SSM HEALTH CARE OF OKLAHOMA INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- SSM HEALTH CARE OF OKLAHOMA INC (EIN 73-0657693)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-17
- IRS object ID
- 201443219349306999
- Schema version
- 2013v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-17T14:10:41-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 BAGBY STREET SUITE 4500 | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 770022591 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 730657693 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SSM HEALTH CARE OF OKLAHOMA INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SSMH | BusinessNameControlTxt |
| Phone | 3149947800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10101 WOODFIELD LANE | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63132 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JUNE L PICKETT | PersonNm |
| Person Title | SECRETARY | PersonTitleTxt |
| Phone | 3149947800 | PhoneNum |
| Signature | 2014-11-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BROOKE KITCHEN | PreparerPersonNm |
| PTIN | P00849302 | PTIN |
| Phone | 7139822000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE SCHEDULE O | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WILLIAM THOMPSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10101 WOODFIELD LANE | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63132 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $410,502,110 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SSMHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Activity Or Mission | HEALTH CARE NETWORK THAT ENCOMPASSES THE OKLAHOMA FACILITIES OF SSM HEALTH CARE (SSMHC). | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 4052 | TotalEmployeeCnt |
| Total Volunteers | 72 | TotalVolunteersCnt |
| Total Gross UBI | $2,260,183 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$829,664 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,263,156 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,600,073 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $434,932,080 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $400,320,810 | CYProgramServiceRevenueAmt |
| PY Investment Income | $104,246 | PYInvestmentIncomeAmt |
| CY Investment Income | $305,651 | CYInvestmentIncomeAmt |
| PY Other Revenue | $15,553,020 | PYOtherRevenueAmt |
| CY Other Revenue | $6,359,361 | CYOtherRevenueAmt |
| PY Total Revenue | $451,852,502 | PYTotalRevenueAmt |
| CY Total Revenue | $408,585,895 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $334,365 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $508,578 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $206,954,480 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $225,461,648 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $249,191,673 | PYOtherExpensesAmt |
| CY Other Expenses | $267,315,033 | CYOtherExpensesAmt |
| PY Total Expenses | $456,480,518 | PYTotalExpensesAmt |
| CY Total Expenses | $493,285,259 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,628,016 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$84,699,364 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $321,014,505 | TotalAssetsBOYAmt |
| Total Assets EOY | $309,956,109 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $291,550,907 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $362,845,763 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $29,463,598 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$52,889,654 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $433,019,436 | ExpenseAmt |
| Grant | $508,578 | GrantAmt |
| Revenue | $399,201,251 | RevenueAmt |
| Desc | PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. | Desc |
| Total Program Service Expenses | $433,019,436 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 4052 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEAH HODGES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4052727499 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 205 | AddressLine1 |
| City | OKLAHOMA CITY | City |
| State | OK | State |
| ZIP Code | 73101 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MT BERRY | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| GEORGETTE TOMA MD | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARTHA BURGER | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MIKE COLLISON | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| CLAY FARHA | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| GLORIA GRIFFIN | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID HARLOW | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOE HODGES | ||||||||||
| DIRECTOR & HOSPITAL PRESIDENT | 40.00 | 1.00 | Yes (X) | $0 | $690,999 | $16,679 | Yes (X) | |||
| JENEE LISTER | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JUDY LOVE | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN RICHELS | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARGARET SALYER | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| KERSEY WINFREE MD | ||||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $0 | $544,650 | $62,227 | ||||
| SR MARY JEAN RYAN FSM | ||||||||||
| DIRECTOR & CHAIRPERSON | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| WILLIAM THOMPSON | ||||||||||
| DIRECTOR & VICE CHAIR | 1.00 | 40.00 | Yes (X) | $0 | $2,421,072 | $841,970 | Yes (X) | |||
| KRIS ZIMMER | ||||||||||
| TREASURER | 1.00 | 40.00 | $0 | $836,253 | $68,008 | Yes (X) | ||||
| JUNE PICKETT | ||||||||||
| SECRETARY | 1.00 | 40.00 | $0 | $256,054 | -$96,872 | Yes (X) | ||||
| RAMONA CAREY | ||||||||||
| ASST SECRETARY | 40.00 | 0.00 | $67,127 | $0 | $18,360 | Yes (X) | ||||
| SHASTA R MANUEL | ||||||||||
| REGIONAL VP FINANCE/CFO | 30.00 | 10.00 | $351,209 | $0 | $48,179 | Yes (X) | ||||
| STEVEN BARNEY | ||||||||||
| PT YR VICE PRESIDENT | 1.00 | 40.00 | $0 | $592,443 | -$223,953 | Yes (X) | ||||
| PAULA FRIEDMAN | ||||||||||
| VICE PRESIDENT | 1.00 | 40.00 | $0 | $596,799 | $15,489 | Yes (X) | ||||
| TAMARA L POWELL | ||||||||||
| EXEC VP, COO | 40.00 | 0.00 | $385,809 | $0 | $3,540 | Yes (X) | ||||
| STEPHEN D POWELL | ||||||||||
| VP AMB SERVICES | 40.00 | 0.00 | $315,569 | $0 | $38,222 | Yes (X) | ||||
| CYNTHIA L BRUNDIGE | ||||||||||
| REG VP HUMAN RESOURCES | 40.00 | 0.00 | $256,491 | $0 | $43,137 | Yes (X) | ||||
| MARTI F JOURDEN | ||||||||||
| VP PERF IMPROVEMENT | 40.00 | 0.00 | $188,563 | $0 | $67,281 | Yes (X) | ||||
| JOHN R MOBLEY | ||||||||||
| NETWORK VICE PRES | 40.00 | 0.00 | $184,662 | $0 | $54,204 | Yes (X) | ||||
| JASON EMERSON | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,012,781 | $0 | -$15,493 | Yes (X) | ||||
| AVINIASH VYAS | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,172,138 | $0 | $58,590 | Yes (X) | ||||
| LEONARD BOWEN | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,055,971 | $0 | $73,248 | Yes (X) | ||||
| BASSAM HADI | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $961,301 | $0 | $39,479 | Yes (X) | ||||
| RALPH GANICK | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $879,320 | $0 | $115,048 | Yes (X) | ||||
| WILLIAM SCHOENHARD | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $274,359 | -$277,636 | Yes (X) | ||||
| CHRISTOPHER HOWARD | ||||||||||
| FORMER OFFICER | 0.00 | 40.00 | $0 | $893,660 | $29,906 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,830,941 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,106,289 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $979,613 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 207 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SHAWNEE MEDICAL CENTER CLINIC | |||||
| PO BOX 959 | SHAWNEE | OK | 74802 | PHYSICIAN SERVICES | $11,222,355 |
| SODEXO MARRIOTT SERVICES | |||||
| 1000 NORTH LEE STREET | OKLAHOMA CITY | OK | 73101 | FOOD SERVICES | $10,952,777 |
| EMERGENCY MANAGEMENT MIDWEST | |||||
| PO BOX 634850 | CINCINNATI | OH | 45263 | PHYSICIAN SERVICES | $7,295,263 |
| BONE AND JOINT MANAGEMENT COMPANY | |||||
| 1111 N DEWEY | OKLAHOMA CITY | OK | 73103 | MEDICAL SERVICES | $1,897,250 |
| TEAM HEALTH HCFS | |||||
| 1801 N W 66TH AVE | PLANTATION | FL | 33313 | MEDICAL SERVICES | $1,782,816 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 89 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,442,834 | RelatedOrganizationsAmt |
| Government Grants | $157,239 | GovernmentGrantsAmt |
| Total Contributions | $1,600,073 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 621950 | $363,108,010 | $363,108,010 | |
| OTHER REVENUE | 900099 | $21,655,760 | $19,395,577 | $2,260,183 |
| MANAGEMENT FEES | 541610 | $15,557,040 | $15,557,040 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $400,320,810 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,704 | TotalRevenueColumnAmt |
| Exclusion | $30,704 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,130,871 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,182,844 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $948,027 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $948,027 | TotalRevenueColumnAmt |
| Exclusion | $948,027 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $274,947 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $274,947 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $274,947 | TotalRevenueColumnAmt |
| Exclusion | $274,947 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $849,876 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $733,371 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $116,505 | TotalRevenueColumnAmt |
| Exclusion | $116,505 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA REVENUE | 722320 | $4,154,205 | $4,154,205 | |
| JV REVENUE | 900099 | $1,140,624 | $1,140,624 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,294,829 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $408,585,895 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $399,201,251 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,260,183 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,524,388 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $508,578 | TotalAmt |
