THE ST ANTHONY HOSPITAL FOUNDATION INC OKLAHOMA CITY OKLAHOMA: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- THE ST ANTHONY HOSPITAL FOUNDATION INC OKLAHOMA CITY OKLAHOMA (EIN 73-6104300)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201343199349304594
- Schema version
- 2012v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T11:25:45-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 BAGBY STREET SUITE 4500 | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 770022591 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 736104300 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ST ANTHONY HOSPITAL FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STAN | NameControl |
| Phone | 3149947800 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 477 N LINDBERGH | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63141 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JUNE L PICKETT | Name |
| Title | ASST SECRETARY | Title |
| Phone | 3149947800 | Phone |
| Date Signed | 2013-11-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BROOKE KITCHEN | Name |
| PTIN | P00849302 | PTIN |
| Phone | 7139822000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SHERRY RICE RHODES | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 826 NW 11ST ST | AddressLine1 |
| City | OKLAHOMA CITY | City |
| State | OK | State |
| ZIP Code | 73106 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 3366062 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.GIVETOSAINTS.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1963 | YearFormation |
| State Legal Domicile | OK | StateLegalDomicile |
| Activity Or Mission Description | TO SUPPORT PATIENTS IN SSM HEALTH CARE OF OKLAHOMA HOSPITALS, HEALTHPLEXES AND CLINICS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 30 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 30 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 100 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1247642 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1995137 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1710529 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1292462 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4913 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2963084 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3287599 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2502096 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1234116 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 442712 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 472159 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 599144 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 275613 | OtherExpensePriorYear |
| Other Expenses Current Year | 243096 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 3220421 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1949371 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -257337 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1338228 | RevenuesLessExpensesCY |
| Total Assets BOY | 22502656 | TotalAssetsBOY |
| Total Assets EOY | 25111957 | TotalAssetsEOY |
| Total Liabilities BOY | 680680 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 676270 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 21821976 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 24435687 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1234116 | Expense |
| Grants | 1234116 | Grants |
| Description | PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. | Description |
| Total Program Service Expense | 1234116 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 9 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 30 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 30 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OK | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEAH HODGES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4052727499 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 205 | AddressLine1 |
| City | OKLAHOMA CITY | City |
| State | OK | State |
| ZIP Code | 73101 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (33 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Average Hours Per Week RelatedAverageHoursPerWeekRelated |
|---|---|---|---|---|---|---|---|
| MINNIE BAJAJ | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JERRY BENDORF | |||||||
| DIRECTOR & VICE CHAIR | 1.00 | X | 0 | 0 | 0 | X | |
| CARLEEN BURGER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MIKE COLLISON | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MELINDA COX | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| PAUL W DUDMAN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JAMIE FARHA | |||||||
| DIRECTOR & CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | X | |
| JOAN FRATES | |||||||
