2014-11-17T14:10:41-06:00 2013-12-31 861065772 DELOITTE TAX LLP 1111 BAGBY STREET SUITE 4500 HOUSTON TX 770022591 990 2013-01-01 730657693 SSM HEALTH CARE OF OKLAHOMA INC SSMH 3149947800 10101 WOODFIELD LANE ST LOUIS MO 63132 JUNE L PICKETT SECRETARY 3149947800 2014-11-17 1 BROOKE KITCHEN P00849302 7139822000 2013 2015-11-30 17:44:51Z X SEE SCHEDULE O WILLIAM THOMPSON 10101 WOODFIELD LANE ST LOUIS MO 63132 410502110 0 0928 X WWW.SSMHEALTH.COM X 1995 OK HEALTH CARE NETWORK THAT ENCOMPASSES THE OKLAHOMA FACILITIES OF SSM HEALTH CARE (SSMHC). 15 12 4052 72 2260183 -829664 1263156 1600073 434932080 400320810 104246 305651 15553020 6359361 451852502 408585895 334365 508578 0 0 206954480 225461648 0 0 0 249191673 267315033 456480518 493285259 -4628016 -84699364 321014505 309956109 291550907 362845763 29463598 -52889654 X THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 433019436 508578 399201251 PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 433019436 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 4052 1 1 1 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 1 1 X LEAH HODGES 4052727499 PO BOX 205 OKLAHOMA CITY OK 73101 MT BERRY DIRECTOR 1.00 0.00 X 0 0 0 GEORGETTE TOMA MD DIRECTOR 1.00 0.00 X 0 0 0 MARTHA BURGER DIRECTOR 1.00 0.00 X 0 0 0 MIKE COLLISON DIRECTOR 1.00 0.00 X 0 0 0 CLAY FARHA DIRECTOR 1.00 0.00 X 0 0 0 GLORIA GRIFFIN DIRECTOR 1.00 0.00 X 0 0 0 DAVID HARLOW DIRECTOR 1.00 0.00 X 0 0 0 JOE HODGES DIRECTOR & HOSPITAL PRESIDENT 40.00 1.00 X X 0 690999 16679 JENEE LISTER DIRECTOR 1.00 0.00 X 0 0 0 JUDY LOVE DIRECTOR 1.00 0.00 X 0 0 0 JOHN RICHELS DIRECTOR 1.00 0.00 X 0 0 0 MARGARET SALYER DIRECTOR 1.00 0.00 X 0 0 0 KERSEY WINFREE MD DIRECTOR 40.00 0.00 X 0 544650 62227 SR MARY JEAN RYAN FSM DIRECTOR & CHAIRPERSON 1.00 40.00 X X 0 0 0 WILLIAM THOMPSON DIRECTOR & VICE CHAIR 1.00 40.00 X X 0 2421072 841970 KRIS ZIMMER TREASURER 1.00 40.00 X 0 836253 68008 JUNE PICKETT SECRETARY 1.00 40.00 X 0 256054 -96872 RAMONA CAREY ASST SECRETARY 40.00 0.00 X 67127 0 18360 SHASTA R MANUEL REGIONAL VP FINANCE/CFO 30.00 10.00 X 351209 0 48179 STEVEN BARNEY PT YR VICE PRESIDENT 1.00 40.00 X 0 592443 -223953 PAULA FRIEDMAN VICE PRESIDENT 1.00 40.00 X 0 596799 15489 TAMARA L POWELL EXEC VP, COO 40.00 0.00 X 385809 0 3540 STEPHEN D POWELL VP AMB SERVICES 40.00 0.00 X 315569 0 38222 CYNTHIA L BRUNDIGE REG VP HUMAN RESOURCES 40.00 0.00 X 256491 0 43137 MARTI F JOURDEN VP PERF IMPROVEMENT 40.00 0.00 X 188563 0 67281 JOHN R MOBLEY NETWORK VICE PRES 40.00 0.00 X 184662 0 54204 JASON EMERSON PHYSICIAN 40.00 0.00 X 1012781 0 -15493 AVINIASH VYAS PHYSICIAN 40.00 0.00 X 1172138 0 58590 LEONARD BOWEN PHYSICIAN 40.00 0.00 X 1055971 0 73248 BASSAM HADI PHYSICIAN 40.00 0.00 X 961301 0 39479 RALPH GANICK PHYSICIAN 40.00 0.00 X 879320 0 115048 WILLIAM SCHOENHARD FORMER OFFICER 0.00 0.00 X 0 274359 -277636 CHRISTOPHER HOWARD FORMER OFFICER 0.00 40.00 X 0 893660 29906 6830941 7106289 979613 207 1 1 0 SHAWNEE MEDICAL CENTER CLINIC PO BOX 959 SHAWNEE OK 74802 PHYSICIAN SERVICES 11222355 SODEXO MARRIOTT SERVICES 1000 NORTH LEE STREET OKLAHOMA CITY OK 73101 FOOD SERVICES 10952777 EMERGENCY MANAGEMENT MIDWEST PO BOX 634850 CINCINNATI OH 45263 PHYSICIAN SERVICES 7295263 BONE AND JOINT MANAGEMENT COMPANY 1111 N DEWEY OKLAHOMA CITY OK 73103 MEDICAL SERVICES 1897250 TEAM HEALTH HCFS 1801 N W 66TH AVE PLANTATION FL 33313 MEDICAL SERVICES 1782816 89 1442834 157239 1600073 NET PATIENT REVENUE 621950 363108010 363108010 OTHER REVENUE 900099 21655760 19395577 2260183 MANAGEMENT FEES 541610 15557040 15557040 400320810 30704 30704 2130871 1182844 948027 948027 948027 274947 0 274947 274947 274947 849876 733371 116505 116505 CAFETERIA REVENUE 722320 4154205 4154205 JV REVENUE 900099 1140624 1140624 5294829 408585895 399201251 2260183 5524388 X 508578 508578 3326330 3326330 169137911 142322660 26815251 14409038 11993229 2415809 27284163 22630835 4653328 11304206 9322399 1981807 12214552 5947974 6266578 1050954 1050954 293826 293826 74536486 69750638 4785848 1589262 1589262 22873347 21803258 1070089 23708783 23409492 299291 15638725 15101250 537475 1235164 505549 729615 240220 221552 18668 7966594 7966594 16735621 15603846 1131775 4623572 1878382 2745190 MEDICAL SUPPLIES 75884467 75884467 MEDICARE PROVIDER TAX 7752455 7752455 BOND RELATED FEES 654857 654857 BAD DEBT 169547 169547 146601 246731 -100130 493285259 433019436 60265823 0 0 1436709 102874381 88269977 6421166 7990279 4272677 1840989 403249330 249192823 154443889 154056507 28154316 30058989 24848076 26302659 321014505 309956109 37488517 112255810 254062390 250589953 291550907 362845763 X 23687466 -59216175 5700559 6250948 75573 75573 29463598 -52889654 321014505 309956109 X -84699364 490 2345622 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 21500 0 1 8972 1 27500 0 0 57972 0 PART II-B, LINE 1: TAXPAYER HAS HIRED A PAID LOBBYIST WHOSE ACTIVITIES INCLUDE SERVING AS LIAISON TO CITY, STATE AND FEDERAL OFFICIALS. HE TRACKS AND EVALUATES HEALTH CARE AND OTHER LEGISLATION THAT MAY HAVE AN IMPACT ON THE SYSTEM, EXPLORES AND EVALUATES POSSIBLE FUNDING OPPORTUNITIES FOR SSM OKLAHOMA, AND SERVES AS THE SPOKESPERSON TO LEGISLATIVE COMMITTEES AND STATE AGENCIES FOR THE SYSTEM ON LEGISLATIVE ISSUES. THE LOBBYIST'S ACTIVITIES INCLUDE DIRECT MAILINGS, DIRECT CONTACT WITH LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS. MAJOR ISSUES ADDRESSED INCLUDE MEDICAID FUNDING AND REIMBURSEMENTS, DSH PAYMENTS, NICHE HOSPITALS, AND OTHER VARIOUS MATTERS. HE HAS ALSO WORKED WITH CITY, COUNTY, AND STATE OFFICIALS REGARDING MEDICAID FUNDING, PATIENT SAFETY, INMATE CARE AND OTHER LEGISLATIVE MATTERS. HIS SALARY AND EXPENSES WERE $55,000 WITH NO BENEFITS. 75573 2 2 75573 75573 3313 3313 75573 75573 7000 7000 75573 75573 14500 14500 75573 75573 13499 13168 331 75573 1.00000 0 1 1 6212015 6212015 226099727 132153067 93946660 3119547 2781229 338318 154959031 112168359 42790672 12859010 2090168 10768842 154056507 BENEFICIAL INTEREST IN FOUNDATION 20730264 F INVESTMENT IN JOINT VENTURES 8879414 F SSM COMPREHENSIVE INVESTMENT PROGRAM 449311 F 30058989 LONG TERM NOTES RECEIVABLE 185209 OTHER RECEIVABLES 8791377 DUE FROM THIRD PARTY PAYOR 82337 GOODWILL 1034809 DUE FROM AFFILIATES 16208927 26302659 THIRD PARTY PAYOR 81486203 PENSION FUNDING LIABILITY 17444494 ASSET RETIREMENT OBLIGATION 189705 DEFERRED COMPENSATION LIABLITY 1855054 ALLOCATED TAX EXEMPT BOND DEBT (ISSUED BY SSM HEALTH CARE) 143865324 DUE TO AFFILIATE 5698088 DEFERRED REVENUE 51085 250589953 X PART V, LINE 4: THE PERMANENT ENDOWMENT FUNDS ARE HELD FOR THE PURPOSE OF PROVIDING NURSING SCHOLARSHIPS TO NURSING STUDENTS. PART X, LINE 2: SSM HEALTH CARE OF OKLAHOMA'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH CARE CORPORATION (SSMHC), A RELATED ORGANIZATION. SSMHC EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS IN 2013 OR 2012. 