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SSM HEALTH CARE OF OKLAHOMA INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SSM HEALTH CARE OF OKLAHOMA INC (EIN 73-0657693)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201233209349308593
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-15T17:01:45-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11111 BAGBY STREET SUITE 4500AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code770022591ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN730657693EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SSM HEALTH CARE OF OKLAHOMA INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSSMHNameControl
Phone3149947800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1477 N LINDBERGHAddressLine1
CityST LOUISCity
StateMOState
ZIP Code63141ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJUNE L PICKETTName
TitleSECRETARYTitle
Phone3149947800Phone
Date Signed2012-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSRIRAM SRINIVASANName
PTINP00654717PTIN
Phone7139822000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE OBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIAM THOMPSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1477 N LINDBERGH BLVDAddressLine1
CityST LOUISCity
StateMOState
ZIP Code63141ZIPCode
FieldValueIRS element (for citing)
Gross Receipts394812354GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.SAINTSOK.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileOKStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees3465TotalNbrEmployees
Total Nbr Volunteers51TotalNbrVolunteers
Total Gross UBI1406583TotalGrossUBI
Net Unrelated Business Txbl Income-104464NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2006303ContributionsGrantsPriorYear
Contributions Grants Current Year2426444ContributionsGrantsCurrentYear
Program Service Revenue Prior Year341784324ProgramServiceRevenuePriorYear
Program Service Revenue CY379793735ProgramServiceRevenueCY
Investment Income Prior Year-50605InvestmentIncomePriorYear
Investment Income Current Year599331InvestmentIncomeCurrentYear
Other Revenue Prior Year8057290OtherRevenuePriorYear
Other Revenue Current Year10360774OtherRevenueCurrentYear
Total Revenue Prior Year351797312TotalRevenuePriorYear
Total Revenue Current Year393180284TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY415000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year155913064SalariesEtcPriorYear
Salaries Etc Current Year182129789SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year196730010OtherExpensePriorYear
Other Expenses Current Year225438294OtherExpensesCurrentYear
Total Expenses Prior Year352643074TotalExpensesPriorYear
Total Expenses Current Year407983083TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-845762RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-14802799RevenuesLessExpensesCY
Total Assets BOY213320396TotalAssetsBOY
Total Assets EOY246076422TotalAssetsEOY
Total Liabilities BOY163373257TotalLiabilitiesBOY
Total Liabilities EOY213689768TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY49947139NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY32386654NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense361267246Expense
Grants415000Grants
Revenue382980357Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense361267246TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3465NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LEAH HODGESBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4052727499TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 205AddressLine1
CityOKLAHOMA CITYCity
StateOKState
ZIP Code73101ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
CHAD ADUDDELL
DIRECTOR & HOSPITAL PRES40.00X030053582154
MT BERRY
DIRECTOR1.00X000
JAMES BRINKWORTH MD
DIRECTOR1.00X000
MARTHA BURGER
DIRECTOR1.00X000
MIKE COLLISON
DIRECTOR1.00X000
CLAY FARHA
DIRECTOR1.00X000
GLORIA GRIFFIN
DIRECTOR1.00X000
DAVID HARLOW
DIRECTOR1.00X000
JOE HODGES
DIRECTOR & HOSP PRES1.00X0520135176152X
HOUSTON HUFFMAN JR
DIRECTOR1.00X000
JENEE LISTER
DIRECTOR1.00X000
JUDY LOVE
DIRECTOR1.00X000
JOHN RICHELS
DIRECTOR1.00X000
KERSEY WINFREE MD
DIRECTOR40.00X304743052285
SR MARY JEAN RYAN FSM
DIRECTOR & CHAIRPERSON1.00X000X
WILLIAM THOMPSON
DIRECTOR & VICE CHAIR1.00X01518393741005X
CHRISTOPHER HOWARD
PT YR HOSP PRES1.000822289217130X
KRIS ZIMMER
TREASURER1.000708536189289X
JUNE PICKETT
SECRETARY1.000224061185772X
RAMONA CAREY
ASST SECRETARY40.0075161064583X
SHASTA R MANUEL
REGIONAL VP FINANCE/CFO40.00290604054025X
STEVEN BARNEY
VICE PRESIDENT1.00067742738184X
TAMARA L POWELL
EXEC VP, COO40.00273563099233X
STEPHEN D POWELL
VP AMB SERVICES40.00256068079963X
CYNTHIA L BRUNDIGE
REG VP HUMAN RESOURCES40.00212470091306X
MARTI F JOURDEN
VP PERF IMPROVEMENT40.001699460154988X
JOHN R MOBLEY
NETWORK VICE PRES40.00165626099157X
AVINIASH VYAS
PHYSICIAN40.0012908240238437X
JASON EMERSON
PHYSICIAN40.0010537450154849X
BASSAM HADI
PHYSICIAN40.001040534049519X
RAFAEL JUSTIZ
PHYSICIAN40.0010013000120055X
LEONARD BOWEN
PHYSICIAN40.00990066065938X
WILLIAM SCHOENHARD
FORMER OFFICER0.000283017109779X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7124650TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5054393TotalReportableCompFrmRltdOrgs
Total Other Compensation3063803TotalOtherCompensation
Number Individuals GT100 K153NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXHO MARRIOTT SERVICES
1000 NORTH LEE STREETOKLAHOMA CITYOK73101FOOD SERVICES12183331
EMERGENCY MANAGEMENT MIDWEST
PO BOX 634850CINCINNATIOH45263PHYSICIAN SERVICES3766435
FLINTCO CONSTRUCTIVE SOLUTIONS
2302 S PROSPECTOKLAHOMA CITYOK73129CONSTRUCTION SERVICES2531662
HURON CONSULTING SERVICES LLC
4795 PAYSPHERE CIRCLECHICAGOIL60674MANAGEMENT SERVICES2440248
RICHEY-ZINK & ASSOCIATES
330 NE 38TH STREETOKLAHOMA CITYOK73105CONSTRUCTION SERVICES2363864
FieldValueIRS element (for citing)
Number Of Contractors GT100 K103NumberOfContractorsGT100K
Related Organizations2393551RelatedOrganizations
Government Grants32893GovernmentGrants
Total Contributions2426444TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE621950369091558369091558
OTHER REVENUE9000991070217792955941406583
FieldValueIRS element (for citing)
Total Program Service Revenue379793735TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column297170TotalRevenueColumn
Exclusion$297,170ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2559419Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1632070Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real927349Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column927349TotalRevenueColumn
Exclusion$927,349ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities291743Securities
Other10418Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities291743Securities
Other10418Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column302161TotalRevenueColumn
Exclusion$302,161ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MANAGEMENT FEES54161045932054593205
CAFETERIA REVENUE7223204009491$4,009,491
GIFT SHOP REVENUE453220830729$830,729
FieldValueIRS element (for citing)
Total Other Revenue9433425TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column393180284TotalRevenueColumn
Related Or Exempt Function Income382980357RelatedOrExemptFunctionIncome
Unrelated Business Revenue1406583UnrelatedBusinessRevenue
Exclusion$6,366,900ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total415000Total
Program Services415000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2866155Total
Management And General2866155ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total137933629Total
Program Services120870833ProgramServices
Management And General17062796ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10886980Total
Program Services9387336ProgramServices
Management And General1499644ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total21210466Total
Program Services18165330ProgramServices
Management And General3045136ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9232559Total
Program Services7871463ProgramServices
Management And General1361096ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total8643561Total
Program Services2479279ProgramServices
Management And General6164282ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total448652Total
Management And General448652ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total121340Total
Management And General121340ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total48859855Total
Program Services42065566ProgramServices
Management And General6794289ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1665174Total
Program Services70221ProgramServices
Management And General1594953ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total19402862Total
Program Services18014309ProgramServices
Management And General1388553ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total15986609Total
Program Services15721995ProgramServices
Management And General264614ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9504831Total
Program Services9150098ProgramServices
Management And General354733ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1128724Total
Program Services323000ProgramServices
Management And General805724ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total255936Total
Program Services206565ProgramServices
Management And General49371ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6003654Total
Program Services6003654ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total13487398Total
Program Services12351164ProgramServices
Management And General1136234ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2898390Total
Program Services1888383ProgramServices
Management And General1010007ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES661272976612729700
BAD DEBT297883752978837500
BOND RELATED FEES66202306620230
LICENSES445287361869834180

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8326Total
Program Services5509ProgramServices
Management And General2817ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total407983083Total
Program Services361267246ProgramServices
Management And General46715837ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY-3080596BOY
EOY-4469289EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY47409823BOY
