2025-11-17T16:47:41-06:00 2024-12-31 990 2024-01-01 730657693 SSM HEALTH CARE OF OKLAHOMA INC SSMH 3149947800 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 STEPHANIE KING VP-FINANCE 3149947800 2025-11-17 0 2024 2025-03-06 01:10:19Z SEE SCHEDULE O JOE HODGES 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 1122280501 0 0928 X WWW.SSMHEALTH.COM/OKLAHOMA X 1987 OK A HEALTHCARE NETWORK ENCOMPASSING SSM HEALTH FACILITIES PRIMARILY IN CENTRAL OKLAHOMA, INCLUDING FOUR HOSPITALS OPERATED UNDER ST. ANTHONY HOSPITAL'S LICENSE (SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY, ST. ANTHONY HOSPITAL - MIDWEST CITY, SSM HEALTH BONE & JOINT HOSPITAL AT ST. ANTHONY, AND SSM HEALTH ST. ANTHONY SOUTH), A MULTI-SPECIALITY MEDICAL GROUP AND FOUR REGIONAL HEALTHPLEXES. 10 9 5787 187 1969524 827745 2233921 2725400 1052446135 1101184873 5742052 3257334 6137147 14102755 1066559255 1121270362 1260749 1602077 0 0 428061499 463741133 0 0 5885 588965541 609546901 1018287789 1074890111 48271466 46380251 505793989 453704540 477894995 574122950 27898994 -120418410 X THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 960741994 1602077 1099215349 SSM HEALTH CARE OF OKLAHOMA (SSMOK) IS A HEALTH CARE NETWORK THAT ENCOMPASSES SSM HEALTH CARE FACILITIES PRIMARILY IN CENTRAL OKLAHOMA. THIS INCLUDES SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY, SSM HEALTH BONE & JOINT HOSPITAL AT ST. ANTHONY, SSM HEALTH ST. ANTHONY HOSPITAL - MIDWEST, AND SAINTS MEDICAL GROUP, A MULTI-SPECIALTY MEDICAL GROUP WITH LOCATIONS GEOGRAPHICALLY SPREAD AMONG THE COMMUNITIES WE SERVE. SSMOK IS ALSO THE SOLE CORPORATE MEMBER OF SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE 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, ST ANTHONY HEALTHPLEX EAST AND ST ANTHONY HEALTHPLEX SOUTH, IN EAST AND SOUTH OKLAHOMA CITY. THESE STATE-OF-THE-ART CAMPUSES FEATURE FREESTANDING EMERGENCY ROOMS,AMBULATORY SERVICES AND PHYSICIANS.SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY IS LOCATED IN MIDTOWN AND HAS BEEN SERVING THE HEALTH CARE NEEDS OF CENTRAL OKLAHOMA AND SURROUNDING COUNTIES FOR 125 YEARS. THE JOURNEY BEGAN IN 1898 WHEN OUR FOUNDING SISTERS ESTABLISHED ST. ANTHONY HOSPITAL AS THE FIRST HOSPITAL IN THE OKLAHOMA TERRITORY IN TWO RENTED HOUSES WITH 12 BEDS AT 219 N.W. 4TH STREET. LATER, A NEW 25-BED, TWO STORY BRICK STRUCTURE WAS DEDICATED ON NOVEMBER 23, 1899, JUST OUTSIDE THE OKLAHOMA CITY LIMITS. ST. ANTHONY HOSPITAL REMAINS IN THE SAME LOCATION TODAY AS A 773-BED TERTIARY CARE HOSPITAL. ST. ANTHONY PROVIDES GENERAL, TERTIARY ACUTE CARE SERVICESINCLUDING 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. SSM HEALTH 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. 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. RECOGNIZED AS ONE OF THE TOP ORTHOPEDIC HOSPITALS IN THE UNITED STATES, BONE AND JOINT HOSPITAL AT ST. ANTHONY RATES IN THE TOP 4% IN PATIENT SATISFACTION. SSM HEALTH ST. ANTHONY HOSPITAL - MIDWEST IS LOCATED IN MIDWEST CITY AND SERVES THE HEALTH CARE NEEDS OF EASTERN OKLAHOMA COUNTY AND SURROUNDING COMMUNITIES. WE OFFER A WIDE RANGE OF SERVICES WITH PHYSICIANS AND STAFF DEDICATED TO PROVIDING EXCEPTIONAL CARE. OUR SPECIALTIES INCLUDE CARDIOLOGY, ORTHOPEDICS, SURGERY AND BEHAVIORAL HEALTH. OUR COMMITMENT IS TO PROVIDE YOU WITH PERSONAL AND COMPASSIONATE CARE, SO YOU CAN FOCUS ON HEALING. WE STRIVE TO BE THE HOSPITAL YOU AND YOUR FAMILY TRUST FOR GENERATIONS TO COME.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, THORACICSURGERY, VASCULAR SURGERY, DIAGNOSTIC/MEDICAL TESTING SERVICES, AND AN OCCUPATIONAL HEALTH NETWORK.SSMOK ALSO INCLUDES ST. ANTHONY AFFILIATE HEALTH NETWORK THAT ENCOMPASSES 16 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. 960741994 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 X 0 0 5787 1 1 1 0 0 0 0 0 0 0 0 0 X 10 9 0 0 1 0 1 1 1 1 0 0 0 0 1 1 1 1 1 0 0 1 1 X BRADLEY REACH 4052727282 PO BOX 205 OKLAHOMA CITY OK 73101 IFTIKHAR AHMAD MD DIRECTOR 1.00 2.00 X 0 0 0 PAIGE BASS DIRECTOR, CHAIR 1.00 2.00 X X 0 0 0 LINDA CAPS DIRECTOR 1.00 2.00 X 0 0 0 TINA HANNA DIRECTOR 1.00 2.00 X 0 0 0 JAMES KIRK MD DIRECTOR 1.00 2.00 X 0 0 0 DUKE LIGON DIRECTOR 1.00 2.00 X 0 0 0 KEVIN PERRY DIRECTOR 1.00 2.00 X 0 0 0 TERESA ROSE DIRECTOR 1.00 2.00 X 0 0 0 BROOKS RICHARDSON DIRECTOR 1.00 2.00 X 0 0 0 JOE HODGES DIRECTOR, VICE CHAIR, REG PRES-SSM HEALTH OKLAHOMA 40.00 3.00 X X 1297142 0 620216 DOUGLAS LONG SECRETARY, CLO AT SSM HEALTH 1.00 50.00 X 0 1587150 700771 STEVEN SMOOT VICE PRESIDENT, COO AT SSM HEALTH 1.00 50.00 X 0 2364935 1119698 SHASTA MANUEL SYSTEM VICE PRESIDENT-FINANCE 30.00 10.00 X 0 543469 196238 KEVIN SMITH TREASURER, CFO AT SSM HEALTH 1.00 50.00 X 0 1050477 627081 STACY COLEMAN PRESIDENT - ST. ANTHONY MIDWEST 40.00 0.00 X 562798 0 204296 TAMARA POWELL PRESIDENT - ST. ANTHONY OKC 40.00 0.00 X 844563 0 299252 RYAN OSS SYSTEM VP - MEDICAL GROUP OPERATIONS 40.00 0.00 X 357456 0 138549 MANDY HAYES-CHANDLER REGIONAL GENERAL COUNSEL 30.00 10.00 X 0 472174 150154 PAUL WRIGHT VP-MEDICAL PRACTICE, ST. ANTHONY PHYSICIAN GROUP 40.00 0.00 X 395873 0 99664 ELAIN RICHARDSON REGIONAL VP-PATIENT CARE SVCS 40.00 0.00 X 520367 0 45481 KERSEY WINFREE REGIONAL CHIEF MEDICAL OFFICER 40.00 0.00 X 648937 0 162700 DARIN SMITH VP-OPERATIONS, HOSPITAL 40.00 0.00 X 295499 0 91061 MICHAEL HAHN II PHYSICIAN 40.00 0.00 X 2549885 0 76671 CODY GRIFFIN PHYSICIAN 40.00 0.00 X 1607977 0 63451 BRENT HISEY PHYSICIAN 40.00 0.00 X 1418656 0 62575 FARHAN TARIQ PHYSICIAN 40.00 0.00 X 1554214 0 64822 BERNARDINO ROCHA PHYSICIAN 40.00 0.00 X 1464600 0 68951 RANDALL COMBS FORMER OFFICER 1.00 50.00 X 0 1454021 29506 KYLE NONDORF FORMER KEY EMPLOYEE 0.00 40.00 X 0 757276 232342 13517967 8229502 5053479 734 1 1 0 TRIMEDX HOLDINGS LLC 5451 LAKEVIEW PARKWAY S DR INDIANAPOLIS IN 46268 CLINICAL ENGINEERING SERVICES 3540199 OKLAHOMA SPORTS & ORTHOPEDICS 1110 N LEE AVENUE SUITE 200 OKLAHOMA CITY OK 73103 MEDICAL SERVICES 2821891 ANESTHESIA SCHEDULING SERVICES PC 1821 NORTH CLASSEN STE 100 OKLAHOMA CITY OK 73106 IT SERVICES 2800914 NABHOLZ CONSTRUCTION CORPORATION 612 GARLAND ST CONWAY AR 72032 CONSTRUCTION SERVICES 1607448 OKLAHOMA RADIOLOGY GROUP PC 5400 N GRAND BLVD STE 260 OKLAHOMA CITY OK 73112 MEDICAL SERVICES 1180507 45 1372789 1016657 335954 2725400 NET PATIENT SERVICE RE 621990 1043575294 1043575294 340B PHARMACY REVENUE 456110 48856909 48856909 PHARMACY REVENUE 456110 7972263 6664433 1307830 CORPORATE FEES 900099 53195 53195 MANAGEMENT FEES 900099 26692 26692 700520 38826 661694 1101184873 1254728 0 1254728 1254728 1254728 3257334 0 3257334 3257334 3257334 1436091 1010139 425952 425952 JOINT VENTURE REVENUE 621990 6684006 6684006 CAFETERIA REVENUE 722514 5600737 5600737 PARKING REVENUE 812930 137332 137332 12422075 1121270362 1099215349 1969524 17360089 X 1602077 1602077 6583858 6583858 157732 157732 369273164 366952588 2320576 17614521 17268511 346010 45479777 44586355 893379 43 24632081 24148222 483859 32841436 31198634 1642802 884864 7622 877242 127463279 127463279 826429 653817 172612 10038478 9561070 474575 2833 24327720 24327720 36874307 34986368 1887939 1114216 988029 126187 248293 120535 125019 2739 6739 6739 61964525 6703022 55261503 25199156 23958248 1240908 10404690 2046588 8358102 MEDICAL SUPPLIES AND EQ 237650431 237650431 TAXES 35353746 3050472 32303274 LICENSES, DUES, SUBSCRI 3533753 3045538 487945 270 BANK FEES 402204 3494 398710 412635 412635 1074890111 960741994 114142232 5885 54585 105938 23129 20980 145489540 142392526 21012830 21013551 2985661 4326673 623911679 380404136 230073088 243507543 50373977 20420571 1988183 1853950 53792996 20062808 505793989 453704540 77815304 94192341 525032 525032 184784 47632 399369875 479357945 477894995 574122950 X 6398657 -120418016 21500337 -394 27898994 -120418410 505793989 453704540 X 46380251 -194697656 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 65158 65158 0 PART II-B, LINE 1: THE ORGANIZATION PAID DUES TO VARIOUS NATIONAL, STATE AND LOCAL HOSPITAL ASSOCIATIONS AND A PORTION OF THESE DUES WERE ALLOCATED TO LOBBYING ACTIVITIES. 