1 1 1 X 1 X 1 1 1 0 1 0 17437952 17437952 0.03540 78344797 77468033 876764 0.00180 95782749 77468033 18314716 0.03720 265691 1735 263956 0.00050 6118373 6118373 0.01240 363662 363662 0.00070 6747726 1735 6745991 0.01360 102530475 77469768 25060707 0.05080 4828 4828 0.00000 4828 4828 0 14044440 115421870 109737203 5684667 X 1 1 1 ST ANTHONY HOSPITAL CARDIOVASCULAR SERVICES INSTITUTE LLC MANAGEMENT SERVICES 0.21050 0.80000 2 BONE AND JOINT MANAGEMENT COMPANY MANAGEMENT SERVICES 0.31420 0.70300 3 B&JMCBRIDE OFFICE BUILDING LLC MEDICAL OFFICE BUILDING 0.50000 0.50000 4 CLASSEN ASSOCIATES MEDICAL OFFICE BUILDING 0.20140 0.79860 5 SHAWNEE REAL ESTATE HOLDINGS LLC MEDICAL OFFICE BUILDING 0.50000 0.50000 6 MEDICAL PROPERTIES DEVELOPMENT LLC MEDICAL OFFICE BUILDING 0.05000 0.95000 1 1 ST ANTHONY HOSPITAL 1000 N LEE OKLAHOMA CITY OK 73103 WWW.SAINTSOK.COM 2304 X X X ST ANTHONY HOSPITAL 1 1 X X X X X X X X X 12 1 0 1 X SEE PART V, SECTION C FOR FULL URL X WWW.SSMHEALTH.COM X X X X X X 0 0 1 1 200.000000000000 1 400.000000000000 1 X X X X X 1 1 X X X X 1 0 1 X 0 0 ST. ANTHONY HOSPITAL PART V, SECTION B, LINE 3: A DIVERSE GROUP OF COMMUNITY LEADERS TOOK THE TIME TO BE INTERVIEWED ON THEIR OPINIONS OF THE HEALTH STATUS OF THE ST. ANTHONY PRIMARY SERVICE AREA (PSA). A FULL LIST OF CONTACTS CAN BE FOUND IN APPENDIX 1 OF THE CHNA. INTERVIEW QUESTIONS CAN BE FOUND IN APPENDIX 2 OF THE CHNA. AFTER COMPLETING THE INTERVIEWS, ALL PRIMARY AND SECONDARY DATA WAS ANALYZED AND THE IDENTIFIED NEEDS WERE CATEGORIZED INTO FOUR GROUPS. USING THIS LIST, AN ONLINE SURVEY WAS CREATED USING SURVEYMONKEY. THE SURVEY WAS EMAILED TO ALL OF THE COMMUNITY PARTNERS AND OVER ONE HUNDRED LOCAL REPRESENTATIVES IN CASE MANAGEMENT, THE FAITH COMMUNITY, FUNDRAISING, HOSPITAL/PRACTICE MANAGEMENT, NURSING, PHYSICIANS, PATIENT/FAMILY ADVOCATES, SOCIAL WORKERS, PUBLIC HEALTH AND SCHOOL OFFICIALS. THE CHNA CAN BE FOUND AT THE FOLLOWING WEBSITE ADDRESS:HTTP://WWW.SAINTSOK.COM/PAGES/COMMUNITYHEALTHNEEDSASSESSMENT.ASPX ST. ANTHONY HOSPITAL PART V, SECTION B, LINE 7: USING A POINT RATING SYSTEM, THE TOP TEN COMMUNITY HEALTH NEEDS WERE IDENTIFIED. A FULL LIST OF NEEDS AND POINTS TOTALS CAN BE FOUND IN APPENDIX 4 OF THE CHNA. ST. ANTHONY'S INTERNAL WORK GROUP FURTHER REFINED THE LIST TO DETERMINE WHICH OF THE TOP TEN IDENTIFIED NEEDS WOULD DEVELOP INTO STRATEGIC ACTION PLANS. THIS WAS DONE BY USING AN INTERNAL RATING SCALE THAT CONSIDERED: THE NUMBER OF PEOPLE IN THE PSA THAT ARE AFFECTED BY THE PROBLEM; HOW WELL THE CONCERN ALIGNS WITH THE HOSPITAL'S MISSION AND STRATEGIES; WHAT RESOURCES ARE REQUIRED TO ADDRESS THE ISSUE; AND COULD THE HEALTH NEED BE MEASURABLY IMPACTED. THIS PROCESS RESULTED IN FIVE NEEDS BEING PRIORITIZED. WHILE THE NUMBER OF COMMUNITY HEALTH NEEDS AND THOSE WHO NEED THEM IS LONG, THERE ARE EXISTING FACILITIES AND RESOURCES THAT WORK TO BRIDGE THE GAP. SEE PAGES 29 THROUGH 30 OF THE CHNA FOR A LIST OF EXISTING COMMUNITY RESOURCES. 42 BONE AND JOINT HOSPITAL AT ST ANTHONY 111 BN DEWEY AVE OKLAHOMA CITY OK 73102 ORTHOPEDIC SERVICES ST ANTHONY HEALTHPLEX EAST 3400 S DOUGLAS BLVD OKLAHOMA CITY OK 73150 HEALTHPLEX ST ANTHONY PHYSICIANS SHAWNEE 3315 KEATHLEY RD SHAWNEE OK 74804 PRIMARY CARE CLINIC ST ANTHONY HEALTHPLEX SOUTH 13500 S TULSA DR OKLAHOMA CITY OK 73170 HEALTHPLEX ST ANTHONY PHYSICIANS DERMATOLOGY CENTER 9720 N BROADWAY EXT OKLAHOMA CITY OK 73114 SPECIALTY CARE CLINIC ST ANTHONY PHYSICIANS FAMILY MEDICINE CE 608 NW 9TH STREET SUITE 1100 OKLAHOMA CITY OK 73102 PRIMARY CARE CLINIC ST ANTHONY PHYSICIANS HERITAGE FAMILY ME 6908 E RENO AVE MIDWEST CITY OK 73110 PRIMARY CARE CLINIC ST ANTHONY PHYSICIANS NEUROLOGY AND NEUR 535 NW 9TH STREET SUITE 235 OKLAHOMA CITY OK 73102 NEUROLOGY CLINIC ST ANTHONY PHYSICIANS HEALTHPLEX - EAST 3400 S DOUGLAS BLVD OKLAHOMA CITY OK 73150 PRIMARY CARE CLINIC ST ANTHONY PHYSICIANS CENTER FOR INTEGRA 535 NW 9TH STREET SUITE 220 OKLAHOMA CITY OK 73102 SPECIALTY CARE CLINIC ST ANTHONY PHYSICIANS HEALTHPLEX - SOUTH 13500 S TULSA DRIVE OKLAHOMA CITY OK 73170 PRIMARY CARE CLINIC ST ANTHONY PHYSICIANS HEMATOLOGYONCOLOG 1011 N DEWEY AVE OKLAHOMA CITY OK 73102 SPECIALTY CARE CLINIC ST ANTHONY PHYSICIANS MIDTOWN ORTHOPEDIC 400 NW 13TH OKLAHOMA CITY OK 73103 SPECIALTY CARE CLINIC SAINT ANTHONY PHYSICIANS NORTH 6201 NORTH SANTA FE SUITE 2010 OKLAHOMA CITY OK 73118 PRIMARY CARE CLINIC ST ANTHONY PHYSICIANS DERMATOLOGY ENID 330 S 5TH ST STE 400 ENID OK 73701 SPECIALTY CARE CLINIC ST ANTHONY PHYSICIANS CARDIOVASCULAR INS 608 NW 9TH STREET SUITE 4000 OKLAHOMA CITY OK 73102 SPECIALTY CARE CLINIC ST ANTHONY PHYSICIANS CHOCTAW 15679 NE 23RD STREET CHOCTAW OK 73020 PRIMARY CARE CLINIC ST ANTHONY PHYSICIANS CARDIOVASCULAR SPE 608 NW 9TH ST SUITE 2200 OKLAHOMA CITY OK 73102 SPECIALTY CARE CLINIC ST ANTHONY PHYSICIANS METRO MEDICAL ASSO 120 N ROBINSON SUITE 153W OKLAHOMA CITY OK 73102 PRIMARY CARE CLINIC ST ANTHONY PHYSICIANS INTERVENTIONAL PAI 535 NW 9TH STREET SUITE 205 OKLAHOMA CITY OK 73102 SPECIALTY CARE CLINIC SAINTS FAMILY HEALTHCARE AND GYNECOLOGY 220 SW 89TH SUITE D OKLAHOMA CITY OK 73139 PRIMARY CARE CLINIC ST ANTHONY PHYSICIANS VASCULAR ASSOCIATE 608 NW 9TH ST SUITE 5204 OKLAHOMA CITY OK 73102 SPECIALTY CARE CLINIC ST ANTHONY PHYSICIANS MUSTANG 120 N CHISHOLM TRAIL WAY MUSTANG OK 73064 PRIMARY CARE CLINIC ST ANTHONY PHYSICIANS MEDICINE ASSOCIATE 6205 N SANTA FE SUITE 201 OKLAHOMA CITY OK 73118 PRIMARY CARE CLINIC ST ANTHONY PHYSICIANS MCLOUD 704 S 8TH ST OKLAHOMA CITY OK 74851 PRIMARY CARE CLINIC ST ANTHONY PHYSICIANS GENERAL SURGERY 535 NW 9TH SUITE 330 OKLAHOMA CITY OK 73102 SURGERY CENTER ST ANTHONY PHYSICIANS DERMATOLOGY MIDTOW 608 NW 9TH STREET SUITE 3206 OKLAHOMA CITY OK 73102 SPECIALTY CARE CLINIC ST ANTHONY PULMONARY SPECIALTY CLINIC 608NW 9TH STREET SUITE 3110 OKLAHOMA CITY OK 73102 SPECIALTY CARE CLINIC ST ANTHONY PHYSICIANS FAMILY MEDICINE M 10002 SE 15TH STREET MIDWEST CITY OK 73130 PRIMARY CARE CLINIC ST ANTHONY INTERVENTIONAL RADIOLOGY 1000 N LEE AVE 4TH FLOOR OKLAHOMA CITY OK 73102 SPECIALTY CARE CLINIC ST ANTHONY PHYSICIANS ENDOCRINOLOGY ASSO 608 NW 9TH ST STE 5000 OKLAHOMA CITY OK 73102 SPECIALTY CARE CLINIC ST ANTHONY PHYSICIANS STROUD 2308 B HWY 66 STROUD OK 74079 PRIMARY CARE CLINIC ST ANTHONY PHYSICIANS PULMONARY & WELLNE 608 NW 9TH ST STE 6200 OKLAHOMA CITY OK 73102 SPECIALTY CARE CLINIC ST ANTHONY PHYSICIANS PRIMARY CARE NORTH 6201 NORTH SANTA FE SUITE 2020 OKLAHOMA CITY OK 73118 PRIMARY CARE CLINIC ST ANTHONY PHYSICIANS PULMONARY ASSOCIAT 608 MW 9TH STREET SUITE 3110 OKLAHOMA CITY OK 73102 SPECIALTY CARE CLINIC ST ANTHONY PHYSICIANS DERMATOLOGY MIDWES 9020 E RENO STE 100 MIDWEST CITY OK 73130 SPECIALTY CARE CLINIC ST ANTHONY PHYSICIANS THORACIC AND CARDI 608 NW 9TH ST SUITE 2110 OKLAHOMA CITY OK 73102 SURGERY CENTER ST ANTHONY PHYSICIANS MIDTOWN RENAL CARE 810 NW 10TH ST STE A OKLAHOMA CITY OK 73106 SPECIALTY CARE CLINIC ST ANTHONY PHYSICIANS CARDIOVASCULAR DIS 608 NW 9TH ST STE 6105 OKLAHOMA CITY OK 73102 SPECIALTY CARE CLINIC ST ANTHONY PHYSICIANS BLANCHARD 2002 N COUNCIL AVENUE BLANCHARD OK 73010 PRIMARY CARE CLINIC ST ANTHONY PHYSICIANS BREAST CARE SERVIC 535 NW 9TH ST SUITE 100 OKLAHOMA