TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) IFTIKHAR AHMAD MD...................................................................... DIRECTOR	1.00 ................. 2.00	X		0	0	0
(2) PAIGE BASS...................................................................... DIRECTOR, CHAIR	1.00 ................. 2.00	X	X	0	0	0
(3) LINDA CAPS...................................................................... DIRECTOR	1.00 ................. 2.00	X		0	0	0
(4) TINA HANNA...................................................................... DIRECTOR	1.00 ................. 2.00	X		0	0	0
(5) JAMES KIRK MD...................................................................... DIRECTOR	1.00 ................. 2.00	X		0	0	0
(6) DUKE LIGON...................................................................... DIRECTOR	1.00 ................. 2.00	X		0	0	0
(7) KEVIN PERRY...................................................................... DIRECTOR	1.00 ................. 2.00	X		0	0	0
(8) TERESA ROSE...................................................................... DIRECTOR	1.00 ................. 2.00	X		0	0	0
(9) BROOKS RICHARDSON...................................................................... DIRECTOR	1.00 ................. 2.00	X		0	0	0
(10) JOE HODGES...................................................................... DIRECTOR, VICE CHAIR, REG PRES-SSM HEALTH OKLAHOMA	40.00 ................. 3.00	X	X	1,297,142	0	620,216
(11) DOUGLAS LONG...................................................................... SECRETARY, CLO AT SSM HEALTH	1.00 ................. 50.00		X	0	1,587,150	700,771
(12) STEVEN SMOOT...................................................................... VICE PRESIDENT, COO AT SSM HEALTH	1.00 ................. 50.00		X	0	2,364,935	1,119,698
(13) SHASTA MANUEL...................................................................... SYSTEM VICE PRESIDENT-FINANCE	30.00 ................. 10.00		X	0	543,469	196,238
(14) KEVIN SMITH...................................................................... TREASURER, CFO AT SSM HEALTH	1.00 ................. 50.00		X	0	1,050,477	627,081
(15) STACY COLEMAN...................................................................... PRESIDENT - ST. ANTHONY MIDWEST	40.00 ................. 0.00		X	562,798	0	204,296
(16) TAMARA POWELL...................................................................... PRESIDENT - ST. ANTHONY OKC	40.00 ................. 0.00		X	844,563	0	299,252
(17) RYAN OSS...................................................................... SYSTEM VP - MEDICAL GROUP OPERATIONS	40.00 ................. 0.00		X	357,456	0	138,549

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) MANDY HAYES-CHANDLER........................................................................ REGIONAL GENERAL COUNSEL	30.00 .......................10.00	X				0	472,174	150,154
(19) PAUL WRIGHT........................................................................ VP-MEDICAL PRACTICE, ST. ANTHONY PHYSICIAN GROUP	40.00 .......................0.00		X			395,873	0	99,664
(20) ELAIN RICHARDSON........................................................................ REGIONAL VP-PATIENT CARE SVCS	40.00 .......................0.00		X			520,367	0	45,481
(21) KERSEY WINFREE........................................................................ REGIONAL CHIEF MEDICAL OFFICER	40.00 .......................0.00		X			648,937	0	162,700
(22) DARIN SMITH........................................................................ VP-OPERATIONS, HOSPITAL	40.00 .......................0.00		X			295,499	0	91,061
(23) MICHAEL HAHN II........................................................................ PHYSICIAN	40.00 .......................0.00			X		2,549,885	0	76,671
(24) CODY GRIFFIN........................................................................ PHYSICIAN	40.00 .......................0.00			X		1,607,977	0	63,451
(25) BRENT HISEY........................................................................ PHYSICIAN	40.00 .......................0.00			X		1,418,656	0	62,575
(26) FARHAN TARIQ........................................................................ PHYSICIAN	40.00 .......................0.00			X		1,554,214	0	64,822
(27) BERNARDINO ROCHA........................................................................ PHYSICIAN	40.00 .......................0.00			X		1,464,600	0	68,951
(28) RANDALL COMBS........................................................................ FORMER OFFICER	1.00 .......................50.00				X	0	1,454,021	29,506
(29) KYLE NONDORF........................................................................ FORMER KEY EMPLOYEE	0.00 .......................40.00				X	0	757,276	232,342

(A) Name and business address	(B) Description of services	(C) Compensation
TRIMEDX HOLDINGS LLC 5451 LAKEVIEW PARKWAY S DR INDIANAPOLIS,IN46268	CLINICAL ENGINEERING SERVICES	3,540,199
OKLAHOMA SPORTS & ORTHOPEDICS 1110 N LEE AVENUE SUITE 200 OKLAHOMA CITY,OK73103	MEDICAL SERVICES	2,821,891
ANESTHESIA SCHEDULING SERVICES PC 1821 NORTH CLASSEN STE 100 OKLAHOMA CITY,OK73106	IT SERVICES	2,800,914
NABHOLZ CONSTRUCTION CORPORATION 612 GARLAND ST CONWAY,AR72032	CONSTRUCTION SERVICES	1,607,448
OKLAHOMA RADIOLOGY GROUP PC 5400 N GRAND BLVD STE 260 OKLAHOMA CITY,OK73112	MEDICAL SERVICES	1,180,507
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 45

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

SSM HEALTH CARE OF OKLAHOMA INC

Employer identification number

73-0657693

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

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.") ..
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
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.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
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.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

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.)

Section B. Total Support

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.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
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)
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):
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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

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.
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)
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.
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.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
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.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

Name of the organization

SSM HEALTH CARE OF OKLAHOMA INC

Employer identification number

73-0657693

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization SSM HEALTH CARE OF OKLAHOMA INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization SSM HEALTH CARE OF OKLAHOMA INC		Employer identification number 73-0657693

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization SSM HEALTH CARE OF OKLAHOMA INC			Employer identification number 73-0657693
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

SSM HEALTH CARE OF OKLAHOMA INC

Employer identification number

73-0657693

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2024

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2021	(b) 2022	(c) 2023	(d) 2024	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2024

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

65,158

Total. Add lines 1c through 1i ....................................................................................................

65,158

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	THE ORGANIZATION PAID DUES TO VARIOUS NATIONAL, STATE AND LOCAL HOSPITAL ASSOCIATIONS AND A PORTION OF THESE DUES WERE ALLOCATED TO LOBBYING ACTIVITIES.

Schedule C (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

SSM HEALTH CARE OF OKLAHOMA INC

Employer identification number

73-0657693

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	149,212	6,827,280	8,358,781	7,602,602	6,920,655
b	Contributions ...
c	Net investment earnings, gains, and losses	19,241	726,483	-1,192,638	1,077,481	1,001,726
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...		7,404,551	388,863	271,598	270,197
f	Administrative expenses ....				49,704	49,582
g	End of year balance ......	168,453	149,212	6,777,280	8,358,781	7,602,602

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

100.000 %

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	10,146,675		10,146,675
b	Buildings ....	331,627,039	218,314,118	113,312,921
c	Leasehold improvements	26,921,755	9,778,078	17,143,677
d	Equipment ....	222,320,149	152,085,585	70,234,564
e	Other .....	32,896,061	226,355	32,669,706
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				243,507,543

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
ASSET RETIREMENT OBLIGATION	189,705
DUE TO AFFILIATES	420,352,955
RETIREMENT LIABILITIES	40,643,246
THIRD PARTY PATIENT LOANS	18,169,340
OTHER LIABILITIES	2,699




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	479,357,945
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART V, LINE 4:

THE PERMANENT ENDOWMENT FUNDS ARE HELD FOR THE PURPOSE OF PROVIDING NURSING SCHOLARSHIPS TO NURSING STUDENTS.

PART X, LINE 2:

SSM HEALTH CARE OF OKLAHOMA, INC.'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF A RELATED ORGANIZATION, SSM HEALTH (SSMH). SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2023 OR 2024.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

SSM HEALTH CARE OF OKLAHOMA INC

Employer identification number

73-0657693

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	13,169,001		13,169,001	1.230 %
b	Medicaid (from Worksheet 3, column a) . . . . .	198,781,780	205,776,473	0	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	28,226,634	26,114,600	2,112,034	0.200 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	240,177,415	231,891,073	15,281,035	1.430 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,019,346		1,019,346	0.090 %
f	Health professions education (from Worksheet 5) . . .	13,381,390	2,386,733	10,994,657	1.020 %
g	Subsidized health services (from Worksheet 6) . . . .	337,029		337,029	0.030 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	770,047	40,000	730,047	0.070 %
j	Total. Other Benefits . .	15,507,812	2,426,733	13,081,079	1.210 %
k	Total. Add lines 7d and 7j .	255,685,227	234,317,806	28,362,114	2.640 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

84,584,552

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

188,523,176

Enter Medicare allowable costs of care relating to payments on line 5.....

291,209,393

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-102,686,217

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 1110 CLASSEN BOULEVARD LLC	MEDICAL OFFICE BUILDING	71.680 %	28.320 %
22 SHAWNEE REAL ESTATE HOLDINGS LLC	MEDICAL OFFICE BUILDING	50.000 %	50.000 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Facility reporting group
1	SSM HEALTH ST ANTHONY HOSPITAL-OKLAHOMA CITY 1000 N LEE OKLAHOMA CITY,OK73103 WWW.SSMHEALTH.COM/LOCATIONS/OKLAHOMA/S 2304	X	X	X	A
2	SSM HEALTH ST ANTHONY HOSPITAL-MIDWEST 2825 PARKLAWN DRIVE MIDWEST CITY,OK73110 WWW.SSMHEALTH.COM/LOCATIONS/OKLAHOMA/S	X	X		A

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 24

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA

The FAP application form was widely available on a website (list url):

WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA

A plain language summary of the FAP was widely available on a website (list url):
WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: SSM HEALTH ST. ANTHONY HOSPITAL-OKLAHOMA CITY, - FACILITY 2: SSM HEALTH ST. ANTHONY HOSPITAL-MIDWEST
GROUP A-FACILITY 2 -- SSM HEALTH ST. ANTHONY HOSPITAL - MIDWES PART V, SECTION B, LINE 3J:	THE HOSPITAL FACILITIES ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAVE PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA.
GROUP A-FACILITY 2 -- SSM HEALTH ST. ANTHONY HOSPITAL - MIDWES PART V, SECTION B, LINE 5:	THE TEAM PARTICIPATED IN MEETINGS SCHEDULED BY VARIOUS COMMUNITY PARTNERS AND HEALTH-RELATED ORGANIZATIONS. ADDITIONALLY, TEAM MEMBERS PARTICIPATED IN LARGE COMMUNITY EVENTS TO ENGAGE RESIDENTS AND ELEVATE THE VISIBILITY OF EXISTING INITIATIVES. THIS APPROACH ALLOWED THE TEAM TO GATHER INSIGHT FROM A WIDE RANGE OF VOICES, ENSURING THAT THE DATA REFLECTED CONCERNS ACROSS DIFFERENT DEMOGRAPHICS AND SECTORS. ATTENDEES PROVIDED INSIDER PERSPECTIVES FROM THEIR RESPECTIVE ORGANIZATIONS AND WERE ASKED TO CONFIRM PRIORITY AREAS AND IDENTIFY CURRENT PROJECTS RELATED TO HOUSING, FOOD AND NUTRITION, HEALTHCARE ACCESS, EDUCATION, AND EMPLOYMENT. A SNOWBALL SAMPLING METHOD WAS EMPLOYED TO EXPAND PARTICIPATION THROUGH EXISTING COMMUNITY COALITIONS, TAPPING INTO ORGANIZATIONS THAT WORK TO ADDRESS HEALTH INEQUITIES. THE TEAM SPOKE WITH MEMBERS FROM ORGANIZATIONS THAT DIRECTLY COMBAT HEALTH INEQUITIES DAILY. AS THE MEETINGS CONTINUED, THE TEAM CONTACTED ADDITIONAL ORGANIZATIONS MENTIONED DURING THE INITIAL MEETING, FURTHER BROADENING OUR SAMPLE. BY FOCUSING ON "GRASS TOPS" LEADERS, SPECIFICALLY THOSE IN DECISION-MAKING ROLES WITHIN THEIR ORGANIZATIONS, DATA ON THE NEEDS OF THE POPULATION THEY SERVE WAS GATHERED. THE GOAL OF THIS WORK WAS TO CONFIRM PRIORITY AREAS, UNVEIL ACTIONABLE NEEDS, AND EVALUATE IDEAS FOR ADDRESSING THESE NEEDS FROM GROUPS THAT ARE FAMILIAR WITH THE NUANCES OF THEIR RESPECTIVE FIELDS. THE DATA COLLECTION METHODS INCLUDED BOTH PAPER COPY WITH WRITTEN RESPONSES AND AN OPTIONAL ONLINE SURVEY WITH OPEN-ENDED QUESTIONS. A COPY OF THE ONLINE SURVEY IS AVAILABLE AS AN ADDENDUM TO THIS DOCUMENT. THE DISCUSSION REVEALED BARRIERS TO ACCESS, INDIVIDUAL CONCERNS, AND IMPROVEMENT IDEAS. EACH SESSION WAS FACILITATED BY A COHIT MEMBER USING A STANDARDIZED FACILITATOR GUIDE DESIGNED TO EXPLORE FIRSTHAND EXPERIENCES OF PARTICIPANTS AND OPPORTUNITIES FOR IMPROVEMENT IN COMMUNITY HEALTH.
GROUP A-FACILITY 2 -- SSM HEALTH ST. ANTHONY HOSPITAL - MIDWES PART V, SECTION B, LINE 6A:	THE 2024 CHNA WAS COMPLETED COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER HOSPITALS:* INTEGRIS HEALTH* OU HEALTH* MERCY
GROUP A-FACILITY 2 -- SSM HEALTH ST. ANTHONY HOSPITAL - MIDWES PART V, SECTION B, LINE 6B:	THE 2024 CHNA WAS COMPLETED COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER COMMUNITY PARTNERS:* OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT * OKLAHOMA UNIVERSITY HUDSON COLLEGE OF PUBLIC HEALTH
GROUP A-FACILITY 2 -- SSM HEALTH ST. ANTHONY HOSPITAL - MIDWES PART V, SECTION B, LINE 11:	THE HOSPITAL IDENTIFIED VARIOUS HEALTH NEEDS IN THE 2024 CHNA. IN ORDER TO MAKE A MEANINGFUL IMPACT, & TO USE ITS FINANCES MOST EFFECTIVELY & EFFICIENCY, THE HOSPITAL WILL PLACE PRIMARY FOCUS ON THE FOLLOWING KEY PRIORITIES:* ACCESS TO HEALTHY FOOD* ACCESS TO HEALTHCARE* HOUSING* EDUCATION & EMPLOYMENT (SECONDARY PRIORITY) ACCESS TO HEALTHY FOODPROGRESS MADE SINCE 2021INPATIENT FOOD PHARMACY ST. ANTHONY MIDWEST, IN PARTNERSHIP WITH THE REGIONAL FOOD BANK OF OKLAHOMA, ESTABLISHED TWO FOOD PHARMACY LOCATIONS WHERE CLINICAL STAFF PROVIDE BOXES OF NONPERISHABLE FOOD TO THOSE IN NEED. THROUGH THE END OF 2024, THE PROGRAM HAS SERVED OVER 150 PATIENTS. HEALTHY & TASTY IN 2023, ST. ANTHONY MIDWEST HOSTED TWO COMMUNITY NUTRITION & COOKING CLASSES FOR RESIDENTS OF EASTERN OKLAHOMA COUNTY. THESE CLASSES ENHANCED PARTICIPANTS' KNOWLEDGE OF MAINTAINING A HEALTHY DIET. MEALS ON WHEELS PROGRAM IN AUGUST 2022, ST. ANTHONY MIDWEST PARTNERED WITH MEALS ON WHEELS OKLAHOMA CITY TO LAUNCH A ROUTE IN NORTH DEL CITY. SERVING 15 CLIENTS, THE HOSPITAL HAS INVESTED OVER $20,000 TO SUPPORT THIS PROGRAM, INCLUDING THE EXPENSE OF THE MEALS, STAFF TIME TO DELIVER THE MEALS, & OTHER DIRECT EXPENSES.COMMUNITY HEALTH IMPROVEMENT GRANTS IN ADDITION TO THE OTHER GRANTS MENTIONED IN THIS REPORT, THE HOSPITAL ALSO AWARDED OVER $30,000 IN COMMUNITY HEALTH IMPROVEMENT GRANTS TO COMMUNITY ORGANIZATIONS ADDRESSING FOOD INSECURITY IN THE COMMUNITY.GOALS & OBJECTIVES * CONTINUE THE FOOD PHARMACY PROGRAM TO SUPPORT HOSPITAL INPATIENTS, AS WELL AS PATIENTS IN CANCER & WOUND CARE. ADDITIONALLY, ESTABLISH A FOOD PHARMACY PROGRAM AT OUR OB CLINIC WITHIN OUR MEDICAL GROUP IN MIDWEST CITY. * CONTINUE TO SPONSOR THE BACKPACKS FOR KIDS PROGRAM AT MIDWEST CITY ELEMENTARY. REGIONAL FOOD BANK OF OKLAHOMA'S BACKPACKS FOR KIDS PROGRAM PROVIDES CHILDREN WITH FOOD ACCESS ISSUES FOOD FOR THE WEEKENDS WHEN THE SCHOOLS CANNOT FEED THEM. * CONTINUE TO SUPPORT A MEALS ON WHEELS ROUTE IN DEL CITY BY PROVIDING FOOD PREP & VOLUNTEERS. THE HOSPITAL WILL TRACK MONTHLY NUMBER OF MEALS DELIVERED, STAFF TIME, & MISC. EXPENSES. * PARTNERING WITH THE LYNN INSTITUTE TO OFFER HANDS-ON COOKING CLASSES IN EASTERN OKLAHOMA COUNTY. THESE CLASSES EMPOWER INDIVIDUALS TO MAKE HEALTHIER FOOD CHOICES BY TEACHING AFFORDABLE, NUTRITIOUS COOKING TECHNIQUES THAT SUPPORT OVERALL WELL-BEING.* IN COLLABORATION WITH FRESH RX IN TULSA, WE ARE LAUNCHING A "FOOD IS MEDICINE" PROGRAM IN OKLAHOMA COUNTY TO SUPPORT INDIVIDUALS WITH CHRONIC HEALTH CONDITIONS THROUGH NUTRITION-BASED INTERVENTIONS. ACCESS TO HEALTHCAREPROGRESS MADE SINCE 2021ACCESS TO SPECIALTY SERVICES FOR THE UNINSURED SSM HEALTH ST. ANTHONY WAS A FOUNDING MEMBER OF HEALTH ALLIANCE. AFTER JOINING SSM HEALTH IN 2021, ST. ANTHONY MIDWEST BEGAN SUPPORTING HAU BY COMMITTING $90,000 TO SUPPORT THE OPERATIONS OF THE CARE CONNECTION PROGRAM & ITS OTHER SERVICES. THE HOSPITAL IS ALSO FINALIZING PLANS TO BEGIN OFFERING ADDITIONAL IN-KIND SPECIALTY SERVICES. HEALTH COACHES FOR HYPERTENSION CONTROL IN 2022, SSM HEALTH ST. ANTHONY LAUNCHED HEALTH COACHES FOR HYPERTENSION CONTROL. THIS EIGHT-WEEK PROGRAM, DEVELOPED AT CLEMSON UNIVERSITY, EMPOWERS PARTICIPANTS TO BETTER MANAGE HYPERTENSION. PARTICIPANTS ATTEND GROUP EDUCATION SESSIONS, RECEIVE SUPPORT FROM A TRAINED HEALTH COACH, & ARE GIVEN A FREE ELECTRONIC BLOOD PRESSURE MONITOR. THE PROGRAM IS FUNDED BY SSM HEALTH ST. ANTHONY; THERE IS NO COST FOR COMMUNITY MEMBERS TO PARTICIPATE. CARE NAVIGATION SSM HEALTH HAS INVESTED IN BETTER SYSTEMS TO SCREEN PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH (SDOH) NEEDS & ADOPTED A PLATFORM CALLED UNITE US TO ELECTRONICALLY REFER PATIENTS WITH NEEDS TO COMMUNITY-BASED ORGANIZATIONS. ST. ANTHONY MIDWEST BEGAN ELECTRONIC SDOH SCREENINGS & REFERRALS IN 2024. DATA FROM THIS INITIATIVE IS CURRENTLY BEING EVALUATED TO MEASURE IMPACT & INFORM FUTURE EFFORTS.TOBACCO CESSATION RESOURCES ST. ANTHONY MIDWEST PARTNERED WITH THE OKLAHOMA HOSPITAL ASSOCIATION TO EXPAND ACCESS TO TOBACCO CESSATION RESOURCES FOR PATIENTS IN ACUTE CARE. CURRENTLY, OUR TEAM IS FOCUSED ON: INTEGRATING TOBACCO CESSATION PROTOCOLS INTO ROUTINE CARE WORKFLOWS; DEVELOPING & DISTRIBUTING "TIP SHEETS" & STEP-BY-STEP GUIDES FOR RESPIRATORY CARE STAFF; & PROVIDING ONGOING TRAINING TO RESPIRATORY CARE EPIC "SUPER USERS" TO ENSURE EFFECTIVE PATIENT COUNSELING & REFERRAL PLACEMENT TO THE OKLAHOMA QUITLINE COMMUNITY HEALTH IMPROVEMENT GRANTS IN ADDITION TO THE OTHER GRANTS MENTIONED IN THIS REPORT, THE HOSPITAL ALSO AWARDED THE FOLLOWING GRANTS TO SUPPORT ACCESS TO CARE IN THE COMMUNITY: OKLAHOMA PROJECT WOMAN ($9,750 TO EXPAND ACCESS TO BREAST HEALTH & CANCER SCREENINGS) & MIDWEST CITY YMCA ($34,500 TO SUPPORT FINANCIAL ASSISTANCE & THE LIVESTRONG PROGRAM, IMPROVING ACCESS TO PHYSICAL ACTIVITY & WELLNESS)GOALS & OBJECTIVES * CONTINUE HEALTH COACHES FOR HYPERTENSION CLASSES IN EASTERN OKLAHOMA COUNTY. THIS IS AN EIGHT-WEEK COURSE DESIGNED TO IMPROVE HYPERTENSION SELF-MANAGEMENT THROUGH GROUP EDUCATIONAL SESSIONS & SUPPORT OFFERED BY A TRAINED HEALTH COACH. CONDUCT ONE COHORT PER QUARTER & REPORT QUARTERLY PROGRAM OUTCOMES.* PARTNER WITH OKLAHOMA PROJECT WOMAN TO ENHANCE BREAST CANCER SCREENING EFFORTS BY PROVIDING: IN-KIND IMAGING SERVICES TO UNINSURED WOMEN & OFFER GRANT FUNDING FOR TRANSPORTATION & DIAGNOSTIC SERVICES TO SUPPORT CONTINUITY OF CARE FOR PATIENTS WITH ABNORMAL RESULTS. * INCREASE HARM REDUCTION & SUBSTANCE USE PREVENTION BY IMPLEMENTING NARCAN VENDING MACHINES IN PARTNERSHIP WITH A LOCAL COMMUNITY-BASED ORGANIZATION. MEASURE THE NUMBER OF NARCAN UNITS DISPENSED, EDUCATION EFFORTS, & PROVIDER ENGAGEMENT. * OFFER INTEGRATED VIRTUAL BEHAVIORAL HEALTH IN ALL SSM HEALTH MEDICAL GROUP PRIMARY CARE PRACTICES IN EASTERN OKLAHOMA COUNTY * CONTINUE TO PARTNER WITH THE OKLAHOMA ALLIANCE FOR PUBLIC TRANSPORTATION TO SUPPORT POLICY EFFORTS TO IMPROVE TRANSPORTATION ACCESS IN MIDWEST CITY, REDUCING BARRIERS TO HEALTHCARE & ESSENTIAL SERVICES. * CONTINUE TO PARTNER WITH THE HEALTH ALLIANCE FOR THE UNINSURED TO PROVIDE FUNDING TO SUPPORT ACCESS TO SPECIALTY CARE FOR THE UNINSURED. * PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT FOR THEIR WORK IN ADDRESSING ACCESS TO CARE IN MIDWEST CITY & THE LARGER EASTERN OKLAHOMA COUNTY AREA.HOUSINGGOALS & OBJECTIVES * CONTINUE TO PARTNER WITH CARDINAL COMMUNITY HOUSE TO PROVIDE RESPITE CARE FOR PATIENTS EXPERIENCING HOMELESSNESS. ST. ANTHONY & CARDINAL COMMUNITY HOUSE WILL EVALUATE PATIENT OUTCOMES & READMISSION RATES. * SUPPORT CITY CARE'S MEDICAL RESPITE INITIATIVE FINANCIALLY & ENGAGE ADDITIONAL PARTNERS TO EXPAND SERVICES FOR UNHOUSED PATIENTS DISCHARGED FROM HOSPITALS WHO NEED RESPITE CARE. * PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT FOR THEIR WORK IN ADDRESSING ACCESS TO CARE IN OKLAHOMA COUNTYEDUCATION & EMPLOYMENT PROGRESS MADE SINCE 2021PERIOD POVERTY ST. ANTHONY MIDWEST AWARDED A COMMUNITY HEALTH IMPROVEMENT GRANT OF $37,925 TO THE MID-DEL PUBLIC SCHOOL DISTRICT TO INCREASE ACCESS TO FEMININE HYGIENE PRODUCTS FOR GIRLS & YOUNG WOMEN LIVING IN POVERTY. THIS INITIATIVE PROVIDED 207 DISPENSERS STOCKED WITH FREE FEMININE PRODUCTS IN RESTROOMS ACROSS THE DISTRICT. BACKPACKS FOR KIDS AT MIDWEST CITY ELEMENTARY THE REGIONAL FOOD BANK OF OKLAHOMA'S BACKPACK FOR KIDS PROGRAM PROVIDES ELEMENTARY SCHOOL CHILDREN WITH A SACK OF NUTRITIOUS, NON-PERISHABLE FOOD EVERY FRIDAY TO SUSTAIN THEM OVER WEEKENDS & SCHOOL HOLIDAYS. DURING THE 2022-2024 PERIOD, ST. ANTHONY MIDWEST INVESTED $15,000 IN THE PROGRAM, PROVIDING 20,421 POUNDS OF FOOD TO MWC ELEMENTARY STUDENTS & THEIR FAMILIES. PURCHASING FROM DIVERSE SUPPLIERS SSM HEALTH IS A MEMBER HEALTHCARE ANCHOR NETWORK (HAN). KEY AREAS OF FOCUS INCLUDE IMPACT PURCHASING FROM LOCAL MINORITY-OWNED BUSINESSES & IMPACT INVESTING IN COMMUNITIES WITH SIGNIFICANT ECONOMIC & ENVIRONMENTAL CHALLENGES. IN 2023 ALONE, OUR CUMULATIVE INVESTMENT IN OKLAHOMA THROUGH OUR HAN STRATEGY TOTALED $3,885,271. GOALS & OBJECTIVES SSM HEALTH IS A PROUD MEMBER OF THE HEALTHCARE ANCHOR NETWORK. MEMBERS OF THE HEALTHCARE ANCHOR NETWORK COMMIT TO USE THEIR ROLE AS AN "ANCHOR INSTITUTION" IN THEIR COMMUNITY TO ADDRESS THE STRUCTURAL DISPARITIES THAT AFFECT EQUITABLE HEALTH OUTCOMES. THE ENTIRE SSM HEALTH SYSTEM, INCLUDING ST. ANTHONY HOSPITAL - MIDWEST, WILL CONTINUE TO FORMULATE STRATEGIES TO SUPPORT THE CREATION OF NEW EMPLOYMENT & JOB-TRAINING OPPORTUNITIES WITHIN MARGINALIZED COMMUNITIES. LOCAL HEALTH MINISTRIES WILL DETERMINE WHERE TO FOCUS EFFORTS.
GROUP A-FACILITY 2 -- SSM HEALTH ST. ANTHONY HOSPITAL - MIDWES PART V, SECTION B, LINE 13H:	SSM HEALTH MAY UTILIZE PREDICTIVE ANALYTICAL SOFTWARE OR OTHER CRITERIA TO ASSIST IN MAKING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IN SITUATIONS, INCLUDING BUT NOT LIMITED TO THE HOMELESS POPULATION, WHERE THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE BUT HAS NOT PROVIDED THE NECESSARY DOCUMENTATION TO MAKE A DETERMINATION. IRREGULARLY, IN THE ABSENCE OF USING THE PREDICTIVE ANALYTICAL SOFTWARE, PRESUMPTIVE CHARITY MAY BE AUTHENTICATED BY THE PATIENT CARE TEAM AS REPRESENTED AS CHARITY OR UNINSURED DISCOUNTS TO THE PATIENTS' FINANCIAL OBLIGATION.ADDITIONALLY, PATIENTS MAY BE ELIGIBLE TO RECEIVE A DISCOUNT ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS.
GROUP A-FACILITY 1 -- SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHO PART V, SECTION B, LINE 3J:	THE HOSPITAL FACILITIES ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAVE PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA.
GROUP A-FACILITY 1 -- SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHO PART V, SECTION B, LINE 5:	THE TEAM PARTICIPATED IN MEETINGS SCHEDULED BY VARIOUS COMMUNITY PARTNERS AND HEALTH-RELATED ORGANIZATIONS. ADDITIONALLY, TEAM MEMBERS PARTICIPATED IN LARGE COMMUNITY EVENTS TO ENGAGE RESIDENTS AND ELEVATE THE VISIBILITY OF EXISTING INITIATIVES. THIS APPROACH ALLOWED THE TEAM TO GATHER INSIGHT FROM A WIDE RANGE OF VOICES, ENSURING THAT THE DATA REFLECTED CONCERNS ACROSS DIFFERENT DEMOGRAPHICS AND SECTORS. ATTENDEES PROVIDED INSIDER PERSPECTIVES FROM THEIR RESPECTIVE ORGANIZATIONS AND WERE ASKED TO CONFIRM PRIORITY AREAS AND IDENTIFY CURRENT PROJECTS RELATED TO HOUSING, FOOD AND NUTRITION, HEALTHCARE ACCESS, EDUCATION, AND EMPLOYMENT. A SNOWBALL SAMPLING METHOD WAS EMPLOYED TO EXPAND PARTICIPATION THROUGH EXISTING COMMUNITY COALITIONS, TAPPING INTO ORGANIZATIONS THAT WORK TO ADDRESS HEALTH INEQUITIES. THE TEAM SPOKE WITH MEMBERS FROM ORGANIZATIONS THAT DIRECTLY COMBAT HEALTH INEQUITIES DAILY. AS THE MEETINGS CONTINUED, THE TEAM CONTACTED ADDITIONAL ORGANIZATIONS MENTIONED DURING THE INITIAL MEETING, FURTHER BROADENING OUR SAMPLE. BY FOCUSING ON "GRASS TOPS" LEADERS, SPECIFICALLY THOSE IN DECISION-MAKING ROLES WITHIN THEIR ORGANIZATIONS, DATA ON THE NEEDS OF THE POPULATION THEY SERVE WAS GATHERED. THE GOAL OF THIS WORK WAS TO CONFIRM PRIORITY AREAS, UNVEIL ACTIONABLE NEEDS, AND EVALUATE IDEAS FOR ADDRESSING THESE NEEDS FROM GROUPS THAT ARE FAMILIAR WITH THE NUANCES OF THEIR RESPECTIVE FIELDS. THE DATA COLLECTION METHODS INCLUDED BOTH PAPER COPY WITH WRITTEN RESPONSES AND AN OPTIONAL ONLINE SURVEY WITH OPEN-ENDED QUESTIONS. A COPY OF THE ONLINE SURVEY IS AVAILABLE AS AN ADDENDUM TO THIS DOCUMENT. THE DISCUSSION REVEALED BARRIERS TO ACCESS, INDIVIDUAL CONCERNS, AND IMPROVEMENT IDEAS. EACH SESSION WAS FACILITATED BY A COHIT MEMBER USING A STANDARDIZED FACILITATOR GUIDE DESIGNED TO EXPLORE FIRSTHAND EXPERIENCES OF PARTICIPANTS AND OPPORTUNITIES FOR IMPROVEMENT IN COMMUNITY HEALTH.
GROUP A-FACILITY 1 -- SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHO PART V, SECTION B, LINE 6A:	THE HOSPITAL FACILITY COMPLETED A JOINT 2021 CHNA WITH INTEGRIS HEALTH, MERCY HOSPITALOKLAHOMA CITY, OU HEALTH, AND ST. ANTHONY HOSPITAL - MIDWEST.
GROUP A-FACILITY 1 -- SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHO PART V, SECTION B, LINE 6B:	THE HOSPITAL FACILITY COMPLETED A JOINT 2021 CHNA WITH THE OKLAHOMA CITY-COUNTY HEALTHDEPARTMENT.
GROUP A-FACILITY 1 -- SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHO PART V, SECTION B, LINE 11:	THE HOSPITAL IDENTIFIED VARIOUS HEALTH NEEDS IN THE 2024 CHNA. IN ORDER TO MAKE A MEANINGFUL IMPACT, & TO USE ITS FINANCES MOST EFFECTIVELY & EFFICIENCY, THE HOSPITAL WILL PLACE PRIMARY FOCUS ON THE FOLLOWING KEY PRIORITIES:* ACCESS TO HEALTHY FOOD* ACCESS TO HEALTHCARE* HOUSING * EDUCATION & EMPLOYMENT (SECONDARY PRIORITY)ACCESS TO HEALTHY FOODPROGRESS SINCE 2021LOAVES & FISHES FOOD PHARMACY LOCATED AT THE ST. ANTHONY FAMILY MEDICINE CENTER, THE LOAVES & FISHES FOOD PHARMACY, A PARTNERSHIP WITH THE REGIONAL FOOD BANK OF OKLAHOMA & 8TH STREET URBAN FARM, ADDRESSES FOOD INSECURITY BY PROVIDING FOOD BOXES CONTAINING NON-PERISHABLE FOOD, RESOURCE FLYERS & FRESH PRODUCE. SINCE 2022, LOAVES & FISHES HAS DISTRIBUTED OVER 4,650 FOOD BOXES. 8TH STREET URBAN FARM FOUNDED IN 2021 ON THE ST. ANTHONY CAMPUS & OPERATED BY THE MIDTOWN COMMUNITY DEVELOPMENT FOUNDATION, THE 8TH STREET URBAN FARM PROVIDES FRESH PRODUCE TO LOCAL CLINICS & OTHER ORGANIZATIONS ADDRESSING FOOD INSECURITY & CHRONIC HEALTH ISSUES. ST. ANTHONY HAS INVESTED $60,000 OF GRANT FUNDING SINCE 2022, WITH THE FARM DONATING PRODUCE VALUED AT $180,000 OVER THAT TIME.GOALS & OBJECTIVES * WE WILL WORK WITH COMMUNITY PARTNERS TO CONTINUE TO PROVIDE ACCESS TO HEALTHY FOOD AT OUR FAMILY MEDICINE CENTER, SPONSOR A BACKPACK FOR KIDS PROGRAM & SUPPORT FRESH RX. ACCESS TO HEALTHY FOOD WILL HELP RESIDENTS IN OKLAHOMA COUNTY ACHIEVE & MAINTAIN A HEALTHY WEIGHT & LIVE LONGER.* CONTINUE THE FOOD PHARMACY PROGRAM AT FAMILY MEDICINE CENTER. * ONGOING UTILIZATION OF LAND, UTILITIES, & FINANCIAL SUPPORT FOR THE 8TH STREET URBAN FARM. A PORTION OF THE HARVESTED PRODUCE IS DISTRIBUTED TO FAMILY MEDICINE CENTER PATIENTS AS A SUPPLEMENT TO THE FOOD PHARMACY PROGRAM. * CONTINUE TO SPONSOR THE BACKPACKS FOR KIDS PROGRAM AT ROCKWOOD ELEMENTARY. REGIONAL FOOD BANK OF OKLAHOMA'S BACKPACKS FOR KIDS PROGRAM PROVIDES CHILDREN WITH FOOD ACCESS ISSUES FOOD FOR THE WEEKENDS WHEN THE SCHOOLS CANNOT FEED THEM. * PARTNERING WITH THE LYNN INSTITUTE TO OFFER HANDS-ON COOKING CLASSES IN SOUTH OKLAHOMA CITY. THESE CLASSES EMPOWER INDIVIDUALS TO MAKE HEALTHIER FOOD CHOICES BY TEACHING AFFORDABLE, NUTRITIOUS COOKING TECHNIQUES THAT SUPPORT OVERALL WELL-BEING. * IN COLLABORATION WITH FRESH RX IN TULSA, ST. ANTHONY WILL BE LAUNCHING A "FOOD IS MEDICINE" PROGRAM IN OKLAHOMA COUNTY TO SUPPORT INDIVIDUALS WITH CHRONIC HEALTH CONDITIONS THROUGH NUTRITION-BASED INTERVENTIONS. TO EXPAND ITS REACH & IMPACT, WE SEEK STRATEGIC PARTNERS & FUNDERS WHILE PROVIDING IN-KIND LAB SERVICES TO SUPPORT PROGRAM IMPLEMENTATION & SUCCESS.ACCESS TO HEALTHCAREPROGRESS SINCE 2021RESPITE CARE FOR PATIENTS EXPERIENCING HOMELESSNESS SSM HEALTH ST. ANTHONY BECAME THE FIRST HOSPITAL SYSTEM IN THE CITY TO ENTER INTO A FORMAL ARRANGEMENT WITH CARDINAL COMMUNITY HOUSE. THE RESPITE SHELTER OFFERS PATIENTS A SAFE, MEDICALLY APPROPRIATE ENVIRONMENT TO REST & HEAL AFTER HOSPITALIZATION, ALONG WITH CASE MANAGEMENT SERVICES, MEALS, & MEDICATION ASSISTANCE. STREET MEDICINE TEAM ST. ANTHONY HOSPITAL - OKLAHOMA CITY & THE ST. ANTHONY FOUNDATION PARTNERED WITH MENTAL HEALTH ASSOCIATION OKLAHOMA TO SUPPORT A STREET MEDICINE TEAM DEDICATED TO PROVIDING COMPLETE CARE FOR INDIVIDUALS EXPERIENCING HOMELESSNESS IN OKLAHOMA CITY. THE TEAM WAS ABLE TO PURCHASE A VAN & ADD AN ADVANCED PRACTICE PROVIDER & SOCIAL WORKER TO JOIN THE STREET MEDICINE TEAM. ST. ANTHONY HOSPITAL HAS INVESTED $200,000 IN THE PROGRAM. FROM 2023-2024, THE TEAM CARED FOR OVER 750 INDIVIDUALS, WITH OVER 560 REFERRALS FOR PRIMARY CARE & MENTAL HEALTH SERVICES. HEALTH COACHES FOR HYPERTENSION CONTROL IN 2022, SSM HEALTH ST. ANTHONY LAUNCHED HEALTH COACHES FOR HYPERTENSION CONTROL. THIS EIGHT-WEEK PROGRAM, DEVELOPED AT CLEMSON UNIVERSITY, EMPOWERS PARTICIPANTS TO BETTER MANAGE HYPERTENSION. PARTICIPANTS ATTEND GROUP EDUCATION SESSIONS, RECEIVE SUPPORT FROM A TRAINED HEALTH COACH, & ARE GIVEN A FREE ELECTRONIC BLOOD PRESSURE MONITOR. THE PROGRAM IS FUNDED BY SSM HEALTH ST. ANTHONY; THERE IS NO COST FOR COMMUNITY MEMBERS TO PARTICIPATE. CARE NAVIGATION SSM HEALTH HAS INVESTED IN BETTER SYSTEMS TO SCREEN PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH (SDOH) NEEDS & ADOPTED A PLATFORM CALLED UNITE US TO ELECTRONICALLY REFER PATIENTS WITH NEEDS TO COMMUNITY-BASED ORGANIZATIONS. IN 2023, THE ST. ANTHONY OB/GYN RESIDENCY CLINIC PILOTED AN SDOH SCREENING PROGRAM FOCUSED ON ADDRESSING FOOD INSECURITY & CONNECTING MATERNAL HEALTH PATIENTS WITH LOCAL FOOD PANTRIES. KEY OUTCOMES INCLUDED: 65% OF PATIENTS WERE SCREENED FOR FOOD INSECURITY & 100% OF PATIENTS IDENTIFIED AS FOOD INSECURE RECEIVED A CONFIRMED REFERRAL TO A COMMUNITY-BASED ORGANIZATION. IN 2024 SSM HEALTH IN OKLAHOMA EXPANDED SDOH SCREENINGS & UNITE US REFERRALS TO INCLUDE OUR ACUTE INPATIENT POPULATION. DATA FROM THIS INITIATIVE IS CURRENTLY BEING EVALUATED TO MEASURE IMPACT & INFORM FUTURE EFFORTS.GOALS & OBJECTIVES * WE WILL COLLABORATE WITH COMMUNITY PARTNERS TO IMPROVE ACCESS TO HEALTH CARE SERVICES BY OFFERING A HEALTH EDUCATION PROGRAM, DONATING IN-KIND SPECIALTY SERVICES, & INCREASING ACCESS TO NARCAN MEDICATION IN THE COMMUNITY. REGULAR & RELIABLE ACCESS TO HEALTH SERVICES IMPROVES THE QUALITY OF LIFE & TREATS HEALTH CONDITIONS.* CONTINUE HEALTH COACHES FOR HYPERTENSION CLASSES IN OKLAHOMA CITY. THIS IS AN EIGHT-WEEK COURSE DESIGNED TO IMPROVE HYPERTENSION SELF-MANAGEMENT THROUGH GROUP EDUCATIONAL SESSIONS & SUPPORT OFFERED BY A TRAINED HEALTH COACH. CONDUCT ONE COHORT PER QUARTER & REPORT QUARTERLY PROGRAM OUTCOMES.* PARTNER WITH OKLAHOMA PROJECT WOMAN TO ENHANCE BREAST CANCER SCREENING EFFORTS BY PROVIDING: IN-KIND IMAGING SERVICES TO UNINSURED WOMEN & OFFER GRANT FUNDING FOR TRANSPORTATION & DIAGNOSTIC SERVICES TO SUPPORT CONTINUITY OF CARE FOR PATIENTS WITH ABNORMAL RESULTS.* INCREASE HARM REDUCTION & SUBSTANCE USE PREVENTION BY IMPLEMENTING NARCAN VENDING MACHINES IN PARTNERSHIP WITH A LOCAL COMMUNITY-BASED ORGANIZATION. MEASURE THE NUMBER OF NARCAN UNITS DISPENSED, EDUCATION EFFORTS, & PROVIDER ENGAGEMENT.* OFFER INTEGRATED VIRTUAL BEHAVIORAL HEALTH IN ALL SSM HEALTH MEDICAL GROUP PRIMARY CARE PRACTICES IN OKLAHOMA. CONTINUE TO PARTNER WITH THE HEALTH ALLIANCE FOR THE UNINSURED TO PROVIDE FUNDING TO SUPPORT ACCESS TO SPECIALTY CARE FOR THE UNINSURED.* PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT FOR THEIR WORK IN ADDRESSING ACCESS TO CARE IN OKLAHOMA COUNTYHOUSINGGOALS & OBJECTIVES * WE WILL ENHANCE HOUSING STABILITY BY EXPANDING PARTNERSHIPS WITH CARDINAL COMMUNITY HOUSE & CITY CARE TO PROVIDE RESPITE CARE FOR INDIVIDUALS EXPERIENCING HOMELESSNESS.* CONTINUE TO PARTNER WITH CARDINAL COMMUNITY HOUSE TO PROVIDE RESPITE CARE FOR PATIENTS EXPERIENCING HOMELESSNESS. ST. ANTHONY & CARDINAL COMMUNITY HOUSE WILL EVALUATE PATIENT OUTCOMES & READMISSION RATES. * SUPPORT CITY CARE'S MEDICAL RESPITE INITIATIVE FINANCIALLY & ENGAGE ADDITIONAL PARTNERS TO EXPAND SERVICES FOR UNHOUSED PATIENTS DISCHARGED FROM HOSPITALS WHO NEED RESPITE CARE. * PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT FOR THEIR WORK IN ADDRESSING ACCESS TO CARE IN OKLAHOMA COUNTY.EDUCATION & EMPLOYMENT PROGRESS SINCE 2021RESCUE INHALERS ST. ANTHONY PARTNERED WITH THE BRENDON MCLARTY MEMORIAL FOUNDATION TO PROVIDE RESCUE INHALERS & ESSENTIAL MEDICAL SUPPLIES TO EVERY PUBLIC SCHOOL IN OKLAHOMA. ST. ANTHONY DONATED 16,000 INHALERS VALUED AT $24,811 ALONG WITH $165,000 IN GRANT FUNDING. ST. ANTHONY'S GOVERNMENT AFFAIRS TEAM WORKED WITH THE STATE LEGISLATURE TO SECURE PUBLIC FUNDING TO ENSURE THE PROGRAM'S LONG-TERM SUSTAINABILITY. BACKPACK FOR KIDS AT ROCKWOOD ELEMENTARY THE REGIONAL FOOD BANK OF OKLAHOMA'S BACKPACK FOR KIDS PROGRAM PROVIDES ELEMENTARY SCHOOL CHILDREN WITH A SACK OF NUTRITIOUS, NON-PERISHABLE FOOD EVERY FRIDAY TO SUSTAIN THEM OVER WEEKENDS & SCHOOL HOLIDAYS. DURING THE 2022- 2024 PERIOD, ST. ANTHONY INVESTED $45,000 IN THE PROGRAM, PROVIDING 33,636 POUNDS OF FOOD TO ROCKWOOD STUDENTS & THEIR FAMILIES. PURCHASING FROM DIVERSE SUPPLIERS SSM HEALTH IS A MEMBER HEALTHCARE ANCHOR NETWORK (HAN). KEY AREAS OF FOCUS INCLUDE IMPACT PURCHASING FROM LOCAL MINORITY-OWNED BUSINESSES & IMPACT INVESTING IN COMMUNITIES WITH SIGNIFICANT ECONOMIC & ENVIRONMENTAL CHALLENGES. IN 2023 ALONE, OUR CUMULATIVE INVESTMENT IN OKLAHOMA THROUGH OUR HAN STRATEGY TOTALED $3,885,271. GOALS & OBJECTIVES SSM HEALTH IS A PROUD MEMBER OF THE HEALTHCARE ANCHOR NETWORK. MEMBERS OF THE HEALTHCARE ANCHOR NETWORK COMMIT TO USE THEIR ROLE AS AN "ANCHOR INSTITUTION" IN THEIR COMMUNITY TO ADDRESS THE STRUCTURAL DISPARITIES THAT AFFECT EQUITABLE HEALTH OUTCOMES. THE ENTIRE SSM HEALTH SYSTEM, INCLUDING ST. ANTHONY HOSPITAL-OKLAHOMA CITY, WILL CONTINUE TO FORMULATE STRATEGIES TO SUPPORT THE CREATION OF NEW EMPLOYMENT & JOB-TRAINING OPPORTUNITIES WITHIN MARGINALIZED COMMUNITIES. LOCAL HEALTH MINISTRIES WILL DETERMINE WHERE TO FOCUS EFFORT.
GROUP A-FACILITY 1 -- SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHO PART V, SECTION B, LINE 13H:	SSM HEALTH MAY UTILIZE PREDICTIVE ANALYTICAL SOFTWARE OR OTHER CRITERIA TO ASSIST IN MAKING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IN SITUATIONS, INCLUDING BUT NOT LIMITED TO THE HOMELESS POPULATION, WHERE THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE BUT HAS NOT PROVIDED THE NECESSARY DOCUMENTATION TO MAKE A DETERMINATION. IRREGULARLY, IN THE ABSENCE OF USING THE PREDICTIVE ANALYTICAL SOFTWARE, PRESUMPTIVE CHARITY MAY BE AUTHENTICATED BY THE PATIENT CARE TEAM AS REPRESENTED AS CHARITY OR UNINSURED DISCOUNTS TO THE PATIENTS' FINANCIAL OBLIGATION.ADDITIONALLY, PATIENTS MAY BE ELIGIBLE TO RECEIVE A DISCOUNT ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS.