149212 19241 168453 6827280 726483 7404551 149212 8358781 -1192638 388863 6777280 7602602 1077481 271598 49704 8358781 6920655 1001726 270197 49582 7602602 1.00000 0 1 1 10146675 10146675 331627039 218314118 113312921 26921755 9778078 17143677 222320149 152085585 70234564 32896061 226355 32669706 243507543 ASSET RETIREMENT OBLIGATION 189705 DUE TO AFFILIATES 420352955 RETIREMENT LIABILITIES 40643246 THIRD PARTY PATIENT LOANS 18169340 OTHER LIABILITIES 2699 479357945 X PART V, LINE 4: THE PERMANENT ENDOWMENT FUNDS ARE HELD FOR THE PURPOSE OF PROVIDING NURSING SCHOLARSHIPS TO NURSING STUDENTS. PART X, LINE 2: SSM HEALTH CARE OF OKLAHOMA, INC.'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF A RELATED ORGANIZATION, SSM HEALTH (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 2024. 1 1 X 1 X 1 X 1 1 1 0 1 1 13169001 13169001 0.01230 198781780 205776473 0 0.00000 28226634 26114600 2112034 0.00200 240177415 231891073 15281035 0.01430 1019346 1019346 0.00090 13381390 2386733 10994657 0.01020 337029 337029 0.00030 770047 40000 730047 0.00070 15507812 2426733 13081079 0.01210 255685227 234317806 28362114 0.02640 1 84584552 0 188523176 291209393 -102686217 X 1 1 1 1110 CLASSEN BOULEVARD LLC MEDICAL OFFICE BUILDING 0.71680 0.28320 2 SHAWNEE REAL ESTATE HOLDINGS LLC MEDICAL OFFICE BUILDING 0.50000 0.50000 2 1 SSM HEALTH ST ANTHONY HOSPITAL-OKLAHOMA CITY 1000 N LEE OKLAHOMA CITY OK 73103 WWW.SSMHEALTH.COM/LOCATIONS/OKLAHOMA/S 2304 X X X A 2 SSM HEALTH ST ANTHONY HOSPITAL-MIDWEST 2825 PARKLAWN DRIVE MIDWEST CITY OK 73110 WWW.SSMHEALTH.COM/LOCATIONS/OKLAHOMA/S X X A FACILITY REPORTING GROUP A 0 0 1 X X X X X X X X X X 24 1 1 1 1 X HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH X 1 24 1 HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA X WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA X WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: SSM HEALTH ST. ANTHONY HOSPITAL-OKLAHOMA CITY, - FACILITY 2: SSM HEALTH ST. ANTHONY HOSPITAL-MIDWEST GROUP A-FACILITY 2 -- SSM HEALTH ST. ANTHONY HOSPITAL - MIDWES PART V, SECTION B, LINE 3J: THE HOSPITAL FACILITIES ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAVE PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. GROUP A-FACILITY 2 -- SSM HEALTH ST. ANTHONY HOSPITAL - MIDWES PART V, SECTION B, LINE 5: THE TEAM PARTICIPATED IN MEETINGS SCHEDULED BY VARIOUS COMMUNITY PARTNERS AND HEALTH-RELATED ORGANIZATIONS. ADDITIONALLY, TEAM MEMBERS PARTICIPATED IN LARGE COMMUNITY EVENTS TO ENGAGE RESIDENTS AND ELEVATE THE VISIBILITY OF EXISTING INITIATIVES. THIS APPROACH ALLOWED THE TEAM TO GATHER INSIGHT FROM A WIDE RANGE OF VOICES, ENSURING THAT THE DATA REFLECTED CONCERNS ACROSS DIFFERENT DEMOGRAPHICS AND SECTORS. ATTENDEES PROVIDED INSIDER PERSPECTIVES FROM THEIR RESPECTIVE ORGANIZATIONS AND WERE ASKED TO CONFIRM PRIORITY AREAS AND IDENTIFY CURRENT PROJECTS RELATED TO HOUSING, FOOD AND NUTRITION, HEALTHCARE ACCESS, EDUCATION, AND EMPLOYMENT. A SNOWBALL SAMPLING METHOD WAS EMPLOYED TO EXPAND PARTICIPATION THROUGH EXISTING COMMUNITY COALITIONS, TAPPING INTO ORGANIZATIONS THAT WORK TO ADDRESS HEALTH INEQUITIES. THE TEAM SPOKE WITH MEMBERS FROM ORGANIZATIONS THAT DIRECTLY COMBAT HEALTH INEQUITIES DAILY. AS THE MEETINGS CONTINUED, THE TEAM CONTACTED ADDITIONAL ORGANIZATIONS MENTIONED DURING THE INITIAL MEETING, FURTHER BROADENING OUR SAMPLE. BY FOCUSING ON "GRASS TOPS" LEADERS, SPECIFICALLY THOSE IN DECISION-MAKING ROLES WITHIN THEIR ORGANIZATIONS, DATA ON THE NEEDS OF THE POPULATION THEY SERVE WAS GATHERED. THE GOAL OF THIS WORK WAS TO CONFIRM PRIORITY AREAS, UNVEIL ACTIONABLE NEEDS, AND EVALUATE IDEAS FOR ADDRESSING THESE NEEDS FROM GROUPS THAT ARE FAMILIAR WITH THE NUANCES OF THEIR RESPECTIVE FIELDS. THE DATA COLLECTION METHODS INCLUDED BOTH PAPER COPY WITH WRITTEN RESPONSES AND AN OPTIONAL ONLINE SURVEY WITH OPEN-ENDED QUESTIONS. A COPY OF THE ONLINE SURVEY IS AVAILABLE AS AN ADDENDUM TO THIS DOCUMENT. THE DISCUSSION REVEALED BARRIERS TO ACCESS, INDIVIDUAL CONCERNS, AND IMPROVEMENT IDEAS. EACH SESSION WAS FACILITATED BY A COHIT MEMBER USING A STANDARDIZED FACILITATOR GUIDE DESIGNED TO EXPLORE FIRSTHAND EXPERIENCES OF PARTICIPANTS AND OPPORTUNITIES FOR IMPROVEMENT IN COMMUNITY HEALTH. GROUP A-FACILITY 2 -- SSM HEALTH ST. ANTHONY HOSPITAL - MIDWES PART V, SECTION B, LINE 6A: THE 2024 CHNA WAS COMPLETED COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER HOSPITALS:* INTEGRIS HEALTH* OU HEALTH* MERCY GROUP A-FACILITY 2 -- SSM HEALTH ST. ANTHONY HOSPITAL - MIDWES PART V, SECTION B, LINE 6B: THE 2024 CHNA WAS COMPLETED COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER COMMUNITY PARTNERS:* OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT * OKLAHOMA UNIVERSITY HUDSON COLLEGE OF PUBLIC HEALTH GROUP A-FACILITY 2 -- SSM HEALTH ST. ANTHONY HOSPITAL - MIDWES PART V, SECTION B, LINE 11: THE HOSPITAL IDENTIFIED VARIOUS HEALTH NEEDS IN THE 2024 CHNA. IN ORDER TO MAKE A MEANINGFUL IMPACT, & TO USE ITS FINANCES MOST EFFECTIVELY & EFFICIENCY, THE HOSPITAL WILL PLACE PRIMARY FOCUS ON THE FOLLOWING KEY PRIORITIES:* ACCESS TO HEALTHY FOOD* ACCESS TO HEALTHCARE* HOUSING* EDUCATION & EMPLOYMENT (SECONDARY PRIORITY) ACCESS TO HEALTHY FOODPROGRESS MADE SINCE 2021INPATIENT FOOD PHARMACY ST. ANTHONY MIDWEST, IN PARTNERSHIP WITH THE REGIONAL FOOD BANK OF OKLAHOMA, ESTABLISHED TWO FOOD PHARMACY LOCATIONS WHERE CLINICAL STAFF PROVIDE BOXES OF NONPERISHABLE FOOD TO THOSE IN NEED. THROUGH THE END OF 2024, THE PROGRAM HAS SERVED OVER 150 PATIENTS. HEALTHY & TASTY IN 2023, ST. ANTHONY MIDWEST HOSTED TWO COMMUNITY NUTRITION & COOKING CLASSES FOR RESIDENTS OF EASTERN OKLAHOMA COUNTY. THESE CLASSES ENHANCED PARTICIPANTS' KNOWLEDGE OF MAINTAINING A HEALTHY DIET. MEALS ON WHEELS PROGRAM IN AUGUST 2022, ST. ANTHONY MIDWEST PARTNERED WITH MEALS ON WHEELS OKLAHOMA CITY TO LAUNCH A ROUTE IN NORTH DEL CITY. SERVING 15 CLIENTS, THE HOSPITAL HAS INVESTED OVER $20,000 TO SUPPORT THIS PROGRAM, INCLUDING THE EXPENSE OF THE MEALS, STAFF TIME TO DELIVER THE MEALS, & OTHER DIRECT EXPENSES.COMMUNITY HEALTH IMPROVEMENT GRANTS IN ADDITION TO THE OTHER GRANTS MENTIONED IN THIS REPORT, THE HOSPITAL ALSO AWARDED OVER $30,000 IN COMMUNITY HEALTH IMPROVEMENT GRANTS TO COMMUNITY ORGANIZATIONS ADDRESSING FOOD INSECURITY IN THE COMMUNITY.GOALS & OBJECTIVES * CONTINUE THE FOOD PHARMACY PROGRAM TO SUPPORT HOSPITAL INPATIENTS, AS WELL AS PATIENTS IN CANCER & WOUND CARE. ADDITIONALLY, ESTABLISH A FOOD PHARMACY PROGRAM AT OUR OB CLINIC WITHIN OUR MEDICAL GROUP IN MIDWEST CITY. * CONTINUE TO SPONSOR THE BACKPACKS FOR KIDS PROGRAM AT MIDWEST CITY ELEMENTARY. REGIONAL FOOD BANK OF OKLAHOMA'S BACKPACKS FOR KIDS PROGRAM PROVIDES CHILDREN WITH FOOD ACCESS ISSUES FOOD FOR THE WEEKENDS WHEN THE SCHOOLS CANNOT FEED THEM. * CONTINUE TO SUPPORT A MEALS ON WHEELS ROUTE IN DEL CITY BY PROVIDING FOOD PREP & VOLUNTEERS. THE HOSPITAL WILL TRACK MONTHLY NUMBER OF MEALS DELIVERED, STAFF TIME, & MISC. EXPENSES. * PARTNERING WITH THE LYNN INSTITUTE TO OFFER HANDS-ON COOKING CLASSES IN EASTERN OKLAHOMA COUNTY. THESE CLASSES EMPOWER INDIVIDUALS TO MAKE HEALTHIER FOOD CHOICES BY TEACHING AFFORDABLE, NUTRITIOUS COOKING TECHNIQUES THAT SUPPORT OVERALL WELL-BEING.