EOY67364159EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5211839BOY
EOY6055290EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2296716BOY
EOY2447322EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis370498958LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec230829859LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY126524448BOY
EOY139669099EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY21349711BOY
EOY19371567EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13608455BOY
EOY15638274EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY213320396BOY
EOY246076422EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY28520813BOY
EOY31033455EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY134852444BOY
EOY182656313EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY163373257BOY
EOY213689768EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY44091394BOY
EOY26928214EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5780172BOY
EOY5382867EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY75573BOY
EOY75573EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY49947139BOY
EOY32386654EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY213320396BOY
EOY246076422EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-14802799ReconcilationRevenueExpenses
Reconcilation Other Changes-2757686ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Mailings Members$27,500MailingsMembersAmount
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$6,824GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$27,500DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB61824TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTAXPAYER 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.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance75573BeginningOfYearBalance
End Of Year Balance75573EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance75573BeginningOfYearBalance
End Of Year Balance75573EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance75573BeginningOfYearBalance
Investment Earnings Or Losses13499InvestmentEarningsOrLosses
Other Expenditures13168OtherExpenditures
Administrative Expenses331AdministrativeExpenses
End Of Year Balance75573EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance75573BeginningOfYearBalance
End Of Year Balance75573EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis6212015OtherCostOrOtherBasis
Book Value6212015BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis197483315OtherCostOrOtherBasis
Depreciation118895907Depreciation
Book Value78587408BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3396626OtherCostOrOtherBasis
Depreciation2862783Depreciation
Book Value533843BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis137536125OtherCostOrOtherBasis
Depreciation107032524Depreciation
Book Value30503601BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis25870877OtherCostOrOtherBasis
Depreciation2038645Depreciation
Book Value23832232BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings139669099TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
BENEFICIAL INTEREST IN FOUNDATION16644458F
INVESTMENT IN JOINT VENTURES2359102F
SSM COMPREHENSIVE INVESTMENT PROGRAM368007F
FieldValueIRS element (for citing)
Total Of Book Value Securities19371567TotalOfBookValueSecurities

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
LONG TERM NOTES RECEIVABLE338130
OTHER RECEIVABLES1985397
DUE FROM THIRD PARTY PAYOR3698192
DUE FROM AFFILIATE9616555
FieldValueIRS element (for citing)
Total Book Value Other Assets15638274TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
THIRD PARTY PAYOR$4,727,929
PENSION FUNDING LIABILITY$12,378,581
ASSET RETIREMENT OBLIGATION$189,705
DEFERRED COMPENSATION LIABLITY$1,440,217
ALLOCATED TAX EXEMPT BOND DEBT (ISSUED BY SSM HEALTH CARE)$163,919,881
FieldValueIRS element (for citing)
Total Of Amounts182656313TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE PERMANENT ENDOWMENT FUNDS ARE HELD FOR THE PURPOSE OF PROVIDING NURSING SCHOLARSHIPS TO NURSING STUDENTS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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 2011 OR 2010.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage0.0DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense7825905TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense7825905NetCommunityBenefitExpense
Percent Of Total Expense0.02070PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense54582713TotalCommunityBenefitExpense
Direct Offsetting Revenue50738071DirectOffsettingRevenue
Net Community Benefit Expense3844642NetCommunityBenefitExpense
Percent Of Total Expense0.01020PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense62408618TotalCommunityBenefitExpense
Direct Offsetting Revenue50738071DirectOffsettingRevenue
Net Community Benefit Expense11670547NetCommunityBenefitExpense
Percent Of Total Expense0.03090PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense181558TotalCommunityBenefitExpense
Direct Offsetting Revenue1510DirectOffsettingRevenue
Net Community Benefit Expense180048NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense5617662TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense5617662NetCommunityBenefitExpense
Percent Of Total Expense0.01490PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense301274TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense301274NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense6100494TotalCommunityBenefitExpense
Direct Offsetting Revenue1510DirectOffsettingRevenue
Net Community Benefit Expense6098984NetCommunityBenefitExpense
Percent Of Total Expense0.01620PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense68509112TotalCommunityBenefitExpense
Direct Offsetting Revenue50739581DirectOffsettingRevenue
Net Community Benefit Expense17769531NetCommunityBenefitExpense
Percent Of Total Expense0.04710PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense4793TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense4793NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense6621TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense6621NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense11414TotalCommunityBuildingExpense
Net Community Building Expense11414NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$16,555,725BadDebtExpenseAmount
Amount Attributable To5884454AmountAttributableTo
Amount Reimbursed By Medicare106444806AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare97271454CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall9173352MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 ST ANTHONY MIDTOWN AMBUL SURGERY CENTER LLC
SURGERY SERVICES0.837800.000000.16220
2 ST ANTHONY HOSPITAL CARDIOVASCULAR SERVICES INSTITUTE LLC
MANAGEMENT SERVICES0.235300.000000.76470
3 B&JMCBRIDE OFFICE BUILDING LLC
MEDICAL OFFICE BUILDING0.500000.000000.50000
4 CLASSEN ASSOCIATES AN OKLA GENERAL PTNS
MEDICAL OFFICE BUILDING0.201400.000000.79860
5 BONE AND JOINT MANAGEMENT COMPANY
MANAGEMENT SERVICES0.297300.000000.70270
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST ANTHONY HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11000 N LEEAddressLine1
CityOKLAHOMA CITYCity
StateOKState
ZIP Code73103ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST ANTHONY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities29NumberOfOtherFacilities

Other Facilities OtherFacilities (29 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
BONE AND JOINT HOSPITAL AT ST ANTHONY
111 BN DEWEY AVEOKLAHOMA CITYOK73102ORTHOPEDIC SERVICES
SAINT ANTHONY HERITAGE FAMILY MEDICINE
6908 E RENO AVEMIDWEST CITYOK73110PRIMARY CARE CLINIC
ST ANTHONY HEMATOLOGYONCOLOGY
1011 N DEWEY AVEOKLAHOMA CITYOK73102SPECIALITY CARE CLINIC
SAINT ANTHONY FAMILY MEDICINE CENTER
608 NW 9TH STREET SUITE 1100OKLAHOMA CITYOK73102PRIMARY CARE CLINIC
ST ANTHONY PAIN MANAGEMENT
535 NW 9TH ST SUITE 205OKLAHOMA CITYOK73102SPECIALTY CARE CLINIC
ST ANTHONY NEUROLOGY SPECIALISTS
535 NW 9TH STREET SUITE 235OKLAHOMA CITYOK73102NEUROLOGY CLINIC
SAINTS DERMATOLOGY
608 NW 9TH STREET SUITE 3206OKLAHOMA CITYOK73102SPECIALTY CARE CLINIC
SAINTS FAMILY HEALTH CENTER EAST
15679 NE 23RD STREETCHOCTAWOK73020PRIMARY CARE CLINIC
SAINT ANTHONY PHYSICIANS NORTH
6201 NORTH SANTA FE SUITE 2010OKLAHOMA CITYOK73118PRIMARY CARE CLINIC
SAINTS CARDIOVASCULAR INSTITUTE
608 NW 9TH STREET SUITE 4000OKLAHOMA CITYOK73102SPECIALTY CARE CLINIC
CENTER FOR INTEGRATIVE WOMEN'S HEALTH CA
608 NW 9TH SUITE 2100OKLAHOMA CITYOK73102SPECIALTY CARE CLINIC
SAINTS METRO MEDICAL ASSOCIATES
120 N ROBINSON SUITE 153WOKLAHOMA CITYOK73102PRIMARY CARE CLINIC
ST ANTHONY CARDIOVASCULAR SPECIALISTS
608 NW 9TH ST SUITE 2200OKLAHOMA CITYOK73102SPECIALTY CARE CLINIC
ST ANTHONY CARDIOVASCULAR CARE
608 NW 9TH SUITE 4106OKLAHOMA CITYOK73102SPECIALTY CARE CLINIC
SAINTS PRIMARY CARE PHYSICIANS NORTH
6201 NORTH SANTA FE SUITE 2020OKLAHOMA CITYOK73118PRIMARY CARE CLININ
ST ANTHONY VASCULAR ASSOCIATES
608 NW 9TH ST SUITE 5204OKLAHOMA CITYOK73102SPECIALTY CARE CLINIC
ST ANTHONY PULMONARY SPECIALTY CLINIC
608NW 9TH STREET SUITE 3110OKLAHOMA CITYOK73102SPECIALTY CARE CLINIC
ST ANTHONY GENERAL SURGERY
535 NW 9TH SUITE 330OKLAHOMA CITYOK73102SURGERY CENTER
ST ANTHONY NEUROSURGERY
535 NW 9TH STREET SUITE 205OKLAHOMA CITYOK73102SPECIALTY CARE CLINIC
SAINTS THORACIC AND CARDIOVASCULAR SURGE
608 NW 9TH ST SUITE 2110OKLAHOMA CITYOK73102SURGERY CENTER
SAINTS FAMILY HEALTH CENTER BLANCHARD
2002 N COUNCIL AVENUEBLANCHARDOK73010PRIMARY CARE CLINIC
SAINTS MUSTANG COMPLETE CARE
501 N MUSTANG RDMUSTANGOK73064PRIMARY CARE CLINIC
SAINTS MEDICINE ASSOCIATES
6205 N SANTA FE SUITE 201OKLAHOMA CITYOK73118PRIMARY CARE CLINIC
INTERNAL MEDICINE DOWNTOWN
608 NW 9TH STREET SUITE 6110OKLAHOMA CITYOK73102SPECIALTY CARE CLINIC
SAINTS FAMILY HEALTHCARE AND GYNECOLOGY
220 SW 89TH SUITE DOKLAHOMA CITYOK73139PRIMARY CARE CLINIC
SAINTS FAMILY MEDICINE SOUTH
220 SW 89TH STREET SUITE AOKLAHOMA CITYOK73139PRIMARY CARE CLINIC
SAINTS FAMILY MEDICINE MIDWEST CITY
10002 SE 15TH STREETMIDWEST CITYOK73130PRIMARY CARE CLINIC
ST ANTHONY FAMILY MEDICINE SOUTH
8241 S WALKER SUITE 100OKLAHOMA CITYOK73139PRIMARY CARE CLINIC
ST ANTHONY BREAST CARE SERVICES
535 NW 9TH ST SUITE 100OKLAHOMA CITYOK73102SPECIALTY CARE CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (5 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 29788375.
