ST ANTHONY SHAWNEE HOSPITAL INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
ST ANTHONY SHAWNEE HOSPITAL INC (EIN 45-5055149)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-17
IRS object ID
202523219349324762
Schema version
2024v5.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-17T18:15:27-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN455055149EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST ANTHONY SHAWNEE HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTANBusinessNameControlTxt
Phone4053955626PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112800 CORPORATE HILL DRIVEAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63131ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEPHANIE KINGPersonNm
Person TitleVP-FINANCEPersonTitleTxt
Phone4053955626PhoneNum
Signature2025-11-17SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE OBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerANGI MOHRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line112800 CORPORATE HILL DRIVEAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63131ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$205,660,494GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SSMHEALTH.COM/LOCATIONS/OKLAHOMA/ST-ANTHONY-SWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionTO 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.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1150TotalEmployeeCnt
Total Volunteers16TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$501,163PYContributionsGrantsAmt
CY Contributions Grants$359,757CYContributionsGrantsAmt
PY Program Service Revenue$180,418,115PYProgramServiceRevenueAmt
CY Program Service Revenue$204,334,105CYProgramServiceRevenueAmt
PY Investment Income$8,173PYInvestmentIncomeAmt
CY Investment Income$25,034CYInvestmentIncomeAmt
PY Other Revenue$792,614PYOtherRevenueAmt
CY Other Revenue$799,096CYOtherRevenueAmt
PY Total Revenue$181,720,065PYTotalRevenueAmt
CY Total Revenue$205,517,992CYTotalRevenueAmt
PY Grants And Similar Paid$161,861PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$127,907CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$72,428,295PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$80,302,714CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$235CYTotalFundraisingExpenseAmt
PY Other Expenses$107,749,819PYOtherExpensesAmt
CY Other Expenses$114,537,293CYOtherExpensesAmt
PY Total Expenses$180,339,975PYTotalExpensesAmt
CY Total Expenses$194,967,914CYTotalExpensesAmt
PY Revenues Less Expenses$1,380,090PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,550,078CYRevenuesLessExpensesAmt
Total Assets BOY$252,833,370TotalAssetsBOYAmt
Total Assets EOY$146,579,103TotalAssetsEOYAmt
Total Liabilities BOY$122,639,401TotalLiabilitiesBOYAmt
Total Liabilities EOY$35,030,461TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$130,193,969NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$111,548,642NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GODMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$172,129,065ExpenseAmt
Grant$127,907GrantAmt
Revenue$204,334,105RevenueAmt
DescSSM 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 SSM HEALTH. 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.Desc
Total Program Service Expenses$172,129,065TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1150EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRAD REACHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6082501426PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11802 WEST BELTLINE HIGHWAYAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53713ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BROOKS RICHARDSON
DIRECTOR1.002.00Yes (X)$0$0$0
TERESA ROSE-CROOK
DIRECTOR1.002.00Yes (X)$0$0$0
KEVIN PERRY
DIRECTOR1.002.00Yes (X)$0$0$0
DUKE LIGON
DIRECTOR1.002.00Yes (X)$0$0$0
IFTIKHAR AHMAD MD
DIRECTOR1.002.00Yes (X)$0$0$0
TINA HANNA
DIRECTOR1.002.00Yes (X)$0$0$0
LINDA CAPPS
DIRECTOR1.002.00Yes (X)$0$0$0
JAMES KIRK
DIRECTOR1.002.00Yes (X)$0$0$0
PAIGE BASS STRATTON
DIRECTOR, CHAIR1.002.00Yes (X)$0$0$0Yes (X)
JOE HODGES
DIRECTOR, VICE CHAIR, REGIONAL PRESIDENT - SSM HEA1.0040.00Yes (X)$0$1,297,142$620,216Yes (X)
ANGI MOHR
HOSPITAL PRESIDENT, ST. ANTHONY HOSPITA40.000.00$542,095$0$201,950Yes (X)
SHASTA MANUEL
REGIONAL VICE PRESIDENT-FINANCE1.0040.00$0$543,469$196,238Yes (X)
DOUGLAS LONG
SECRETARY, CLO AT SSM HEALTH1.0050.00$0$1,587,150$700,771Yes (X)
KEVIN SMITH
TREASURER, CFO AT SSM HEALTH1.0050.00$0$1,050,477$627,081Yes (X)
STEVEN SMOOT
VICE PRESIDENT, COO AT SSM HEALTH1.0050.00$0$2,364,935$1,119,698Yes (X)
CATHY BROOME
VP - PATIENT CARE SERVICES40.000.00$250,302$0$61,826Yes (X)
VENKATA DAMERA
PHYSICIAN40.000.00$716,168$0$66,158Yes (X)
MATTHEW MCTAGUE
PHYSICIAN40.000.00$439,660$0$55,207Yes (X)
JUAN CANTU-CLATZA
PHYSICIAN40.000.00$372,191$0$41,127Yes (X)
GAYNELL ANDERSON
PHYSICIAN40.000.00$331,234$0$60,751Yes (X)
ISMA JAVED
PHYSICIAN40.000.00$1,444,906$0$35,759Yes (X)
RANDALL COMBS
FORMER OFFICER1.0050.00$0$1,454,021$29,506Yes (X)
RANDY KAMM
FORMER KEY EMPLOYEE1.0040.00$0$210,865$73,304Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,096,556TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,508,059TotReportableCompRltdOrgAmt
Total Other Compensation$3,889,592TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K101IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SHAWNEE MEDICAL CENTER CLINIC
1501 N AIRPORT DRIVESHAWNEEOK74804CLINICAL SERVICES$3,662,414
METRO PHYSICIANS LLC
1111 N LEE AVENUE 305OKLAHOMA CITYOK73103MEDICAL SERVICES$579,167
TRIMEDX HOLDINGS LLC
5451 LAKEVIEW PARKWAY S DRINDIANAPOLISIN46268CLINICAL ENGINEERING SERVICES$492,257
COLEMAN CONSTRUCTION SOLUTIONS
10812 NW 95TH STYUKONOK73099CONSTRUCTION SERVICES$348,782
EMERGENCY MANAGEMENT MIDWEST
PO BOX 634850CINCINNATIOH45263STAFFING SERVICES$327,044
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K24CntrctRcvdGreaterThan100KCnt
Related Organizations$2,318RelatedOrganizationsAmt
Government Grants$223,669GovernmentGrantsAmt
All Other Contributions$133,770AllOtherContributionsAmt
Total Contributions$359,757TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE622110$192,367,878$192,367,878
340 PHARMACY REVENUE446110$11,906,350$11,906,350
CORPORATE FEES561000$2,400$2,400

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$57,477TotalRevenueColumnAmt
Related Or Exempt Func Income$57,477RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$204,334,105TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$12,700RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$12,700RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,700TotalRevenueColumnAmt
Exclusion$12,700ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$25,034OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$25,034OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,034TotalRevenueColumnAmt
Exclusion$25,034ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$264,456GrossSalesOfInventoryAmt
Cost Of Goods Sold$142,502CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$121,954TotalRevenueColumnAmt
Exclusion$121,954ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA REVENUE722320$662,943$662,943
OTHER REVENUE900099$1,499$1,499
FieldValueIRS element (for citing)
Other Revenue Total$664,442OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$205,517,992TotalRevenueColumnAmt
Related Or Exempt Func Income$204,334,105RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$824,130ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$127,907TotalAmt
Program Services$127,907ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,056,174TotalAmt
Program Services$1,056,174ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$60,837,432TotalAmt
Program Services$59,564,659ProgramServicesAmt
Management And General$1,272,773ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,984,221TotalAmt
Program Services$2,922,591ProgramServicesAmt
Management And General$61,630ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,097,498TotalAmt
Program Services$10,868,314ProgramServicesAmt
Management And General$229,184ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,327,389TotalAmt
Program Services$4,238,020ProgramServicesAmt
Management And General$89,369ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,828,977TotalAmt
Program Services$2,828,444ProgramServicesAmt
Management And General$533ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$75,193TotalAmt
Program Services$66,157ProgramServicesAmt
Management And General$9,036ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$32,527,508TotalAmt
Program Services$31,078,213ProgramServicesAmt
Management And General$1,449,285ManagementAndGeneralAmt
Fundraising$10FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$71,174TotalAmt
Program Services$40,796ProgramServicesAmt
Management And General$30,378ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,920,069TotalAmt
Program Services$1,660,352ProgramServicesAmt
Management And General$259,492ManagementAndGeneralAmt