* IN COLLABORATION WITH FRESH RX IN TULSA, WE ARE LAUNCHING A "FOOD IS MEDICINE" PROGRAM IN OKLAHOMA COUNTY TO SUPPORT INDIVIDUALS WITH CHRONIC HEALTH CONDITIONS THROUGH NUTRITION-BASED INTERVENTIONS. ACCESS TO HEALTHCAREPROGRESS MADE SINCE 2021ACCESS TO SPECIALTY SERVICES FOR THE UNINSURED SSM HEALTH ST. ANTHONY WAS A FOUNDING MEMBER OF HEALTH ALLIANCE. AFTER JOINING SSM HEALTH IN 2021, ST. ANTHONY MIDWEST BEGAN SUPPORTING HAU BY COMMITTING $90,000 TO SUPPORT THE OPERATIONS OF THE CARE CONNECTION PROGRAM & ITS OTHER SERVICES. THE HOSPITAL IS ALSO FINALIZING PLANS TO BEGIN OFFERING ADDITIONAL IN-KIND SPECIALTY SERVICES. HEALTH COACHES FOR HYPERTENSION CONTROL IN 2022, SSM HEALTH ST. ANTHONY LAUNCHED HEALTH COACHES FOR HYPERTENSION CONTROL. THIS EIGHT-WEEK PROGRAM, DEVELOPED AT CLEMSON UNIVERSITY, EMPOWERS PARTICIPANTS TO BETTER MANAGE HYPERTENSION. PARTICIPANTS ATTEND GROUP EDUCATION SESSIONS, RECEIVE SUPPORT FROM A TRAINED HEALTH COACH, & ARE GIVEN A FREE ELECTRONIC BLOOD PRESSURE MONITOR. THE PROGRAM IS FUNDED BY SSM HEALTH ST. ANTHONY; THERE IS NO COST FOR COMMUNITY MEMBERS TO PARTICIPATE. CARE NAVIGATION SSM HEALTH HAS INVESTED IN BETTER SYSTEMS TO SCREEN PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH (SDOH) NEEDS & ADOPTED A PLATFORM CALLED UNITE US TO ELECTRONICALLY REFER PATIENTS WITH NEEDS TO COMMUNITY-BASED ORGANIZATIONS. ST. ANTHONY MIDWEST BEGAN ELECTRONIC SDOH SCREENINGS & REFERRALS IN 2024. DATA FROM THIS INITIATIVE IS CURRENTLY BEING EVALUATED TO MEASURE IMPACT & INFORM FUTURE EFFORTS.TOBACCO CESSATION RESOURCES ST. ANTHONY MIDWEST PARTNERED WITH THE OKLAHOMA HOSPITAL ASSOCIATION TO EXPAND ACCESS TO TOBACCO CESSATION RESOURCES FOR PATIENTS IN ACUTE CARE. CURRENTLY, OUR TEAM IS FOCUSED ON: INTEGRATING TOBACCO CESSATION PROTOCOLS INTO ROUTINE CARE WORKFLOWS; DEVELOPING & DISTRIBUTING "TIP SHEETS" & STEP-BY-STEP GUIDES FOR RESPIRATORY CARE STAFF; & PROVIDING ONGOING TRAINING TO RESPIRATORY CARE EPIC "SUPER USERS" TO ENSURE EFFECTIVE PATIENT COUNSELING & REFERRAL PLACEMENT TO THE OKLAHOMA QUITLINE COMMUNITY HEALTH IMPROVEMENT GRANTS IN ADDITION TO THE OTHER GRANTS MENTIONED IN THIS REPORT, THE HOSPITAL ALSO AWARDED THE FOLLOWING GRANTS TO SUPPORT ACCESS TO CARE IN THE COMMUNITY: OKLAHOMA PROJECT WOMAN ($9,750 TO EXPAND ACCESS TO BREAST HEALTH & CANCER SCREENINGS) & MIDWEST CITY YMCA ($34,500 TO SUPPORT FINANCIAL ASSISTANCE & THE LIVESTRONG PROGRAM, IMPROVING ACCESS TO PHYSICAL ACTIVITY & WELLNESS)GOALS & OBJECTIVES * CONTINUE HEALTH COACHES FOR HYPERTENSION CLASSES IN EASTERN OKLAHOMA COUNTY. THIS IS AN EIGHT-WEEK COURSE DESIGNED TO IMPROVE HYPERTENSION SELF-MANAGEMENT THROUGH GROUP EDUCATIONAL SESSIONS & SUPPORT OFFERED BY A TRAINED HEALTH COACH. CONDUCT ONE COHORT PER QUARTER & REPORT QUARTERLY PROGRAM OUTCOMES.* PARTNER WITH OKLAHOMA PROJECT WOMAN TO ENHANCE BREAST CANCER SCREENING EFFORTS BY PROVIDING: IN-KIND IMAGING SERVICES TO UNINSURED WOMEN & OFFER GRANT FUNDING FOR TRANSPORTATION & DIAGNOSTIC SERVICES TO SUPPORT CONTINUITY OF CARE FOR PATIENTS WITH ABNORMAL RESULTS. * INCREASE HARM REDUCTION & SUBSTANCE USE PREVENTION BY IMPLEMENTING NARCAN VENDING MACHINES IN PARTNERSHIP WITH A LOCAL COMMUNITY-BASED ORGANIZATION. MEASURE THE NUMBER OF NARCAN UNITS DISPENSED, EDUCATION EFFORTS, & PROVIDER ENGAGEMENT. * OFFER INTEGRATED VIRTUAL BEHAVIORAL HEALTH IN ALL SSM HEALTH MEDICAL GROUP PRIMARY CARE PRACTICES IN EASTERN OKLAHOMA COUNTY * CONTINUE TO PARTNER WITH THE OKLAHOMA ALLIANCE FOR PUBLIC TRANSPORTATION TO SUPPORT POLICY EFFORTS TO IMPROVE TRANSPORTATION ACCESS IN MIDWEST CITY, REDUCING BARRIERS TO HEALTHCARE & ESSENTIAL SERVICES. * CONTINUE TO PARTNER WITH THE HEALTH ALLIANCE FOR THE UNINSURED TO PROVIDE FUNDING TO SUPPORT ACCESS TO SPECIALTY CARE FOR THE UNINSURED. * PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT FOR THEIR WORK IN ADDRESSING ACCESS TO CARE IN MIDWEST CITY & THE LARGER EASTERN OKLAHOMA COUNTY AREA.HOUSINGGOALS & OBJECTIVES * CONTINUE TO PARTNER WITH CARDINAL COMMUNITY HOUSE TO PROVIDE RESPITE CARE FOR PATIENTS EXPERIENCING HOMELESSNESS. ST. ANTHONY & CARDINAL COMMUNITY HOUSE WILL EVALUATE PATIENT OUTCOMES & READMISSION RATES. * SUPPORT CITY CARE'S MEDICAL RESPITE INITIATIVE FINANCIALLY & ENGAGE ADDITIONAL PARTNERS TO EXPAND SERVICES FOR UNHOUSED PATIENTS DISCHARGED FROM HOSPITALS WHO NEED RESPITE CARE. * PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT FOR THEIR WORK IN ADDRESSING ACCESS TO CARE IN OKLAHOMA COUNTYEDUCATION & EMPLOYMENT PROGRESS MADE SINCE 2021PERIOD POVERTY ST. ANTHONY MIDWEST AWARDED A COMMUNITY HEALTH IMPROVEMENT GRANT OF $37,925 TO THE MID-DEL PUBLIC SCHOOL DISTRICT TO INCREASE ACCESS TO FEMININE HYGIENE PRODUCTS FOR GIRLS & YOUNG WOMEN LIVING IN POVERTY. THIS INITIATIVE PROVIDED 207 DISPENSERS STOCKED WITH FREE FEMININE PRODUCTS IN RESTROOMS ACROSS THE DISTRICT. BACKPACKS FOR KIDS AT MIDWEST CITY ELEMENTARY THE REGIONAL FOOD BANK OF OKLAHOMA'S BACKPACK FOR KIDS PROGRAM PROVIDES ELEMENTARY SCHOOL CHILDREN WITH A SACK OF NUTRITIOUS, NON-PERISHABLE FOOD EVERY FRIDAY TO SUSTAIN THEM OVER WEEKENDS & SCHOOL HOLIDAYS. DURING THE 2022-2024 PERIOD, ST. ANTHONY MIDWEST INVESTED $15,000 IN THE PROGRAM, PROVIDING 20,421 POUNDS OF FOOD TO MWC ELEMENTARY STUDENTS & THEIR FAMILIES. PURCHASING FROM DIVERSE SUPPLIERS SSM HEALTH IS A MEMBER HEALTHCARE ANCHOR NETWORK (HAN). KEY AREAS OF FOCUS INCLUDE IMPACT PURCHASING FROM LOCAL MINORITY-OWNED BUSINESSES & IMPACT INVESTING IN COMMUNITIES WITH SIGNIFICANT ECONOMIC & ENVIRONMENTAL CHALLENGES. IN 2023 ALONE, OUR CUMULATIVE INVESTMENT IN OKLAHOMA THROUGH OUR HAN STRATEGY TOTALED $3,885,271. GOALS & OBJECTIVES SSM HEALTH IS A PROUD MEMBER OF THE HEALTHCARE ANCHOR NETWORK. MEMBERS OF THE HEALTHCARE ANCHOR NETWORK COMMIT TO USE THEIR ROLE AS AN "ANCHOR INSTITUTION" IN THEIR COMMUNITY TO ADDRESS THE STRUCTURAL DISPARITIES THAT AFFECT EQUITABLE HEALTH OUTCOMES. THE ENTIRE SSM HEALTH SYSTEM, INCLUDING ST. ANTHONY HOSPITAL - MIDWEST, WILL CONTINUE TO FORMULATE STRATEGIES TO SUPPORT THE CREATION OF NEW EMPLOYMENT & JOB-TRAINING OPPORTUNITIES WITHIN MARGINALIZED COMMUNITIES. LOCAL HEALTH MINISTRIES WILL DETERMINE WHERE TO FOCUS EFFORTS. GROUP A-FACILITY 2 -- SSM HEALTH ST. ANTHONY HOSPITAL - MIDWES PART V, SECTION B, LINE 13H: SSM HEALTH MAY UTILIZE PREDICTIVE ANALYTICAL SOFTWARE OR OTHER CRITERIA TO ASSIST IN MAKING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IN SITUATIONS, INCLUDING BUT NOT LIMITED TO THE HOMELESS POPULATION, WHERE THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE BUT HAS NOT PROVIDED THE NECESSARY DOCUMENTATION TO MAKE A DETERMINATION. IRREGULARLY, IN THE ABSENCE OF USING THE PREDICTIVE ANALYTICAL SOFTWARE, PRESUMPTIVE CHARITY MAY BE AUTHENTICATED BY THE PATIENT CARE TEAM AS REPRESENTED AS CHARITY OR UNINSURED DISCOUNTS TO THE PATIENTS' FINANCIAL OBLIGATION.ADDITIONALLY, PATIENTS MAY BE ELIGIBLE TO RECEIVE A DISCOUNT ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS. GROUP A-FACILITY 1 -- SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHO PART V, SECTION B, LINE 3J: THE HOSPITAL FACILITIES ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAVE PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. GROUP A-FACILITY 1 -- SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHO PART V, SECTION B, LINE 5: THE TEAM PARTICIPATED IN MEETINGS SCHEDULED BY VARIOUS COMMUNITY PARTNERS AND HEALTH-RELATED ORGANIZATIONS. ADDITIONALLY, TEAM MEMBERS PARTICIPATED IN LARGE COMMUNITY EVENTS TO ENGAGE RESIDENTS AND ELEVATE THE VISIBILITY OF EXISTING INITIATIVES. THIS APPROACH