2024-11-15T10:43:33-06:00 2023-12-31 990 2023-01-01 455055149 ST ANTHONY SHAWNEE HOSPITAL INC STAN 4053955626 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 STEPHANIE KING VP-FINANCE 4053955626 2024-11-15 0 X 2023 2024-10-15 13:58:12Z X SSM HEALTH ST ANTHONY HOSPITAL-SHAW ANGI MOHR 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 181737039 0 0928 X WWW.SSMHEALTH.COM/LOCATIONS/OKLAHOMA/ST-ANTHONY-S X 2012 OK TO POSITIVELY IMPACT HUMAN LIFE THROUGH EXCEPTIONAL HEALTH CARE. OUR CORE VALUES ARE THE FOLLOWING: COMPASSIONATE CARE, CLINICAL EXCELLENCE, PEOPLE FIRST, RESOURCE STEWARDSHIP, AND COMMUNITY OUTREACH. 9 6 1132 18 0 0 300 501163 162795083 180418115 0 8173 826867 792614 163622250 181720065 110887 161861 0 0 66924548 72428295 0 0 0 100253889 107749819 167289324 180339975 -3667074 1380090 194926189 252833370 66477855 122639401 128448334 130193969 X THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD 0 0 158471942 161861 180418115 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 23 ACUTE CARE HOSPITALS, ONE CHILDREN'S HOSPITAL, MORE THAN 650 PHYSICIAN OFFICES AND OTHER OUTPATIENT AND VIRTUAL CARE SERVICES, 12 POST-ACUTE FACILITIES, COMPREHENSIVE HOME CARE AND HOSPICE SERVICES, A PHARMACY BENEFIT COMPANY, AND AN ACCOUNTABLE CARE ORGANIZATION. THE HEALTH SYSTEM EMPLOYS NEARLY 40,000 PEOPLE AND IS AFFILIATED WITH 13,900 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. ABOUT ST. ANTHONY SHAWNEE HOSPITAL: SSM HEALTH ST. ANTHONY HOSPITAL - SHAWNEE HAS BEEN PROVIDING HEALTH CARE SERVICES FOR OVER 50 YEARS TO SHAWNEE AND THE SURROUNDING COMMUNITIES OF POTTAWATOMIE COUNTY. ST ANTHONY SHAWNEE ALONG WITH SSM HEALTH CARE OF OKLAHOMA COMPRISE THE OKLAHOMA REGION OF SSMH. ST ANTHONY SHAWNEE ALSO INCLUDES AN URGENT CARE FACILITY, WITH SERVICES INCLUDING ACUTE CARE, NEWBORN DELIVERIES, INTENSIVE CARE, EMERGENCY DEPARTMENT, ORTHOPEDICS, CARDIOLOGY, DIAGNOSTIC LABORATORY AND IMAGING, SLEEP LAB, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, CANCER CENTER AND REHABILITATION SERVICES, RESPIRATORY CARE, AND WOMEN'S SERVICES. IN 2018, THE HOSPITAL EARNED THE GUARDIAN OF EXCELLENCE - CLINICAL QUALITY AWARD FROM PRESS GANEY, AND ALSO THE PREMIER AWARD FOR QUALITY, HIGH-VALUE HEALTH CARE CITATION OF MERIT IN 2017. SSM HEALTH ST. ANTHONY HOSPITAL - SHAWNEE HAS RECEIVED AN 'A' LEAPFROG HOSPITAL SAFETY GRADE ANNUALLY SINCE 2016. ST. ANTHONY SHAWNEE HOSPITAL 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 * ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS,* PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENTSPONSORED HEALTH CARE PROGRAMS* ALL SURPLUS FUNDS GENERATED BY SSMH ENTITIES ARE REINVESTED IN IMPROVING OUR PATIENT CARE DELIVERY SYSTEMQUANTIFIABLE UNCOMPENSATED CARE: THIS SECTION INCLUDES A LIST OF THE TYPES OF PROGRAMS AND SERVICES THAT COULD BE QUANTIFIED AS UNCOMPENSATED CARE: TRADITIONAL CHARITY CARE$ 4,528,462 UNPAID COST OF MEDICAID$ 4,066,826 UNPAID COST OF OTHER MEANS-TESTED $ 349,002 UNPAID COST OF MEDICARE $ 709,392 TOTAL QUANTIFIABLE UNCOMPENSATED CARE$ 9,653,682 158471942 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 1132 1 0 0 0 0 0 0 0 0 0 0 X 9 6 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 0 0 1 1 OK X JENNIFER PIERCE 4053955626 1102 W MCARTHUR SHAWNEE OK 74801 IFTIKHAR AHMAD MD DIRECTOR, PHYSICIAN AT SSM HEALTH ST. ANTHONY HOSP 1.00 0.00 X 0 0 0 PAIGE BASS STRATTON DIRECTOR, CHAIR 1.00 0.00 X X 0 0 0 LINDA CAPPS DIRECTOR 1.00 40.00 X 0 60953 3993 TINA HANNA DIRECTOR 1.00 0.00 X 0 0 0 JAMES KIRK DIRECTOR 1.00 40.00 X 0 188194 38763 DUKE LIGON DIRECTOR 1.00 0.00 X 0 0 0 KEVIN PERRY DIRECTOR 1.00 0.00 X 0 0 0 BROOKS RICHARDSON DIRECTOR 1.00 0.00 X 0 0 0 JOE HODGES DIRECTOR, VICE CHAIR, REGIONAL PRESIDENT - SSM HEA 1.00 40.00 X X 0 1110479 647003 RANDY COMBS TREASURER, CHIEF FINANCIAL OFFICER AT SSM HEALTH 1.00 50.00 X 0 2182354 1238074 DOUGLAS LONG SECRETARY, GENERAL COUNSEL AT SSM HEALTH 1.00 50.00 X 0 1425239 777013 STEVE SMOOT VICE PRESIDENT, COO AT SSM HEALTH 1.00 50.00 X 0 2054358 1204489 RAMONA CAREY ASSISTANT SECRETARY 1.00 40.00 X 0 76129 31664 