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?38
Name and address		Type of Facility (describe)
1	1 - SSM HEALTH MEDICAL GROUP 13401 N WESTERN AVE STE 200 OKLAHOMA CITY,OK73114	OTHER HEALTH CARE FACILITY
2	2 - SSM HEALTH HEART & VASCULAR CARE 608 NW 9TH STREET STE 2200 OKLAHOMA CITY,OK73102	OTHER HEALTH CARE FACILITY
3	3 - SSM HEALTH ST ANTHONY HEALTHPLEX 13401 N WESTERN AVE STE 100 OKLAHOMA CITY,OK73170	OTHER HEALTH CARE FACILITY
4	4 - SSM HEALTH MEDICAL GROUP 13500 S TULSA DRIVE OKLAHOMA CITY,OK73170	OTHER HEALTH CARE FACILITY
5	5 - SSM HEALTH MEDICAL GROUP 15679 NE 23RD STREET CHOCTAW,OK73020	OTHER HEALTH CARE FACILITY
6	6 - SSM HEALTH MEDICAL GROUP 201 S SARA ROAD STE 200 MUSTANG,OK73064	OTHER HEALTH CARE FACILITY
7	7 - SSM HEALTH OUTPATIENT CENTER 201 S SARA ROAD STE 210 MUSTANG,OK73064	OTHER HEALTH CARE FACILITY
8	8 - SSM HEALTH ST ANTHONY HEALTHPLEX 201 S SARA ROAD STE 100 MUSTANG,OK73064	OTHER HEALTH CARE FACILITY
9	9 - SSM HEALTH ST ANTHONY SOUTH 2129 SW 59TH STREET OKLAHOMA CITY,OK73119	OTHER HEALTH CARE FACILITY
10	10 - SSM HEALTH ST ANTHONY HEALTHPLEX 3400 S DOUGLAS BLVD STE 100 OKLAHOMA CITY,OK73150	OTHER HEALTH CARE FACILITY
11	11 - SSM HEALTH MEDICAL GROUP 13401 N WESTERN AVE STE 407 OKLAHOMA CITY,OK73114	OTHER HEALTH CARE FACILITY
12	12 - SSM HEALTH SURGERY CENTER 1110 N LEE AVE STE 100 OKLAHOMA CITY,OK73103	OTHER HEALTH CARE FACILITY
13	13 - SSM HEALTH ST ANTHONY LAB 1110 N CLASSEN BLVD STE 205 OKLAHOMA CITY,OK73106	OTHER HEALTH CARE FACILITY
14	14 - SSM HEALTH CANCER CARE 1011 N DEWEY AVENUE OKLAHOMA CITY,OK73102	OTHER HEALTH CARE FACILITY
15	15 - SSM HEALTH MEDICAL GROUP 6908 E RENO STE 202 MIDWEST CITY,OK73110	OTHER HEALTH CARE FACILITY
16	16 - SSM HEALTH MEDICAL GROUP 6908 E RENO STE 201 MIDWEST CITY,OK73110	OTHER HEALTH CARE FACILITY
17	17 - SSM HEALTH BEHAVIORAL HEALTH 416 WEST 15TH STREET BLDG 700 S EDMOND,OK73013	OTHER HEALTH CARE FACILITY
18	18 - SSM HEALTH BREAST CARE 535 NW 9TH STREET STE 100 OKLAHOMA CITY,OK73102	OTHER HEALTH CARE FACILITY
19	19 - SSM HEALTH NEUROSCIENCES 535 NW 9TH STREET STE 205 OKLAHOMA CITY,OK73102	OTHER HEALTH CARE FACILITY
20	20 - SSM HEALTH MEDICAL GROUP 608 NW 9TH STREET STE 1100 OKLAHOMA CITY,OK73102	OTHER HEALTH CARE FACILITY
21	21 - SSM HEALTH URODYNAMIC DIAGNOSTICS 608 NW 9TH STREET STE 3100 OKLAHOMA CITY,OK73102	OTHER HEALTH CARE FACILITY
22	22 - SSM HEALTH OUTPATIENT CENTER 608 NW 9TH STREET STE 3106 OKLAHOMA CITY,OK73102	OTHER HEALTH CARE FACILITY
23	23 - SSM HEALTH MEDICAL GROUP 608 NW 9TH STREET STE 3110 OKLAHOMA CITY,OK73102	OTHER HEALTH CARE FACILITY
24	24 - SSM HEALTH MEDICAL GROUP 608 NW 9TH STREET STE 5204 OKLAHOMA CITY,OK73102	OTHER HEALTH CARE FACILITY
25	25 - SSM HEALTH PHARMACY 608 NW 9TH STREET STE 3200 OKLAHOMA CITY,OK73102	OTHER HEALTH CARE FACILITY
26	26 - SSM HEALTH MEDICAL GROUP 608 NW 9TH STREET STE 4106 OKLAHOMA CITY,OK73102	OTHER HEALTH CARE FACILITY
27	27 - SSM HEALTH MEDICAL GROUP 608 NW 9TH STREET STE 3206 OKLAHOMA CITY,OK73102	OTHER HEALTH CARE FACILITY
28	28 - SSM HEALTH OUTPATIENT CENTER 608 NW 9TH STREET STE 3206 OKLAHOMA CITY,OK73118	OTHER HEALTH CARE FACILITY
29	29 - SSM HEALTH OUTPATIENT CENTER 6201 N SANTA FE AVE STE 2000 OKLAHOMA CITY,OK73118	OTHER HEALTH CARE FACILITY
30	30 - SSM HEALTH MEDICAL GROUP 6201 N SANTA FE AVE STE 2010 OKLAHOMA CITY,OK73118	OTHER HEALTH CARE FACILITY
31	31 - SSM HEALTH MEDICAL GROUP 6205 N SANTA FE AVE STE 201 OKLAHOMA CITY,OK73118	OTHER HEALTH CARE FACILITY
32	32 - SSM HEALTH NEUROLOGY 800 NW 9TH STREET STE 100 OKLAHOMA CITY,OK73106	OTHER HEALTH CARE FACILITY
33	33 - ST ANTHONY HOSPITAL CANCER SPECIALISTS 3525 NW 56TH ST STE 100D OKLAHOMA CITY,OK73112	OTHER HEALTH CARE FACILITY
34	34 - ST ANTHONY PHYSICIANS NERUOLOGY 535 NW 9TH STREET STE 235 OKLAHOMA CITY,OK73102	OTHER HEALTH CARE FACILITY
35	35 - SSM HEALTH THERAPY SERVICES 9060 HARMONY DR STE A OKLAHOMA CITY,OK73130	OTHER HEALTH CARE FACILITY
36	36 - SSM HEALTH GROUP HEART & VASCULAR 3400 S DOUGLAS BLVD STE 305 OKLAHOMA CITY,OK73150	OTHER HEALTH CARE FACILITY
37	37 - SSM HEALTH ST ANTHONY EL RENO 2115 PARKVIEW DRIVE STE 200 EL RENO,OK73036	OTHER HEALTH CARE FACILITY
38	38 - SSM HEALTH NEUROSCIENCES 535 NW 9TH STREET STE 325 OKLAHOMA CITY,OK73102	OTHER HEALTH CARE FACILITY

