2024-11-15T14:14:01-06:00 2023-12-31 990 2023-01-01 736104300 THE ST ANTHONY HOSPITAL FOUNDATION INC STAN 3149947800 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 STEPHANIE KING VP FINANCE 3149947800 2024-11-15 0 2023 2024-10-15 13:58:12Z X STEPHANIE KING 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 4958178 0 0928 X WWW.GIVETOSAINTS.COM X 1963 MO TO SUPPORT PATIENTS IN SSM HEALTH CARE OF OKLAHOMA HOSPITALS, HEALTHPLEXES AND CLINICS. 30 30 0 39 0 0 6691769 2825582 0 0 1077514 1929935 -81046 -6419 7688237 4749098 1806418 5160208 0 0 590636 542153 0 0 562419 257136 468625 2654190 6170986 5034047 -1421888 38501107 43218014 600079 3602805 37901028 39615209 X THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 5162680 5160208 PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 5162680 1 1 0 0 0 0 0 0 0 1 1 1 1 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 7 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 30 30 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 OK X SHERYL RICE RHODES 4052727060 601 NW 11TH STREET OKLAHOMA CITY OK 73101 CHUCK WALWORTH DIRECTOR - CHAIRMAN 1.00 3.00 X X 0 0 0 LINDA WHITTINGTON DIRECTOR - VICE CHAIRMAN 1.00 0.00 X X 0 0 0 CHAD HOLEMAN DIRECTOR - SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 BROOKS RICHARDSON DIRECTOR - PAST CHAIRMAN 1.00 0.00 X X 0 0 0 SALIMA AHMAD MD DIRECTOR 1.00 0.00 X 0 0 0 CINDY BATT DIRECTOR 1.00 0.00 X 0 0 0 JERRY BENDORF DIRECTOR 1.00 0.00 X 0 0 0 MATT CHESNUT DIRECTOR 1.00 0.00 X 0 0 0 PAUL W DUDMAN DIRECTOR 1.00 0.00 X 0 0 0 BROOKE HANEBORG DIRECTOR 1.00 0.00 X 0 0 0 SUZETTE HATFIELD DIRECTOR 1.00 0.00 X 0 0 0 SHEILA HEIM DIRECTOR 1.00 0.00 X 0 0 0 WADE HUCKABAY DIRECTOR 1.00 0.00 X 0 0 0 JIMMY IRWIN DIRECTOR 1.00 0.00 X 0 0 0 ERIC JOINER DIRECTOR 1.00 0.00 X 0 0 0 CINDY MIKEMAN DIRECTOR 1.00 0.00 X 0 0 0 JULIE D NAIFEH DIRECTOR 1.00 0.00 X 0 0 0 COREY PHILLIPS DIRECTOR 1.00 0.00 X 0 0 0 SUZANNE POINTER DIRECTOR 1.00 0.00 X 0 0 0 GARY W RAHE MD DIRECTOR 1.00 0.00 X 0 0 0 AVIS SCARAMUCCI DIRECTOR 1.00 0.00 X 0 0 0 ELIZABETH TAYLOR SEMTNER DIRECTOR 1.00 0.00 X 0 0 0 RANDY STALCUP DIRECTOR 1.00 0.00 X 0 0 0 GEOFF STALLINGS DIRECTOR 1.00 0.00 X 0 0 0 BRENT STOCKWELL DIRECTOR 1.00 0.00 X 0 0 0 PHILLIP STRATEMEIER MD DIRECTOR 1.00 0.00 X 0 0 0 TERRY W TAYLOR DIRECTOR 1.00 0.00 X 0 0 0 MIKE TURPEN DIRECTOR 1.00 0.00 X 0 0 0 DAVID WALTERS DIRECTOR 1.00 0.00 X 0 0 0 SHASTA MANUEL SYSTEM VP FINANCE - OKLAHOMA 1.00 41.00 X 0 495900 215406 SHERYL RICE RHODES VP - PHILANTHROPY AND FOUNDATION 40.00 0.00 X 0 290130 78779 0 786030 294185 0 0 1 0 0 469929 42450 2313203 117249 2825582 1929935 1929935 202661 469929 209080 -6419 -6419 4749098 0 0 1923516 5021648 5021648 