2016-11-15T10:02:28-06:00 2015-12-31 990 2015-01-01 730657693 SSM Health Care of Oklahoma SSMH 3149947800 10101 Woodfield Lane St Louis MO 63132 June L Pickett Secretary 2016-11-15 2015 2017-02-10 21:41:12Z See Schedule O William Thompson 10101 Woodfield Lane St Louis MO 63132 517244020 false 0928 X www.ssmhealth.com/system X 1987 OK A healthcare network encompassing SSM Health facilities primarily in central Oklahoma, including three hospitals, a multi-specialty medical group and four regional healthplexes. 12 8 4149 151 3025770 0 1975149 1443010 491761851 503740866 472457 3485616 5984101 6134537 500193558 514804029 682215 631844 0 222208530 215333222 0 0 278823982 286002934 501714727 501968000 -1521169 12836029 297656053 446490702 327442336 408175896 -29786283 38314806 THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. false false 453197890 631844 506382137 PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 453197890 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X 238576 0 33609 Margaret Salyer Director 1.0 2.0 X 0 0 0 Natalie Shirley Pt Yr Director 1.0 2.0 X 0 0 0 Kersey Winfree MD Director 1.0 43.0 X 0 620324 188590 Ramona Carey Assistant Secretary 40.0 2.0 X 75587 0 32901 Paula Friedman Vice President 1.0 54.0 X 0 829649 261763 Shasta Manuel System VP Finance/CFO 30.0 11.0 X 0 353735 83689 June Pickett Secretary 1.0 65.1 X 0 261177 47284 Kris Zimmer Treasurer 1.0 57.0 X 0 1102244 366850 Cynthia Brundige Sys VP Human Resources 40.0 0 X 0 266873 127974 Marti Jourden Reg VP-Quality and Performance 40.0 0 X 200028 0 66018 Tamara Powell President-Bone & Joint Hospital 40.0 0 X 0 610679 217671 Stephen Powell VP Phys Practice Admin 40.0 0 X 321065 0 77373 Leonard Bowen Physician 40.0 0 X 1285528 0 70740 Aviniash Vyas Physician 40.0 0 X 1195215 0 75157 Salman Zubair Physician 40.0 0 X 960675 0 33270 Reji Pappy Physician 40.0 0 X 1017942 0 41807 David Lam Physician 40.0 0 X 739173 0 44361 Christopher Howard Former Officer 0.0 54.0 X 0 1145315 359223 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RESTRICTED false false false false true 12393 false false false 12393 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The organization paid dues to various national hospital associations and a portion of these dues were allocated to lobbying activities. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The organization paid dues to various national hospital associations and a portion of these dues were allocated to lobbying activities. 45573 45573 75573 30000 45573 75573 2 2 75573 75573 3313 3313 75573 75573 7000 7000 75573 0.0 1.0 0.0 false true true 7204112 7204112 232129349 146963950 85165399 3261764 2851698 410066 173311775 131755060 41556715 50736446 50736446 185072738 BENEFICIAL INTEREST IN FOUNDATION 20150197 F INVESTMENT IN JOINT VENTURES 8459645 F SSM COMPREHENSIVE INVESTMENT PROGRAM 463586 F 29073428 OTHER RECEIVABLES 4961644 DUE FROM THIRD-PARTY PAYOR 335417 GOODWILL 1034809 DUE FROM AFFILIATES 146266513 SOFTWARE 112188 152710571 THIRD-PARTY PAYOR 60321824 PENSION FUNDING LIABILITY 17641494 ASSET RETIREMENT OBLIGATION 189705 DUE TO AFFILIATES 100701866 DEFERRED REVENUE 173845 RABBI TRUST LIABILITY 2192557 ALLOCATED TAX-EXEMPT BOND DEBT (ISSUED BY SSM HEALTH CARE CORPORATION) 186071099 367292390 X Schedule D, Part V, Line 4 Intended uses of endowment funds THE PERMANENT ENDOWMENT FUNDS ARE HELD FOR THE PURPOSE OF PROVIDING NURSING SCHOLARSHIPS TO NURSING STUDENTS. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote SSM HEALTH CARE OF OKLAHOMA'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH (SSMH), A RELATED ORGANIZATION. SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS IN 2015 OR 2014. true true true X true X true true true false true false 17629580 0 17629580 0.0352 75875535 84288837 0 0.0 13263279 11280522 1982757 0.0040 0 0 106768394 95569359 19612337 0.0392 288221 1380 286841 0.0006 7508870 7508870 0.0150 0 0.0 0 0.0 349615 0 349615 0.0007 0 0 8146706 1380 8145326 0.0163 0 0 114915100 95570739 27757663 0.0554 200 200 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 4691 4691 0.0000 0 0.0 0 0.0 0 0 4891 0 4891 0.0000 false 10262920 125717175 118798101 6919074 X true true ST ANTHONY HOSPITAL CARDIOVASCULAR SERVICES INSTITUTE LLC MANAGEMENT SERVICES 0.2105 0.8 BONE AND JOINT MANAGEMENT COMPANY MANAGEMENT SERVICES 0.3142 0.703 B&JMCBRIDE OFFICE BUILDING LLC MEDICAL OFFICE BUILDING 0.5 0.5 CLASSEN ASSOCIATES MEDICAL OFFICE BUILDING 0.2014 0.7986 SHAWNEE REAL ESTATE HOLDINGS LLC MEDICAL OFFICE BUILDING 0.5 0.5 1 1 ST ANTHONY HOSPITAL 1000 N LEE OKLAHOMA CITY OK 73103 WWW.SAINTSOK.COM 2304 X X X ST ANTHONY HOSPITAL 1 false false true X X X X X X X X X 15 true true false true X http://www.saintsok.com/Pages/default.aspx X http://www.ssmhealth.com/system/community-benefit X true 15 true http://www.ssmhealth.com/system/community-benefit false false true X 200.0 400.0 X X X X X true true X X X true X http://www.ssmhealth.com/system/exceptional-care/financial-assistance X http://www.ssmhealth.com/system/exceptional-care/financial-assistance X http://www.ssmhealth.com/system/exceptional-care/financial-assistance X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - St Anthony Hospital. St Anthony Hospital conducted a community perception survey including key stakeholders from the community which encompasses Canadian, Cleveland, Oklahoma and Pottawatomie Counties. Health questionnaires were distributed to a random sample of 21 community leaders, of which 71.4% responded (see list on page 29 of the CHNA). The fifty-question survey covered a wide range of topics from access to care, quality of life, chronic disease and lifestyle factors. Additional data was derived from a variety of sources including the Healthy Communities Institute (HCI) and other SSM Health data analytics platforms. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - St Anthony Hospital. Primary data collection was performed in collaboration with St Anthony Hospital Shawnee, a member of SSM Health. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - St Anthony Hospital. SSM Health's mission statement is "Through our exceptional health care services, we reveal the healing presence of God." During 2015, in collaboration with our community partners, St. Anthony Hospital conducted a Community Health Needs Assessment (CHNA) and developed a strategic implementation plan for the 2016-2018 cycle. The strategic priorities we will address over the next three years include: mental health, diabetes, and heart disease. The SSM Health Care of Oklahoma Regional Board approved this CHNA on November 11, 2015. St. Anthony Hospital last conducted a CHNA in 2012. The strategic priorities of the community benefit plan as identified in the 2013- 2015 community health needs assessment (CHNA) are: obesity, heart disease, and substance abuse. Our needs assessment was completed November 1, 2012 and adopted as part of our strategic plan on December 15, 2012. Goals and objectives were established to change behavior, provide metrics to measure change, and to impact the overall health of those we serve. All of the community benefit activities are designed to meet the needs identified in the CHNA. St. Anthony Hospital in downtown Oklahoma City has served the needs of Oklahomans for more than 100 years, offering a wide range of services and state-of-the-art facilities with physicians and staff who are dedicated to providing exceptional health care consistent with our mission. A recent report by the United Health Foundation found Oklahoma to be one of the unhealthiest states in the nation, ranked 48th based on measures of health outcomes, disease rates, and access to care. St. Anthony is currently following a plan to address high-priority needs in mental health, substance abuse, heart disease, obesity, and diabetes. St. Anthony Hospital's CHNA is a snapshot of health status in the hospital's primary service area (Oklahoma, Canadian, Cleveland, and Pottawatomie Counties). The CHNA takes into account the health of the people in the community through data and statistics; identifies and prioritizes health needs that exist; and proposes how these concerns can be addressed to help improve the health of the community. The St Anthony Hospital 2013 - 2015 CHNA identified obesity as a high-priority need for the hospital and will use social media promotion and community walks to supports its efforts to improve the health of the community. The following goals were achieved in 2015 to address obesity: * Goal: Decrease the percentage of residents in Oklahoma County who do not engage