Schedule H (Form 990) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	ELIGIBILITY FOR FINANCIAL ASSISTANCE WILL BE CONSIDERED FOR THOSE INDIVIDUALS WHO:* HAVE LIMITED OR NO HEALTH INSURANCE;* COOPERATE WITH SSM HEALTH'S POLICIES AND PROCEDURES;* DEMONSTRATE FINANCIAL NEED;* SUPPLY ALL REQUIRED INFORMATION TO PROCESS THE APPLICATION; AND * REIMBURSES THE HOSPITAL FOR ANY MONIES PAID DIRECTLY TO PATIENT BY INSURANCE. PATIENTS WHOSE FAMILY INCOME EXCEED 400% OF THE FEDERAL POVERTY GUIDELINES (FPL) MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF THE HOSPITAL. IN SUCH CASES, OTHER FACTORS MAY BE CONSIDERED IN DETERMINING THEIR ELIGIBILITY FOR DISCOUNTED OR FREE SERVICES, INCLUDING:BANK ACCOUNTS, INVESTMENTS AND OTHER ASSETSEMPLOYMENT STATUS AND EARNING CAPACITYAMOUNT AND FREQUENCY OF BILLS FOR HEALTH CARE SERVICESOTHER FINANCIAL OBLIGATIONS AND EXPENSES*GENERALLY, FINANCIAL RESPONSIBILITY WILL BE NO MORE THAN 25% OF GROSS FAMILY INCOME.SSM HEALTH MAY UTILIZE PREDICTIVE ANALYTICAL SOFTWARE OR OTHER CRITERIA TO ASSIST IN MAKING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IN SITUATIONS, INCLUDING BUT NOT LIMITED TO THE HOMELESS POPULATION, WHERE THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE BUT HAS NOT PROVIDED THE NECESSARY DOCUMENTATION TO MAKE A DETERMINATION. IRREGULARLY, IN THE ABSENCE OF USING THE PREDICTIVE ANALYTICAL SOFTWARE, PRESUMPTIVE CHARITY MAY BE AUTHENTICATED BY THE PATIENT CARE TEAM AS REPRESENTED AS CHARITY OR UNINSURED DISCOUNTS TO THE PATIENTS' FINANCIAL OBLIGATION.
PART I, LINE 6A:	SSM HEALTH CARE CORPORATION FILES A COMBINED COMMUNITY BENEFIT REPORT FOR ALL ITS AFFILIATES. THE COMMUNITY BENEFIT REPORT CAN BE FOUND ON SSM'S WEBSITE AT: HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH.
PART I, LINE 7:	THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B, AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H, AND 7I ARE REPORTED AT COST AS REPORTED. THE CALCULATION OF FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F UTILIZES FORM 990, PART IX, LINE 25, COLUMN A, WHICH DOES NOT INCLUDE BAD DEBT EXPENSE.
PART III, LINE 2:	AS A RESULT OF NEW ACCOUNTING GUIDANCE, BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE.
PART III, LINE 3:	FOR FINANCIAL STATEMENT PURPOSES, SSM HEALTH HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. THEREFORE, THERE IS NO AMOUNT REPORTED ON PART III, LINE 3 FOR THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER SSM HEALTH'S FINANCIAL ASSISTANCE POLICY.
PART III, LINE 4:	SSM HEALTH CARE OF OKLAHOMA, INC. IS PART OF THE SSM HEALTH CONSOLIDATED AUDIT. THE FOOTNOTE THAT REFERENCES THE TREATMENT OF UNCOLLECTIBLE ACCOUNTS AND IMPLICIT PRICE CONCESSIONS IN THE DECEMBER 31, 2024 CONSOLIDATED AUDIT IS CONTAINED ON PAGE 13 AND 14 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COSTS REPORTED CAME FROM THE MEDICARE COST REPORT. SSM HEALTH ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SSM HEALTH BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES, AS MEDICARE ALLOWED COST IS LESS THAN ACTUAL COST.
PART III, LINE 9B:	THE HOSPITALS HAVE ESTABLISHED A WRITTEN CREDIT AND COLLECTION POLICY AND PROCEDURES. THE BILLING AND COLLECTION POLICIES AND PRACTICES REFLECT THE MISSION AND VALUES OF SSM HEALTH, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE, THE HOSPITAL EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH IT PARTICIPATES BY ESTABLISHING SOUND BUSINESS PRACTICES. THE HOSPITALS' BILLING AND COLLECTION PRACTICES WILL BE FAIRLY AND CONSISTENTLY APPLIED.ALL STAFF AND VENDORS ARE EXPECTED TO TREAT ALL PATIENTS CONSISTENTLY AND FAIRLY, REGARDLESS OF THEIR ABILITY TO PAY. THEY RESPOND TO PATIENTS IN A PROMPT AND COURTEOUS MANNER REGARDING ANY QUESTIONS ABOUT THEIR BILLS AND PROVIDE NOTIFICATION OF THE AVAILABILITY OF FINANCIAL ASSISTANCE.ALL UNINSURED PATIENTS WILL BE PROVIDED A STANDARD DISCOUNT FOR MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES, INCLUDING SERVICES PROVIDED AT OFF-CAMPUS OUTPATIENT SITES. THE HOSPITAL DETERMINED THE AMOUNT OF THE DISCOUNT BASED ON THE LOCAL MANAGED CARE MARKET, APPLICABLE STATUTORY REQUIREMENTS AND OTHER RELEVANT LOCAL CIRCUMSTANCES. THE RATE MUST BE NO LESS THAN THE LOWEST EFFECTIVE DISCOUNT RATE AND NO GREATER THAN THE HIGHEST EFFECTIVE DISCOUNT RATE FOR THE CURRENT MANAGED CARE CONTRACTS OF THE HOSPITAL. UNINSURED PATIENTS MAY ALSO QUALIFY FOR AN ADDITIONAL DISCOUNT BASED UPON FINANCIAL NEED UNDER THE SYSTEM FINANCIAL ASSISTANCE POLICY.ALL ACCOUNTS DUE FROM THE PATIENT WILL RECEIVE A STATEMENT AFTER DISCHARGE OR AFTER FINAL ADJUDICATION FROM PATIENT'S INSURANCE. GENERALLY, THE PATIENT WILL RECEIVE 4 MONTHS (120 DAYS) OF IN-HOUSE COLLECTION EFFORTS (INCLUDING EARLY OUT VENDORS) AND 12 MONTHS OF BAD DEBT COLLECTION EFFORTS. THE HOSPITAL WILL MAKE REASONABLE EFFORTS TO DETERMINE FAP ELIGIBILITY INCLUDING:1. THE FINANCIAL ASSISTANCE SUMMARY WILL BE INCLUDED WITH EACH BILLING STATEMENT2. EXTRAORDINARY COLLECTION ACTIVITY (ECAS) MAY NOT OCCUR UNTIL BAD DEBT PLACEMENT AND ONLY AFTER 120 DAYS.3. ECAS MUST BE SUSPENDED IF A GUARANTOR SUBMITS A FAP APPLICATION DURING THE APPLICATION PERIOD.4. REASONABLE MEASURES MUST BE TAKEN TO REVERSE ECAS IF THE APPLICATION IS APPROVED WHICH MAY INCLUDE REFUNDING ANY PAYMENTS MADE IN EXCESS OF AMOUNTS OWED AS AN FAP-ELIGIBLE INDIVIDUAL.5. BAD DEBT VENDORS WILL GAIN WRITTEN APPROVAL FROM SSM PRIOR TO ENGAGING IN ECAS. SSM WILL REVIEW THE ACCOUNTS AND VERIFY SATISFACTORY COMPLETION OF REASONABLE EFFORTS DURING THE NOTIFICATION AND APPLICATION PERIOD.A WAIVER IS NOT CONSIDERED REASONABLE EFFORTS. OBTAINING A SIGNED WAIVER THAT AN INDIVIDUAL DOES NOT WISH TO APPLY FOR FAP ASSISTANCE OR RECEIVE FAP APPLICATION INFORMATION WILL NOT MEET THE REQUIREMENT TO MAKE "REASONABLE EFFORTS" TO DETERMINE WHETHER THE INDIVIDUAL IS FAP-ELIGIBLE BEFORE ENGAGING IN ECAS.ALL OUTSIDE COLLECTION AGENCIES MUST COMPLY WITH STATE AND FEDERAL LAWS, COMPLY WITH THE ASSOCIATION OF CREDIT AND COLLECTION PROFESSIONAL'S CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY AND COMPLY WITH THE HOSPITAL'S COLLECTION AND FINANCIAL ASSISTANCE POLICIES.
PART VI, LINE 2:	SSM HEALTH (SSMH) PARTICIPATES IN COMMUNITY BENEFIT ACCORDING TO OUR VISION, THROUGH OUR PARTICIPATION IN THE HEALING MINISTRY OF JESUS CHRIST, COMMUNITIES, ESPECIALLY THOSE THAT ARE ECONOMICALLY, PHYSICALLY, & SOCIALLY MARGINALIZED, WILL EXPERIENCE IMPROVED HEALTH IN MIND, BODY, SPIRIT & ENVIRONMENT. IN THE TRADITION OF OUR FOUNDERS, THE FRANCISCAN SISTERS OF MARY, CARING FOR THOSE IN GREATEST NEED REMAINS OUR ORGANIZATIONAL PRIORITY. TODAY OUR SYSTEM BOARD MONITORS COMMUNITY BENEFIT EFFORTS, & VIEWS ACHIEVEMENT OF OUR VISION AS A PRIMARY RESPONSIBILITY.THE PURPOSE OF SSMH'S COMMUNITY BENEFIT PROGRAM IS TO ASSESS & ADDRESS COMMUNITY HEALTH NEEDS. MAKING OUR COMMUNITIES HEALTHIER IN MEASURABLE WAYS IS ALWAYS OUR GOAL. TO FULFILL THIS COMMITMENT, SSMH'S COMMUNITY BENEFIT IS DIVIDED INTO TWO PARTS: 1) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), & 2) COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA).THE CHNA IS AN ASSESSMENT & PRIORITIZATION OF COMMUNITY HEALTH NEEDS & THE ADOPTION & IMPLEMENTATION OF STRATEGIES TO ADDRESS THOSE NEEDS. A CHNA IS CONDUCTED EVERY THREE YEARS BY EACH HOSPITAL ACCORDING TO THEFOLLOWING STEPS:ASSESS & PRIORITIZE COMMUNITY HEALTH NEEDS: GATHER CHNA DATA FROM SECONDARY SOURCES; OBTAIN INPUT FROM STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH INTERVIEWS & FOCUS GROUPS; USE DATATO SELECT TOP HEALTH PRIORITIES; & COMPLETE WRITTEN CHNA.DEVELOP, ADOPT, & IMPLEMENT STRATEGIES TO ADDRESS TOP-HEALTH PRIORITIES: ESTABLISH STRATEGIES TO ADDRESS PRIORITIES; COMPLETE STRATEGIC IMPLEMENTATION PLAN; OBTAIN REGIONAL/DIVISIONAL BOARD APPROVAL; & INTEGRATE STRATEGIES INTO OPERATIONAL PLAN.MAKE CHNA WIDELY AVAILABLE TO THE PUBLIC: PUBLISH CHNA & SUMMARY DOCUMENT ON HOSPITAL'S WEBSITE.MONITOR, TRACK, & REPORT PROGRESS ON TOP HEALTH PRIORITIES: COLLECT DATA & EVALUATE PROGRESS; REPORT TO REGIONAL/DIVISIONAL BOARD EVERY SIX MONTHS & SYSTEM BOARD EVERY YEAR; SHARE FINDINGS WITH COMMUNITYSTAKEHOLDERS; & SEND RESULTS TO FINANCE FOR SUBMISSION TO THE INTERNAL REVENUE SERVICE (IRS).SYSTEM OFFICE STAFF & LEADERS OVERSEE & MONITOR SSMH'S COMMUNITY BENEFIT PROGRAM, & ENSURE REPORTING IS IN COMPLIANCE WITH IRS REGULATIONS. IN COLLABORATION WITH COMMUNITY STAKEHOLDERS & PARTNER ORGANIZATIONS, SSM HEALTH CARE CORPORATION ALSO IDENTIFIES NEEDS BASED ON ASSESSMENTS & RESEARCH, & SSMH FACILITIES ALSO INVOLVE CASE MANAGERS & CARE TEAM STAFF TO PINPOINT CRITICAL HEALTH ISSUES IN THE COMMUNITY. ALL HOSPITAL CHNAS ARE COMPLETED, APPROVED, & INTEGRATED INTO THE ORGANIZATION'S STRATEGIC PLAN. WE CONTINUE TO MONITOR & ASSESS THEPROGRESS OF OUR LOCAL EFFORTS IN THE SPIRIT OF CARING FOR OTHERS & IMPROVING COMMUNITY HEALTH.
PART VI, LINE 3:	EACH ENTITY PROVIDING MEDICAL SERVICE SHALL PROVIDE INFORMATION TO THE PUBLIC REGARDING ITS CHARITY CARE POLICIES & THE QUALIFICATION REQUIREMENTS FOR EACH OF ITS FACILITIES. WHEN STANDARD SYSTEM NOTICES & COMMUNICATION REGARDING CHARITY CARE ARE AVAILABLE, THESE MUST BE USED. MODIFICATIONS TO THE STANDARD MAY BE MADE TO COMPLY WITH STATE & LOCAL LAWS, AS WELL AS REFLECT CULTURALLY SENSITIVE TERMINOLOGY FOR THE POLICY. ALL NOTICES ARE EASY TO UNDERSTAND BY THE GENERAL PUBLIC, CULTURALLY APPROPRIATE & AVAILABLE IN THOSE LANGUAGES THAT ARE PREVALENT IN THE COMMUNITY. THEY PROVIDE INFORMATION ABOUT:* THE PATIENT'S RESPONSIBILITY FOR PAYMENT,* THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS & ENTITY CHARITY CARE & PAYMENT ARRANGEMENTS* THE ENTITY'S CHARITY POLICY & APPLICATION PROCESS, &* WHO TO CONTACT TO GET ADDITIONAL INFORMATION OR FINANCIAL COUNSELING THE FOLLOWING TYPES OF NOTICES TO THE PUBLIC ARE PROVIDED:SIGNS IN THE EMERGENCY DEPARTMENT, OUTPATIENT & INPATIENT REGISTRATION & PUBLIC WAITING AREAS.BROCHURES OR FLIERS PROVIDED AT TIME OF REGISTRATION & AVAILABLE IN THE FINANCIAL COUNSELING AREAS.NOTICES SENT WITH OR ON PATIENT BILLS OR COMMUNICATIONS SENT TO PATIENTS & GUARANTORS RELATED TO MEDICAL SERVICES.APPLICATIONS PROVIDED TO UNINSURED PATIENTS AT THE TIME OF REGISTRATION.THE APPLICATION FOR CHARITY CARE, TOGETHER WITH ANY INSTRUCTIONS, MUST CLEARLY STATE THE POLICIES REGARDING CHARITY CARE, INCLUDING EXCLUDED SERVICES, ELIGIBILITY CRITERIA & DOCUMENTATION REQUIREMENTS. INFORMATION ABOUT THE ENTITY'S CHARITY POLICIES IS ALSO PROVIDED TO PUBLIC AGENCIES.
PART VI, LINE 4:	SSM HEALTH ST. ANTHONY HOSPITAL OKLAHOMA CITY & SSM HEALTH ST. ANTHONY HOSPITAL MIDWEST ARE LOCATED IN OKLAHOMA COUNTY, OKLAHOMA. SITUATED IN CENTRAL OKLAHOMA, THE COUNTY INCLUDES OKLAHOMA CITY, THE STATE'S LARGEST CITY, & IS HOME TO A DIVERSE POPULATION WITH VARYING SOCIOECONOMIC BACKGROUNDS & HEALTH NEEDS.OKLAHOMA COUNTY INCLUDES:* 796,292 RESIDENTS* AGE 7% 0-4, 7% 5-9, 7.5% 10-14, 6.5% 15-19, 6.5% 202-4, 15.5% 25-34, 13% 35.44, 11.5% 45-54, 6% 55-59, 6% 60-64, 8% 65.74, 4% 75-84, & 1.5% 85 & OVER * RACE/ETHNICITY 54.7% WHITE, 18% HISPANIC, 14.6% BLACK/AFRICAN AMERICAN, 6/6% MULTIRACIAL, 3.3% ASIAN/PACIFIC ISLANDER, 2.5% AMERICAN INDIAN & .3% OTHER* HOUSEHOLD INCOME 14.8% OF PERSONS LIVING BELOW THE POVERTY LINE COMPARED TO 15.7% FOR OKLAHOMA AS A WHOLE & 11.5% FOR U.S. AS A WHOLE. OF THE PERSONS BELOW THE POVERTY LINE IN OKLAHOMA COUNTY: 27.3% WERE BLACK/AFRICAN AMERICAN, 22.7% WERE HISPANIC, 17.6% WERE AMERICAN INDIAN/ALASKA NATIVE, 11.7% WERE ASIAN, 11.1% WERE NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER & 10.2% WERE WHITE.* FOOD INSECURITY - 15.3% COMPARED TO 13.5% FOR THE U.S. AS A WHOLE- NINETEEN ZIP CODES IN OKLAHOMA COUNTY HAD MORE THAN 50% OF THE POPULATION THAT DID NOT HAVE ACCESS TO A SUPERMARKET WITHIN 1 MILE. - 21% OF CHILDREN IN THE COUNTY ARE CLASSIFIED AS FOOD INSECURE. * HOUSING - - 45.6% OF OKLAHOMA COUNTY HOUSEHOLDS SPEND MORE THAN 30% OF THEIR INCOME ON RENT.- 1,838 INDIVIDUALS IN THE COUNTY EXPERIENCED HOMELESSNESS IN 2024. - INDIVIDUALS EXPERIENCING HOMELESSNESS OFTEN LACK ACCESS TO POST-HOSPITALIZATION CARE.* 16% OF OKLAHOMA COUNTY RESIDENTS ARE UNINSURED. * SURVEY RESPONDENTS INDICATED THAT BARRIERS TO ACCESSING HEALTHCARE INCLUDE THE FOLLOWING: -TRANSPORTATION -AVAILABILITY OF PROVIDERS -LONG WAIT TIMES -FINANCIAL CONSTRAINTS* TEEN BIRTH RATE - SIGNIFICANTLY HIGHER IN OKLAHOMA COUNTY & OKLAHOMA AS A WHOLE COMPARED TO U.S. AS A WHOLE* THE 73110 ZIP CODE (MIDWEST CITY) HAS ONE OF THE HIGHEST CARDIOVASCULAR DISEASE MORTALITY RATES IN OKLAHOMA COUNTY.
PART VI, LINE 5:	SSM HEALTH & ITS AFFILIATES PARTICIPATE IN A WIDE ARRAY OF COMMUNITY PROGRAMS THROUGHOUT THE AREA TO FURTHER ITS EXEMPT PURPOSE OF PROMOTING THE HEALTH OF THE COMMUNITY. THE COMMUNITY INITIATIVES BUILD ON THE STRENGTHS OF OUR COMMUNITIES & SYSTEMS TO IMPROVE THE QUALITY OF LIFE & TO CREATE A SENSE OF HOPE.COMMUNITY BENEFIT INITIATIVES BUILD COMMUNITY CAPACITY & INDIVIDUAL EMPOWERMENT THROUGH COMMUNITY ORGANIZING, LEADERSHIP DEVELOPMENT, PARTNERSHIPS, & COALITION BUILDING.SSM HEALTH & ITS AFFILIATES PROMOTE GRASSROOTS ADVOCACY & ENGAGES PERSONS OF INFLUENCE TO AFFECT SOCIAL & PUBLIC POLICY CHANGE IN ORDER TO PROMOTE COMMUNITY HEALTH.THE HOSPITALS ALSO FURTHER THEIR EXEMPT PURPOSE WITH THE FOLLOWING ACTIVITIES:OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY,HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA,ENGAGES IN THE TRAINING & EDUCATION OF HEALTH CARE PROFESSIONALS,PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, &/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS*ALL SURPLUS FUNDS GENERATED BY SSMH ENTITIES ARE REINVESTED IN IMPROVING OUR PATIENT CARE DELIVERY SYSTEM.
PART VI, LINE 6:	SSM HEALTH CARE OF OKLAHOMA, INC. IS A 501(C)(3) ORGANIZATION & IS A MEMBER OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. SSM HEALTH CARE OF OKLAHOMA, INC. INCLUDES THE FOLLOWING OPERATING HOSPITALS: SSM HEALTH ST. ANTHONY HOSPITAL OKLAHOMA CITY, SSM HEALTH ST. ANTHONY HOSPITAL MIDWEST & SSM HEALTH BONE & JOINT HOSPITAL AT ST. ANTHONY HOSPITAL OKLAHOMA CITY.SSM HEALTH CARE CORPORATION (SSMHCC), A MISSOURI NONPROFIT CORPORATION, IS THE ULTIMATE PARENT ENTITY OF A FULLY INTEGRATED HEALTH SYSTEM WITH ITS HEADQUARTERS BASED IN ST. LOUIS, MISSOURI. SSMHCC & ITS CONSOLIDATED SUBSIDIARIES (DOING BUSINESS AS SSM HEALTH (SSMH) OWNS & OPERATES 23 ACUTE CARE HOSPITALS, ONE OF WHICH SPECIALIZES IN PEDIATRICS, TWELVE POST-ACUTE CARE FACILITIES, A NATIONAL PHARMACY BENEFIT MANAGEMENT COMPANY (PBM), AN EXTENSIVE NETWORK OF PHYSICIAN PRACTICE OPERATIONS, OTHER HEALTH CARE BUSINESSES & SEVERAL FOUNDATIONS. SSMH'S HOSPITAL OPERATIONS ARE LOCATED PRIMARILY IN MISSOURI, WISCONSIN, OKLAHOMA & ILLINOIS, & ITS RELATED BUSINESSES PROVIDE HEALTH RELATED SERVICES IN 50 STATES. SSMH'S MISSION STATEMENT IS AS FOLLOWS:THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.SSMHCC & MOST OF ITS AFFILIATED SUBSIDIARY CORPORATIONS HAVE BEEN GRANTED EXEMPTION FROM FEDERAL INCOME TAX AS CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). CERTAIN SUBSIDIARIES OF SSMH ARE FOR-PROFIT ENTITIES THAT ARE TAXABLE UNDER THE IRC.SSMH IS SPONSORED BY SSM HEALTH MINISTRIES, A MINISTERIAL JURIDIC PERSON, WHICH IS CURRENTLY COMPOSED OF ONE FRANCISCAN SISTER OF MARY (FSM), ONE SISTER OF ST. AGNES, ONE JESUIT PRIEST, ONE FRANCISCAN PRIEST, & FOUR LAY PERSONS WHO COLLECTIVELY HOLD CERTAIN RESERVED POWERS OVER SSMH.
PART VI, LINE 7, REPORTS FILED WITH STATES	OK