| Program Services | $508,578 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,326,330 | TotalAmt |
| Management And General | $3,326,330 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,137,911 | TotalAmt |
| Program Services | $142,322,660 | ProgramServicesAmt |
| Management And General | $26,815,251 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,409,038 | TotalAmt |
| Program Services | $11,993,229 | ProgramServicesAmt |
| Management And General | $2,415,809 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,284,163 | TotalAmt |
| Program Services | $22,630,835 | ProgramServicesAmt |
| Management And General | $4,653,328 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,304,206 | TotalAmt |
| Program Services | $9,322,399 | ProgramServicesAmt |
| Management And General | $1,981,807 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,214,552 | TotalAmt |
| Program Services | $5,947,974 | ProgramServicesAmt |
| Management And General | $6,266,578 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,050,954 | TotalAmt |
| Management And General | $1,050,954 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,826 | TotalAmt |
| Management And General | $293,826 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,536,486 | TotalAmt |
| Program Services | $69,750,638 | ProgramServicesAmt |
| Management And General | $4,785,848 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,589,262 | TotalAmt |
| Management And General | $1,589,262 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,873,347 | TotalAmt |
| Program Services | $21,803,258 | ProgramServicesAmt |
| Management And General | $1,070,089 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,708,783 | TotalAmt |
| Program Services | $23,409,492 | ProgramServicesAmt |
| Management And General | $299,291 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,638,725 | TotalAmt |
| Program Services | $15,101,250 | ProgramServicesAmt |
| Management And General | $537,475 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,235,164 | TotalAmt |
| Program Services | $505,549 | ProgramServicesAmt |
| Management And General | $729,615 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $240,220 | TotalAmt |
| Program Services | $221,552 | ProgramServicesAmt |
| Management And General | $18,668 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,966,594 | TotalAmt |
| Program Services | $7,966,594 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,735,621 | TotalAmt |
| Program Services | $15,603,846 | ProgramServicesAmt |
| Management And General | $1,131,775 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,623,572 | TotalAmt |
| Program Services | $1,878,382 | ProgramServicesAmt |
| Management And General | $2,745,190 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $75,884,467 | $75,884,467 | |
| MEDICARE PROVIDER TAX | $7,752,455 | $7,752,455 | |
| BOND RELATED FEES | $654,857 | $654,857 | |
| BAD DEBT | $169,547 | $169,547 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,601 | TotalAmt |
| Program Services | $246,731 | ProgramServicesAmt |
| Management And General | -$100,130 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $493,285,259 | TotalAmt |
| Program Services | $433,019,436 | ProgramServicesAmt |
| Management And General | $60,265,823 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,436,709 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,874,381 | BOYAmt |
| EOY | $88,269,977 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,421,166 | BOYAmt |
| EOY | $7,990,279 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,272,677 | BOYAmt |
| EOY | $1,840,989 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $403,249,330 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $249,192,823 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,443,889 | BOYAmt |
| EOY | $154,056,507 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,154,316 | BOYAmt |
| EOY | $30,058,989 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,848,076 | BOYAmt |
| EOY | $26,302,659 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $321,014,505 | BOYAmt |
| EOY | $309,956,109 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,488,517 | BOYAmt |
| EOY | $112,255,810 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $254,062,390 | BOYAmt |
| EOY | $250,589,953 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $291,550,907 | BOYAmt |
| EOY | $362,845,763 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,687,466 | BOYAmt |
| EOY | -$59,216,175 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,700,559 | BOYAmt |
| EOY | $6,250,948 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,573 | BOYAmt |
| EOY | $75,573 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,463,598 | BOYAmt |
| EOY | -$52,889,654 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $321,014,505 | BOYAmt |
| EOY | $309,956,109 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$84,699,364 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $490 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $2,345,622 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | Yes (1) | MailingsMembersInd |
| Mailings Members | $21,500 | MailingsMembersAmt |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $8,972 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $27,500 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $57,972 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | TAXPAYER HAS HIRED A PAID LOBBYIST WHOSE ACTIVITIES INCLUDE SERVING AS LIAISON TO CITY, STATE AND FEDERAL OFFICIALS. HE TRACKS AND EVALUATES HEALTH CARE AND OTHER LEGISLATION THAT MAY HAVE AN IMPACT ON THE SYSTEM, EXPLORES AND EVALUATES POSSIBLE FUNDING OPPORTUNITIES FOR SSM OKLAHOMA, AND SERVES AS THE SPOKESPERSON TO LEGISLATIVE COMMITTEES AND STATE AGENCIES FOR THE SYSTEM ON LEGISLATIVE ISSUES. THE LOBBYIST'S ACTIVITIES INCLUDE DIRECT MAILINGS, DIRECT CONTACT WITH LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS. MAJOR ISSUES ADDRESSED INCLUDE MEDICAID FUNDING AND REIMBURSEMENTS, DSH PAYMENTS, NICHE HOSPITALS, AND OTHER VARIOUS MATTERS. HE HAS ALSO WORKED WITH CITY, COUNTY, AND STATE OFFICIALS REGARDING MEDICAID FUNDING, PATIENT SAFETY, INMATE CARE AND OTHER LEGISLATIVE MATTERS. HIS SALARY AND EXPENSES WERE $55,000 WITH NO BENEFITS. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $75,573 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $2 | GrantsOrScholarshipsAmt |
| End Year Balance | $75,573 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $75,573 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,313 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $3,313 | GrantsOrScholarshipsAmt |
| End Year Balance | $75,573 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $75,573 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $7,000 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $7,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $75,573 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $75,573 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $14,500 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $14,500 | GrantsOrScholarshipsAmt |
| End Year Balance | $75,573 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $75,573 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $13,499 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $13,168 | OtherExpendituresAmt |
| Administrative Expenses | $331 | AdministrativeExpensesAmt |
| End Year Balance | $75,573 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,212,015 | OtherCostOrOtherBasisAmt |
| Book Value | $6,212,015 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $226,099,727 | OtherCostOrOtherBasisAmt |
| Depreciation | $132,153,067 | DepreciationAmt |
| Book Value | $93,946,660 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,119,547 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,781,229 | DepreciationAmt |
| Book Value | $338,318 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $154,959,031 | OtherCostOrOtherBasisAmt |
| Depreciation | $112,168,359 | DepreciationAmt |
| Book Value | $42,790,672 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,859,010 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,090,168 | DepreciationAmt |
| Book Value | $10,768,842 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $154,056,507 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| BENEFICIAL INTEREST IN FOUNDATION | $20,730,264 | F |
| INVESTMENT IN JOINT VENTURES | $8,879,414 | F |
| SSM COMPREHENSIVE INVESTMENT PROGRAM | $449,311 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $30,058,989 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| LONG TERM NOTES RECEIVABLE | $185,209 |
| OTHER RECEIVABLES | $8,791,377 |
| DUE FROM THIRD PARTY PAYOR | $82,337 |
| GOODWILL | $1,034,809 |
| DUE FROM AFFILIATES | $16,208,927 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $26,302,659 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| THIRD PARTY PAYOR | $81,486,203 |
| PENSION FUNDING LIABILITY | $17,444,494 |
| ASSET RETIREMENT OBLIGATION | $189,705 |
| DEFERRED COMPENSATION LIABLITY | $1,855,054 |
| ALLOCATED TAX EXEMPT BOND DEBT (ISSUED BY SSM HEALTH CARE) | $143,865,324 |
| DUE TO AFFILIATE | $5,698,088 |
| DEFERRED REVENUE | $51,085 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $250,589,953 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE PERMANENT ENDOWMENT FUNDS ARE HELD FOR THE PURPOSE OF PROVIDING NURSING SCHOLARSHIPS TO NURSING STUDENTS. |