CITY OK 73102 SPECIALTY CARE CLINIC ST ANTHONY CARDIOVASCULAR CARE 608 NW 9TH SUITE 4106 OKLAHOMA CITY OK 73102 SPECIALTY CARE CLINIC SCHEDULE H, PART I, QUESTION 3B SSM HEALTH CARE OF OKLAHOMA USES FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS.THE APPLICABLE PERCENTAGE VARIES BASED ON HOW MUCH THE APPLICANT'S INCOME EXCEEDS FPG GUIDELINES. THE FOLLOWING SCHEDULE IS USED TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE:APPLICANT'S INCOME IS CHARITY CARE PERCENTAGELESS THAN OR EQUAL TO 2 TIMES FPG 100%MORE THAN 2 TIMES, LESS THAN 2.5 TIME FPG 80%MORE THAN 2.5 TIMES, LESS THAN 3 TIMES FPG 60%MORE THAN 3 TIMES, LESS THAN 3.5 TIMES FPG 40%MORE THAN 3.5 TIMES, LESS THAN 4 TIMES FPG 20%4 OR MORE TIMES FPG 0%SCHEDULE H, PART I, QUESTION 3CAN EXCEPTION TO THE SLIDING SCALE IS PROVIDED FOR A PATIENT IF THEIR BALANCE DUE EXCEEDS 20% OF THEIR GROSS FAMILY INCOME. IN THIS SITUATION, THE BILL IS DISCOUNTED DOWN TO 20% OF THEIR FAMILY INCOME. TO FURTHER STREAMLINE AND AUTOMATE THE FINANCIAL ASSISTANCE PROCESS, SSM HEALTH CARE OF OKLAHOMA BUSINESS OFFICE PERSONNEL WILL AUTOMATICALLY CONSIDER 100% OF THE PATIENT ACCOUNT AS CHARITY CARE IF THE COMMERCIAL SOFTWARE SYSTEM (PASSPORT) INDICATES THAT THE PATIENT IS LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL). ADDITIONALLY, PRIOR TO CLASSIFYING THE BALANCE DUE AS A BAD DEBT, THE HOSPITAL REVIEWS ACCOUNTS WITH BALANCES OVER $10,000 AND APPLIES THE SAME ELIGIBILITY CRITERIA MENTIONED ABOVE. THIS PROCESS IS CALLED "PRESUMPTIVE ELIGIBILITY.SCHEDULE H, PART I, QUESTION 6ASSM HEALTH CARE OF OKLAHOMA IS PART OF THE INTEGRATED HEALTH SYSTEM KNOWN AS SSM HEALTH CARE. IN AN EFFORT TO STRENGTHEN ITS COMMUNITY BENEFIT PROGRAM, SSM HEALTH CARE PLANS FOR, MEASURES, AND COMMUNICATES IN AN ANNUAL REPORT CHARITY CARE PROVIDED TO PERSONS WHO ARE LOW INCOME, THE UNPAID COSTS OF PUBLIC PROGRAMS AND OTHER ACTIVITIES THAT RESPOND TO COMMUNITY NEED, IMPROVE COMMUNITY HEALTH, OR REACH OUT TO LOW INCOME AND VULNERABLE PERSONS. SCHEDULE H, PART I, QUESTION 7CHARITY CARE COSTING METHODOLOGY: THE COST OF CHARITY CARE IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES. A COST TO CHARGE RATIO CALCULATED USING THE IRS WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGE, WAS USED TO COMPUTE CHARITY CARE AT COST. THIS IS THE RATIO OF TOTAL ADJUSTED OPERATING EXPENSE TO TOTAL GROSS PATIENT REVENUE. THE GROSS REVENUE AMOUNT IS A GROSS AMOUNT - PRIOR TO CONTRACTUAL ADJUSTMENTS AND BAD DEBTS. BOTH GROSS REVENUE AND COSTS ARE BASED ON CHARGES AT DATE/TIME OF SERVICE.UNREIMBURSED MEDICAID COSTING METHODOLOGY: THE COST OF UNREIMBURSED MEDICAID IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES. A COST TO CHARGE RATIO CALCULATED UTILIZING IRS WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGE, WAS USED TO COMPUTE UNREIMBURSED MEDICAID COSTS. THIS IS THE RATIO OF TOTAL ADJUSTED OPERATING EXPENSE TO TOTAL GROSS PATIENT REVENUE. THE GROSS REVENUE AMOUNT IS A GROSS AMOUNT - PRIOR TO CONTRACTUAL ADJUSTMENTS AND BAD DEBTS. BOTH GROSS REVENUE AND COSTS ARE BASED ON CHARGES AT DATE/TIME OF SERVICE. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS COSTING METHODOLOGY: THE COSTS FOR THESE PROGRAMS WERE DERIVED FROM THE ACTUAL COSTS INCURRED IN THESE AREAS. THE EXPENDITURES ARE DETERMINED BASED ON ACTUAL INVOICES OR DOLLAR AMOUNTS SPENT AND CHARGED TO THESE DEPARTMENTS.HEALTH PROFESSIONAL EDUCATION COSTING METHODOLOGY: THE EXPENSES FOR HEALTH PROFESSION EDUCATION WERE TAKEN FROM THE DEPARTMENT'S INCOME AND EXPENSE STATEMENT, DERIVED FROM THE ACCOUNTING SYSTEM. AMOUNTS PAID FROM RESIDENT DEPARTMENTS WERE ALSO INCLUDED.CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS COSTING METHODOLOGY: CONTRIBUTION EXPENDITURES ARE BASED ON ACTUAL INVOICES THAT WERE CAPTURED AND REPORTED FOR THIS PROGRAM.SCHEDULE H, PART II, COMMUNITY BUILDING ACTIVITIESSSM HEALTH CARE OF OKLAHOMA PARTICIPATES IN A WIDE ARRAY OF COMMUNITY AND CIVIC ORGANIZATIONS IN THE PROMOTION OF HEALTH CARE AND COMMUNITY BUILDING ACTIVITIES. SPECIFIC ACTIVITIES REPORTED IN PART II OF SCHEDULE H INCLUDE THE FOLLOWING: COMMUNITY BUILDING - PHYSICAL IMPROVEMENTS: PARTICIPATED IN REBUILDING TOGETHER WITH USE OF STAFF TO IMPROVE/REPAIR HOMES OF LOW INCOME ELDERLY PERSONS IN THE COMMUNITY; PARTICIPATED IN THE OKLAHOMA CITY LITTER BLITZ A NEIGHBORHOOD IMPROVEMENT AND REVITALIZATION PROJECT.SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT COSTING METHODOLOGY: BAD DEBT EXPENSE REPORTED IN THE ACCOUNTING SYSTEM, ADJUSTED FOR BAD DEBT RECOVERIES, WAS USED, MULTIPLIED BY THE COST TO CHARGE RATIO USING IRS WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES.SCHEDULE H, PART III, SECTION A, LINE 3SSM HEALTH CARE OF OKLAHOMA DID NOT MAKE AN ESTIMATE OF THE ORGANIZATION'S BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.SCHEDULE H, PART III, SECTION A, LINE 4SSM HEALTH CARE OF OKLAHOMA IS PART OF THE SSM HEALTH CARE CONSOLIDATED AUDIT. THE FOOTNOTE THAT REFERENCES BAD DEBT EXPENSE IN THE DECEMBER 31, 2013 CONSOLIDATED AUDIT IS AS FOLLOW:"IN LINE WITH ITS MISSION, SSMHC PROVIDES SERVICES TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY FOR THOSE SERVICES. FOR SOME OF ITS PATIENT SERVICES, SSMHC RECEIVES NO PAYMENT OR PAYMENT THAT IS LESS THAN THE FULL COST OF PROVIDING THE SERVICES.SSMHC VOLUNTARILY PROVIDES FREE CARE TO PATIENTS WHO ARE UNABLE TO PAY FOR ALL OR PART OF THEIR HEALTH CARE EXPENSES AS DETERMINED BY SSMHC'S CRITERIA FOR FINANCIAL ASSISTANCE. BECAUSE SSMHC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS PATIENT SERVICE REVENUES.IN SOME CASES, SSMHC DOES NOT RECEIVE THE AMOUNT BILLED FOR PATIENT SERVICES EVEN THOUGH IT DID NOT RECEIVE INFORMATION NECESSARY TO DETERMINE IF THE PATIENTS MET THE CRITERIA FOR FINANCIAL ASSISTANCE. THE ESTIMATED COST OF CHARITY AND THE COST OF DOUBTFUL ACCOUNTS ARE AS FOLLOWS. THE ESTIMATED COSTS ARE CALCULATED USING THE COSTS OF PROVIDING PATIENT CARE DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS RATIO IS THEN MULTIPLIED BY THE GROSS CHARITY AND DOUBTFUL CHARGES TO DETERMINE ESTIMATED COSTS." BAD DEBT EXPENSE REPORTED ON LINE 2 FOR THE YEAR ENDED DECEMBER 31, 2012 WAS $45,681,255 AT CHARGES AND $14,044,440 AT COST.SCHEDULE H, PART III, SECTION C, LINE 8 THE MEDICARE COSTS REPORTED ON LINE 6 WERE OBTAINED FROM THE 2013 MEDICARE COST REPORT. SCHEDULE H, PART III, SECTION C, LINE 9BSSM HEALTH CARE OF OKLAHOMA HAS ESTABLISHED WRITTEN CREDIT AND COLLECTION POLICY AND PROCEDURES. THE BILLING AND COLLECTION POLICIES AND PRACTICES REFLECT THE MISSION AND VALUES OF SSM HEALTH CARE, 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 HOSPITAL'S BILLING AND COLLECTION PRACTICES WILL BE FAIRLY AND CONSISTENTLY APPLIED. ALL STAFF AND VENDORS ARE EXPECTED TO TREAT ALL PATIENTS CONSISTENTLY AND FAIRLY REGARDLESS OF THEIR ABILITY TO PAY. THEY RESPOND TO PATIENTS IN A PROMPT AND COURTEOUS MANNER REGARDING ANY QUESTIONS ABOUT THEIR BILLS AND PROVIDE NOTIFICATION OF THE AVAILABILITY OF CHARITY CARE AND FINANCIAL ASSISTANCE. 