ALLOWED THE TEAM TO GATHER INSIGHT FROM A WIDE RANGE OF VOICES, ENSURING THAT THE DATA REFLECTED CONCERNS ACROSS DIFFERENT DEMOGRAPHICS AND SECTORS. ATTENDEES PROVIDED INSIDER PERSPECTIVES FROM THEIR RESPECTIVE ORGANIZATIONS AND WERE ASKED TO CONFIRM PRIORITY AREAS AND IDENTIFY CURRENT PROJECTS RELATED TO HOUSING, FOOD AND NUTRITION, HEALTHCARE ACCESS, EDUCATION, AND EMPLOYMENT. A SNOWBALL SAMPLING METHOD WAS EMPLOYED TO EXPAND PARTICIPATION THROUGH EXISTING COMMUNITY COALITIONS, TAPPING INTO ORGANIZATIONS THAT WORK TO ADDRESS HEALTH INEQUITIES. THE TEAM SPOKE WITH MEMBERS FROM ORGANIZATIONS THAT DIRECTLY COMBAT HEALTH INEQUITIES DAILY. AS THE MEETINGS CONTINUED, THE TEAM CONTACTED ADDITIONAL ORGANIZATIONS MENTIONED DURING THE INITIAL MEETING, FURTHER BROADENING OUR SAMPLE. BY FOCUSING ON "GRASS TOPS" LEADERS, SPECIFICALLY THOSE IN DECISION-MAKING ROLES WITHIN THEIR ORGANIZATIONS, DATA ON THE NEEDS OF THE POPULATION THEY SERVE WAS GATHERED. THE GOAL OF THIS WORK WAS TO CONFIRM PRIORITY AREAS, UNVEIL ACTIONABLE NEEDS, AND EVALUATE IDEAS FOR ADDRESSING THESE NEEDS FROM GROUPS THAT ARE FAMILIAR WITH THE NUANCES OF THEIR RESPECTIVE FIELDS. THE DATA COLLECTION METHODS INCLUDED BOTH PAPER COPY WITH WRITTEN RESPONSES AND AN OPTIONAL ONLINE SURVEY WITH OPEN-ENDED QUESTIONS. A COPY OF THE ONLINE SURVEY IS AVAILABLE AS AN ADDENDUM TO THIS DOCUMENT. THE DISCUSSION REVEALED BARRIERS TO ACCESS, INDIVIDUAL CONCERNS, AND IMPROVEMENT IDEAS. EACH SESSION WAS FACILITATED BY A COHIT MEMBER USING A STANDARDIZED FACILITATOR GUIDE DESIGNED TO EXPLORE FIRSTHAND EXPERIENCES OF PARTICIPANTS AND OPPORTUNITIES FOR IMPROVEMENT IN COMMUNITY HEALTH. GROUP A-FACILITY 1 -- SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHO PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY COMPLETED A JOINT 2021 CHNA WITH INTEGRIS HEALTH, MERCY HOSPITALOKLAHOMA CITY, OU HEALTH, AND ST. ANTHONY HOSPITAL - MIDWEST. GROUP A-FACILITY 1 -- SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHO PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY COMPLETED A JOINT 2021 CHNA WITH THE OKLAHOMA CITY-COUNTY HEALTHDEPARTMENT. GROUP A-FACILITY 1 -- SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHO PART V, SECTION B, LINE 11: THE HOSPITAL IDENTIFIED VARIOUS HEALTH NEEDS IN THE 2024 CHNA. IN ORDER TO MAKE A MEANINGFUL IMPACT, & TO USE ITS FINANCES MOST EFFECTIVELY & EFFICIENCY, THE HOSPITAL WILL PLACE PRIMARY FOCUS ON THE FOLLOWING KEY PRIORITIES:* ACCESS TO HEALTHY FOOD* ACCESS TO HEALTHCARE* HOUSING * EDUCATION & EMPLOYMENT (SECONDARY PRIORITY)ACCESS TO HEALTHY FOODPROGRESS SINCE 2021LOAVES & FISHES FOOD PHARMACY LOCATED AT THE ST. ANTHONY FAMILY MEDICINE CENTER, THE LOAVES & FISHES FOOD PHARMACY, A PARTNERSHIP WITH THE REGIONAL FOOD BANK OF OKLAHOMA & 8TH STREET URBAN FARM, ADDRESSES FOOD INSECURITY BY PROVIDING FOOD BOXES CONTAINING NON-PERISHABLE FOOD, RESOURCE FLYERS & FRESH PRODUCE. SINCE 2022, LOAVES & FISHES HAS DISTRIBUTED OVER 4,650 FOOD BOXES. 8TH STREET URBAN FARM FOUNDED IN 2021 ON THE ST. ANTHONY CAMPUS & OPERATED BY THE MIDTOWN COMMUNITY DEVELOPMENT FOUNDATION, THE 8TH STREET URBAN FARM PROVIDES FRESH PRODUCE TO LOCAL CLINICS & OTHER ORGANIZATIONS ADDRESSING FOOD INSECURITY & CHRONIC HEALTH ISSUES. ST. ANTHONY HAS INVESTED $60,000 OF GRANT FUNDING SINCE 2022, WITH THE FARM DONATING PRODUCE VALUED AT $180,000 OVER THAT TIME.GOALS & OBJECTIVES * WE WILL WORK WITH COMMUNITY PARTNERS TO CONTINUE TO PROVIDE ACCESS TO HEALTHY FOOD AT OUR FAMILY MEDICINE CENTER, SPONSOR A BACKPACK FOR KIDS PROGRAM & SUPPORT FRESH RX. ACCESS TO HEALTHY FOOD WILL HELP RESIDENTS IN OKLAHOMA COUNTY ACHIEVE & MAINTAIN A HEALTHY WEIGHT & LIVE LONGER.* CONTINUE THE FOOD PHARMACY PROGRAM AT FAMILY MEDICINE CENTER. * ONGOING UTILIZATION OF LAND, UTILITIES, & FINANCIAL SUPPORT FOR THE 8TH STREET URBAN FARM. A PORTION OF THE HARVESTED PRODUCE IS DISTRIBUTED TO FAMILY MEDICINE CENTER PATIENTS AS A SUPPLEMENT TO THE FOOD PHARMACY PROGRAM. * CONTINUE TO SPONSOR THE BACKPACKS FOR KIDS PROGRAM AT ROCKWOOD ELEMENTARY. REGIONAL FOOD BANK OF OKLAHOMA'S BACKPACKS FOR KIDS PROGRAM PROVIDES CHILDREN WITH FOOD ACCESS ISSUES FOOD FOR THE WEEKENDS WHEN THE SCHOOLS CANNOT FEED THEM. * PARTNERING WITH THE LYNN INSTITUTE TO OFFER HANDS-ON COOKING CLASSES IN SOUTH OKLAHOMA CITY. THESE CLASSES EMPOWER INDIVIDUALS TO MAKE HEALTHIER FOOD CHOICES BY TEACHING AFFORDABLE, NUTRITIOUS COOKING TECHNIQUES THAT SUPPORT OVERALL WELL-BEING. * IN COLLABORATION WITH FRESH RX IN TULSA, ST. ANTHONY WILL BE LAUNCHING A "FOOD IS MEDICINE" PROGRAM IN OKLAHOMA COUNTY TO SUPPORT INDIVIDUALS WITH CHRONIC HEALTH CONDITIONS THROUGH NUTRITION-BASED INTERVENTIONS. TO EXPAND ITS REACH & IMPACT, WE SEEK STRATEGIC PARTNERS & FUNDERS WHILE PROVIDING IN-KIND LAB SERVICES TO SUPPORT PROGRAM IMPLEMENTATION & SUCCESS.ACCESS TO HEALTHCAREPROGRESS SINCE 2021RESPITE CARE FOR PATIENTS EXPERIENCING HOMELESSNESS SSM HEALTH ST. ANTHONY BECAME THE FIRST HOSPITAL SYSTEM IN THE CITY TO ENTER INTO A FORMAL ARRANGEMENT WITH CARDINAL COMMUNITY HOUSE. THE RESPITE SHELTER OFFERS PATIENTS A SAFE, MEDICALLY APPROPRIATE ENVIRONMENT TO REST & HEAL AFTER HOSPITALIZATION, ALONG WITH CASE MANAGEMENT SERVICES, MEALS, & MEDICATION ASSISTANCE. STREET MEDICINE TEAM ST. ANTHONY HOSPITAL - OKLAHOMA CITY & THE ST. ANTHONY FOUNDATION PARTNERED WITH MENTAL HEALTH ASSOCIATION OKLAHOMA TO SUPPORT A STREET MEDICINE TEAM DEDICATED TO PROVIDING COMPLETE CARE FOR INDIVIDUALS EXPERIENCING HOMELESSNESS IN OKLAHOMA CITY. THE TEAM WAS ABLE TO PURCHASE A VAN & ADD AN ADVANCED PRACTICE PROVIDER & SOCIAL WORKER TO JOIN THE STREET MEDICINE TEAM. ST. ANTHONY HOSPITAL HAS INVESTED $200,000 IN THE PROGRAM. FROM 2023-2024, THE TEAM CARED FOR OVER 750 INDIVIDUALS, WITH OVER 560 REFERRALS FOR PRIMARY CARE & MENTAL HEALTH SERVICES. HEALTH COACHES FOR HYPERTENSION CONTROL IN 2022, SSM HEALTH ST. ANTHONY LAUNCHED HEALTH COACHES FOR HYPERTENSION CONTROL. THIS EIGHT-WEEK PROGRAM, DEVELOPED AT CLEMSON UNIVERSITY, EMPOWERS PARTICIPANTS TO BETTER MANAGE HYPERTENSION. PARTICIPANTS ATTEND GROUP EDUCATION SESSIONS, RECEIVE SUPPORT FROM A TRAINED HEALTH COACH, & ARE GIVEN A FREE ELECTRONIC BLOOD PRESSURE MONITOR. THE PROGRAM IS FUNDED BY SSM HEALTH ST. ANTHONY; THERE IS NO COST FOR COMMUNITY MEMBERS TO PARTICIPATE. CARE NAVIGATION SSM HEALTH HAS INVESTED IN BETTER SYSTEMS TO SCREEN PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH (SDOH) NEEDS & ADOPTED A PLATFORM CALLED UNITE US TO ELECTRONICALLY REFER PATIENTS WITH NEEDS TO COMMUNITY-BASED ORGANIZATIONS. IN 2023, THE ST. ANTHONY OB/GYN RESIDENCY CLINIC PILOTED AN SDOH SCREENING PROGRAM FOCUSED ON ADDRESSING FOOD INSECURITY & CONNECTING MATERNAL HEALTH PATIENTS WITH LOCAL FOOD PANTRIES. KEY OUTCOMES INCLUDED: 65% OF PATIENTS WERE SCREENED FOR FOOD INSECURITY & 100% OF PATIENTS IDENTIFIED AS FOOD INSECURE RECEIVED A CONFIRMED REFERRAL TO A COMMUNITY-BASED ORGANIZATION. IN 2024 SSM HEALTH IN OKLAHOMA EXPANDED SDOH SCREENINGS & UNITE US REFERRALS TO INCLUDE OUR ACUTE INPATIENT POPULATION. DATA FROM THIS INITIATIVE IS CURRENTLY BEING EVALUATED TO MEASURE IMPACT & INFORM FUTURE EFFORTS.GOALS & OBJECTIVES * WE WILL COLLABORATE WITH COMMUNITY PARTNERS TO IMPROVE ACCESS TO HEALTH CARE SERVICES BY OFFERING A HEALTH EDUCATION PROGRAM, DONATING IN-KIND SPECIALTY SERVICES, & INCREASING ACCESS TO NARCAN MEDICATION IN THE COMMUNITY. REGULAR & RELIABLE ACCESS TO HEALTH SERVICES IMPROVES THE QUALITY OF LIFE & TREATS HEALTH CONDITIONS.* CONTINUE HEALTH COACHES FOR HYPERTENSION CLASSES IN OKLAHOMA CITY. THIS IS AN EIGHT-WEEK COURSE DESIGNED TO IMPROVE HYPERTENSION SELF-MANAGEMENT THROUGH GROUP EDUCATIONAL SESSIONS & SUPPORT OFFERED BY A TRAINED HEALTH COACH. CONDUCT ONE COHORT PER QUARTER & REPORT QUARTERLY PROGRAM OUTCOMES.