SCHEDULE H, PART I, QUESTION 3BELIGIBILITY FOR DISCOUNTED CARESSM 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 TIMES 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 3COTHER CRITERIA FOR FREE OR DISCOUNTED CAREAN EXCEPTION TO THE SLIDING SCALE IS PROVIDED FOR A PATIENT'S BALANCE DUE IF THE AMOUNT IS TOO LARGE TO BE REASONABLY PAID THROUGH AN INSTALLMENT PLAN OVER FOUR YEARS GIVEN THE FAMILY INCOME AND EXPENSES. TO FURTHER STREAMLINE AND AUTOMATE THE FINANCIAL ASSISTANCE PROCESS, SSM HEALTH CARE OF OKLAHOMA WILL AUTOMATICALLY CONSIDER 100% OF THE PATIENT ACCOUNT AS CHARITY IF THE COMMERCIAL SOFTWARE SYSTEM (SEARCHAMERICA) INDICATES THAT THE PATIENT IS LIVING AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL). THIS PROCESS IS CALLED "PRESUMPTIVE ELIGIBILITY". SCHEDULE H, PART I, QUESTION 6ACOMMUNITY BENEFIT REPORTINGSSM 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. SSM HEALTH CARE'S 2011 ANNUAL COMMUNITY BENEFIT REPORT FOR THE SYSTEM CAN BE FOUND AT WWW.SSMHC.COM.SCHEDULE H, PART I, QUESTION 7DESCRIPTION OF COSTING METHODOLOGYCHARITY 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 COST 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 COST 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.RESEARCH COSTING METHODOLOGY: RESEARCH EXPENSES WERE TAKEN FROM THE INCOME AND EXPENSE STATEMENT FOR THE RESEARCH DEPARTMENTS, DERIVED FROM THE ACCOUNTING SYSTEM.CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS COSTING METHODOLOGY: CONTRIBUTION EXPENDITURES ARE BASED ON ACTUAL INVOICES THAT WERE CAPTURED AND REPORTED FOR THIS PROGRAM. SCHEDULE H, PART IICOMMUNITY 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: PARTICIPATE IN REBUILDING TOGETHER WITH USE OF STAFF TO IMPROVE/REPAIR HOMES OF LOW INCOME ELDERLY PERSONS IN THE COMMUNITY; PROVIDE PHYSICAL/TECHNICAL/ENGINEERING ASSISTANCE AND FOOD SUBSIDY TO VILLA TERESA SCHOOL.COMMUNITY BUILDING - COMMUNITY HEALTH IMPROVEMENT ADVOCACY - STAFF MEMBERS PARTICIPATE IN VARIOUS CIVIC ORGANIZATIONS INCLUDING ARTHRITIS FOUNDATION, ALLIED ARTS BOARD, UNITED WAY BOARD, GREATER OKLAHOMA CITY CHAMBER ADVISORY COMMITTEE, OKLAHOMA HOSPITAL ASSOCIATION BOARD AND COMMITTEE, UPWARD TRANSITIONS BOARD, HEALTH CAREERS AND PUBLIC SAFETY ADVISORY COMMITTEE, KRAMER SCHOOL OF NURSING BOARD, OKLAHOMA UNIVERSITY SCHOOL OF NURSING.
SSM HEALTH CARE OF OKLAHOMA IS PART OF THE SSM HEALTH CARE CONSOLIDATED AUDIT. THE FOOTNOTE THAT REFERENCES BAD DEBT EXPENSE IN THE DECEMBER 31, 2011 CONSOLIDATED AUDIT IS AS FOLLOWS:"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. BAD DEBTS EXPENSE IS THE ESTIMATED AMOUNT OF PATIENT SERVICE REVENUES THAT SSMHC WILL NOT COLLECT."BAD DEBT COSTING METHODOLOGY: BAD DEBT EXPENSE REPORTED IN THE 2011 ANNUAL LICENSING SURVEY OF MISSOURI HOSPITALS WAS USED, MULTIPLIED BY THE COST TO CHARGE RATIO USING IRS WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES.BAD DEBT EXPENSE REPORTED ON LINE 2 FOR THE YEAR ENDED DECEMBER 31, 2011 WAS $48,572,041 AT CHARGES AND $16,555,725 AT COST.SCHEDULE H, PART III, SECTION B, LINE 8MEDICARE SHORTFALL INCLUDED IN COMMUNITY BENEFITTHE MEDICARE COSTS REPORTED ON LINE 6 WERE OBTAINED FROM THE 2011 MEDICARE COST REPORT. SCHEDULE H, PART III, SECTION C, LINE 9BCOLLECTION PRACTICESSSM 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 FAIR 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.ST. ANTHONY HOSPITAL:PART V, SECTION B, LINE 19D: FAP-ELIGIBLE INDIVIDUALS RECEIVE A 60% DISCOUNT IN OUTPATIENT SERVICES WHICH IS BASED ON THE AVERAGE OF ALL MANAGED CARE CONTRACTS AND RECEIVE MEDICARE RATES WHEN CALCULATING THE MAXIMUM THAT CAN BE CHARGED ON INPATIENT SERVICES.SCHEDULE H, PART VI, LINE 2NEEDS 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 WITH THE FINANCIAL LIMITS OF THE SYSTEM.AS OF JANUARY 2011, THE PRIMARY FOCUS OF SSM HEALTH CARE'S HEALTHY COMMUNITIES (HCIS) HAS BEEN ON ONE OF THE TOP-THREE CHRONIC DISEASES IN EACH ENTITY'S/NETWORK'S RESPECTIVE MARKET (E.G., CHF, DIABETES, ASTHMA) AS IDENTIFIED THROUGH, AMONG OTHER DATA SOURCES, COMMUNITY NEEDS ASSESSMENTS, CONSUMER/PUBLIC HEALTH STUDIES AND STATE/LOCAL HEALTH DEPARTMENT INFORMATION.COMMUNITY HEALTH IMPROVEMENT, WHICH WE PURSUE AS A SYSTEM PRIMARILY THROUGH HCIS UNDERTAKEN AT THE ENTITY LEVEL, IS FUNDAMENTAL TO OUR MISSION, VALUES, AND VISION. OVER THE YEARS MANY PEOPLE HAVE BENEFITED FROM OUR HCIS AND MUCH GOOD HAS COME FROM THEM. IN AN EFFORT TO BEST RESPOND TO COMMUNITY NEEDS, HCIS WILL REFOCUS ITS EFFORTS TOWARD A NEW APPROACH TO COMMUNITY HEALTH, AS OUTLINED HERE.CHRONIC DISEASE IS RAMPANT THROUGHOUT THE U.S WHERE ROUGHLY HALF OF ALL ADULTS AND 10% OF CHILDREN/ADOLESCENTS LIVE WITH AT LEAST ONE CHRONIC DISEASE. OF THESE AN ESTIMATED 13 MILLION LACK HEALTH INSURANCE AND THEREBY HAVE POORER ACCESS TO PREVENTIVE AND PRIMARY CARE SERVICES THAN THEIR INSURED COUNTERPARTS AND EXPERIENCE WORSE HEALTH-RELATED OUTCOMES, INCLUDING PREMATURE DEATH.IN RESPONSE TO THIS GROWING NATIONAL HEALTH CRISIS, SYSTEM MANAGEMENT HAS SET THE EXPECTATION THAT ALL SSM OPERATING ENTITIES, WORKING INDIVIDUALLY OR COLLECTIVELY AS NETWORKS, IN COLLABORATION WITH COMMUNITY PARTNERS, WILL DEVELOP HCIS FOCUSED ON THE CHRONIC DISEASE SELECTED THAT ADDRESSES THREE PILLARS THAT STRETCH ACROSS THE CARE CONTINUUM: - PREVENTION THROUGH COMMUNITY EDUCATION IN PARTNERSHIP WITH COMMUNITY HEALTH ORGANIZATIONS, LOCAL HEALTH AGENCIES, CHURCHES, CIVIC CENTERS, SCHOOLS, INSURANCE COMPANIES AND OTHER COMMUNITY PARTNERS. - ACCESS TO PRIMARY CARE SERVICES AND NECESSARY MEDICATIONS IN CONJUNCTION WITH COMMUNITY HEALTH ORGANIZATIONS, LOCAL HEALTH AGENCIES AND CLINICS, EMPLOYED COMMUNITY PHYSICIANS AND PHARMACEUTICAL COMPANIES. - INPATIENT CARE INCLUDING PATIENT EDUCATION, COMPREHENSIVE DISCHARGE PLANNING, MEDICATION RECONCILIATION, COORDINATION OF CARE ACROSS SETTINGS AND POST-DISCHARGE FOLLOW-UP.INITIALLY, THE STRATEGIC GOAL WILL BE TO