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 SSM HEALTH CARE OF OKLAHOMA'S COLLECTION AND CHARITY POLICIES.SCHEDULE H, PART VI, LINE 2: NEEDS ASSESSMENT PROCESSTHE ANNUAL STRATEGIC, FINANCIAL, AND HUMAN RESOURCES PLANNING PROCESS HAS INCLUDED AN ASSESSMENT OF THE COMMUNITY'S NEEDS TO INCLUDE THE IDENTIFICATION OF SPECIFIC AND MEASUREABLE HEALTHY COMMUNITIES' INITIATIVES. OUR SYSTEM VISION FOR IMPROVED COMMUNITY HEALTH IS PURSUED IN ALL OF OUR WORK AT SSM HEALTH CARE FROM STRATEGIC PLANNING, FINANCIAL MANAGEMENT, AND DIRECT PATIENT CARE TO ADVOCACY, COMMUNITY PARTNERSHIPS AND HEALTHY COMMUNITIES INITIATIVES. OVERALL EFFORTS IN THIS AREA ARE COORDINATED THROUGH SSM HEALTH CARE'S COMMUNITY BENEFIT PROGRAM, WHICH FOCUSES ON ASSESSING AND IMPLEMENTING STRATEGIES TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. SSM HEALTH CARE'S COMMITMENT TO COMMUNITY BENEFIT IS DEEPLY EMBEDDED INTO OUR ORGANIZATIONAL CULTURE AS REFLECTED IN OUR SYSTEM VISION STATEMENT WHICH READS: 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 WITHIN THE FINANCIAL LIMITS OF THE SYSTEM.COMMUNITY BENEFIT IS DEFINED AS PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO COMMUNITY NEEDS; THEY ARE NOT PROVIDED FOR MARKETING PURPOSES. COMMUNITY BENEFIT PROGRAMS GENERATE A LOW OR NEGATIVE FINANCIAL RETURN, RESPOND TO NEEDS OF SPECIAL POPULATIONS SUCH AS PERSONS LIVING IN POVERTY AND OTHER DISENFRANCHISED PERSONS AND PUBLIC HEALTH NEEDS. GENERALLY THESE PROGRAMS OR SERVICES WOULD LIKELY BE DISCONTINUED - OR WOULD NEED TO BE PROVIDED BY ANOTHER NOT-FOR-PROFIT OR GOVERNMENT PROVIDER - IF THE DECISION WAS MADE ON A PURELY FINANCIAL BASIS. COMMUNITY BENEFIT PROGRAMS CAN ALSO INVOLVE EDUCATION OR RESEARCH THAT IMPROVE OVERALL COMMUNITY HEALTH. THE COMMUNITY BENEFIT PLAN DETAILS THE PLANNING, MEASUREMENT AND COMMUNICATION OF ITS COMMUNITY BENEFITS. THE THREE-MAIN ASPECTS OF COMMUNITY BENEFIT BEING THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH DETERMINES THE COMMUNITY NEEDS TO BE ADDRESSED BY THE HOSPITAL, THE COMMUNITY BENEFIT PLAN WHICH DETAILS STEPS TO BE ACCOMPLISHED TO MEET IDENTIFIED NEEDS, AND THE CBISA DATABASE WHICH DOCUMENTS ALL OF THE COMMUNITY BENEFIT ACTIVITIES FOR EACH YEAR. AT THE END OF EACH YEAR, THE CBISA COMMUNITY BENEFIT REPORT IS GIVEN TO MANAGEMENT, ADMINISTRATION AND THE SSMHC BOARD OF DIRECTORS IN ORDER TO EVALUATE AND IMPROVE THE PROGRAM. ONE OF THE FIRST STEPS FOR IDENTIFYING THE HIGH-PRIORITY HEALTH NEEDS OF OUR COMMUNITY IS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). A SUMMARY OF THE ST ANTHONY HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS CAN BE FOUND ON PAGES 6 THROUGH 9 OF ITS CHNA. THE STRATEGIC PRIORITIES OF THE ST ANTHONY HOSPITAL COMMUNITY BENEFIT PLAN ARE: SUBSTANCE ABUSE/MENTAL HEALTH, HEART DISEASE, OBESITY AND DIABETES. DURING 2013, GOALS AND OBJECTIVES WERE ESTABLISHED TO CHANGE BEHAVIOR, PROVIDE METRICS TO MEASURE CHANGE, AND TO IMPACT THE OVERALL HEALTH OF THOSE WE SERVE. ALL OF THE COMMUNITY BENEFIT ACTIVITIES ARE DESIGNED TO MEET THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHICH WAS COMPLETED IN NOVEMBER 2012. SCHEDULE H, PART VI LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEALL SSMHC FACILITIES WILL STRIVE TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY. ALL BILLING AND COLLECTION POLICIES REFLECT THE MISSION AND VALUES OF SSMHC, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. SSMHC FACILITIES OFFER DISCOUNTS FOR HOSPITAL SERVICES TO ALL UNINSURED PERSONS. SELF-PAY DISCOUNTS APPLY TO EVERYONE WHO DOES NOT HAVE HEALTH INSURANCE, NO MATTER THEIR ABILITY TO PAY.SSMHC APPLIES ITS CHARITY CARE POLICIES FAIRLY AND CONSISTENTLY. EACH PERSON IS TREATED AS AN INDIVIDUAL WITH SPECIFIC NEEDS FOR ASSISTANCE WITHOUT REGARD TO PAYMENT. SSMHC EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH WE PARTICIPATE BY ESTABLISHING SOUND BUSINESS PRACTICES. CHARITY CARE IS PROVIDED TO PATIENTS BASED ON A SLIDING SCALE FOR HOUSEHOLD INCOMES UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL. PATIENTS WHOSE HOUSEHOLD INCOME IS NO MORE THAN TWO TIMES THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR FREE HOSPITAL SERVICES. IN ADDITION, AN EXCEPTION TO THE SLIDING SCALE IS PROVIDED FOR A PATIENT'S BALANCE DUE IF THE AMOUNT EXCEEDS 20% OF THEIR GROSSS FANILY INCOME.EACH ENTITY PROVIDING MEDICAL SERVICE SHALL PROVIDE INFORMATION TO THE PUBLIC REGARDING ITS CHARITY CARE POLICIES AND THE QUALIFICATION REQUIREMENTS FOR EACH OF ITS FACILITIES. WHEN STANDARD SYSTEM NOTICES AND COMMUNICATION REGARDING CHARITY CARE ARE AVAILABLE, THESE MUST BE USED. MODIFICATIONS TO THE STANDARD MAY BE MADE TO COMPLY WITH STATE AND LOCAL LAWS, AS WELL AS REFLECT CULTURALLY SENSITIVE TERMINOLOGY FOR THE POLICY. ALL NOTICES ARE EASY TO UNDERSTAND BY THE GENERAL PUBLIC, CULTURALLY APPROPRIATE AND AVAILABLE IN THOSE LANGUAGES THAT ARE PREVALENT IN THE COMMUNITY.THEY PROVIDE INFORMATION ABOUT:- THE PATIENT'S RESPONSIBILITY FOR PAYMENT,- THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND ENTITY CHARITY CARE AND PAYMENT ARRANGEMENTS,- THE ENTITY'S CHARITY POLICY AND APPLICATION PROCESS, AND- WHO TO CONTACT TO GET ADDITIONAL INFORMATION OR FINANCIAL COUNSELING.THE FOLLOWING TYPES OF NOTICES TO THE PUBLIC ARE PROVIDED:- SIGNS IN THE EMERGENCY DEPARTMENT, OUTPATIENT AND INPATIENT REGISTRATION AND PUBLIC WAITING AREAS.- BROCHURES OR FLYERS PROVIDED AT TIME OF REGISTRATION AND AVAILABLE IN THE FINANCIAL COUNSELING AREAS.- NOTICES SENT WITH OR ON PATIENT BILLS OR COMMUNICATIONS SENT TO PATIENTS AND GUARANTORS RELATED TO MEDICAL SERVICES.- APPLICATIONS PROVIDED TO UNINSURED PATIENTS AT THE TIME OF REGISTRATION.THE APPLICATION FOR CHARITY CARE, TOGETHER WITH ANY INSTRUCTIONS, MUST CLEARLY STATE THE POLICIES REGARDING CHARITY CARE, INCLUDING EXCLUDED SERVICES, ELIGIBILITY CRITERIA AND DOCUMENTATION REQUIREMENTS. INFORMATION ABOUT THE ENTITY'S CHARITY POLICIES IS ALSO PROVIDED TO PUBLIC AGENCIES.SCHEDULE H, PART VI, LINE 4: COMMUNITY INFORMATIONST. ANTHONY HOSPITAL IS LOCATED IN OKLAHOMA CITY, OKLAHOMA IN THE CENTER OF OKLAHOMA COUNTY. IN ADDITION TO OKLAHOMA COUNTY, ST ANTHONY HOSPITAL'S PRIMARY SERVICE AREA (PSA) INCLUDES CANADIAN, CLEVELAND AND POTTAWATOMIE COUNTIES. THE 2011 ESTIMATED POPULATION OF THE FOUR-COUNTY PSA IS 1,186,563. THE FOUR-COUNTY PSA HAS AN EXPECTED GROWTH RATE OF 5.0% FROM 2011 TO 2016. THE 2011 PROJECTED POPULATION FOR THE PSA IS SLIGHTLY YOUNGER THAN THE NATIONAL AVERAGE, WITH 51.1% UNDER AGE 35. ALL FOUR PSA COUNTIES ARE PROJECTED TO SEE AN INCREASE IN THE NUMBER OF INFANTS AND YOUTH UNDER AGE 18 FROM 2011 TO 2016. FOR THIS SAME PERIOD, THE TOTAL PSA IS ALSO PROJECTED TO SEE A GROWTH RATE OF 16.0% FOR SENIORS AGE 65 AND ABOVE. DISTRIBUTION OF RACE/ETHNICITY IN OUR COMMUNITY IS WHITE/CAUCASIAN: 68%; BLACK/AFRICAN-AMERICAN: 11%; HISPANIC: 11%; OTHER: 10%. ADDITIONAL DETAILED INFORMATION ON THE ST ANTHONY HOSPITAL SERVICE AREA CAN BE FOUND ON PAGES 13 THROUGH 22 OF THE CHNA.ST. ANTHONY