Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 3,321,856 | 2,599,811 | 6,555,173 | 2,491,516 | 7,714,409 | 22,682,765 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 3,321,856 | 2,599,811 | 6,555,173 | 2,491,516 | 7,714,409 | 22,682,765 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 22,682,765 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 3,321,856 | 2,599,811 | 6,555,173 | 2,491,516 | 7,714,409 | 22,682,765 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 503,296 | 540,712 | 581,232 | 1,579,741 | 815,547 | 4,020,528 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 45,370 | 83,197 | 78,879 | -6,419 | 201,027 | |
| 11 | Total support. Add lines 7 through 10 | 26,904,320 | |||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2024 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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6
Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2025. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| FORM 990, PART III, LINE 4A - PROGRAM SERVICE ACCOMPLISHMENTS | SSM HEALTH ST. ANTHONY HOSPITAL FOUNDATION PROVIDES PHILANTHROPIC DOLLARS TO SUPPORT THE HEALING MISSION OF SSM HEALTH OKLAHOMA IN PROVIDING EXCEPTIONAL, COMPASSIONATE HEALTH CARE TO THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THE POOR AND VULNERABLE. SSM HEALTH OKLAHOMA IS COMPRISED OF FIVE HOSPITALS - SSM HEALTH ST. ANTHONY HOSPITAL, SSM HEALTH BONE & JOINT HOSPITAL AT ST. ANTHONY, SSM HEALTH ST. ANTHONY HOSPITAL - SHAWNEE, SSM HEALTH ST. ANTHONY HOSPITAL SHAWNEE, SEMINOLE CAMPUS, SSM HEALTH ST. ANTHONY HOSPITAL - MIDWEST, FIVE HEALTHPLEXES, AND NUMEROUS AMBULATORY CAMPUSES AND MEDICAL CLINICS. THROUGH OUR AFFILIATE HEALTH OKLAHOMA NETWORK OF 16 RURAL HOSPITALS AND SIX MANAGED HOSPITALS, WE ARE STRENGTHENING HEALTH CARE THROUGHOUT OKLAHOMA BY PROVIDING MANAGEMENT EXPERTISE, TELEMEDICINE, SPECIALTY PHYSICIANS, TECHNOLOGY ASSISTANCE AND CARING FOR CRITICALLY ILL PATIENTS TRANSFERRED EACH MONTH TO RECEIVE CARE THEIR HOME HOSPITAL CANNOT PROVIDE. SUMMARIZE THE FOUNDATION'S APPROACH TO PROVIDING COMMUNITY BENEFIT. OUR TOP PRIORITY IS THE HEALTH, COMFORT AND SATISFACTION OF OUR PATIENTS. EXCEPTIONALLY SKILLED TEAMS OF PHYSICIANS, NURSES AND TECHNICIANS PROVIDE STATE-OF-THE-ART MEDICINE IN AN ENVIRONMENT THAT FOSTERS HOPE AND HEALING. PHILANTHROPIC 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 OUR PATIENTS RECEIVE EXCEPTIONAL, COMPASSIONATE HEALTH CARE. OUR GIVING PRIORITIES ARE ALIGNED WITH THE STRATEGIC GOALS OF SSM HEALTH OKLAHOMA, ENSURING THAT MONIES DONATED TO ST. ANTHONY FOUNDATION ARE USED TO SUPPORT CRITICAL MEDICAL SERVICES. OUR CURRENT GIVING PRIORITIES ARE: COMPREHENSIVE DIGESTIVE CARE CENTER AND CROHN'S & COLITIS CENTER OF EXCELLENCE: DONATIONS ENABLE ST. ANTHONY TO CONTINUE ITS LEADERSHIP IN DIGESTIVE CARE, INCLUDING NATIONALLY REGARDED CROHN'S AND COLITIS RESEARCH AND TREATMENTS LED BY DR. TAUSEEF ALI. BEHAVIORAL MEDICINE: AS THE LARGEST PROVIDER OF MENTAL HEALTH IN THE STATE OF OKLAHOMA, WE HELP PATIENTS FROM AS YOUNG AS FOUR