REDUCE THE 30-DAY HOSPITAL READMISSION RATE FOR THE CHRONIC DISEASE SELECTED. THIS HAS THE MOST IMMEDIATE IMPACT. AS WE DEVELOP OUR COMMUNITY PARTNERSHIPS AND BEGIN TO IMPACT THE WHOLE CARE CONTINUUM, ADDITIONAL GOALS CAN BE ADDED THAT ADDRESS KEY INDICATORS OF COMMUNITY/POPULATION HEALTH (E.G., PREVALENCE AND INCIDENCE RATES, SCREENING RATES, HOSPITAL ADMISSION RATES, BEHAVIORAL AND LIFESTYLE FACTORS). ENTITIES MUST ESTABLISH SPECIFIC STRATEGIES AND DEVELOP CLEAR INDICATORS OR MEASURES OF SUCCESS TO TRACK PROGRESS. IN ADDITION TO THE HEALTHY COMMUNITIES INITIATIVES, EACH SSM HEALTH CARE HOSPITAL WILL CONDUCT A SEPARATE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). TO SUPPORT THE COMPLETION OF A CHNA IN ACCORDANCE WITH ESTABLISHED GUIDELINES, A SIX-STEP PROCESS WAS DEVELOPED. THE PROCESS DEFINES AN APPROACH THAT CAN BE USED TO ASSESS THE HEALTH NEEDS OF THE COMMUNITIES SERVED BY SSM HEALTH CARE AND DEVELOP STRATEGIES FOR MEETING THOSE NEEDS. THE PROCESS INCLUDES: - DEVELOP A PLAN TO ADDRESS HEALTH REFORM MANDATES TO INCLUDE DEFINING HOW THE ASSESSMENT AND BY WHOM THE ASSESSMENT WILL BE COMPLETED; IDENTIFYING THE STAKEHOLDERS INVOLVED; AND THE TIME FRAME FOR COMPLETION - PERFORM DATA COLLECTION INCLUDING IDENTIFYING THE GEOGRAPHIC AREA SERVED, ACCESSING SECONDARY DATA SOURCES AND COORDINATING INTERVIEWS, SURVEY AND/OR FOCUS GROUPS FOR PRIMARY DATA COLLECTION - PERFORM DATA ANALYSIS BY EVALUATING QUANTITATIVE AND QUALITATIVE DATA TO IDENTIFY AND PRIORITIZE HEALTH NEEDS AND OPPORTUNITIES - CREATE A PLAN WITH GOALS, STRATEGIES, ACTIONS, DUE DATES, AND RESOURCE REQUIREMENTS WHICH INCLUDES INPUT FROM CONSTITUENTS - OBTAIN APPROVAL FROM SYSTEM MANAGEMENT TO BE ADOPTED IN 2012 AND INCORPORATE THE CHNA INITIATIVES INTO THE STRATEGIC PLAN TO INCLUDE APPOINTING RESPONSIBILITY FOR IMPLEMENTING THE PLAN AND ASSIGNING A STEERING COMMITTEE TO MONITOR PROGRESS AS APPROPRIATE - COORDINATE COMMUNICATION TO THE PUBLIC, BOARDS, STAFF AND OTHER STAKEHOLDERS PROGRESS IN ADDRESSING TOP PRIORITIES IMPACTING COMMUNITY HEALTHBAD DEBT EXPENSESCHEDULE H, PART III, SECTION A, LINE 4
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 IS TOO LARGE TO BE REASONABLY PAID THROUGH AN INSTALLMENT PLAN OVER FOUR YEARS GIVEN THE FAMILY INCOME AND EXPENSES.EACH ENTITY PROVIDING MEDICAL SERVICE SHALL PROVIDE INFORMATION TO THE PUBLIC REGARDING ITS CHARITY CARE POLICIES AND THE QUALIFICATION REQUIREMENTS FOR EACH OF ITS FACILITIES. WHEN STANDARD SYSTEM NOTICES AND COMMUNICATION REGARDING CHARITY CARE ARE AVAILABLE, THESE MUST BE USED. MODIFICATIONS TO THE STANDARD MAY BE MADE TO COMPLY WITH STATE AND LOCAL LAWS, AS WELL AS REFLECT CULTURALLY SENSITIVE TERMINOLOGY FOR THE POLICY. ALL NOTICES ARE EASY TO UNDERSTAND BY THE GENERAL PUBLIC, CULTURALLY APPROPRIATE AND AVAILABLE IN THOSE LANGUAGES THAT ARE PREVALENT IN THE COMMUNITY.THEY PROVIDE INFORMATION ABOUT: - THE PATIENT'S RESPONSIBILITY FOR PAYMENT, - THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND ENTITY CHARITY CARE AND PAYMENT ARRANGEMENTS, - THE ENTITY'S CHARITY POLICY AND APPLICATION PROCESS, AND - WHO TO CONTACT TO GET ADDITIONAL INFORMATION OR FINANCIAL COUNSELING.THE FOLLOWING TYPES OF NOTICES TO THE PUBLIC ARE PROVIDED: - SIGNS IN THE EMERGENCY DEPARTMENT, OUTPATIENT AND INPATIENT REGISTRATION AND PUBLIC WAITING AREAS. - BROCHURES OR 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 4COMMUNITY 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%. ST. ANTHONY PROVIDES GENERAL, TERTIARY ACUTE CARE SERVICES INCLUDING CARDIOLOGY, ONCOLOGY, BEHAVIORAL MEDICINE, SURGERY, KIDNEY TRANSPLANTATION, AND A VARIETY OF OTHER DISCIPLINES. ST. ANTHONY HAS BROUGHT MANY "FIRSTS" TO HEALTH CARE IN OKLAHOMA (FIRST ICU, FIRST KIDNEY TRANSPLANT, FIRST NEUROSURGICAL INSTITUTE), INCLUDING BRINGING THE STATE'S ONLY CYBERKNIFE TECHNOLOGY TO OKLAHOMANS. BONE AND JOINT HOSPITAL AT ST. ANTHONY IS UNIQUE IN THAT THE HOSPITAL, PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS ARE COMMITTED SOLELY TO ORTHOPEDIC CARE. OUR STAFF OFFERS A RANGE OF ORTHOPEDIC SERVICES INCLUDING HIP AND KNEE REPLACEMENT, SPINE SURGERY, PAIN MANAGEMENT, SPORTS MEDICINE, ARTHROSCOPIC PROCEDURES, FOOT AND ANKLE SURGERY, HAND SURGERY, AND ROBOTIC SURGERY.THROUGH SAINTS MEDICAL GROUP, SSM HEALTH CARE OF OKLAHOMA PROVIDES PRIMARY CARE PHYSICIANS IN FAMILY MEDICINE, INTERNAL MEDICINE AND PEDIATRICS. SPECIALTY SERVICE LINES INCLUDE CARDIOLOGY, DERMATOLOGY, NEUROLOGY, OBSTETRICS/GYNECOLOGY, ORTHOPEDICS, PULMONARY, THORACIC SURGERY, VASCULAR SURGERY, DIAGNOSTIC/MEDICAL TESTING SERVICES, AND A OCCUPATIONAL HEALTH NETWORK.SCHEDULE H, PART VI LINE 5PROMOTION 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 PARTICIPATE IN CENTRAL OKLAHOMA TURNING POINT, A NATIONAL PROGRAM TO PROMOTE LOCAL HEALTH INITIATIVES BY BUILDING HEALTHY COMMUNITIES THROUGH PUBLIC/PRIVATE PARTNERSHIPS. ST. ANTHONY COMMUNITY HEALTH FELLOW, A ST. ANTHONY HOSPITAL EMPLOYEE, IS A MEMBER OF THE CENTRAL OKLAHOMA TURNING POINT EXECUTIVE COMMITTEE. FOR 2011, THESE EFFORTS RESULTED IN A STATE HEALTH RANKING (PER UHF) OF 48TH, AN OBESITY RATE OF 31.2%, 19 SCHOOL DISTRICTS THAT ARE TOBACCO FREE AND A SMOKING RATE OF 23.7%.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 PARTICIPATES IN HEALTH FAIRS WHERE FREE BONE DENSITY SCREENINGS ARE OFFERED. IN 2011, THESE EFFORTS RESULTED IN 183 PEOPLE ATTENDING AN EDUCATIONAL PROGRAM ON OSTEOPOROSIS OR ARTHRITIS HOSTED BY THE BONE AND JOINT HOSPITAL AT ST. ANTHONY AND 26 PEOPLE WHO PARTICIPATED IN OSTEOPOROSIS SCREENINGS.THROUGH THE FREE CLINIC, CROSS AND CROWN, BONE AND JOINT HOSPITAL AT ST. ANTHONY PROVIDED FREE X-RAY SERVICES TO 10 UNINSURED INDIVIDUALS REFERRED TO US BY THE CLINIC IN 2011. 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 62 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. IN 2011, THESE EFFORTS RESULTED IN 38% OF PARTICIPANTS WHO IMPROVED IN FITNESS PRE AND POST TESTING AND 41% WHO INCREASED KNOWLEDGE ABOUT THE IMPORTANCE OF HEALTHY LIFESTYLES PRE AND POST TESTING. THE HOSPITAL AND ITS EMPLOYEES PARTICIPATE 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. ST. ANTHONY ALSO PROVIDED SUPPLIES TO BENEFIT LITTLE FLOWER CLINIC THAT PROVIDES CARE TO THE UNDERSERVED IN ITS COMMUNITY IN 2011.SCHEDULE H, PART VI, LINE 3