Schedule H (Form 990) 2024

Additional Data

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Schedule I
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
SSM HEALTH CARE OF OKLAHOMA INC

Employer identification number
73-0657693

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) ALLIED ARTS FOUNDATION 1015 N BROADWAY AVENUE OKLAHOMA CITY,OK73102	73-0804291	501(C)(3)	25,000	CHARITABLE SUPPORT
(2) CASADY SCHOOL PO BOX 20390 OKLAHOMA CITY,OK73156	73-0587209	501(C)(3)	15,000	CHARITABLE SUPPORT
(3) CATHOLIC CHARITIES OF THE ARCHDIOCESE OF OKLAHOMA CITY INC 1232 N CLASSEN BLVD OKLAHOMA CITY,OK73106	73-0635561	501(C)(3)	60,000	CHARITABLE SUPPORT
(4) CITY CARE INC 6001 N CLASSEN BLVD OKLAHOMA CITY,OK73118	73-1497381	501(C)(3)	80,000	CHARITABLE SUPPORT
(5) CIVIC CENTER FOUNDATION 201 N WALKER AVE OKLAHOMA CITY,OK73102	73-1606322	501(C)(3)	7,500	CHARITABLE SUPPORT
(6) CRISTO REY OKLAHOMA CITY CATHOLIC HIGH SCHOOL 900 N PORTLAND AVENUE OKLAHOMA CITY,OK73107	47-5521087	501(C)(3)	17,500	CHARITABLE SUPPORT
(7) CYCLE 66 INC 3009 STONYBROOK DRIVE OKLAHOMA CITY,OK73115	85-1357983	501(C)(3)	7,000	CHARITABLE SUPPORT
(8) DOWNTOWN OKLAHOMA CITY INC 211 N ROBINSON AVE NO 225 OKLAHOMA CITY,OK73102	73-1593759	501(C)(6)	173,500	CHARITABLE SUPPORT
(9) EASTERN OKLAHOMA COUNTY RESOURCE CENTER 14971 E RENO AVE CHOCTAW,OK73020	47-1535984	501(C)(3)	9,750	CHARITABLE SUPPORT
(10) GIRL SCOUTS - WESTERN OKLAHOMA INC 6100 N ROBINSON AVE OKLAHOMA CITY,OK73118	73-0677849	501(C)(3)	16,000	CHARITABLE SUPPORT
(11) GOSPEL OF LIFE ASSOCIATION 1145 SW 42ND ST OKLAHOMA CITY,OK73109	47-1279079	501(C)(3)	20,000	CHARITABLE SUPPORT
(12) GREATER OKLAHOMA CITY CHAMBER OF COMMERCE 123 PARK AVENUE OKLAHOMA CITY,OK73102	73-0381180	501(C)(6)	134,315	CHARITABLE SUPPORT
(13) HEALTH ALLIANCE FOR THE UNISURED INC 3000 UNITED FOUNDERS BLVD OKLAHOMA CITY,OK73112	26-1789292	501(C)(3)	90,000	CHARITABLE SUPPORT
(14) HERITAGE HALL SCHOOL 1800 NW 122ND STREET OKLAHOMA CITY,OK73055	73-0783395	501(C)(3)	12,000	CHARITABLE SUPPORT
(15) INFANT CRISIS SERVICES 4224 N LINCOLN BLVD OKLAHOMA CITY,OK73105	73-1378766	501(C)(3)	20,525	CHARITABLE SUPPORT
(16) LEADERSHIP OKLAHOMA CITY 730 W WILSHIRE BLVED OKLAHOMA CITY,OK73116	73-1164548	501(C)(3)	10,750	CHARITABLE SUPPORTCHARITABLE SUPPORT
(17) MIDWEST CITY CHAMBER OF COMMERCE 5905 TROSPER ROAD MIDWEST CITY,OK73110	73-0564140	501(C)(6)	18,792	CHARITABLE SUPPORT
(18) MISSION MID-DEL INC 9400 NAWASSA DR MIDWEST CITY,OK73130	73-1559583	501(C)(3)	14,750	CHARITABLE SUPPORT
(19) OKLAHOMA BAPTIST UNIVERSITY 500 W UNIVERSITY ST SHAWNEE,OK74804	73-0579264	501(C)(3)	110,000	CHARITABLE SUPPORT
(20) OKLAHOMA CITY UNIVERSITY 2501 N BLACKWELDER OKLAHOMA CITY,OK73106	73-0579265	501(C)(3)	100,667	CHARITABLE SUPPORT
(21) OKLAHOMA CONTEMPORARY ARTS CENTER INC 11 NW 11TH ST OKLAHOMA CITY,OK73103	73-1334271	501(C)(3)	25,000	CHARITABLE SUPPORT
(22) OKLAHOMA HOSPITAL ASSOCIATION 4000 N LINCOLN BLVD OKLAHOMA CITY,OK73105	73-0618552	501(C)(6)	10,000	CHARITABLE SUPPORT
(23) OKLAHOMA MEDICAL RESEARCH FOUNDATION 825 NE 13TH STREET OKLAHOMA CITY,OK73104	73-0580274	501(C)(3)	7,500	CHARITABLE SUPPORT
(24) REDBUD FOUNDATION 421 AVONDALE DRIVE SUITE 204-A OKLAHOMA CITY,OK73116	73-1293464	501(C)(3)	20,250	CHARITABLE SUPPORT
(25) REGIONAL FOOD BANK OF OKLAHOMA INC PO BOX 270968 OKLAHOMA CITY,OK73137	73-1100380	501(C)(3)	35,500	CHARITABLE SUPPORT
(26) ROSE STATE COLLEGE FOUNDATION 6420 SE 15 ST MIDWEST CITY,OK73110	23-7181959	501(C)(3)	10,000	CHARITABLE SUPPORT
(27) THE ST ANTHONY FOUNDATION INC 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131	73-6104300	501(C)(3)	33,705	CHARITABLE SUPPORT
(28) THE SUSAN G KOMEN BREAST CANCER FOUNDATION 13770 NOEL ROAD SUITE 801889 DALLAS,TX80188	75-1835298	501(C)(3)	11,000	CHARITABLE SUPPORT
(29) UNCOMMON COLLECTIVE FOUNDATION 701 NW 8TH STREET OKLAHOMA CITY,OK73102	83-3017938	501(C)(3)	45,000	CHARITABLE SUPPORT
(30) UNITED WAY OF CENTRAL OKLAHOMA 1444 NW 28TH STREET OKLAHOMA CITY,OK73106	73-0589829	501(C)(3)	75,000	CHARITABLE SUPPORT
(31) UNIVERSITY OF CENTRAL OKLAHOMA 100 N UNIVERSITY DR EDMOND,OK73034	73-1058509	501(C)(3)	220,648	CHARITABLE SUPPORT
(32) YMCA OF GREATER OKLAHOMA CITY 500 N BROADWAY AVENUE OKLAHOMA CITY,OK73102	73-0579270	501(C)(3)	40,000	CHARITABLE SUPPORT
(33) MIDWEST CITY-DEL CITY INDEPENDENT SCHOOL DISTRICT NO 52 7217 SE 15TH STREET MIDWEST CITY,OK73110		GOVERNMENT	27,000	CHARITABLE SUPPORT
(34) ST GEORGE GREEK ORTHODOX CHURCH 1100 NW 8TH OKLAHOMA CITY,OK73106		501(C)(3)	10,000	CHARITABLE SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