in regular physical activity from 28.3% in 2014 to 26.3% in 2015, data will not be available until late 2016. The St Anthony Hospital 2013 - 2015 CHNA identified heart disease as a high-priority need for the hospital. St Anthony Hospital initiatives include establishing a weekly on-site clinic for Chronic Heart Failure (CHF) patients; and hiring a readmission coordinator to manage high-risk patients and assist in scheduling follow-up appointments with physicians. The following goal was identified for 2015 to address heart disease: * Goal: Reduce chronic heart failure readmissions from 24.66% in 2014 to 15.3% in 2015, Chronic Health Failure readmissions averaged 17.06% for 2015. The St Anthony Hospital 2013 - 2015 CHNA identified substance abuse as a high-priority need for the hospital. St Anthony Hospital initiative include providing three clinical education units on substance abuse and suicide prevention to Licensed Counselors, Licensed Professional Counselors, Licensed Marriage and Family Therapists, and Licensed Clinical Social Workers; and marketing 28 radio advertisements in 2015 for the St. Anthony Recovery and Treatment (START) program. The following goal was identified for 2015 to address substance abuse: * Goal: Reduce the number of suicides by poisoning in Canadian, Cleveland, Oklahoma and Pottawatomie counties from 19 in 2014 to 18 in 2015, data will not be available until late 2016. Using a point rating system, the top ten community health needs were identified. A full list of needs and points totals can be found in Appendix 4 of the CHNA. St. Anthony's internal work group further refined the refined the list to determine which of the top ten identified needs would develop into strategic action plans. This was done by using an internal rating scale that considered: the number of people in the area that are affected by the problem; how well the concern aligns with the hospital's mission and strategies, what resources are required to address the issue; and could the health need be measurably impacted. This process resulted in five needs being prioritized. While the number of community health needs and those who need them is long, there are existing facilities and resources that work to bridge the gap. See pages 29 through 30 of the 2012 CHNA for a list of existing community resources. 43 Bone and Joint Hospital 1111 N Dewey Ave Oklahoma City OK 73103 Orthopedic hospital St Anthony Interventional Radiology 1000 N Lee Ave 4th Floor Oklahoma City OK 73102 Specialty Care Clinic St Anthony Physicians Family Medicine Midtown 1111 N Lee Suite 305 Oklahoma City OK 73103 Primary Care Clinic St Anthony Physicians Internal Medicine 1111 N Lee Suite 334 Oklahoma City OK 73103 Primary Care Clinic St Anthony Physicians - Meeker 102 West Carl Hubbell Meeker OK 74855 Primary Care Clinic St Anthony Physician Chandler 114 North Highway 18 Chandler OK 74851 Primary Care Clinic St Anthony Physicians Healthplex North 13401 N Western Ave Oklahoma City OK 73114 Primary Care Clinic St Anthony Physicians Healthplex Mustang 201 S Sara Road Suite 200 Mustang OK 73064 Primary Care Clinic Family Healthcare Clinic Shawnee 3204 Medical Park Dr Shawnee OK 74804 Primary Care Clinic St Anthony Physicians Shawnee 3315 Kethley Rd SHAWNEE OK 74804 Primary Care Clinic St Anthony Physicians Dermatology Center 9720 N Broadway Ext Oklahoma City OK 73114 Specialty Care Clinic St Anthony Physicians Family Medicine 608 NW 9th St Suite 1100 Oklahoma City OK 73102 Primary Care Clinic St Anthony Physicians Heritage Family Medicine 6908 E Reno Ave Midwest City OK 73110 Primary Care Clinic St Anthony Physician Neurology Center 535 NW 9th Street Suite 235 Oklahoma City OK 73102 Neurology Clinic St Anthony Physicians Healthplex - East 3400 S Douglas Blvd Oklahoma City OK 73150 Primary Care Clinic Family Medicine Clinic Shawnee 3214 Kethley Rd Shawnee OK 74804 Primary Care Clinic St Anthony Physicians Healthplex - South 13500 S Tulsa Drive Oklahoma City OK 73170 Primary Care Clinic St Anthony Physicians HematologyOncology 1011 N Dewey Ave Oklahoma City OK 73102 Specialty Care Clinic St Anthony Physicians Midtown Pediatrics 608 NW 9th Street Suite 3000 Oklahoma City OK 73102 Specialty Care Clinic Saint Anthony Physicians North 6201 North Santa Fe Suite 2010 Oklahoma City OK 73118 Primary Care Clinic St Anthony Physicians Dermatology Enid 330 S 5th St Ste 400 ENID OK 73701 Specialty Care Clinic St Anthony Physicians Cardiovascular Ins 608 NW 9th Street Suite 4000 Oklahoma City OK 73102 Specialty Care Clinic St Anthony Physicians Choctaw 15679 NE 23rd Street Choctaw OK 73020 Primary Care Clinic St Anthony Physicians Norman 3700 W Robinson Suite 108 Norman OK 73072 Primary Care Clinic St Anthony Physicians Metro Medical Assoc 120 N Robinson Suite 153W Oklahoma City OK 73102 Primary Care Clinic St Anthony Physicians Interventional Pain 535 NW 9th Street Suite 205 Oklahoma City OK 73102 Specialty Care Clinic St Anthony Physicians Center for Integra 535 NW 9th Suite 220 Oklahoma City OK 73102 Specialty Care Clinic St Anthony Physicians Vascular Associates 608 NW 9th St Suite 5204 Oklahoma City OK 73102 Specialty Care Clinic St Anthony Physicians Mustang 120 N Chisholm Trail Way Mustang OK 73064 Primary Care Clinic St Anthony Physicians Internal Medicine 608 NW 9th Street Suite 4106 Oklahoma City OK 73102 Primary Care Clinic St Anthony Physicians McLoud 704 S 8th St MCLOUD OK 74851 Primary Care Clinic St Anthony Physician Surgery Center 535 NW 9th Suite 330 OKlahoma City OK 73102 Surgery Center St Anthony Physicians Gastroenterology 608 NW 9th Street Suite 3206 Oklahoma City OK 73102 Specialty Care Clinic St Anthony Physicians Cardiovascular Disease 608 NW 9th St Ste 6105 Oklahoma City OK 73102 Specialty Care Clinic St Anthony Physicians Endocrinology Assoc 608 NW 9th St Ste 5000 Oklahoma City OK 73102 Specialty Care Clinic St Anthony Physicians Stroud 2308 B Hwy 66 STROUD OK 74079 Primary Care Clinic St Anthony Physicians Pulmonary Associates 608 NE 9th Street Suite 3110 Oklahoma City OK 73102 Specialty Care Clinic St Anthony Physicians Midtown Renal Care 810 NW 10th St Ste A Oklahoma City OK 73106 Specialty Care Clinic St Anthony Physicians Dermatology 6908 E Reno Ave Suite 102 Midwest City OK 73110 Specialty care clinic St Anthony Physicians Family Medicine 1111 N Lee Suite 305 Oklahoma City OK 73103 Primary care clinic St Anthony Physicians Interventional 608 NW 9th Street Suite 4000 Oklahoma City OK 73102 Primary care clinic Midtown Sports 400 NW 13th Oklahoma City OK 73103 Specialty Care Clinic St Anthony Physicians Obstetrics 1111 N Lee Suite 300 Oklahoma City OK 73103 Specialty care clinic St Anthony Physicians Rheumatology 1111 N Lee Oklahoma City OK 73103 Specialty care clinic St Anthony Breast Care Service 535 NW 9th Street Suite 220 Oklahoma City OK 73102 Specialty care clinic St Anthony Physicians McLoud 704 S 8th Street Mcloud OK 74851 Primary care clinic St Anthony Physicians Cardiology 608 NW 9th Street Suite 5010 Oklahoma City OK 73102 Specialty care clinic St Anthony Physician North 6201 North Santa Fe Suite 1010 Oklahoma City OK 73118 Primary care clinic SAPO Chesapeake Health Center 924 NW 59th Street Oklahoma City OK 73118 Primary care clinic Pasteur Ambulatory Diagnostic 1111 N Lee Oklahoma City OK 73102 Specialty care clinic St Anthony Physicians 6201 N Santa Fe Suite 2000 Oklahoma City OK 73118 Specialty care clinic St Anthony Physicians Pulmonary Associates 608 NE 9th Street Suite 3110 Oklahoma City OK 73102 Specialty care clinic Schedule H, Part I, Line 3b ELIGIBILITY FOR DISCOUNTED CARE Services eligible under the financial assistance policy will be made available to the patient on a sliding fee scale, in accordance with financial need, as determined in reference to Federal Poverty Levels (FPL) in effect at the time of the determination. The basis for the amounts the hospital will charge patients qualifying for financial assistance is as follows: Patients whose family income is above 200% but not more than 400% of the FPL are eligible to receive discounted services at amounts no greater than the amounts generally billed to the hospital's commercially insured or Medicare patients. Schedule H, Part I, Line 3c DISCOUNTED CARE EXCEPTIONS Patients whose family income exceeds 400% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the hospital; however the discounted rates shall not be greater than the amounts generally billed to commercially insured [or Medicare] patients. In such cases, other factors may be considered in determining their eligibility for discounted or free services, including: * Bank accounts, investments and other assets * Employment status and earning capacity * Amount and frequency of bills for health care services * Other financial obligations and expenses * Generally, financial responsibility will be no more than 25% of gross family income. The hospital may utilize predictive analytical software or other criteria to assist in making a determination of financial assistance eligibility in situations where the patient qualifies for financial assistance but has not provided the necessary documentation to make a determination. This process is called "presumptive eligibility." Schedule H, Part I, Line 6a COMMUNITY BENEFIT ANNUAL REPORT SSM Health Care of Oklahoma, Inc. is part of the integrated health system known as SSM Health. In an effort to strengthen its community benefit program, SSM Health plans for, measures, and communicates community benefits provided to persons who are low income, the unpaid costs of public programs and other activities that respond to community need, improve community health, or reach out to low income and vulnerable persons. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Financial Assistance Methodology: The cost of financial assistance is calculated in compliance with catholic health association (CHA) guidelines. A cost to charge ratio calculated using the IRS worksheet 2, ratio of patient care cost to charges, was used to compute financial assistance at cost. This is the ratio of total adjusted operating expense to total gross patient revenue. The gross revenue amount is a gross amount - prior to contractual adjustments and bad debts. Both gross revenue and costs are based on charges at date/time of service. Unreimbursed Medicaid Costing Methodology: The cost of unreimbursed Medicaid is calculated in compliance with Catholic Health Association (CHA) guidelines. A cost to charge ratio calculated utilizing IRS Worksheet 2, Ratio of patient care cost to charges, was used to compute unreimbursed Medicaid costs. This is the ratio of total adjusted operating expenses to total gross patient revenue. The gross revenue amount is gross amount - prior to contractual adjustments and bad debts. Both gross revenue and costs are based on charges at date/time of service. Community health improvement services and community benefit operations costing methodology: The costs for these programs were derived from the actual costs incurred in these areas. Subsidized health services costing methodology: The expenditures are determined based on actual invoices or dollar amounts spent and charged to these departments, reduced by any grant revenues restricted for these services, if any. Research costing methodology: Research expenses were taken from the income and expense statements for the research departments, derived from the accounting system. Cash and In-Kind contributions to community groups costing methodology: Contribution expenditures are based on actual invoices that were captured and reported for this program, derived from the accounting system. Schedule H, Part II Community Building Activities SSM Health Care of Oklahoma participates in a wide array of community and civic organizations in the promotion of health care and community building activities. Specific activities reported in Part II of Schedule H include the following: Community building - physical improvements: participation in rebuilding together with use of staff to improve/repair home of low income elderly persons in the community. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Bad debt expense reported in the accounting system, adjusted for bad debt recoveries, was used, multiplied by the cost to charge ratio using IRS Worksheet 2, Ratio of patient costs to charges. Schedule H, Part III, Line 3 Bad Debt Expense Methodology SSM Health Care of Oklahoma, Inc. did not make an estimate of the organization's bad debt attributable to patients eligible under the organization's financial assistance policy. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote SSM Health Care of Oklahoma, Inc. is part of the SSM Health consolidated audit. The footnote that references bad debt expense in the December 31, 2015 consolidated audit is contained on page 17 and 18 of the attached financial statements. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The Medicare costs reported on Line 6 were obtained from the 2015 Medicare cost report. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance SSM Health Care of Oklahoma, Inc. has established a written credit and collection policy and procedures. The billing and collection policies and practices reflect the mission and values of SSM Health, including our special concern for people who are poor and vulnerable. The Health Center embraces its responsibility to serve the communities in which it participates by establishing sound business practices. The Health Center's billing and collection practices will be fairly and consistently applied. All staff and vendors are expected to treat all patients consistently and fairly regardless of their ability to pay. They respond to patients in a prompt and courteous manner regarding any questions about their bills and provide notification of the availability of financial assistance. All uninsured patients will be provided a standard discount for medically necessary inpatient and outpatient services, including services provided at off-campus outpatient sites. The hospital determined the amount of the discount based on the local managed care market, applicable statutory requirements and other relevant local circumstances. The rate must be no less than the lowest effective discount rate and no greater than the highest effective discount rate for the current managed care contracts of the hospital. Uninsured patients may also qualify for an additional discount based upon financial need under the system financial assistance policy. All accounts due from the patient will receive a statement after discharge or after final adjudication from patient's insurance. Generally the patient will receive 4 months (120 days) of in-house collection efforts (including early out vendors) and 12 months of bad debt collection efforts. The hospital will make Reasonable Efforts to determine FAP eligibility including: 1. The financial assistance summary will be included with each billing statement 2. Extraordinary Collection Activity (ECAs) may not occur until bad debt placement and only after the expiration of the notification period. 3. ECAs must be suspended if a guarantor submits a FAP application during the application period. 4. Reasonable measures must be taken to reverse ECAs if the application is approved which may include refunding any payments made in excess of amounts owed as an FAP-eligible individual. 5. Bad Debt vendors will gain written approval from SSM prior to engaging in ECAs. SSM will review the accounts and verify satisfactory completion of reasonable efforts during the notification and application period. A waiver is not considered reasonable efforts. Obtaining a signed waiver that an individual does not wish to apply for FAP assistance or receive FAP application information will not meet the requirement to make "reasonable efforts" to determine whether the individual is FAP-eligible before engaging in ECAs. All outside collection agencies must comply with state and federal laws, comply with the association of credit and collection professional's code of ethics and professional responsibility and comply with St. Anthony Hospital's collection and financial assistance policies. Schedule H, Part V, Section B, Line 16a FAP website - ST ANTHONY HOSPITAL: Line 16a URL: http://www.ssmhealth.com/system/exceptional-care/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - ST ANTHONY HOSPITAL: Line 16b URL: http://www.ssmhealth.com/system/exceptional-care/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - ST ANTHONY HOSPITAL: Line 16c URL: http://www.ssmhealth.com/system/exceptional-care/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment SSM Health (SSMH) participates in Community Benefit according to our vision. Through our participation in the healing ministry of Jesus Christ, communities, especially those that are economically, physically, & socially marginalized, will experience improved health in mind, body, spirit and environment. In the tradition of our founders, the Franciscan Sisters of Mary, caring for those in greatest need remains our organizational priority. Today our System Board monitors Community Benefit efforts, and views