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 2011, 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 (4TH YEAR TO SPONSOR ON ITS CAMPUS) AND REDBUD CLASSIC (THE 30TH YEAR TO SPONSOR) AS WELL AS THE AMERICAN HEART ASSOCIATION HEART WALK.THE HOSPITAL WEBSITE, 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 6AFFILIATED 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. SSMOK, WITH HEADQUARTERS IN OKLAHOMA CITY, OK, IS SPONSORED BY THE FRANCISCAN SISTERS OF MARY AND IS OWNED AND OPERATED BY SSM HEALTH CARE (SSMHC) BASED IN ST. LOUIS, MISSOURI.SCHEDULE H, PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORTTHE SSM HEALTH CARE ANNUAL CONSOLIDATED COMMUNITY BENEFIT REPORT IS FILED IN ILLINOIS, MISSOURI, OKLAHOMA, AND WISCONSIN.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (24 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
ARTHRITIS FOUNDATION
710 W WILSHIRE STE 101OKLAHOMA CITYOK73116943454386501(C)(3)27550GENERAL SUPPORT
LEUKEMIA AND LYMPHOMA SOCIETY
4125 N 124TH ST UNIT ABROOKFIELDWI53005135644916501(C)(3)5000GENERAL SUPPORT
OKLAHOMA GIRLS BASKETBALL COACHES ASSOCIATION
1500 N WASHINGTONWEATHERFORDOK73101237166074501(C)(3)5000GENERAL SUPPORT
SSM ST ANTHONY FOUNDATION
826 NW 11THOKLAHOMA CITYOK73106736104300501(C)(3)17000SAINTS BALL AND SAINTS BABIES SPONSORSHIP
UNITED WAY OF CENTRAL OKLAHOMA
1444NW 28THOKLAHOMA CITYOK73106730589829501(C)(3)31000GENERAL SUPPORT
UNIVERSITY OF CENTRAL OKLAHOMA FOUNDATION
100 N UNIVERSITY DREDMONDOK73034736108032501(C)(3)10000SPONSOR MUSIC IN THE METRO
ALLIED ARTS FOUNDATION
1015 N BROADWAY STE 200OKLAHOMA CITYOK73102730804291501(C)(3)10975GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVENUEDALLASTX75231135613797501(C)(3)10000GENERAL SUPPORT
ARTS COUNCIL OF OKLAHOMA CITY
400 W CALIFORNIA AVENUEOKLAHOMA CITYOK73102736112471501(C)(3)5000GENERAL SUPPORT
CANTERBURY CHORAL SOCIETY
428 W CALIFORNIA STE 100OKLAHOMA CITYOK73102237282541501(C)(3)5000GENERAL SUPPORT
COMMUNITIES FOUNDATION OF OKLAHOMA INC
2932 NW 122ND STREET SUITE DOKLAHOMA CITYOK73120731396320501(C)(3)5000FOUNDERS SPONSOR
DOWNTOWN OKC INC
210 APARK AVE STE 230OKLAHOMA CITYOK73102731593759501(C)(3)13500DOWNTOWN DASH SPONSOR
GREATER OKLAHOMA CITY CHAMBER OF COMMERCE
123 PARK AVENUEOKLAHOMA CITYOK73102730381180501(C)(3)69535GENERAL SUPPORT
OKLAHOMA CITY EDUCARE INC
210 PARK AVE STE 3150OKLAHOMA CITYOK73102300385517501(C)(3)20000CITY SCAPE SPONSOR
OKLAHOMA CITY NATIONAL MEMORIAL FOUNDATION
PO BOX 323OKLAHOMA CITYOK73101731472725501(C)(3)13825GENERAL SUPPORT
OKLAHOMA CITY UNIVERSITY
2501 N BLACKWELDER AVENUEOKLAHOMA CITYOK73106730579265501(C)(3)20000GENERAL SUPPORT
OKLAHOMA GAZETTE
PO BOX 54649OKLAHOMA CITYOK7315473118536310000FITTEST EXECUTIVE SPONSOR
OKLAHOMA STATE QUALITY AWARD FOUNDATION INC
900 NORTH STILESOKLAHOMA CITYOK73104731437273501(C)(3)5000GENERAL SUPPORT
RED BUD FOUNDATION
421 AVONDALE DR STE 204-AOKLAHOMA CITYOK73116731293464501(C)(3)20250REDBUD CLASSIC SPONSORSHIP
SUSAN G KOMEN BREAST CANCER FOUNDATION
200 S HANLEY 1070ST LOUISMO63105731372249501(C)(3)5040GENERAL SUPPORT
TOYSCAPES INC
700 1/2 W SHERIDAN AVEOKLAHOMA CITYOK73102010920249501(C)(3)10000GENERAL SUPPORT
TULSA COMMUNITY FOUNDATION
7030 S YALE STE 600TULSAOK74136731554474501(C)(3)10000GENERAL SUPPORT
ULI-URBAN LAND INSTITUTE
1025 THOMAS JEFFERSON STREET NWWASHINGTONDC20007530159845501(C)(3)5000GENERAL SUPPORT500W
VILLA THERESA SCHOOL
1216 CLASSEN DROKLAHOMA CITYOK73103731315725501(C)(3)19669GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants23TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHAD ADUDDELL
028844100012094062744019410038268900
JOE HODGES
0484905000352300146883029269069628700
KERSEY WINFREE MD
30193000028130363150159700357028000
WILLIAM THOMPSON
0101321700050517607252680157370225939800
CHRISTOPHER HOWARD
07681260005416301900880270420103941900
KRIS ZIMMER
0661311000472250162685026604089782500
JUNE PICKETT
021758700064740169142016630040983300
SHASTA R MANUEL
28184000087640318450221800344629000
STEVEN BARNEY
0539974000137453016752021432071561100
TAMARA L POWELL
25834100015222094292049410372796000
STEPHEN D POWELL
24934100067270530420269210336031000
CYNTHIA L BRUNDIGE
201069000114010769820143240303776000
MARTI F JOURDEN
165034000491201328370221510324934000
JOHN R MOBLEY
15757700080490687340304230264783000
AVINIASH VYAS
1139672000151152021115402728301529261000
JASON EMERSON
99841000055335013483902001001208594000
BASSAM HADI
1039277000125701990202961701090053000
RAFAEL JUSTIZ
9833540001794609615802389701121355000
LEONARD BOWEN
8910470009901903962902630901056004000
WILLIAM SCHOENHARD
00000283017094615015164039279600

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ATHE FOLLOWING INDIVIDUALS LISTED ON PART VII, SECTION A RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENT IN 2011. THESE PAYMENTS WERE INCLUDED IN THEIR TAXABLE COMPENSATION. TAMARA POWELL STEPHEN POWELL AVINIASH VYAS JASON EMERSON LEONARD BOWEN
PART I, LINES 4A-B
PART IIIPART 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 $277,333 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 2011. 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 2011. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUALS' TAXABLE COMPENSATION. STEVEN BARNEY $66,707SUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION MISSION STATEMENTFORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:SSM HEALTH CARE OF OKLAHOMA (SSMOK) IS A HEALTH CARE NETWORK THAT ENCOMPASSES THE OKLAHOMA FACILITIES OF SSM HEALTH CARE (SSMHC).