TO ELDERLY CITIZENS. DESCRIPTION OF COMMUNITY BENEFIT PROGRAMS DONATIONS SUPPORT HOSPITAL AND FACILITY IMPROVEMENTS, ADD NEW TECHNOLOGY AND EQUIPMENT, SUPPORT PATIENT CARE AREAS, PROVIDE CONTINUING EDUCATION OPPORTUNITIES TO MEDICAL STAFF AND PROVIDE PATIENT ASSISTANCE THROUGH OUR CARE AND COMPASSION FUNDS AND 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: ST. ANTHONY WAS THE FIRST HOSPITAL IN THE NATION TO PURCHASE THE NEW SIEMENS BIOGRAPH TRINION PET/CT AND THE FIRST HOSPITAL IN OKLAHOMA TO HAVE THIS SYSTEM UP AND RUNNING FOR IMPROVED PATIENT CARE, INCLUDING PATIENT SCAN TIMES THAT ARE TWICE AS FAST, ALLOWING FOR AN EARLIER PATIENT DIAGNOSIS. SCANS ARE HIGHLY SENSITIVE, PRODUCING ADVANCED IMAGES, AND ENHANCING OUR ABILITY TO ACCURATELY FIND AND STAGE CANCERS. CONSTRUCTION BEGAN ON THE NEW LOVE FAMILY ENTRANCE AND LOBBY FOR ST. ANTHONY HOSPITAL TO ALLEVIATE ACCESS ISSUES, PROVIDE INCREASED SAFETY, AND PROMOTE A HEALING ATMOSPHERE FOR PATIENTS. BEGIN MULTI-YEAR RENOVATION OF ST. ANTHONY PATIENT FLOORS TO ENHANCE PATIENT EXPERIENCE. RELOCATING AND DOUBLING THE SIZE OF ST. ANTHONY HOSPITAL'S FAMILY MEDICINE CENTER AND RESIDENCY PROGRAM. ADDING NEW PLAYGROUND EQUIPMENT AND RENOVATING THE GYMNASIUM FLOOR TO PROVIDE EXERCISE AND PLAY AREAS FOR CHILDREN AND ADOLESCENT PATIENTS IN OUR BEHAVIORAL MEDICINE CENTER. SUPPORTING OUR SAINTS TEAM MEMBERS WHEN THEY FACE PERSONAL DISASTERS AND CHALLENGES. ADDING NEW EQUIPMENT AND TECHNOLOGY TO DELIVER THE BEST CARE TO OUR PATIENTS. HELPING OUR MOST VULNERABLE PATIENTS BY PROVIDING PRESCRIPTION MEDICATIONS, AS WELL AS CLOTHING ITEMS, SHOES AND OTHER NEEDS TO HELP KEEP THEM WELL AFTER DISCHARGE. HELPING CHILDREN AND ADULT PATIENTS FACING THE CHALLENGES OF MENTAL ILLNESS. AS MANY OF OUR CHILDREN AND ADOLESCENT PATIENTS COME TO US WITH LITTLE BUT THE CLOTHING ON THEIR BACKS, DONATIONS BUY SHOES, CLOTHING, PROVIDE DENTAL AND VISION CARE, AND ADD SPECIAL TRAINING AND EDUCATIONAL SESSIONS FOR BOTH PATIENTS AND THEIR FAMILY MEMBERS. 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 AND CONNECTION TO SSM HEALTH OKLAHOMA GOALS. |
| FORM 990, PART V, LINE 13A | OK |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE OF OKLAHOMA. SSM HEALTH CARE OKLAHOMA IS A NONPROFIT 501 (C)(3) ORGANIZATION. BOTH THE ST. ANTHONY HOSPITAL FOUNDATION AND SSM HEALTH CARE OF OKLAHOMA ARE PART OF THE INTEGRATED HEAL TH CARE SYSTEM KNOWN AS SSM HEALTH. |
| 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 A, LINE 8B | THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION (SSM). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SSM PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE CHAIR OF THE BOARD OVERSEES 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 STATEMENTS FOR THE SSM HEAL TH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEAL TH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE OKLAHOMA SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | UNCOLLECTIBLE PLEDGES -20,600. INTERCOMPANY TRANSFERS -48,800. |
| Software ID: | |
| Software Version: |