Fundraising$225FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,078,615TotalAmt
Program Services$5,078,615ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,984,497TotalAmt
Program Services$6,984,497ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$87,732TotalAmt
Program Services$62,251ProgramServicesAmt
Management And General$25,481ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$23,540TotalAmt
Program Services$14,164ProgramServicesAmt
Management And General$9,376ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$16,506TotalAmt
Program Services$2,868ProgramServicesAmt
Management And General$13,638ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$14,263,936TotalAmt
Program Services$3,648,721ProgramServicesAmt
Management And General$10,615,215ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,578,982TotalAmt
Program Services$4,186,387ProgramServicesAmt
Management And General$392,595ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,063,999TotalAmt
Program Services$574,954ProgramServicesAmt
Management And General$1,489,045ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & EQUI$35,194,829$35,194,829
TAXES$7,200,872$434,589$6,766,283
OTHER EXPENSES$1,004,454$1,004,454
LICENSES AND DUES$575,715$464,878$110,837

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$40,695TotalAmt
Program Services$26,231ProgramServicesAmt
Management And General$14,464ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$194,967,914TotalAmt
Program Services$172,129,065ProgramServicesAmt
Management And General$22,838,614ManagementAndGeneralAmt
Fundraising$235FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$134,922BOYAmt
EOY$288,057EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$22,907,152BOYAmt
EOY$25,336,149EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,439,091BOYAmt
EOY$3,702,275EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,163,773BOYAmt
EOY$1,134,579EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$141,808,747LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$62,993,369LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$75,955,297BOYAmt
EOY$78,815,378EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$205,534BOYAmt
EOY$79,814EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$21,963,045BOYAmt
EOY$22,586,773EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$127,064,556BOYAmt
EOY$14,636,078EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$252,833,370BOYAmt
EOY$146,579,103EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,246,031BOYAmt
EOY$12,224,894EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$412,426BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$111,980,944BOYAmt
EOY$22,805,567EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$122,639,401BOYAmt
EOY$35,030,461EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$130,193,969BOYAmt
EOY$111,548,642EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$130,193,969BOYAmt
EOY$111,548,642EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$252,833,370BOYAmt
EOY$146,579,103EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$10,550,078ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$29,195,405OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$15,967OtherActivitiesAmt
Total Lobbying Expenditures$15,967TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAID DUES TO VARIOUS NATIONAL, STATE, AND LOCAL HOSPITAL ASSOCIATIONS AND PORTIONS OF THE DUES WERE ALLOCATED TO LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,000,668OtherCostOrOtherBasisAmt
Book Value$2,000,668BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$72,904,127OtherCostOrOtherBasisAmt
Depreciation$18,604,192DepreciationAmt
Book Value$54,299,935BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,114,955OtherCostOrOtherBasisAmt
Depreciation$229,288DepreciationAmt
Book Value$2,885,667BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$51,748,454OtherCostOrOtherBasisAmt
Depreciation$39,343,428DepreciationAmt
Book Value$12,405,026BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,040,543OtherCostOrOtherBasisAmt
Depreciation$4,816,461DepreciationAmt
Book Value$7,224,082BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$78,815,378TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescOPERATING RIGHT OF USE ASSETSDesc
Book Value$14,636,078BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$14,636,078TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO AFFILIATES$5,248,643
CAPITAL LEASE OBLIGATION$14,697,685
THIRD PARTY PAYABLE$2,859,239
FieldValueIRS element (for citing)
Total Liability$22,805,567TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationST. 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 2024 OR 2023.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,042,307TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,042,307NetCommunityBenefitExpnsAmt
Total Expense0.01560TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,678,441TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$40,742,454DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,615,143TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,545,272DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,069,871NetCommunityBenefitExpnsAmt
Total Expense0.00550TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$48,335,891TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,287,726DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,112,178NetCommunityBenefitExpnsAmt
Total Expense0.02110TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$216,438TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$216,438NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$199,533TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$199,533NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$162,554TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$162,554NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$578,525TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$578,525NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$48,914,416TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,287,726DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,690,703NetCommunityBenefitExpnsAmt
Total Expense0.02400TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$10,937,001BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$32,412,999ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$34,470,507CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,057,508MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 SHAWNEE SURGICAL REALTY LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesMEDICAL BUILDINGPrimaryActivitiesTxt
Org Profit Or Ownership0.26710OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.73290PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST ANTHONY SHAWNEE HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11102 W MCARTHURAddressLine1Txt
CitySHAWNEECityNm
State AbbreviationOKStateAbbreviationCd
ZIP74804ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTPS://WWW.SSMHEALTH.COM/LOCATIONS/STWebsiteAddressTxt
State License2162StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST ANTHONY SHAWNEE HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted24CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTHOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt24ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTHStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIALFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIALFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIALFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ST ANTHONY SHAWNEE HOSPITALPART 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.
ST ANTHONY SHAWNEE HOSPITALPART V, SECTION B, LINE 5: NINE LOCAL ORGANIZATIONS COLLABORATED WITH OVER SIXTY MULTISECTOR COMMUNITY STAKEHOLDERS TO COMPLETE THE 2024 POTTAWATOMIE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AIMING TO IDENTIFY AND PRIORITIZE THE HEALTH NEEDS OF POTTAWATOMIE COUNTY, OK. THIS COLLABORATIVE EFFORT INCLUDED PARTNERS IN HEALTHCARE, PUBLIC HEALTH, COMMUNITY-BASED ORGANIZATIONS, AND COMMUNITY STAKEHOLDERS. THE GOAL OF THIS REPORT IS TO PROVIDE A DEEPER UNDERSTANDING OF THE HEALTH NEEDS IN THE COMMUNITY AND TO GUIDE LOCAL ORGANIZATIONS IN DEVELOPING STRATEGIES TO ADDRESS COMMUNITY NEEDS.A 40-QUESTION COMMUNITY SURVEY WAS DEVELOPED THROUGH A SOCIAL DETERMINANTS OF HEALTH FRAMEWORK, ENABLING US TO BETTER ASSESS THE KNOWLEDGE, ATTITUDES, BEHAVIORS, AND SOCIAL FACTORS INFLUENCING THE HEALTH OF ADULTS IN POTTAWATOMIE COUNTY, OKLAHOMA. AFTER CONDUCTING SURVEYS WITH POTTAWATOMIE COUNTY COMMUNITY MEMBERS TO EXPLORE WHAT RESIDENTS THINK AND FEEL ABOUT HEALTH IN OUR COMMUNITY, WE HELD A SERIES OF SEVEN SMALL FOCUS GROUP MEETINGS. THESE MEETINGS AIMED TO LEARN MORE ABOUT WHAT RESIDENTS FEEL AND TO UNDERSTAND WHY RESIDENTS THINK A CERTAIN WAY ABOUT HEALTH IN OUR COMMUNITY. THE SURVEY AND FOCUS GROUP DISCUSSIONS USED SOCIAL DETERMINANTS OF HEALTH FRAMEWORK TO EXPLORE POTENTIAL SOLUTIONS TO HEALTH BARRIERS IN THE COMMUNITY.