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
PROGRAM SERVICE STATEMENTFORM 990, PART III, LINE 4A, STATEMENT OF PROGRAM SERVICE ACTIVITIES:BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION: SSM HEALTH CARE 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." SINCE IT WAS FOUNDED IN 1872 BY CATHOLIC SISTERS, SSMHC HAS EXISTED TO MEET THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. SPONSORED BY THE FRANCISCAN SISTERS OF MARY AND HEADQUARTERED IN ST. LOUIS, MO, SSMHC OPERATES 17 HOSPITALS, 2 SKILLED NURSING FACILITIES AND HOME HEALTH AGENCIES IN FOUR STATES: WISCONSIN, ILLINOIS, MISSOURI AND OKLAHOMA. SSM HAS NEARLY 24,000 EMPLOYEES, MORE THAN 6,500 PHYSICIANS. IT IS THE FIRST HEALTH-CARE RECIPIENT OF THE MALCOLM BALDRIGE NATIONAL QUALITY AWARD AND THE FIRST LARGE HEALTH SYSTEM TO GO SMOKELESS INSIDE AND OUT. SSMOK INCLUDES ST. ANTHONY HOSPITAL, BONE AND JOINT HOSPITAL AT ST. ANTHONY AND ST. ANTHONY PHYSICIANS GROUP. SSMOK ALSO INCLUDES THE ST. ANTHONY AFFILIATE HEALTH NETWORK THAT ENCOMPASSES 14 AFFILIATE HOSPITALS, FOUR TIER ONE AFFILIATE HOSPITALS, AND ONE MANAGED HOSPITAL. IN TOTAL, SSMOK HAS A NETWORK OF 22 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: SSMOK WILL CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN EARLY 2012. TO SUPPORT THE COMPLETION OF A CHNA IN ACCORDANCE WITH ESTABLISHED GUIDELINES, A SIX-STEP PROCESS WAS DEVELOPED. THE PROCESS DEFINES AN APPROACH THAT CAN BE USED TO ASSESS THE HEALTH NEEDS OF THE COMMUNITIES SERVED BY SSMOK AND DEVELOP STRATEGIES FOR MEETING THOSE NEEDS. THE PROCESS INCLUDES: - DEVELOP A PLAN TO ADDRESS HEALTH REFORM MANDATES TO INCLUDE DEFINING HOW THE ASSESSMENT AND BY WHOM THE ASSESSMENT WILL BE COMPLETED; IDENTIFYING THE STAKEHOLDERS INVOLVED; AND THE TIME FRAME FOR COMPLETION - PERFORM DATA COLLECTION INCLUDING IDENTIFYING THE GEOGRAPHIC AREA SERVED, ACCESSING SECONDARY DATA SOURCES AND COORDINATING INTERVIEWS, SURVEY AND/OR FOCUS GROUPS FOR PRIMARY DATA COLLECTION - PERFORM DATA ANALYSIS BY EVALUATING QUANTITATIVE AND QUALITATIVE DATA TO IDENTIFY AND PRIORITIZE HEALTH NEEDS AND OPPORTUNITIES - CREATE A PLAN WITH GOALS, STRATEGIES, ACTIONS, DUE DATES, AND RESOURCE REQUIREMENTS WHICH INCLUDES INPUT FROM CONSTITUENTS - OBTAIN APPROVAL FROM SYSTEM MANAGEMENT TO BE ADOPTED IN 2012 AND INCORPORATE THE CHNA INITIATIVES INTO THE STRATEGIC PLAN TO INCLUDE APPOINTING RESPONSIBILITY FOR IMPLEMENTING THE PLAN AND ASSIGNING A STEERING COMMITTEE TO MONITOR PROGRESS AS APPROPRIATE - COORDINATE COMMUNICATION TO THE PUBLIC, BOARDS, STAFF AND OTHER STAKEHOLDERS PROGRESS IN ADDRESSING TOP PRIORITIES IMPACTING COMMUNITY HEALTH UPON APPROVAL BY THE BOARD IN 4TH QUARTER 2012, SSMOK WILL COMMUNICATE THE RESULTS OF THE CHNA TO ITS STAKEHOLDERS. BECAUSE OF ITS SPECIALTY HOSPITAL STATUS, BONE AND JOINT HOSPITAL AT ST. ANTHONY FOCUSES ON AREAS WHERE IT CAN MAKE AN IMPACT AND AS A RESULT, HAS CHOSEN OSTEOPOROSIS PREVENTION AS ITS COMMUNITY INITIATIVE. 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 IS TOO LARGE TO BE REASONABLY PAID THROUGH AN INSTALLMENT PLAN OVER FOUR YEARS GIVEN THE FAMILY INCOME AND EXPENSES. 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: - 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 PARTICIPATE IN CENTRAL OKLAHOMA TURNING POINT, A NATIONAL PROGRAM TO PROMOTE LOCAL HEALTH INITIATIVES BY BUILDING HEALTHY COMMUNITIES THROUGH PUBLIC/PRIVATE PARTNERSHIPS. ST. ANTHONY COMMUNITY HEALTH FELLOW, A ST. ANTHONY HOSPITAL EMPLOYEE, IS A MEMBER OF THE CENTRAL OKLAHOMA TURNING POINT EXECUTIVE COMMITTEE. FOR 2011, THESE EFFORTS RESULTED IN A STATE HEALTH RANKING (PER UHF)OF 48TH, AN OBESITY RATE OF 31.2%, 19 SCHOOL DISTRICTS THAT ARE TOBACCO FREE AND A SMOKING RATE OF 23.7%. 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. IN 2011, THESE EFFORTS RESULTED IN 183 PEOPLE ATTENDING AN EDUCATIONAL PROGRAM ON OSTEOPOROSIS OR ARTHRITIS HOSTED THE BONE AND JOINT HOSPITAL AT ST. ANTHONY AND 26 PEOPLE WHO PARTICIPATED IN OSTEOPOROSIS SCREENINGS. THROUGH THE FREE CLINIC, CROSS AND CROWN, BONE AND JOINT HOSPITAL AT ST. ANTHONY PROVIDED FREE X-RAY SERVICES TO 10 UNINSURED INDIVIDUALS REFERRED TO US BY THE CLINIC IN 2011. 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 62 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. IN 2011, THESE EFFORTS RESULTED IN 38% OF PARTICIPANTS WHO IMPROVE IN FITNESS PRE AND POST TESTING AND 41% WHO INCREASE KNOWLEDGE ABOUT THE IMPORTANCE OF HEALTHY LIFESTYLES PRE AND POST TESTING. THE HOSPITAL AND ITS EMPLOYEES PARTICIPATE 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. ST. ANTHONY ALSO PROVIDED SUPPLIES TO BENEFIT LITTLE FLOWER CLINIC THAT PROVIDES CARE TO THE UNDERSERVED IN ITS COMMUNITY IN 2011. ADDITIONALLY, NUMEROUS SUPPORT GROUPS, CHILDBIRTH CLASSES, MEDIA HEALTH INFORMATION STORIES, SEMINARS ON A RANGE OF HEALTHY TOPICS, HEALTH FAIRS AND HEALTH PROFESSIONALS PROVIDE SUBSTANTIAL BENEFIT TO THE COMMUNITY. IN 2010, THE HOSPITAL INTRODUCED THE 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 (3RD YEAR TO SPONSOR) AND REDBUD CLASSIC (THE 30TH YEAR TO SPONSOR) AS WELL AS THE AMERICAN HEART ASSOCIATION HEART WALK. THE HOSPITAL WEBSITE, 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. ADDITIONAL INFORMATION REGARDING SSMHC'S 2011 COMMUNITY BENEFIT REPORT CAN BE FOUND AT WWW.SSMHC.COM AND ON WWW.SAINTSOK.COM. 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 $ 7,825,905 UNPAID COST OF MEDICAID $ 3,844,642 UNPAID COST OF MEDICARE $ (9,173,352) COST OF BAD DEBT $ 16,555,725 COMMUNITY BENEFIT PROGRAMS $ 6,098,984 -------------------- TOTAL QUANTIFIABLE COMMUNITY BENEFIT $ 25,151,904
FORM 990, PART VI, SECTION A, LINE 6THE 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 7ATHE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND APPOINT AND REMOVE THE DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE 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 11ACCOUNTING/FINANCE PERSONNEL AT EACH SSMHC (SSM HEALTH CARE SYSTEM) ENTITY, IN CONJUNCTION WITH CORPORATE 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 CORPORATE 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 12CBOARD 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 B, LINE 15ALL SSMHC EXECUTIVE SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH SIMILAR POSITIONS IN THE MARKET. THE COMPENSATION REVIEW PROCESS IS PERFORMED BY EXTERNAL INDEPENDENT COMPENSATION CONSULTANTS. THE SAME COMPARATIVE PROCESS IS PERFORMED INTERNALLY FOR EMPLOYEES. THE SALARY DATA AND POTENTIAL ADJUSTMENTS, FOR THE CEO OF THE SYSTEM, THE PRESIDENT/COO AND THE SENIOR VICE PRESIDENTS ARE PRESENTED TO THE SSMHC BOARD OF DIRECTORS BY THE SAME INDEPENDENT COMPENSATION CONSULTANTS TO APPROVE, DISAPPROVE, MODIFY.