| DIRECTOR & SECRETARY | 1.00 | X | 0 | 0 | 0 | X | |
| SUSIE FULLER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| SHEILA HEIM | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| RICHARD HORTON | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LAUREN HUMPHREY | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| ERIC JOINER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JENEE NAIFEH LISTER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JUDY M LOVE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DEBBIE LUCAS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MICHAEL MILLIGAN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LEE ANN NORDIN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| VINCENT ORZA | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JAMES PICKEL | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MYRLA PIERSON | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| CHARLOTTE RICHELS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| PATRICK ROONEY | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| BECKY ROTEN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| AVIS SCARAMUCCI | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DAVID SCHNEIDER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| STEPHANIE SINGER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LINDA STEWART | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| SEAN TRAUSCHKE | |||||||
| DIRECTOR & TREASURER | 1.00 | X | 0 | 0 | 0 | X | |
| LORI TYLER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JUNE L PICKETT | |||||||
| ASST SECRETARY | 1.00 | 0 | 240525 | 353818 | X | 40.00 | |
| SHERRY RICE RHODES | |||||||
| PRESIDENT | 40.00 | 0 | 191445 | 61743 | X | ||
| SHASTA MANUEL | |||||||
| REG VICE PRES - FINANCE | 1.00 | 0 | 326790 | 73375 | X | 40.00 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 758760 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 488936 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 467895 | FundraisingEvents |
| All Other Contributions | 1527242 | AllOtherContributions |
| Noncash Contributions | 104816 | NoncashContributions |
| Total Contributions | 1995137 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 656142 | TotalRevenueColumn |
| Exclusion | $656,142 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 636320 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 636320 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 636320 | TotalRevenueColumn |
| Exclusion | $636,320 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 78463 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 467895 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 78463 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3287599 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,292,462 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1093282 | Total |
| Program Services | 1093282 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140834 | Total |
| Program Services | 140834 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175000 | Total |
| Management And General | 17500 | ManagementAndGeneral |
| Fundraising | 157500 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 268472 | Total |
| Management And General | 24650 | ManagementAndGeneral |
| Fundraising | 243822 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28687 | Total |
| Management And General | 3156 | ManagementAndGeneral |
| Fundraising | 25531 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13810 | Total |
| Management And General | 13810 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49726 | Total |
| Management And General | 49726 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11492 | Total |
| Fundraising | 11492 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41529 | Total |
| Fundraising | 41529 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5138 | Total |
| Management And General | 5138 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1075 | Total |
| Management And General | 118 | ManagementAndGeneral |
| Fundraising | 957 | Fundraising |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| FUNDRAISING EXPENSES | 94195 | 0 | 0 | 94195 |
| DONOR CULTIVATION | 24118 | 0 | 0 | 24118 |
| MISCELLANEOUS EXPENSE | 2013 | 0 | 2013 | 0 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1949371 | Total |
| Program Services | 1234116 | ProgramServices |
| Management And General | 116111 | ManagementAndGeneral |
| Fundraising | 599144 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35041 | BOY |
| EOY | 32365 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 476507 | BOY |
| EOY | 1019624 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 600 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 359435 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 232751 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 127760 | BOY |