ST ANTHONY SHAWNEE HOSPITALPART V, SECTION B, LINE 6B: THE 2024 CHNA WAS COMPLETED COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER COMMUNITY PARTNERS:* ABSENTEE SHAWNEE TRIBE HEALTH SYSTEM * AVEDIS FOUNDATION* CITIZEN POTAWATOMI NATION* COMMUNITY RENEWAL OF POTTAWATOMIE COUNTY* GATEWAY TO PREVENTION AND RECOVERY * POTTAWATOMIE COUNTY HEALTH DEPARTMENT* POTTAWATOMIE GO (POGO)* UNIVERSITY OF OKLAHOMA'S HUDSON COLLEGE OF HEALTH, CENTER FOR PUBLIC HEALTH PRACTICE
ST ANTHONY SHAWNEE HOSPITALPART V, SECTION B, LINE 11: THE HOSPITAL IDENTIFIED VARIOUS HEALTH NEEDS IN THE 2024 CHNA. IN ORDER TO MAKE A MEANINGFUL IMPACT, AND TO USE ITS FINANCES MOST EFFECTIVELY AND EFFICIENCY, THE HOSPITAL WILL PLACE PRIMARY FOCUS ON THE FOLLOWING KEY PRIORITIES:* FOOD ACCESS AND NUTRITION* BEHAVIORAL HEALTH* NEIGHBORHOOD AND BUILT ENVIRONMENT AND SOCIAL CONNECTION AND BELONGINGFOOD ACCESS AND NUTRITIONPROGRESS MADE SINCE 2021VEGGIE RX - IN 2020, SSM HEALTH ST. ANTHONY HOSPITAL - SHAWNEE PILOTED A PROGRAM CALLED "VEGGIE RX" IN PARTNERSHIP WITH BLUE ZONES OF POTTAWATOMIE COUNTY AND WITH SUPPORT FROM AN EXTERNAL GRANT. VEGGIE RX IS A 12-WEEK HEALTHY EATING AND WELLNESS PROGRAM. THESE PRESCRIPTIONS CAN BE FILLED AT PARTNERING GROCERY STORES FREE OF CHARGE. AN SSM HEALTH DIETITIAN AND PHYSICIAN TEACH CLASSES ON HOW NUTRITION AFFECTS HEALTH, OFFERING GUIDANCE ON COOKING, IDENTIFYING, AND SHOPPING FOR HEALTHY FOODS. IN 2022, ST. ANTHONY SHAWNEE COMMITTED TO INVESTING IN THE LONG-TERM SUSTAINABILITY OF THE PROGRAM AND THE HOSPITAL ASSUMED FULL RESPONSIBILITY FOR THE OPERATIONS AND FUNDING OF VEGGIE RX AND DEVELOPED A VEGGIE RX PROGRAM MANUAL TO SUPPORT OTHER COMMUNITY ORGANIZATIONS IN LAUNCHING THEIR OWN VEGGIE RX PROGRAMS. A LOCAL NATIVE AMERICAN CLINIC AND THE OKLAHOMA FOOD IS MEDICINE COALITION HAVE RECEIVED A COPY OF THE MANUAL AS THEY EVALUATE THE POSSIBILITY OF REPLICATING THE PROGRAM.FOOD PHARMACY PROGRAM - ST. ANTHONY SHAWNEE PARTNERED WITH THE REGIONAL FOOD BANK OF OKLAHOMA TO ESTABLISH TWO FOOD PHARMACY LOCATIONS. THIS PROGRAM INVOLVES CLINICAL STAFF SCREENING PATIENTS FOR FOOD INSECURITY AND PROVIDING A BOX OF NONPERISHABLE FOOD. THE PROGRAM BEGAN AT THE HOSPITAL AND THEN EXPANDED TO THE SSM HEALTH MEDICAL GROUP PEDIATRICS CLINIC ON THE SHAWNEE HOSPITAL CAMPUS. SINCE THE PROGRAM'S IMPLEMENTATION IN MARCH 2022: 95% OF FOOD INSECURE PATIENTS WERE OFFERED A FOOD BOX AND 78 INPATIENTS RECEIVED A FOOD BOX. THE MEDICAL GROUP PEDIATRIC CLINIC IMPLEMENTED A FOOD PHARMACY PROGRAM IN MARCH 2023. SINCE THE PROGRAM'S IMPLEMENTATION: 77% OF THE CLINIC PATIENTS WERE OFFERED A FOOD BOX AND OVER 1,500 PATIENTS RECEIVED A FOOD BOX.COMMUNITY HEALTH IMPROVEMENT GRANTS INTERFAITH SOCIAL MINISTRIES: $5,000 TO EXPAND ACCESS TO FOOD IN SEMINOLE COUNTY DUE TO GROWING DEMAND GLAD TIDINGS RECEIVED $5,000 TO CONTINUE PROVIDING ACCESS TO SERVICES AT THEIR FOOD PANTRYGOALS & OBJECTIVES* PARTNER WITH POTTAWATOMIE COUNTY FREE HEALTH CLINIC TO ESTABLISH A FOOD PHARMACY PROGRAM - SCREEN FOR FOOD INSECURITY AMONG CLINIC PATIENTS. JOIN UNITE US TO CONNECT PATIENTS WITH FOOD RESOURCES AND OTHER SOCIAL SERVICES. PROVIDE FUNDING TO PURCHASE THE FOOD BOXES FROM REGIONAL FOOD BANK OF OKLAHOMA. * COLLABORATE WITH COMMUNITY MARKET OF POTTAWATOMIE COUNTY AND SEMINOLE COUNTY STAKEHOLDERS - EXPLORE ESTABLISHING A PERMANENT COMMUNITY MARKET SITE IN THE CITY OF SEMINOLE. ORGANIZE EMPLOYEE VOLUNTEER EVENTS TO SUPPORT FOOD ACCESS INITIATIVES IN SEMINOLE COUNTY * EXPAND AND SUSTAIN THE VEGGIE RX PROGRAM - CONTINUE THE PROGRAM WITH A FOCUS ON SOUTH SHAWNEE RESIDENTS. STRENGTHEN PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS TO MAINTAIN HIGH ENROLLMENT (88% OF 2024 PARTICIPANTS ENROLLED THROUGH THESE PARTNERSHIPS). ENHANCE IMPACT MEASUREMENT, BUILDING ON THE 73% OF PARTICIPANTS WHO REPORTED DECREASED FOOD INSECURITY. * EXPAND AND CONTINUE FOOD PHARMACY SITES (IN COLLABORATION WITH THE REGIONAL FOOD BANK OF OKLAHOMA) - MAINTAIN AND ENHANCE EXISTING FOOD PHARMACY PROGRAMS AT THE PEDIATRIC CLINIC, OB CLINIC (KETHLEY RD.), INPATIENT CASE MANAGEMENT, AND TECUMSEH CLINIC. TRACK THE NUMBER OF FOOD BOXES DISTRIBUTED AT EACH SITE AND ASSESS THE PROGRAM'S IMPACT ON FOOD INSECURITY. ESTABLISH A FOOD PHARMACY PROGRAM AT CHANDLER CLINIC. EXPLORE LAUNCHING A FOOD PHARMACY SITE AT SEMINOLE CLINIC. * COMMUNITY HEALTH IMPROVEMENT GRANTS - CONTINUE SUPPORTING INITIATIVES THAT ADDRESS FOOD INSECURITY AND NUTRITION ACCESS. - ENCOURAGE COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS TO ENHANCE IMPACT. - MEASURE