138560 138560 506568 252581 253987 35585 17743 17842 250 114 136 220056 100136 119920 73455 73455 18076 7174 10902 38776 22102 16674 46877 26720 20157 3573 2324 1249 20903 8296 12607 2472 2472 DONOR CULTIVATION 27288 750 26538 BANK SERVICE CHARGES 15583 7091 8492 DUES & SUBSCRIPTIONS 1316 856 460 6170986 5162680 445887 562419 52138 83474 5694836 5145729 60103 47119 15457 12984 15245828 21211085 17131860 16388359 360988 376383 38501107 43218014 30024 29590 570055 3573215 600079 3602805 X 15103397 18115017 22797631 21500192 37901028 39615209 38501107 43218014 X -1421888 3036015 121461 -21407 X 0 1 X 1 0 X 2540886 3321856 2599811 6555173 2491516 17509242 2540886 3321856 2599811 6555173 2491516 17509242 17509242 635975 503296 540712 581232 1579741 3840956 173089 45370 83197 78879 -6419 374116 21724314 0.80600 0.51650 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6827280 726483 7404551 149212 8358781 -1192638 338863 6827280 7602602 1077481 2715989 49704 8358781 6920655 1001726 270197 49582 7602602 6117193 1117557 264967 49128 6920655 0.00000 1.00000 0.00000 0 1 1 1291 1291 58812 47119 11693 12984 _ UNRESTRICTED PROGRAM FUNDS HELD IN SSM COMPREHENSIVE INVESTMENT PROGRAM 21211085 F 21211085 TEMPORARILY-RESTRICTE D PROGRAM FUNDS 16388359 F 16388359 GIFT ANNUITY LIABILITY 147227 DUE TO AFFILIATE 3425988 3573215 X 8115654 3036015 121461 209080 3366556 4749098 0 4749098 6401473 21407 21407 6380066 -209080 -209080 6170986 PART V, LINE 4: THE FOUNDATION'S ENDOWMENT FUNDS ARE HELD FOR THE PURPOSE OF PROVIDING SCHOLARSHIPS TO NURSING STUDENTS, AS WELL AS SUPPORTING AND ADVANCING ORTHOPEDIC AND ARTHRITIS RESEARCH, EDUCATION, AND CLINICAL PROGRAMS IN THE GREATER OKLAHOMA CITY AREA. PART X, LINE 2: THE ST ANTHONY HOSPITAL FOUNDATION'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF A RELATED ORGANIZATION, SSM HEAL TH (SSMH). 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 RECORDED IN 2023 OR 2022. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 209,080. PART XII, LINE 2D - OTHER ADJUSTMENTS: UNCOLLECTIBLE PLEDGES 20,903. ACTUARIAL CHANGE ON GIFT ANNUITY LIABLITY 504. PART XII, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES -209,080. SAINTS BALL 672590 469929 202661 16956 79839 73269 10266 28750 672590 469929 202661 16956 79839 73269 10266 28750 209080 -6419 1 SSM HEALTHCARE OF OKLAHOMA INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 730657693 501(C)(3) 4972066 49582 BOOK PIZZA, BASEBALL TICKETS, FISH TANK SUPPLIES, GIRL SCOUT COOKIES AND CLOTHING SUPPORT SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY 1 0 EMPLOYEE RELIEF 57 61578 PRESCRIPTION ASSISTANCE 499 39940 SCHOLARSHIPS 10 37042 PART I, LINE 2: THE FOUNDATION'S