| PART X, LINE 2: | SSM HEALTH CARE OF OKLAHOMA'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH CARE CORPORATION (SSMHC), A RELATED ORGANIZATION. SSMHC 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 2013 OR 2012. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | 0 | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,437,952 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,437,952 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03540 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $78,344,797 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $77,468,033 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $876,764 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $95,782,749 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $77,468,033 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,314,716 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03720 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $265,691 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,735 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $263,956 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,118,373 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,118,373 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01240 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $363,662 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $363,662 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,747,726 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,735 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,745,991 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01360 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $102,530,475 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $77,469,768 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,060,707 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05080 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,828 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,828 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,828 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,828 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $14,044,440 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $115,421,870 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $109,737,203 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $5,684,667 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 ST ANTHONY HOSPITAL CARDIOVASCULAR SERVICES INSTITUTE LLC | ||
| MANAGEMENT SERVICES | 0.21050 | 0.80000 |
| 2 BONE AND JOINT MANAGEMENT COMPANY | ||
| MANAGEMENT SERVICES | 0.31420 | 0.70300 |
| 3 B&JMCBRIDE OFFICE BUILDING LLC | ||
| MEDICAL OFFICE BUILDING | 0.50000 | 0.50000 |
| 4 CLASSEN ASSOCIATES | ||
| MEDICAL OFFICE BUILDING | 0.20140 | 0.79860 |
| 5 SHAWNEE REAL ESTATE HOLDINGS LLC | ||
| MEDICAL OFFICE BUILDING | 0.50000 | 0.50000 |
| 6 MEDICAL PROPERTIES DEVELOPMENT LLC | ||
| MEDICAL OFFICE BUILDING | 0.05000 | 0.95000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ANTHONY HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 N LEE | AddressLine1 |
| City | OKLAHOMA CITY | City |
| State | OK | State |
| ZIP Code | 73103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SAINTSOK.COM | WebsiteAddressTxt |
| State License | 2304 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ANTHONY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C FOR FULL URL | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | WWW.SSMHEALTH.COM | OtherWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ST. ANTHONY HOSPITAL | PART V, SECTION B, LINE 3: A DIVERSE GROUP OF COMMUNITY LEADERS TOOK THE TIME TO BE INTERVIEWED ON THEIR OPINIONS OF THE HEALTH STATUS OF THE ST. ANTHONY PRIMARY SERVICE AREA (PSA). A FULL LIST OF CONTACTS CAN BE FOUND IN APPENDIX 1 OF THE CHNA. INTERVIEW QUESTIONS CAN BE FOUND IN APPENDIX 2 OF THE CHNA. AFTER COMPLETING THE INTERVIEWS, ALL PRIMARY AND SECONDARY DATA WAS ANALYZED AND THE IDENTIFIED NEEDS WERE CATEGORIZED INTO FOUR GROUPS. USING THIS LIST, AN ONLINE SURVEY WAS CREATED USING SURVEYMONKEY. THE SURVEY WAS EMAILED TO ALL OF THE COMMUNITY PARTNERS AND OVER ONE HUNDRED LOCAL REPRESENTATIVES IN CASE MANAGEMENT, THE FAITH COMMUNITY, FUNDRAISING, HOSPITAL/PRACTICE MANAGEMENT, NURSING, PHYSICIANS, PATIENT/FAMILY ADVOCATES, SOCIAL WORKERS, PUBLIC HEALTH AND SCHOOL OFFICIALS. THE CHNA CAN BE FOUND AT THE FOLLOWING WEBSITE ADDRESS:HTTP://WWW.SAINTSOK.COM/PAGES/COMMUNITYHEALTHNEEDSASSESSMENT.ASPX |
| ST. ANTHONY HOSPITAL | PART V, SECTION B, LINE 7: USING A POINT RATING SYSTEM, THE TOP TEN COMMUNITY HEALTH NEEDS WERE IDENTIFIED. A FULL LIST OF NEEDS AND POINTS TOTALS CAN BE FOUND IN APPENDIX 4 OF THE CHNA. ST. ANTHONY'S INTERNAL WORK GROUP FURTHER REFINED THE LIST TO DETERMINE WHICH OF THE TOP TEN IDENTIFIED NEEDS WOULD DEVELOP INTO STRATEGIC ACTION PLANS. THIS WAS DONE BY USING AN INTERNAL RATING SCALE THAT CONSIDERED: THE NUMBER OF PEOPLE IN THE PSA THAT ARE AFFECTED BY THE PROBLEM; HOW WELL THE CONCERN ALIGNS WITH THE HOSPITAL'S MISSION AND STRATEGIES; WHAT RESOURCES ARE REQUIRED TO ADDRESS THE ISSUE; AND COULD THE HEALTH NEED BE MEASURABLY IMPACTED. THIS PROCESS RESULTED IN FIVE NEEDS BEING PRIORITIZED. WHILE THE NUMBER OF COMMUNITY HEALTH NEEDS AND THOSE WHO NEED THEM IS LONG, THERE ARE EXISTING FACILITIES AND RESOURCES THAT WORK TO BRIDGE THE GAP. SEE PAGES 29 THROUGH 30 OF THE CHNA FOR A LIST OF EXISTING COMMUNITY RESOURCES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 42 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (42 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| BONE AND JOINT HOSPITAL AT ST ANTHONY | ||||
| 111 BN DEWEY AVE | OKLAHOMA CITY | OK | 73102 | ORTHOPEDIC SERVICES |
| ST ANTHONY HEALTHPLEX EAST | ||||
| 3400 S DOUGLAS BLVD | OKLAHOMA CITY | OK | 73150 | HEALTHPLEX |
| ST ANTHONY PHYSICIANS SHAWNEE | ||||
| 3315 KEATHLEY RD | SHAWNEE | OK | 74804 | PRIMARY CARE CLINIC |
| ST ANTHONY HEALTHPLEX SOUTH | ||||
| 13500 S TULSA DR | OKLAHOMA CITY | OK | 73170 | HEALTHPLEX |
| ST ANTHONY PHYSICIANS DERMATOLOGY CENTER | ||||
| 9720 N BROADWAY EXT | OKLAHOMA CITY | OK | 73114 | SPECIALTY CARE CLINIC |
| ST ANTHONY PHYSICIANS FAMILY MEDICINE CE | ||||
| 608 NW 9TH STREET SUITE 1100 | OKLAHOMA CITY | OK | 73102 | PRIMARY CARE CLINIC |
| ST ANTHONY PHYSICIANS HERITAGE FAMILY ME | ||||
| 6908 E RENO AVE | MIDWEST CITY | OK | 73110 | PRIMARY CARE CLINIC |
| ST ANTHONY PHYSICIANS NEUROLOGY AND NEUR | ||||
| 535 NW 9TH STREET SUITE 235 | OKLAHOMA CITY | OK | 73102 | NEUROLOGY CLINIC |
| ST ANTHONY PHYSICIANS HEALTHPLEX - EAST | ||||
| 3400 S DOUGLAS BLVD | OKLAHOMA CITY | OK | 73150 | PRIMARY CARE CLINIC |
| ST ANTHONY PHYSICIANS CENTER FOR INTEGRA | ||||
| 535 NW 9TH STREET SUITE 220 | OKLAHOMA CITY | OK | 73102 | SPECIALTY CARE CLINIC |
| ST ANTHONY PHYSICIANS HEALTHPLEX - SOUTH | ||||
| 13500 S TULSA DRIVE | OKLAHOMA CITY | OK | 73170 | PRIMARY CARE CLINIC |
| ST ANTHONY PHYSICIANS HEMATOLOGYONCOLOG | ||||
| 1011 N DEWEY AVE | OKLAHOMA CITY | OK | 73102 | SPECIALTY CARE CLINIC |
| ST ANTHONY PHYSICIANS MIDTOWN ORTHOPEDIC | ||||
| 400 NW 13TH | OKLAHOMA CITY | OK | 73103 | SPECIALTY CARE CLINIC |
| SAINT ANTHONY PHYSICIANS NORTH | ||||
| 6201 NORTH SANTA FE SUITE 2010 | OKLAHOMA CITY | OK | 73118 | PRIMARY CARE CLINIC |
| ST ANTHONY PHYSICIANS DERMATOLOGY ENID | ||||
| 330 S 5TH ST STE 400 | ENID | OK | 73701 | SPECIALTY CARE CLINIC |
| ST ANTHONY PHYSICIANS CARDIOVASCULAR INS | ||||
| 608 NW 9TH STREET SUITE 4000 | OKLAHOMA CITY | OK | 73102 | SPECIALTY CARE CLINIC |
| ST ANTHONY PHYSICIANS CHOCTAW | ||||
| 15679 NE 23RD STREET | CHOCTAW | OK | 73020 | PRIMARY CARE CLINIC |
| ST ANTHONY PHYSICIANS CARDIOVASCULAR SPE | ||||
| 608 NW 9TH ST SUITE 2200 | OKLAHOMA CITY | OK | 73102 | SPECIALTY CARE CLINIC |
| ST ANTHONY PHYSICIANS METRO MEDICAL ASSO | ||||
| 120 N ROBINSON SUITE 153W | OKLAHOMA CITY | OK | 73102 | PRIMARY CARE CLINIC |
| ST ANTHONY PHYSICIANS INTERVENTIONAL PAI | ||||
| 535 NW 9TH STREET SUITE 205 | OKLAHOMA CITY | OK | 73102 | SPECIALTY CARE CLINIC |
| SAINTS FAMILY HEALTHCARE AND GYNECOLOGY | ||||
| 220 SW 89TH SUITE D | OKLAHOMA CITY | OK | 73139 | PRIMARY CARE CLINIC |
| ST ANTHONY PHYSICIANS VASCULAR ASSOCIATE | ||||
| 608 NW 9TH ST SUITE 5204 | OKLAHOMA CITY | OK | 73102 | SPECIALTY CARE CLINIC |
| ST ANTHONY PHYSICIANS MUSTANG | ||||
| 120 N CHISHOLM TRAIL WAY | MUSTANG | OK | 73064 | PRIMARY CARE CLINIC |
| ST ANTHONY PHYSICIANS MEDICINE ASSOCIATE | ||||
| 6205 N SANTA FE SUITE 201 | OKLAHOMA CITY | OK | 73118 | PRIMARY CARE CLINIC |
| ST ANTHONY PHYSICIANS MCLOUD | ||||
| 704 S 8TH ST | OKLAHOMA CITY | OK | 74851 | PRIMARY CARE CLINIC |
| ST ANTHONY PHYSICIANS GENERAL SURGERY | ||||
| 535 NW 9TH SUITE 330 | OKLAHOMA CITY | OK | 73102 | SURGERY CENTER |
| ST ANTHONY PHYSICIANS DERMATOLOGY MIDTOW | ||||
| 608 NW 9TH STREET SUITE 3206 | OKLAHOMA CITY | OK | 73102 | SPECIALTY CARE CLINIC |
| ST ANTHONY PULMONARY SPECIALTY CLINIC | ||||
| 608NW 9TH STREET SUITE 3110 | OKLAHOMA CITY | OK | 73102 | SPECIALTY CARE CLINIC |
| ST ANTHONY PHYSICIANS FAMILY MEDICINE M | ||||
| 10002 SE 15TH STREET | MIDWEST CITY | OK | 73130 | PRIMARY CARE CLINIC |
| ST ANTHONY INTERVENTIONAL RADIOLOGY | ||||
| 1000 N LEE AVE 4TH FLOOR | OKLAHOMA CITY | OK | 73102 | SPECIALTY CARE CLINIC |
| ST ANTHONY PHYSICIANS ENDOCRINOLOGY ASSO | ||||
| 608 NW 9TH ST STE 5000 | OKLAHOMA CITY | OK | 73102 | SPECIALTY CARE CLINIC |
| ST ANTHONY PHYSICIANS STROUD | ||||
| 2308 B HWY 66 | STROUD | OK | 74079 | PRIMARY CARE CLINIC |
| ST ANTHONY PHYSICIANS PULMONARY & WELLNE | ||||
| 608 NW 9TH ST STE 6200 | OKLAHOMA CITY | OK | 73102 | SPECIALTY CARE CLINIC |
| ST ANTHONY PHYSICIANS PRIMARY CARE NORTH | ||||
| 6201 NORTH SANTA FE SUITE 2020 | OKLAHOMA CITY | OK | 73118 | PRIMARY CARE CLINIC |
| ST ANTHONY PHYSICIANS PULMONARY ASSOCIAT | ||||
| 608 MW 9TH STREET SUITE 3110 | OKLAHOMA CITY | OK | 73102 | SPECIALTY CARE CLINIC |
| ST ANTHONY PHYSICIANS DERMATOLOGY MIDWES | ||||
| 9020 E RENO STE 100 | MIDWEST CITY | OK | 73130 | SPECIALTY CARE CLINIC |
| ST ANTHONY PHYSICIANS THORACIC AND CARDI | ||||
| 608 NW 9TH ST SUITE 2110 | OKLAHOMA CITY | OK | 73102 | SURGERY CENTER |
| ST ANTHONY PHYSICIANS MIDTOWN RENAL CARE | ||||