| EOY | 126684 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21625245 | BOY |
| EOY | 23667557 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 238103 | BOY |
| EOY | 265127 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22502656 | BOY |
| EOY | 25111957 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 321379 | BOY |
| EOY | 334178 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 359301 | BOY |
| EOY | 342092 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 680680 | BOY |
| EOY | 676270 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11307061 | BOY |
| EOY | 12850464 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10439342 | BOY |
| EOY | 11509650 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75573 | BOY |
| EOY | 75573 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21821976 | BOY |
| EOY | 24435687 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22502656 | BOY |
| EOY | 25111957 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1338228 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 1360136 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -84653 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1133515 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 795181 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1312533 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1194800 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1995137 | CurrentTaxYear |
| Total | 6431166 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1133515 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 795181 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1312533 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1194800 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1995137 | CurrentTaxYear |
| Total | 6431166 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 648343 | AmountsSubstContributorsTotal |
| Public Support Total170 | 5782823 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1109776 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 792035 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 744035 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 663512 | CurrentTaxYearMinus1Year |
| Current Tax Year | 656142 | CurrentTaxYear |
| Total | 3965500 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 10396666 | TotalSupport |
| Gross Receipts From Admissions Etc | 812749 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.55620 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.53690 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 75573 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 3331 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 3331 | GrantsOrScholarships |
| End Of Year Balance | 75573 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 75573 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 7000 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 7000 | GrantsOrScholarships |
| End Of Year Balance | 75573 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 75573 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 14500 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 14500 | GrantsOrScholarships |
| End Of Year Balance | 75573 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 75573 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 13499 | InvestmentEarningsOrLosses |
| Other Expenditures | 13168 | OtherExpenditures |
| Administrative Expenses | 331 | AdministrativeExpenses |
| End Of Year Balance | 75573 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Earnings Or Losses | 75573 | InvestmentEarningsOrLosses |
| End Of Year Balance | 75573 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 124100 | OtherCostOrOtherBasis |
| Book Value | 124100 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 63515 | OtherCostOrOtherBasis |
| Depreciation | 63515 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 171820 | OtherCostOrOtherBasis |
| Depreciation | 169236 | Depreciation |
| Book Value | 2584 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 126684 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | SSM COMPREHENSIVE INVESTMENT PROGRAM | Description |
| Book Value | 23667557 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 23667557 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | GIFT ANNUITY LIABILITY | Description |
| Amount | $342,092 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 342092 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 4594893 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1360136 | NetUnrealizedGainsInvestments |
| Other Revenues | -52842 | OtherRevenues |
| Revenue Not Rptd F990 | 1307294 | RevenueNotRptdF990 |