GRANTS TO ORGANIZATIONS WERE PRIMARILY MADE TO A RELATED ORGANIZATION THAT IS TAX EXEMPT UNDER SECTION 501(C)(3). THIS ORGANIZATION HAS DEVELOPED INTERNAL CONTROL PROCEDURES FOR THE USE OF GRANT FUNDS. APPROVED GRANT APPLICATIONS ARE FORWARDED TO THE FOUNDATION AND THE FOUNDATION PAYS THE REQUESTED EXPENDITURE. TO MONITOR THE USE OF ALL GRANTS, THE FOUNDATION PRESIDENT REVIEWS ALL REQUESTS FOR GRANTS FROM ALL DESIGNATED FUNDS INCLUDING THE TREE OF LIFE FUND AND THE SISTER'S FUND TO ENSURE REQUESTS MEET THE CRITERIA ESTABLISHED FOR THESE FUNDS. PAYMENTS FROM THE SISTER'S FUND FOR PHARMACEUTICALS ARE MADE DIRECTLY TO THE PHARMACY AFTER THE PHARMACEUTICALS HAVE BEEN APPROVED AND NOT TO THE INDIVIDUAL RECEIVING ASSISTANCE. 0 1 0 0 0 0 0 0 0 SHASTA MANUEL SYSTEM VP FINANCE - OKLAHOMA 0 363197 0 95897 0 36806 0 173791 0 41615 0 711306 0 130203 SHERYL RICE RHODES VP - PHILANTHROPY AND FOUNDATION 0 240716 0 34107 0 15307 0 66458 0 12321 0 368909 0 34107 SCHEDULE J, PART I, LINE 3-ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, VICE PRESIDENT-PHILANTHROPY AND FOUNDATION, 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 HEAL TH BOARD OF DIRECTORS. SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PENSION RESTORATION PLAN: SSM HEAL TH (SSMH) PROVIDES THIS SUPPLEMENTAL DEFINED BENEFIT NONQUALIFIED RETIREMENT PLAN TO ANY EMPLOYEE WHO IS A PARTICIPANT IN THE SSMH QUALIFIED DEFINED BENEFIT PLAN WHO EARNS OVER THE INTERNAL REVENUE SERVICE COMPENSATION LIMIT. THE PLAN "RESTORES" THE BENEFITS TO THESE EMPLOYEES THAT WOULD HAVE BEEN PROVIDED UNDER THE SSMH QUALIFIED PLAN IF THE REGULATIONS DID NOT IMPOSE COMPENSATION LIMITS. AN INDIVIDUAL CAN TAKE A DISTRIBUTION FROM THE PLAN AT (1) AGE 65 OR OLDER IF THE INDIVIDUAL IS STILL EMPLOYED BY SSMH OR (2) AGE 55 OR OLDER IF THE INDIVIDUAL IS NO LONGER EMPLOYED BY SSMH. NO INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THE PLAN IN 2023. CAPITAL ACCUMULATION PLAN: SSMH PROVIDES THIS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO EXECUTIVE LEVEL EMPLOYEES. THE ORGANIZATION CONTRIBUTED A PERCENTAGE OF THE EMPLOYEE'S BASE SALARY INTO THEIR CHOICE OF A SELECT LIST OF INVESTMENTS. THE DEPOSITS AND EARNINGS OF THE PLAN ARE OWNED BY SSMH AND ARE TAX-DEFERRED UNTIL A DISTRIBUTION IS MADE TO THE EMPLOYEE. IN ADDITION, THE PLAN HAS SPECIAL SAFEGUARDS IN PLACE TO PROTECT THE FUNDS FROM CONTINGENCIES, OTHER THAN INSOLVENCY. FOR CONTRIBUTIONS MADE TO THE PLAN IN 2014 OR AFTER, THE DISTRIBUTION WILL OCCUR AFTER THE COMPLETION OF FOUR PLAN YEARS FOR ALL EXECUTIVES THAT ARE STILL ACTIVELY EMPLOYED ON THE DISTRIBUTION DATE. ANY ACTIVE PARTICIPANT 65 YEARS OR OLDER WILL RECEIVE THE CONTRIBUTION IN THE CURRENT YEAR. THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DEFERRALS FROM THIS PLAN IN 2023: SHASTA MANUEL $35,621 SHERYL RICE RHODES $11,053 THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DISTRIBUTIONS FROM THIS PLAN IN 2022. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUAL'S TAXABLE COMPENSATION. SHASTA MANUEL $34,874 X AUCTION/EVENT ITEMS 82 64091 BOOK X SUPPLIES 7 53158 COST 0 1 0 PART I, COLUMN (B): SCHEDULE M, PART I - EXPLANATIONS OF REPORTING METHOD FOR NUMBER OF CONTRIBUTIONS OTHER - AUCTION/EVENT ITEMS NUMBER OF CONTRIBUTIONS OTHER - SUPPLIES NUMBER OF CONTRIBUTIONS FORM 990 PART III, LINE 4A - PROGRAM SERVICE ACCOMPLISHMENTS SSM HEALTH ST. ANTHONY HOSPITAL FOUNDATION, INC. PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS SSM HEALTH ST. ANTHONY HOSPITAL FOUNDATION PROVIDES PHILANTHROPIC DOLLARS TO SUPPORT THE HEALING MISSION OF SSM HEALTH OKLAHOMA IN PROVIDING EXCEPTIONAL, COMPASSIONATE HEALTH CARE TO THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THE POOR AND VULNERABLE. SSM HEALTH OKLAHOMA IS COMPRISED OF FIVE HOSPITAL - SSM HEALTH ST. ANTHONY HOSPITAL, SSM HEALTH BONE & JOINT HOSPITAL AT ST. ANTHONY, SSM HEALTH ST. ANTHONY HOSPITAL - SHAWNEE, SSM HEALTH ST. ANTHONY HOSPITAL SHAWNEE, SEMINOLE CAMPUS, SSM HEALTH ST. ANTHONY HOSPITAL - MIDWEST, FIVE HEALTHPLEXES, AND NUMEROUS AMBULATORY CAMPUSES AND MEDICAL CLINICS. THROUGH OUR AFFILIATE HEALTH OKLAHOMA NETWORK OF 18 RURAL HOSPITALS, WE ARE STRENGTHENING HEALTH CARE THROUGHOUT OKLAHOMA BY PROVIDING MANAGEMENT EXPERTISE, TELEMEDICINE, SPECIALTY PHYSICIANS, TECHNOLOGY ASSISTANCE AND CARING FOR CRITICALLY ILL PATIENTS TRANSFERRED EACH MONTH TO RECEIVE CARE THEIR HOME HOSPITAL CANNOT PROVIDE. SSM HEALTH OKLAHOMA IS PART OF SSM HEALTH (SSMH) A NOT-FOR-PROFIT CATHOLIC HEALTH CARE SYSTEM FOUNDED IN 1872 BY CATHOLIC SISTERS. SSMH IS SERVING THE COMPREHENSIVE HEALTH NEEDS OF COMMUNITIES ACROSS THE MIDWEST THROUGH ONE OF THE LARGEST INTEGRATED DELIVERY SYSTEMS IN THE NATION. WITH CARE DELIVERY SITES IN ILLINOIS, MISSOURI, OKLAHOMA AND WISCONSIN, SSMH INCLUDES 23 ACUTE CARE HOSPITALS, ONE CHILDREN'S HOSPITAL, MORE THAN 300 PHYSICIAN OFFICES/OUTPATIENT SITES, VIRTUAL CARE SERVICES, 12 POST-ACUTE FACILITIES, COMPREHENSIVE HOME CARE AND HOSPICE SERVICES, A PHARMACY BENEFIT COMPANY, A HEALTH INSURANCE COMPANY, AND AN ACCOUNTABLE CARE ORGANIZATION. THE HEALTH SYSTEM EMPLOYS NEARLY 40,000 PEOPLE AND IS AFFILIATED WITH NEARLY 13,000 PHYSICIANS MAKING IT ONE OF THE LARGEST EMPLOYERS IN EVERY COMMUNITY IT SERVES. IN THE TRADITION OF ITS FOUNDING SISTERS, SSMH STRIVES TO FULFILL ITS MISSION BY PROVIDING EXCEPTIONAL HEALTH CARE TO EVERYONE WHO COMES TO ITS HOSPITALS, REGARDLESS