| 810 NW 10TH ST STE A | OKLAHOMA CITY | OK | 73106 | SPECIALTY CARE CLINIC |
| ST ANTHONY PHYSICIANS CARDIOVASCULAR DIS | ||||
| 608 NW 9TH ST STE 6105 | OKLAHOMA CITY | OK | 73102 | SPECIALTY CARE CLINIC |
| ST ANTHONY PHYSICIANS BLANCHARD | ||||
| 2002 N COUNCIL AVENUE | BLANCHARD | OK | 73010 | PRIMARY CARE CLINIC |
| ST ANTHONY PHYSICIANS BREAST CARE SERVIC | ||||
| 535 NW 9TH ST SUITE 100 | OKLAHOMA CITY | OK | 73102 | SPECIALTY CARE CLINIC |
| ST ANTHONY CARDIOVASCULAR CARE | ||||
| 608 NW 9TH SUITE 4106 | OKLAHOMA CITY | OK | 73102 | SPECIALTY CARE CLINIC |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, QUESTION 3B | SSM HEALTH CARE OF OKLAHOMA USES FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS.THE APPLICABLE PERCENTAGE VARIES BASED ON HOW MUCH THE APPLICANT'S INCOME EXCEEDS FPG GUIDELINES. THE FOLLOWING SCHEDULE IS USED TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE:APPLICANT'S INCOME IS CHARITY CARE PERCENTAGELESS THAN OR EQUAL TO 2 TIMES FPG 100%MORE THAN 2 TIMES, LESS THAN 2.5 TIME FPG 80%MORE THAN 2.5 TIMES, LESS THAN 3 TIMES FPG 60%MORE THAN 3 TIMES, LESS THAN 3.5 TIMES FPG 40%MORE THAN 3.5 TIMES, LESS THAN 4 TIMES FPG 20%4 OR MORE TIMES FPG 0%SCHEDULE H, PART I, QUESTION 3CAN EXCEPTION TO THE SLIDING SCALE IS PROVIDED FOR A PATIENT IF THEIR BALANCE DUE EXCEEDS 20% OF THEIR GROSS FAMILY INCOME. IN THIS SITUATION, THE BILL IS DISCOUNTED DOWN TO 20% OF THEIR FAMILY INCOME. TO FURTHER STREAMLINE AND AUTOMATE THE FINANCIAL ASSISTANCE PROCESS, SSM HEALTH CARE OF OKLAHOMA BUSINESS OFFICE PERSONNEL WILL AUTOMATICALLY CONSIDER 100% OF THE PATIENT ACCOUNT AS CHARITY CARE IF THE COMMERCIAL SOFTWARE SYSTEM (PASSPORT) INDICATES THAT THE PATIENT IS LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL). ADDITIONALLY, PRIOR TO CLASSIFYING THE BALANCE DUE AS A BAD DEBT, THE HOSPITAL REVIEWS ACCOUNTS WITH BALANCES OVER $10,000 AND APPLIES THE SAME ELIGIBILITY CRITERIA MENTIONED ABOVE. THIS PROCESS IS CALLED "PRESUMPTIVE ELIGIBILITY.SCHEDULE H, PART I, QUESTION 6ASSM HEALTH CARE OF OKLAHOMA IS PART OF THE INTEGRATED HEALTH SYSTEM KNOWN AS SSM HEALTH CARE. IN AN EFFORT TO STRENGTHEN ITS COMMUNITY BENEFIT PROGRAM, SSM HEALTH CARE PLANS FOR, MEASURES, AND COMMUNICATES IN AN ANNUAL REPORT CHARITY CARE 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, QUESTION 7CHARITY CARE COSTING METHODOLOGY: THE COST OF CHARITY CARE 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 CHARGE, WAS USED TO COMPUTE CHARITY CARE 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 CHARGE, WAS USED TO COMPUTE UNREIMBURSED MEDICAID COSTS. 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. 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. THE EXPENDITURES ARE DETERMINED BASED ON ACTUAL INVOICES OR DOLLAR AMOUNTS SPENT AND CHARGED TO THESE DEPARTMENTS.HEALTH PROFESSIONAL EDUCATION COSTING METHODOLOGY: THE EXPENSES FOR HEALTH PROFESSION EDUCATION WERE TAKEN FROM THE DEPARTMENT'S INCOME AND EXPENSE STATEMENT, DERIVED FROM THE ACCOUNTING SYSTEM. AMOUNTS PAID FROM RESIDENT DEPARTMENTS WERE ALSO INCLUDED.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.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: PARTICIPATED IN REBUILDING TOGETHER WITH USE OF STAFF TO IMPROVE/REPAIR HOMES OF LOW INCOME ELDERLY PERSONS IN THE COMMUNITY; PARTICIPATED IN THE OKLAHOMA CITY LITTER BLITZ A NEIGHBORHOOD IMPROVEMENT AND REVITALIZATION PROJECT.SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT COSTING METHODOLOGY: BAD DEBT EXPENSE REPORTED IN THE ACCOUNTING SYSTEM, ADJUSTED FOR BAD DEBT RECOVERIES, WAS USED, MULTIPLIED BY THE COST TO CHARGE RATIO USING IRS WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES.SCHEDULE H, PART III, SECTION A, LINE 3SSM HEALTH CARE OF OKLAHOMA 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, SECTION A, LINE 4SSM HEALTH CARE OF OKLAHOMA IS PART OF THE SSM HEALTH CARE CONSOLIDATED AUDIT. THE FOOTNOTE THAT REFERENCES BAD DEBT EXPENSE IN THE DECEMBER 31, 2013 CONSOLIDATED AUDIT IS AS FOLLOW:"IN LINE WITH ITS MISSION, SSMHC PROVIDES SERVICES TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY FOR THOSE SERVICES. FOR SOME OF ITS PATIENT SERVICES, SSMHC RECEIVES NO PAYMENT OR PAYMENT THAT IS LESS THAN THE FULL COST OF PROVIDING THE SERVICES.SSMHC VOLUNTARILY PROVIDES FREE CARE TO PATIENTS WHO ARE UNABLE TO PAY FOR ALL OR PART OF THEIR HEALTH CARE EXPENSES AS DETERMINED BY SSMHC'S CRITERIA FOR FINANCIAL ASSISTANCE. BECAUSE SSMHC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS PATIENT SERVICE REVENUES.IN SOME CASES, SSMHC DOES NOT RECEIVE THE AMOUNT BILLED FOR PATIENT SERVICES EVEN THOUGH IT DID NOT RECEIVE INFORMATION NECESSARY TO DETERMINE IF THE PATIENTS MET THE CRITERIA FOR FINANCIAL ASSISTANCE. THE ESTIMATED COST OF CHARITY AND THE COST OF DOUBTFUL ACCOUNTS ARE AS FOLLOWS. THE ESTIMATED COSTS ARE CALCULATED USING THE COSTS OF PROVIDING PATIENT CARE DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS RATIO IS THEN MULTIPLIED BY THE GROSS CHARITY AND DOUBTFUL CHARGES TO DETERMINE ESTIMATED COSTS." BAD DEBT EXPENSE REPORTED ON LINE 2 FOR THE YEAR ENDED DECEMBER 31, 2012 WAS $45,681,255 AT CHARGES AND $14,044,440 AT COST.SCHEDULE H, PART III, SECTION C, LINE 8 THE MEDICARE COSTS REPORTED ON LINE 6 WERE OBTAINED FROM THE 2013 MEDICARE COST REPORT. SCHEDULE H, PART III, SECTION C, LINE 9BSSM HEALTH CARE OF OKLAHOMA HAS ESTABLISHED WRITTEN CREDIT AND COLLECTION POLICY AND PROCEDURES. THE BILLING AND COLLECTION POLICIES AND PRACTICES REFLECT THE MISSION AND VALUES OF SSM HEALTH CARE, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. THE HOSPITAL EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH IT PARTICIPATES BY ESTABLISHING SOUND BUSINESS PRACTICES. THE HOSPITAL'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 CHARITY CARE AND FINANCIAL ASSISTANCE. 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 SSM HEALTH CARE OF OKLAHOMA'S COLLECTION AND CHARITY POLICIES.SCHEDULE H, PART VI, LINE 2: NEEDS ASSESSMENT PROCESSTHE ANNUAL STRATEGIC, FINANCIAL, AND HUMAN RESOURCES PLANNING PROCESS HAS INCLUDED AN ASSESSMENT OF THE COMMUNITY'S NEEDS TO INCLUDE THE IDENTIFICATION OF SPECIFIC AND MEASUREABLE HEALTHY COMMUNITIES' INITIATIVES. OUR SYSTEM VISION FOR IMPROVED COMMUNITY HEALTH IS PURSUED IN ALL OF OUR WORK AT SSM HEALTH CARE FROM STRATEGIC PLANNING, FINANCIAL MANAGEMENT, AND DIRECT PATIENT CARE TO ADVOCACY, COMMUNITY PARTNERSHIPS AND HEALTHY COMMUNITIES INITIATIVES. OVERALL EFFORTS IN THIS AREA ARE COORDINATED THROUGH SSM HEALTH CARE'S COMMUNITY BENEFIT PROGRAM, WHICH FOCUSES ON ASSESSING AND IMPLEMENTING STRATEGIES TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. |
| SSM HEALTH CARE'S COMMITMENT TO COMMUNITY BENEFIT IS DEEPLY EMBEDDED INTO | OUR ORGANIZATIONAL CULTURE AS REFLECTED IN OUR SYSTEM VISION STATEMENT WHICH READS: 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 WITHIN THE FINANCIAL LIMITS OF THE SYSTEM.COMMUNITY BENEFIT IS DEFINED AS PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO COMMUNITY NEEDS; THEY ARE NOT PROVIDED FOR MARKETING PURPOSES. COMMUNITY BENEFIT PROGRAMS GENERATE A LOW OR NEGATIVE FINANCIAL RETURN, RESPOND TO NEEDS OF SPECIAL POPULATIONS SUCH AS PERSONS LIVING IN POVERTY AND OTHER DISENFRANCHISED PERSONS AND PUBLIC HEALTH NEEDS. GENERALLY THESE PROGRAMS OR SERVICES WOULD LIKELY BE DISCONTINUED - OR WOULD NEED TO BE PROVIDED BY ANOTHER NOT-FOR-PROFIT OR GOVERNMENT PROVIDER - IF THE DECISION WAS MADE ON A PURELY FINANCIAL BASIS. COMMUNITY BENEFIT PROGRAMS CAN ALSO INVOLVE EDUCATION OR RESEARCH THAT IMPROVE OVERALL COMMUNITY HEALTH. THE COMMUNITY BENEFIT PLAN DETAILS THE PLANNING, MEASUREMENT AND COMMUNICATION OF ITS COMMUNITY BENEFITS. THE THREE-MAIN ASPECTS OF COMMUNITY BENEFIT BEING THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH DETERMINES THE COMMUNITY NEEDS TO BE ADDRESSED BY THE HOSPITAL, THE COMMUNITY BENEFIT PLAN WHICH DETAILS STEPS TO BE ACCOMPLISHED TO MEET IDENTIFIED NEEDS, AND THE CBISA DATABASE WHICH DOCUMENTS ALL OF THE COMMUNITY BENEFIT ACTIVITIES FOR EACH YEAR. AT THE END OF EACH YEAR, THE CBISA COMMUNITY BENEFIT REPORT IS GIVEN TO MANAGEMENT, ADMINISTRATION AND THE SSMHC BOARD OF DIRECTORS IN ORDER TO EVALUATE AND IMPROVE THE PROGRAM. ONE OF THE FIRST STEPS FOR IDENTIFYING THE HIGH-PRIORITY HEALTH NEEDS OF OUR COMMUNITY IS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). A SUMMARY OF THE ST ANTHONY HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS CAN BE FOUND ON PAGES 6 THROUGH 9 OF ITS CHNA. THE STRATEGIC PRIORITIES OF THE ST ANTHONY HOSPITAL COMMUNITY BENEFIT PLAN ARE: SUBSTANCE ABUSE/MENTAL HEALTH, HEART DISEASE, OBESITY AND DIABETES. DURING 2013, GOALS AND OBJECTIVES WERE ESTABLISHED TO CHANGE BEHAVIOR, PROVIDE METRICS TO MEASURE CHANGE, AND TO IMPACT THE OVERALL HEALTH OF THOSE WE SERVE. ALL OF THE COMMUNITY BENEFIT ACTIVITIES ARE DESIGNED TO MEET THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHICH WAS COMPLETED IN NOVEMBER 2012. SCHEDULE H, PART VI LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEALL SSMHC 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 SSMHC, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. SSMHC 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.SSMHC APPLIES ITS CHARITY CARE POLICIES FAIRLY AND CONSISTENTLY. EACH PERSON IS TREATED AS AN INDIVIDUAL WITH SPECIFIC NEEDS FOR ASSISTANCE WITHOUT REGARD TO PAYMENT. SSMHC 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 EXCEEDS 20% OF THEIR GROSSS FANILY INCOME.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 FLYERS 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 ON PAGES 13 THROUGH 22 OF THE 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 AN OCCUPATIONAL HEALTH NETWORK.SCHEDULE H, PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHSSM HEALTH CARE'S MISSION STATEMENT IS "THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD". SSM HEALTH CARE OF OKLAHOMA PARTICIPATES IN A WIDE ARRAY OF COMMUNITY PROGRAMS THROUGHOUT THE AREA TO FURTHER ITS EXEMPT PURPOSE OF PROMOTING THE HEALTH OF THE COMMUNITY. SOME EXAMPLES INCLUDE THE FOLLOWING:ST. ANTHONY HOSPITAL AND BONE AND JOINT HOSPITAL AT ST. ANTHONY ALSO COLLABORATE WITH STATE AGENCIES, HEALTHCARE PROVIDERS, AND EDUCATION AND BUSINESS LEADERS. BONE AND JOINT HOSPITAL AT ST. ANTHONY OFFERS COMMUNITY EDUCATION AND SCREENING OPPORTUNITIES TO AREA ORGANIZATIONS AND THE GENERAL PUBLIC. SPECIAL ATTENTION IS GIVEN TO ENSURE THAT DIVERSE GROUPS OF THE LOCAL POPULATION ARE IDENTIFIED AND PROVIDED WITH EDUCATIONAL/SCREENING OPPORTUNITIES. |