achievement of our vision as a primary responsibility. The purpose of SSMH's Community Benefit program is to assess and address community health needs. Making our communities healthier in measurable ways is always our goal. To fulfill this commitment, SSMH's Community Benefit is divided into two parts: 1) Community Health Needs Assessment (CHNA), and 2) Community Benefit Inventory for Social Accountability (CBISA). The CHNA is an assessment and prioritization of community health needs and the adoption and implementation of strategies to address those needs. A CHNA is conducted every three years by each hospital according to the following steps: * Assess and prioritize community health needs: Gather CHNA data from secondary sources; obtain input from stakeholders representing the broad interests of the community through interviews and focus groups; use data to select top health priorities; and complete written CHNA. * Develop, adopt, and implement strategies to address top-health priorities: Establish strategies to address priorities; complete Strategic Implementation Plan; obtain Regional/Divisional Board approval; and integrate strategies into operational plan. * Make CHNA widely available to the public: Publish CHNA and summary document on hospital's website. * Monitor, track, and report progress on top health priorities: Collect data and evaluate progress; report to Regional/Divisional Board every six months and System Board every year; share findings with community stakeholders; and send results to finance for submission to the Internal Revenue Service (IRS). CBISA is the gathering, collecting, and reporting of all data relating to community benefit activities and programs across the System. A CBISA is conducted every year by each hospital according to the following steps: * Collect and enter data: Send out emails reminding staff to submit activities; enter data into Lyon; and run reports to share with leaders. * Finalize and report on prior year: Enter all prior year data into Lyon by January 31; and communicate final prior year figures to IRS, System Board, and the community. System Office staff and leaders oversee and monitor SSM's Community Benefit Program, and ensure reporting is in compliance with IRS regulations. In collaboration with community stakeholders and partner organizations, all hospital CHNAs were completed, approved, and integrated into the organization's strategic plan. We continue to monitor and assess the progress of our local efforts in the spirit of caring for others and improving community health. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance All SSMH facilities will strive to provide exceptional health care services to all persons in need regardless of their ability to pay. All billing and collection policies reflect the mission and values of SSMH, including our special concern for people who are poor and vulnerable. SSMH facilities offer discounts for hospital services to all uninsured persons. Self-pay discounts apply to everyone who does not have health insurance, no matter their ability to pay. SSMH applies its charity care policies fairly and consistently. Each person is treated as an individual with specific needs for assistance without regard to payment. SSMH embraces its responsibility to serve the communities in which we participate by establishing sound business practices. Charity care is provided to patients based on a sliding scale for household incomes up to four times the federal poverty level. Patients whose household income is no more than two times the federal poverty level are eligible for free hospital services. In addition, an exception to the sliding scale is provided for a patient's balance due if the amount is too large to be reasonably paid through an installment plan over four years given the family income and expenses. Each entity providing medical service shall provide information to the public regarding its charity care policies and the qualification requirements for each of its facilities. When standard system notices and communication regarding charity care are available, these must be used. Modifications to the standard may be made to comply with state and local laws, as well as reflect culturally sensitive terminology for the policy. All notices are easy to understand by the general public, culturally appropriate and available in those languages that are prevalent in the community. They provide information about: * The patient's responsibility for payment, * The availability of financial assistance from public programs and entity charity care and payment arrangements, * The entity's charity policy and application process, and * Who to contact to get additional information or financial counseling. The following types of notices to the public are provided: * Signs in the emergency department, outpatient and inpatient registration and public waiting areas. * Brochures or fliers provided at time of registration and available in the financial counseling areas. * Notices sent with or on patient bills or communications sent to patients and guarantors related to medical services. * Applications provided to uninsured patients at the time of registration. The application for charity care, together with any instructions, must clearly state the policies regarding charity care, including excluded services, eligibility criteria and documentation requirements. Information about the entity's charity policies is also provided to public agencies. Schedule H, Part VI, Line 4 Community information St. Anthony Hospital is located in Oklahoma City, Oklahoma in the center of Oklahoma County. In addition to Oklahoma County, St Anthony Hospital's Primary Service Area (PSA) includes Canadian, Cleveland and Pottawatomie Counties. The 2011 estimated population of the four-county PSA is 1,186,563. The four-county PSA has an expected growth rate of 5.0% from 2011 to 2016. The 2011 projected population for the PSA is slightly younger than the national average, with 51.1% under age 35. All four PSA counties are projected to see an increase in the number of infants and youth under age 18 from 2011 to 2016. For this same period, the total PSA is also projected to see a growth rate of 16.0% for seniors age 65 and above. Distribution of race/ethnicity in our community is white/Caucasian: 68%; black/African-American: 11%; Hispanic: 11%; other: 10%. Additional detailed information on the St Anthony Hospital service area can be found on pages 13 through 22 of the 2012 CHNA. St. Anthony provides general, tertiary acute care services including cardiology, oncology, behavioral medicine, surgery, kidney transplantation, and a variety of other disciplines. St. Anthony has brought many "firsts" to health care in Oklahoma (first ICU, first kidney transplant, first neurosurgical institute), including bringing the state's only Cyberknife technology to Oklahomans. Bone and Joint Hospital at St. Anthony is unique in that the hospital, physicians and other health care professionals are committed solely to orthopedic care. Our staff offers a range of orthopedic services including hip and knee replacement, spine surgery, pain management, sports medicine, arthroscopic procedures, foot and ankle surgery, hand surgery, and robotic surgery. Through Saints Medical Group, SSM Health Care of Oklahoma provides Primary Care Physicians in Family Medicine, Internal Medicine and Pediatrics. Specialty service lines include Cardiology, Dermatology, Neurology, Obstetrics/Gynecology, Orthopedics, Pulmonary, Thoracic Surgery, Vascular Surgery, Diagnostic/Medical Testing Services, and a Occupational Health Network. Schedule H, Part VI, Line 5 Promotion of community health SSM Health Care of Oklahoma, Inc. participates in a wide array of community programs throughout the area to further its exempt purpose of promoting the health of the community. The community initiatives build on the strengths of our communities and systems to improve the quality of life and to create a sense of hope. Community Benefit initiatives build community capacity and individual empowerment through community organizing, leadership development, partnerships, and coalition building. Our Community Health programs provide compassionate and competent care while they promote health improvement by reaching directly into the community to ensure that low-income and under-served persons can access health care services. Focusing on a broad definition of health, SSM Health Care of Oklahoma's hospital, clinics and programs provide medical and mental health services, health education, health