THE PROCEDURES USED TO MONITOR THE USE OF GRANT FUNDING VARIES BASED ON THE GRANT RECIPIENT. GRANTS TO RELATED ENTITIES ARE MONITORED DIRECTLY BY THE ORGANIZATION WHEREBY THE RECIPIENT REPORTS ON THE SPECIFIC USE OF THE FUNDING. FOR GRANTS TO UNRELATED ENTITIES, THE ORGANIZATION UTILIZES THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) TO TRACK, STORE AND REPORT A WIDE RANGE OF INFORMATION RELATED TO GRANTS AND OVERALL COMMUNITY IMPACT. IN CERTAIN CIRCUMSTANCES, QUALIFYING EXPENSES MAY BE PAID ON BEHALF OF SYSTEM EMPLOYEES BASED UPON DEMONSTRATED FINANCIAL HARDSHIP CAUSED BY NATURAL DISASTERS, ILLNESS, OR OTHER UNFORESEEN TRAGEDY.

Schedule I (Form 990) Rev. 1-2025

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

SSM HEALTH CARE OF OKLAHOMA INC

Employer identification number

73-0657693

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1STEVEN SMOOT VICE PRESIDENT, COO AT SSM HEALTH	(i) (ii)	0 ------------- 1,305,272	0 ------------- 895,103	0 ------------- 164,560	0 ------------- 1,075,677	0 ------------- 44,021	0 ------------- 3,484,633	0 ------------- 1,036,001
2MICHAEL HAHN II PHYSICIAN	(i) (ii)	1,740,266 ------------- 0	802,095 ------------- 0	7,524 ------------- 0	19,540 ------------- 0	57,131 ------------- 0	2,626,556 ------------- 0	0 ------------- 0
3DOUGLAS LONG SECRETARY, CLO AT SSM HEALTH	(i) (ii)	0 ------------- 813,979	0 ------------- 583,198	0 ------------- 189,973	0 ------------- 676,547	0 ------------- 24,224	0 ------------- 2,287,921	0 ------------- 583,198
4JOE HODGES DIRECTOR, VICE CHAIR, REG PRES-SSM H	(i) (ii)	689,127 ------------- 0	519,119 ------------- 0	88,896 ------------- 0	572,140 ------------- 0	48,076 ------------- 0	1,917,358 ------------- 0	528,492 ------------- 0
5KEVIN SMITH TREASURER, CFO AT SSM HEALTH	(i) (ii)	0 ------------- 1,034,519	0 ------------- 0	0 ------------- 15,958	0 ------------- 586,407	0 ------------- 40,674	0 ------------- 1,677,558	0 ------------- 0
6CODY GRIFFIN PHYSICIAN	(i) (ii)	847,423 ------------- 0	759,528 ------------- 0	1,026 ------------- 0	16,589 ------------- 0	46,862 ------------- 0	1,671,428 ------------- 0	0 ------------- 0
7FARHAN TARIQ PHYSICIAN	(i) (ii)	901,527 ------------- 0	650,977 ------------- 0	1,710 ------------- 0	19,921 ------------- 0	44,901 ------------- 0	1,619,036 ------------- 0	0 ------------- 0
8BERNARDINO ROCHA PHYSICIAN	(i) (ii)	670,445 ------------- 0	793,015 ------------- 0	1,140 ------------- 0	18,606 ------------- 0	50,345 ------------- 0	1,533,551 ------------- 0	0 ------------- 0
9RANDALL COMBS FORMER OFFICER	(i) (ii)	0 ------------- 323,766	0 ------------- 923,306	0 ------------- 206,949	0 ------------- 13,881	0 ------------- 15,625	0 ------------- 1,483,527	0 ------------- 923,306
10BRENT HISEY PHYSICIAN	(i) (ii)	1,054,745 ------------- 0	354,767 ------------- 0	9,144 ------------- 0	17,864 ------------- 0	44,711 ------------- 0	1,481,231 ------------- 0	0 ------------- 0
11TAMARA POWELL PRESIDENT - ST. ANTHONY OKC	(i) (ii)	574,660 ------------- 0	217,415 ------------- 0	52,488 ------------- 0	251,485 ------------- 0	47,767 ------------- 0	1,143,815 ------------- 0	263,274 ------------- 0
12KYLE NONDORF FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 555,313	0 ------------- 148,411	0 ------------- 53,552	0 ------------- 186,115	0 ------------- 46,227	0 ------------- 989,618	0 ------------- 176,997
13KERSEY WINFREE REGIONAL CHIEF MEDICAL OFFICER	(i) (ii)	457,896 ------------- 0	144,149 ------------- 0	46,892 ------------- 0	122,906 ------------- 0	39,794 ------------- 0	811,637 ------------- 0	144,149 ------------- 0
14STACY COLEMAN PRESIDENT - ST. ANTHONY MIDWEST	(i) (ii)	390,906 ------------- 0	138,783 ------------- 0	33,109 ------------- 0	173,778 ------------- 0	30,518 ------------- 0	767,094 ------------- 0	165,888 ------------- 0
15SHASTA MANUEL SYSTEM VICE PRESIDENT-FINANCE	(i) (ii)	0 ------------- 384,250	0 ------------- 119,120	0 ------------- 40,099	0 ------------- 149,096	0 ------------- 47,142	0 ------------- 739,707	0 ------------- 153,994
16MANDY HAYES-CHANDLER REGIONAL GENERAL COUNSEL	(i) (ii)	0 ------------- 345,989	0 ------------- 95,993	0 ------------- 30,192	0 ------------- 119,922	0 ------------- 30,232	0 ------------- 622,328	0 ------------- 122,154
17ELAIN RICHARDSON REGIONAL VP-PATIENT CARE SVCS	(i) (ii)	97,117 ------------- 0	94,746 ------------- 0	328,504 ------------- 0	33,824 ------------- 0	11,657 ------------- 0	565,848 ------------- 0	119,242 ------------- 0
18RYAN OSS SYSTEM VP - MEDICAL GROUP OPERATIONS	(i) (ii)	292,413 ------------- 0	49,172 ------------- 0	15,871 ------------- 0	98,342 ------------- 0	40,207 ------------- 0	496,005 ------------- 0	60,282 ------------- 0
19PAUL WRIGHT VP-MEDICAL PRACTICE, ST. ANTHONY PHY	(i) (ii)	318,799 ------------- 0	56,210 ------------- 0	20,864 ------------- 0	74,769 ------------- 0	24,895 ------------- 0	495,537 ------------- 0	56,210 ------------- 0
20DARIN SMITH VP-OPERATIONS, HOSPITAL	(i) (ii)	248,548 ------------- 0	44,529 ------------- 0	2,422 ------------- 0	61,986 ------------- 0	29,075 ------------- 0	386,560 ------------- 0	44,529 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	SEVERAL INDIVIDUALS LISTED ON SCHEDULE J PART II RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENT IN 2024. THE PAYMENT WAS INCLUDED IN THEIR TAXABLE COMPENSATION.
PART I, LINE 3	THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (REGIONAL PRESIDENT) IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINES 4A-B	SSM HEALTH HAS ADOPTED A SEVERANCE POLICY TO PROVIDE A FINANCIAL TRANSITION IN THE EVENT OF INVOLUNTARY TERMINATION WITHOUT CAUSE FOR EXECUTIVE LEVEL POSITIONS. THE AMOUNT OF THE COMPENSATION IS BASED ON THE POSITION HELD AND LENGTH OF SERVICE WITH SSMH. THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF THE FORM 990 RECEIVED PAYMENTS UNDER THE PLAN IN THE CURRENT YEAR: ELAIN RICHARDSON - $213,703 PENSION RESTORATION PLAN: SSM HEALTH (SSMH) PROVIDES THIS SUPPLEMENTAL DEFINED BENEFIT NONQUALIFIED RETIREMENT PLAN TO ANY EMPLOYEE WHO IS A PARTICIPANT IN THE SSMH QUALIFIED DEFINED BENEFIT PLAN WHO EARNS OVER THE INTERNAL REVENUE SERVICE COMPENSATION LIMIT. THE PLAN "RESTORES" THE BENEFITS TO THESE EMPLOYEES THAT WOULD HAVE BEEN PROVIDED UNDER THE SSMH QUALIFIED PLAN IF THE REGULATIONS DID NOT IMPOSE COMPENSATION LIMITS. AN INDIVIDUAL CAN TAKE A DISTRIBUTION FROM THE PLAN AT (1) AGE 65 OR OLDER IF THE INDIVIDUAL IS STILL EMPLOYED BY SSMH OR (2) AGE 55 OR OLDER IF THE INDIVIDUAL IS NO LONGER EMPLOYED BY SSMH. THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THE PLAN IN 2024: PAUL WRIGHT - $202,265 ELAIN RICHARDSON - $319,528 KERSEY WINFREE - $340.863 CAPITAL ACCUMULATION PLAN: SSMH PROVIDES THIS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO EXECUTIVE LEVEL EMPLOYEES. THE ORGANIZATION CONTRIBUTED A PERCENTAGE OF THE EMPLOYEE'S BASE SALARY INTO THEIR CHOICE OF A SELECT LIST OF INVESTMENTS. THE DEPOSITS AND EARNINGS OF THE PLAN ARE OWNED BY SSMH AND ARE TAX-DEFERRED UNTIL A DISTRIBUTION IS MADE TO THE EMPLOYEE. IN ADDITION, THE PLAN HAS SPECIAL SAFEGUARDS IN PLACE TO PROTECT THE FUNDS FROM CONTINGENCIES, OTHER THAN INSOLVENCY. FOR CONTRIBUTIONS MADE TO THE PLAN IN 2014 OR AFTER, THE DISTRIBUTION WILL OCCUR AFTER THE COMPLETION OF FOUR PLAN YEARS FOR ALL EXECUTIVES THAT ARE STILL ACTIVELY EMPLOYED ON THE DISTRIBUTION DATE. ANY ACTIVE PARTICIPANT 65 YEARS OR OLDER WILL RECEIVE THE CONTRIBUTION IN THE CURRENT YEAR. THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DISTRIBUTIONS FROM THIS PLAN IN 2024. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUAL'S TAXABLE COMPENSATION. JOE HODGES - 83,994 STEVE SMOOT - 159,608 SHASTA MANUEL - 37,959 STACY COLEMAN - 28,923 TAMMY POWELL - 47,586 RYAN OSS - 15,211 MANDY HAYES-CHANDLER - 28,996 ELAIN RICHARDSON - 113,783 KYLE NONDORF - 51,642

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

SSM HEALTH CARE OF OKLAHOMA INC

Employer identification number

73-0657693

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No




Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) (Rev. 1-2025)

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) JOE HODGES	BOARD MEMBER & OFFICER	793,044	BOARD MEMBER OF OKLAHOMA BLOOD INSTITUTE		No
(2) STACY COLEMAN	OFFICER	164,663	SISTER IS EMPLOYEE		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

SSM HEALTH CARE OF OKLAHOMA INC

Employer identification number

73-0657693

Return Reference	Explanation
FORM 990, LINE C, DOING BUSINESS AS:	"SCORE" - SPECIALIZED CENTER OF REJUVENATION AND EXERCISE "START" - ST. ANTHONY RECOVERY AND TREATMENT PROGRAM EXCELLENCE IS THE BEST MEDICINE SSM HEALTH SSM HEALTH BEHAVIORAL HEALTH SSM HEALTH BONE & JOINT HOSPITAL AT ST. ANTHONY SSM HEALTH BREAST CARE SSM HEALTH CANCER CARE SSM HEALTH CANCER CARE FRANK C. LOVE CANCER INSTITUTE SSM HEALTH CANCER CENTER SSM HEALTH DERMATOLOGY SSM HEALTH MEDICAL GROUP SSM HEALTH NEUROSCIENCES SSM HEALTH OUTPATIENT CENTER SSM HEALTH PEDIATRICS SSM HEALTH PHARMACY SSM HEALTH PHYSICAL THERAPY SSM HEALTH SLEEP SERVICES SSM HEALTH ST. ANTHONY HEALTHPLEX SSM HEALTH ST. ANTHONY HOSPITAL - MIDWEST SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY SSM HEALTH ST. ANTHONY SOUTH SSM HEALTH SURGERY CENTER SSM HEALTH URGENT CARE SSM HEALTH PAIN CARE SSM HEALTH AT WORK SSM HEALTH ST. ANTHONY DIGESTIVE CARE VEIN AND CIRCULATION CENTER AT ST. ANTHONY HOSPITAL SSM HEALTH SAINTS HEART SSM HEALTH MEDICAL GROUP (MEDICAL GROUP) SSM HEALTH PEDIATRICS (MEDICAL GROUP)
FORM 990, PART V, LINE 1A	ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223.
FORM 990, PART VI, SECTION A, LINE 4	IN 2024, SSM HEALTH CARE OF OKLAHOMA, INC. UPDATED ITS BYLAWS FOR THE FOLLOWING CHANGES: - CHANGE TO THE SIZE OF THE BOARD OF DIRECTORS AND NUMBER OF EX OFFICIO DIRECTORS - CHANGE TO TERMS AND TERM LIMITS FOR BOARD OF DIRECTORS MEMBERS - CHANGE TO OFFICER POSITIONS AND METHOD FOR APPOINTMENT - CHANGE TO THE COMMITTEES FOR THE HOSPITAL OPERATING ENTITY.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE CORPORATION. SSM HEALTH CARE CORPORATION IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH SSM HEALTH CARE OF OKLAHOMA AND SSM HEALTH CARE CORPORATION ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH.
FORM 990, PART VI, SECTION A, LINE 7A	THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND APPOINT AND REMOVE THE APPOINTED DIRECTORS AND THE EX OFFICIO DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT ADDITIONAL SUCCESSOR OR REPLACEMENT MEMBERS C. TO ELECT AND REMOVE THE APPOINTED DIRECTORS AND THE EX OFFICIO DIRECTORS D. TO APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION AND THE CHIEF EXECUTIVE OFFICER, THE CHAIRPERSON, AND THE VICE CHAIRPERSON E. TO APPROVE THE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN F. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION G. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION H. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY I. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION J. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY K. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY L. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS; TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS; AND TO AUTHORIZE THE OPENING, CLOSING, ADMINISTRATION, AND MANAGEMENT OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS M. TO APPROVE THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION N. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION O. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTEREST IN THE PROPERTY OF THE CORPORATION P. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER OR TO ANY ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY THE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS, AND OBJECTIVE OF THE MEMBER AS DETERMINED BY THE MEMBER Q. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE MEMBER APPROVAL; AND R. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION, WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO THE CORPORATION, ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY.
FORM 990, PART VI, SECTION A, LINE 8B	THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION (SSM). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SSM PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY OF THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUCH BE COMPLETED ON LINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR END.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION'S COMPENSATION PLAN IS REVIEWED AND APPROVED AT FORMAL MEETINGS OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT NON-EMPLOYEE MEMBERS WHO HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENT TO BE REVIEWED AND RECOMMENDED BY THE COMPENSATION COMMITTEE. THE COMMITTEE REVIEWS COMPARABLE WISCONSIN AND NATIONAL COMPENSATION DATA AND ESTABLISHES BASE COMPENSATION AT THE COMPARABLE MARKET MEDIAN BY THE POSITION AS OUTLINED IN THE COMPENSATION COMMITTEE CHARTER. ADDITIONALLY, THE COMMITTEE HAS AUTHORITY TO RETAIN A COMPENSATION CONSULTANT TO ASSIST THE COMMITTEE IN EVALUATING SENIOR MANAGEMENT COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19	THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONTRACT LABOR: PROGRAM SERVICE EXPENSES 8,580,338. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,580,338. MEDICAL PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 68,605,809. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,605,809. MEDICAL THERAPIST & OTHER FEES: PROGRAM SERVICE EXPENSES 490,753. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 490,753. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 997,799. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 997,799. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 997,523. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 997,523. MEDICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 30,360,404. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,360,404. MAINTENCE CONTRACTS: PROGRAM SERVICE EXPENSES 13,263,771. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,263,771. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 2,238,522. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,238,522. RECRUITMENT SERVICES: PROGRAM SERVICE EXPENSES 35,281. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,281. HOUSEKEEPING SERVICES: PROGRAM SERVICE EXPENSES 1,355,887. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,355,887. GROUNDSKEEPING SERVIES: PROGRAM SERVICE EXPENSES 537,192. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 537,192.
FORM 990, PART XI, LINE 9:	TRANSFERS WITH CONSOLIDATED ENTITIES -155,082,448. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -21,454,764. BENEFICIAL INTEREST IN FOUNDATION -18,160,445. ROUNDING 1.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