| BONE AND JOINT HOSPITAL AT ST. ANTHONY OFFERS ONGOING COMMUNITY EDUCATION | REGARDING OSTEOARTHRITIS, OSTEOPOROSIS, SPINE PAIN AND OTHER ORTHOPEDIC-RELATED TOPICS. THE CLASSES ARE FREE OF CHARGE AND FEATURE A BONE AND JOINT HOSPITAL AT ST. ANTHONY PHYSICIAN WHO DONATES HIS TIME FOR THE SEMINARS. BONE AND JOINT HOSPITAL AT ST. ANTHONY ALSO PARTICIPATES IN HEALTH FAIRS WHERE FREE BONE DENSITY SCREENINGS ARE OFFERED.THROUGH THE FREE CLINIC, CROSS AND CROWN, BONE AND JOINT HOSPITAL AT ST. ANTHONY PROVIDED FREE SERVICES TO 250 INDIVIDUALS AT ITS 2013 HEALTH FAIR. FURTHER, BONE AND JOINT HOSPITAL AT ST. ANTHONY SUPPORTS THE EFFORTS OF THE ARTHRITIS FOUNDATION BY SUPPORTING FUNDRAISING AND AWARENESS EFFORTS INCLUDING BEING THE TITLE SPONSOR OF THE LOCAL CHAPTER'S ANNUAL ARTHRITIS WALK.ST. ANTHONY HOSPITAL SPONSORED VARIOUS EDUCATIONAL EVENTS INCLUDING ITS ANNUAL STROKE OF COURAGE PROGRAM TO RAISE STROKE AWARENESS AND ITS CELEBRITY CHEF EVENT TO PROMOTE HEART HEALTHY EATING. PHYSICIAN SPEAKERS PRESENT AT AREA BUSINESSES TO PROVIDE ADDITIONAL HEALTH EDUCATION TO THEIR WORKFORCE. ST ANTHONY HOSPITAL IN COLLABORATION WITH 61 OKLAHOMA SCHOOLS, THE UNIVERSITY OF OKLAHOMA AND VARIOUS STATE AGENCIES HAS ESTABLISHED A COMMUNITY HEALTH INITIATIVE TO SUPPORT PROGRAMS AND CURRICULUM IN OKLAHOMA SCHOOLS TO PROMOTE HEALTHY LIFESTYLES. THE HOSPITAL AND ITS EMPLOYEES PARTICIPATED IN REBUILDING TOGETHER TO REHABILITATE A HOME FOR AN INDIVIDUAL WITHIN THE COMMUNITY WHO DOES NOT HAVE THE MEANS TO MAKE NECESSARY REPAIRS TO ENSURE A SAFE, WARM HOME. ADDITIONALLY, NUMEROUS SUPPORT GROUPS, CHILDBIRTH CLASSES, MEDIA HEALTH INFORMATION STORIES, SEMINARS ON A RANGE OF HEALTHY TOPICS, HEALTH FAIRS AND HEALTH PROFESSIONALS' EDUCATION PROVIDE SUBSTANTIAL BENEFIT TO THE COMMUNITY. IN 2013, THE HOSPITAL CONTINUED ITS MIDTOWN MARKET AT SAINTS, A COMMUNITY LOCAL FOOD FARMERS' MARKET HOSTED WEEKLY ON THE HOSPITAL CAMPUS FROM MAY THROUGH OCTOBER. IT ALSO SPONSORED OTHER EVENTS TO SUPPORT COMMUNITY HEALTH AND FITNESS INCLUDING THE DOWNTOWN DASH (5TH YEAR TO SPONSOR ON ITS CAMPUS) AND REDBUD CLASSIC (THE 31TH YEAR TO SPONSOR) AS WELL AS THE AMERICAN HEART ASSOCIATION HEART WALK.THE HOSPITAL WEBSITE, WWW.SAINTSOK.COM, PROVIDES HEALTH INFORMATION USEFUL TO THE COMMUNITY THROUGH A COMPILATION OF HEALTH EDUCATION TOPICS, HEALTH RISK APPRAISALS, AND OTHER TOOLS DESIGNED TO ASSIST INDIVIDUALS WITH HEALTH CONCERNS AND ENCOURAGE A HEALTHIER LIFESTYLE. THESE SERVICES ARE IN ADDITION TO THE TRADITIONAL CHARITY CARE PROVIDED CONSISTENT WITH THE HOSPITAL'S MISSION. 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 SCHEDULE H, PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMSSM HEALTH CARE OF OKLAHOMA IS A HEALTH CARE NETWORK THAT ENCOMPASSES SSM HEALTH CARE FACILITIES IN OKLAHOMA. THIS CONSISTS OF TWO HOSPITALS IN OKLAHOMA CITY, BONE AND JOINT HOSPITAL AT ST ANTHONY AND ST ANTHONY HOSPITAL AND A PHYSICIAN ORGANIZATION, SAINTS MEDICAL GROUP. SSM HEALTH CARE OF OKLAHOMA IS ALSO THE SOLE CORPORATE MEMBER OF A HOSPITAL IN SHAWNEE, OKLAHOMA, ST ANTHONY SHAWNEE HOSPITAL. SSM HEALTH CARE OF OKLAHOMA, WITH HEADQUARTERS IN OKLAHOMA CITY, OK, IS SPONSORED BY THE SSM HEALTH MINISTRIES AND IS OWNED AND OPERATED BY SSM HEALTH CARE (SSMHC) BASED IN ST. LOUIS, MISSOURI.SCHEDULE H, PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORTTHE SSM HEALTH CARE ANNUAL CONSOLIDATED COMMUNITY BENEFIT REPORT IS FILED IN ILLINOIS, MISSOURI, OKLAHOMA, AND WISCONSIN. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (21 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| GREATER OKC CHAMBER OF COMMERCE | |||||||
| 123 PARK AVENUE | OKLAHOMA CITY | OK | 73102 | 730381180 | 501(C)(3) | $112,835 | GENERAL SUPPORT |
| ARTHRITIS FOUNDATION | |||||||
| 710 W WILSHIRE STE 101 | OKLAHOMA CITY | OK | 73116 | 943454386 | 501(C)(3) | $25,000 | GENERAL SUPPORT |
| CANTERBURY CHORAL SOCIETY | |||||||
| 428 W CALIFORNIA STE 100 | OKLAHOMA CITY | OK | 730125454 | 237282541 | 501(C)(3) | $5,000 | GENERAL SUPPORT |
| UNITED WAY OF CENTRAL OKLAHOMA INC | |||||||
| 1444 NW 28TH STREET | OKLAHOMA CITY | OK | 73106 | 730589829 | 501(C)(3) | $20,000 | GENERAL SUPPORT |
| ALLIED ARTS FOUNDATION | |||||||
| 1015 N BROADWAY STE 200 | OKLAHOMA CITY | OK | 73102 | 730804291 | 501(C)(3) | $45,025 | GENERAL SUPPORT |
| ARTS COUNCIL OF OKLAHOMA CITY INC | |||||||
| 400 W CALIFORNIA AVENUE | OKLAHOMA CITY | OK | 73102 | 736112471 | 501(C)(3) | $12,500 | GENERAL SUPPORT |
| CATHOLIC CHARITIES | |||||||
| 3577 HIGH POINT ROAD | MADISON | WI | 53744 | 390807067 | 501(C)(3) | $20,000 | GENERAL SUPPORT |
| HEALTH ALLIANCE FOR THE UNINSURED | |||||||
| 5929 N MAY AVENUE | OKLAHOMA CITY | OK | 73112 | 261789292 | 501(C)(3) | $42,000 | GENERAL SUPPORT |
| OKLAHOMA CHRISTIAN UNIVERSITY | |||||||
| PO BOX 11000 | OKLAHOMA CITY | OK | 73136 | 730555460 | 501(C)(3) | $40,000 | GENERAL SUPPORT |
| ARCHDIOCESE OF OKLAHOMA CITY | |||||||
| 7501 NW EXPRESSWAY | OKLAHOMA CITY | OK | 73123 | 730632924 | 501(C)(3) | $23,455 | GENERAL SUPPORT |
| OKLAHOMA CITY NATIONAL MEMORIAL FOUNDATION | |||||||
| PO BOX 323 | OKLAHOMA CITY | OK | 73101 | 731472725 | 501(C)(3) | $14,000 | GENERAL SUPPORT |
| OKLAHOMA CITY UNIVERSITY | |||||||
| 2501 N BLACKWELDER AVE | OKLAHOMA CITY | OK | 73106 | 730579265 | 501(C)(3) | $20,000 | GENERAL SUPPORT |
| SHARTEL BLVD DEVELOPMENT AUTHORITY INC | |||||||
| 301 NW 18TH STREET | OKLAHOMA CITY | OK | 73103 | 731572000 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| RED BUD FOUNDATION | |||||||
| 421 AVONDALE DR STE 204-A | OKLAHOMA CITY | OK | 73116 | 731293464 | 501(C)(3) | $20,000 | GENERAL SUPPORT |
| STATE CHAMBER | |||||||
| 330 NE 10TH STREET | OKLAHOMA CITY | OK | 73104 | 731270209 | 501(C)(3) | $15,900 | GENERAL SUPPORT |
| AMERICAN HEART ASSOCIATION | |||||||
| 7272 GRENVILLE AVE | DALLAS | TX | 75231 | 135613797 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| DOWNTOWN OKC | |||||||
| 210 PARK AVE STE 230 | OKLAHOMA CITY | OK | 73102 | 731593759 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| OKLAHOMA GAZETTE | |||||||
| PO BOX 54649 | OKLAHOMA CITY | OK | 75154 | 731185363 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| OKLAHOMA GIRLS BASKETBALL COACHES ASSOCIATION | |||||||
| 1500 N WASHINGTON | WEATHERFORD | OK | 73101 | 237166074 | 501(C)(3) | $7,500 | GENERAL SUPPORT |
| OKLAHOMA COUNTY MEDICAL SOCIETY COMMUNITY FOUNDATION | |||||||
| 313 NE 50 ST STE 2 | OKLAHOMA CITY | OK | 73105 | 730746253 | 501(C)(3) | $9,500 | GENERAL SUPPORT |
| OKLAHOMA STATE UNIVERSITY FOUNDATION | |||||||
| PO BOX 1749 | STILLWATER | OK | 74078 | 736097060 | 501(C)(3) | $5,000 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 22 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOE HODGES | ||||||||||||||
| DIRECTOR & HOSPITAL PRESIDENT | $0 | $633,887 | $0 | $0 | $0 | $57,112 | $0 | -$16,778 | $0 | $33,457 | $0 | $707,678 | $0 | $31,500 |
| KERSEY WINFREE MD | ||||||||||||||
| DIRECTOR | $0 | $507,123 | $0 | $0 | $0 | $37,527 | $0 | $40,342 | $0 | $21,885 | $0 | $606,877 | $0 | $11,120 |
| WILLIAM THOMPSON | ||||||||||||||
| DIRECTOR & VICE CHAIR | $0 | $1,404,608 | $0 | $0 | $0 | $1,016,464 | $0 | $811,381 | $0 | $30,589 | $0 | $3,263,042 | $0 | $59,150 |
| KRIS ZIMMER | ||||||||||||||
| TREASURER | $0 | $763,126 | $0 | $0 | $0 | $73,127 | $0 | $40,169 | $0 | $27,839 | $0 | $904,261 | $0 | $45,360 |
| JUNE PICKETT | ||||||||||||||
| SECRETARY | $0 | $226,100 | $0 | $0 | $0 | $29,954 | $0 | -$119,886 | $0 | $23,014 | $0 | $159,182 | $0 | $8,680 |
| SHASTA R MANUEL | ||||||||||||||
| REGIONAL VP FINANCE/CFO | $327,491 | $0 | $0 | $0 | $23,718 | $0 | $20,189 | $0 | $27,990 | $0 | $399,388 | $0 | $11,440 | $0 |
| STEVEN BARNEY | ||||||||||||||
| PT YR VICE PRESIDENT | $0 | $354,279 | $0 | $0 | $0 | $238,164 | $0 | -$236,820 | $0 | $12,867 | $0 | $368,490 | $0 | $0 |
| PAULA FRIEDMAN | ||||||||||||||
| VICE PRESIDENT | $0 | $523,635 | $0 | $0 | $0 | $73,164 | $0 | -$2,191 | $0 | $17,680 | $0 | $612,288 | $0 | $32,970 |
| TAMARA L POWELL | ||||||||||||||
| EXEC VP, COO | $343,491 | $0 | $0 | $0 | $42,318 | $0 | -$3,848 | $0 | $7,388 | $0 | $389,349 | $0 | $10,608 | $0 |
| STEPHEN D POWELL | ||||||||||||||
| VP AMB SERVICES | $299,530 | $0 | $0 | $0 | $16,039 | $0 | $12,994 | $0 | $25,228 | $0 | $353,791 | $0 | $10,280 | $0 |
| CYNTHIA L BRUNDIGE | ||||||||||||||
| REG VP HUMAN RESOURCES | $233,893 | $0 | $0 | $0 | $22,598 | $0 | $26,311 | $0 | $16,826 | $0 | $299,628 | $0 | $8,200 | $0 |
| MARTI F JOURDEN | ||||||||||||||
| VP PERF IMPROVEMENT | $176,898 | $0 | $0 | $0 | $11,665 | $0 | $39,528 | $0 | $27,753 | $0 | $255,844 | $0 | $6,820 | $0 |
| JOHN R MOBLEY | ||||||||||||||
| NETWORK VICE PRES | $169,636 | $0 | $0 | $0 | $15,026 | $0 | $24,692 | $0 | $29,512 | $0 | $238,866 | $0 | $6,756 | $0 |
| JASON EMERSON | ||||||||||||||
| PHYSICIAN | $978,381 | $0 | $0 | $0 | $34,400 | $0 | -$46,229 | $0 | $30,736 | $0 | $997,288 | $0 | $0 | $0 |
| AVINIASH VYAS | ||||||||||||||
| PHYSICIAN | $1,091,823 | $0 | $0 | $0 | $80,315 | $0 | $27,226 | $0 | $31,364 | $0 | $1,230,728 | $0 | $0 | $0 |
| LEONARD BOWEN | ||||||||||||||
| PHYSICIAN | $1,011,049 | $0 | $0 | $0 | $44,922 | $0 | $44,889 | $0 | $28,359 | $0 | $1,129,219 | $0 | $0 | $0 |
| BASSAM HADI | ||||||||||||||
| PHYSICIAN | $942,875 | $0 | $0 | $0 | $18,426 | $0 | $7,698 | $0 | $31,781 | $0 | $1,000,780 | $0 | $0 | $0 |
| RALPH GANICK | ||||||||||||||
