SSM Health Care of Oklahoma was recognized with the Oklahoma Quality Award for Excellence. St. Anthony Hospital is a 601-bed 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. St. Anthony Hospital has earned 2014 'Top Performer' recognition from The Joint Commission, based on 2013 accountability measure data, and has been recognized with numerous Innovator of the Year Awards by The Journal Record, including: InQuickER, Sleep Lab, Celebrity Chef, Concierge Services, and Corporate Mammography Days. In 2015, the hospital was awarded an 'A' grade for Patient Safety in Leapfrog's Spring 2015 safety score. 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. Our 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. In 2012, U.S. News and World Report ranked Bone and Joint Hospital at St. Anthony third in Oklahoma City, with special high performance recognition in orthopedics. In 2014, Bone and Joint Hospital earned The Joint Commission's Gold Seal of Approval for its total knee and total hip replacement program. 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 17 affiliate hospitals, including seven 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. Describe the organization's approach to providing community benefit: SSM Health (SSM) 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 the 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). First, CHNA is the 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: Kick-off meeting conducted and updated toolkit distributed; and periodic meetings scheduled to evaluate and monitor progress. Data collected and report made 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). Next, CBISA is the gathering, collecting, and reporting of all data relating to community benefit activities and programs across the System. A CBISA is conducted every year by each hospital according to the following steps: * Collect and enter data: Kick-off meeting conducted and updated toolkit distributed; new staff complete Lyon web-based course; and periodic meetings scheduled to evaluate and monitor progress. Emails sent reminding staff to submit activities; occurrences entered into Lyon; and reports are produced and shared with leaders. * Finalize and report on prior year: All prior year data entered into Lyon by January 31; and communicate final prior year figures to IRS, System Board, and the community. System Office staff and leaders oversee and monitor SSM's Community Benefit Program, and ensure reporting is in compliance with IRS regulations. In collaboration with community stakeholders and partner organizations, all hospital CHNAs were 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. Description of CHNA Community Benefit Programs: For more information on CHNA community benefit programs provided by SSM Health Care of Oklahoma, please see Schedule H, Part V.
Form 990, Part III, Line 4b Description of Program Service (Continued)Organizational description for tax exemption: 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, * Has a governing body in which independent persons representative of the community comprise a majority * 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. Describe the organization's financial assistance policies or programs (e.g., charity care, discounting) for low-income persons and how they are communicated to the public. For information on the financial assistance policies provided by SSM Health Care of Oklahoma, please see Schedule H. 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 $ 21,579,008 Cost of Bad Debt $ 5,929,726 Unpaid Cost of Other Government Programs $ 2,116,290 Total Quantifiable Uncompensated Care $ 29,625,024
Form 990, Part V, Line 1a Common PaymasterSSM HEALTH CARE CORPORATION, EIN 46-6029223, SERVES AS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION, SSM HEALTH CARE OF WISCONSIN, INC, EIN 43-0688874. THEREFORE, ALL APPLICABLE 1099 AND 1096 IRS TAX FILINGS ARE REPORTED BY SSM HEALTH CARE CORPORATION.
Form 990, Part VI, Line 6 Classes of members or stockholdersTHE 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 bodyTHE 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 stockholdersTHE 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 11b Review of form 990 by governing bodyACCOUNTING/FINANCE PERSONNEL AT EACH SSMH (SSM HEALTH SYSTEM) ENTITY, IN CONJUNCTION WITH SYSTEM FINANCE PERSONNEL, PREPARE INFORMATION AND SUPPORTING SCHEDULES THAT ARE USED TO PREPARE THE FORM 990. THIS INFORMATION IS THEN REVIEWED BY A SUPERVISOR/MANAGER AND SENT TO THE SYSTEM OFFICE, WHERE SSMH PERSONNEL PREPARE THE FORM 990. THE RETURN IS THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM WHO SIGNS AS PAID PREPARER. THE RETURN IS PROVIDED TO ENTITY MANAGEMENT PERSONNEL FOR FINAL REVIEW PRIOR TO FILING. THE COMPLETE FORM 990 IS PROVIDED ELECTRONICALLY TO ALL BOARD MEMBERS AT THE NEXT REGULARLY SCHEDULED BOARD MEETING.