* PARTNER WITH OKLAHOMA PROJECT WOMAN TO ENHANCE BREAST CANCER SCREENING EFFORTS BY PROVIDING: IN-KIND IMAGING SERVICES TO UNINSURED WOMEN & OFFER GRANT FUNDING FOR TRANSPORTATION & DIAGNOSTIC SERVICES TO SUPPORT CONTINUITY OF CARE FOR PATIENTS WITH ABNORMAL RESULTS.* INCREASE HARM REDUCTION & SUBSTANCE USE PREVENTION BY IMPLEMENTING NARCAN VENDING MACHINES IN PARTNERSHIP WITH A LOCAL COMMUNITY-BASED ORGANIZATION. MEASURE THE NUMBER OF NARCAN UNITS DISPENSED, EDUCATION EFFORTS, & PROVIDER ENGAGEMENT.* OFFER INTEGRATED VIRTUAL BEHAVIORAL HEALTH IN ALL SSM HEALTH MEDICAL GROUP PRIMARY CARE PRACTICES IN OKLAHOMA. CONTINUE TO PARTNER WITH THE HEALTH ALLIANCE FOR THE UNINSURED TO PROVIDE FUNDING TO SUPPORT ACCESS TO SPECIALTY CARE FOR THE UNINSURED.* PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT FOR THEIR WORK IN ADDRESSING ACCESS TO CARE IN OKLAHOMA COUNTYHOUSINGGOALS & OBJECTIVES * WE WILL ENHANCE HOUSING STABILITY BY EXPANDING PARTNERSHIPS WITH CARDINAL COMMUNITY HOUSE & CITY CARE TO PROVIDE RESPITE CARE FOR INDIVIDUALS EXPERIENCING HOMELESSNESS.* CONTINUE TO PARTNER WITH CARDINAL COMMUNITY HOUSE TO PROVIDE RESPITE CARE FOR PATIENTS EXPERIENCING HOMELESSNESS. ST. ANTHONY & CARDINAL COMMUNITY HOUSE WILL EVALUATE PATIENT OUTCOMES & READMISSION RATES. * SUPPORT CITY CARE'S MEDICAL RESPITE INITIATIVE FINANCIALLY & ENGAGE ADDITIONAL PARTNERS TO EXPAND SERVICES FOR UNHOUSED PATIENTS DISCHARGED FROM HOSPITALS WHO NEED RESPITE CARE. * PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT FOR THEIR WORK IN ADDRESSING ACCESS TO CARE IN OKLAHOMA COUNTY.EDUCATION & EMPLOYMENT PROGRESS SINCE 2021RESCUE INHALERS ST. ANTHONY PARTNERED WITH THE BRENDON MCLARTY MEMORIAL FOUNDATION TO PROVIDE RESCUE INHALERS & ESSENTIAL MEDICAL SUPPLIES TO EVERY PUBLIC SCHOOL IN OKLAHOMA. ST. ANTHONY DONATED 16,000 INHALERS VALUED AT $24,811 ALONG WITH $165,000 IN GRANT FUNDING. ST. ANTHONY'S GOVERNMENT AFFAIRS TEAM WORKED WITH THE STATE LEGISLATURE TO SECURE PUBLIC FUNDING TO ENSURE THE PROGRAM'S LONG-TERM SUSTAINABILITY. BACKPACK FOR KIDS AT ROCKWOOD ELEMENTARY THE REGIONAL FOOD BANK OF OKLAHOMA'S BACKPACK FOR KIDS PROGRAM PROVIDES ELEMENTARY SCHOOL CHILDREN WITH A SACK OF NUTRITIOUS, NON-PERISHABLE FOOD EVERY FRIDAY TO SUSTAIN THEM OVER WEEKENDS & SCHOOL HOLIDAYS. DURING THE 2022- 2024 PERIOD, ST. ANTHONY INVESTED $45,000 IN THE PROGRAM, PROVIDING 33,636 POUNDS OF FOOD TO ROCKWOOD STUDENTS & THEIR FAMILIES. PURCHASING FROM DIVERSE SUPPLIERS SSM HEALTH IS A MEMBER HEALTHCARE ANCHOR NETWORK (HAN). KEY AREAS OF FOCUS INCLUDE IMPACT PURCHASING FROM LOCAL MINORITY-OWNED BUSINESSES & IMPACT INVESTING IN COMMUNITIES WITH SIGNIFICANT ECONOMIC & ENVIRONMENTAL CHALLENGES. IN 2023 ALONE, OUR CUMULATIVE INVESTMENT IN OKLAHOMA THROUGH OUR HAN STRATEGY TOTALED $3,885,271. GOALS & OBJECTIVES SSM HEALTH IS A PROUD MEMBER OF THE HEALTHCARE ANCHOR NETWORK. MEMBERS OF THE HEALTHCARE ANCHOR NETWORK COMMIT TO USE THEIR ROLE AS AN "ANCHOR INSTITUTION" IN THEIR COMMUNITY TO ADDRESS THE STRUCTURAL DISPARITIES THAT AFFECT EQUITABLE HEALTH OUTCOMES. THE ENTIRE SSM HEALTH SYSTEM, INCLUDING ST. ANTHONY HOSPITAL-OKLAHOMA CITY, WILL CONTINUE TO FORMULATE STRATEGIES TO SUPPORT THE CREATION OF NEW EMPLOYMENT & JOB-TRAINING OPPORTUNITIES WITHIN MARGINALIZED COMMUNITIES. LOCAL HEALTH MINISTRIES WILL DETERMINE WHERE TO FOCUS EFFORT. GROUP A-FACILITY 1 -- SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHO PART V, SECTION B, LINE 13H: SSM HEALTH MAY UTILIZE PREDICTIVE ANALYTICAL SOFTWARE OR OTHER CRITERIA TO ASSIST IN MAKING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IN SITUATIONS, INCLUDING BUT NOT LIMITED TO THE HOMELESS POPULATION, WHERE THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE BUT HAS NOT PROVIDED THE NECESSARY DOCUMENTATION TO MAKE A DETERMINATION. IRREGULARLY, IN THE ABSENCE OF USING THE PREDICTIVE ANALYTICAL SOFTWARE, PRESUMPTIVE CHARITY MAY BE AUTHENTICATED BY THE PATIENT CARE TEAM AS REPRESENTED AS CHARITY OR UNINSURED DISCOUNTS TO THE PATIENTS' FINANCIAL OBLIGATION.ADDITIONALLY, PATIENTS MAY BE ELIGIBLE TO RECEIVE A DISCOUNT ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS. 38 1 - SSM HEALTH MEDICAL GROUP 13401 N WESTERN AVE STE 200 OKLAHOMA CITY OK 73114 OTHER HEALTH CARE FACILITY 2 - SSM HEALTH HEART & VASCULAR CARE 608 NW 9TH STREET STE 2200 OKLAHOMA CITY OK 73102 OTHER HEALTH CARE FACILITY 3 - SSM HEALTH ST ANTHONY HEALTHPLEX 13401 N WESTERN AVE STE 100 OKLAHOMA CITY OK 73170 OTHER HEALTH CARE FACILITY 4 - SSM HEALTH MEDICAL GROUP 13500 S TULSA DRIVE OKLAHOMA CITY OK 73170 OTHER HEALTH CARE FACILITY 5 - SSM HEALTH MEDICAL GROUP 15679 NE 23RD STREET CHOCTAW OK 73020 OTHER HEALTH CARE FACILITY 6 - SSM HEALTH MEDICAL GROUP 201 S SARA ROAD STE 200 MUSTANG OK 73064 OTHER HEALTH CARE FACILITY 7 - SSM HEALTH OUTPATIENT CENTER 201 S SARA ROAD STE 210 MUSTANG OK 73064 OTHER HEALTH CARE FACILITY 8 - SSM HEALTH ST ANTHONY HEALTHPLEX 201 S SARA ROAD STE 100 MUSTANG OK 73064 OTHER HEALTH CARE FACILITY 9 - SSM HEALTH ST ANTHONY SOUTH 2129 SW 59TH STREET OKLAHOMA CITY OK 73119 OTHER HEALTH CARE FACILITY 10 - SSM HEALTH ST ANTHONY HEALTHPLEX 3400 S DOUGLAS BLVD STE 100 OKLAHOMA CITY OK 73150 OTHER HEALTH CARE FACILITY 11 - SSM HEALTH MEDICAL GROUP 13401 N WESTERN AVE STE 407 OKLAHOMA CITY OK 73114 OTHER HEALTH CARE FACILITY 12 - SSM HEALTH SURGERY CENTER 1110 N LEE AVE STE 100 OKLAHOMA CITY OK 73103 OTHER HEALTH CARE FACILITY 13 - SSM HEALTH ST ANTHONY LAB 1110 N CLASSEN BLVD STE 205 OKLAHOMA CITY OK 73106 OTHER HEALTH CARE FACILITY 14 - SSM HEALTH CANCER CARE 1011 N DEWEY AVENUE OKLAHOMA CITY OK 73102 OTHER HEALTH CARE FACILITY 15 - SSM HEALTH MEDICAL GROUP 6908 E RENO STE 202 MIDWEST CITY OK 73110 OTHER HEALTH CARE FACILITY 16 - SSM HEALTH MEDICAL GROUP 6908 E RENO STE 201 MIDWEST CITY OK 73110 OTHER HEALTH CARE FACILITY 17 - SSM HEALTH BEHAVIORAL HEALTH 416 WEST 15TH STREET BLDG 700 S EDMOND OK 73013 OTHER HEALTH CARE FACILITY 18 - SSM HEALTH BREAST CARE 535 NW 9TH STREET STE 100 OKLAHOMA CITY OK 73102 OTHER HEALTH CARE FACILITY 19 - SSM HEALTH NEUROSCIENCES 535 NW 9TH STREET STE 205 OKLAHOMA CITY OK 73102 OTHER HEALTH CARE FACILITY 20 - SSM HEALTH MEDICAL GROUP 608 NW 9TH STREET STE 1100 OKLAHOMA CITY OK 73102 OTHER HEALTH CARE FACILITY 21 - SSM HEALTH URODYNAMIC DIAGNOSTICS 608 NW 9TH STREET STE 3100 OKLAHOMA CITY OK 73102 OTHER HEALTH CARE FACILITY 22 - SSM HEALTH OUTPATIENT CENTER 608 NW 9TH STREET STE 3106 OKLAHOMA CITY OK 73102 OTHER HEALTH CARE FACILITY 23 - SSM HEALTH MEDICAL GROUP 608 NW 9TH STREET STE 3110 OKLAHOMA CITY OK 73102 OTHER HEALTH CARE FACILITY 24 - SSM HEALTH MEDICAL GROUP 608 NW 9TH STREET STE 5204 OKLAHOMA CITY OK 73102 OTHER HEALTH CARE FACILITY 25 - SSM HEALTH PHARMACY 608 NW 9TH STREET STE 3200 OKLAHOMA CITY OK 73102 OTHER HEALTH CARE FACILITY 26 - SSM HEALTH MEDICAL GROUP 608 NW 9TH STREET STE 4106 OKLAHOMA CITY OK 73102 OTHER HEALTH CARE FACILITY 27 - SSM HEALTH MEDICAL GROUP 608 NW 9TH STREET STE 3206 OKLAHOMA CITY OK 73102 OTHER HEALTH CARE FACILITY 28 - SSM HEALTH OUTPATIENT CENTER 608 NW 9TH STREET STE 3206 OKLAHOMA CITY OK 73118 OTHER HEALTH CARE FACILITY 29 - SSM HEALTH OUTPATIENT CENTER 6201 N SANTA FE AVE STE 2000 OKLAHOMA CITY OK 73118 OTHER HEALTH CARE FACILITY 30 - SSM HEALTH MEDICAL GROUP 6201 N SANTA FE AVE STE 2010 OKLAHOMA CITY OK 73118 OTHER HEALTH CARE FACILITY 31 - SSM HEALTH MEDICAL GROUP 6205 N SANTA FE AVE STE 201 OKLAHOMA CITY OK 73118 OTHER HEALTH CARE FACILITY 32 - SSM HEALTH