| PHYSICIAN | $797,456 | $0 | $0 | $0 | $81,864 | $0 | $87,088 | $0 | $27,960 | $0 | $994,368 | $0 | $0 | $0 |
| WILLIAM SCHOENHARD | ||||||||||||||
| FORMER OFFICER | $0 | $0 | $0 | $0 | $0 | $274,359 | $0 | -$296,128 | $0 | $18,492 | $0 | -$3,277 | $0 | $0 |
| CHRISTOPHER HOWARD | ||||||||||||||
| FORMER OFFICER | $0 | $806,003 | $0 | $0 | $0 | $87,657 | $0 | -$1,097 | $0 | $31,003 | $0 | $923,566 | $0 | $40,320 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 1A | FormAndLineReferenceDesc |
| Explanation | THE FOLLOWING INDIVIDUALS LISTED ON PART VII SECTION A RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENT IN 2013. THESE PAYMENTS WERE INCLUDED IN THEIR TAXABLE COMPENSATION. SHASTA MANUEL TAMARA POWELL STEPHEN POWELL JASON EMERSON RALPH GANICK AVINIASH VYAS PART I, LINE 3: COMPENSATION TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (HOSPITAL 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 SSM HEALTH CARE (SSMHC) PRESIDENT. PART I, LINE 4A: SEVERANCE PLAN: SSMHC HAS ADOPTED A SEVERANCE POLICY TO PROVIDE A FINANCIAL TRANSITION IN THE EVENT OF INVOLUNTARY TERMINATION WITHOUT CAUSE FOR EXECUTIVE LEVEL POSITIONS. THE AMOUNT OF THE COMPENSATION IS BASED ON THE POSITION HELD AND LENGTH OF SERVICE WITH SSMHC. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS UNDER THIS PLAN. WILLIAM SCHOENHARD $274,359 JOHN MOBLEY $ 3,481 PART I, LINE 4B: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS PENSION RESTORATION PLAN: SSM HEALTH CARE (SSMHC) PROVIDES THIS SUPPLEMENTAL DEFINED BENEFIT NONQUALIFIED RETIREMENT PLAN TO ANY EMPLOYEE WHO IS A PARTICIPANT IN THE SSMHC 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 SSMHC'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 SSMHC OR (2) AGE 55 OR OLDER IF THE INDIVIDUAL IS NO LONGER EMPLOYED BY SSMHC. NO REPORTABLE INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THIS PLAN DURING 2013. CAPITAL ACCUMULATION PLAN: SSMHC 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 SSMHC 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 2008 OR AFTER, THE DISTRIBUTION WILL OCCUR AFTER THE COMPLETION OF TWO 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 2013. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUALS' TAXABLE COMPENSATION. STEVEN BARNEY $148,902 WILLIAM THOMPSON $ 59,209 CHRISTOPHER HOWARD $ 52,082 KRIS ZIMMER $ 45,405 PAULA FRIEDMAN $ 33,003 JOE HODGES $ 31,531 JUNE PICKETT $ 19,086 STEPHEN POWELL $ 13,458 KERSEY WINFREE $ 12,364 SHASTA MANUEL $ 11,451 TAMARA POWELL $ 10,619 CYNTHIA BRUNDIGE $ 8,208 MARTI JOURDEN $ 6,827 JOHN MOBLEY $ 6,763 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, DOING BUSINESS AS: | SSM 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 |
| FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: | BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION: SSMHC IS ONE OF THE LARGEST CATHOLIC HEALTH SYSTEMS IN THE COUNTRY AND IS DEDICATED TO QUALITY AND COMPASSIONATE CARE FOR ANYONE IN NEED, REGARDLESS OF ABILITY TO PAY. THE SYSTEM BEGAN WITH FIVE RELIGIOUS SISTERS WHO JOURNEYED TO ST. LOUIS IN 1872 FROM GERMANY TO BE OF SERVICE TO PEOPLE IN NEED. IN THEIR EARLY LEDGERS, THE SISTERS LISTED PATIENTS WHO COULD NOT PAY FOR THEIR CARE AS "OUR DEAR LORD'S." AS OF NOVEMBER 15, 2013, WITH VATICAN APPROVAL, THE FRANCISCAN SISTERS OF MARY TRANSITIONED SPONSORSHIP OF SSMHC TO SSM HEALTH MINISTRIES. SSM HEALTH MINISTRIES IS AN INDEPENDENT 6-MEMBER BODY COMPRISED OF THREE FRANCISCAN SISTERS OF MARY AND THREE LAY PEOPLE WHO COLLECTIVELY HOLD CERTAIN RESERVED POWERS OVER SSMHC. HEADQUARTERED IN ST LOUIS, MISSOURI, SSMHC OWNS AND OPERATES 18 ACUTE CARE HOSPITALS, ONE CHILDREN'S HOSPITAL, TWO LONG-TERM CARE FACILITIES, AN EXTENSIVE NETWORK OF PHYSICIAN PRACTICE OPERATIONS, AND OTHER HEALTH CARE BUSINESSES LOCATED PRIMARILY IN MISSOURI, OKLAHOMA, WISCONSIN, AND ILLINOIS. THE HEALTH SYSTEM EMPLOYS APPROXIMATELY 30,000 PEOPLE AND IS AFFILIATED WITH MORE THAN 8,000 PHYSICIANS. IN THE TRADITION OF ITS FOUNDING SISTERS, SSMHC STRIVES TO FULFILL ITS MISSION BY PROVIDING EXCEPTIONAL HEALTH CARE TO EVERYONE WHO COMES TO ITS HOSPITALS, REGARDLESS OF THEIR ABILITY TO PAY. 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 SAINTS MEDICAL 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. SSMOK ALSO INCLUDES THE ST. ANTHONY AFFILIATE HEALTH NETWORK THAT ENCOMPASSES 19 AFFILIATE HOSPITALS, AND FOUR TIER ONE AFFILIATE HOSPITALS. IN TOTAL, SSMOK HAS A NETWORK OF 23 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. INSPIRED BY OUR FOUNDING RELIGIOUS SISTERS, SSMOK VALUES THE SACREDNESS AND DIGNITY OF EACH PERSON. THEREFORE, SSMOK FINDS THESE FIVE VALUES CONSISTENT WITH ITS HERITAGE AND MINISTRY: COMPASSION: WE REACH OUT WITH OPENNESS, KINDNESS AND CONCERN. RESPECT: WE HONOR THE WONDER OF THE HUMAN SPIRIT. EXCELLENCE: WE EXPECT THE BEST OF OURSELVES AND ONE ANOTHER. STEWARDSHIP: WE USE OUR RESOURCES RESPONSIBLY. COMMUNITY: WE CULTIVATE RELATIONSHIPS THAT INSPIRE US TO SERVE. DESCRIBE THE ORGANIZATION'S APPROACH TO PROVIDING COMMUNITY BENEFIT: COMMUNITY BENEFIT IS DEFINED AS PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO COMMUNITY NEEDS; THEY ARE NOT PROVIDED FOR MARKETING PURPOSES. COMMUNITY BENEFIT PROGRAMS GENERATE A LOW OR NEGATIVE FINANCIAL RETURN, RESPOND TO NEEDS OF SPECIAL POPULATIONS SUCH AS PERSONS LIVING IN POVERTY AND OTHER DISENFRANCHISED PERSONS AND PUBLIC HEALTH NEEDS. GENERALLY THESE PROGRAMS OR SERVICES WOULD LIKELY BE DISCONTINUED - OR WOULD NEED TO BE PROVIDED BY ANOTHER NOT-FOR-PROFIT OR GOVERNMENT PROVIDER - IF THE DECISION WAS MADE ON A PURELY FINANCIAL BASIS. COMMUNITY BENEFIT PROGRAMS CAN ALSO INVOLVE EDUCATION OR RESEARCH THAT IMPROVE OVERALL COMMUNITY HEALTH. THE COMMUNITY BENEFIT PLAN DETAILS THE PLANNING, MEASUREMENT AND COMMUNICATION OF ITS COMMUNITY BENEFITS. THE THREE-MAIN ASPECTS OF COMMUNITY BENEFIT BEING THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH DETERMINES THE COMMUNITY NEEDS TO BE ADDRESSED BY THE HOSPITAL, THE COMMUNITY BENEFIT PLAN WHICH DETAILS STEPS TO BE ACCOMPLISHED TO MEET IDENTIFIED NEEDS, AND THE CBISA DATABASE WHICH DOCUMENTS ALL OF THE COMMUNITY BENEFIT ACTIVITIES FOR EACH YEAR. AT THE END OF EACH YEAR, THE CBISA COMMUNITY BENEFIT REPORT IS GIVEN TO MANAGEMENT, ADMINISTRATION AND THE SSMHC BOARD OF DIRECTORS IN ORDER TO EVALUATE AND IMPROVE THE PROGRAM. ONE OF THE FIRST STEPS FOR IDENTIFYING THE HIGH-PRIORITY HEALTH NEEDS OF OUR COMMUNITY IS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). A SUMMARY OF THE ST ANTHONY HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS CAN BE FOUND ON PAGES 6 THROUGH 9 OF ITS CHNA. THE STRATEGIC PRIORITIES OF THE ST ANTHONY HOSPITAL COMMUNITY BENEFIT PLAN ARE: SUBSTANCE ABUSE/MENTAL HEALTH, HEART DISEASE, OBESITY AND DIABETES. DURING 2013, GOALS AND OBJECTIVES WERE ESTABLISHED TO CHANGE BEHAVIOR, PROVIDE METRICS TO MEASURE CHANGE, AND TO IMPACT THE OVERALL HEALTH OF THOSE WE SERVE. ALL OF THE COMMUNITY BENEFIT ACTIVITIES ARE DESIGNED TO MEET THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHICH WAS COMPLETED IN NOVEMBER 2012. 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. ALL SSMHC FACILITIES, INCLUDING SSMOK, STRIVE TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY. ALL BILLING AND COLLECTION POLICIES AND PRACTICES REFLECT THE MISSION AND VALUES OF SSMOK, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. SSMOK 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. SSMOK APPLIES ITS CHARITY CARE POLICIES FAIRLY AND CONSISTENTLY. EACH PERSON IS TREATED AS AN INDIVIDUAL WITH SPECIFIC NEEDS FOR ASSISTANCE WITHOUT REGARD TO PAYMENT. SSMOK 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 EXCEEDS 20% OF THEIR FAMILY GROSS INCOME. EACH SSMHC ENTITY PROVIDING MEDICAL SERVICES 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 COMMUNICATIONS 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 WILL BE EASY TO UNDERSTAND BY THE GENERAL PUBLIC, CULTURALLY APPROPRIATE AND AVAILABLE IN THOSE LANGUAGES THAT ARE PREVALENT IN THE COMMUNITY. THEY WILL 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 - WHOM TO CONTACT TO GET ADDITIONAL INFORMATION OR FINANCIAL COUNSELING. THE FOLLOWING TYPES OF NOTICES TO THE PUBLIC SHALL BE 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 WILL ALSO BE PROVIDED TO PUBLIC AGENCIES. ORGANIZATIONAL DESCRIPTION FOR TAX EXEMPTION: |
| SSMHC HOSPITALS, INCLUDING ST. ANTHONY HOSPITAL AND BONE AND JOINT HOSPITAL | AT ST. ANTHONY: - OPERATE AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY; - HAVE AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA; - HAVE A GOVERNING BODY IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY; - ENGAGE IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS; - PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. DESCRIPTION OF COMMUNITY BENEFIT PROGRAMS: SSM HEALTH CARE OF OKLAHOMA PARTICIPATES IN A WIDE ARRAY OF COMMUNITY PROGRAMS THROUGHOUT THE AREA TO FURTHER ITS EXEMPT PURPOSE OF PROMOTING THE HEALTH OF THE COMMUNITY. SOME EXAMPLES INCLUDE THE FOLLOWING: ST. ANTHONY HOSPITAL AND BONE AND JOINT HOSPITAL AT ST. ANTHONY ALSO COLLABORATE WITH STATE AGENCIES, HEALTHCARE PROVIDERS, AND EDUCATION AND BUSINESS LEADERS. BONE AND JOINT HOSPITAL AT ST. ANTHONY OFFERS COMMUNITY EDUCATION AND SCREENING OPPORTUNITIES TO AREA ORGANIZATIONS AND THE GENERAL PUBLIC. SPECIAL ATTENTION IS GIVEN TO ENSURE THAT DIVERSE GROUPS OF THE LOCAL POPULATION ARE IDENTIFIED AND PROVIDED WITH EDUCATIONAL/SCREENING OPPORTUNITIES. BONE AND JOINT HOSPITAL AT ST. ANTHONY OFFERS ONGOING COMMUNITY EDUCATION REGARDING OSTEOARTHRITIS, OSTEOPOROSIS, SPINE PAIN AND OTHER ORTHOPEDIC-RELATED TOPICS. THE CLASSES ARE FREE OF CHARGE AND FEATURE A BONE AND JOINT HOSPITAL AT ST. ANTHONY PHYSICIAN WHO DONATES HIS TIME FOR THE SEMINARS. BONE AND JOINT HOSPITAL AT ST. ANTHONY ALSO PARTICIPATES IN HEALTH FAIRS WHERE FREE BONE DENSITY SCREENINGS ARE OFFERED THROUGH THE FREE CLINIC, CROSS AND CROWN, BONE AND JOINT HOSPITAL AT ST. ANTHONY PROVIDED FREE