management, prevention, referrals, insurance enrollment and in-home primary care services and support, while fostering collaboration and incorporating Community Benefit strategies. SSM Health Care of Oklahoma promotes grassroots advocacy and engages persons of influence to affect social and public policy change in order to promote both community health and healthy communities. SSM Health Care of Oklahoma also furthers its exempt purpose with the following activities: * Operates an emergency room that is open to all persons regardless of ability to pay, * Has an open medical staff with privileges available to all qualified physicians in the area, * Has a governing body in which independent persons representative of the community comprise a majority * Engages in the training and education of health care professionals, * Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs * All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system. Schedule H, Part VI, Line 6 Affiliated health care system SSM Health Care of Oklahoma, Inc. is a 501(c)(3) organization and is a member of the integrated health care system known as SSM Health. Schedule H, Part VI, Line 7 State filing of community benefit report IL, MO, OK, WI true ARCHDIOCESE OF OKLAHOMA CITY 7501 NW EXPRESSWAY OKLAHOMA CITY OK 73123 730632924 501(C)(3) 44734 General support ARTHRITIS FOUNDATION 710 W WILSHIRE SUITE 101 OKLAHOMA CITY OK 73116 943454386 501(C)(3) 15000 General support AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 40000 General support ARTS COUNCIL OF OKLAHOMA CITY INC 400 W CALIFORNIA AVENUE OKLAHOMA CITY OK 73102 736112471 501(C)(3) 12500 General support OKLAHOMA CITY BALLET 7421 N CLASSEN BLVD OKLAHOMA CITY OK 73116 237003520 501(C)(3) 10000 General support CATHOLIC CHARITIES 3577 HIGH POINT ROAD MADISON WI 53744 390807067 501(C)(3) 66000 General support DOWNTOWN OKC 210 PARK AVE SUITE 230 OKLAHOMA CITY OK 73102 731593759 501(C)(3) 10000 General support GREATER OKLAHOMA CITY CHAMBER OF COMMERCE 123 PARK AVENUE OKLAHOMA CITY OK 73102 730391180 501(C)(3) 67950 General support OKLAHOMA CHRISTIAN UNIVERSITY PO BOX 11000 OKLAHOMA CITY OK 73136 730555460 501(C)(3) 36000 General support OKLAHOMA CONTEMPORARY ARTS CENTER INC 3000 GENERAL PERSHING BLVD OKLAHOMA CITY OK 73107 731334271 501(C)(3) 11000 General support RED BUD FOUNDATION 421 AVONDALE DR SUITE 204-A OKLAHOMA CITY OK 73116 731293464 501(C)(3) 20000 General support SHARTEL BLVD DEVELOPMENT AUTHORITY INC 301 NW 18TH STREET OKLAHOMA CITY OK 73103 731572000 501(C)(3) 15000 General support UNITED WAY OF CENTRAL OKLAHOMA INC 1444 NW 28TH STREET OKLAHOMA CITY OK 73106 730589829 501(C)(3) 25000 General support VARIETY CARE FOUNDATION PO BOX 2098 OKLAHOMA CITY OK 73101 730580273 501(C)(3) 5000 General support YMCA 500 N BROADWAY AVE SUITE 500 OKLAHOMA CITY OK 73102 730579270 501(C)(3) 10000 General support Allied Arts Foundation Affiliated Fund of OCCF Inc PO Box 1146 Oklahoma City OK 73101 731483619 501(c)(3) 25000 General support Canterbury Choral Society 2 East 90th Street New York NY 10128 133582822 501(c)(3) 10000 General support The CARE Center - Child Abuse Response & Evaluation Center Inc PO Box 1125 Oklahoma City OK 73101 731393193 501(c)(3) 5000 General support Center of Family Love Inc PO Box 245 Okarche OK 73762 731130455 501(c)(3) 10000 General support Civic Center Foundation 201 N Walker Oklahoma City OK 73102 731606322 501(c)(3) 7500 General support Health Alliance for the Uninsured Inc 3000 United Founders Blvd Oklahoma City OK 73112 261789292 501(c)(3) 90000 General support ITN Central Oklahoma Inc 313 Northeast 50th Suite 2 Oklahoma City OK 73105 462250170 501(c)(3) 10000 General support Leadership Oklahoma City Inc 730 W Wilshire Blvd Suite 116 Oklahoma City OK 73116 731164548 501(c)(3) 10000 General support NAMI Oklahoma Inc 3037 NW 63rd Street Oklahoma City OK 73116 731248588 501(c)(3) 7500 General support Oklahoma Policy Inc 907 South Detroit Avenue Suite 1005 Tulsa OK 74120 331178624 501(c)(3) 5000 General support Oklahoma Project Woman Inc PO Box 14026 Tulsa OK 74159 731616817 501(C)(3) 7500 General support Urban Land Institute 1025 Thomas Jefferson St NW NO 500W Washington DC 20007 530159845 501(c)(3) 10000 General support University of Science and Arts of Oklahoma Foundation Inc 1727 W Alabama Chickasha OK 73018 731031040 501(c)(3) 13500 General support Oklahoma University Health Sciences Center 1100 N Lindsay Ave Oklahoma City OK 73104 730762267 501(C)(3) 5000 General support 29 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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. X true true false true false false false false false false false Joe Hodges Director, President 0 634274 0 72074 0 82351 0 253826 0 37475 0 1080000 0 115614 William Thompson Director, Vice Chairperson 0 1811138 0 308788 0 133613 0 4365995 0 20667 0 6640201 0 406158 Robert Rader MD Director 236667 0 0 0 1909 0 1958 0 31651 0 272185 0 0 0 Kersey Winfree MD Director 0 456244 0 52144 0 111936 0 149306 0 39284 0 808914 0 83644 Christopher Howard Former Officer 0 880239 0 114623 0 150453 0 325161 0 34062 0 1504538 0 172583 Paula Friedman Vice President 0 652002 0 78209 0 99438 0 241557 0 20206 0 1091412 0 115239 Shasta Manuel System VP Finance/CFO 0 337437 0 0 0 16298 0 59656 0 24033 0 437424 0 13320 June Pickett Secretary 0 230234 0 0 0 30943 0 23052 0 24232 0 308461 0 0 Kris Zimmer Treasurer 0 869852 0 109688 0 122704 0 332810 0 34040 0 1469094 0 161838 Cynthia Brundige Sys VP Human Resources 0 249727 0 0 0 17146 0 109218 0 18756 0 394847 0 9520 Marti Jourden Reg VP-Quality and Performance 190682 0 0 0 9346 0 41036 0 24982 0 266046 0 7320 0 Tamara Powell President-Bone & Joint Hospital 0 513063 0 37544 0 60072 0 206143 0 11528 0 828350 0 59944 Stephen Powell VP Phys Practice Admin 301806 0 0 0 19259 0 56198 0 21175 0 398438 0 11120 0 Leonard Bowen Physician 1239858 0 0 0 45670 0 37376 0 33364 0 1356268 0 0 0 Aviniash Vyas Physician 1130447 0 0 0 64768 0 35856 0 39301 0 1270372 0 0 0 Salman Zubair Physician 935869 0 0 0 24806 0 2752 0 30518 0 993945 0 0 0 Reji Pappy Physician 1016078 0 0 0 1864 0 14329 0 27478 0 1059749 0 0 0 David Lam Physician 738276 0 0 0 897 0 15232 0 29129 0 783534 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments The following individuals listed on Part VII Section A received a tax indemnification/gross up payment in 2015. These payments were included in their taxable compensation. Stephen Powell Leonard Bowen Aviniash Vyas Salman Zubair Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The organization's top management official, hospital president, is compensated by a related organization that utilized the following to determine compensation: (1) Independent Compensation Consultant; (2) compensation survey or study; (3) approval by the SSM Health (SSMH) President. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Pension Restoration Plan: SSM Health (SSMH) provides this supplemental defined benefit nonqualified retirement plan to any employee who is a participant in the SSMH qualified defined benefit plan who earns over the Internal Revenue Service compensation limit. The plan "restores" the benefits to these employees that would have been provided under SSMH's qualified plan if the regulations did not impose compensation limits. An individual can take a distribution from the plan at (1) age 65 or older if the individual is still employed by SSMH or (2) age 55 or older if the individual is no longer employed by SSMH. No reportable individuals listed on Part VII of Form 990 received distributions from this plan during 2015. Capital Accumulation Plan: SSMH provides this supplemental nonqualified retirement plan to executive level employees. The organization contributed a percentage of the employee's base salary into their choice of a select list of investments. The deposits and earnings of the plan are owned by SSMH and are tax-deferred until a distribution is made to the employee. In addition, the plan has special safeguards in place to protect the funds from contingencies, other than insolvency. For contributions made to the plan in 2014 or after, the distribution will occur after the completion of four plan years for all executives that are still actively employed on the distribution date. Any active participant 65 years or older will receive the contribution in the current year. The following individuals listed on Part VII of the Form 990 received distributions from this plan in 2015. All distributions received from the plan in the current year were included in the individuals' taxable compensation. Joe Hodges $43,593 William Thompson $97,489 Kersey Winfree, MD $38,678 Paula Friedman $38,208 Shasta Manuel $13,336 June Pickett $18,727 Kris Zimmer $53,267 Cynthia Brundige $9,532 Marti Jourden $7,329 Tamara Powell $22,427 Stephen Powell $14,850 Christopher Howard $74,102 Form 990, Part III, Line 4a Description of Program Service Briefly describe the organization's mission: Since it was founded in 1872 by Catholic sisters, SSM Health (SSMH) has existed to meet the health needs of the communities it serves. SSMH is a Catholic, not-for- profit health system serving the comprehensive health needs of communities across the Midwest through one of the largest integrated delivery systems in the nation. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSMH includes 19 acute care hospitals, one children's hospital, more than 60 outpatient care sites, a pharmacy benefit company, an insurance company, two long-term care facilities, comprehensive home care and hospice services, a technology company, and two Accountable Care Organizations. The health system employs more than 31,000 people and is affiliated with more than 8,500 physicians making it one of the largest employers in every community it serves. SSMH is sponsored by SSM Health Ministries, an independent 6- member body comprised of three Franciscan Sisters of Mary and three lay people who collectively hold certain reserved powers over SSMH. In the tradition of its founding sisters, SSMH strives to fulfill its mission by providing exceptional health care to everyone who comes to its hospitals, regardless of their ability to pay. About SSM Health Care of Oklahoma: SSM Health Care of Oklahoma (SSMOK) is a health-care network that encompasses SSM Health Care facilities primarily in central Oklahoma. This includes St. Anthony Hospital in Oklahoma City, Bone and Joint Hospital at St. Anthony and St. Anthony Physicians Group, a multi-specialty medical group with locations geographically spread among the communities we serve. SSMOK is also the sole corporate member of St Anthony Shawnee Hospital in Shawnee, Oklahoma. In addition to the main hospital campuses, the region also encompasses St Anthony North, located in North Oklahoma City, and St Anthony South, located in South Oklahoma City. Two new three-story facilities, St Anthony Healthplex East and St Anthony Healthplex South, are now open in east and south Oklahoma City. These state-of-the-art campuses feature freestanding emergency rooms, ambulatory services and physicians. In 2010, SSM Health Care of Oklahoma was recognized with the Oklahoma Quality Award for Excellence. St. Anthony Hospital is a 601-bed regional referral facility located in midtown Oklahoma City and serving the needs of Central Oklahoma as well as many counties throughout the state of Oklahoma. St. Anthony provides general, tertiary acute care services including cardiology, oncology, behavioral medicine, surgery, kidney transplantation, and a variety of other disciplines. St. Anthony has brought many "firsts" to health care in Oklahoma (first ICU, first kidney transplant, first neurosurgical institute), including bringing the state's only Cyberknife technology to Oklahomans. St. Anthony Hospital has earned 2014 'Top Performer' recognition from The Joint Commission, based on 2013 accountability measure data, and has been recognized with numerous Innovator of the Year Awards by The Journal Record, including: InQuickER, Sleep Lab, Celebrity Chef, Concierge Services, and Corporate Mammography Days. Bone and Joint Hospital at St. Anthony is unique in that the hospital, physicians and other health care professionals are committed solely to orthopedic care. Our staff offers a range of orthopedic services including hip and knee replacement, spine surgery, pain management, sports medicine, arthroscopic procedures, foot and ankle surgery, hand surgery, and robotic surgery. In 2012, U.S. News and World Report ranked Bone and Joint Hospital at St. Anthony third in Oklahoma City, with special high performance recognition in orthopedics. Through Saints Medical Group, SSM Health Care of Oklahoma provides Primary Care Physicians in Family Medicine, Internal Medicine and Pediatrics. Specialty service lines include Cardiology, Dermatology, Neurology, Obstetrics/Gynecology, Orthopedics, Pulmonary, Thoracic Surgery, Vascular Surgery, Diagnostic/Medical Testing Services, and an Occupational Health Network. SSMOK also includes St. Anthony Affiliate Health Network that encompasses 17 affiliate hospitals, including six tier one affiliate hospitals. Physician specialty clinics, mobile diagnostics and telehealth capabilities are offered to communities throughout the network, thus improving access to health care in the communities located some distance from a metropolitan area. Describe the organization's approach to providing community benefit: SSM Health (SSM) participates in Community Benefit according to our vision, Through our participation in the healing ministry of Jesus Christ, communities, especially those that are economically, physically, and socially marginalized, will experience improved health in mind, body, spirit and environment. In the tradition of our founders, the Franciscan Sisters of Mary, caring for those in greatest need remains our organizational priority. Today our System Board monitors Community efforts, and views achievement of our vision as a primary responsibility. The purpose of SSM's Community Benefit program is to assess and address community health needs. Making our communities healthier in measurable ways is always the goal. To fulfill this commitment, SSM's Community Benefit is divided into two parts: 1) Community Health Needs Assessment (CHNA), and 2) Community Benefit Inventory for Social Accountability (CBISA). First, CHNA is the assessment and prioritization of community health needs and the adoption and implementation of strategies to address those needs. A CHNA is conduced every three years by each hospital according to the following steps: * Assess and prioritize community health needs: Gather CHNA data from secondary sources; obtain input from stakeholders representing the broad interests of the community through interviews and focus groups; use data to select top health priorities; and complete written CHNA. * Develop, adopt, and implement strategies to address top-health priorities: Establish strategies to address priorities; complete Strategic Implementation Plan; obtain Regional/Divisional Board approval; and integrate strategies into operational plan. * Make CHNA widely available to the public: Publish CHNA and summary document on hospital's website. * Monitor, track, and report progress on top health priorities: Kick-off meeting conducted and updated toolkit distributed; and periodic meetings scheduled to evaluate and monitor progress. Data collected and report made to Regional/Divisional Board every six months and System Board every year; share findings with community stakeholders; and send results to finance for submission to the Internal Revenue Service (IRS). Next, CBISA is the gathering, collecting, and reporting of all data relating to community benefit activities and programs across the System. A CBISA is conducted every year by each hospital according to the following steps: * Collect and enter data: Kick-off meeting conducted and updated toolkit distributed; new staff complete Lyon web-based course; and periodic meetings scheduled to evaluate and monitor progress. Emails sent reminding staff to submit activities; occurences entered into Lyon; and reports are produced and shared with leaders. * Finalize and report on prior year: All prior year data entered into Lyon by January 31; and communicate final prior year figures to IRS, System Board, and the community. System Office staff and leaders oversee and monitor SSM's Community Benefit Program, and ensure reporting is in compliance with IRS regulations. In collaboration with community stakeholders and partner organizations, all hospital CHNAs were completed, approved, and integrated into the organization's strategic plan. We continue to monitor and assess the progress of our local efforts in the spirit of caring for others and improving community health. Form 990, Part III, Line 4b Description of Program Service (Continued) Description of CHNA Community Benefit Programs: For more information on CHNA community benefit programs provided by SSM Health Care of Oklahoma, please see Schedule H, Part V. Organizational description for tax exemption: SSM Health Care of Oklahoma, Inc. participates