SSM HEALTH CARE OF OKLAHOMA INC

Employer identification number

73-0657693

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) SAINTS MEDICAL GROUP 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 76-0825755	MEDICAL SERVICES	OK	-41,109,224	8,559,186	SSM HEALTH CARE OF OKLAHOMA INC
(2) SSMOK ACO LLC 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 47-0964302	HEALTH PROMOTION	OK	0	0	SSM HEALTH CARE OF OKLAHOMA INC
(3) BONE & JOINT OFFICE BUILDING LLC 100 N LEE AVE OKLAHOMA CITY,OK73102 73-1533449	MEDICAL OFFICE BUILDING	OK	40,767	0	SSM HEALTH CARE OF OKLAHOMA INC

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)SSM HEALTH MINISTRIES 3221 MCKELVEY ROAD SUITE 107 BRIDGETON,MO63044 43-1012492	RELIGIOUS ORGANIZATION	MO	501(C)(3)	LINE 1	N/A		No
(2)SSM HEALTH CARE CORPORATION 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 46-6029223	HEALTH CARE	MO	501(C)(3)	LINE 12A, I	SSM HEALTH MINISTRIES		No
(3)SSMHC LIABILITY TRUST I 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 43-6331003	INSURANCE	MO	501(C)(3)	LINE 12A, I	SSM HEALTH CARE CORPORATION		No
(4)SSM CONSOLIDATED HEALTH SERVICES 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 43-1473657	HEALTH CARE	MO	501(C)(3)	LINE 10	SSM HEALTH CARE CORPORATION		No
(5)SSM POLICY INSTITUTE 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 43-1788151	HEALTH CARE	MO	501(C)(4)		SSM HEALTH CARE CORPORATION		No
(6)SSM HEALTH CARE PORTFOLIO MANAGEMENT CO 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 43-1825256	MANAGEMENT	MO	501(C)(3)	LINE 12A, I	SSM HEALTH CARE CORPORATION		No
(7)SSM HEALTH FOUNDATION 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 87-4109859	FUNDRAISING	MO	501(C)(3)	LINE 12A, I	SSM HEALTH CARE CORPORATION		No
(8)SSM HEALTH CARE ST LOUIS 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 43-1343281	HEALTH CARE	MO	501(C)(3)	LINE 3	SSM HEALTH CARE CORPORATION		No
(9)SSM-SLUH INC 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 47-4196634	HEALTH CARE	MO	501(C)(3)	LINE 3	SSM HEALTH CARE ST LOUIS		No
(10)SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 43-0738490	HEALTH CARE	MO	501(C)(3)	LINE 3	SSM HEALTH CARE ST LOUIS		No
(11)CARDINAL GLENNON CHILDREN'S FOUNDATION 3800 PARK AVE ST LOUIS,MO63110 43-1754347	FUNDRAISING	MO	501(C)(3)	LINE 7	SSM CARDINAL GLENNON CHILDREN'S HOSPITAL		No
(12)SSM HEALTH CARDINAL GLENNON TRANSPORT 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 86-3519607	HEALTH CARE	MO	501(C)(3)	LINE 12A, I	SSM CARDINAL GLENNON CHILDREN'S HOSPITAL		No
(13)SSM HEALTH CARE GROUP 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 88-0988603	HEALTH CARE	MO	501(C)(3)	LINE 10	SSM HEALTH CARE ST LOUIS		No
(14)SSM HEALTH FOUNDATION - ST LOUIS 12312 OLIVE BLVD STE 100 ST LOUIS,MO63141 43-1552945	FUNDRAISING	MO	501(C)(3)	LINE 7	SSM HEALTH CARE ST LOUIS		No
(15)SSM HEALTH CARE OF OKLAHOMA INC 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 73-0657693	HEALTH CARE	OK	501(C)(3)	LINE 3	SSM HEALTH CARE CORPORATION		No
(16)LEE DEWEY CORPORATION 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 73-1279603	MOB	OK	501(C)(3)	LINE 12A, I	SSM HEALTH CARE OF OKLAHOMA INC		No
(17)ST ANTHONY SHAWNEE HOSPITAL INC 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 45-5055149	HEALTH CARE	OK	501(C)(3)	LINE 3	SSM HEALTH CARE OF OKLAHOMA INC		No
(18)THE ST ANTHONY HOSPITAL FOUNDATION INC 601 NW 11TH STREET OKLAHOMA CITY,OK73101 73-6104300	FUNDRAISING	OK	501(C)(3)	LINE 7	SSM HEALTH CARE OF OKLAHOMA INC		No
(19)SSM HEALTH CARE OF WISCONSIN INC 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 43-0688874	HEALTH CARE	WI	501(C)(3)	LINE 3	SSM HEALTH CARE CORPORATION		No
(20)DELLS MEDICAL BUILDING INC 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 39-1613292	MOB	WI	501(C)(2)		SSM HEALTH CARE OF WISCONSIN INC		No
(21)ST MARY'S FOUNDATION INC 700 SOUTH PARK STREET MADISON,WI53715 43-1940686	FUNDRAISING	WI	501(C)(3)	LINE 7	SSM HEALTH CARE OF WISCONSIN INC		No
(22)ST CLARE HEALTH CARE FOUNDATION INC 707 14TH STREET BARABOO,WI53913 43-1940683	FUNDRAISING	WI	501(C)(3)	LINE 7	SSM HEALTH CARE OF WISCONSIN INC		No
(23)ST MARY'S JANESVILLE FOUNDATION INC 3400 E RACINE ST JANESVILLE,WI53546 27-3439133	FUNDRAISING	WI	501(C)(3)	LINE 7	SSM HEALTH CARE OF WISCONSIN INC		No
(24)AGNESIAN HEALTHCARE FOUNDATION INC 430 E DIVISION ST FOND DU LAC,WI54935 39-1684956	FUNDRAISING	WI	501(C)(3)	LINE 12A, I	SSM HEALTH CARE OF WISCONSIN INC		No
(25)MONROE CLINIC AND HOSPITAL FOUNDATION INC 515 22ND AVENUE MONROE,WI53566 20-5769038	FUNDRAISING	WI	501(C)(3)	LINE 7	SSM HEALTH CARE OF WISCONSIN INC		No
(26)SHARED MAGNETIC RESONANCE IMAGING FACILITY INC 1104 JOHN NOLEN DRIVE MADISON,WI53713 39-1534744	HEALTH CARE	WI	501(C)(3)	LINE 12A, I	SSM HEALTH CARE OF WISCONSIN INC		No
(27)AGNESIAN HEALTHCARE INC 430 E DIVISION ST FOND DU LAC,WI54935 39-0807236	HEALTH CARE	WI	501(C)(3)	LINE 3	SSM HEALTH CARE OF WISCONSIN INC		No
(28)RIPON MEDICAL CENTER INC 845 PARKSIDE STREET RIPON,WI54971 39-1101287	HEALTH CARE	WI	501(C)(3)	LINE 3	AGNESIAN HEALTHCARE INC		No
(29)WAUPUN MEMORIAL HOSPITAL INC 620 WEST BROWN STREET WAUPUN,WI53963 39-0806265	HEALTH CARE	WI	501(C)(3)	LINE 3	AGNESIAN HEALTHCARE INC		No
(30)ST FRANCIS HOME OF FOND DU LAC WISCONSIN INC 33 EVERETT STREET FOND DU LAC,WI54935 39-1029998	HEALTH CARE	WI	501(C)(3)	LINE 10	AGNESIAN HEALTHCARE INC		No
(31)SISTER SERVANTS OF CHRIST THE KING VILLA LORETTO N8114 COUNTY WW MOUNT CALVARY,WI53057 39-1022770	HEALTH CARE	WI	501(C)(3)	LINE 10	AGNESIAN HEALTHCARE INC		No
(32)VILLA ROSA INC N8120 COUNTY WW MOUNT CALVARY,WI53057 42-1670962	HEALTH CARE	WI	501(C)(3)	LINE 10	AGNESIAN HEALTHCARE INC		No
(33)THE CHRISTIAN HOME AND REHABILITATION CENTER INCORPORATED 452 FOX LAKE ROAD WAUPUN,WI53963 39-0884514	HEALTH CARE	WI	501(C)(3)	LINE 10	AGNESIAN HEALTHCARE INC		No
(34)THE MONROE CLINIC INC 515 22ND AVENUE MONROE,WI53566 39-0808509	HEALTH CARE	WI	501(C)(3)	LINE 3	SSM HEALTH CARE OF WISCONSIN INC		No
(35)SSM HEALTH AT HOME FOUNDATION OF WISCONSIN INC 4639 HAMMERSLEY ROAD MADISON,WI53711 39-1839309	FUNDRAISING	WI	501(C)(3)	LINE 12A, I	HOME HEALTH UNITED INC		No
(36)SSM REGIONAL HEALTH SERVICES 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 44-0579850	HEALTH CARE	MO	501(C)(3)	LINE 3	SSM HEALTH CARE CORPORATION		No
(37)ST MARY'S HEALTH CENTER JEFFERSON CITY MISSOURI FOUNDATION 2505 MISSION DRIVE JEFFERSON CITY,MO65109 43-1575307	FUNDRAISING	MO	501(C)(3)	LINE 12A, I	SSM REGIONAL HEALTH SERVICES		No
(38)ST MARY'S HOSPITAL AUXILIARY 2505 MISSION DRIVE JEFFERSON CITY,MO65109 43-6049878	FUNDRAISING	MO	501(C)(3)	LINE 12B, II	N/A		No
(39)SSM AUDRAIN HEALTH CARE INC 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 43-1550298	HEALTH CARE	MO	501(C)(3)	LINE 3	SSM REGIONAL HEALTH SERVICES		No
(40)ST MARY'S - GOOD SAMARITAN INC 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 36-4170833	HEALTH CARE	IL	501(C)(3)	LINE 12A, I	SSM REGIONAL HEALTH SERVICES		No
(41)ST MARY'S HOSPITAL FOUNDATION 400 N PLEASANT CENTRALIA,IL62801 36-4636691	FUNDRAISING	IL	501(C)(3)	LINE 7	ST MARY'S-GOOD SAMARITAN INC		No
(42)ST MARY'S HOSPITAL AUXILIARY 400 N PLEASANT CENTRALIA,IL62801 23-7126345	FUNDRAISING	IL	501(C)(3)	LINE 10	ST MARY'S HOSPITAL FOUNDATION		No
(43)GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION 1 GOOD SAMARITAN WAY MOUNT VERNON,IL62864 26-2884795	FUNDRAISING	IL	501(C)(3)	LINE 7	ST MARY'S-GOOD SAMARITAN INC		No
(44)GOOD SAMARITAN HOSPITAL AUXILIARY 1 GOOD SAMARITAN WAY MOUNT VERNON,IL62864 23-7049599	FUNDRAISING	IL	501(C)(3)	LINE 12C, III-FI	N/A		No
(45)GOOD SAMARITAN REGIONAL HEALTH CENTER 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 43-0653587	HEALTH CARE	IL	501(C)(3)	LINE 3	SSM REGIONAL HEALTH SERVICES		No
(46)ST MARY'S HOSPITAL CENTRALIA ILLINOIS 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 37-0662580	HEALTH CARE	IL	501(C)(3)	LINE 3	SSM REGIONAL HEALTH SERVICES		No
(47)CENTRALIA MEDICAL SERVICES BLDG ASSOC 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 23-7408025	MOB	IL	501(C)(3)	LINE 12A, I	SSM REGIONAL HEALTH SERVICES		No
(48)SSM HEALTH BUSINESSES 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 43-1333488	HEALTH CARE	MO	501(C)(3)	LINE 10	SSM HEALTH CARE CORPORATION		No
(49)THE SARAH COMMUNITY 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 43-1784657	HEALTH CARE	MO	501(C)(3)	LINE 10	SSM HEALTH BUSINESSES		No
(50)VISITING NURSE ASSOCIATION OF GREATER ST LOUIS 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 43-0567000	HEALTH CARE	MO	501(C)(3)	LINE 7	SSM HEALTH BUSINESSES		No
(51)HOME HEALTH UNITED INC 2802 WALTON COMMONS LANE MADISON,WI53718 39-1539827	HEALTH CARE	WI	501(C)(3)	LINE 10	SSM HEALTH BUSINESSES		No
(52)HHU XTRA CARE INC 2802 WALTON COMMONS LANE MADISON,WI53718 39-1705111	HEALTH CARE	WI	501(C)(3)	LINE 10	SSM HEALTH BUSINESSES		No
(53)HOME CARE UNITED INC 2802 WALTON COMMONS LANE MADISON,WI53718 39-1776340	HEALTH CARE	WI	501(C)(3)	LINE 10	SSM HEALTH BUSINESSES		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) SSM ST JOSEPH ENDOSCOPY CENTER LLC 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 27-0046559	SURGERY SERVICES	MO	N/A				No		Yes
(2) ST LOUIS HEALTHCARE SUPPORT SERVICES LLC 4901 FOREST PARK AVENUE STE 1140 ST LOUIS,MO63108 37-2121486	LAUNDRY SERVICES	MO	N/A				No		Yes
(3) 1110 N CLASSEN BLVD LLC 1110 N CLASSEN BOULEVARD OKLAHOMA CITY,OK73106 73-1158158	MOB	OK	N/A				No		Yes
(4) MT VERNON RADIATION THERAPY CENTER LLC 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 20-1382620	RADIATION THERAPY	IL	N/A				No		Yes
(5) CHOWSMGSI OFFICE BUILDING LLC 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 37-1383861	MOB	IL	N/A				No			No
(6) OZA CANCER CENTER LLC 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 20-1382727	MOB	IL	N/A				No			No
(7) WINGRA BUILDING GROUP 1808 WEST BELTLINE HIGHWAY MADISON,WI53713 39-0237060	MOB	WI	N/A				No			No
(8) JANESVILLE RIVERVIEW CLINIC BUILDING PARTNERSHIP 1808 WEST BELTLINE HIGHWAY MADISON,WI53713 39-6220698	MOB	WI	N/A				No			No
(9) DEAN CLINIC & ST MARY'S HOSPITAL ACCOUNTABLE CARE ORGANIZATION LLC 1808 WEST BELTLINE HIGHWAY MADISON,WI53713 45-2995500	ACCOUNTABLE CARE ORGANIZATION	WI	N/A				No			No
(10) WISCONSIN INTEGRATED INFORMATION TECHNOLOGY AND TELEMEDICINE SYSTEMS LLC 1808 WEST BELTLINE HIGHWAY MADISON,WI53713 39-2016715	INFORMATION TECHNOLOGY SERVICES	WI	N/A				No			No
(11) ST CLARE IMAGING SERVICES LLC 707 14TH STREET SUITE A BARABOO,WI53913 20-0122365	DIAG. SERVICES	WI	N/A				No		Yes
(12) NAVITUS HEALTH SOLUTIONS LLC 361 INTEGRITY DRIVE MADISON,WI53717 04-3608530	PHARMACY BENEFIT MANAGEMENT	WI	N/A				No			No
(13) EPIPHANY RX LLC 361 INTEGRITY DRIVE MADISON,WI53717 36-4855405	PHARMACY BENEFIT MANAGEMENT	DE	N/A				No			No
(14) RXPRECHECK LL 278 FRANKLIN RD BRENTWOOD,TN37027 81-2842151	PHARMACY BENEFIT MANAGEMENT	TN	N/A				No			No
(15) ARCHIMEDES LLC 278 FRANKLIN RD BRENTWOOD,TN37027 81-1158028	PHARMACY BENEFIT MANAGEMENT	TN	N/A				No			No
(16) M&C REALTY LLC 343 DUENKE RD FORISTELL,MO63348 62-1851447	MOB	MO	N/A				No		Yes
(17) BLOOM TREE LONG-ONLY FUND QP LP FKA BLOOM TREE PONDEROSA FUNDS QP LP 101 PARK AVENUE 33RD FL NEW YORK,NY10178 82-3704522	INVESTMENTS	DE	N/A				No			No
(18) NECICF II AIV2-B LP 300 DELAWARE AVE STE 210 WILMINGTON,DE19801 84-5058167	INVESTMENTS	DE	N/A				No			No
(19) BISON CAPITAL PARTNERS VI-A LP 233 WILSHIRE BLVD STE 425 SANTA MONICA,CA90401 87-4006968	INVESTMENTS	DE	N/A				No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) SSM MANAGED CARE ORGANIZATION LLC 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 43-1708511	HEALTH PROMOTION	MO	N/A	C					No
(2) FPP INC & SUBS 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 43-1465174	HEALTH CARE	MO	N/A	C					No
(3) DIVERSIFIED HEALTH SERVICES CORP 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 43-1369305	MEDICAL EQUIPMENT	MO	N/A	C					No
(4) SSM PROPERTIES INC 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 43-1462486	PROPERTY SERVICES	MO	N/A	C					No
(5) HEALTHFIRST PHYSICIAN MANAGEMENT SERVICES 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 73-1534336	MEDICAL SERVICES	OK	N/A	C					No
(6) SSMHC LIABILITY TRUST II 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 81-6128118	INSURANCE	MO	N/A	C					No
(7) SSM MEDICAL GROUP INC 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 43-1664107	PHYSICIAN OFFICES	MO	N/A	C					No
(8) SSMHC INSURANCE COMPANY PO BOX 1051 GT GRAND CAYMAN CJ 03-0310431	INSURANCE	CJ	N/A	C					No
(9) PHYSICIANS SERVICES CORP OF SOUTHERN ILLINOIS INC 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 36-4161526	HEALTH CARE	IL	N/A	C					No
(10) DEAN HEALTH SYSTEMS INC 1808 WEST BELTLINE HIGHWAY MADISON,WI53713 39-1128616	PHYSICIAN OFFICES	WI	N/A	C					No
(11) DEAN RETAIL SERVICES INC 1808 WEST BELTLINE HIGHWAY MADISON,WI53713 39-1717636	PROPERTY SERVICES	WI	N/A	C					No
(12) SSM HEALTH JANESVILLE CAMPUS CONDOMINIUM ASSOCIATION INC 1808 WEST BELTLINE HIGHWAY MADISON,WI53713 83-2038674	CONDO ASSOCIATION	WI	N/A	C					No
(13) SSM HEALTH PHARMACY LLC 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 26-4031708	PHARMACY	MO	N/A	C					No
(14) NAVITUS HOLDINGS LLC 1808 WEST BELTLINE HIGHWAY MADISON,WI53713 80-0968174	PHARMACY	WI	N/A	C					No
(15) MS COMMUNITY JV LLC 401 CARLSON PARKWAY CP330 MINNETONKA,MN55305 87-3240022	INSURANCE	DE	N/A	C					No
(16) QUALITY DRUG CORPORATION 239 BROADWAY LAGUNA BEACH,CA92651 33-0644268	PHARMACY BENEFITS	CA	N/A	C					No
(17) ST MARY'S HOSPITAL CAMPUS CONDOMINIUM OWNERS ASSOCIATION INC 707 SOUTH MILLS STREET MADISON,WI53715 000000000	CONDO ASSOCIATION	WI	N/A	C					No
(18) PARTNERS GROUP PMC PRIVATE CREDIT LP C/O MAPLES CORPORATE SERVICES LTD GRAND CAYMAN CJ 98-1439264	INVESTMENT	CJ	N/A	C					No
(19) OMNINHEALTH HOLDINGS 12800 CORPORATE HILL DRIVE ST LOUIS,MO63131 88-4144276	HEALTH CARE CONSULTING	DE	N/A	C					No