SHASTA MANUEL SYSTEM VICE PRESIDENT-FINANCE 1.00 40.00 X 0 495900 215406 ANGI MOHR HOSPITAL PRESIDENT, SSM HEALTH ST. ANTHONY HOSPITA 40.00 0.00 X 473207 0 258935 DARIN FARRELL VP - HOSPITAL OPERATIONS 40.00 0.00 X 238107 0 104026 CATHY BROOME VP - PATIENT CARE SERVICES 40.00 0.00 X 226044 0 70782 VENKATA DAMERA PHYSICIAN 40.00 0.00 X 626963 0 58546 GAYNELL ANDERSON PHYSICIAN 40.00 0.00 X 357809 0 50637 SHAWNAREE LEE PHYSICIAN 40.00 0.00 X 388032 0 37344 ISMA JAVED PHYSICIAN 40.00 0.00 X 361162 0 10661 LAUREN FLOYD PHYSICIAN 40.00 0.00 X 350725 0 47713 LAURA KAISER VICE CHAIR, PRESIDENT/CEO OF SSM HEALTH 1.00 50.00 X 0 4644135 3002313 RANDY KAMM PROVIDER-BASED CLINICS DIRECTOR 1.00 40.00 X 0 193896 69142 CHRISTINE DIENNA PHYSICIAN 40.00 0.00 X 238357 0 23463 DAVID HADLEY PHYSICIAN 40.00 0.00 X 331393 0 61078 KENNETH DARVIN PHYSICIAN 40.00 0.00 X 323975 0 49019 3915774 12431637 8000064 91 1 1 0 SHAWNEE MEDICAL CENTER CLINIC 1501 N AIRPORT DRIVE SHAWNEE OK 74804 CLINICAL SERVICES 14950521 TRIMEDX HOLDINGS LLC 5451 LAKEVIEW PARKWAY S DR INDIANAPOLIS IN 46268 CLINICAL ENGINEERING SERVICES 1781102 SHAWNEE HEALTHCARE PARTNERS LLC 13401 N WESTERN AVE SUITE 401 OKLAHOMA CITY OK 73114 MEDICAL SERVICES 1100534 WILLIAM J HALE II MD 6824 NE 101ST STREET OKLAHOMA CITY OK 73151 MEDICAL SERVICES 878611 EMERGENCY MANAGEMENT MIDWEST PO BOX 634850 CINCINNATI OH 45263 STAFFING SERVICES 878475 35 501163 501163 NET PATIENT REVENUE 622110 170408580 170408580 340 PHARMACY REVENUE 446110 9850418 9850418 CORPORATE FEES 561000 3500 3500 155617 155617 180418115 11546 0 11546 11546 11546 8173 0 8173 8173 8173 130449 16974 113475 113475 CAFETERIA REVENUE 722320 664915 664915 ECHO REVENUE 900099 2678 2678 667593 181720065 180418115 0 800787 X 161861 161861 1371101 1371101 54936407 53571521 1364886 2589134 2525887 63247 9567054 9333350 233704 3964599 3867752 96847 2223023 2223023 28511 28511 30082287 29730821 351466 20184 20184 2920159 2657775 262384 5152742 5152742 7713514 7491179 222335 65352 49128 16224 21766 9372 12394 81638 3718 77920 14060407 3485384 10575023 4538879 3910425 628454 2259520 390393 1869127 MEDICAL SUPPLIES & EQUI 31002106 30979627 22479 TAXES 6520915 599704 5921211 OTHER EXPENSES 715260 715260 LICENSES AND DUES 307664 192087 115577 35892 29648 6244 180339975 158471942 21868033 0 195343 134922 27365267 22907152 4265175 3439091 2080445 1163773 134391203 58435906 76073431 75955297 350373 0 0 205534 21950557 21963045 62645598 127064556 194926189 252833370 10197834 10246031 0 412426 56280021 111980944 66477855 122639401 X 128448334 130193969 128448334 130193969 194926189 252833370 X 1380090 365546 X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 12341 12341 0 PART II-B, LINE 1: THE ORGANIZATION PAID DUES TO VARIOUS NATIONAL AND STATE HOSPITAL ASSOCIATIONS AND PORTIONS OF THE DUES WERE ALLOCATED TO LOBBYING ACTIVITIES. 2000668 2000668 71272868 16753145 54519723 1512750 136993 1375757 46964507 36961604 10002903 12640410 4584164 8056246 75955297 DUE FROM AFFILIATES 110911006 THIRD PARTY RECEIVABLE 2866164 OPERATING RIGHT OF USE ASSETS 13287386 127064556 DUE TO AFFILIATES 98146316 CAPITAL LEASE OBLIGATION 1472926 THIRD PARTY PAYABLE 557592 OPERATING LEASE OBLIGATIONS 11804110 111980944 X PART X, LINE 2: ST. ANTHONY SHAWNEE HOSPITAL, INC.'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 RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS IN 2022 OR 2023. 1 1 X 1 X 1 X 1 1 0 1 1 2860964 0 2860964 0.01590 40549218 27755199 12794019 0.07090 4134138 3710412 423726 0.00230 47544320 31465611 16078709 0.08910 186424 0 186424 0.00100 92334 0 92334 0.00050 0 0 0 0 169280 0 169280 0.00090 448038 448038 0.00240 47992358 31465611 16526747 0.09150 1 6846275 0 31669886 27697096 3972790 X 1 1 1 SHAWNEE SURGICAL REALTY LLC MEDICAL BUILDING 0.26710 0.73290 1 1 ST ANTHONY SHAWNEE HOSPITAL 1102 W MCARTHUR SHAWNEE OK 74804 HTTPS://WWW.SSMHEALTH.COM/LOCATIONS/ST 2162 X X X ST ANTHONY SHAWNEE HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH X 1 22 1 HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL X HTTPS://WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL X HTTPS://WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL X X X X X X 1 X 0 X X X X 1 X 0 0 5 1 - SSM HEALTH SURGERY CENTER 1106 W MCARTHUR SHAWNEE OK 74804 OUTPATIENT SURGERY 2 - SSM HEALTH MEDICAL GROUP 3204 MEDICAL PARK DRIVE SHAWNEE OK 74804 OUTPATIENT CLINIC 3 - SSM HEAL TH MEDICAL GROUP 3315 KETHLEY ROAD SHAWNEE OK 74804 OUTPATIENT CLINIC 4 - SSM HEAL TH MEDICAL GROUP 3214 KETHLEY ROAD SHAWNEE OK 74804 OUTPATIENT CLINIC 5 - SSM HEAL TH MEDICAL GROUP 3700 N KICKAPOO AVENUE SHAWNEE OK 74804 OUTPATIENT CLINIC PART I, LINE 3C: 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 HEAL TH 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." PART I, LINE 6A: SSM HEALTH CARE CORPORATION, 46-6029223 PART I, LINE 7: THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B, AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H, AND 71 ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE CALCULATION OF SCHEDULE H, PART I, LINE 7, COLUMN F UTILIZES 990, PART IX, LINE 25, COLUMN A, WHICH DOES NOT INCLUDE BAD DEBT EXPENSE. PART II, COMMUNITY BUILDING ACTIVITIES: ST. ANTHONY SHAWNEE HOSPITAL 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: ECONOMIC DEVELOPMENT: SHAWNEE FORWARD (THE COMBINATION OF SHAWNEE AREA CHAMBER OF COMMERCE AND ECONOMIC DEVELOPMENT FOUNDATION), AN ORGANIZATION LEADING SHAWNEE AND THE SURROUNDING REGION IN BOTH COMMUNITY AND ECONOMIC DEVELOPMENT EFFORTS; COMMUNITY SUPPORT: ACTIVE IN THE BLUE ZONES PROJECT POTTAWATOMIE COUNTY, A COMMUNITYWIDE WELL-BEING IMPROVEMENT INITIATIVE TO HELP MAKE HEAL THY CHOICES EASIER FOR EVERYONE IN OUR COMMUNITY; COALITION BUILDING: INVOLVEMENT WITH THE UNITED WAY BOARD AND INITIATIVES. PART III, LINE 2: AS A RESULT OF NEW ACCOUNTING GUIDANCE, BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE. PART III, LINE 3: FOR FINANCIAL STATEMENT PURPOSES, SSM HEALTH HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. THEREFORE, THERE IS NO AMOUNT REPORTED ON PART III, LINE 3 FOR THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER SSM HEALTH'S FINANCIAL ASSISTANCE POLICY. PART III, LINE 4: ST. ANTHONY SHAWNEE HOSPITAL, INC. IS PART OF THE SSM HEALTH CONSOLIDATED AUDIT. THE FOOTNOTE THAT REFERENCES THE TREATMENT OF UNCOLLECTIBLE ACCOUNTS AND IMPLICIT PRICE CONCESSIONS IN THE DECEMBER 31, 2023 CONSOLIDATED AUDIT IS CONTAINED ON PAGE 13 AND 14 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COST REPORTED CAME FROM THE MEDICARE COST REPORT. SSM HEALTH ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEAL TH OF THE COMMUNITY. SSM HEALTH BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES, AS MEDICARE ALLOWED COST IS LESS THAN ACTUAL COST. PART III, LINE 9B: ST. ANTHONY SHAWNEE HOSPITAL, 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 HEAL TH, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE, THE HEAL TH 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 RA TE 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 120 DAYS. 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 SHAWNEE HOSPITAL'S COLLECTION AND FINANCIAL ASSISTANCE POLICIES. PART VI, LINE 2: 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, AND SOCIALLY MARGINALIZED, WILL EXPERIENCE IMPROVED HEALTH IN MIND, BODY, SPIRIT AND ENVIRONMENT. IN THE TRADITION OF OUR FOUNDERS, THE FRANCISCAN SISTERS OF MARY, CARING FOR THOSE IN GREATEST NEED REMAINS OUR ORGANIZATIONAL PRIORITY. TODAY OUR SYSTEM BOARD MONITORS COMMUNITY BENEFIT EFFORTS, AND VIEWS ACHIEVEMENT OF OUR VISION AS A PRIMARY RESPONSIBILITY. THE PURPOSE OF SSMH'S COMMUNITY BENEFIT PROGRAM IS TO ASSESS AND ADDRESS COMMUNITY HEAL TH 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-HEAL TH PRIORITIES: ESTABLISH STRATEGIES TO ADDRESS PRIORITIES; COMPLETE STRATEGIC IMPLEMENTATION PLAN; OBTAIN REGIONAUDIVISIONAL 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 HEAL TH PRIORITIES: COLLECT DATA AND EVALUATE PROGRESS; REPORT TO REGIONAUDIVISIONAL 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). SYSTEM OFFICE STAFF AND LEADERS OVERSEE AND MONITOR SSMH'S COMMUNITY