in a wide array of community programs throughout the area to further its exempt purpose of promoting the health of the community. The community initiatives build on the strengths of our communities and systems to improve the quality of life and to create a sense of hope. Community Benefit initiatives build community capacity and individual empowerment through community organizing, leadership development, partnerships, and coalition building. Our Community Health programs provide compassionate and competent care while they promote health improvement by reaching directly into the community to ensure that low-income and under-served persons can access health care services. Focusing on a broad definition of health, SSM Health Care of Oklahoma's hospital, clinics and programs provide medical and mental health services, health education, health management, prevention, referrals, insurance enrollment and in-home primary care services and support, while fostering collaboration and incorporating Community Benefit strategies. SSM Health Care of Oklahoma promotes grassroots advocacy and engages persons of influence to affect social and public policy change in order to promote both community health and healthy communities. SSM Health Care of Oklahoma also furthers its exempt purpose with the following activities: * Operates an emergency room that is open to all persons regardless of ability to pay, * Has an open medical staff with privileges available to all qualified physicians in the area, * Has a governing body in which independent persons representative of the community comprise a majority * Engages in the training and education of health care professionals, * Participates in Medicaid, Medicare, Champus, Tricare, and/or other government- sponsored health care programs * All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system. Describe the organization's financial assistance policies or programs (e.g., charity care, discounting) for low-income persons and how they are communicated to the public. For information on the financial assistance policies provided by SSM Health Care of Oklahoma, please see Schedule H. Quantifiable Community Benefit: This section includes a list of the types of programs and services that could be included as community benefit activities: Traditional Charity Care $ 17,628,580 Cost of Bad Debt $ 10,262,920 Community Benefit Programs $ 8,145,326 Total Quantifiable Community Benefit $ 36,036,826 Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE CORPORATION. SSM HEALTH CARE CORPORATION IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH SSM HEALTH CARE OF OKLAHOMA AND SSM HEALTH CARE CORPORATION ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND APPOINT AND REMOVE THE APPOINTED DIRECTORS AND THE EX OFFICIO DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT ADDITIONAL SUCCESSOR OR REPLACEMENT MEMBERS C. TO ELECT AND REMOVE THE APPOINTED DIRECTORS AND THE EX OFFICIO DIRECTORS D. TO APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION AND THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION E. TO APPROVE THE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN F. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION G. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION H. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY I. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION J. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY K. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY L. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS, TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS, AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS M. TO APPROVE THE STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION N. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION O. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTEREST IN THE PROPERTY OF THE CORPORATION P. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER OR TO ANY ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY THE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS, AND OBJECTIVE OF THE MEMBER AS DETERMINED BY THE MEMBER Q. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE MEMBER APPROVAL; AND R. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY NON-CONTROLLED SUBSIDIARY. Form 990, Part VI, Line 11b Review of form 990 by governing body ACCOUNTING/FINANCE PERSONNEL AT EACH SSMH (SSM HEALTH SYSTEM) ENTITY, IN CONJUNCTION WITH SYSTEM FINANCE PERSONNEL, PREPARE INFORMATION AND SUPPORTING SCHEDULES THAT ARE USED TO PREPARE THE FORM 990. THIS INFORMATION IS THEN REVIEWED BY A SUPERVISOR/MANAGER AND SENT TO THE SYSTEM OFFICE, WHERE SSMH PERSONNEL PREPARE THE FORM 990. THE SYSTEM DIRECTOR - TAX AND COMPLIANCE REVIEWS THE COMPLETED RETURN AND PROVIDES THE RETURN TO ENTITY MANAGEMENT PERSONNEL FOR FINAL REVIEW PRIOR TO FILING. THE COMPLETE FORM 990 IS PROVIDED ELECTRONICALLY TO ALL BOARD MEMBERS AT THE NEXT REGULARLY SCHEDULED BOARD MEETING. Form 990, Part VI, Line 12c Conflict of interest policy BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY OF THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUST BE COMPLETED ONLINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR-END. Form 990, Part VI, Line 19 Required documents available to the public THE YEAR-END AUDITED CONSOLIDATED FINANCE STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE OKLAHOMA SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. Form 990, Part IX, Line 11g Other Fees Medical Physician, Practitioner, Psychiatrist, Resident, and Therapist - Total Expense: 24116869, Program Service Expense: 23720155, Management and General Expenses: 396714, Fundraising Expenses: ; Recruitment, Consulting, Administrative, and PBS Fees - Total Expense: 27572460, Program Service Expense: 25051763, Management and General Expenses: 2520697, Fundraising Expenses: ; Medical Lab, Radiology, Transportation - Total Expense: 8678525, Program Service Expense: 8676972, Management and General Expenses: 1553, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in beneficial interest in foundation - -512336; Transfers from affiliates - 55567797; FORM 990, PART I DOING BUSINESS AS SSM HEALTH CARE OF OKLAHOMA, INC. CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING REGISTERED NAMES: 1) BONE & JOINT HOSPITAL 2) BONE & JOINT HOSPITAL AT ST. ANTHONY 3) ST. ANTHONY HOSPITAL 4) ST. ANTHONY CENTER FOR BEHAVIORAL MEDICINE AT ST. MICHAEL 5) ST. ANTHONY PHYSICIANS SHAWNEE 6) ST. ANTHONY SHAWNEE HOSPITAL 7) ST. ANTHONY HOSPITAL, OKLAHOMA CITY, OKLAHOMA 8) ST. ANTHONY RECOVERY AND TREAT PROGRAM (START) 9) VEIN AND CIRCULATION CENTER AT ST. ANTHONY HOSPITAL SAINTS MEDICAL GROUP 477 N LINDBERGH BLVD ST LOUIS MO 63141 760825755 MEDICAL SERVICES OK 24551435 8840239 SSM HEALTH CARE OF OKLAHOMA SSM Health Care Corporation 10101 Woodfield Lane St Louis MO 63132 466029223 Health Care MO 501(c)(3 SSM HEALTH MINISTRIES false SSMHC Liability Trust I 10101 Woodfield Lane St Louis MO 63132 436331003 Insurance MO 501(c)(3 SSM Health Care Corporation false SSM Consolidated Health Services 10101 Woodfield Lane St Louis MO 63132 431473657 Health Care MO 501(c)(3 SSM Health Care Corporation false SSM Policy Institute 10101 Woodfield Lane St Louis MO 63132 431788151 Health Care MO 501(c)(4 SSM Health Care Corporation false SSM Health Care Portfolio Management Co 10101 Woodfield Lane St Louis MO 63132 431825256 Management MO 501(c)(3 SSM Health Care Corporation false SSM Cardinal Glennon Children's Hospital 10101 Woodfield Lane St Louis MO 63132 430738490 Health Care MO 501(c)(3 3 SSM Health Care St Louis false Cardinal Glennon Children's Foundation 10101 Woodfield Lane St Louis MO 63132 431754347 Fundraising MO 501(c)(3 7 SSM Cardinal Glennon Children's Hospital false SSM DePaul Health Center Foundation 10101 Woodfield Lane St Louis MO 63132 431776109 Fundraising MO 501(c)(3 7 SSM Health Care St Louis false SSM St Joseph Foundation 10101 Woodfield Lane St Louis MO 63132 431591556 Fundraising MO 501(c)(3 7 SSM Health Care St Louis false SSM St Clare Health Center Foundation 10101 Woodfield Lane St Louis MO 63132 431273310 Fundraising MO 501(c)(3 7 SSM Health Care St Louis false SSM St Mary's Health Center Foundation 10101 Woodfield Lane St Louis MO 63132 431552945 Fundraising MO 501(c)(3 7 SSM Health Care St Louis false St Anthony Hospital Foundation Inc 10101 Woodfield Lane St Louis MO 63132 736104300 Fundraising OK 501(c)(3 7 SSM Health Care of Oklahoma true SSM Health Care of Wisconsin Inc 10101 Woodfield Lane St Louis MO 63132 430688874 Health Care WI 501(c)(3 