| Revenue Subtotal | 3287599 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 3287599 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1981182 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 31811 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 31811 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1949371 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1949371 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE FOUNDATION'S PERMANENT ENDOWMENT FUNDS ARE HELD FOR THE PURPOSE OF PROVIDING SCHOLOARSHIPS TO NURSING STUDENTS |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE FOUNDATION EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2012 OR 2011. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON UNCOLLECTIBLE PLEDGES -52,842. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | ACTUARIAL LOSS ON GIFT ANNUITY LIABILITY 31,811. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | SAINTS BALL | NameOfEvent1 |
| Gross Receipts Event1 | 546358 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 467895 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 78463 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 31891 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 42446 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 3200 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 926 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 546358 | GrossReceiptsTotal |
| Charitable Contributions Total | 467895 | CharitableContributionsTotal |
| Gross Revenue Total Events | 78463 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 31891 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 42446 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 3200 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 926 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 78463 | DirectExpenseSummaryEvents |
| Net Income Summary | 0 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SSM HEALTH CARE OF OKLAHOMA INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 477 N LINDBERGH BLVD | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63141 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 730657693 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 1093282 | AmountOfCashGrant |
| Purpose Of Grant | TO SUPPORT THE OPERATIONS AND CAPITAL NEEDS OF THE RELATED HOSPITALS | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| FREE PRESCRIPTION MEDICATION TO THE NEEDY | 908 | 123584 |
| SCHOLARSHIPS | 10 | 17250 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE FOUNDATION'S GRANTS TO ORGANIZATIONS WERE MADE TO A RELATED ORGANIZATION THAT IS TAX EXEMPT UNDER SECTION 501(C)(3). THIS ORGANIZATION HAS DEVELOPED INTERNAL CONTROL PROCEDURES FOR THE USE OF GRANT FUNDS. APPROVED GRANT APPLICATIONS FOR GRANTS TO INDIVIDUALS ARE FORWARDED TO THE FOUNDATION AND THE FOUNDATION PAYS THE REQUESTED EXPENDITURE. TO MONITOR THE USE OF ALL GRANTS, THE FOUNDATION PRESIDENT REVIEWS ALL REQUESTS FOR GRANTS FROM ALL DESIGNATED FUNDS INCLUDING THE TREE OF LIFE FUND AND THE SISTER'S FUND TO ENSURE REQUESTS MEET THE CRITERIA ESTABLISHED FOR THESE FUNDS. PAYMENTS FROM THE SISTER'S FUND FOR PHARMACEUTICALS ARE MADE DIRECTLY TO THE PHARMACY AFTER THE PHARMACEUTICALS HAVE BEEN PROVIDED AND NOT TO THE INDIVIDUAL RECEIVING ASSISTANCE. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JUNE L PICKETT | ||||||||||||||
| ASST SECRETARY | 0 | 220007 | 0 | 0 | 0 | 20518 | 0 | 331433 | 0 | 22385 | 0 | 594343 | 0 | 8280 |
| SHERRY RICE RHODES | ||||||||||||||
| PRESIDENT | 0 | 171837 | 0 | 0 | 0 | 19608 | 0 | 55218 | 0 | 6525 | 0 | 253188 | 0 | 5156 |
| SHASTA MANUEL | ||||||||||||||
| REG VICE PRES - FINANCE | 0 | 307486 | 0 | 0 | 0 | 19304 | 0 | 44625 | 0 | 28750 | 0 | 400165 | 0 | 10400 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | PART I LINE 3: COMPENSATION TO CEO/EXECUTIVE DIRECTOR THE ORGANIZATION'S CEO IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION, (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, 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. 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 2012. 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 2012. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUAL'S TAXABLE COMPENSATION. SHASTA MANUEL $10,411 JUNE PICKETT $8,289 SHERRY RICE RHODES $5,162 | Explanation |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 25564 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COST OR SELLING PRICE | MethodOfDeterminingRevenues |
Food Inventory FoodInventory
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 4 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 3125 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COST OR SELLING PRICE | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (5 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | VIDEOS & MEMORABILIA | 3 | 30800 | COST OR SELLING PRICE |
| X | GIFT CARDS | 18 | 9150 | COST OR SELLING PRICE |
| X | HEALTHY/BEAUTY | 7 | 2961 | COST OR SELLING PRICE |