PROVIDES GENERAL, TERTIARY ACUTE CARE SERVICES INCLUDING CARDIOLOGY, ONCOLOGY, BEHAVIORAL MEDICINE, SURGERY, KIDNEY TRANSPLANTATION, AND A VARIETY OF OTHER DISCIPLINES. ST. ANTHONY HAS BROUGHT MANY "FIRSTS" TO HEALTH CARE IN OKLAHOMA (FIRST ICU, FIRST KIDNEY TRANSPLANT, FIRST NEUROSURGICAL INSTITUTE), INCLUDING BRINGING THE STATE'S ONLY CYBERKNIFE TECHNOLOGY TO OKLAHOMANS. BONE AND JOINT HOSPITAL AT ST. ANTHONY IS UNIQUE IN THAT THE HOSPITAL, PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS ARE COMMITTED SOLELY TO ORTHOPEDIC CARE. OUR STAFF OFFERS A RANGE OF ORTHOPEDIC SERVICES INCLUDING HIP AND KNEE REPLACEMENT, SPINE SURGERY, PAIN MANAGEMENT, SPORTS MEDICINE, ARTHROSCOPIC PROCEDURES, FOOT AND ANKLE SURGERY, HAND SURGERY, AND ROBOTIC SURGERY.THROUGH SAINTS MEDICAL GROUP, SSM HEALTH CARE OF OKLAHOMA PROVIDES PRIMARY CARE PHYSICIANS IN FAMILY MEDICINE, INTERNAL MEDICINE AND PEDIATRICS. SPECIALTY SERVICE LINES INCLUDE CARDIOLOGY, DERMATOLOGY, NEUROLOGY, OBSTETRICS/GYNECOLOGY, ORTHOPEDICS, PULMONARY, THORACIC SURGERY, VASCULAR SURGERY, DIAGNOSTIC/MEDICAL TESTING SERVICES, AND AN OCCUPATIONAL HEALTH NETWORK.SCHEDULE H, PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHSSM HEALTH CARE'S MISSION STATEMENT IS "THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD". SSM HEALTH CARE OF OKLAHOMA PARTICIPATES IN A WIDE ARRAY OF COMMUNITY PROGRAMS THROUGHOUT THE AREA TO FURTHER ITS EXEMPT PURPOSE OF PROMOTING THE HEALTH OF THE COMMUNITY. SOME EXAMPLES INCLUDE THE FOLLOWING:ST. ANTHONY HOSPITAL AND BONE AND JOINT HOSPITAL AT ST. ANTHONY ALSO COLLABORATE WITH STATE AGENCIES, HEALTHCARE PROVIDERS, AND EDUCATION AND BUSINESS LEADERS. BONE AND JOINT HOSPITAL AT ST. ANTHONY OFFERS COMMUNITY EDUCATION AND SCREENING OPPORTUNITIES TO AREA ORGANIZATIONS AND THE GENERAL PUBLIC. SPECIAL ATTENTION IS GIVEN TO ENSURE THAT DIVERSE GROUPS OF THE LOCAL POPULATION ARE IDENTIFIED AND PROVIDED WITH EDUCATIONAL/SCREENING OPPORTUNITIES. BONE AND JOINT HOSPITAL AT ST. ANTHONY OFFERS ONGOING COMMUNITY EDUCATION REGARDING OSTEOARTHRITIS, OSTEOPOROSIS, SPINE PAIN AND OTHER ORTHOPEDIC-RELATED TOPICS. THE CLASSES ARE FREE OF CHARGE AND FEATURE A BONE AND JOINT HOSPITAL AT ST. ANTHONY PHYSICIAN WHO DONATES HIS TIME FOR THE SEMINARS. BONE AND JOINT HOSPITAL AT ST. ANTHONY ALSO PARTICIPATES IN HEALTH FAIRS WHERE FREE BONE DENSITY SCREENINGS ARE OFFERED.THROUGH THE FREE CLINIC, CROSS AND CROWN, BONE AND JOINT HOSPITAL AT ST. ANTHONY PROVIDED FREE SERVICES TO 250 INDIVIDUALS AT ITS 2013 HEALTH FAIR. FURTHER, BONE AND JOINT HOSPITAL AT ST. ANTHONY SUPPORTS THE EFFORTS OF THE ARTHRITIS FOUNDATION BY SUPPORTING FUNDRAISING AND AWARENESS EFFORTS INCLUDING BEING THE TITLE SPONSOR OF THE LOCAL CHAPTER'S ANNUAL ARTHRITIS WALK.ST. ANTHONY HOSPITAL SPONSORED VARIOUS EDUCATIONAL EVENTS INCLUDING ITS ANNUAL STROKE OF COURAGE PROGRAM TO RAISE STROKE AWARENESS AND ITS CELEBRITY CHEF EVENT TO PROMOTE HEART HEALTHY EATING. PHYSICIAN SPEAKERS PRESENT AT AREA BUSINESSES TO PROVIDE ADDITIONAL HEALTH EDUCATION TO THEIR WORKFORCE. ST ANTHONY HOSPITAL IN COLLABORATION WITH 61 OKLAHOMA SCHOOLS, THE UNIVERSITY OF OKLAHOMA AND VARIOUS STATE AGENCIES HAS ESTABLISHED A COMMUNITY HEALTH INITIATIVE TO SUPPORT PROGRAMS AND CURRICULUM IN OKLAHOMA SCHOOLS TO PROMOTE HEALTHY LIFESTYLES. THE HOSPITAL AND ITS EMPLOYEES PARTICIPATED IN REBUILDING TOGETHER TO REHABILITATE A HOME FOR AN INDIVIDUAL WITHIN THE COMMUNITY WHO DOES NOT HAVE THE MEANS TO MAKE NECESSARY REPAIRS TO ENSURE A SAFE, WARM HOME. ADDITIONALLY, NUMEROUS SUPPORT GROUPS, CHILDBIRTH CLASSES, MEDIA HEALTH INFORMATION STORIES, SEMINARS ON A RANGE OF HEALTHY TOPICS, HEALTH FAIRS AND HEALTH PROFESSIONALS' EDUCATION PROVIDE SUBSTANTIAL BENEFIT TO THE COMMUNITY. IN 2013, THE HOSPITAL CONTINUED ITS MIDTOWN MARKET AT SAINTS, A COMMUNITY LOCAL FOOD FARMERS' MARKET HOSTED WEEKLY ON THE HOSPITAL CAMPUS FROM MAY THROUGH OCTOBER. IT ALSO SPONSORED OTHER EVENTS TO SUPPORT COMMUNITY HEALTH AND FITNESS INCLUDING THE DOWNTOWN DASH (5TH YEAR TO SPONSOR ON ITS CAMPUS) AND REDBUD CLASSIC (THE 31TH YEAR TO SPONSOR) AS WELL AS THE AMERICAN HEART ASSOCIATION HEART WALK.THE HOSPITAL WEBSITE, WWW.SAINTSOK.COM, PROVIDES HEALTH INFORMATION USEFUL TO THE COMMUNITY THROUGH A COMPILATION OF HEALTH EDUCATION TOPICS, HEALTH RISK APPRAISALS, AND OTHER TOOLS DESIGNED TO ASSIST INDIVIDUALS WITH HEALTH CONCERNS AND ENCOURAGE A HEALTHIER LIFESTYLE. THESE SERVICES ARE IN ADDITION TO THE TRADITIONAL CHARITY CARE PROVIDED CONSISTENT WITH THE HOSPITAL'S MISSION. SSM HEALTH CARE OF OKLAHOMA ALSO FURTHERS ITS EXEMPT PURPOSE WITH THE FOLLOWING ACTIVITIES: - OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY,- HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA,- HAS A GOVERNING BODY IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY- ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS,- PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS SCHEDULE H, PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMSSM HEALTH CARE OF OKLAHOMA IS A HEALTH CARE NETWORK THAT ENCOMPASSES SSM HEALTH CARE FACILITIES IN OKLAHOMA. THIS CONSISTS OF TWO HOSPITALS IN OKLAHOMA CITY, BONE AND JOINT HOSPITAL AT ST ANTHONY AND ST ANTHONY HOSPITAL AND A PHYSICIAN ORGANIZATION, SAINTS MEDICAL GROUP. SSM HEALTH CARE OF OKLAHOMA IS ALSO THE SOLE CORPORATE MEMBER OF A HOSPITAL IN SHAWNEE, OKLAHOMA, ST ANTHONY SHAWNEE HOSPITAL. SSM HEALTH CARE OF OKLAHOMA, WITH HEADQUARTERS IN OKLAHOMA CITY, OK, IS SPONSORED BY THE SSM HEALTH MINISTRIES AND IS OWNED AND OPERATED BY SSM HEALTH CARE (SSMHC) BASED IN ST. LOUIS, MISSOURI.SCHEDULE H, PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORTTHE SSM HEALTH CARE ANNUAL CONSOLIDATED COMMUNITY BENEFIT REPORT IS FILED IN ILLINOIS, MISSOURI, OKLAHOMA, AND WISCONSIN. 1 GREATER OKC CHAMBER OF COMMERCE 123 PARK AVENUE OKLAHOMA CITY OK 73102 730381180 501(C)(3) 112835 GENERAL SUPPORT ARTHRITIS FOUNDATION 710 W WILSHIRE STE 101 OKLAHOMA CITY OK 73116 943454386 501(C)(3) 25000 GENERAL SUPPORT CANTERBURY CHORAL SOCIETY 428 W CALIFORNIA STE 100 OKLAHOMA CITY OK 730125454 237282541 501(C)(3) 5000 GENERAL SUPPORT UNITED WAY OF CENTRAL OKLAHOMA INC 1444 NW 28TH STREET OKLAHOMA CITY OK 73106 730589829 501(C)(3) 20000 GENERAL SUPPORT ALLIED ARTS FOUNDATION 1015 N BROADWAY STE 200 OKLAHOMA CITY OK 73102 730804291 501(C)(3) 45025 GENERAL SUPPORT ARTS COUNCIL OF OKLAHOMA CITY INC 400 W CALIFORNIA AVENUE OKLAHOMA CITY OK 73102 736112471 501(C)(3) 12500 GENERAL SUPPORT CATHOLIC CHARITIES 3577 HIGH POINT ROAD MADISON WI 53744 390807067 501(C)(3) 20000 GENERAL SUPPORT HEALTH ALLIANCE FOR THE UNINSURED 5929 N MAY AVENUE OKLAHOMA CITY OK 73112 261789292 501(C)(3) 42000 GENERAL SUPPORT OKLAHOMA CHRISTIAN UNIVERSITY PO BOX 11000 OKLAHOMA CITY OK 73136 730555460 501(C)(3) 40000 GENERAL SUPPORT ARCHDIOCESE OF OKLAHOMA CITY 7501 NW EXPRESSWAY OKLAHOMA CITY OK 73123 730632924 501(C)(3) 23455 GENERAL SUPPORT OKLAHOMA CITY NATIONAL MEMORIAL FOUNDATION PO BOX 323 OKLAHOMA CITY OK 73101 731472725 