Form 990, Part VI, Line 12c Conflict of interest policyBOARD 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 publicTHE YEAR-END AUDITED CONSOLIDATED FINANCE 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 IX, Line 5 Compensation of current officers, directors, trustees, and key employeesTHE AMOUNTS REPORTED ON FORM 990, PART IX, LINE 5, COLUMNS (B) AND (C), INCLUDE COMPENSATION FOR INDIVIDUALS THAT ARE PAID BY A RELATED ORGANIZATION BUT WHOSE COMPENSATION AMOUNTS ARE ALLOCATED TO THE FILING ORGANIZATION. FOR THIS REASON, THE AMOUNTS ON PART IX, LINE 5, WILL NOT TIE BACK TO FORM 990, PART VII, SECTION A, COLUMN (D).
Form 990, Part IX, Line 11g Other FeesMedical Physician, Practitioner, Psychiatrist, Resident, and Therapist - Total Expense: 21387412, Program Service Expense: 21162554, Management and General Expenses: 224858, Fundraising Expenses: ; Recruitment, Consulting, Administrative, and PBS Fees - Total Expense: 29153599, Program Service Expense: 26971011, Management and General Expenses: 2182588, Fundraising Expenses: ; Medical Lab, Radiology, Transportation - Total Expense: 13955430, Program Service Expense: 13955430, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesChange in beneficial interest in foundation - -165494; Transfers from affiliates - XXX-XX-XXXX;
FORM 990, PART I DOING BUSINESS ASSSM HEALTH CARE OF OKLAHOMA, INC. CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING REGISTERED NAMES: 1) BONE & JOINT HOSPITAL 2) BONE & JOINT HOSPITAL AT ST. ANTHONY 3) ST. ANTHONY HOSPITAL 4) ST. ANTHONY CENTER FOR BEHAVIORAL MEDICINE AT ST. MICHAEL 5) ST. ANTHONY PHYSICIANS SHAWNEE 6) ST. ANTHONY SHAWNEE HOSPITAL 7) ST. ANTHONY HOSPITAL, OKLAHOMA CITY, OKLAHOMA 8) ST. ANTHONY RECOVERY AND TREAT PROGRAM (START) 9) VEIN AND CIRCULATION CENTER AT ST. ANTHONY HOSPITAL

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SAINTS MEDICAL GROUP
10101 Woodfield LaneST LOUISMO63132760825755MEDICAL SERVICESOK$19,375,360-$9,224,398SSM HEALTH CARE OF OKLAHOMA
SSMOK ACO LLC
10101 WOODFIELD LANEST LOUISMO63132470964302HEALTH PROMOTIONOK$0$63,797SSM HEALTH CARE OF OKLAHOMA

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (42 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SSM Health Care Corporation
10101 Woodfield LaneSt LouisMO63132466029223Health CareMO501(c)(3)Type ISSM HEALTH MINISTRIESfalse
SSMHC Liability Trust I
10101 Woodfield LaneSt LouisMO63132436331003InsuranceMO501(c)(3)Type ISSM Health Care Corporationfalse
SSM Consolidated Health Services
10101 Woodfield LaneSt LouisMO63132431473657Health CareMO501(c)(3)Type ISSM Health Care Corporationfalse
SSM Policy Institute
10101 Woodfield LaneSt LouisMO63132431788151Health CareMO501(c)(4)SSM Health Care Corporationfalse
SSM Health Care Portfolio Management Co
10101 Woodfield LaneSt LouisMO63132431825256ManagementMO501(c)(3)Type ISSM Health Care Corporationfalse
SSM Cardinal Glennon Children's Hospital
10101 Woodfield LaneSt LouisMO63132430738490Health CareMO501(c)(3)3SSM Health Care St Louisfalse