3 SSM Health Care Corporation false Dells Medical Building Inc 10101 Woodfield Lane St Louis MO 63132 391613292 MOB WI 501(c)(2 SSM Health Care of Wisconsin false St Mary's Foundation Inc 10101 Woodfield Lane St Louis MO 63132 431940686 Fundraising WI 501(c)(3 7 SSM Health Care of Wisconsin false St Clare Health Care Foundation Inc 10101 Woodfield Lane St Louis MO 63132 431940683 Fundraising WI 501(c)(3 7 SSM Health Care of Wisconsin false Home Health United Inc 2802 Walton Commons Lane Madison WI 53718 391539827 Health Care WI 501(c)(3 9 SSM Health Care of Wisconsin false Home Care United Inc 2802 Walton Commons Lane Madison WI 53718 391776340 Health Care WI 501(c)(3 9 SSM Health Care of Wisconsin false HHU Xtra Care Inc 2802 Walton Commons Lane Madison WI 53718 391705111 Health Care WI 501(c)(3 9 SSM Health Care of Wisconsin false Home Health United - VNS Foundation Inc 2802 Walton Commons Lane Madison WI 53718 391839309 Fundraising WI 501(c)(3 Type I NA false SSM Regional Health Services 10101 Woodfield Lane St Louis MO 63132 440579850 Health Care MO 501(c)(3 3 SSM Health Care Corporation false St Francis Hospital Foundation 10101 Woodfield Lane St Louis MO 63132 431099253 Fundraising MO 501(c)(3 7 SSM Regional Health Services false St Mary's Health Center Jefferson City Missouri Foundation 10101 Woodfield Lane St Louis MO 63132 431575307 Fundraising MO 501(c)(3 Type I NA false Good Samaritan Regional Health Center 10101 Woodfield Lane St Louis MO 63132 430653587 Health Care IL 501(c)(3 3 SSM Regional Health Services false St Mary's Hospital Centralia Illinois 10101 Woodfield Lane St Louis MO 63132 370662580 Health Care IL 501(c)(3 3 SSM Regional Health Services false St Mary's - Good Samaritan Inc 10101 Woodfield Lane St Louis MO 63132 364170833 Health Care IL 501(c)(3 SSM Regional Health Services false Good Samaritan Regional Health Center Foundation 10101 Woodfield Lane St Louis MO 63132 262884795 Fundraising IL 501(c)(3 7 St Mary's - Good Samaritan false St Mary's Hospital Foundation 10101 Woodfield Lane St Louis MO 63132 364636691 Fundraising IL 501(c)(3 7 St Mary's - Good Samaritan false St Marys Hospital Auxiliary 400 N Pleasant Centralia IL 62801 237126345 Fundraising IL 501(c)(3 9 St Mary's Hospital Foundation false SSM Health Businesses 10101 Woodfield Lane St Louis MO 63132 431333488 Health Care MO 501(c)(3 9 SSM Health Care Corporation false SSM Health Care St Louis 10101 Woodfield Lane St Louis MO 63132 431343281 Health Care MO 501(c)(3 3 SSM Health Care Corporation false Centralia Medical Services Bldg Assoc 10101 Woodfield Lane St Louis MO 63132 237408025 MOB IL 501(c)(3 Type I NA false St Mary's Janesville Foundation Inc 2901 Landmark PL Ste 300 Madison WI 53713 273439133 Fundraising WI 501(c)(3 7 SSM Health Care of Wisconsin false Franciscan Sisters of Mary 3221 McKelvey Road Suite 107 Bridgeton MO 63044 431012492 Religious Organization MO 501(c)(1 NA false Lee Dewey Corporation 10101 Woodfield Lane St Louis MO 63132 731279603 MOB OK 501(c)(3 SSM Health Care of Oklahoma true SSM Hospice and Home Care Foundation 10101 Woodfield Lane St Louis MO 63132 300012246 Fundraising MO 501(c)(3 7 SSM Health Businesses false St Mary's Hospital Auxiliary 100 St Marys Medical Plaza Jefferson City MO 65101 436049878 Fundraising MO 501(c)(3 Type I NA false Good Samaritan Hospital Auxiliary 605 North 12th Street Mt Vernon IL 62864 237049599 Fundraising IL 501(c)(3 Type II NA false St Anthony Shawnee Hospital Inc 1000 N Lee Ave Oklahoma City OK 73102 455055149 Health Care OK 501(c)(3 3 SSM Health Care of Oklahoma true SSM Audrain Health Care Inc 10101 Woodfield Lane St Louis MO 63132 431550298 Health Care MO 501(c)(3 3 SSM Regional Health Services false Audrain Medical Center Foundation Inc 620 E Monroe Street Mexico MO 65265 431265060 Fundraising MO 501(c)(3 SSM Audrain Health Care Inc false SSM-SLUH Inc 10101 Woodfield Lane St Louis MO 63132 474196634 Health Care MO 501(c)(3 3 SSM Health Care St Louis false SSM St Joseph Endoscopy Center LLC 10101 Woodfield Lane St Louis MO 63132 270046559 Surgery Services MO NA N/A 0 0 0 0.0 St Clare Imaging Services 707 14th Street Suite A Baraboo WI 53913 200122365 Diag Services WI NA N/A 0 0 0 0.0 Mt Vernon Radiation Therapy Center LLC 10101 Woodfield Lane St Louis MO 63132 201382620 Radiation Therapy IL NA N/A 0 0 0 0.0 Sleep & Neurology Center of S Illinois LLC 10101 Woodfield Lane St Louis MO 63132 208468195 Diag Services IL NA N/A 0 0 0 0.0 ChowSMGSI Office Building LLC 10101 Woodfield Lane St Louis MO 63132 371383861 MOB IL NA N/A 0 0 0 0.0 Oza Cancer Center LLC 10101 Woodfield Lane St Louis MO 63132 201382727 MOB IL NA N/A 0 0 0 0.0 Shawnee Real Estate Holdings LLC 1000 N Lee Ave Oklahoma City OK 73102 455458304 MOB OK SSM Health Care of Oklahoma Excluded 361513 6695929 false false 0.5 SSM RX Express LLC 10101 Woodfield Lane St Louis MO 63132 264031708 Pharmacy MO NA N/A 0 0 0 0.0 Dean Clinic & St Marys Hospital Accountable Care Organization LLC 1808 West Beltline Highway Madison WI 53713 452995500 Accountable Care Organization WI NA N/A 0 0 0 0.0 Wisconsin Integrated Information Technology and Telemedicine Systems LLC 1808 West Beltline Highway Madison WI 53713 392016715 Information Technology Services WI NA N/A 0 0 0 0.0 Dean Health Holdings LLC 1277 Deming Way Madison WI 53717 261594709 Support Services WI NA N/A 0 0 0 0.0 Wingra Building Group 1808 West Beltline Highway Madison WI 53713 390237060 MOB WI NA N/A 0 0 0 0.0 Janesville Riverview Clinic Building Partnership 1808 West Beltline Highway Madison WI 53713 396220698 MOB WI NA N/A 0 0 0 0.0 B&J McBride Office Building LLC 1000 N Lee Ave Oklahoma City OK 73102 731533449 MOB OK SSM Health Care of Oklahoma Excluded 203275 1360927 false false 0.5 SSM Managed Care Organization LLC 10101 Woodfield Lane St Louis MO 63132 431708511 Health Promotion MO NA C Corporation false FPP Inc 10101 Woodfield Lane St Louis MO 63132 431465174 Health Care MO NA C Corporation false Diversified Health Services Corp 10101 Woodfield Lane St Louis MO 63132 431369305 Medical Equipment MO NA C Corporation false SSM Cardio and Thoracic Services Inc 10101 Woodfield Lane St Louis MO 63132 260286559 Health Care MO NA C Corporation false SSM Properties Inc 10101 Woodfield Lane St Louis MO 63132 431462486 Property Services MO NA C Corporation false SSM Depaul Medical Group Inc 10101 Woodfield Lane St Louis MO 63132 431715106 Health Care MO NA C Corporation false SSM St Charles Clinic Med Group Inc 10101 Woodfield Lane St Louis MO 63132 430626408 Physician Offices MO NA C Corporation false Health First Phys Management 10101 Woodfield Lane St Louis MO 63132 731534336 Medical Services OK NA C Corporation false SSMHCS Liability Trust II 10101 Woodfield Lane St Louis MO 63132 816128118 Insurance MO NA C Corporation false SSM Neurosciences Inc 10101 Woodfield Lane St Louis MO 63132 263413981 Health Care MO NA C Corporation false SSM Medical Group Inc 10101 Woodfield Lane St Louis MO 63132 431664107 Physician Offices MO NA C Corporation false SSMHC Insurance Company 10101 Woodfield Lane St Louis MO 63132 030310431 Insurance CA NA C Corporation false SSM Orthopedic Inc 10101 Woodfield Lane St Louis MO 63132 271557033 Health Care MO NA C Corporation false SSM Cancer Care Inc 10101 Woodfield Lane St Louis MO 63132 271557324 Health Care MO NA C Corporation false Physicians Services Corp of Southern Illinois 10101 Woodfield Lane St Louis MO 63132 364161526 Health Care IL NA C Corporation false Dean Health Systems Inc 1808 West Beltline Highway Madison WI 53713 391128616 Physician Offices WI NA C Corporation false Dean Health Insurance Inc PO Box 56099 Madison WI 53705 391830837 Insurance WI NA C Corporation false Dean Health Plan Inc PO Box 56099 Madison WI 53705 391535024 Insurance WI NA C Corporation false St Mary's Dean Ventures Inc 1808 West Beltline Highway Madison WI 53713 391628491 Physician Offices WI NA C Corporation false Dean Retail Services Inc 1808 West Beltline Highway Madison WI 53713 391717636 Property Services WI NA C Corporation false Navitus Holdings LLC 1808 West Beltline Highway Madison WI 53713 800968174 Pharmacy Benefits WI NA C Corporation false Oza Oncology Inc 4117 Veterans Memorial Drive Mt Vernon IL 62804 371343746 Physician Offices IL NA C Corporation false true true true true false false false false false true true true true true true true true true true St Anthony Hospital Foundation C 1440260 Cash Contribution St Anthony Hospital Foundation Q 983132 Cost of Services Lee Dewey Corporation K 1029730 Rental Agreement St Anthony Hospital Foundation S 2143517 Cash