PROGRAM SUCCESS THROUGH GRANT OUTCOMESBEHAVIORAL HEALTH PROGRESS MADE SINCE 2021BEHAVIORAL HEALTH RESOURCE INTEGRATION IN PRIMARY CARE - SSM HEALTH HAS MADE SIGNIFICANT PROGRESS INTEGRATING VIRTUAL BEHAVIORAL TELEHEALTH INTO ITS PRIMARY CARE SETTINGS ACROSS ITS ENTIRE FOUR-STATE SYSTEM. PLANS ARE UNDERWAY TO BRING THIS RESOURCE TO SSM HEALTH MEDICAL GROUP PRIMARY CARE LOCATIONS IN POTTAWATOMIE AND SEMINOLE COUNTIES. COMMUNITY COALITION TO IDENTIFY BEHAVIORAL HEALTH NEEDS - ST. ANTHONY SHAWNEE IS GRATEFUL TO OUR PARTNERS AT POTTAWATOMIE GO FOR THEIR LEADERSHIP IN HELPING THE COMMUNITY GAIN A CLEARER PICTURE OF THE COUNTY'S SPECIFIC NEEDS REGARDING BEHAVIORAL HEALTH PROVIDERS. COMMUNITY HEALTH IMPROVEMENT GRANTS LEGACY PARENTING CENTER: $5,000 FOR CLIENT SUPPORT OPERATIONS, HELPING FAMILIES ACCESS HEALTH AND WELL-BEING SERVICES FOR INFANTS AND PARENTS UPLIFTING MENTORING: $5,000 FOR A SCHOOL MENTORING PROGRAM ALIGNED WITH BEHAVIORAL HEALTH AND WELL-BEING FOR CHILDREN PROJECT: SAFE: $5,000 FOR BEHAVIORAL HEALTH SERVICES FOR DOMESTIC VIOLENCE VICTIMS SHAWNEE BRIDGES OUT OF POVERTY: $10,000 FOR THE GETTING AHEAD PROGRAM, FOCUSING ON EDUCATING AND HELPING PEOPLE OUT OF POVERTY TO PREVENT MENTAL HEALTH ISSUES WORREL'S HAVEN: $5,000 TO SUPPORT SERVICES FOR WOMEN EXPERIENCING HOMELESSNESS AND SUBSTANCE ABUSE YOUTH AND FAMILY SERVICES: $5,000 FOR THE PARTNERS IN CARING PROGRAM, WHICH PROVIDES BEHAVIORAL, SOCIAL, AND PHYSICAL SERVICES TO SCHOOLCHILDREN SEMINOLE STATE COLLEGE: $10,000 TO EXPAND BEHAVIORAL HEALTH PROGRAMS FOR STUDENTS AND STAFF MABEE GERRER MUSEUM OF ART: $5,000 FOR ART THERAPY ADDRESSING MENTAL HEALTH NEEDSGOALS & OBJECTIVES* EXPAND COMMUNITY-BASED BEHAVIORAL HEALTH SUPPORT WITH HIGHER GROUND CHURCH & AMOR TELEHEALTH - ESTABLISH CARE COORDINATION FOR VULNERABLE POPULATIONS IN SOUTH SHAWNEE. PROVIDE FUNDING OPPORTUNITIES WITH HIGHER GROUND CHURCH & AMOR TELEHEALTH. * 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, AND PROVIDER ENGAGEMENT. * OFFER INTEGRATED VIRTUAL BEHAVIORAL HEALTH IN ALL SSM HEALTH MEDICAL GROUP PRIMARY CARE PRACTICES IN POTTAWATOMIE AND SEMINOLE COUNTIES. * COMMUNITY HEALTH IMPROVEMENT GRANTS - CONTINUE SUPPORTING INITIATIVES THAT ADDRESS FOOD INSECURITY AND NUTRITION ACCESS. - ENCOURAGE COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS TO ENHANCE IMPACT. - MEASURE PROGRAM SUCCESS THROUGH GRANT OUTCOMES.NEIGHBORHOOD AND BUILT ENVIRONMENT AND SOCIAL CONNECTION AND BELONGING GOALS & OBJECTIVES * EXPLORE TRANSPORTATION ACCESS SOLUTIONS IN PARTNERSHIP WITH THE CENTRAL OKLAHOMA COMMUNITY TRANSIT SYSTEM - COTS BY PRODUCING AND SEEKING FUNDING OPPORTUNITIES FOR EXTENDED SERVICE HOURS.* PARTNER WITH OKLAHOMA PROJECT WOMAN TO ENHANCE BREAST CANCER SCREENING EFFORTS BY PROVIDING: IN-KIND IMAGING SERVICES TO UNINSURED WOMEN AND OFFER GRANT FUNDING FOR TRANSPORTATION AND DIAGNOSTIC SERVICES TO SUPPORT CONTINUITY OF CARE FOR PATIENTS WITH ABNORMAL RESULTS.* PARTNER WITH AMOR TELEHEALTH TO EXPAND ACCESS TO HEALTH SERVICES IN SOUTH SHAWNEE AT HIGHER GROUND CHURCH FOR UNDERINSURED AND UNINSURED RESIDENTS. ST. ANTHONY HOSPITAL - SHAWNEE WILL COLLABORATE WITH THE CLINIC TO PROVIDE IN-KIND LAB AND IMAGING SERVICES. PROVIDING FUNDING FOR A FAITH COMMUNITY NURSE IN PARTNERSHIP WITH HIGHER GROUND CHURCH AND SEEKING ADDITIONAL FUNDING SOURCES TO SUPPORT EXPANDED HEALTHCARE ACCESS.* ST. ANTHONY HOSPITAL-SHAWNEE WILL EXPLORE OPPORTUNITIES TO PARTNER WITH SHAWNEE PARKS & RECREATION TO RESTORE PUBLIC PARKS BY PROVIDING FUNDING AND STAFF SUPPORT FOR A VOLUNTEER INITIATIVE. PRIMARY CARE ACCESS (PRIOR PRIORITY)PROGRESS MADE SINCE 2021PRIMARY CARE PROVIDER RECRUITMENT - IN 2023, SSM HEALTH MEDICAL GROUP WELCOMED TWO NEW PRIMARY CARE PROVIDERS TO THE COMMUNITY. ADDITIONALLY, IN 2022, ST. ANTHONY HOSPITAL - SHAWNEE AWARDED A $5,000 GRANT TO THE CENTRAL OKLAHOMA COMMUNITY ACTION AGENCY, ALLOWING FREE TRANSPORTATION SERVICES FOR MEDICAL APPOINTMENTS THROUGH THE CENTRAL OKLAHOMA TRANSIT SYSTEM, FACILITATING OVER 1,600 RIDES. IN-KIND SUPPORT - 2022-2023, ST. ANTHONY SHAWNEE DONATED NEARLY $10,000 IN IN-KIND LAB AND RADIOLOGY SERVICES TO PATIENTS AT THE POTTAWATOMIE COUNTY FREE CLINIC. COMMUNITY HEALTH IMPROVEMENT GRANTS CENTRAL OKLAHOMA COMMUNITY ACTION AGENCY: $5,000 TO EXPAND TRANSPORTATION SERVICES AND ACCESS TO PRIMARY CARE AND MENTAL HEALTH SERVICES SHAWNEE FAMILY YMCA: $5,000 TO PROVIDE ACCESS TO PHYSICAL ACTIVITY AND THE LIVESTRONG CANCER SUPPORT PROGRAM
ST ANTHONY SHAWNEE HOSPITALPART 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.