501(C)(3) 14000 GENERAL SUPPORT OKLAHOMA CITY UNIVERSITY 2501 N BLACKWELDER AVE OKLAHOMA CITY OK 73106 730579265 501(C)(3) 20000 GENERAL SUPPORT SHARTEL BLVD DEVELOPMENT AUTHORITY INC 301 NW 18TH STREET OKLAHOMA CITY OK 73103 731572000 501(C)(3) 10000 GENERAL SUPPORT RED BUD FOUNDATION 421 AVONDALE DR STE 204-A OKLAHOMA CITY OK 73116 731293464 501(C)(3) 20000 GENERAL SUPPORT STATE CHAMBER 330 NE 10TH STREET OKLAHOMA CITY OK 73104 731270209 501(C)(3) 15900 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 7272 GRENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 10000 GENERAL SUPPORT DOWNTOWN OKC 210 PARK AVE STE 230 OKLAHOMA CITY OK 73102 731593759 501(C)(3) 10000 GENERAL SUPPORT OKLAHOMA GAZETTE PO BOX 54649 OKLAHOMA CITY OK 75154 731185363 501(C)(3) 10000 GENERAL SUPPORT OKLAHOMA GIRLS BASKETBALL COACHES ASSOCIATION 1500 N WASHINGTON WEATHERFORD OK 73101 237166074 501(C)(3) 7500 GENERAL SUPPORT OKLAHOMA COUNTY MEDICAL SOCIETY COMMUNITY FOUNDATION 313 NE 50 ST STE 2 OKLAHOMA CITY OK 73105 730746253 501(C)(3) 9500 GENERAL SUPPORT OKLAHOMA STATE UNIVERSITY FOUNDATION PO BOX 1749 STILLWATER OK 74078 736097060 501(C)(3) 5000 GENERAL SUPPORT 22 0 PART I, LINE 2: THE ORGANIZATION'S GRANTS WERE MADE TO ORGANIZATIONS TAX EXEMPT UNDER IRC SECTION 501(C)(3). THESE ORGANIZATIONS HAVE DEVELOPED INTERNAL CONTROL PROCEDURES FOR THE USE OF GRANT FUNDS. X 1 1 1 1 0 0 0 0 0 0 0 JOE HODGES DIRECTOR & HOSPITAL PRESIDENT 0 633887 0 0 0 57112 0 -16778 0 33457 0 707678 0 31500 KERSEY WINFREE MD DIRECTOR 0 507123 0 0 0 37527 0 40342 0 21885 0 606877 0 11120 WILLIAM THOMPSON DIRECTOR & VICE CHAIR 0 1404608 0 0 0 1016464 0 811381 0 30589 0 3263042 0 59150 KRIS ZIMMER TREASURER 0 763126 0 0 0 73127 0 40169 0 27839 0 904261 0 45360 JUNE PICKETT SECRETARY 0 226100 0 0 0 29954 0 -119886 0 23014 0 159182 0 8680 SHASTA R MANUEL REGIONAL VP FINANCE/CFO 327491 0 0 0 23718 0 20189 0 27990 0 399388 0 11440 0 STEVEN BARNEY PT YR VICE PRESIDENT 0 354279 0 0 0 238164 0 -236820 0 12867 0 368490 0 0 PAULA FRIEDMAN VICE PRESIDENT 0 523635 0 0 0 73164 0 -2191 0 17680 0 612288 0 32970 TAMARA L POWELL EXEC VP, COO 343491 0 0 0 42318 0 -3848 0 7388 0 389349 0 10608 0 STEPHEN D POWELL VP AMB SERVICES 299530 0 0 0 16039 0 12994 0 25228 0 353791 0 10280 0 CYNTHIA L BRUNDIGE REG VP HUMAN RESOURCES 233893 0 0 0 22598 0 26311 0 16826 0 299628 0 8200 0 MARTI F JOURDEN VP PERF IMPROVEMENT 176898 0 0 0 11665 0 39528 0 27753 0 255844 0 6820 0 JOHN R MOBLEY NETWORK VICE PRES 169636 0 0 0 15026 0 24692 0 29512 0 238866 0 6756 0 JASON EMERSON PHYSICIAN 978381 0 0 0 34400 0 -46229 0 30736 0 997288 0 0 0 AVINIASH VYAS PHYSICIAN 1091823 0 0 0 80315 0 27226 0 31364 0 1230728 0 0 0 LEONARD BOWEN PHYSICIAN 1011049 0 0 0 44922 0 44889 0 28359 0 1129219 0 0 0 BASSAM HADI PHYSICIAN 942875 0 0 0 18426 0 7698 0 31781 0 1000780 0 0 0 RALPH GANICK PHYSICIAN 797456 0 0 0 81864 0 87088 0 27960 0 994368 0 0 0 WILLIAM SCHOENHARD FORMER OFFICER 0 0 0 0 0 274359 0 -296128 0 18492 0 -3277 0 0 CHRISTOPHER HOWARD FORMER OFFICER 0 806003 0 0 0 87657 0 -1097 0 31003 0 923566 0 40320 PART I, LINE 1A THE FOLLOWING INDIVIDUALS LISTED ON PART VII SECTION A RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENT IN 2013. THESE PAYMENTS WERE INCLUDED IN THEIR TAXABLE COMPENSATION. SHASTA MANUEL TAMARA POWELL STEPHEN POWELL JASON EMERSON RALPH GANICK AVINIASH VYAS PART I, LINE 3: COMPENSATION TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (HOSPITAL PRESIDENT) IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE SSM HEALTH CARE (SSMHC) PRESIDENT. PART I, LINE 4A: SEVERANCE PLAN: SSMHC HAS ADOPTED A SEVERANCE POLICY TO PROVIDE A FINANCIAL TRANSITION IN THE EVENT OF INVOLUNTARY TERMINATION WITHOUT CAUSE FOR EXECUTIVE LEVEL POSITIONS. THE AMOUNT OF THE COMPENSATION IS BASED ON THE POSITION HELD AND LENGTH OF SERVICE WITH SSMHC. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS UNDER THIS PLAN. WILLIAM SCHOENHARD $274,359 JOHN MOBLEY $ 3,481 PART I, LINE 4B: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS PENSION RESTORATION PLAN: SSM HEALTH CARE (SSMHC) PROVIDES THIS SUPPLEMENTAL DEFINED BENEFIT NONQUALIFIED RETIREMENT PLAN TO ANY EMPLOYEE WHO IS A PARTICIPANT IN THE SSMHC 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 SSMHC'S QUALIFIED PLAN IF THE REGULATIONS DID NOT IMPOSE COMPENSATION LIMITS. AN INDIVIDUAL CAN TAKE A DISTRIBUTION FROM THE PLAN AT (1) AGE 65 OR OLDER IF THE INDIVIDUAL IS STILL EMPLOYED BY SSMHC OR (2) AGE 55 OR OLDER IF THE INDIVIDUAL IS NO LONGER EMPLOYED BY SSMHC. NO REPORTABLE INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THIS PLAN DURING 2013. CAPITAL ACCUMULATION PLAN: SSMHC 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 SSMHC 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 2008 OR AFTER, THE DISTRIBUTION WILL OCCUR AFTER THE COMPLETION OF TWO 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 2013. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUALS' TAXABLE COMPENSATION. STEVEN BARNEY $148,902 WILLIAM THOMPSON $ 59,209 CHRISTOPHER HOWARD $ 52,082 KRIS ZIMMER $ 45,405 PAULA FRIEDMAN $ 33,003 JOE HODGES $ 31,531 JUNE PICKETT $ 19,086 STEPHEN POWELL $ 13,458 KERSEY WINFREE $ 12,364 SHASTA MANUEL $ 11,451 TAMARA POWELL $ 10,619 CYNTHIA BRUNDIGE $ 8,208 MARTI JOURDEN $ 6,827 JOHN MOBLEY $ 6,763 FORM 990, PART I, DOING BUSINESS AS: SSM HEALTH CARE OF OKLAHOMA, INC. CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING REGISTERED NAMES 1) BONE & JOINT HOSPITAL 2) BONE & JOINT HOSPITAL AT ST. ANTHONY 3) ST. ANTHONY HOSPITAL 4) ST. ANTHONY CENTER FOR BEHAVIORAL MEDICINE AT ST. MICHAEL 5) ST. ANTHONY PHYSICIANS SHAWNEE 6) ST. ANTHONY SHAWNEE HOSPITAL FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION: SSMHC IS ONE OF THE LARGEST CATHOLIC HEALTH SYSTEMS IN THE COUNTRY AND IS DEDICATED TO QUALITY AND COMPASSIONATE CARE FOR ANYONE IN NEED, REGARDLESS OF ABILITY TO PAY. THE SYSTEM BEGAN WITH FIVE RELIGIOUS SISTERS WHO JOURNEYED TO ST. LOUIS IN 1872 FROM GERMANY TO BE OF SERVICE TO PEOPLE IN NEED. IN THEIR EARLY LEDGERS, THE SISTERS LISTED PATIENTS WHO COULD NOT PAY FOR THEIR CARE AS "OUR DEAR LORD'S." AS OF NOVEMBER 15, 2013, WITH VATICAN APPROVAL, THE FRANCISCAN SISTERS OF MARY TRANSITIONED SPONSORSHIP OF SSMHC TO SSM HEALTH MINISTRIES. SSM HEALTH MINISTRIES IS AN INDEPENDENT 6-MEMBER BODY COMPRISED OF THREE FRANCISCAN SISTERS OF MARY AND THREE LAY PEOPLE WHO COLLECTIVELY HOLD CERTAIN RESERVED POWERS OVER SSMHC. HEADQUARTERED IN ST LOUIS, MISSOURI, SSMHC OWNS AND OPERATES 18 ACUTE CARE HOSPITALS, ONE CHILDREN'S HOSPITAL, TWO LONG-TERM CARE FACILITIES, AN EXTENSIVE NETWORK OF PHYSICIAN PRACTICE OPERATIONS, AND OTHER HEALTH CARE BUSINESSES LOCATED PRIMARILY IN MISSOURI, OKLAHOMA, WISCONSIN, AND ILLINOIS. THE HEALTH SYSTEM EMPLOYS APPROXIMATELY 30,000 PEOPLE AND IS AFFILIATED WITH MORE THAN 8,000 PHYSICIANS. IN THE TRADITION OF ITS FOUNDING SISTERS, SSMHC STRIVES TO FULFILL ITS MISSION BY PROVIDING EXCEPTIONAL HEALTH CARE TO EVERYONE WHO COMES TO ITS