SERVICES TO 250 INDIVIDUALS AT ITS 2013 HEALTH FAIR. FURTHER, BONE AND JOINT HOSPITAL AT ST. ANTHONY SUPPORTS THE EFFORTS OF THE ARTHRITIS FOUNDATION BY SUPPORTING FUNDRAISING AND AWARENESS EFFORTS INCLUDING BEING THE TITLE SPONSOR OF THE LOCAL CHAPTER'S ANNUAL ARTHRITIS WALK. ST. ANTHONY HOSPITAL SPONSORED VARIOUS EDUCATIONAL EVENTS INCLUDING ITS ANNUAL STROKE OF COURAGE PROGRAM TO RAISE STROKE AWARENESS AND ITS CELEBRITY CHEF EVENT TO PROMOTE HEART HEALTHY EATING. PHYSICIAN SPEAKERS PRESENT AT AREA BUSINESSES TO PROVIDE ADDITIONAL HEALTH EDUCATION TO THEIR WORKFORCE. ST ANTHONY HOSPITAL, IN COLLABORATION WITH 61 OKLAHOMA SCHOOLS, THE UNIVERSITY OF OKLAHOMA AND VARIOUS STATE AGENCIES, HAS ESTABLISHED A COMMUNITY HEALTH INITIATIVE TO SUPPORT PROGRAMS AND CURRICULUM IN OKLAHOMA SCHOOLS TO PROMOTE HEALTHY LIFESTYLES. THE HOSPITAL AND ITS EMPLOYEES PARTICIPATED IN REBUILDING TOGETHER TO REHABILITATE A HOME FOR AN INDIVIDUAL WITHIN THE COMMUNITY WHO DOES NOT HAVE THE MEANS TO MAKE NECESSARY REPAIRS TO ENSURE A SAFE, WARM HOME. ADDITIONALLY, NUMEROUS SUPPORT GROUPS, CHILDBIRTH CLASSES, MEDIA HEALTH INFORMATION STORIES, SEMINARS ON A RANGE OF HEALTHY TOPICS, HEALTH FAIRS AND HEALTH PROFESSIONALS' EDUCATION PROVIDE SUBSTANTIAL BENEFIT TO THE COMMUNITY. IN 2013, THE HOSPITAL CONTINUED ITS MIDTOWN MARKET AT SAINTS, A COMMUNITY LOCAL FOOD FARMERS' MARKET HOSTED WEEKLY ON THE HOSPITAL CAMPUS FROM MAY THROUGH OCTOBER. IT ALSO SPONSORED OTHER EVENTS TO SUPPORT COMMUNITY HEALTH AND FITNESS INCLUDING THE DOWNTOWN DASH (5TH YEAR TO SPONSOR ON ITS CAMPUS) AND REDBUD CLASSIC (THE 31TH YEAR TO SPONSOR) AS WELL AS THE AMERICAN HEART ASSOCIATION HEART WALK. THE HOSPITAL WEBSITE, WWW.SAINTSOK.COM, PROVIDES HEALTH INFORMATION USEFUL TO THE COMMUNITY THROUGH A COMPILATION OF HEALTH EDUCATION TOPICS, HEALTH RISK APPRAISALS, AND OTHER TOOLS DESIGNED TO ASSIST INDIVIDUALS WITH HEALTH CONCERNS AND ENCOURAGE A HEALTHIER LIFESTYLE. THESE SERVICES ARE IN ADDITION TO THE TRADITIONAL CHARITY CARE PROVIDED CONSISTENT WITH THE HOSPITAL'S MISSION. QUANTIFIABLE COMMUNITY BENEFIT THIS SECTION INCLUDES A LIST OF THE TYPES OF PROGRAMS AND SERVICES THAT COULD BE INCLUDED AS COMMUNITY BENEFIT ACTIVITIES. TRADITIONAL CHARITY CARE $17,482,772 UNPAID COST OF MEDICAID $ 2,500,547 UNPAID COST OF MEDICARE $(5,684,667) COST OF BAD DEBT $14,044,440 COMMUNITY BENEFIT PROGRAMS $ 1,365,849 -------------------- TOTAL QUANTIFIABLE COMMUNITY BENEFIT $29,708,941 |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE CORPORATE 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 CARE. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND APPOINT AND REMOVE THE DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS C. TO APPOINT 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 INTERESTS IN THE PROPERTY OF THE CORPORATION P. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER OF THE MEMBER OR TO ANY ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY THE MEMBER OF THE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS AND OBJECTIVES OF THE MEMBER OF THE MEMBER AS DETERMINED BY THE MEMBER OF THE MEMBER Q. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER OF THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE MEMBER APPROVAL; AND R. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY NON-CONTROLLED SUBSIDIARY. |
| FORM 990, PART VI, SECTION B, LINE 11 | ACCOUNTING/FINANCE PERSONNEL AT EACH SSMHC (SSM HEALTH CARE SYSTEM) ENTITY, IN CONJUNCTION WITH SYSTEM FINANCE PERSONNEL, PREPARE A CHECKLIST CONTAINING INFORMATION AND SUPPORTING SCHEDULES THAT ARE USED TO PREPARE THE FORM 990. THIS CHECKLIST IS THEN REVIEWED BY A SUPERVISOR/MANAGER AND SENT TO THE SYSTEM OFFICE FOR FINAL REVIEW AND COORDINATION OF THE SYSTEM LEVEL FORM 990 INFORMATION. THE INFORMATION IS SUBMITTED TO AN OUTSIDE TAX CONSULTING FIRM WHO PREPARES AND SIGNS THE FORM 990 FROM THE SSMHC INFORMATION. PRIOR TO FINALIZING THE RETURN, A DRAFT IS SENT TO PERSONNEL AT SSMHC FOR REVIEW AND APPROVAL. UPON SSMHC APPROVAL, THE OUTSIDE PREPARER FORWARDS THE COMPLETED FORM 990 FOR THE APPROPRIATE SIGNATURES AND FILING ACTION. A COMPLETE COPY OF THE RETURN IS PROVIDED TO THE BOARD AT THE NEXT SCHEDULED BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY TO 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 ON LINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR END. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENT FOR THE SSM HEALTH CARE SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH CARE'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI 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 11G | MEDICAL PHYSICIAN, PRACTIONER, PSYCHAITRIST, RESIDENT, AND THERAPIST: PROGRAM SERVICE EXPENSES 36,266,684. MANAGEMENT AND GENERAL EXPENSES 623,653. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,890,337. RECRUITMENT, CONSULTING, ADMINISTRATIVE, AND PBS FEES: PROGRAM SERVICE EXPENSES 22,392,886. MANAGEMENT AND GENERAL EXPENSES 3,996,323. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,389,209. MEDICAL LAB. RADIOLOGY, TRANSPORTATION: PROGRAM SERVICE EXPENSES 11,091,068. MANAGEMENT AND GENERAL EXPENSES 165,872. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,256,940. |
| FORM 990, PART XI, LINE 9: | BENEFICIAL INTEREST IN FOUNDATION 2,103,518. TRANSFERS TO AFFILIATES 242,104. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINTS MEDICAL GROUP | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 477 N LINDBERGH BLVD | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63141 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 760825755 | EIN |
| Primary Activities | MEDICAL SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Total Income | $19,615,500 | TotalIncomeAmt |
| End Of Year Assets | $1,797,775 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SSM HEALTH CARE OF OKLAHOMA | BusinessNameLine1 |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (41 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SSM HEALTH CARE CORPORATION | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 466029223 | HEALTH CARE | MO | 501(C)(3) | LINE 11A, I | FRANCISCAN SISTERS OF MARY | 0 | |
| SSMHC LIABILITY TRUST I | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 436331003 | INSURANCE | MO | 501(C)(3) | LINE 11A, I | SSM HEALTH CARE CORPORATION | 0 | |
| SSM CONSOLIDATED HEALTH SERVICES | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431473657 | HEALTH CARE | MO | 501(C)(3) | LINE 11A, I | SSM HEALTH CARE CORPORATION | 0 | |
| SSM POLICY INSTITUTE | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431788151 | HEALTH CARE | MO | 501(C)(4) | SSM HEALTH CARE CORPORATION | 0 | ||
| SSM HEALTH CARE PORTFOLIO MANAGEMENT CO | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431825256 | MANAGEMENT | MO | 501(C)(3) | LINE 11A, I | SSM HEALTH CARE CORPORATION | 0 | |
| SSM CARDINAL GLENNON CHILDREN'S HOSPITAL | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 430738490 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | SSM HEALTH CARE ST LOUIS | 0 | |
| CARDINAL GLENNON CHILDREN'S FOUNDATION | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431754347 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | SSM CARDINAL GLENNON CHILDREN'S HOSPITAL | 0 | |
| SSM DEPAUL HEALTH CENTER FOUNDATION | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431776109 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | SSM HEALTH CARE ST LOUIS | 0 | |
| SSM ST JOSEPH FOUNDATION | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431591556 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | SSM HEALTH CARE ST LOUIS | 0 | |
| SSM ST CLARE HEALTH CENTER FOUNDATION | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431273310 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | SSM HEALTH CARE ST LOUIS | 0 | |
| SSM ST MARY'S HEALTH CENTER FOUNDATION | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431552945 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | SSM HEALTH CARE ST LOUIS | 0 | |
| ST ANTHONY HOSPITAL FOUNDATION INC | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 736104300 | FUNDRAISING | OK | 501(C)(3) | LINE 7 | SSM HEALTH CARE OF OKLAHOMA | Yes (1) | |
| SSM HEALTH CARE OF WISCONSIN INC | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 430688874 | HEALTH CARE | WI | 501(C)(3) | LINE 3 | SSM HEALTH CARE CORPORATION | 0 | |
| DELLS MEDICAL BUILDING INC | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 391613292 | MOB | WI | 501(C)(2) | SSM HEALTH CARE OF WISCONSIN | 0 | ||
| ST MARY'S FOUNDATION INC | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431940686 | FUNDRAISING | WI | 501(C)(3) | LINE 7 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| ST CLARE HEALTH CARE FOUNDATION INC | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431940683 | FUNDRAISING | WI | 501(C)(3) | LINE 7 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| HOME HEALTH UNITED INC | |||||||||||
| 2802 WALTON COMMONS LANE | MADISON | WI | 53718 | 391539827 | HEALTH CARE | WI | 501(C)(3) | LINE 9 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| HOME CARE UNITED INC | |||||||||||
| 2802 WALTON COMMONS LANE | MADISON | WI | 53718 | 391776340 | HEALTH CARE | WI | 501(C)(3) | LINE 9 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| HHU XTRA CARE INC | |||||||||||
| 2802 WALTON COMMONS LANE | MADISON | WI | 53718 | 391705111 | HEALTH CARE | WI | 501(C)(3) | LINE 9 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| HOME HEALTH UNITED - VNS FOUNDATION INC | |||||||||||
| 2802 WALTON COMMONS LANE | MADISON | WI | 53718 | 391839309 | FUNDRAISING | WI | 501(C)(3) | LINE 11B, II | 0 | N/A | |
| SSM REGIONAL HEALTH SERVICES | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 440579850 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | SSM HEALTH CARE CORPORATION | 0 | |
| ST FRANCIS HOSPITAL FOUNDATION | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431099253 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | SSM REGIONAL HEALTH SERVICES | 0 | |