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - SSM HEALTH SURGERY CENTER
1106 W MCARTHURSHAWNEEOK74804OUTPATIENT SURGERY
2 - SSM HEALTH MEDICAL GROUP
3204 MEDICAL PARK DRIVESHAWNEEOK74804OUTPATIENT CLINIC
3 - SSM HEAL TH MEDICAL GROUP
3315 KETHLEY ROADSHAWNEEOK74804OUTPATIENT CLINIC
4 - SSM HEAL TH MEDICAL GROUP
3214 KETHLEY ROADSHAWNEEOK74804OUTPATIENT CLINIC
5 - SSM HEAL TH MEDICAL GROUP
3700 N KICKAPOO AVENUESHAWNEEOK74804OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 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:SSM HEALTH AND 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 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.SSM HEALTH AND ITS AFFILIATES PROMOTE GRASSROOTS ADVOCACY AND ENGAGES PERSONS OF INFLUENCE TO AFFECT SOCIAL AND 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 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 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, 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, 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:ST. ANTHONY SHAWNEE HOSPITAL, INC. DEFINES ITS PRIMARY SERVICE AREA AS POTTAWATOMIE COUNTY. POTTAWATOMIE COUNTY IS 788 SQUARE MILES IN CENTRAL OKLAHOMA, WHICH INCLUDES THIRTEEN ZIP CODES THAT FALL WITHIN THE COUNTY BOUNDARIES EITHER FULLY OR PARTIALLY. SHAWNEE AND TECUMSEH ARE TWO OF THE LARGEST CITIES IN THE COUNTY, ACCOMPANIED BY A VIBRANT ARRAY OF TIGHT-KNIT SMALL AND RURAL TOWN COMMUNITIES. THE COUNTY, WITH A POPULATION OF APPROXIMATELY 73,791, SHOWCASES URBAN AND RURAL CHARACTERISTICS. NOTABLY, THE COUNTY HAS A HIGHER PROPORTION OF NATIVE AMERICAN RESIDENTS COMPARED TO STATE AND NATIONAL AVERAGES, WHICH UNDERSCORES THE IMPORTANCE OF CULTURALLY TAILORED HEALTH IMPROVEMENT STRATEGIES AND INTERVENTIONS. SOVEREIGN TRIBAL NATIONS WITHIN THE POTTAWATOMIE COUNTY REGION INCLUDE THE ABSENTEE SHAWNEE TRIBE, CITIZEN POTAWATOMI NATION, KICKAPOO TRIBE, AND THE SAC AND FOX NATION. FOR OUR SURVEY AND FOCUS GROUPS, WE DEFINED POTTAWATOMIE COUNTY COMMUNITY MEMBERS AS ANYONE WHO LIVES OR WORKS THERE. SSM HEALTH ST. ANTHONY HOSPITAL - SHAWNEE IS LOCATED ON THE NORTH SIDE OF SHAWNEE IN THE 74804 ZIP CODE, AND ITS PRIMARY SERVICE AREA INCLUDES POTTAWATOMIE COUNTY AND NEIGHBORING SEMINOLE COUNTY. NO GROUP WITHIN THE COMMUNITY WAS EXCLUDED FROM THIS NEEDS ASSESSMENT. THIS DIVERSE MIX OF URBAN HUBS AND RURAL LANDSCAPES CONTRIBUTES TO A UNIQUE CULTURAL AND ECONOMIC FABRIC, WHERE AGRICULTURAL TRADITIONS MEET MODERN DEVELOPMENTS, CREATING A DISTINCT COMMUNITY IDENTITY.POTTAWATOMIE COUNTY INCLUDES:*73,791 RESIDENTS* AGE 11% 0-9, 15% 10-19, 13% 20-29, 12% 30-39, 13% 40-49, 13% 50-59, 11% 60-69, 8% 70-79, AND 4% 80 AND OVER* RACE/ETHNICITY 70% WHITE, 3% BLACK/AFRICAN AMERICAN, 11% AMERICAN INDIAN/ALASKA NATIVE, 1% ASIAN, .1% NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER, 6% HISPANIC/LATINO, AND 9% TWO OR MORE RACES* MARITAL STATUS 21% NOT MARRIED, 51% MARRIED, 14% DIVORCED, AND 14% WIDOWED* DISABILITY STATUS 13.3% FOR RESIDENTS UNDER 65 YEARS* ADULT SMOKING 20% COMPARED TO 18% FOR OKLAHOMA AS A WHILE AND 15% FOR THE U.S. AS A WHOLE* ADULT OBESITY 42% COMPARED TO 40% FOR OKLAHOMA AS A WHOLE AND 34% FOR THE U.S. AS A WHOLE* FOOD INSECURITY 19% COMPARED TO 15% FOR OKLAHOMA AS A WHOLE AND 10.5% FOR U.S. AS A WHOLE* RESIDENTS ON SOCIAL SECURITY INCOME 37% COMPARED TO 31.5% FOR OKLAHOMA AS A WHOLE AND 31.1% FOR U.S. AS A WHOLE* RESIDENTS RECEIVING FOOD STAMPS/SNAP 23.8% COMPARED TO 14.9% FOR OKLAHOMA AS A WHOLE AND 12.4% FOR U.S. AS A WHOLE* EMPLOYMENT 2.6% OF RESIDENTS ARE UNEMPLOYED COMPARED TO 2.5% FOR OKLAHOMA AS A WHOLE AND 2.7% FOR U.S. AS A WHOLE. 49.3% OF RESIDENTS ARE NOT IN THE LABOR FORCE COMPARED TO 39% FOR OKLAHOMA AS A WHOLE AND 36.5% FOR U.S. AS A WHOLE.* HOUSEHOLD INCOME 20.2% OF PERSONS LIVING BELOW THE POVERTY LINE COMPARED TO 15.6% FOR OKLAHOMA AS A WHOLE AND 11.4% FOR U.S. AS A WHOLE. 22% OF CHILDREN LIVING BELOW THE POVERTY LINE COMPARED TO 20% FOR OKLAHOMA AS A WHOLE AND 16% FOR U.S. AS A WHOLE.
PART VI, LINE 5:SSM HEALTH AND 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 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.SSM HEALTH AND ITS AFFILIATES PROMOTE GRASSROOTS ADVOCACY AND ENGAGES PERSONS OF INFLUENCE TO AFFECT SOCIAL AND 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 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, INC. IS A 501(C)(3) ORGANIZATION AND IS A MEMBER OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. THE HOSPITAL IS PURSUING A VISION TO CREATE A COMPREHENSIVE, REGIONAL HEALTH CARE ENTERPRISE FOR THE CENTRAL OKLAHOMA REGION.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 AND ITS CONSOLIDATED SUBSIDIARIES (DOING BUSINESS AS SSM HEALTH (SSMH) OWNS AND 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 AND SEVERAL FOUNDATIONS. 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, 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, AND FOUR LAY PERSONS WHO COLLECTIVELY HOLD CERTAIN RESERVED POWERS OVER SSMH.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
OKLAHOMA BAPTIST UNIVERSITY
500 W UNIVERSITY STSHAWNEEOK74804730579264501(C)(3)$30,000$0BOOKGENERAL SUPORT
SEMINOLE STATE COLLEGE
2701 BOREN BLVDSEMINOLEOK74868730781297501(C)(3)$10,500$0BOOKGENERAL SUPORT
GATEWAY TO PREVENTION & RECOVERY
1010 E 45TH STSHAWNEEOK74804731215510501(C)(3)$10,400$0BOOKGENERAL SUPORT
GLAD TIDINGS ASSEMBLY OF GOD CHURCH
38 S VANDALIATULSAOK74112731166044$10,000$0BOOKGENERAL SUPORT
COMMUNITY MARKET OF POTTAWATOMIE COUNTY
120 S CENTER STSHAWNEEOK74801473737905501(C)(3)$7,500$0BOOKGENERAL SUPORT
MABEE-GERRER MUSEUM OF ART