Cardinal Glennon Children's Foundation
10101 Woodfield LaneSt LouisMO63132431754347FundraisingMO501(c)(3)7SSM Cardinal Glennon Children's Hospitalfalse
SSM DePaul Health Center Foundation
10101 Woodfield LaneSt LouisMO63132431776109FundraisingMO501(c)(3)7SSM Health Care St Louisfalse
SSM St Joseph Foundation
10101 Woodfield LaneSt LouisMO63132431591556FundraisingMO501(c)(3)7SSM Health Care St Louisfalse
SSM St Clare Health Center Foundation
10101 Woodfield LaneSt LouisMO63132431273310FundraisingMO501(c)(3)7SSM Health Care St Louisfalse
SSM St Mary's Health Center Foundation
10101 Woodfield LaneSt LouisMO63132431552945FundraisingMO501(c)(3)7SSM Health Care St Louisfalse
St Anthony Hospital Foundation Inc
10101 Woodfield LaneSt LouisMO63132736104300FundraisingOK501(c)(3)7SSM Health Care of OklahomaYes (true)
SSM Health Care of Wisconsin Inc
10101 Woodfield LaneSt LouisMO63132430688874Health CareWI501(c)(3)3SSM Health Care Corporationfalse
Dells Medical Building Inc
10101 Woodfield LaneSt LouisMO63132391613292MOBWI501(c)(2)SSM Health Care of Wisconsinfalse
St Mary's Foundation Inc
10101 Woodfield LaneSt LouisMO63132431940686FundraisingWI501(c)(3)7SSM Health Care of Wisconsinfalse
St Clare Health Care Foundation Inc
10101 Woodfield LaneSt LouisMO63132431940683FundraisingWI501(c)(3)7SSM Health Care of Wisconsinfalse
Home Health United Inc
2802 Walton Commons LaneMadisonWI53718391539827Health CareWI501(c)(3)10SSM Health Care of Wisconsinfalse
Home Care United Inc
2802 Walton Commons LaneMadisonWI53718391776340Health CareWI501(c)(3)10SSM Health Care of Wisconsinfalse
HHU Xtra Care Inc
2802 Walton Commons LaneMadisonWI53718391705111Health CareWI501(c)(3)10SSM Health Care of Wisconsinfalse
Home Health United - VNS Foundation Inc
2802 Walton Commons LaneMadisonWI53718391839309FundraisingWI501(c)(3)Type INAfalse
SSM Regional Health Services
10101 Woodfield LaneSt LouisMO63132440579850Health CareMO501(c)(3)3SSM Health Care Corporationfalse
St Francis Hospital Foundation
10101 Woodfield LaneSt LouisMO63132431099253FundraisingMO501(c)(3)7SSM Regional Health Servicesfalse
St Mary's Health Center Jefferson City Missouri Foundation
10101 Woodfield LaneSt LouisMO63132431575307FundraisingMO501(c)(3)Type IINAfalse
Good Samaritan Regional Health Center
10101 Woodfield LaneSt LouisMO63132430653587Health CareIL501(c)(3)3SSM Regional Health Servicesfalse
St Mary's Hospital Centralia Illinois
10101 Woodfield LaneSt LouisMO63132370662580Health CareIL501(c)(3)3SSM Regional Health Servicesfalse
St Mary's - Good Samaritan Inc
10101 Woodfield LaneSt LouisMO63132364170833Health CareIL501(c)(3)Type ISSM Regional Health Servicesfalse
Good Samaritan Regional Health Center Foundation
10101 Woodfield LaneSt LouisMO63132262884795FundraisingIL501(c)(3)7St Mary's - Good Samaritanfalse
St Mary's Hospital Foundation
10101 Woodfield LaneSt LouisMO63132364636691FundraisingIL501(c)(3)7St Mary's - Good Samaritanfalse
St Marys Hospital Auxiliary
400 N PleasantCentraliaIL62801237126345FundraisingIL501(c)(3)10St Mary's Hospital Foundationfalse