| X | JEWELRY | 7 | 5413 | COST OR SELLING PRICE |
| X | ENTERTAINMENT | 25 | 27803 | COST OR SELLING PRICE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 1 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: | PART I, COLUMN (B): | THE AMOUNTS IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED BY THE ORGANIZATION, NOT THE ACTUAL NUMBER OF ITEMS CONTRIBUTED. |
| THIRD PARTY USE: | PART I, LINE 32B: | STOCK DONATIONS ARE SOLD BY A BANK/INVESTMENT COMPANY USED BY THE SSM COMPREHENSIVE INVESTMENT PROGRAM. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION MISSION STATEMENT | FORM 990, PART I, LINE 1 | TO PROMOTE, RECEIVE, INVEST, AND DISBURSE GIFTS IN SUPPORT OF PATIENTS IN ST. ANTHONY HOSPITAL, BONE AND JOINT HOSPITAL AT ST. ANTHONY, AND OTHER SSM HEALTH CARE OF OKLAHOMA HOSPITALS, HEALTHPLEXES, AND CLINICS. |
| STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: | FORM 990, PART III, QUESTION 4A | 2012 COMMUNITY BENEFIT REPORT THE COMMUNITY BENEFIT CONTRIBUTION OF ST. ANTHONY FOUNDATION INCLUDES PROGRAMS AND ACTIVITIES THAT IMPROVE ACCESS TO HEALTH CARE AND IMPROVE HEALTH IN OUR COMMUNITIES. A. DESCRIBE THE ORGANIZATION'S MISSION AND PRIMARY EXEMPT PURPOSE. FOUNDED IN 1898 BY TWO CATHOLIC SISTERS OF ST. ANTHONY FRANCIS, ST. ANTHONY HOSPITAL IS A FAITH-BASED, FULL-CARE 601-BED REGIONAL REFERRAL MEDICAL CENTER LOCATED IN OKLAHOMA CITY. THE FIRST HOSPITAL IN OKLAHOMA TERRITORY, ST. ANTHONY REMAINS TRUE TODAY TO ITS FOUNDERS' MISSION OF PROVIDING COMPASSIONATE, EXCEPTIONAL HEALTHCARE TO OKLAHOMANS, INCLUDING THE POOR, VULNERABLE AND OFTEN-FORGOTTEN. ST. ANTHONY IS STRENGTHENING HEALTHCARE IN RURAL OKLAHOMA THROUGH ITS SAINTS 1ST PARTNERSHIPS WITH 19 HOSPITALS LOCATED IN WESTERN OKLAHOMA AND THROUGH ITS TELEMEDICINE PROGRAMS. ST. ANTHONY HOSPITAL IS PART OF SSM HEALTH CARE OF OKLAHOMA COMPRISED OF ST. ANTHONY HOSPITAL, BONE AND JOINT HOSPITAL AT ST. ANTHONY, ST. ANTHONY SHAWNEE HOSPITAL, ST. ANTHONY NORTH, ST. ANTHONY SOUTH, ST. ANTHONY EAST HEALTHPLEX AND ST. ANTHONY SOUTH HEALTHPLEX, NUMEROUS CLINICS AND PARTNERSHIPS WITH 19 SAINTS 1ST HOSPITALS LOCATED IN RURAL OKLAHOMA. ST ANTHONY IS PART OF THE INTEGRATED HEALTH CARE SYSTEM SPONSORED BY SSM HEALTH CARE (SSMHC). SPONSORED BY THE FRANCISCAN SISTERS OF MARY AND HEADQUARTERED IN ST LOUIS, MISSOURI, SSMHC OPERATES 18 HOSPITAL LOCATIONS, TWO SKILLED NURSING FACILITIES AND HOME HEALTH AGENCIES IN FOUR STATES. THE HEALTH SYSTEM EMPLOYS APPROXIMATELY 25,600 PEOPLE AND IS AFFILIATED WITH MORE THAN 6,600 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. ST. ANTHONY FOUNDATION, ESTABLISHED IN 1963, IS A SEPARATE 501(C)(3) NONPROFIT ORGANIZATION, DIRECTED BY A DEDICATED VOLUNTEER BOARD OF DIRECTORS. IT CONTINUES THE MISSION OF THE SISTERS BY SEEKING PHILANTHROPIC DONATIONS FROM GRATEFUL PATIENTS AND THEIR FAMILIES, PHYSICIANS, SAINTS EMPLOYEES, BUSINESSES, CORPORATIONS, PRIVATE FOUNDATIONS, COMMUNITY ORGANIZATIONS AND COMMUNITY MEMBERS TO BENEFIT PATIENT CARE AT SSM OF OKLAHOMA ENTITIES. B. SUMMARIZE THE FOUNDATION'S APPROACH TO PROVIDING COMMUNITY BENEFIT. AS A NONPROFIT, FAITH-BASED HOSPITAL, DONATIONS HELP GIVE PATIENTS THE VERY BEST CARE BY FUNDING NEW EQUIPMENT AND TECHNOLOGY, IMPROVING PATIENT CARE AREAS, TRAINING OUR HEALTH CARE PROFESSIONALS AND ENSURING ALL OF OUR PATIENTS RECEIVE EXCEPTIONAL COMPASSIONATE HEALTH CARE. OUR GIVING PRIORITIES ARE ALIGNED WITH THE STRATEGIC GOALS OF ST. ANTHONY HOSPITAL, ENSURING THAT MONIES DONATED TO ST. ANTHONY FOUNDATION ARE USED TO SUPPORT CRITICAL MEDICAL SERVICES. OUR CURRENT GIVING PRIORITIES ARE: AREA OF GREATEST NEED - FUNDS PROVIDE ST. ANTHONY THE FLEXIBILITY TO SUPPORT PROGRAMS AND SERVICES MOST NEEDED. CAMPUS DEVELOPMENT - DONATIONS HELP FUND NEW CONSTRUCTION AND IMPROVEMENTS FOR PATIENT CARE INCLUDING THE NEW SAINTS PAVILION THAT WILL HOUSE AN EMERGENCY DEPARTMENT, ADDITIONAL TRAUMA ROOMS, CRITICAL CARE UNITS AND PATIENT ROOMS TO CARE FOR OUR GROWING NUMBER OF CRITICALLY ILL PATIENTS. CANCER CARE: DONATIONS ENABLE ST. ANTHONY TO CONTINUE ITS LEADERSHIP IN CANCER CARE THROUGH THE FRANK C. LOVE CANCER INSTITUTE. THE TREE OF LIFE FUND PROVIDES COMFORTS, MEDICATIONS AND OTHER ASSISTANCE TO CANCER PATIENTS. EQUIPMENT AND TECHNOLOGY: FUNDS HELP PURCHASE CRITICALLY NEEDED EQUIPMENT AND NEW TECHNOLOGY TO CONTINUE TO PROVIDE THE HIGHEST QUALITY CARE AND ENHANCE CLINICAL OUTCOMES FOR OUR PATIENTS. CARDIAC CARE: DONATIONS WILL ENABLE ST. ANTHONY'S HEART AND VASCULAR INSTITUTE TO CONTINUE ITS LEADERSHIP IN CARDIAC AND VASCULAR CARE, INCLUDING THE ACQUISITION OF ADVANCED TECHNOLOGY AND PATIENT SERVICES. ORTHOPEDICS: CONTRIBUTIONS WILL ENABLE BONE AND JOINT HOSPITAL AT ST. ANTHONY TO CONTINUE ITS LEADERSHIP IN THE DIAGNOSIS AND TREATMENT OF ALL TYPES OF ARTHRITIC, ORTHOPEDIC AND SPINAL BONE CONDITIONS, INCLUDING STATE-OF-THE-ART IMAGING SERVICES AND MINIMALLY INVASIVE KNEE AND HIP REPLACEMENT SURGERY. 