HOSPITALS, REGARDLESS OF THEIR ABILITY TO PAY. SSM HEALTH CARE OF OKLAHOMA (SSMOK) IS A HEALTH-CARE NETWORK THAT ENCOMPASSES SSM HEALTH CARE FACILITIES PRIMARILY IN CENTRAL OKLAHOMA. THIS INCLUDES ST. ANTHONY HOSPITAL IN OKLAHOMA CITY, BONE AND JOINT HOSPITAL AT ST. ANTHONY AND SAINTS MEDICAL GROUP, A MULTI-SPECIALTY MEDICAL GROUP WITH LOCATIONS GEOGRAPHICALLY SPREAD AMONG THE COMMUNITIES WE SERVE. SSMOK IS ALSO THE SOLE CORPORATE MEMBER OF ST ANTHONY SHAWNEE HOSPITAL IN SHAWNEE, OKLAHOMA. IN ADDITION TO THE MAIN HOSPITAL CAMPUSES, THE REGION ALSO ENCOMPASSES ST ANTHONY NORTH, LOCATED IN NORTH OKLAHOMA CITY, AND ST ANTHONY SOUTH, LOCATED IN SOUTH OKLAHOMA CITY. TWO NEW THREE-STORY FACILITIES, ST ANTHONY HEALTHPLEX EAST AND ST ANTHONY HEALTHPLEX SOUTH, ARE NOW OPEN IN EAST AND SOUTH OKLAHOMA CITY. THESE STATE-OF-THE-ART CAMPUSES FEATURE FREESTANDING EMERGENCY ROOMS, AMBULATORY SERVICES AND PHYSICIANS. SSMOK ALSO INCLUDES THE ST. ANTHONY AFFILIATE HEALTH NETWORK THAT ENCOMPASSES 19 AFFILIATE HOSPITALS, AND FOUR TIER ONE AFFILIATE HOSPITALS. IN TOTAL, SSMOK HAS A NETWORK OF 23 HOSPITALS. PHYSICIAN SPECIALTY CLINICS, MOBILE DIAGNOSTICS AND TELEHEALTH CAPABILITIES ARE OFFERED TO COMMUNITIES THROUGHOUT THE NETWORK, THUS IMPROVING ACCESS TO HEALTH CARE IN THE COMMUNITIES LOCATED SOME DISTANCE FROM A METROPOLITAN AREA. INSPIRED BY OUR FOUNDING RELIGIOUS SISTERS, SSMOK VALUES THE SACREDNESS AND DIGNITY OF EACH PERSON. THEREFORE, SSMOK FINDS THESE FIVE VALUES CONSISTENT WITH ITS HERITAGE AND MINISTRY: COMPASSION: WE REACH OUT WITH OPENNESS, KINDNESS AND CONCERN. RESPECT: WE HONOR THE WONDER OF THE HUMAN SPIRIT. EXCELLENCE: WE EXPECT THE BEST OF OURSELVES AND ONE ANOTHER. STEWARDSHIP: WE USE OUR RESOURCES RESPONSIBLY. COMMUNITY: WE CULTIVATE RELATIONSHIPS THAT INSPIRE US TO SERVE. DESCRIBE THE ORGANIZATION'S APPROACH TO PROVIDING COMMUNITY BENEFIT: COMMUNITY BENEFIT IS DEFINED AS PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO COMMUNITY NEEDS; THEY ARE NOT PROVIDED FOR MARKETING PURPOSES. COMMUNITY BENEFIT PROGRAMS GENERATE A LOW OR NEGATIVE FINANCIAL RETURN, RESPOND TO NEEDS OF SPECIAL POPULATIONS SUCH AS PERSONS LIVING IN POVERTY AND OTHER DISENFRANCHISED PERSONS AND PUBLIC HEALTH NEEDS. GENERALLY THESE PROGRAMS OR SERVICES WOULD LIKELY BE DISCONTINUED - OR WOULD NEED TO BE PROVIDED BY ANOTHER NOT-FOR-PROFIT OR GOVERNMENT PROVIDER - IF THE DECISION WAS MADE ON A PURELY FINANCIAL BASIS. COMMUNITY BENEFIT PROGRAMS CAN ALSO INVOLVE EDUCATION OR RESEARCH THAT IMPROVE OVERALL COMMUNITY HEALTH. THE COMMUNITY BENEFIT PLAN DETAILS THE PLANNING, MEASUREMENT AND COMMUNICATION OF ITS COMMUNITY BENEFITS. THE THREE-MAIN ASPECTS OF COMMUNITY BENEFIT BEING THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH DETERMINES THE COMMUNITY NEEDS TO BE ADDRESSED BY THE HOSPITAL, THE COMMUNITY BENEFIT PLAN WHICH DETAILS STEPS TO BE ACCOMPLISHED TO MEET IDENTIFIED NEEDS, AND THE CBISA DATABASE WHICH DOCUMENTS ALL OF THE COMMUNITY BENEFIT ACTIVITIES FOR EACH YEAR. AT THE END OF EACH YEAR, THE CBISA COMMUNITY BENEFIT REPORT IS GIVEN TO MANAGEMENT, ADMINISTRATION AND THE SSMHC BOARD OF DIRECTORS IN ORDER TO EVALUATE AND IMPROVE THE PROGRAM. ONE OF THE FIRST STEPS FOR IDENTIFYING THE HIGH-PRIORITY HEALTH NEEDS OF OUR COMMUNITY IS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). A SUMMARY OF THE ST ANTHONY HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS CAN BE FOUND ON PAGES 6 THROUGH 9 OF ITS CHNA. THE STRATEGIC PRIORITIES OF THE ST ANTHONY HOSPITAL COMMUNITY BENEFIT PLAN ARE: SUBSTANCE ABUSE/MENTAL HEALTH, HEART DISEASE, OBESITY AND DIABETES. DURING 2013, GOALS AND OBJECTIVES WERE ESTABLISHED TO CHANGE BEHAVIOR, PROVIDE METRICS TO MEASURE CHANGE, AND TO IMPACT THE OVERALL HEALTH OF THOSE WE SERVE. ALL OF THE COMMUNITY BENEFIT ACTIVITIES ARE DESIGNED TO MEET THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHICH WAS COMPLETED IN NOVEMBER 2012. DESCRIBE THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICIES OR PROGRAMS (E.G., CHARITY CARE, DISCOUNTING) FOR LOW-INCOME PERSONS AND HOW THEY ARE COMMUNICATED TO THE PUBLIC. ALL SSMHC FACILITIES, INCLUDING SSMOK, STRIVE TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY. ALL BILLING AND COLLECTION POLICIES AND PRACTICES REFLECT THE MISSION AND VALUES OF SSMOK, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. SSMOK FACILITIES OFFER DISCOUNTS FOR HOSPITAL SERVICES TO ALL UNINSURED PERSONS. SELF-PAY DISCOUNTS APPLY TO EVERYONE WHO DOES NOT HAVE HEALTH INSURANCE, NO MATTER THEIR ABILITY TO PAY. SSMOK APPLIES ITS CHARITY CARE POLICIES FAIRLY AND CONSISTENTLY. EACH PERSON IS TREATED AS AN INDIVIDUAL WITH SPECIFIC NEEDS FOR ASSISTANCE WITHOUT REGARD TO PAYMENT. SSMOK EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH WE PARTICIPATE BY ESTABLISHING SOUND BUSINESS PRACTICES. CHARITY CARE IS PROVIDED TO PATIENTS BASED ON A SLIDING SCALE FOR HOUSEHOLD INCOMES UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL. PATIENTS WHOSE HOUSEHOLD INCOME IS NO MORE THAN TWO TIMES THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR FREE HOSPITAL SERVICES. IN ADDITION, AN EXCEPTION TO THE SLIDING SCALE IS PROVIDED FOR A PATIENT'S BALANCE DUE IF THE AMOUNT EXCEEDS 20% OF THEIR FAMILY GROSS INCOME. EACH SSMHC ENTITY PROVIDING MEDICAL SERVICES 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 COMMUNICATIONS 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 WILL BE EASY TO UNDERSTAND BY THE GENERAL PUBLIC, CULTURALLY APPROPRIATE AND AVAILABLE IN THOSE LANGUAGES THAT ARE PREVALENT IN THE COMMUNITY. THEY WILL 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 - WHOM TO CONTACT TO GET ADDITIONAL INFORMATION OR FINANCIAL COUNSELING. THE FOLLOWING TYPES OF NOTICES TO THE PUBLIC SHALL BE 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 WILL ALSO BE PROVIDED TO PUBLIC AGENCIES. ORGANIZATIONAL DESCRIPTION FOR TAX EXEMPTION: SSMHC HOSPITALS, INCLUDING ST. ANTHONY HOSPITAL AND BONE AND JOINT HOSPITAL AT ST. ANTHONY: - OPERATE AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY; - HAVE AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA; - HAVE A GOVERNING BODY IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY; - ENGAGE IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS; - PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. DESCRIPTION OF COMMUNITY BENEFIT PROGRAMS: SSM HEALTH CARE OF OKLAHOMA PARTICIPATES IN A WIDE ARRAY OF COMMUNITY PROGRAMS THROUGHOUT THE AREA TO FURTHER ITS EXEMPT PURPOSE OF PROMOTING THE HEALTH OF THE COMMUNITY. SOME EXAMPLES INCLUDE THE FOLLOWING: ST. ANTHONY HOSPITAL AND BONE AND JOINT HOSPITAL AT ST. ANTHONY ALSO COLLABORATE WITH STATE AGENCIES, HEALTHCARE PROVIDERS, AND EDUCATION AND BUSINESS LEADERS. BONE AND JOINT HOSPITAL AT ST. ANTHONY OFFERS COMMUNITY EDUCATION AND SCREENING OPPORTUNITIES TO AREA ORGANIZATIONS AND THE GENERAL PUBLIC. SPECIAL ATTENTION IS GIVEN TO ENSURE THAT DIVERSE GROUPS OF THE LOCAL POPULATION ARE IDENTIFIED AND PROVIDED WITH EDUCATIONAL/SCREENING