OF THEIR ABILITY TO PAY. SUMMARIZE THE FOUNDATION'S APPROACH TO PROVIDING COMMUNITY BENEFIT. OUR TOP PRIORITY IS THE HEALTH, COMFORT AND SATISFACTION OF OUR PATIENTS. EXCEPTIONALLY SKILLED TEAMS OF PHYSICIANS, NURSES AND TECHNICIANS PROVIDE STATE-OF-THE-ART MEDICINE IN AN ENVIRONMENT THAT FOSTERS HOPE AND HEALING. PHILANTHROPIC DONATIONS HELP GIVE PATIENTS THE VERY BEST CARE BY FUNDING NEW EQUIPMENT AND TECHNOLOGY, IMPROVING PATIENT CARE AREAS, TRAINING OUR HEALTH CARE PROFESSIONALS AND ENSURING ALL OUR PATIENTS RECEIVE EXCEPTIONAL, COMPASSIONATE HEALTH CARE. OUR GIVING PRIORITIES ARE ALIGNED WITH THE STRATEGIC GOALS OF SSM HEALTH OKLAHOMA, ENSURING THAT MONIES DONATED TO ST. ANTHONY FOUNDATION ARE USED TO SUPPORT CRITICAL MEDICAL SERVICES. OUR CURRENT GIVING PRIORITIES ARE: AREAS OF GREATEST NEED: FUNDS SUPPORT PROGRAMS AND SERVICES MOST NEEDED TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE. HOSPITALS & FACILITIES DEVELOPMENT: FUNDS NEW CONSTRUCTION AND IMPROVEMENTS FOR PATIENT CARE AREAS. CANCER CARE: DONATIONS ENABLE ST. ANTHONY TO CONTINUE ITS LEADERSHIP IN CANCER CARE. THE TREE OF LIFE FUND PROVIDES COMFORTS, MEDICATIONS AND OTHER ASSISTANCE TO CANCER PATIENTS. EQUIPMENT AND TECHNOLOGY: FUNDS HELP PURCHASE ADVANCED EQUIPMENT AND TECHNOLOGICAL INNOVATIONS IN SPECIALIZED PATIENT CARE TO CONTINUE TO PROVIDE THE HIGHEST QUALITY CARE. CARDIAC CARE: DONATIONS ENABLE ST. ANTHONY'S HEART AND VASCULAR INSTITUTE TO CONTINUE ITS LEADERSHIP IN CARDIAC AND VASCULAR CARE, INCLUDING THE ACQUISITION OF ADVANCED TECHNOLOGY AND PATIENT SERVICES. ORTHOPEDICS: CONTRIBUTIONS ENABLE SSM HEALTH BONE & JOINT HOSPITAL AT ST. ANTHONY TO CONTINUE ITS LEADERSHIP IN THE DIAGNOSIS AND TREATMENT OF ALL TYPES OF ARTHRITIC, ORTHOPEDIC AND SPINAL BONE CONDITIONS. BEHAVIORAL MEDICINE: AS THE LARGEST PROVIDER OF MENTAL HEALTH IN THE STATE OF OKLAHOMA, WE HELP PATIENTS FROM AS YOUNG AS FOUR TO ELDERLY CITIZENS. DESCRIPTION OF COMMUNITY BENEFIT PROGRAMS DONATIONS SUPPORT HOSPITAL AND FACILITY IMPROVEMENTS, ADD NEW TECHNOLOGY AND EQUIPMENT, SUPPORT PATIENT CARE AREAS, PROVIDE CONTINUING EDUCATION OPPORTUNITIES TO MEDICAL STAFF AND PROVIDE PATIENT ASSISTANCE THROUGH OUR CARE AND COMPASSION FUNDS AND THE SISTERS FUND THAT PROVIDES PRESCRIPTION MEDICATIONS TO THE NEEDY. RECENT ACCOMPLISHMENTS MADE POSSIBLE WITH DONATIONS TO THE FOUNDATION INCLUDE BUT ARE NOT LIMITED TO: CREATING A NEW POST- PARTUM CARE WING IN ST. ANTHONY HOSPITAL'S JOYFUL BEGINNINGS CHILDBIRTH CENTER. ADDING AN ADDITIONAL 3D MAMMOGRAPHY MACHINE IN THE ST. ANTHONY HOSPITAL SHAWNEE BREAST CENTER. RELOCATING AND DOUBLING THE SIZE OF ST. ANTHONY HOSPITAL'S FAMILY MEDICINE CENTER AND RESIDENCY PROGRAM. ADDING