2. DESCRIPTION OF COMMUNITY BENEFIT PROGRAMS DONATIONS SUPPORT CAMPUS AND HOSPITAL IMPROVEMENTS, ADD NEW TECHNOLOGY AND EQUIPMENT, SUPPORT PATIENT CARE AREAS, PROVIDE CONTINUING EDUCATION OPPORTUNITIES TO MEDICAL STAFF AND PROVIDE PATIENT ASSISTANCE SUCH AS THE SISTERS FUND THAT PROVIDES PRESCRIPTION MEDICATIONS TO THE NEEDY. RECENT ACCOMPLISHMENTS MADE POSSIBLE WITH DONATIONS TO THE FOUNDATION INCLUDE BUT ARE NOT LIMITED TO: - HELPING PURCHASE SURGICAL EQUIPMENT. - BUYING FURNITURE AND FURNISHINGS FOR OUR BEHAVIORAL MEDICINE CENTER TO PROVIDE A MORE WELCOMING AND HEALING ENVIRONMENT FOR OUR CHILDREN & ADOLESCENT PATIENTS. - PROVIDING EQUIPMENT FOR JOYFUL BEGINNINGS TO CARE FOR MEDICALLY FRAGILE BABIES. - FUNDING A NO-COST MULTIDISCIPLINARY PILOT WEIGHT LOSS CLINIC TO LOWER OBESITY BY PROVIDING EDUCATION AND TRAINING FOR ADULTS ON HOW TO LIVE A HEALTHY LIFESTYLE AND BE AN EXAMPLE FOR THEIR CHILDREN. - TRAINING AND CONTINUING EDUCATION FOR MEDICAL RESIDENTS, PHYSICIANS AND NURSES TO HELP OUR MEDICAL STAFF MEET EXTRAORDINARY MEDICAL CHALLENGES WITH EASE. - EXPANDING, AND IMPROVING HOSPITAL CAMPUS AND FACILITIES TO CREATE PREMIER HEALTH FACILITIES THAT ENHANCE HEALING AND PROMOTE WELL-BEING FOR PATIENTS, STAFF AND VISITORS. - PROVIDING MORE THAN $120,000 IN PRESCRIPTION MEDICATIONS TO NEEDY PATIENTS. - SUPPORTING ORTHOPEDIC RESEARCH THROUGH THE BONE & JOINT HOSPITAL FUND. - ASSISTING OUT-OF-TOWN PATIENT FAMILIES WITH HOUSING WHILE THEIR LOVED ONES WERE IN THE HOSPITAL THROUGH THE GUEST SERVICES FUND, CREATED IN MEMORY OF SISTER CLARA HEITMAN. SUPPORT OF COMMUNITY NONPROFIT ORGANIZATIONS LIMITED FUNDS ARE PROVIDED TO OTHER NONPROFIT COMMUNITY ORGANIZATIONS THROUGH EVENT SPONSORSHIPS. EACH FUNDING REQUEST IS REVIEWED TO DETERMINE BENEFIT TO THE COMMUNITY, CONNECTION TO HOSPITAL GOALS OR LEADERSHIP. CONTRIBUTIONS IN 2012 TO COMMUNITY NONPROFIT ORGANIZATIONS INCLUDED: $500 FOR SPONSORSHIP: TO THE LIBRARY ENDOWMENT TRUST, THE FOUNDATION FOR OKLAHOMA CITY PUBLIC SCHOOLS AND TO THE GIRL SCOUTS. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE CORPORATE MEMBER OF THE FOUNDATION IS SSM HEALTH CARE OF OKLAHOMA. SSM HEALTH CARE OF OKLAHOMA IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH THE FOUNDATION AND SSM HEALTH CARE OF OKLAHOMA ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH CARE, WHICH OPERATES IN FOUR STATES AND OWNS, MANAGES AND IS AFFILIATED WITH 18 HOSPITALS AND 2 NURSING HOMES. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBER HAS THE POWER TO APPOINT SUCCESSOR, ADDITIONAL OR REPLACEMENT MEMBERS, PROVIDED THAT ANY SUCCESSOR, ADDITIONAL OR REPLACEMENT MEMBER SHALL BE A TAX-EXEMPT ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED AND ELECT AND REMOVE DIRECTORS WITH OR WITHOUT CAUSE. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBER RESERVES THE POWER TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS; TO REQUIRE THE PARTICIPATION OF THE FOUNDATION IN SUCH PROGRAMS; AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE FOUNDATION IN CONNECTION WITH SUCH PROGRAMS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | ACCOUNTING/FINANCE PERSONNEL AT EACH SSMHC (SSM HEALTH CARE SYSTEM) ENTITY, IN CONJUNCTION WITH CORPORATE 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 CORPORATE 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 WILL BE PRESENTED TO THE BOARD AT THEIR NEXT REGULARLY SCHEDULED 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 B, LINE 15 | THE PRESIDENT'S SALARY IS DETERMINED BY AN OUTSIDE CONSULTANT WHO USES THIRD PARTY SALARY SURVEY INFORMATION TO DETERMINE SALARY RECOMMENDATIONS. THE REGIONAL PRESIDENT OF SSM HEALTH CARE CORPORATION, THE PARENT ORGANIZATION, MAKES A RECOMMENDATION TO THE SSM HEALTH CARE CORPORATION PRESIDENT WHO GRANTS FINAL APPROVAL OF SALARY. | |
| 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 OKLAHOMA SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 9: | ACTURIAL LOSS ON GIFT ANNUITY LIABILITY -31,811. LOSS ON UNCOLLECTIBLE PLEDGES -52,842. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (38 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SSM HEALTH CARE CORPORATION | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 466029223 | HEALTH CARE | MO | 501(C)(3) | LINE 11A, I | FRANCISCAN SISTERS OF MARY | 0 | |
| SSM EMPLOYEE HEALTH CARE FUND | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 431328934 | BENEFIT PLANS | MO | 501(C)(9) | SSM HEALTH CARE CORPORATION | 0 | ||
| SSMHC LIABILITY TRUST I | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 436331003 | INSURANCE | MO | 501(C)(3) | LINE 11A, I | SSM HEALTH CARE CORPORATION | 0 | |
| SSM CONSOLIDATED HEALTH SERVICES | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 431473657 | HEALTH CARE | MO | 501(C)(3) | LINE 11A, I | SSM HEALTH CARE CORPORATION | 0 | |