BENEFIT PROGRAM, AND ENSURE REPORTING IS IN COMPLIANCE WITH IRS REGULATIONS. IN COLLABORATION WITH COMMUNITY STAKEHOLDERS AND PARTNER ORGANIZATIONS, SSM HEALTH CARE CORPORATION ALSO IDENTIFIES NEEDS BASED ON ASSESSMENTS AND RESEARCH, AND SSMH FACILITIES ALSO INVOLVE CASE MANAGERS AND CARE TEAM STAFF TO PINPOINT CRITICAL HEAL TH ISSUES IN THE COMMUNITY. ALL HOSPITAL CHNAS ARE 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. PART VI, LINE 3: 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 COUNSELINGTHE 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. PART VI, LINE 4: SSM HEALTH ST. ANTHONY HOSPITAL - SHAWNEE IS LOCATED IN SHAWNEE, OKLAHOMA AND DEFINES ITSPRIMARY SERVICE AREA AS IN POTTAWATOMIE COUNTY, WHICH ACCORDING TO 2020 POPULATION ESTIMATES, HAD A POPULATION OF 7,454 PERSONS. RESIDENTS OF THE COUNTY ACCOUNT FOR NEARLY 72% OF THE TOTAL PATIENTS SERVED BY THE HOSPITAL. THE HOSPITAL IS ON THE NORTH SIDE OF SHAWNEE, THE 14TH LARGEST CITY IN OKLAHOMA WITH A POPULATION OF 31,476. OF THE HOSPITAL'S COMMUNITY, ONLY 20% HAVE AT LEAST A BACHELOR'S DEGREE AND 11% DO NOT HAVE A HIGH SCHOOL DIPLOMA. THE SOUTH SIDE OF SHAWNEE IS ONE OF THE MOST VULNERABLE AREAS IN THE STATE, WITH A CDC SOCIAL VULNERABILITY SCORE OF 0.9502 (0 BEING LOWEST VULNERABILITY, 1 HIGHEST VULNERABILITY. THE AVERAGE HOUSEHOLD INCOME FOR THIS AREA IS ONLY $20,038. FOR POTTAWATOMIE COUNTY AND OKLAHOMA, 15% OF THE POPULATION REPORT FOOD INSECURITY. SMOKING PREVALENCE FOR THOSE 18 AND OLDER WAS 36.6% FOR THE COUNTY AND STATE, AND 36.6% FOR THE SOUTH SHAWNEE AREA.MORE INFORMATION AND STATISTICAL DATA ON THE SSM HEALTH ST ANTHONY HOSPITAL- SHAWNEE SERVICE AREA CAN BE FOUND IN THE 2021 CHNA. PART VI, LINE 5: ST. ANTHONY SHAWNEE HOSPITAL, INC. PARTICIPATES IN A WIDE ARRAY OF COMMUNITY PROGRAMS THROUGHOUT THE AREA TO FURTHER ITS EXEMPT PURPOSE OF PROMOTING THE HEAL TH 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. IN RESPONSE TO THE GLOBAL CORONAVIRUS PANDEMIC, ST. ANTHONY SHAWNEE HOSPITAL, INC. WORKED RELENTLESSLY TO RESPOND TO COMMUNITY NEEDS BY DEVELOPING AND IMPLEMENTING STRATEGIES TO ADDRESS SOCIAL NEEDS OF THOSE SERVED, PROVIDING SCREENING & TESTING SERVICES, PERSONAL PROTECTIVE EQUIPMENT AND EDUCATION THROUGHOUT THE COMMUNITY, AS WELL AS TREATMENT FOR THOSE WHO PRESENTED WITH COVID-19. ST. ANTHONY HOSPITAL SHAWNEE, INC. 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. ST. ANTHONY SHAWNEE HOSPITAL, INC. 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, *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. PART VI, LINE 6: ST. ANTHONY SHAWNEE HOSPITAL IS A 501(C) (3) ORGANIZATION AND IS A MEMBER OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. ALONG WITH SSM HEALTH CARE OF OKLAHOMA, INC. THE HOSPITAL IS PURSUING A VISION TO CREATE A COMPREHENSIVE, REGIONAL HEALTH CARE ENTERPRISE FOR THE CENTRAL OKLAHOMA REGION. SSM HEALTH (SSMH) IS A CENTRALLY MANAGED, FULLY INTEGRATED HEALTH CARE DELIVERY SYSTEM WITH ITS HEADQUARTERS BASED IN ST. LOUIS, MISSOURI. SSM HEALTH CARE CORPORATION (SSMHCC) (DOING BUSINESS AS SSMH) IS THE PRINCIPAL NOT-FOR-PROFIT CORPORATION AND HAS BEEN ESTABLISHED AS THE PARENT CORPORATION. SSMH OWNS AND OPERATES 22 ADULT HOSPITALS, ONE PEDIATRIC HOSPITAL, THIRTEEN POST-ACUTE CARE FACILITIES, A NATIONAL PHARMACY BENEFIT MANAGEMENT COMPANY (PBM), AN EXTENSIVE NETWORK OF PHYSICIAN PRACTICE OPERATIONS, AND OTHER HEALTH CARE BUSINESSES. SSMH'S HOSPITAL OPERATIONS ARE LOCATED PRIMARILY IN MISSOURI, WISCONSIN, OKLAHOMA AND ILLINOIS, AND ITS RELATED BUSINESSES PROVIDE HEALTH RELATED SERVICES IN 50 STATES. SSMH'S MISSION STATEMENT IS AS FOLLOWS: THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. SSMHCC AND MOST OF ITS AFFILIATED SUBSIDIARY CORPORATIONS HAVE BEEN GRANTED EXEMPTION FROM FEDERAL INCOME TAX AS CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). CERTAIN SUBSIDIARIES OF SSMH ARE FOR-PROFIT ENTITIES THAT ARE TAXABLE UNDER THE IRC. SSMH IS SPONSORED BY SSM HEALTH MINISTRIES, AN INDEPENDENT NINE-MEMBER BODY COMPOSED OF TWO FRANCISCAN SISTERS OF MARY, ONE SISTER OF ST. AGNES, ONE JESUIT