NEUROLOGY 800 NW 9TH STREET STE 100 OKLAHOMA CITY OK 73106 OTHER HEALTH CARE FACILITY 33 - ST ANTHONY HOSPITAL CANCER SPECIALISTS 3525 NW 56TH ST STE 100D OKLAHOMA CITY OK 73112 OTHER HEALTH CARE FACILITY 34 - ST ANTHONY PHYSICIANS NERUOLOGY 535 NW 9TH STREET STE 235 OKLAHOMA CITY OK 73102 OTHER HEALTH CARE FACILITY 35 - SSM HEALTH THERAPY SERVICES 9060 HARMONY DR STE A OKLAHOMA CITY OK 73130 OTHER HEALTH CARE FACILITY 36 - SSM HEALTH GROUP HEART & VASCULAR 3400 S DOUGLAS BLVD STE 305 OKLAHOMA CITY OK 73150 OTHER HEALTH CARE FACILITY 37 - SSM HEALTH ST ANTHONY EL RENO 2115 PARKVIEW DRIVE STE 200 EL RENO OK 73036 OTHER HEALTH CARE FACILITY 38 - SSM HEALTH NEUROSCIENCES 535 NW 9TH STREET STE 325 OKLAHOMA CITY OK 73102 OTHER HEALTH CARE FACILITY PART I, LINE 3C: ELIGIBILITY FOR FINANCIAL ASSISTANCE WILL BE CONSIDERED FOR THOSE INDIVIDUALS WHO:* HAVE LIMITED OR NO HEALTH INSURANCE;* COOPERATE WITH SSM HEALTH'S POLICIES AND PROCEDURES;* DEMONSTRATE FINANCIAL NEED;* SUPPLY ALL REQUIRED INFORMATION TO PROCESS THE APPLICATION; AND * REIMBURSES THE HOSPITAL FOR ANY MONIES PAID DIRECTLY TO PATIENT BY INSURANCE. PATIENTS WHOSE FAMILY INCOME EXCEED 400% OF THE FEDERAL POVERTY GUIDELINES (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. 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.SSM HEALTH MAY UTILIZE PREDICTIVE ANALYTICAL SOFTWARE OR OTHER CRITERIA TO ASSIST IN MAKING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IN SITUATIONS, INCLUDING BUT NOT LIMITED TO THE HOMELESS POPULATION, WHERE THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE BUT HAS NOT PROVIDED THE NECESSARY DOCUMENTATION TO MAKE A DETERMINATION. IRREGULARLY, IN THE ABSENCE OF USING THE PREDICTIVE ANALYTICAL SOFTWARE, PRESUMPTIVE CHARITY MAY BE AUTHENTICATED BY THE PATIENT CARE TEAM AS REPRESENTED AS CHARITY OR UNINSURED DISCOUNTS TO THE PATIENTS' FINANCIAL OBLIGATION. PART I, LINE 6A: SSM HEALTH CARE CORPORATION FILES A COMBINED COMMUNITY BENEFIT REPORT FOR ALL ITS AFFILIATES. THE COMMUNITY BENEFIT REPORT CAN BE FOUND ON SSM'S WEBSITE AT: HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH. 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 7I ARE REPORTED AT COST AS REPORTED. THE CALCULATION OF FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F UTILIZES FORM 990, PART IX, LINE 25, COLUMN A, WHICH DOES NOT INCLUDE BAD DEBT EXPENSE. 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: SSM HEALTH CARE OF OKLAHOMA, 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, 2024 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 COSTS 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 HEALTH 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: THE HOSPITALS HAVE 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 HOSPITAL EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH IT PARTICIPATES BY ESTABLISHING SOUND BUSINESS PRACTICES. THE HOSPITALS' 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 STATEMENT2. 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 THE 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, & SOCIALLY MARGINALIZED, WILL EXPERIENCE IMPROVED HEALTH IN MIND, BODY, SPIRIT & 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, & VIEWS ACHIEVEMENT OF OUR VISION AS A PRIMARY RESPONSIBILITY.THE PURPOSE OF SSMH'S COMMUNITY BENEFIT PROGRAM IS TO ASSESS & 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), & 2) COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA).THE CHNA IS AN ASSESSMENT & PRIORITIZATION OF COMMUNITY HEALTH NEEDS & THE ADOPTION & IMPLEMENTATION OF STRATEGIES TO ADDRESS THOSE NEEDS. A CHNA IS CONDUCTED EVERY THREE YEARS BY EACH HOSPITAL ACCORDING TO THEFOLLOWING STEPS:*ASSESS & PRIORITIZE COMMUNITY HEALTH NEEDS: GATHER CHNA DATA FROM SECONDARY SOURCES; OBTAIN INPUT FROM STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH INTERVIEWS & FOCUS GROUPS; USE DATATO SELECT TOP HEALTH PRIORITIES; & COMPLETE WRITTEN CHNA.*DEVELOP, ADOPT, & IMPLEMENT STRATEGIES TO ADDRESS TOP-HEALTH PRIORITIES: ESTABLISH STRATEGIES TO ADDRESS PRIORITIES; COMPLETE STRATEGIC IMPLEMENTATION PLAN; OBTAIN REGIONAL/DIVISIONAL BOARD APPROVAL; & INTEGRATE STRATEGIES INTO OPERATIONAL PLAN.*MAKE CHNA WIDELY AVAILABLE TO THE PUBLIC: PUBLISH CHNA & SUMMARY DOCUMENT ON HOSPITAL'S WEBSITE.*MONITOR, TRACK, & REPORT PROGRESS ON TOP HEALTH PRIORITIES: COLLECT DATA & EVALUATE PROGRESS; REPORT TO REGIONAL/DIVISIONAL BOARD EVERY SIX MONTHS & SYSTEM BOARD EVERY YEAR; SHARE FINDINGS WITH COMMUNITYSTAKEHOLDERS; & SEND RESULTS TO FINANCE FOR SUBMISSION TO THE INTERNAL REVENUE SERVICE (IRS).SYSTEM OFFICE STAFF & LEADERS OVERSEE & MONITOR SSMH'S COMMUNITY BENEFIT PROGRAM, & ENSURE REPORTING IS IN COMPLIANCE WITH IRS REGULATIONS. IN COLLABORATION WITH COMMUNITY STAKEHOLDERS & PARTNER ORGANIZATIONS, SSM HEALTH CARE CORPORATION ALSO IDENTIFIES NEEDS BASED ON ASSESSMENTS & RESEARCH, & SSMH FACILITIES ALSO INVOLVE CASE MANAGERS & CARE TEAM STAFF TO PINPOINT CRITICAL HEALTH ISSUES IN THE COMMUNITY. ALL HOSPITAL CHNAS ARE COMPLETED, APPROVED, & INTEGRATED INTO THE ORGANIZATION'S STRATEGIC PLAN. WE CONTINUE TO MONITOR & ASSESS THEPROGRESS OF OUR LOCAL EFFORTS IN THE SPIRIT OF CARING FOR OTHERS & IMPROVING COMMUNITY HEALTH. PART VI, LINE 3: EACH ENTITY PROVIDING MEDICAL SERVICE SHALL PROVIDE INFORMATION TO THE PUBLIC REGARDING ITS CHARITY CARE POLICIES & THE QUALIFICATION REQUIREMENTS FOR EACH OF ITS FACILITIES. WHEN STANDARD SYSTEM NOTICES & COMMUNICATION REGARDING CHARITY CARE ARE AVAILABLE, THESE MUST BE USED. MODIFICATIONS TO THE STANDARD MAY BE MADE TO COMPLY WITH STATE & LOCAL LAWS, AS WELL AS REFLECT CULTURALLY SENSITIVE TERMINOLOGY FOR THE POLICY. ALL NOTICES ARE EASY TO UNDERSTAND BY THE GENERAL PUBLIC, CULTURALLY APPROPRIATE & 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 & ENTITY CHARITY CARE & PAYMENT ARRANGEMENTS* THE ENTITY'S CHARITY POLICY & APPLICATION PROCESS, &* 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 & INPATIENT REGISTRATION & PUBLIC WAITING AREAS.*BROCHURES OR FLIERS PROVIDED AT TIME OF REGISTRATION & AVAILABLE IN THE FINANCIAL COUNSELING AREAS.*NOTICES SENT WITH OR ON PATIENT BILLS OR COMMUNICATIONS SENT TO PATIENTS & 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 & DOCUMENTATION REQUIREMENTS. INFORMATION ABOUT THE ENTITY'S CHARITY POLICIES IS ALSO PROVIDED TO PUBLIC AGENCIES. PART VI, LINE 4: SSM HEALTH ST. ANTHONY HOSPITAL OKLAHOMA CITY & SSM HEALTH ST. ANTHONY HOSPITAL MIDWEST ARE LOCATED IN OKLAHOMA COUNTY, OKLAHOMA. SITUATED IN CENTRAL OKLAHOMA, THE COUNTY INCLUDES OKLAHOMA CITY, THE STATE'S LARGEST CITY, & IS HOME TO A DIVERSE POPULATION WITH VARYING SOCIOECONOMIC BACKGROUNDS & HEALTH NEEDS.OKLAHOMA COUNTY INCLUDES:* 796,292 RESIDENTS* AGE 7% 0-4, 7% 5-9, 7.5% 10-14, 6.5% 15-19, 6.5% 202-4, 15.5% 25-34, 13% 35.44, 11.5% 45-54, 6% 55-59, 6% 60-64, 8% 65.74, 4% 75-84, & 1.5% 85 & OVER * RACE/ETHNICITY 54.7% WHITE, 18% HISPANIC, 14.6% BLACK/AFRICAN AMERICAN, 6/6% MULTIRACIAL, 3.3% ASIAN/PACIFIC ISLANDER, 2.5% AMERICAN INDIAN & .3% OTHER* HOUSEHOLD INCOME 14.8% OF PERSONS LIVING BELOW THE POVERTY LINE COMPARED TO 15.7% FOR OKLAHOMA AS A WHOLE & 11.5% FOR U.S. AS A WHOLE. OF THE PERSONS BELOW THE POVERTY LINE IN OKLAHOMA COUNTY: 27.3% WERE BLACK/AFRICAN AMERICAN, 22.7% WERE HISPANIC, 17.6% WERE AMERICAN INDIAN/ALASKA NATIVE, 11.7% WERE ASIAN, 11.1% WERE NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER & 10.2% WERE WHITE.* FOOD INSECURITY - 15.3% COMPARED TO 13.5% FOR THE U.S. AS A WHOLE- NINETEEN ZIP CODES IN OKLAHOMA COUNTY HAD MORE THAN 50% OF THE POPULATION THAT DID NOT HAVE ACCESS TO A SUPERMARKET WITHIN 1 MILE. - 21% OF CHILDREN IN THE COUNTY ARE CLASSIFIED AS FOOD INSECURE. * HOUSING - - 45.6% OF OKLAHOMA COUNTY HOUSEHOLDS SPEND MORE THAN 30% OF THEIR INCOME ON RENT.