1900 W MACARTHUR STSHAWNEEOK74804731392868501(C)(3)$7,500$0BOOKGENERAL SUPORT
SHAWNEE PUBLIC SCHOOLS
326 N UNION AVESHAWNEEOK74801GOVERNMENT$6,500$0BOOKGENERAL SUPORT
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVEN SMOOT
VICE PRESIDENT, COO AT SSM HEALTH$0$1,305,272$0$895,103$0$164,560$0$1,075,677$0$44,021$0$3,484,633$0$1,036,001
DOUGLAS LONG
SECRETARY, CLO AT SSM HEALTH$0$813,979$0$583,198$0$189,973$0$676,547$0$24,224$0$2,287,921$0$583,198
JOE HODGES
DIRECTOR, VICE CHAIR, REGIONAL PRESI$0$689,127$0$519,119$0$88,896$0$572,140$0$48,076$0$1,917,358$0$528,492
KEVIN SMITH
TREASURER, CFO AT SSM HEALTH$0$1,034,519$0$0$0$15,958$0$586,407$0$40,674$0$1,677,558$0$0
RANDALL COMBS
FORMER OFFICER$0$323,766$0$923,306$0$206,949$0$13,881$0$15,625$0$1,483,527$0$923,306
ISMA JAVED
PHYSICIAN$803,804$0$640,076$0$1,026$0$5,971$0$29,788$0$1,480,665$0$0$0
VENKATA DAMERA
PHYSICIAN$489,633$0$225,203$0$1,332$0$16,996$0$49,162$0$782,326$0$0$0
ANGI MOHR
HOSPITAL PRESIDENT, ST. ANTHONY HOSP$378,086$0$135,930$0$28,079$0$162,678$0$39,272$0$744,045$0$144,971$0
SHASTA MANUEL
REGIONAL VICE PRESIDENT-FINANCE$0$384,250$0$119,120$0$40,099$0$149,096$0$47,142$0$739,707$0$153,994
MATTHEW MCTAGUE
PHYSICIAN$436,548$0$1,798$0$1,314$0$8,807$0$46,400$0$494,867$0$0$0
JUAN CANTU-CLATZA
PHYSICIAN$251,417$0$120,277$0$497$0$17,140$0$23,987$0$413,318$0$0$0
GAYNELL ANDERSON
PHYSICIAN$253,690$0$74,863$0$2,681$0$20,299$0$40,452$0$391,985$0$0$0
CATHY BROOME
VP - PATIENT CARE SERVICES$204,998$0$35,533$0$9,771$0$47,839$0$13,987$0$312,128$0$35,533$0
RANDY KAMM
FORMER KEY EMPLOYEE$0$186,141$0$22,956$0$1,768$0$30,763$0$42,541$0$284,169$0$22,956

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ASEVERAL INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENTS IN 2024. THE PAYMENT WAS INCLUDED IN THEIR TAXABLE COMPENSATION
PART I, LINE 3THE 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 4BPENSION 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 2024. 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 ANGI MOHR $26,068 CATHY BROOME $7,856

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonJOE HODGESPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionBOARD MEMBERRelationshipDescriptionTxt
Transaction$53,615TransactionAmt
TransactionOKLAHOMA HOSPITAL ASSOCIATIONTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, DOING BUSINESS ASSSM HEALTH ST. ANTHONY HOSPITAL - SHAWNEE ST. ANTHONY SHAWNEE HOSPITAL SSM HEALTH ST. ANTHONY HOSPITAL - SHAWNEE, SEMINOLE CAMPUS SSM HEALTH WOUND CARE, A DEPARTMENT OF SSM HEALTH ST. ANTHONY HOSPITAL - SHAWNEE SSM HEALTH MEDICAL GROUP A DEPARTMENT OF SSM HEALTH ST. ANTHONY HOSPITAL - SHAWNEE SSM HEALTH EXPRESS CLINIC SSM HEALTH IMAGING SERVICES (SHAWNEE) SSM HEALTH MEDICAL GROUP (SHAWNEE) SSM HEALTH PEDIATRICS (SHAWNEE) SSM HEALTH PHARMACY (SHAWNEE) SSM HEALTH SLEEP SERVICES (SHAWNEE) SSM HEALTH SURGERY CENTER (SHAWNEE)
FORM 990, PART V, LINE 1AALL 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 4IN 2024, ST. ANTHONY SHAWNEE HOSPITAL, INC. UPDATED ITS BYLAWS FOR THE FOLLOWING CHANGES: - THE CHIEF CLINICAL OFFICER OF THE CORPORATION WAS ADDED AS AN EX-OFFICIO BOARD MEMBER. - CHANGES TO THE RESERVED POWERS OF SSM HEALTH CARE CORPORATION TO CONFORM WITH OTHER ENTITY BYLAWS.
FORM 990, PART VI, SECTION A, LINE 6THE 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 7ATHE MEMBER HAS THE POWER TO APPOINT AND REMOVE THE APPOINTED DIRECTORS AND THE EX-OFFICIO DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BSSM HEALTH CARE CORPORATION, THE SOLE MEMBER OF SSM HEALTH CARE OF OKLAHOMA, INC., THE SOLE MEMBER OF ST. ANTHONY SHAWNEE HOSPITAL, INC. HAS THE FOLLOWING RESERVED POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS C. TO APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION, ANY CHIEF EXECUTIVE OFFICER, THE CHAIRPERSON, AND THE VICE CHAIRPERSON D. TO APPROVE THE AMENDMENTS TO THE CERTIFICATE OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN E. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION F. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION G. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY H. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION I. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY J. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY K. 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 L. TO APPROVE THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION M. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION N. 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 O. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE SSMHCC OR TO ANY ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN 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 SSMHCC, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS AND OBJECTIVES OF THE SSMHCC AS DETERMINED BY SSMHCC P. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN SSMHCC, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION, WHICH WILL NOT REQUIRE MEMBER APPROVAL; AND Q. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION, WHICH ARE RESERVED TO SSMHCC OR 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 8BTHE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CBOARD 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 15THE 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 19THE 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 11GMEDICAL AND RELATED SERVICES: PROGRAM SERVICE EXPENSES 24,261,944. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,261,944. OTHER SERVICES: PROGRAM SERVICE EXPENSES 6,816,269. MANAGEMENT AND GENERAL EXPENSES 1,449,285. FUNDRAISING EXPENSES 10. TOTAL EXPENSES 8,265,564.