PRIEST, AND FIVE LAY PERSONS WHO COLLECTIVELY HOLD CERTAIN RESERVED POWERS OVER SSMH. 1 SHAWNEE BRIDGES OUT OF POVERTY 1700 N KICKAPOO AVE SHAWNEE OK 74804 815083402 501C3 10000 0 BOOK GENERAL ASSISTANCE 1 0 PART I, LINE 2: THE PROCEDURES USED TO MONITOR THE USE OF GRANT FUNDING VARIES BASED ON THE GRANT RECIPIENT. GRANTS TO RELATED ENTITIES ARE MONITORED DIRECTLY BY THE ORGANIZATION WHEREBY THE RECIPIENT REPORTS ON THE SPECIFIC USE OF THE FUNDING. FOR GRANTS TO UNRELATED ENTITIES, THE ORGANIZATION UTILIZES THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) TO TRACK, STORE AND REPORT A WIDE RANGE OF INFORMATION RELATED TO GRANTS AND OVERALL COMMUNITY IMPACT. IN CERTAIN CIRCUMSTANCES, QUALIFYING EXPENSES MAY BE PAID ON BEHALF OF SYSTEM EMPLOYEES BASED UPON DEMONSTRATED FINANCIAL HARDSHIP CAUSED BY NATURAL DISASTERS, ILLNESS, OR OTHER UNFORESEEN TRAGEDY. 0 1 0 0 0 0 0 0 0 LAURA KAISER VICE CHAIR, PRESIDENT/CEO OF SSM HEA 0 2047588 0 1868164 0 728383 0 2978810 0 23503 0 7646448 0 1868164 RANDY COMBS TREASURER, CHIEF FINANCIAL OFFICER A 0 1242308 0 669269 0 270777 0 1203989 0 34085 0 3420428 0 669269 STEVE SMOOT VICE PRESIDENT, COO AT SSM HEALTH 0 1173646 0 737192 0 143520 0 1164125 0 40364 0 3258847 0 878090 DOUGLAS LONG SECRETARY, GENERAL COUNSEL AT SSM HE 0 759270 0 495539 0 170430 0 753634 0 23379 0 2202252 0 495539 JOE HODGES DIRECTOR, VICE CHAIR, REGIONAL PRESI 0 646174 0 378436 0 85869 0 604303 0 42700 0 1757482 0 459388 ANGI MOHR HOSPITAL PRESIDENT, SSM HEALTH ST. A 359178 0 103080 0 10949 0 222877 0 36058 0 732142 0 112121 0 SHASTA MANUEL SYSTEM VICE PRESIDENT-FINANCE 0 363197 0 95897 0 36806 0 173791 0 41615 0 711306 0 130770 VENKATA DAMERA PHYSICIAN 480561 0 145414 0 988 0 17678 0 40868 0 685509 0 0 0 SHAWNAREE LEE PHYSICIAN 379206 0 7115 0 1711 0 15340 0 22004 0 425376 0 0 0 GAYNELL ANDERSON PHYSICIAN 291223 0 65078 0 1508 0 14522 0 36115 0 408446 0 0 0 LAUREN FLOYD PHYSICIAN 345154 0 4955 0 616 0 9906 0 37807 0 398438 0 0 0 DAVID HADLEY PHYSICIAN 265108 0 63646 0 2639 0 18351 0 42727 0 392471 0 0 0 KENNETH DARVIN PHYSICIAN 251491 0 71126 0 1358 0 9150 0 39869 0 372994 0 0 0 ISMA JAVED PHYSICIAN 286117 0 74764 0 281 0 2654 0 8007 0 371823 0 0 0 DARIN FARRELL VP - HOSPITAL OPERATIONS 206688 0 30329 0 1090 0 63265 0 40761 0 342133 0 30329 0 CATHY BROOME VP - PATIENT CARE SERVICES 197283 0 26913 0 1848 0 58089 0 12693 0 296826 0 26913 0 RANDY KAMM PROVIDER-BASED CLINICS DIRECTOR 0 177877 0 15114 0 905 0 33353 0 35789 0 263038 0 15114 CHRISTINE DIENNA PHYSICIAN 170351 0 67694 0 312 0 12577 0 10886 0 261820 0 0 0 JAMES KIRK DIRECTOR 0 185390 0 0 0 2804 0 11433 0 27330 0 226957 0 0 PART I, LINE 3 THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (HOSPITAL PRESIDENT) HAS COMPENSATION THAT IS DETERMINED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE SSM HEALTH PRESIDENT. PART I, LINE 4B PENSION RESTORATION PLAN: 4B - SUPPLEMENTAL 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 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: JOE HODGES $ 134,663 RANDALL COMBS $261,633 DOUGLAS LONG $161,286 STEVE SMOOT $ 249,972 SHASTA MANUEL $ 35,621 ANGI MOHR $ 67,146 DARIN FARRELL $ 9,828 CATHY BROOME $9,100 LAURA KAISER $720,859 THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DISTRIBUTIONS FROM THIS PLAN IN 2023. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUAL'S TAXABLE COMPENSATION. JOE HODGES $ 80,953 STEVE SMOOT $ 140,898 SHASTA MANUEL $34,874 ANGI MOHR $9,041 LAURA KAISER $1,488,789 FORM 990, PART V, LINE 1A ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF THE CORPORATION IS SSM HEALTH CARE OF OKLAHOMA, INC. SSM HEALTH CARE OF OKLAHOMA, INC. IS A NONPROFIT 501 (C)(3) ORGANIZATION. BOTH ST. ANTHONY SHAWNEE HOSPITAL, INC. AND SSM HEALTH CARE OF OKLAHOMA, INC. ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE POWER TO APPOINT AND REMOVE THE APPOINTED DIRECTORS AND THE EX-OFFICIO DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS C. TO 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 CERTIFICATE 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 AUTHORIZE OR 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 OBJECTIVE 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 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 AT THE NEXT REGULARLY SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY 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 DECISION 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 15 A RELATED ORGANIZATION UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR SSM HEALTH 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: PROGRAM SERVICE EXPENSES 29,730,821. MANAGEMENT AND GENERAL EXPENSES 351,466. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,082,287. FORM 990, PART XI, LINE 9: PENSION LIABILITY TRANSFER 365,547. ROUNDING -1. SSM HEALTH CARE CORPORATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 466029223 HEALTH CARE MO 501(C)(3) LINE 12A, I SSM HEALTH MINISTRIES 0 SSMHC LIABILITY TRUST I 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 436331003 INSURANCE MO 501(C)(3) LINE 12A, I SSM HEALTH CARE CORPORATION 0 SSM CONSOLIDATED HEALTH SERVICES 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431473657 HEALTH CARE MO 501(C)(3) LINE 10 SSM HEALTH CARE CORPORATION 0 SSM POLICY INSTITUTE 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431788151 HEALTH CARE MO 501(C)(4) SSM HEALTH CARE CORPORATION 0 SSM HEALTH CARE PORTFOLIO MANAGEMENT CO 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431825256 MANAGEMENT MO 501(C)(3) LINE 12A, I SSM HEALTH CARE CORPORATION 0 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 430738490 HEALTH CARE MO 501(C)(3) LINE 3 SSM HEALTH CARE ST LOUIS 0 CARDINAL GLENNON CHILDREN'S FOUNDATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431754347 FUNDRAISING MO 501(C)(3) LINE 7 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 0 SSM HEALTH FOUNDATION - ST LOUIS 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431552945 FUNDRAISING MO 501(C)(3) LINE 7 SSM HEALTH CARE ST LOUIS 0 SSM HEALTH CARE OF OKLAHOMA INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 730657693 HEALTH CARE OK 501(C)(3) LINE 3 SSM HEALTH CARE CORPORATION 0 THE ST ANTHONY HOSPITAL FOUNDATION INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 736104300 FUNDRAISING OK 501(C)(3) LINE 7 SSM HEALTH CARE OF OKLAHOMA 0 SSM HEALTH CARE OF WISCONSIN INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 430688874 HEALTH CARE WI 501(C)(3) LINE 3 SSM HEALTH CARE CORPORATION 0 DELLS MEDICAL BUILDING INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 391613292 MOB WI 501(C)(2) SSM HEALTH CARE OF WISCONSIN 0 ST MARY'S FOUNDATION INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431940686 FUNDRAISING WI 501(C)(3) LINE 7 SSM HEALTH CARE OF WISCONSIN 0 ST CLARE HEALTH CARE FOUNDATION INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431940683 FUNDRAISING WI 501(C)(3) LINE 7 SSM HEALTH CARE OF WISCONSIN 0 HOME HEALTH UNITED INC 2802 WALTON COMMONS LANE MADISON WI 53718 391539827 HEALTH CARE WI 501(C)(3) LINE 10 SSM HEALTH CARE OF WISCONSIN 0 HOME CARE UNITED INC 2802 WALTON COMMONS LANE MADISON WI 53718 391776340 HEALTH CARE WI 501(C)(3) LINE 10 SSM HEALTH CARE OF WISCONSIN 0 HHU XTRA CARE INC 2802 WALTON COMMONS LANE MADISON WI 53718 391705111 HEALTH CARE WI 501(C)(3) LINE 10 SSM HEALTH CARE OF WISCONSIN 0 SSM HEALTH AT HOME FOUNDATION OF WISCONSIN INC 2802 WALTON COMMONS LANE MADISON WI 53718 391839309 FUNDRAISING WI 501(C)(3) LINE 12A, I HOME HEALTH UNITED INC 0 SSM REGIONAL HEALTH SERVICES 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 440579850 HEALTH CARE MO 501(C)(3) LINE 3 SSM HEALTH CARE CORPORATION 0 ST MARY'S HEALTH CENTER JEFFERSON CITY MISSOURI FOUNDATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431575307 FUNDRAISING MO 501(C)(3) LINE 12A, I SSM REGIONAL HEALTH SERVICES 0 GOOD SAMARITAN REGIONAL HEALTH CENTER 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 430653587 HEALTH CARE IL 501(C)(3) LINE 3 SSM REGIONAL HEALTH SERVICES 0 ST MARY'S HOSPITAL CENTRALIA ILLINOIS 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 370662580 HEALTH CARE IL 501(C)(3) LINE 