- 1,838 INDIVIDUALS IN THE COUNTY EXPERIENCED HOMELESSNESS IN 2024. - INDIVIDUALS EXPERIENCING HOMELESSNESS OFTEN LACK ACCESS TO POST-HOSPITALIZATION CARE.* 16% OF OKLAHOMA COUNTY RESIDENTS ARE UNINSURED. * SURVEY RESPONDENTS INDICATED THAT BARRIERS TO ACCESSING HEALTHCARE INCLUDE THE FOLLOWING: -TRANSPORTATION -AVAILABILITY OF PROVIDERS -LONG WAIT TIMES -FINANCIAL CONSTRAINTS* TEEN BIRTH RATE - SIGNIFICANTLY HIGHER IN OKLAHOMA COUNTY & OKLAHOMA AS A WHOLE COMPARED TO U.S. AS A WHOLE* THE 73110 ZIP CODE (MIDWEST CITY) HAS ONE OF THE HIGHEST CARDIOVASCULAR DISEASE MORTALITY RATES IN OKLAHOMA COUNTY. PART VI, LINE 5: SSM HEALTH & ITS AFFILIATES PARTICIPATE 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 & SYSTEMS TO IMPROVE THE QUALITY OF LIFE & TO CREATE A SENSE OF HOPE.COMMUNITY BENEFIT INITIATIVES BUILD COMMUNITY CAPACITY & INDIVIDUAL EMPOWERMENT THROUGH COMMUNITY ORGANIZING, LEADERSHIP DEVELOPMENT, PARTNERSHIPS, & COALITION BUILDING.SSM HEALTH & ITS AFFILIATES PROMOTE GRASSROOTS ADVOCACY & ENGAGES PERSONS OF INFLUENCE TO AFFECT SOCIAL & PUBLIC POLICY CHANGE IN ORDER TO PROMOTE COMMUNITY HEALTH.THE HOSPITALS ALSO FURTHER THEIR 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 & EDUCATION OF HEALTH CARE PROFESSIONALS,*PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, &/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: SSM HEALTH CARE OF OKLAHOMA, INC. IS A 501(C)(3) ORGANIZATION & IS A MEMBER OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. SSM HEALTH CARE OF OKLAHOMA, INC. INCLUDES THE FOLLOWING OPERATING HOSPITALS: SSM HEALTH ST. ANTHONY HOSPITAL OKLAHOMA CITY, SSM HEALTH ST. ANTHONY HOSPITAL MIDWEST & SSM HEALTH BONE & JOINT HOSPITAL AT ST. ANTHONY HOSPITAL OKLAHOMA CITY.SSM HEALTH CARE CORPORATION (SSMHCC), A MISSOURI NONPROFIT CORPORATION, IS THE ULTIMATE PARENT ENTITY OF A FULLY INTEGRATED HEALTH SYSTEM WITH ITS HEADQUARTERS BASED IN ST. LOUIS, MISSOURI. SSMHCC & ITS CONSOLIDATED SUBSIDIARIES (DOING BUSINESS AS SSM HEALTH (SSMH) OWNS & OPERATES 23 ACUTE CARE HOSPITALS, ONE OF WHICH SPECIALIZES IN PEDIATRICS, TWELVE POST-ACUTE CARE FACILITIES, A NATIONAL PHARMACY BENEFIT MANAGEMENT COMPANY (PBM), AN EXTENSIVE NETWORK OF PHYSICIAN PRACTICE OPERATIONS, OTHER HEALTH CARE BUSINESSES & SEVERAL FOUNDATIONS. SSMH'S HOSPITAL OPERATIONS ARE LOCATED PRIMARILY IN MISSOURI, WISCONSIN, OKLAHOMA & ILLINOIS, & 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 & 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, A MINISTERIAL JURIDIC PERSON, WHICH IS CURRENTLY COMPOSED OF ONE FRANCISCAN SISTER OF MARY (FSM), ONE SISTER OF ST. AGNES, ONE JESUIT PRIEST, ONE FRANCISCAN PRIEST, & FOUR LAY PERSONS WHO COLLECTIVELY HOLD CERTAIN RESERVED POWERS OVER SSMH. PART VI, LINE 7, REPORTS FILED WITH STATES OK 1 ALLIED ARTS FOUNDATION 1015 N BROADWAY AVENUE OKLAHOMA CITY OK 73102 730804291 501(C)(3) 25000 0 CHARITABLE SUPPORT CASADY SCHOOL PO BOX 20390 OKLAHOMA CITY OK 73156 730587209 501(C)(3) 15000 0 CHARITABLE SUPPORT CATHOLIC CHARITIES OF THE ARCHDIOCESE OF OKLAHOMA CITY INC 1232 N CLASSEN BLVD OKLAHOMA CITY OK 73106 730635561 501(C)(3) 60000 0 CHARITABLE SUPPORT CITY CARE INC 6001 N CLASSEN BLVD OKLAHOMA CITY OK 73118 731497381 501(C)(3) 80000 0 CHARITABLE SUPPORT CIVIC CENTER FOUNDATION 201 N WALKER AVE OKLAHOMA CITY OK 73102 731606322 501(C)(3) 7500 0 CHARITABLE SUPPORT CRISTO REY OKLAHOMA CITY CATHOLIC HIGH SCHOOL 900 N PORTLAND AVENUE OKLAHOMA CITY OK 73107 475521087 501(C)(3) 17500 0 CHARITABLE SUPPORT CYCLE 66 INC 3009 STONYBROOK DRIVE OKLAHOMA CITY OK 73115 851357983 501(C)(3) 7000 0 CHARITABLE SUPPORT DOWNTOWN OKLAHOMA CITY INC 211 N ROBINSON AVE NO 225 OKLAHOMA CITY OK 73102 731593759 501(C)(6) 173500 0 CHARITABLE SUPPORT EASTERN OKLAHOMA COUNTY RESOURCE CENTER 14971 E RENO AVE CHOCTAW OK 73020 471535984 501(C)(3) 9750 0 CHARITABLE SUPPORT GIRL SCOUTS - WESTERN OKLAHOMA INC 6100 N ROBINSON AVE OKLAHOMA CITY OK 73118 730677849 501(C)(3) 16000 0 CHARITABLE SUPPORT GOSPEL OF LIFE ASSOCIATION 1145 SW 42ND ST OKLAHOMA CITY OK 73109 471279079 501(C)(3) 20000 0 CHARITABLE SUPPORT GREATER OKLAHOMA CITY CHAMBER OF COMMERCE 123 PARK AVENUE OKLAHOMA CITY OK 73102 730381180 501(C)(6) 134315 0 CHARITABLE SUPPORT HEALTH ALLIANCE FOR THE UNISURED INC 3000 UNITED FOUNDERS BLVD OKLAHOMA CITY OK 73112 261789292 501(C)(3) 90000 0 CHARITABLE SUPPORT HERITAGE HALL SCHOOL 1800 NW 122ND STREET OKLAHOMA CITY OK 73055 730783395 501(C)(3) 12000 0 CHARITABLE SUPPORT INFANT CRISIS SERVICES 4224 N LINCOLN BLVD OKLAHOMA CITY OK 73105 731378766 501(C)(3) 20525 0 CHARITABLE SUPPORT LEADERSHIP OKLAHOMA CITY 730 W WILSHIRE BLVED OKLAHOMA CITY OK 73116 731164548 501(C)(3) 10750 0 CHARITABLE SUPPORTCHARITABLE SUPPORT MIDWEST CITY CHAMBER OF COMMERCE 5905 TROSPER ROAD MIDWEST CITY OK 73110 730564140 501(C)(6) 18792 0 CHARITABLE SUPPORT MISSION MID-DEL INC 9400 NAWASSA DR MIDWEST CITY OK 73130 731559583 501(C)(3) 14750 0 CHARITABLE SUPPORT OKLAHOMA BAPTIST UNIVERSITY 500 W UNIVERSITY ST SHAWNEE OK 74804 730579264 501(C)(3) 110000 0 CHARITABLE SUPPORT OKLAHOMA CITY UNIVERSITY 2501 N BLACKWELDER OKLAHOMA CITY OK 73106 730579265 501(C)(3) 100667 0 CHARITABLE SUPPORT OKLAHOMA CONTEMPORARY ARTS CENTER INC 11 NW 11TH ST OKLAHOMA CITY OK 73103 731334271 501(C)(3) 25000 0 CHARITABLE SUPPORT OKLAHOMA HOSPITAL ASSOCIATION 4000 N LINCOLN BLVD OKLAHOMA CITY OK 73105 730618552 501(C)(6) 10000 0 CHARITABLE SUPPORT OKLAHOMA MEDICAL RESEARCH FOUNDATION 825 NE 13TH STREET OKLAHOMA CITY OK 73104 730580274 501(C)(3) 7500 0 CHARITABLE SUPPORT REDBUD FOUNDATION 421 AVONDALE DRIVE SUITE 204-A OKLAHOMA CITY OK 73116 731293464 501(C)(3) 20250 0 CHARITABLE SUPPORT REGIONAL FOOD BANK OF OKLAHOMA INC PO BOX 270968 OKLAHOMA CITY OK 73137 731100380 501(C)(3) 35500 0 CHARITABLE SUPPORT ROSE STATE COLLEGE FOUNDATION 6420 SE 15 ST MIDWEST CITY OK 73110 237181959 501(C)(3) 10000 0 CHARITABLE SUPPORT THE ST ANTHONY FOUNDATION INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 736104300 501(C)(3) 33705 0 CHARITABLE SUPPORT THE SUSAN G KOMEN BREAST CANCER FOUNDATION 13770 NOEL ROAD SUITE 801889 DALLAS TX 80188 751835298 501(C)(3) 11000 0 CHARITABLE SUPPORT UNCOMMON COLLECTIVE FOUNDATION 701 NW 8TH STREET OKLAHOMA CITY OK 73102 833017938 501(C)(3) 45000 0 CHARITABLE SUPPORT UNITED WAY OF CENTRAL OKLAHOMA 1444 NW 28TH STREET OKLAHOMA CITY OK 73106 730589829 501(C)(3) 75000 0 CHARITABLE SUPPORT UNIVERSITY OF CENTRAL OKLAHOMA 100 N UNIVERSITY DR EDMOND OK 73034 731058509 501(C)(3) 220648 0 CHARITABLE SUPPORT YMCA OF GREATER OKLAHOMA CITY 500 N BROADWAY AVENUE OKLAHOMA CITY OK 73102 730579270 501(C)(3) 40000 0 CHARITABLE SUPPORT MIDWEST CITY-DEL CITY INDEPENDENT SCHOOL DISTRICT NO 52 7217 SE 15TH STREET MIDWEST CITY OK 73110 GOVERNMENT 27000 0 CHARITABLE SUPPORT ST GEORGE GREEK ORTHODOX CHURCH 1100 NW 8TH OKLAHOMA CITY OK 73106 501(C)(3) 10000 0 CHARITABLE SUPPORT 30 4 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. X 1 1 1 1 0 0 0 0 0 0 0 STEVEN SMOOT VICE PRESIDENT, COO AT SSM HEALTH 0 1305272 0 895103 0 164560 0 1075677 0 44021 0 3484633 0 1036001 MICHAEL HAHN II PHYSICIAN 1740266 0 802095 0 7524 0 19540 0 57131 0 2626556 0 0 0 DOUGLAS LONG SECRETARY, CLO AT SSM HEALTH 0 813979 0 583198 0 189973 0 676547 0 24224 0 2287921 0 583198 JOE HODGES DIRECTOR, VICE CHAIR, REG PRES-SSM H 689127 0 519119 0 88896 0 572140 0 48076 0 1917358 0 528492 0 KEVIN SMITH TREASURER, CFO AT SSM HEALTH 0 1034519 0 0 0 15958 0 586407 0 40674 0 