FORM 990, PART VI, SECTION C, LINE 19THE 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 OKLAHOMA SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
AVG HOURS DEVOTED TO RELATED ORG(S) WHEN RELATED COMP IS REPORTED:FORM 990, PART VII:ALL INDIVIDUALS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION ARE EMPLOYED AND COMPENSATED BY THE ORGANIZATION OR BY A RELATED ORGANIZATION. IN ADDITION, ALL COMPENSATED REPORTABLE INDIVIDUALS LISTED ON FORM 990, PART VII WORK A MINIMUM OF 40 HOURS PER WEEK FOR SSMHC RELATED ORGANIZATIONS.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -691,067. BENEFICIAL INTEREST IN FOUNDATION -1,607,044. TRANSFERS TO AFFILIATES -459,575. TOTAL TO FORM 990, PART XI, LINE 5: -2,757,686.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SAINTS MEDICAL GROUPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1477 N LINDBERGH BLVDAddressLine1
CityST LOUISCity
StateMOState
ZIP Code63141ZIPCode
FieldValueIRS element (for citing)
EIN760825755EIN
Primary ActivitiesMEDICAL SERVICESPrimaryActivities
Legal Domicile StateOKLegalDomicileState
Total Income17164045TotalIncome
EOY Assets6376874EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SSM HEALTH CARE OF OKLAHOMABusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (41 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
SSM HEALTH CARE CORPORATION
477 N LINDBERGH BLVDST LOUISMO63141466029223HEALTH CAREMO501(C)(3)LINE 11A, IFRANCISCAN SISTERS OF MARY0
SSM EMPLOYEE HEALTH CARE FUND
477 N LINDBERGH BLVDST LOUISMO63141431328934BENEFIT PLANSMO501(C)(9)SSM HEALTH CARE CORPORATION0
SSHCS LIABILITY TRUST I
477 N LINDBERGH BLVDST LOUISMO63141436331003INSURANCEMO501(C)(3)LINE 11A, ISSM HEALTH CARE CORPORATION0
SSM CONSOLIDATED HEALTH SERVICES
477 N LINDBERGH BLVDST LOUISMO63141431473657HEALTH CAREMO501(C)(3)LINE 11A, ISSM HEALTH CARE CORPORATION0
SSM POLICY INSTITUTE
477 N LINDBERGH BLVDST LOUISMO63141431788151HEALTH CAREMO501(C)(4)SSM HEALTH CARE CORPORATION0
SSM PORTFOLIO MANAGEMENT CO
477 N LINDBERGH BLVDST LOUISMO63141431825256MANAGEMENTMO501(C)(3)LINE 11A, ISSM HEALTH CARE CORPORATION0
SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
477 N LINDBERGH BLVDST LOUISMO63141430738490HEALTH CAREMO501(C)(3)LINE 3SSM HEALTH CARE ST LOUIS0
GLENNON HOSPITAL GUILD
477 N LINDBERGH BLVDST LOUISMO63141431030299FUNDRAISINGMO501(C)(3)LINE 9SSM CARDINAL GLENNON CHILDREN'S HOSPITAL0
CARDINAL GLENNON CHILDREN'S FOUNDATION
477 N LINDBERGH BLVDST LOUISMO63141431754347FUNDRAISINGMO501(C)(3)LINE 7SSM CARDINAL GLENNON CHILDREN'S HOSPITAL0
SSM DEPAUL HEALTH CENTER FOUNDATION
477 N LINDBERGH BLVDST LOUISMO63141431776109FUNDRAISINGMO501(C)(3)LINE 7SSM HEALTH CARE ST LOUIS0
SSM ST JOSEPH FOUNDATION
477 N LINDBERGH BLVDST LOUISMO63141431591556FUNDRAISINGMO501(C)(3)LINE 7SSM HEALTH CARE ST LOUIS0
SSM ST CLARE HEALTH CENTER FOUNDATION
477 N LINDBERGH BLVDST LOUISMO63141431273310FUNDRAISINGMO501(C)(3)LINE 7SSM HEALTH CARE ST LOUIS0
SSM ST MARY'S HEALTH CENTER FOUNDATION
477 N LINDBERGH BLVDST LOUISMO63141431552945FUNDRAISINGMO501(C)(3)LINE 7SSM HEALTH CARE ST LOUIS0
ST ANTHONY HOSPITAL FOUNDATION INC
477 N LINDBERGH BLVDST LOUISMO63141736104300FUNDRAISINGOK501(C)(3)LINE 7SSM HEALTH CARE OF OKLAHOMA1
SSM HEALTH CARE OF WISCONSIN INC
477 N LINDBERGH BLVDST LOUISMO63141430688874HEALTH CAREWI501(C)(3)LINE 3SSM HEALTH CARE CORPORATION0
DELLS MEDICAL BUILDING INC
477 N LINDBERGH BLVDST LOUISMO63141391613292MOBWI501(C)(2)SSM HEALTH CARE OF WISCONSIN0
ST MARY'S FOUNDATION INC
477 N LINDBERGH BLVDST LOUISMO63141431940686FUNDRAISINGWI501(C)(3)LINE 7SSM HEALTH CARE OF WISCONSIN0
ST CLARE HEALTH CARE FOUNDATION INC
477 N LINDBERGH BLVDST LOUISMO63141431940683FUNDRAISINGWI501(C)(3)LINE 7SSM HEALTH CARE OF WISCONSIN0
HOME HEALTH UNITED INC
4639 HAMMERSLEY ROADMADISONWI53713391539827HEALTH CAREWI501(C)(3)LINE 9SSM HEALTH CARE OF WISCONSIN0
HOME CARE UNITED INC
4639 HAMMERSLEY ROADMADISONWI53713391776340HEALTH CAREWI501(C)(3)LINE 9SSM HEALTH CARE OF WISCONSIN0
HHU XTRA CARE INC
4639 HAMMERSLEY ROADMADISONWI53713391705111HEALTH CAREWI501(C)(3)LINE 9SSM HEALTH CARE OF WISCONSIN0
SSM REGIONAL HEALTH SERVICES
477 N LINDBERGH BLVDST LOUISMO63141440579850HEALTH CAREMO501(C)(3)LINE 3SSM HEALTH CARE CORPORATION0
ST FRANCIS HOSPITAL FOUNDATION
477 N LINDBERGH BLVDST LOUISMO63141431099253FUNDRAISINGMO501(C)(3)LINE 7SSM REGIONAL HEALTH SERVICES0
ST MARY'S HEALTH CENTER FOUNDATION
477 N LINDBERGH BLVDST LOUISMO63141431575307FUNDRAISINGMO501(C)(3)LINE 11B, IISSM REGIONAL HEALTH SERVICES0
GOOD SAMARITAN REGIONAL HEALTH CENTER
477 N LINDBERGH BLVDST LOUISMO63141430653587HEALTH CAREIL501(C)(3)LINE 3SSM REGIONAL HEALTH SERVICES0
ST MARY'S HOSPITAL CENTRALIA ILLINOIS
477 N LINDBERGH BLVDST LOUISMO63141370662580HEALTH CAREIL501(C)(3)LINE 3SSM REGIONAL HEALTH SERVICES0
ST MARY'S - GOOD SAMARITAN INC
477 N LINDBERGH BLVDST LOUISMO63141364170833HEALTH CAREIL501(C)(3)LINE 11A, ISSM REGIONAL HEALTH SERVICES0
GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION
477 N LINDBERGH BLVDST LOUISMO63141262884795FUNDRAISINGIL501(C)(3)LINE 7ST MARY'S-GOOD SAMARITAN INC0
ST MARY'S HOSPITAL FOUNDATION
477 N LINDBERGH BLVDST LOUISMO63141364636691FUNDRAISINGIL501(C)(3)LINE 7ST MARY'S-GOOD SAMARITAN INC0
SSM HEALTH BUSINESSES
477 N LINDBERGH BLVDST LOUISMO63141431333488HEALTH CAREMO501(C)(3)LINE 3SSM HEALTH CARE CORPORATION0
SSM HEALTH CARE ST LOUIS
477 N LINDBERGH BLVDST LOUISMO63141431343281HEALTH CAREMO501(C)(3)LINE 3SSM HEALTH CARE CORPORATION0
CENTRALIA MEDICAL SERVICES BLDG ASSOC
477 N LINDBERGH BLVDST LOUISMO63141237408025HEALTH CAREIL501(C)(3)LINE 11B, IISSM REGIONAL HEALTH SERVICES0
ST MARY'S JANESVILLE FOUNDATION INC
477 N LINDBERGH BLVDST LOUISMO63141273439133FUNDRAISINGWI501(C)(3)LINE 7SSM HEALTH CARE OF WISCONSIN0
FRANCISCAN SISTERS OF MARY
1100 BELLEVUE AVEST LOUISMO63117431012492RELIGIOUS ORGANIZATIONMO501(C)(3)LINE 10N/A
LEE DEWEY CORPORATION
477 N LINDBERGH BLVDST LOUISMO63141731279603MOBOK501(C)(3)LINE 11A, ISSM HEALTH CARE OF OKLAHOMA1
HEALTH CARE FOR KIDS
4055 LINDELL BLVDST LOUISMO63141431620093HEALTH CAREMO501(C)(3)LINE 3SSM CARDINAL GLENNON CHILDREN'S HOSPITAL0
SSM HOSPICE & HOME CARE FOUNDATION
477 N LINDBERGH BLVDST LOUISMO63141300012246FUNDRAISINGMO501(C)(3)LINE 7SSM HEALTH BUSINESSES0
ST MARY'S HOSPITAL AUXILIARY
100 ST MARYS MEDICAL PLAZAJEFFERSON CITYMO65101436049878FUNDRAISINGMO501(C)(3)LINE 11B, II0N/A
GOOD SAMARITAN HOSPITAL AUXILIARY
605 NORTH 12TH STREETMT VERNONIL62864237049599FUNDRAISINGIL501(C)(3)LINE 11C, III-FI0N/A
HHU-VNS FOUNDATION
4639 HAMMERSLEY ROADMADISONWI53713391839309FUNDRAISINGWI501(C)(3)LINE 7SSMHC WISCONSIN0
ST MARY'S HOSPITAL AUXILIARY
400 N PLEASANTCENTRALIAIL62801237126345FUNDRAISINGIL501(C)(3)LINE 90N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
SSM SJ ENDOSCOPY
477 N LINDBERGH BLVDST LOUISMO63141270046559SURGERY SERVICESMON/A
SSMCDI IMAGING
3440 DEPAUL LN STE 100BRIDGETONMO63044263791858IMAGING SERVICESMON/A
SA MT AMB SURG
110 N LEEOKLAHOMA CITYOK73103731528341SURGERY SERVICESOKN/ARELATED442738644517000.83780
ST CLARE IMAGING SERVICES
707 14TH STREET SUITE ABARABOOWI53913200122365DIAG. SERVICESWIN/A
MT VERNON RADIATION THERAPY CENTER
477 N LINDBERGH BLVDST LOUISMO63141201382620RADIATION THERAPYILN/A
SLEEPNEURO SO IL
477 N LINDBERGH BLVDST LOUISMO63141208468195DIAG. SERVICESILN/A
SMHC SURG CO-MGMT
100 ST MARYS MEDICAL PLAZAJEFFERSON CITYMO65101208929305MANAGEMENTMON/A
SMHC CARD CO-MGMT
100 ST MARYS MEDICAL PLAZAJEFFERSON CITYMO65101208929381MANAGEMENTMON/A
SMHC MUSC CO-MGMT
100 ST MARYS MEDICAL PLAZAJEFFERSON CITYMO65101208929237MANAGEMENTMON/A
CHOWSMGSI
605 N 12TH STREETST LOUISMO63141371383861MOBILN/A
COMP CANCER CARE
477 N LINDBERGH BLVDST LOUISMO63141201382727MOBILN/A
MIA OF ST CHARLES
132 NORTH KANSAS ST ROOM 212ST CHARLESMO63301422125740DIAG. SERVICESMON/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
SSM MANAGED CARE ORGANIZATION LLC
477 N LINBERGH BLVDST LOUISMO63141431708511HEALTH PROMOTIONMON/AC
FPP INC
477 N LINBERGH BLVDST LOUISMO63141431465174HEALTH CAREMON/AC
DIVERSIFIED HEALTH SERVICES CORP
477 N LINBERGH BLVDST LOUISMO63141431369305MEDICAL EQUIPMENTMON/AC
SSM CARDIO AND THORACIC SERVICES INC
477 N LINBERGH BLVDST LOUISMO63141260286559HEALTH CAREMON/AC
SSM PROPERTIES INC
477 N LINBERGH BLVDST LOUISMO63141431462486PROPERTY SERVICESMON/AC
SSM DEPAUL MEDICAL GROUP INC
477 N LINBERGH BLVDST LOUISMO63141431715106HEALTH CAREMON/AC
SSM ST CHARLES CLINIC MED GROUP INC
477 N LINBERGH BLVDST LOUISMO63141430626408PHYSICIAN OFFICESMON/AC
HEALTH FIRST PHYS MANAGEMENT
477 N LINBERGH BLVDST LOUISOK63141731534336MEDICAL SERVICESOKN/AC
SSMHCS LIABILITY TRUST II
477 N LINBERGH BLVDST LOUISMO63141816128118INSURANCEMON/AC
SSM NEUROSCIENCES INC
477 N LINBERGH BLVDST LOUISMO63141263413981HEALTH CAREMON/AC
SSM MEDICAL GROUP INC
477 N LINBERGH BLVDST LOUISMO63141431664107PHYSICIAN OFFICESMON/AC
SSMHC INSURANCE COMPANY
477 N LINBERGH BLVDST LOUISMO63141030310431INSURANCECAN/AC
SSM ORTHOPEDIC INC
477 N LINBERGH BLVDST LOUISMO63141271557033HEALTH CAREMON/AC
SSM CANCER CARE
477 N LINBERGH BLVDST LOUISMO63141271557324HEATH CAREMON/AC
SSM ST JOSEPH SURGERY CENTER
477 N LINDBERGH BLVDST LOUISMO63141431822767HEALTH CAREMON/AC
ST MARY'S DEAN VENTURES INC
1808 WEST BELTLINE HIGHWAYMADISONWI53713391628491HEALTH CAREWIN/AC
SHARED MRI FACILTIY INC
1104 JOHN NOLEN DRIVEMADISONWI53713391534744HEALTH CAREWIN/AC
PHYSICIANS SERVICES CORP OF SOUTHERN ILLINOIS
477 N LINBERGH BLVDST LOUISMO63141364161526HEALTH CAREILN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SSM EMPLOYEE HEALTH CARE FUND
Q23599024COST OF SERVICES
ST ANTHONY HOSPITAL FOUNDATION
C1955901CASH CONTRIBUTION
LEE DEWEY
J1007672RENTAL AGREEMENT
ST ANTHONY MIDTOWN AMBUL SURGERY CTR LLC
A268350RENTAL AGREEMENT
LEE DEWEY
P324985REIMBURSED EXPENSES
ST ANTHONY HOSPITAL FOUNDATION
O838561COST OF SERVICES