| ST MARY'S HEALTH CENTER JEFFERSON CITY MISSOURI FOUNDATION | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431575307 | FUNDRAISING | MO | 501(C)(3) | LINE 11B, II | 0 | N/A | |
| GOOD SAMARITAN REGIONAL HEALTH CENTER | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 430653587 | HEALTH CARE | IL | 501(C)(3) | LINE 3 | SSM REGIONAL HEALTH SERVICES | 0 | |
| ST MARY'S HOSPITAL CENTRALIA ILLINOIS | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 370662580 | HEALTH CARE | IL | 501(C)(3) | LINE 3 | SSM REGIONAL HEALTH SERVICES | 0 | |
| ST MARY'S - GOOD SAMARITAN INC | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 364170833 | HEALTH CARE | IL | 501(C)(3) | LINE 11A, I | SSM REGIONAL HEALTH SERVICES | 0 | |
| GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 262884795 | FUNDRAISING | IL | 501(C)(3) | LINE 7 | ST MARY'S-GOOD SAMARITAN INC | 0 | |
| ST MARY'S HOSPITAL FOUNDATION | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 364636691 | FUNDRAISING | IL | 501(C)(3) | LINE 7 | ST MARY'S-GOOD SAMARITAN INC | 0 | |
| ST MARY'S HOSPITAL AUXILIARY | |||||||||||
| 400 N PLEASANT | CENTRALIA | IL | 62801 | 237126345 | FUNDRAISING | IL | 501(C)(3) | LINE 9 | ST MARY'S HOSPITAL FOUNDATION | 0 | |
| SSM HEALTH BUSINESSES | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431333488 | HEALTH CARE | MO | 501(C)(3) | LINE 9 | SSM HEALTH CARE CORPORATION | 0 | |
| SSM HEALTH CARE ST LOUIS | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431343281 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | SSM HEALTH CARE CORPORATION | 0 | |
| CENTRALIA MEDICAL SERVICES BLDG ASSOC | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 237408025 | MOB | IL | 501(C)(3) | LINE 11B, II | 0 | N/A | |
| ST MARY'S JANESVILLE FOUNDATION INC | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 273439133 | FUNDRAISING | WI | 501(C)(3) | LINE 7 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| FRANCISCAN SISTERS OF MARY | |||||||||||
| 3221 MCKELVEY ROAD SUITE 107 | BRIDGETON | MO | 63044 | 431012492 | RELIGIOUS ORGANIZATION | MO | 501(C)(3) | LINE 1 | 0 | N/A | |
| LEE DEWEY CORPORATION | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 731279603 | MOB | OK | 501(C)(3) | LINE 11A, I | SSM HEALTH CARE OF OKLAHOMA | Yes (1) | |
| SSM HOSPICE & HOME CARE FOUNDATION | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 300012246 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | SSM HEALTH BUSINESSES | 0 | |
| ST MARY'S HOSPITAL AUXILIARY | |||||||||||
| 100 ST MARYS MEDICAL PLAZA | JEFFERSON CITY | MO | 65101 | 436049878 | FUNDRAISING | MO | 501(C)(3) | LINE 11B, II | 0 | N/A | |
| GOOD SAMARITAN HOSPITAL AUXILIARY | |||||||||||
| 1 GOOD SAMARITAN WAY | MOUNT VERNON | IL | 62864 | 237049599 | FUNDRAISING | IL | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | |
| ST ANTHONY SHAWNEE HOSPITAL INC | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 455055149 | HEALTH CARE | OK | 501(C)(3) | LINE 3 | SSM HEALTH CARE OF OKLAHOMA | Yes (1) | |
| SSM AUDRAIN HEALTH CARE INC | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431550298 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | SSM REGIONAL HEALTH SERVICES | 0 | |
| AUDRAIN MEDICAL CENTER FOUNDATION INC | |||||||||||
| 620 E MONROE ST | MEXICO | MO | 65265 | 431265060 | FUNDRAISING | MO | 501(C)(3) | LINE 11A, I | SSM AUDRAIN HEALTH CARE INC | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (18 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SSM ST JOSEPH ENDOSCOPY CENTER LLC | ||||||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 270046559 | SURGERY SERVICES | MO | N/A | |||||||
| ST CLARE IMAGING SERVICES | ||||||||||||||
| 707 14TH STREET SUITE A | BARABOO | WI | 53913 | 200122365 | DIAG. SERVICES | WI | N/A | |||||||
| MT VERNON RADIATION THERAPY CENTER LLC | ||||||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 201382620 | RADIATION THERAPY | IL | N/A | |||||||
| SLEEP & NEUROLOGY CENTER CENTER OF S ILLINOIS LLC | ||||||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 208468195 | DIAG. SERVICES | IL | N/A | |||||||
| SMHC SURGICAL CO-MGMT COMPANY LLC | ||||||||||||||
| 100 ST MARYS MEDICAL PLAZA | JEFFERSON CITY | MO | 65101 | 208929305 | MANAGEMENT | MO | N/A | |||||||
| SMHC CARDIOVASCULAR CO-MGMT COMPANY LLC | ||||||||||||||
| 100 ST MARYS MEDICAL PLAZA | JEFFERSON CITY | MO | 65101 | 208929381 | MANAGEMENT | MO | N/A | |||||||
| SMHC MUSCULOSKELETAL CO-MGMT COMPANY LLC | ||||||||||||||
| 100 ST MARYS MEDICAL PLAZA | JEFFERSON CITY | MO | 65101 | 208929237 | MANAGEMENT | MO | N/A | |||||||
| CHOWSMGSI OFFICE BUILDING LLC | ||||||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 371383861 | MOB | IL | N/A | |||||||
| CENTER FOR COMPREHENSIVE CANCER CARE LLC | ||||||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 201382727 | MOB | IL | N/A | |||||||
| SHAWNEE REAL ESTATE HOLDINGS LLC | ||||||||||||||
| 1000 N LEE AVE | OKLAHOMA CITY | OK | 73102 | 455458304 | MOB | OK | SSM HEALTH CARE OF OKLAHOMA | EXCLUDED | $361,563 | $7,039,879 | 0 | 0 | 0.50000 | |
| SSM RX EXPRESS LLC | ||||||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 264031708 | PHARMACY | MO | N/A | |||||||
| DEAN CLINIC & ST MARY'S HOSPITAL ACCOUNTABLE CARE ORGANIZATION LLC | ||||||||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 452995500 | ACCOUNTABLE CARE ORGANIZATION | WI | N/A | |||||||
| WISCONSIN INTEGRATED INFORMATION TECHNOLOGY AND TELEMEDICINE SYSTEMS LLC | ||||||||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 392016715 | INFORMATION TECHNOLOGY SERVICES | WI | N/A | |||||||
| DEAN HEALTH HOLDINGS LLC | ||||||||||||||
| 1277 DEMING WAY | MADISON | WI | 53717 | 261594709 | SUPPORT SERVICES | WI | N/A | |||||||
| WINGRA BUILDING GROUP | ||||||||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 390237060 | MOB | WI | N/A | |||||||
| JANESVILLE RIVERVIEW CLINIC BUILDING PARTNERSHIP | ||||||||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 396220698 | MOB | WI | N/A | |||||||
| NAVITUS HEALTH SOLUTIONS LLC | ||||||||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 043608530 | PHARMACY BENEFITS | WI | N/A | |||||||
| B&J MCBRIDE OFFICE BUILDING LLC | ||||||||||||||
| 1000 N LEE AVE | OKLAHOMA CITY | OK | 73102 | 731533449 | MOB | OK | SSM HEALTH CARE OF OKLAHOMA | EXCLUDED | $194,709 | $1,406,817 | 0 | 0 | 0.50000 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (24 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| SSM MANAGED CARE ORGANIZATION LLC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431708511 | HEALTH PROMOTION | MO | N/A | C | 0 |
| FPP INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431465174 | HEALTH CARE | MO | N/A | C | 0 |
| DIVERSIFIED HEALTH SERVICES CORP | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431369305 | MEDICAL EQUIPMENT | MO | N/A | C | 0 |
| SSM CARDIO AND THORACIC SERVICES INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 260286559 | PHYSICIAN OFFICES | MO | N/A | C | 0 |
| SSM PROPERTIES INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431462486 | PROPERTY SERVICES | MO | N/A | C | 0 |
| SSM DEPAUL MEDICAL GROUP INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431715106 | PHYSICIAN OFFICES | MO | N/A | C | 0 |
| SSM ST CHARLES CLINIC MED GROUP INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 430626408 | PHYSICIAN OFFICES | MO | N/A | C | 0 |
| HEALTH FIRST PHYS MANAGEMENT SERVICES INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 731534336 | MEDICAL SERVICES | OK | N/A | C | 0 |
| SSMHCS LIABILITY TRUST II | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 816128118 | INSURANCE | MO | N/A | C | 0 |
| SSM NEUROSCIENCES INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 263413981 | PHYSICIAN OFFICES | MO | N/A | C | 0 |
| SSM MEDICAL GROUP INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431664107 | PHYSICIAN OFFICES | MO | N/A | C | 0 |
| SSMHC INSURANCE COMPANY | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 030310431 | INSURANCE | CA | N/A | C | 0 |
| SSM ORTHOPEDIC INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 271557033 | PHYSICIAN OFFICES | MO | N/A | C | 0 |
| SSM CANCER CARE INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 271557324 | PHYSICIAN OFFICES | MO | N/A | C | 0 |
| PHYSICIANS SERVICES CORP OF SOUTHERN ILLINOIS INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 364161526 | PHYSICIAN OFFICES | IL | N/A | C | 0 |
| DEAN HEALTH SYSTEMS INC | |||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 391128616 | PHYSICIAN OFFICES | WI | N/A | C | 0 |
| DEAN HEALTH INSURANCE INC | |||||||||
| PO BOX 56099 | MADISON | WI | 53705 | 391830837 | INSURANCE | WI | N/A | C | 0 |
| DEAN HEALTH PLAN INC | |||||||||
| PO BOX 56099 | MADISON | WI | 53705 | 391535024 | INSURANCE | WI | N/A | C | 0 |
| ST MARY'S DEAN VENTURES INC | |||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 391628491 | PHYSICIAN OFFICES | WI | N/A | C | 0 |
| DEAN RETAIL SERVICES INC | |||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 391717636 | PROPERTY MANAGEMENT | WI | N/A | C | 0 |
| TEN TWENTY FIVE REGENT STREET | |||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 391089309 | MOB | WI | N/A | C | 0 |
| DEAN SOLUTIONS INC | |||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 391876092 | MANAGEMENT | WI | N/A | C | 0 |
| DEANCARE INSURANCE AGENCY INC | |||||||||
| PO BOX 56099 | MADISON | WI | 53705 | 391637828 | INSURANCE | WI | N/A | C | 0 |
| NAVITUS HOLDINGS LLC | |||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 800968174 | PHARMACY BENEFITS | WI | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST ANTHONY HOSPITAL FOUNDATION | ||
| C | $1,442,834 | CASH CONTRIBUTION |
| ST ANTHONY HOSPITAL FOUNDATION | ||
| P | $792,678 | COST OF SERVICES |
| LEE DEWEY CORPORATION | ||
| K | $1,054,704 | RENTAL AGREEMENT |
| LEE DEWEY CORPORATION | ||
| P | $252,992 | REIMBURSE EXPENSES |