FORM 990, PART XI, LINE 9:PENSION LIABILITY TRANSFER -29,195,408. ROUNDING 3.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (53 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
SSM HEALTH CARE CORPORATION
12800 CORPORATE HILL DRIVEST LOUISMO63131466029223HEALTH CAREMO501(C)(3)LINE 12A, ISSM HEALTH MINISTRIES0
SSMHC LIABILITY TRUST I
12800 CORPORATE HILL DRIVEST LOUISMO63131436331003INSURANCEMO501(C)(3)LINE 12A, ISSM HEALTH CARE CORPORATION0
SSM CONSOLIDATED HEALTH SERVICES
12800 CORPORATE HILL DRIVEST LOUISMO63131431473657HEALTH CAREMO501(C)(3)LINE 10SSM HEALTH CARE CORPORATION0
SSM POLICY INSTITUTE
12800 CORPORATE HILL DRIVEST LOUISMO63131431788151HEALTH CAREMO501(C)(4)SSM HEALTH CARE CORPORATION0
SSM HEALTH CARE PORTFOLIO MANAGEMENT CO
12800 CORPORATE HILL DRIVEST LOUISMO63131431825256MANAGEMENTMO501(C)(3)LINE 12A, ISSM HEALTH CARE CORPORATION0
SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
12800 CORPORATE HILL DRIVEST LOUISMO63131430738490HEALTH CAREMO501(C)(3)LINE 3SSM HEALTH CARE ST LOUIS0
CARDINAL GLENNON CHILDREN'S FOUNDATION
12800 CORPORATE HILL DRIVEST LOUISMO63131431754347FUNDRAISINGMO501(C)(3)LINE 7SSM CARDINAL GLENNON CHILDREN'S HOSPITAL0
SSM HEALTH FOUNDATION - ST LOUIS
12800 CORPORATE HILL DRIVEST LOUISMO63131431552945FUNDRAISINGMO501(C)(3)LINE 7SSM HEALTH CARE ST LOUIS0
SSM HEALTH CARE OF OKLAHOMA INC
12800 CORPORATE HILL DRIVEST LOUISMO63131730657693HEALTH CAREOK501(C)(3)LINE 3SSM HEALTH CARE CORPORATION0
THE ST ANTHONY HOSPITAL FOUNDATION INC
12800 CORPORATE HILL DRIVEST LOUISMO63131736104300FUNDRAISINGOK501(C)(3)LINE 7SSM HEALTH CARE OF OKLAHOMA0
SSM HEALTH CARE OF WISCONSIN INC
12800 CORPORATE HILL DRIVEST LOUISMO63131430688874HEALTH CAREWI501(C)(3)LINE 3SSM HEALTH CARE CORPORATION0
DELLS MEDICAL BUILDING INC
12800 CORPORATE HILL DRIVEST LOUISMO63131391613292MOBWI501(C)(2)SSM HEALTH CARE OF WISCONSIN0
ST MARY'S FOUNDATION INC
12800 CORPORATE HILL DRIVEST LOUISMO63131431940686FUNDRAISINGWI501(C)(3)LINE 7SSM HEALTH CARE OF WISCONSIN0
ST CLARE HEALTH CARE FOUNDATION INC
12800 CORPORATE HILL DRIVEST LOUISMO63131431940683FUNDRAISINGWI501(C)(3)LINE 7SSM HEALTH CARE OF WISCONSIN0
HOME HEALTH UNITED INC
2802 WALTON COMMONS LANEMADISONWI53718391539827HEALTH CAREWI501(C)(3)LINE 10SSM HEALTH CARE OF WISCONSIN0
HOME CARE UNITED INC
2802 WALTON COMMONS LANEMADISONWI53718391776340HEALTH CAREWI501(C)(3)LINE 10SSM HEALTH CARE OF WISCONSIN0
HHU XTRA CARE INC
2802 WALTON COMMONS LANEMADISONWI53718391705111HEALTH CAREWI501(C)(3)LINE 10SSM HEALTH CARE OF WISCONSIN0
SSM HEALTH AT HOME FOUNDATION OF WISCONSIN INC
2802 WALTON COMMONS LANEMADISONWI53718391839309FUNDRAISINGWI501(C)(3)LINE 12A, IHOME HEALTH UNITED INC0
SSM REGIONAL HEALTH SERVICES
12800 CORPORATE HILL DRIVEST LOUISMO63131440579850HEALTH CAREMO501(C)(3)LINE 3SSM HEALTH CARE CORPORATION0
ST MARY'S HEALTH CENTER JEFFERSON CITY MISSOURI FOUNDATION
12800 CORPORATE HILL DRIVEST LOUISMO63131431575307FUNDRAISINGMO501(C)(3)LINE 12A, ISSM REGIONAL HEALTH SERVICES0
GOOD SAMARITAN REGIONAL HEALTH CENTER
12800 CORPORATE HILL DRIVEST LOUISMO63131430653587HEALTH CAREIL501(C)(3)LINE 3SSM REGIONAL HEALTH SERVICES0
ST MARY'S HOSPITAL CENTRALIA ILLINOIS
12800 CORPORATE HILL DRIVEST LOUISMO63131370662580HEALTH CAREIL501(C)(3)LINE 3SSM REGIONAL HEALTH SERVICES0
ST MARY'S - GOOD SAMARITAN INC
12800 CORPORATE HILL DRIVEST LOUISMO63131364170833HEALTH CAREIL501(C)(3)LINE 12A, ISSM REGIONAL HEALTH SERVICES0
GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION
12800 CORPORATE HILL DRIVEST LOUISMO63131262884795FUNDRAISINGIL501(C)(3)LINE 7ST MARY'S-GOOD SAMARITAN INC0
ST MARY'S HOSPITAL FOUNDATION
12800 CORPORATE HILL DRIVEST LOUISMO63131364636691FUNDRAISINGIL501(C)(3)LINE 7ST MARY'S-GOOD SAMARITAN INC0
ST MARY'S HOSPITAL AUXILIARY
400 N PLEASANTCENTRALIAIL62801237126345FUNDRAISINGIL501(C)(3)LINE 10ST MARY'S HOSPITAL FOUNDATION0
SSM HEALTH BUSINESSES
12800 CORPORATE HILL DRIVEST LOUISMO63131431333488HEALTH CAREMO501(C)(3)LINE 10SSM HEALTH CARE CORPORATION0
SSM HEALTH CARE ST LOUIS
12800 CORPORATE HILL DRIVEST LOUISMO63131431343281HEALTH CAREMO501(C)(3)LINE 3SSM HEALTH CARE CORPORATION0
CENTRALIA MEDICAL SERVICES BLDG ASSOC
12800 CORPORATE HILL DRIVEST LOUISMO63131237408025MOBIL501(C)(3)LINE 12A, ISSM REGIONAL HEALTH SERVICES0
ST MARY'S JANESVILLE FOUNDATION INC
12800 CORPORATE HILL DRIVEST LOUISMO63131273439133FUNDRAISINGWI501(C)(3)LINE 7SSM HEALTH CARE OF WISCONSIN0
SSM HEALTH MINISTRIES
3221 MCKELVEY ROAD SUITE 107BRIDGETONMO63044431012492RELIGIOUS ORGANIZATIONMO501(C)(3)LINE 10N/A
LEE DEWEY CORPORATION
12800 CORPORATE HILL DRIVEST LOUISMO63131731279603MOBOK501(C)(3)LINE 12A, ISSM HEALTH CARE OF OKLAHOMA0
ST MARY'S HOSPITAL AUXILIARY
100 ST MARYS MEDICAL PLAZAJEFFERSON CITYMO65101436049878FUNDRAISINGMO501(C)(3)LINE 12B, II0N/A
GOOD SAMARITAN HOSPITAL AUXILIARY
1 GOOD SAMARITAN WAYMOUNT VERNONIL62864237049599FUNDRAISINGIL501(C)(3)LINE 12C, III-FI0N/A
ST ANTHONY SHAWNEE HOSPITAL INC
1000 N LEE AVEOKLAHOMA CITYOK73102455055149HEALTH CAREOK501(C)(3)LINE 3SSM HEALTH CARE OF OKLAHOMA0
SSM AUDRAIN HEALTH CARE INC
12800 CORPORATE HILL DRIVEST LOUISMO63131431550298HEALTH CAREMO501(C)(3)LINE 3SSM REGIONAL HEALTH SERVICES0
SSM-SLUH INC
12800 CORPORATE HILL DRIVEST LOUISMO63131474196634HEALTH CAREMO501(C)(3)LINE 3SSM HEALTH CARE ST LOUIS0
AGNESIAN HEALTHCARE INC
430 E DIVISION STFOND DU LACWI54935390807236HEALTH CAREWI501(C)(3)LINE 3SSM HEALTH CARE OF WISCONSIN0