NEW PLAYGROUND EQUIPMENT AND RENOVATING THE GYMNASIUM FLOOR TO PROVIDE EXERCISE AND PLAY AREAS FOR CHILDREN AND ADOLESCENT PATIENTS IN OUR BEHAVIORAL MEDICINE CENTER. SUPPORTING OUR SAINTS TEAM MEMBERS WHEN THEY FACE PERSONAL DISASTERS AND CHALLENGES. ADDING NEW EQUIPMENT AND TECHNOLOGY TO DELIVER THE BEST CARE TO OUR PATIENTS. HELPING OUR MOST VULNERABLE PATIENTS BY PROVIDING PRESCRIPTION MEDICATIONS, AS WELL AS CLOTHING ITEMS, SHOES AND OTHER NEEDS TO HELP KEEP THEM WELL AFTER DISCHARGE. HELPING CHILDREN AND ADULT PATIENTS FACING THE CHALLENGES OF MENTAL ILLNESS. AS MANY OF OUR CHILDREN AND ADOLESCENT PATIENTS COME TO US WITH LITTLE BUT THE CLOTHING ON THEIR BACKS, DONATIONS BUY SHOES, CLOTHING, PROVIDE DENTAL AND VISION CARE, AND ADD SPECIAL TRAINING AND EDUCATIONAL SESSIONS FOR BOTH PATIENTS AND THEIR FAMILY MEMBERS. SUPPORT OF COMMUNITY NONPROFIT ORGANIZATIONS LIMITED FUNDS ARE PROVIDED TO OTHER NONPROFIT COMMUNITY ORGANIZATIONS THROUGH EVENT SPONSORSHIPS. EACH FUNDING REQUEST IS REVIEWED TO DETERMINE BENEFIT TO THE COMMUNITY AND CONNECTION TO SSM HEALTH OKLAHOMA GOALS. FORM 990, PART V, LINE 13A OK FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE OF OKLAHOMA. SSM HEALTH CARE OKLAHOMA IS A NONPROFIT 501 (C)(3) ORGANIZATION. BOTH THE ST. ANTHONY HOSPITAL FOUNDATION AND SSM HEALTH CARE OF OKLAHOMA ARE PART OF THE INTEGRATED HEAL TH CARE SYSTEM KNOWN AS SSM HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE POWER TO APPOINT SUCCESSOR, ADDITIONAL OR REPLACEMENT MEMBERS, PROVIDED THAT ANY SUCCESSOR, ADDITIONAL OR REPLACEMENT MEMBER SHALL BE A TAX-EXEMPT ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND ELECT AND REMOVE DIRECTORS WITH OR WITHOUT CAUSE. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER RESERVES THE POWER TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS; TO REQUIRE THE PARTICIPATION OF THE FOUNDATION IN SUCH PROGRAMS; AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE FOUNDATION IN CONNECTION WITH SUCH PROGRAMS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION (SSM). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SSM PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE CHAIR OF THE BOARD OVERSEES COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUST BE COMPLETED ON LINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR END. FORM 990, PART VI, SECTION C, LINE 19 THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEAL TH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEAL TH'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 XI, LINE 9: ACTUARIAL LOSS ON GIFT ANNUITY LIABILITY -20,903. UNCOLLECTIBLE PLEDGES -504. 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