SSM Health Businesses
10101 Woodfield LaneSt LouisMO63132431333488Health CareMO501(c)(3)10SSM Health Care Corporationfalse
SSM Health Care St Louis
10101 Woodfield LaneSt LouisMO63132431343281Health CareMO501(c)(3)3SSM Health Care Corporationfalse
Centralia Medical Services Bldg Assoc
10101 Woodfield LaneSt LouisMO63132237408025MOBIL501(c)(3)Type IINAfalse
St Mary's Janesville Foundation Inc
2901 Landmark PL Ste 300MadisonWI53713273439133FundraisingWI501(c)(3)7SSM Health Care of Wisconsinfalse
Franciscan Sisters of Mary
3221 McKelvey Road Suite 107BridgetonMO63044431012492Religious OrganizationMO501(c)(1)NAfalse
Lee Dewey Corporation
10101 Woodfield LaneSt LouisMO63132731279603MOBOK501(c)(3)Type ISSM Health Care of OklahomaYes (true)
SSM Hospice and Home Care Foundation
10101 Woodfield LaneSt LouisMO63132300012246FundraisingMO501(c)(3)7SSM Health Businessesfalse
St Mary's Hospital Auxiliary
100 St Marys Medical PlazaJefferson CityMO65101436049878FundraisingMO501(c)(3)Type IINAfalse
Good Samaritan Hospital Auxiliary
605 North 12th StreetMt VernonIL62864237049599FundraisingIL501(c)(3)Type III-FINAfalse
St Anthony Shawnee Hospital Inc
1000 N Lee AveOklahoma CityOK73102455055149Health CareOK501(c)(3)3SSM Health Care of OklahomaYes (true)
SSM Audrain Health Care Inc
10101 Woodfield LaneSt LouisMO63132431550298Health CareMO501(c)(3)3SSM Regional Health Servicesfalse
Audrain Medical Center Foundation Inc
620 E Monroe StreetMexicoMO65265431265060FundraisingMO501(c)(3)Type ISSM Audrain Health Care Incfalse
SSM-SLUH Inc
10101 Woodfield LaneSt LouisMO63132474196634Health CareMO501(c)(3)3SSM Health Care St Louisfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtUBI Code VUBICodeVAmtOwnershipOwnershipPctDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
SSM St Joseph Endoscopy Center LLC
10101 Woodfield LaneSt LouisMO63132270046559Surgery ServicesMONAN/A$0$0$00
St Clare Imaging Services
707 14th Street Suite ABarabooWI53913200122365Diag ServicesWINAN/A$0$0$00
Mt Vernon Radiation Therapy Center LLC
10101 Woodfield LaneSt LouisMO63132201382620Radiation TherapyILNAN/A$0$0$00
Sleep & Neurology Center of S Illinois LLC
10101 Woodfield LaneSt LouisMO63132208468195Diag ServicesILNAN/A$0$0$00
ChowSMGSI Office Building LLC
10101 Woodfield LaneSt LouisMO63132371383861MOBILNAN/A$0$0$00
Oza Cancer Center LLC
10101 Woodfield LaneSt LouisMO63132201382727MOBILNAN/A$0$0$00
Shawnee Real Estate Holdings LLC
1000 N Lee AveOklahoma CityOK73102455458304MOBOKSSM Health Care of OklahomaExcluded$362,050$6,532,479$00.5falsefalse
SSM Health Pharmacy LLC
10101 Woodfield LaneSt LouisMO63132264031708PharmacyMONAN/A$0$0$00
Dean Clinic & St Marys Hospital Accountable Care Organization LLC
1808 West Beltline HighwayMadisonWI53713452995500Accountable Care OrganizationWINAN/A$0$0$00
Wisconsin Integrated Information Technology and Telemedicine Systems LLC
1808 West Beltline HighwayMadisonWI53713392016715Information Technology ServicesWINAN/A$0$0$00
Dean Health Holdings LLC
1277 Deming WayMadisonWI53717261594709Support ServicesWINAN/A$0$0$00