| SSM POLICY INSTITUTE | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 431788151 | HEALTH CARE | MO | 501(C)(4) | SSM HEALTH CARE CORPORATION | 0 | ||
| SSM PORTFOLIO MANAGEMENT CO | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 431825256 | MANAGEMENT | MO | 501(C)(3) | LINE 11A, I | SSM HEALTH CARE CORPORATION | 0 | |
| SSM CARDINAL GLENNON CHILDREN'S HOSPITAL | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 430738490 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | SSM HEALTH CARE ST LOUIS | 0 | |
| CARDINAL GLENNON CHILDREN'S FOUNDATION | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 431754347 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | SSM CARDINAL GLENNONCHILDREN'S HOSPITAL | 0 | |
| SSM DEPAUL HEALTH CENTER FOUNDATION | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 431776109 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | SSM HEALTH CARE ST LOUIS | 0 | |
| SSM ST JOSEPH FOUNDATION | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 431591556 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | SSM HEALTH CARE ST LOUIS | 0 | |
| SSM ST CLARE HEALTH CENTER FOUNDATION | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 431273310 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | SSM HEALTH CARE ST LOUIS | 0 | |
| SSM ST MARY'S HEALTH CENTER FOUNDATION | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 431552945 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | SSM HEALTH CARE ST LOUIS | 0 | |
| SSM HEALTH CARE OF OKLAHOMA INC | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 730657693 | HEALTH CARE | OK | 501(C)(3) | LINE 3 | SSM HEALTH CARE CORPORATION | 0 | |
| SSM HEALTH CARE OF WISCONSIN INC | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 430688874 | HEALTH CARE | WI | 501(C)(3) | LINE 3 | SSM HEALTH CARE CORPORATION | 0 | |
| DELLS MEDICAL BUILDING INC | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 391613292 | MOB | WI | 501(C)(2) | SSM HEALTH CARE OF WISCONSIN | 0 | ||
| ST MARY'S FOUNDATION INC | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 431940686 | FUNDRAISING | WI | 501(C)(3) | LINE 7 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| ST CLARE HEALTH CARE FOUNDATION INC | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 431940683 | FUNDRAISING | WI | 501(C)(3) | LINE 7 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| HOME HEALTH UNITED INC | |||||||||||
| 4639 HAMMERSLEY ROAD | MADISON | WI | 53713 | 391539827 | HEALTH CARE | WI | 501(C)(3) | LINE 9 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| HOME CARE UNITED INC | |||||||||||
| 4639 HAMMERSLEY ROAD | MADISON | WI | 53713 | 391776340 | HEALTH CARE | WI | 501(C)(3) | LINE 9 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| HHU XTRA CARE INC | |||||||||||
| 4639 HAMMERSLEY ROAD | MADISON | WI | 53713 | 391705111 | HEALTH CARE | WI | 501(C)(3) | LINE 9 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| SSM REGIONAL HEALTH SERVICES | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 440579850 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | SSM HEALTH CARE CORPORATION | 0 | |
| ST FRANCIS HOSPITAL FOUNDATION | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 431099253 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | SSM REGIONAL HEALTH SERVICES | 0 | |
| ST MARY'S HEALTH CENTER FOUNDATION | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 431575307 | FUNDRAISING | MO | 501(C)(3) | LINE 11B, II | SSM REGIONAL HEALTH SERVICES | 0 | |
| GOOD SAMARITAN REGIONAL HEALTH CENTER | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 430653587 | HEALTH CARE | IL | 501(C)(3) | LINE 3 | SSM REGIONAL HEALTH SERVICES | 0 | |
| ST MARY'S HOSPITAL CENTRALIA ILLINOIS | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 370662580 | HEALTH CARE | IL | 501(C)(3) | LINE 3 | SSM REGIONAL HEALTH SERVICES | 0 | |
| ST MARY'S - GOOD SAMARITAN INC | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 364170833 | HEALTH CARE | IL | 501(C)(3) | LINE 11A, I | SSM REGIONAL HEALTH SERVICES | 0 | |
| GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 262884795 | FUNDRAISING | IL | 501(C)(3) | LINE 7 | ST MARY'S-GOOD SAMARITAN INC | 0 | |
| ST MARY'S HOSPITAL FOUNDATION | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 364636691 | FUNDRAISING | IL | 501(C)(3) | LINE 7 | ST MARY'S-GOOD SAMARITAN INC | 0 | |
| SSM HEALTH BUSINESSES | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 431333488 | HEALTH CARE | MO | 501(C)(3) | LINE 9 | SSM HEALTH CARE CORPORATION | 0 | |
| SSM HEALTH CARE ST LOUIS | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 431343281 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | SSM HEALTH CARE CORPORATION | 0 | |
| CENTRALIA MEDICAL SERVICES BLDG ASSOC | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 237408025 | MOB | IL | 501(C)(3) | LINE 11A, I | SSM REGIONAL HEALTH SERVICES | 0 | |