1677558 0 0 CODY GRIFFIN PHYSICIAN 847423 0 759528 0 1026 0 16589 0 46862 0 1671428 0 0 0 FARHAN TARIQ PHYSICIAN 901527 0 650977 0 1710 0 19921 0 44901 0 1619036 0 0 0 BERNARDINO ROCHA PHYSICIAN 670445 0 793015 0 1140 0 18606 0 50345 0 1533551 0 0 0 RANDALL COMBS FORMER OFFICER 0 323766 0 923306 0 206949 0 13881 0 15625 0 1483527 0 923306 BRENT HISEY PHYSICIAN 1054745 0 354767 0 9144 0 17864 0 44711 0 1481231 0 0 0 TAMARA POWELL PRESIDENT - ST. ANTHONY OKC 574660 0 217415 0 52488 0 251485 0 47767 0 1143815 0 263274 0 KYLE NONDORF FORMER KEY EMPLOYEE 0 555313 0 148411 0 53552 0 186115 0 46227 0 989618 0 176997 KERSEY WINFREE REGIONAL CHIEF MEDICAL OFFICER 457896 0 144149 0 46892 0 122906 0 39794 0 811637 0 144149 0 STACY COLEMAN PRESIDENT - ST. ANTHONY MIDWEST 390906 0 138783 0 33109 0 173778 0 30518 0 767094 0 165888 0 SHASTA MANUEL SYSTEM VICE PRESIDENT-FINANCE 0 384250 0 119120 0 40099 0 149096 0 47142 0 739707 0 153994 MANDY HAYES-CHANDLER REGIONAL GENERAL COUNSEL 0 345989 0 95993 0 30192 0 119922 0 30232 0 622328 0 122154 ELAIN RICHARDSON REGIONAL VP-PATIENT CARE SVCS 97117 0 94746 0 328504 0 33824 0 11657 0 565848 0 119242 0 RYAN OSS SYSTEM VP - MEDICAL GROUP OPERATIONS 292413 0 49172 0 15871 0 98342 0 40207 0 496005 0 60282 0 PAUL WRIGHT VP-MEDICAL PRACTICE, ST. ANTHONY PHY 318799 0 56210 0 20864 0 74769 0 24895 0 495537 0 56210 0 DARIN SMITH VP-OPERATIONS, HOSPITAL 248548 0 44529 0 2422 0 61986 0 29075 0 386560 0 44529 0 PART I, LINE 1A SEVERAL INDIVIDUALS LISTED ON SCHEDULE J PART II RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENT IN 2024. THE PAYMENT WAS INCLUDED IN THEIR TAXABLE COMPENSATION. PART I, LINE 3 THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (REGIONAL 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 BOARD OR COMPENSATION COMMITTEE. PART I, LINES 4A-B SSM HEALTH HAS ADOPTED A SEVERANCE POLICY TO PROVIDE A FINANCIAL TRANSITION IN THE EVENT OF INVOLUNTARY TERMINATION WITHOUT CAUSE FOR EXECUTIVE LEVEL POSITIONS. THE AMOUNT OF THE COMPENSATION IS BASED ON THE POSITION HELD AND LENGTH OF SERVICE WITH SSMH. THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF THE FORM 990 RECEIVED PAYMENTS UNDER THE PLAN IN THE CURRENT YEAR: ELAIN RICHARDSON - $213,703 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 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. THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THE PLAN IN 2024: PAUL WRIGHT - $202,265 ELAIN RICHARDSON - $319,528 KERSEY WINFREE - $340.863 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 2024. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUAL'S TAXABLE COMPENSATION. JOE HODGES - 83,994 STEVE SMOOT - 159,608 SHASTA MANUEL - 37,959 STACY COLEMAN - 28,923 TAMMY POWELL - 47,586 RYAN OSS - 15,211 MANDY HAYES-CHANDLER - 28,996 ELAIN RICHARDSON - 113,783 KYLE NONDORF - 51,642 JOE HODGES BOARD MEMBER & OFFICER 793044 BOARD MEMBER OF OKLAHOMA BLOOD INSTITUTE 0 STACY COLEMAN OFFICER 164663 SISTER IS EMPLOYEE 0 FORM 990, LINE C, DOING BUSINESS AS: "SCORE" - SPECIALIZED CENTER OF REJUVENATION AND EXERCISE "START" - ST. ANTHONY RECOVERY AND TREATMENT PROGRAM EXCELLENCE IS THE BEST MEDICINE SSM HEALTH SSM HEALTH BEHAVIORAL HEALTH SSM HEALTH BONE & JOINT HOSPITAL AT ST. ANTHONY SSM HEALTH BREAST CARE SSM HEALTH CANCER CARE SSM HEALTH CANCER CARE FRANK C. LOVE CANCER INSTITUTE SSM HEALTH CANCER CENTER SSM HEALTH DERMATOLOGY SSM HEALTH MEDICAL GROUP SSM HEALTH NEUROSCIENCES SSM HEALTH OUTPATIENT CENTER SSM HEALTH PEDIATRICS SSM HEALTH PHARMACY SSM HEALTH PHYSICAL THERAPY SSM HEALTH SLEEP SERVICES SSM HEALTH ST. ANTHONY HEALTHPLEX SSM HEALTH ST. ANTHONY HOSPITAL - MIDWEST SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY SSM HEALTH ST. ANTHONY SOUTH SSM HEALTH SURGERY CENTER SSM HEALTH URGENT CARE SSM HEALTH PAIN CARE SSM HEALTH AT WORK SSM HEALTH ST. ANTHONY DIGESTIVE CARE VEIN AND CIRCULATION CENTER AT ST. ANTHONY HOSPITAL SSM HEALTH SAINTS HEART SSM HEALTH MEDICAL GROUP (MEDICAL GROUP) SSM HEALTH PEDIATRICS (MEDICAL GROUP) 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 4 IN 2024, SSM HEALTH CARE OF OKLAHOMA, INC. UPDATED ITS BYLAWS FOR THE FOLLOWING CHANGES: - CHANGE TO THE SIZE OF THE BOARD OF DIRECTORS AND NUMBER OF EX OFFICIO DIRECTORS - CHANGE TO TERMS AND TERM LIMITS FOR BOARD OF DIRECTORS MEMBERS - CHANGE TO OFFICER POSITIONS AND METHOD FOR APPOINTMENT - CHANGE TO THE COMMITTEES FOR THE HOSPITAL OPERATING ENTITY. FORM 990, PART VI, SECTION A, LINE 6 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, SECTION A, LINE 7A 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, 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, THE CHAIRPERSON, AND THE VICE CHAIRPERSON 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, CLOSING, ADMINISTRATION, AND MANAGEMENT OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS M. TO APPROVE THE OPERATING AND CAPITAL BUDGETS 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, REMOTELY CONTROLLED SUBSIDIARY OR 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. 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 DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUCH 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 THE ORGANIZATION'S COMPENSATION PLAN IS REVIEWED AND APPROVED AT FORMAL MEETINGS OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT NON-EMPLOYEE MEMBERS WHO HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENT TO BE REVIEWED AND RECOMMENDED BY THE COMPENSATION COMMITTEE. THE COMMITTEE REVIEWS COMPARABLE WISCONSIN AND NATIONAL COMPENSATION DATA AND ESTABLISHES BASE COMPENSATION AT THE COMPARABLE MARKET MEDIAN BY THE POSITION AS OUTLINED IN THE COMPENSATION COMMITTEE CHARTER. ADDITIONALLY, THE COMMITTEE HAS AUTHORITY TO RETAIN A COMPENSATION CONSULTANT TO ASSIST THE COMMITTEE IN EVALUATING SENIOR MANAGEMENT COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE YEAR-END AUDITED CONSOLIDATED FINANCIAL 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 MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 8,580,338. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,580,338. MEDICAL PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 68,605,809. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,605,809. MEDICAL THERAPIST & OTHER FEES: PROGRAM SERVICE EXPENSES 490,753. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 490,753. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 997,799. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 997,799. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 997,523. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 997,523. MEDICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 30,360,404. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,360,404. MAINTENCE CONTRACTS: PROGRAM SERVICE EXPENSES 13,263,771. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,263,771. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 2,238,522. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,238,522. RECRUITMENT SERVICES: PROGRAM SERVICE EXPENSES 35,281. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,281. HOUSEKEEPING SERVICES: PROGRAM SERVICE EXPENSES 1,355,887. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,355,887. GROUNDSKEEPING SERVIES: PROGRAM SERVICE EXPENSES 537,192. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 537,192. FORM 990, PART XI, LINE 9: TRANSFERS WITH CONSOLIDATED ENTITIES -155,082,448. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -21,454,764. BENEFICIAL INTEREST IN FOUNDATION -18,160,445. ROUNDING 1. 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