Wingra Building Group
1808 West Beltline HighwayMadisonWI53713390237060MOBWINAN/A$0$0$00
Janesville Riverview Clinic Building Partnership
1808 West Beltline HighwayMadisonWI53713396220698MOBWINAN/A$0$0$00
B&J McBride Office Building LLC
1000 N Lee AveOklahoma CityOK73102731533449MOBOKSSM Health Care of OklahomaExcluded$207,078$1,288,006$00.5falsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
SSM Managed Care Organization LLC
10101 Woodfield LaneSt LouisMO63132431708511Health PromotionMONAC Corporationfalse
FPP Inc
10101 Woodfield LaneSt LouisMO63132431465174Health CareMONAC Corporationfalse
Diversified Health Services Corp
10101 Woodfield LaneSt LouisMO63132431369305Medical EquipmentMONAC Corporationfalse
SSM Cardio and Thoracic Services Inc
10101 Woodfield LaneSt LouisMO63132260286559Health CareMONAC Corporationfalse
SSM Properties Inc
10101 Woodfield LaneSt LouisMO63132431462486Property ServicesMONAC Corporationfalse
SSM Depaul Medical Group Inc
10101 Woodfield LaneSt LouisMO63132431715106Health CareMONAC Corporationfalse
SSM St Charles Clinic Med Group Inc
10101 Woodfield LaneSt LouisMO63132430626408Physician OfficesMONAC Corporationfalse
Health First Phys Management
10101 Woodfield LaneSt LouisMO63132731534336Medical ServicesOKNAC Corporationfalse
SSMHCS Liability Trust II
10101 Woodfield LaneSt LouisMO63132816128118InsuranceMONAC Corporationfalse
SSM Neurosciences Inc
10101 Woodfield LaneSt LouisMO63132263413981Health CareMONAC Corporationfalse
SSM Medical Group Inc
10101 Woodfield LaneSt LouisMO63132431664107Physician OfficesMONAC Corporationfalse
SSMHC Insurance Company
10101 Woodfield LaneSt LouisMO63132030310431InsuranceCANAC Corporationfalse
SSM Orthopedic Inc
10101 Woodfield LaneSt LouisMO63132271557033Health CareMONAC Corporationfalse
SSM Cancer Care Inc
10101 Woodfield LaneSt LouisMO63132271557324Health CareMONAC Corporationfalse
Physicians Services Corp of Southern Illinois
10101 Woodfield LaneSt LouisMO63132364161526Health CareILNAC Corporationfalse
Dean Health Systems Inc
1808 West Beltline HighwayMadisonWI53713391128616Physician OfficesWINAC Corporationfalse
Dean Health Insurance Inc
PO Box 56099MadisonWI53705391830837InsuranceWINAC Corporationfalse
Dean Health Plan Inc
PO Box 56099MadisonWI53705391535024InsuranceWINAC Corporationfalse
St Mary's Dean Ventures Inc
1808 West Beltline HighwayMadisonWI53713391628491Physician OfficesWINAC Corporationfalse
Dean Retail Services Inc
1808 West Beltline HighwayMadisonWI53713391717636Property ServicesWINAC Corporationfalse
Navitus Holdings LLC
1808 West Beltline HighwayMadisonWI53713800968174Pharmacy BenefitsWINAC Corporationfalse
Oza Oncology Inc
4117 Veterans Memorial DriveMt VernonIL62804371343746Physician OfficesILNAC Corporationfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
St Anthony Hospital Foundation
C$2,008,445Cash contribution
St Anthony Hospital Foundation
Q$900,181Cost of services
Lee Dewey Corporation
K$1,011,834Rental agreement
St Anthony Hospital Foundation
S$2,908,626Cash