| ST MARY'S JANESVILLE FOUNDATION INC | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 273439133 | FUNDRAISING | WI | 501(C)(3) | LINE 7 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| FRANCISCAN SISTERS OF MARY | |||||||||||
| 3221 MCKELVEY ROAD SUITE 107 | BRIDGETON | MO | 63044 | 431012492 | RELIGIOUS ORGANIZATION | MO | 501(C)(3) | LINE 1 | 0 | N/A | |
| LEE DEWEY CORPORATION | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 731279603 | MOB | OK | 501(C)(3) | LINE 11A, I | SSM HEALTH CARE OF OKLAHOMA | 0 | |
| SSM HOSPICE & HOME CARE FOUNDATION | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 300012246 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | SSM HEALTH BUSINESSES | 0 | |
| ST MARY'S HOSPITAL AUXILIARY | |||||||||||
| 100 ST MARYS MEDICAL PLAZA | JEFFERSON CITY | MO | 65101 | 436049878 | FUNDRAISING | MO | 501(C)(3) | LINE 11B, II | 0 | N/A | |
| GOOD SAMARITAN HOSPITAL AUXILIARY | |||||||||||
| 605 NORTH 12TH STREET | MT VERNON | IL | 62864 | 237049599 | FUNDRAISING | IL | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | |
| ST ANTHONY SHAWNEE HOSPITAL INC | |||||||||||
| 1000 N LEE AVE | OKLAHOMA CITY | OK | 73102 | 455055149 | HEALTH CARE | OK | 501(C)(3) | LINE 3 | SSM HEALTH CARE OF OKLAHOMA | 0 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (11 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| SSM SJ ENDOSCOPY | |||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 270046559 | SURGERY SERVICES | MO | N/A |
| ST CLARE IMAGING SERVICES | |||||||
| 707 14TH STREET SUITE A | BARABOO | WI | 53913 | 200122365 | DIAG. SERVICES | WI | N/A |
| MT VERNON RADIATION THERAPY CENTER | |||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 201382620 | RADIATION THERAPY | IL | N/A |
| SLEEPNEURO SO IL | |||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 208468195 | DIAG. SERVICES | IL | N/A |
| SMHC SURG CO-MGMT | |||||||
| 100 ST MARYS MEDICAL PLAZA | JEFFERSON CITY | MO | 65101 | 208929305 | MANAGEMENT | MO | N/A |
| SMHC CARD CO-MGMT | |||||||
| 100 ST MARYS MEDICAL PLAZA | JEFFERSON CITY | MO | 65101 | 208929381 | MANAGEMENT | MO | N/A |
| SMHC MUSC CO-MGMT | |||||||
| 100 ST MARYS MEDICAL PLAZA | JEFFERSON CITY | MO | 65101 | 208929237 | MANAGEMENT | MO | N/A |
| CHOWSMGSI | |||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 371383861 | MOB | IL | N/A |
| COMP CANCER CARE | |||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 201382727 | MOB | IL | N/A |
| SHAWNEE REAL ESTATE HOLDINGS LLC | |||||||
| 1000 N LEE AVE | OKLAHOMA CITY | OK | 73102 | 455458304 | MOB | OK | N/A |
| SSM RX EXPRESS | |||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 264031708 | PHARMACY | MO | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (15 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| SSM MANAGED CARE ORGANIZATION LLC | |||||||||
| 477 N LINBERGH BLVD | ST LOUIS | MO | 63141 | 431708511 | HEALTH PROMOTION | MO | N/A | C | 0 |
| FPP INC | |||||||||
| 477 N LINBERGH BLVD | ST LOUIS | MO | 63141 | 431465174 | HEALTH CARE | MO | N/A | C | 0 |
| DIVERSIFIED HEALTH SERVICES CORP | |||||||||
| 477 N LINBERGH BLVD | ST LOUIS | MO | 63141 | 431369305 | MEDICAL EQUIPMENT | MO | N/A | C | 0 |
| SSM CARDIO AND THORACIC SERVICES INC | |||||||||
| 477 N LINBERGH BLVD | ST LOUIS | MO | 63141 | 260286559 | HEALTH CARE | MO | N/A | C | 0 |
| SSM PROPERTIES INC | |||||||||
| 477 N LINBERGH BLVD | ST LOUIS | MO | 63141 | 431462486 | PROPERTY SERVICES | MO | N/A | C | 0 |
| SSM DEPAUL MEDICAL GROUP INC | |||||||||
| 477 N LINBERGH BLVD | ST LOUIS | MO | 63141 | 431715106 | HEALTH CARE | MO | N/A | C | 0 |
| SSM ST CHARLES CLINIC MED GROUP INC | |||||||||
| 477 N LINBERGH BLVD | ST LOUIS | MO | 63141 | 430626408 | PHYSICIAN OFFICES | MO | N/A | C | 0 |
| HEALTH FIRST PHYS MANAGEMENT | |||||||||
| 477 N LINBERGH BLVD | ST LOUIS | MO | 63141 | 731534336 | MEDICAL SERVICES | OK | N/A | C | 0 |
| SSMHCS LIABILITY TRUST II | |||||||||
| 477 N LINBERGH BLVD | ST LOUIS | MO | 63141 | 816128118 | INSURANCE | MO | N/A | C | 0 |
| SSM NEUROSCIENCES INC | |||||||||
| 477 N LINBERGH BLVD | ST LOUIS | MO | 63141 | 263413981 | HEALTH CARE | MO | N/A | C | 0 |
| SSM MEDICAL GROUP INC | |||||||||
| 477 N LINBERGH BLVD | ST LOUIS | MO | 63141 | 431664107 | PHYSICIAN OFFICES | MO | N/A | C | 0 |
| SSMHC INSURANCE COMPANY | |||||||||
| 477 N LINBERGH BLVD | ST LOUIS | MO | 63141 | 030310431 | INSURANCE | CA | N/A | C | 0 |
| SSM ORTHOPEDIC INC | |||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 271557033 | HEALTH CARE | MO | N/A | C | 0 |
| SSM CANCER CARE | |||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 271557324 | HEATH CARE | MO | N/A | C | 0 |
| PHYSICIANS SERVICES CORP OF SOUTHERN ILLINOIS | |||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 364161526 | HEATH CARE | IL | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Comments