3 SSM REGIONAL HEALTH SERVICES 0 ST MARY'S - GOOD SAMARITAN INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 364170833 HEALTH CARE IL 501(C)(3) LINE 12A, I SSM REGIONAL HEALTH SERVICES 0 GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 262884795 FUNDRAISING IL 501(C)(3) LINE 7 ST MARY'S-GOOD SAMARITAN INC 0 ST MARY'S HOSPITAL FOUNDATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 364636691 FUNDRAISING IL 501(C)(3) LINE 7 ST MARY'S-GOOD SAMARITAN INC 0 ST MARY'S HOSPITAL AUXILIARY 400 N PLEASANT CENTRALIA IL 62801 237126345 FUNDRAISING IL 501(C)(3) LINE 10 ST MARY'S HOSPITAL FOUNDATION 0 SSM HEALTH BUSINESSES 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431333488 HEALTH CARE MO 501(C)(3) LINE 10 SSM HEALTH CARE CORPORATION 0 SSM HEALTH CARE ST LOUIS 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431343281 HEALTH CARE MO 501(C)(3) LINE 3 SSM HEALTH CARE CORPORATION 0 CENTRALIA MEDICAL SERVICES BLDG ASSOC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 237408025 MOB IL 501(C)(3) LINE 12A, I SSM REGIONAL HEALTH SERVICES 0 ST MARY'S JANESVILLE FOUNDATION INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 273439133 FUNDRAISING WI 501(C)(3) LINE 7 SSM HEALTH CARE OF WISCONSIN 0 SSM HEALTH MINISTRIES 3221 MCKELVEY ROAD SUITE 107 BRIDGETON MO 63044 431012492 RELIGIOUS ORGANIZATION MO 501(C)(3) LINE 1 N/A 0 LEE DEWEY CORPORATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 731279603 MOB OK 501(C)(3) LINE 12A, I SSM HEALTH CARE OF OKLAHOMA 0 ST MARY'S HOSPITAL AUXILIARY 100 ST MARYS MEDICAL PLAZA JEFFERSON CITY MO 65101 436049878 FUNDRAISING MO 501(C)(3) LINE 12B, II N/A 0 GOOD SAMARITAN HOSPITAL AUXILIARY 1 GOOD SAMARITAN WAY MOUNT VERNON IL 62864 237049599 FUNDRAISING IL 501(C)(3) LINE 12C, III-FI N/A 0 ST ANTHONY SHAWNEE HOSPITAL INC 1000 N LEE AVE OKLAHOMA CITY OK 73102 455055149 HEALTH CARE OK 501(C)(3) LINE 3 SSM HEALTH CARE OF OKLAHOMA 0 SSM AUDRAIN HEALTH CARE INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431550298 HEALTH CARE MO 501(C)(3) LINE 3 SSM REGIONAL HEALTH SERVICES 0 SSM-SLUH INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 474196634 HEALTH CARE MO 501(C)(3) LINE 3 SSM HEALTH CARE ST LOUIS 0 AGNESIAN HEALTHCARE INC 430 E DIVISION ST FOND DU LAC WI 54935 390807236 HEALTH CARE WI 501(C)(3) LINE 3 SSM HEALTH CARE OF WISCONSIN 0 RIPON MEDICAL CENTER INC 845 PARKSIDE STREET RIPON WI 54971 391101287 HEALTH CARE WI 501(C)(3) LINE 3 AGNESIAN HEALTHCARE INC 0 WAUPUN MEMORIAL HOSPITAL INC 620 WEST BROWN STREET WAUPUN WI 53963 390806265 HEALTH CARE WI 501(C)(3) LINE 3 AGNESIAN HEALTHCARE INC 0 ST FRANCIS HOME OF FOND DU LAC WISCONSIN INC 33 EVERETT STREET FOND DU LAC WI 54935 391029998 HEALTH CARE WI 501(C)(3) LINE 10 AGNESIAN HEALTHCARE INC 0 SISTER SERVANTS OF CHRIST THE KING VILLA LORETTO N8114 COUNTY WW MOUNT CALVARY WI 53057 391022770 HEALTH CARE WI 501(C)(3) LINE 10 AGNESIAN HEALTHCARE INC 0 VILLA ROSA INC N8120 COUNTY WW MOUNT CALVARY WI 53057 421670962 HEALTH CARE WI 501(C)(3) LINE 10 AGNESIAN HEALTHCARE INC 0 THE CHRISTIAN HOME AND REHABILITATION CENTER INCORPORATED 331 BLY STREET WAUPUN WI 53963 390884514 HEALTH CARE WI 501(C)(3) LINE 10 AGNESIAN HEALTHCARE INC 0 THE MONROE CLINIC INC 515 22ND AVENUE MONROE WI 53566 390808509 HEALTH CARE WI 501(C)(3) LINE 3 SSM HEALTH CARE OF WISCONSIN 0 MONROE CLINIC AND HOSPITAL FOUNDATION INC 515 22ND AVENUE MONROE WI 53566 205769038 FUNDRAISING WI 501(C)(3) LINE 7 SSM HEALTH CARE OF WISCONSIN 0 AGNESIAN HEALTHCARE FOUNDATION INC 430 E DIVISION ST FOND DU LAC WI 54935 391684956 FUNDRAISING WI 501(C)(3) LINE 12A, I SSM HEALTH CARE OF WISCONSIN 0 SHARED MAGNETIC RESONANCE IMAGING FACILITY INC 1104 JOHN NOLEN DRIVE MADISON WI 53713 391534744 HEALTH CARE WI 501(C)(3) LINE 12A, I SSM HEALTH CARE OF WISCONSIN 0 SSM HEALTH CARDINAL GLENNON TRANSPORT 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 863519607 HEALTH CARE MO 501(C)(3) LINE 12A, I SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 0 SSM HEALTH FOUNDATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 874109859 FUNDRAISING MO 501(C)(3) LINE 