RIPON MEDICAL CENTER INC
845 PARKSIDE STREETRIPONWI54971391101287HEALTH CAREWI501(C)(3)LINE 3AGNESIAN HEALTHCARE INC0
WAUPUN MEMORIAL HOSPITAL INC
620 WEST BROWN STREETWAUPUNWI53963390806265HEALTH CAREWI501(C)(3)LINE 3AGNESIAN HEALTHCARE INC0
ST FRANCIS HOME OF FOND DU LAC WISCONSIN INC
33 EVERETT STREETFOND DU LACWI54935391029998HEALTH CAREWI501(C)(3)LINE 10AGNESIAN HEALTHCARE INC0
SISTER SERVANTS OF CHRIST THE KING VILLA LORETTO
N8114 COUNTY WWMOUNT CALVARYWI53057391022770HEALTH CAREWI501(C)(3)LINE 10AGNESIAN HEALTHCARE INC0
VILLA ROSA INC
N8120 COUNTY WWMOUNT CALVARYWI53057421670962HEALTH CAREWI501(C)(3)LINE 10AGNESIAN HEALTHCARE INC0
THE CHRISTIAN HOME AND REHABILITATION CENTER INCORPORATED
331 BLY STREETWAUPUNWI53963390884514HEALTH CAREWI501(C)(3)LINE 10AGNESIAN HEALTHCARE INC0
THE MONROE CLINIC INC
515 22ND AVENUEMONROEWI53566390808509HEALTH CAREWI501(C)(3)LINE 3SSM HEALTH CARE OF WISCONSIN0
MONROE CLINIC AND HOSPITAL FOUNDATION INC
515 22ND AVENUEMONROEWI53566205769038FUNDRAISINGWI501(C)(3)LINE 7SSM HEALTH CARE OF WISCONSIN0
AGNESIAN HEALTHCARE FOUNDATION INC
430 E DIVISION STFOND DU LACWI54935391684956FUNDRAISINGWI501(C)(3)LINE 12A, ISSM HEALTH CARE OF WISCONSIN0
SHARED MAGNETIC RESONANCE IMAGING FACILITY INC
1104 JOHN NOLEN DRIVEMADISONWI53713391534744HEALTH CAREWI501(C)(3)LINE 12A, ISSM HEALTH CARE OF WISCONSIN0
SSM HEALTH CARDINAL GLENNON TRANSPORT
12800 CORPORATE HILL DRIVEST LOUISMO63131863519607HEALTH CAREMO501(C)(3)LINE 12A, ISSM CARDINAL GLENNON CHILDREN'S HOSPITAL0
SSM HEALTH FOUNDATION
12800 CORPORATE HILL DRIVEST LOUISMO63131874109859FUNDRAISINGMO501(C)(3)LINE 12A, ISSM HEALTH CARE CORPORATION0
SSM HEALTH CARE GROUP
12800 CORPORATE HILL DRIVEST LOUISMO63131880988603HEALTH CAREMO501(C)(3)LINE 10SSM HEALTH CARE ST LOUIS0
THE SARAH COMMUNITY
12800 CORPORATE HILL DRIVEST LOUISMO63131431784657HEALTH CAREMO501(C)(3)LINE 10SSM HEALTH BUSINESSES0
VISITING NURSE ASSOCIATION OF GREATER ST LOUIS
12800 CORPORATE HILL DRIVEST LOUISMO63131430567000HEALTH CAREMO501(C)(3)LINE 7SSM HEALTH BUSINESSES0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
SSM ST JOSEPH ENDOSCOPY CENTER LLC
12800 CORPORATE HILL DRIVEST LOUISMO63131270046559SURGERY SERVICESMON/A00
ST CLARE IMAGING SERVICES LLC
707 14TH STREET SUITE ABARABOOWI53913200122365DIAG. SERVICESWIN/A00
MT VERNON RADIATION THERAPY CENTER LLC
12800 CORPORATE HILL DRIVEST LOUISMO63131201382620RADIATION THERAPYILN/A0Yes (1)
SLEEP & NEUROLOGY CENTER OF SOUTHERN ILLINOIS LLC
12800 CORPORATE HILL DRIVEST LOUISMO63131208468195DIAG. SERVICESILN/A00
SHAWNEE REAL ESTATE HOLDINGS LLC
1000 N LEE AVEOKLAHOMA CITYOK73102455458304MOBOKN/A00
DEAN CLINIC & ST MARY'S HOSPITAL ACCOUNTABLE CARE ORGANIZATION LLC
1808 WEST BELTLINE HIGHWAYMADISONWI53713452995500ACCOUNTABLE CARE ORGANIZATIONWIN/A00
WISCONSIN INTEGRATED INFORMATION TECHNOLOGY AND TELEMEDICINE SYSTEMS LLC
1808 WEST BELTLINE HIGHWAYMADISONWI53713392016715INFORMATION TECHNOLOGY SERVICESWIN/A00
1110 N CLASSEN BLVD LLC
1110 N CLASSEN BOULEVARDOKLAHOMA CITYOK73106731158158MOBOKN/A0Yes (1)
WINDMILL LLP
50 VILLAGE VIEW LANECHESTERFIELDMO63017431804651INVESTMENTSMON/A00
SSM SELECT REHAB ST LOUIS LLC
4714 GETTYSBURG ROADMECHANICSBURGPA17055263694972HEALTH CAREDEN/A00
BLOOM TREE LONG-ONLY FUND QP LP FKA BLOOM TREE PONDEROSA FUNDS QP LP
101 PARK AVENUE 33RD FLNEW YORKNY10178823704522INVESTMENTSDEN/A00
NECICF II AIV2-B LP
300 DELAWARE AVE STE 210WILMINGTONDE19801845058167INVESTMENTSDEN/A00
BISON CAPITAL PARTNERS VI-A LP
233 WILSHIRE BLVD STE 425SANTA MONICACA90401874006968INVESTMENTSDEN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
SSM MANAGED CARE ORGANIZATION LLC
12800 CORPORATE HILL DRIVEST LOUISMO63131431708511HEALTH PROMOTIONMON/AC0
FPP INC & SUBS
12800 CORPORATE HILL DRIVEST LOUISMO63131431465174HEALTH CAREMON/AC0
DIVERSIFIED HEALTH SERVICES CORP
12800 CORPORATE HILL DRIVEST LOUISMO63131431369305MEDICAL EQUIPMENTMON/AC0
SSM PROPERTIES INC
12800 CORPORATE HILL DRIVEST LOUISMO63131431462486PROPERTY SERVICESMON/AC0
HEALTHFIRST PHYSICIAN MANAGEMENT SERVICES
12800 CORPORATE HILL DRIVEST LOUISMO63131731534336MEDICAL SERVICESOKN/AC0
SSMHC LIABILITY TRUST II
12800 CORPORATE HILL DRIVEST LOUISMO63131816128118INSURANCEMON/AC0
SSM MEDICAL GROUP INC
12800 CORPORATE HILL DRIVEST LOUISMO63131431664107PHYSICIAN OFFICESMON/AC0
PHYSICIANS SERVICES CORP OF SOUTHERN ILLINOIS INC
12800 CORPORATE HILL DRIVEST LOUISMO63131364161526HEALTH CAREILN/AC0
DEAN HEALTH SYSTEMS INC
1808 WEST BELTLINE HIGHWAYMADISONWI53713391128616PHYSICIAN OFFICESWIN/AC0
DEAN RETAIL SERVICES INC
1808 WEST BELTLINE HIGHWAYMADISONWI53713391717636PROPERTY SERVICESWIN/AC0
SSM HEALTH JANESVILLE CAMPUS CONDOMINIUM ASSOCIATION INC
1808 WEST BELTLINE HIGHWAYMADISONWI53713832038674CONDO ASSOCIATIONWIN/AC0
SSM HEALTH PHARMACY LLC
12800 CORPORATE HILL DRIVEST LOUISMO63131264031708PHARMACYMON/AC0
NAVITUS HOLDINGS LLC
1808 WEST BELTLINE HIGHWAYMADISONWI53713800968174PHARMACYWIN/AC0
MS COMMUNITY JV LLC
401 CARLSON PARKWAY CP330MINNETONKAMN55305873240022INSURANCEDEN/AC0
QUALITY DRUG CORPORATION
239 BROADWAYLAGUNA BEACHCA92651330644268PHARMACY BENEFITSCAN/AC0
ST MARY'S HOSPITAL CAMPUS CONDOMINIUM OWNERS ASSOCIATION INC
707 SOUTH MILLS STREETMADISONWI53715000000000CONDO ASSOCIATIONWIN/AC0
OMNINHEALTH HOLDINGS
12800 CORPORATE HILL DRIVEST LOUISMO63131884144276HEALTH CARE CONSULTINGDEN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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