OPPORTUNITIES. BONE AND JOINT HOSPITAL AT ST. ANTHONY OFFERS ONGOING COMMUNITY EDUCATION REGARDING OSTEOARTHRITIS, OSTEOPOROSIS, SPINE PAIN AND OTHER ORTHOPEDIC-RELATED TOPICS. THE CLASSES ARE FREE OF CHARGE AND FEATURE A BONE AND JOINT HOSPITAL AT ST. ANTHONY PHYSICIAN WHO DONATES HIS TIME FOR THE SEMINARS. BONE AND JOINT HOSPITAL AT ST. ANTHONY ALSO PARTICIPATES IN HEALTH FAIRS WHERE FREE BONE DENSITY SCREENINGS ARE OFFERED THROUGH THE FREE CLINIC, CROSS AND CROWN, BONE AND JOINT HOSPITAL AT ST. ANTHONY PROVIDED FREE SERVICES TO 250 INDIVIDUALS AT ITS 2013 HEALTH FAIR. FURTHER, BONE AND JOINT HOSPITAL AT ST. ANTHONY SUPPORTS THE EFFORTS OF THE ARTHRITIS FOUNDATION BY SUPPORTING FUNDRAISING AND AWARENESS EFFORTS INCLUDING BEING THE TITLE SPONSOR OF THE LOCAL CHAPTER'S ANNUAL ARTHRITIS WALK. ST. ANTHONY HOSPITAL SPONSORED VARIOUS EDUCATIONAL EVENTS INCLUDING ITS ANNUAL STROKE OF COURAGE PROGRAM TO RAISE STROKE AWARENESS AND ITS CELEBRITY CHEF EVENT TO PROMOTE HEART HEALTHY EATING. PHYSICIAN SPEAKERS PRESENT AT AREA BUSINESSES TO PROVIDE ADDITIONAL HEALTH EDUCATION TO THEIR WORKFORCE. ST ANTHONY HOSPITAL, IN COLLABORATION WITH 61 OKLAHOMA SCHOOLS, THE UNIVERSITY OF OKLAHOMA AND VARIOUS STATE AGENCIES, HAS ESTABLISHED A COMMUNITY HEALTH INITIATIVE TO SUPPORT PROGRAMS AND CURRICULUM IN OKLAHOMA SCHOOLS TO PROMOTE HEALTHY LIFESTYLES. THE HOSPITAL AND ITS EMPLOYEES PARTICIPATED IN REBUILDING TOGETHER TO REHABILITATE A HOME FOR AN INDIVIDUAL WITHIN THE COMMUNITY WHO DOES NOT HAVE THE MEANS TO MAKE NECESSARY REPAIRS TO ENSURE A SAFE, WARM HOME. ADDITIONALLY, NUMEROUS SUPPORT GROUPS, CHILDBIRTH CLASSES, MEDIA HEALTH INFORMATION STORIES, SEMINARS ON A RANGE OF HEALTHY TOPICS, HEALTH FAIRS AND HEALTH PROFESSIONALS' EDUCATION PROVIDE SUBSTANTIAL BENEFIT TO THE COMMUNITY. IN 2013, THE HOSPITAL CONTINUED ITS MIDTOWN MARKET AT SAINTS, A COMMUNITY LOCAL FOOD FARMERS' MARKET HOSTED WEEKLY ON THE HOSPITAL CAMPUS FROM MAY THROUGH OCTOBER. IT ALSO SPONSORED OTHER EVENTS TO SUPPORT COMMUNITY HEALTH AND FITNESS INCLUDING THE DOWNTOWN DASH (5TH YEAR TO SPONSOR ON ITS CAMPUS) AND REDBUD CLASSIC (THE 31TH YEAR TO SPONSOR) AS WELL AS THE AMERICAN HEART ASSOCIATION HEART WALK. THE HOSPITAL WEBSITE, WWW.SAINTSOK.COM, PROVIDES HEALTH INFORMATION USEFUL TO THE COMMUNITY THROUGH A COMPILATION OF HEALTH EDUCATION TOPICS, HEALTH RISK APPRAISALS, AND OTHER TOOLS DESIGNED TO ASSIST INDIVIDUALS WITH HEALTH CONCERNS AND ENCOURAGE A HEALTHIER LIFESTYLE. THESE SERVICES ARE IN ADDITION TO THE TRADITIONAL CHARITY CARE PROVIDED CONSISTENT WITH THE HOSPITAL'S MISSION. QUANTIFIABLE COMMUNITY BENEFIT THIS SECTION INCLUDES A LIST OF THE TYPES OF PROGRAMS AND SERVICES THAT COULD BE INCLUDED AS COMMUNITY BENEFIT ACTIVITIES. TRADITIONAL CHARITY CARE $17,482,772 UNPAID COST OF MEDICAID $ 2,500,547 UNPAID COST OF MEDICARE $(5,684,667) COST OF BAD DEBT $14,044,440 COMMUNITY BENEFIT PROGRAMS $ 1,365,849 -------------------- TOTAL QUANTIFIABLE COMMUNITY BENEFIT $29,708,941 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF THE CORPORATION IS SSM HEALTH CARE CORPORATION. SSM HEALTH CARE CORPORATION IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH SSM HEALTH CARE OF OKLAHOMA AND SSM HEALTH CARE CORPORATION ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH CARE. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND APPOINT AND REMOVE THE DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS C. TO APPOINT AND REMOVE THE APPOINTED DIRECTORS AND THE EX OFFICIO DIRECTORS D. TO APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION AND THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION E. TO APPROVE THE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN F. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION G. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION H. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY I. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION J. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY K. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY L. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS, TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS, AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS M. TO APPROVE THE STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION N. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION O. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTERESTS IN THE PROPERTY OF THE CORPORATION P. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER OF THE MEMBER OR TO ANY ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY THE MEMBER OF THE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS AND OBJECTIVES OF THE MEMBER OF THE MEMBER AS DETERMINED BY THE MEMBER OF THE MEMBER Q. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER OF THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE MEMBER APPROVAL; AND R. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY NON-CONTROLLED SUBSIDIARY. FORM 990, PART VI, SECTION B, LINE 11 ACCOUNTING/FINANCE PERSONNEL AT EACH SSMHC (SSM HEALTH CARE SYSTEM) ENTITY, IN CONJUNCTION WITH SYSTEM FINANCE PERSONNEL, PREPARE A CHECKLIST CONTAINING INFORMATION AND SUPPORTING SCHEDULES THAT ARE USED TO PREPARE THE FORM 990. THIS CHECKLIST IS THEN REVIEWED BY A SUPERVISOR/MANAGER AND SENT TO THE SYSTEM OFFICE FOR FINAL REVIEW AND COORDINATION OF THE SYSTEM LEVEL FORM 990 INFORMATION. THE INFORMATION IS SUBMITTED TO AN OUTSIDE TAX CONSULTING FIRM WHO PREPARES AND SIGNS THE FORM 990 FROM THE SSMHC INFORMATION. PRIOR TO FINALIZING THE RETURN, A DRAFT IS SENT TO PERSONNEL AT SSMHC FOR REVIEW AND APPROVAL. UPON SSMHC APPROVAL, THE OUTSIDE PREPARER FORWARDS THE COMPLETED FORM 990 FOR THE APPROPRIATE SIGNATURES AND FILING ACTION. A COMPLETE COPY OF THE RETURN IS PROVIDED TO THE BOARD AT THE NEXT SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY TO THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUST BE COMPLETED ON LINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR END. FORM 990, PART VI, SECTION C, LINE 19 THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENT FOR THE SSM HEALTH CARE SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH CARE'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL PHYSICIAN, PRACTIONER, PSYCHAITRIST, RESIDENT, AND THERAPIST: PROGRAM SERVICE EXPENSES 36,266,684. MANAGEMENT AND GENERAL EXPENSES 623,653. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,890,337. RECRUITMENT, CONSULTING, ADMINISTRATIVE, AND PBS FEES: PROGRAM SERVICE EXPENSES 22,392,886. MANAGEMENT AND GENERAL EXPENSES 3,996,323. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,389,209. MEDICAL LAB. RADIOLOGY, TRANSPORTATION: PROGRAM SERVICE EXPENSES 11,091,068. MANAGEMENT AND GENERAL EXPENSES 165,872. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,256,940. FORM 990, PART XI, LINE 9: BENEFICIAL INTEREST IN FOUNDATION 2,103,518. TRANSFERS TO AFFILIATES 242,104. 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