12A, I SSM HEALTH CARE CORPORATION 0 SSM HEALTH CARE GROUP 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 880988603 HEALTH CARE MO 501(C)(3) LINE 10 SSM HEALTH CARE ST LOUIS 0 THE SARAH COMMUNITY 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431784657 HEALTH CARE MO 501(C)(3) LINE 10 SSM HEALTH BUSINESSES 0 VISITING NURSE ASSOCIATION OF GREATER ST LOUIS 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 430567000 HEALTH CARE MO 501(C)(3) LINE 7 SSM HEALTH BUSINESSES 0 SSM ST JOSEPH ENDOSCOPY CENTER LLC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 270046559 SURGERY SERVICES MO N/A 0 0 ST CLARE IMAGING SERVICES LLC 707 14TH STREET SUITE A BARABOO WI 53913 200122365 DIAG. SERVICES WI N/A 0 0 MT VERNON RADIATION THERAPY CENTER LLC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 201382620 RADIATION THERAPY IL N/A 0 1 SLEEP & NEUROLOGY CENTER OF SOUTHERN ILLINOIS LLC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 208468195 DIAG. SERVICES IL N/A 0 0 SHAWNEE REAL ESTATE HOLDINGS LLC 1000 N LEE AVE OKLAHOMA CITY OK 73102 455458304 MOB OK N/A 0 0 DEAN CLINIC & ST MARY'S HOSPITAL ACCOUNTABLE CARE ORGANIZATION LLC 1808 WEST BELTLINE HIGHWAY MADISON WI 53713 452995500 ACCOUNTABLE CARE ORGANIZATION WI N/A 0 0 WISCONSIN INTEGRATED INFORMATION TECHNOLOGY AND TELEMEDICINE SYSTEMS LLC 1808 WEST BELTLINE HIGHWAY MADISON WI 53713 392016715 INFORMATION TECHNOLOGY SERVICES WI N/A 0 0 1110 N CLASSEN BLVD LLC 1110 N CLASSEN BOULEVARD OKLAHOMA CITY OK 73106 731158158 MOB OK N/A 0 1 WINDMILL LLP 50 VILLAGE VIEW LANE CHESTERFIELD MO 63017 431804651 INVESTMENTS MO N/A 0 0 SSM SELECT REHAB ST LOUIS LLC 4714 GETTYSBURG ROAD MECHANICSBURG PA 17055 263694972 HEALTH CARE DE N/A 0 0 BLOOM TREE LONG-ONLY FUND QP LP FKA BLOOM TREE PONDEROSA FUNDS QP LP 101 PARK AVENUE 33RD FL NEW YORK NY 10178 823704522 INVESTMENTS DE N/A 0 0 NECICF II AIV2-B LP 300 DELAWARE AVE STE 210 WILMINGTON DE 19801 845058167 INVESTMENTS DE N/A 0 0 BISON CAPITAL PARTNERS VI-A LP 233 WILSHIRE BLVD STE 425 SANTA MONICA CA 90401 874006968 INVESTMENTS DE N/A 0 0 SSM MANAGED CARE ORGANIZATION LLC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431708511 HEALTH PROMOTION MO N/A C 0 FPP INC & SUBS 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431465174 HEALTH CARE MO N/A C 0 DIVERSIFIED HEALTH SERVICES CORP 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431369305 MEDICAL EQUIPMENT MO N/A C 0 SSM PROPERTIES INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431462486 PROPERTY SERVICES MO N/A C 0 HEALTHFIRST PHYSICIAN MANAGEMENT SERVICES 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 731534336 MEDICAL SERVICES OK N/A C 0 SSMHC LIABILITY TRUST II 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 816128118 INSURANCE MO N/A C 0 SSM MEDICAL GROUP INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431664107 PHYSICIAN OFFICES MO N/A C 0 PHYSICIANS SERVICES CORP OF SOUTHERN ILLINOIS INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 364161526 HEALTH CARE IL N/A C 0 DEAN HEALTH SYSTEMS INC 1808 WEST BELTLINE HIGHWAY MADISON WI 53713 391128616 PHYSICIAN OFFICES WI N/A C 0 DEAN RETAIL SERVICES INC 1808 WEST BELTLINE HIGHWAY MADISON WI 53713 391717636 PROPERTY SERVICES WI N/A C 0 SSM HEALTH JANESVILLE CAMPUS CONDOMINIUM ASSOCIATION INC 1808 WEST BELTLINE HIGHWAY MADISON WI 53713 832038674 CONDO ASSOCIATION WI N/A C 0 SSM HEALTH PHARMACY LLC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 264031708 PHARMACY MO N/A C 0 NAVITUS HOLDINGS LLC 1808 WEST BELTLINE HIGHWAY MADISON WI 53713 800968174 PHARMACY WI N/A C 0 MS COMMUNITY JV LLC 401 CARLSON PARKWAY CP330 MINNETONKA MN 55305 873240022 INSURANCE DE N/A C 0 QUALITY DRUG CORPORATION 239 BROADWAY LAGUNA BEACH CA 92651 330644268 PHARMACY BENEFITS CA N/A C 0 ST MARY'S HOSPITAL CAMPUS CONDOMINIUM OWNERS ASSOCIATION INC 707 SOUTH MILLS STREET MADISON WI 53715 000000000 CONDO ASSOCIATION WI N/A C 0 OMNINHEALTH HOLDINGS 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 884144276 HEALTH CARE CONSULTING DE N/A C 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 0