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ST ANTHONY HOSPITAL FOUNDATION	C	1,372,789	CASH

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: A HEALTHCARE NETWORK ENCOMPASSING SSM HEALTH FACILITIES PRIMARILY IN CENTRAL OKLAHOMA, INCLUDING FOUR HOSPITALS OPERATED UNDER ST. ANTHONY HOSPITAL'S LICENSE (SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY, ST. ANTHONY HOSPITAL - MIDWEST CITY, SSM HEALTH BONE & JOINT HOSPITAL AT ST. ANTHONY, AND SSM HEALTH ST. ANTHONY SOUTH), A MULTI-SPECIALITY MEDICAL GROUP AND FOUR REGIONAL HEALTHPLEXES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	5,787
6	Total number of volunteers (estimate if necessary) .............	6	187
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,969,524
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	827,745

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,233,921	2,725,400
9	Program service revenue (Part VIII, line 2g) .........	1,052,446,135	1,101,184,873
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,742,052	3,257,334
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	6,137,147	14,102,755
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,066,559,255	1,121,270,362
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,260,749	1,602,077
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	428,061,499	463,741,133
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 5,885
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	588,965,541	609,546,901
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,018,287,789	1,074,890,111
19	Revenue less expenses. Subtract line 18 from line 12.......	48,271,466	46,380,251
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	505,793,989	453,704,540
21	Total liabilities (Part X, line 26).............	477,894,995	574,122,950
22	Net assets or fund balances. Subtract line 21 from line 20.....	27,898,994	-120,418,410

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 960,741,994 including grants of $ 1,602,077 ) (Revenue $ 1,099,215,349 )
	SSM HEALTH CARE OF OKLAHOMA (SSMOK) IS A HEALTH CARE NETWORK THAT ENCOMPASSES SSM HEALTH CARE FACILITIES PRIMARILY IN CENTRAL OKLAHOMA. THIS INCLUDES SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY, SSM HEALTH BONE & JOINT HOSPITAL AT ST. ANTHONY, SSM HEALTH ST. ANTHONY HOSPITAL - MIDWEST, AND SAINTS MEDICAL GROUP, A MULTI-SPECIALTY MEDICAL GROUP WITH LOCATIONS GEOGRAPHICALLY SPREAD AMONG THE COMMUNITIES WE SERVE. SSMOK IS ALSO THE SOLE CORPORATE MEMBER OF SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE IN SHAWNEE, OKLAHOMA. IN ADDITION TO THE MAIN HOSPITAL CAMPUSES, THE REGION ALSO ENCOMPASSES ST ANTHONY NORTH, LOCATED IN NORTH OKLAHOMA CITY, AND ST ANTHONY SOUTH, LOCATED IN SOUTH OKLAHOMA CITY, ST ANTHONY HEALTHPLEX EAST AND ST ANTHONY HEALTHPLEX SOUTH, IN EAST AND SOUTH OKLAHOMA CITY. THESE STATE-OF-THE-ART CAMPUSES FEATURE FREESTANDING EMERGENCY ROOMS,AMBULATORY SERVICES AND PHYSICIANS.SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY IS LOCATED IN MIDTOWN AND HAS BEEN SERVING THE HEALTH CARE NEEDS OF CENTRAL OKLAHOMA AND SURROUNDING COUNTIES FOR 125 YEARS. THE JOURNEY BEGAN IN 1898 WHEN OUR FOUNDING SISTERS ESTABLISHED ST. ANTHONY HOSPITAL AS THE FIRST HOSPITAL IN THE OKLAHOMA TERRITORY IN TWO RENTED HOUSES WITH 12 BEDS AT 219 N.W. 4TH STREET. LATER, A NEW 25-BED, TWO STORY BRICK STRUCTURE WAS DEDICATED ON NOVEMBER 23, 1899, JUST OUTSIDE THE OKLAHOMA CITY LIMITS. ST. ANTHONY HOSPITAL REMAINS IN THE SAME LOCATION TODAY AS A 773-BED TERTIARY CARE HOSPITAL. ST. ANTHONY PROVIDES GENERAL, TERTIARY ACUTE CARE SERVICESINCLUDING CARDIOLOGY, ONCOLOGY, BEHAVIORAL MEDICINE, SURGERY, KIDNEY TRANSPLANTATION, AND A VARIETY OF OTHER DISCIPLINES. ST. ANTHONY HAS BROUGHT MANY "FIRSTS" TO HEALTH CARE IN OKLAHOMA (FIRST ICU, FIRST KIDNEY TRANSPLANT, FIRST NEUROSURGICAL INSTITUTE), INCLUDING BRINGING THE STATE'S ONLY CYBERKNIFE TECHNOLOGY TO OKLAHOMANS. SSM HEALTH BONE AND JOINT HOSPITAL AT ST. ANTHONY IS UNIQUE IN THAT THE HOSPITAL, PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS ARE COMMITTED SOLELY TO ORTHOPEDIC CARE. STAFF OFFERS A RANGE OF ORTHOPEDIC SERVICES INCLUDING HIP AND KNEE REPLACEMENT, SPINE SURGERY, PAIN MANAGEMENT, SPORTS MEDICINE, ARTHROSCOPIC PROCEDURES, FOOT AND ANKLE SURGERY, HAND SURGERY, AND ROBOTIC SURGERY. RECOGNIZED AS ONE OF THE TOP ORTHOPEDIC HOSPITALS IN THE UNITED STATES, BONE AND JOINT HOSPITAL AT ST. ANTHONY RATES IN THE TOP 4% IN PATIENT SATISFACTION. SSM HEALTH ST. ANTHONY HOSPITAL - MIDWEST IS LOCATED IN MIDWEST CITY AND SERVES THE HEALTH CARE NEEDS OF EASTERN OKLAHOMA COUNTY AND SURROUNDING COMMUNITIES. WE OFFER A WIDE RANGE OF SERVICES WITH PHYSICIANS AND STAFF DEDICATED TO PROVIDING EXCEPTIONAL CARE. OUR SPECIALTIES INCLUDE CARDIOLOGY, ORTHOPEDICS, SURGERY AND BEHAVIORAL HEALTH. OUR COMMITMENT IS TO PROVIDE YOU WITH PERSONAL AND COMPASSIONATE CARE, SO YOU CAN FOCUS ON HEALING. WE STRIVE TO BE THE HOSPITAL YOU AND YOUR FAMILY TRUST FOR GENERATIONS TO COME.THROUGH SAINTS MEDICAL GROUP, SSM HEALTH CARE OF OKLAHOMA PROVIDES PRIMARY CARE PHYSICIANS IN FAMILY MEDICINE, INTERNAL MEDICINE AND PEDIATRICS. SPECIALTY SERVICE LINES INCLUDE CARDIOLOGY, DERMATOLOGY, NEUROLOGY, OBSTETRICS/GYNECOLOGY, ORTHOPEDICS, PULMONARY, THORACICSURGERY, VASCULAR SURGERY, DIAGNOSTIC/MEDICAL TESTING SERVICES, AND AN OCCUPATIONAL HEALTH NETWORK.SSMOK ALSO INCLUDES ST. ANTHONY AFFILIATE HEALTH NETWORK THAT ENCOMPASSES 16 AFFILIATE HOSPITALS, INCLUDING SIX TIER ONE AFFILIATE HOSPITALS. PHYSICIAN SPECIALTY CLINICS, MOBILE DIAGNOSTICS AND TELEHEALTH CAPABILITIES ARE OFFERED TO COMMUNITIES THROUGHOUT THE NETWORK, THUS IMPROVING ACCESS TO HEALTH CARE IN THE COMMUNITIES LOCATED SOME DISTANCE FROM A METROPOLITAN AREA.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses960,741,994

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	13,517,967	8,229,502	5,053,479

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	1,372,789
e	Government grants (contributions)		1e	1,016,657

f	All other contributions, gifts, grants, and similar amounts not included above		1f	335,954

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		2,725,400

		Business Code
2a	NET PATIENT SERVICE RE	621990	1,043,575,294	1,043,575,294
b	340B PHARMACY REVENUE	456110	48,856,909	48,856,909
c	PHARMACY REVENUE	456110	7,972,263	6,664,433	1,307,830
d	CORPORATE FEES	900099	53,195	53,195
e	MANAGEMENT FEES	900099	26,692	26,692
f	All other program service revenue.		700,520	38,826	661,694
g	Total. Add lines 2a–2f .....		1,101,184,873

3 Investment income (including dividends, interest, and othersimilar amounts) ......
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	1,254,728
b	Less: rental expenses	6b	0
c	Rental income or (loss)	6c	1,254,728
d	Net rental income or (loss).......			1,254,728			1,254,728
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a		3,257,334
b	Less: cost or other basis and sales expenses	7b		0
c	Gain or (loss)	7c		3,257,334
d	Net gain or (loss).........			3,257,334			3,257,334
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	1,436,091
b	Less: cost of goods sold ..		10b	1,010,139
c	Net income or (loss) from sales of inventory..			425,952			425,952

Business Code
11a	JOINT VENTURE REVENUE		621990	6,684,006			6,684,006
b	CAFETERIA REVENUE		722514	5,600,737			5,600,737
c	PARKING REVENUE		812930	137,332			137,332
d	All other revenue ....
e	Total. Add lines 11a–11d ......			12,422,075
12	Total revenue. See instructions.....			1,121,270,362	1,099,215,349	1,969,524	17,360,089

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,602,077	1,602,077
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	6,583,858		6,583,858
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	157,732		157,732
7	Other salaries and wages........	369,273,164	366,952,588	2,320,576
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	17,614,521	17,268,511	346,010
9	Other employee benefits .......	45,479,777	44,586,355	893,379	43
10	Payroll taxes ...........	24,632,081	24,148,222	483,859
11	Fees for services (non-employees):
a	Management ......	32,841,436	31,198,634	1,642,802
b	Legal .........	884,864	7,622	877,242
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	127,463,279	127,463,279
12	Advertising and promotion ....	826,429	653,817	172,612
13	Office expenses .......	10,038,478	9,561,070	474,575	2,833
14	Information technology ......	24,327,720	24,327,720
15	Royalties ..
16	Occupancy ...........	36,874,307	34,986,368	1,887,939
17	Travel ............	1,114,216	988,029	126,187
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	248,293	120,535	125,019	2,739
20	Interest ...........	6,739	6,739
21	Payments to affiliates .......	61,964,525	6,703,022	55,261,503
22	Depreciation, depletion, and amortization ..	25,199,156	23,958,248	1,240,908
23	Insurance ...	10,404,690	2,046,588	8,358,102
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES AND EQ	237,650,431	237,650,431
b	TAXES	35,353,746	3,050,472	32,303,274
c	LICENSES, DUES, SUBSCRI	3,533,753	3,045,538	487,945	270
d	BANK FEES	402,204	3,494	398,710
e	All other expenses	412,635	412,635
25	Total functional expenses. Add lines 1 through 24e	1,074,890,111	960,741,994	114,142,232	5,885
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			54,585	1	105,938
2	Savings and temporary cash investments .........			23,129	2	20,980
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			145,489,540	4	142,392,526
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			21,012,830	8	21,013,551
9	Prepaid expenses and deferred charges ......			2,985,661	9	4,326,673
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	623,911,679
b	Less: accumulated depreciation	10b	380,404,136	230,073,088	10c	243,507,543
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			50,373,977	13	20,420,571
14	Intangible assets ...............			1,988,183	14	1,853,950
15	Other assets. See Part IV, line 11 ...........			53,792,996	15	20,062,808
16	Total assets. Add lines 1 through 15 (must equal line 33)...			505,793,989	16	453,704,540

17	Accounts payable and accrued expenses .....	77,815,304	17	94,192,341
18	Grants payable ...		18
19	Deferred revenue .........	525,032	19	525,032
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	184,784	23	47,632
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	399,369,875	25	479,357,945
26	Total liabilities. Add lines 17 through 25..	477,894,995	26	574,122,950

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	6,398,657	27	-120,418,016
28	Net assets with donor restrictions ...........	21,500,337	28	-394
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	27,898,994	32	-120,418,410
33	Total liabilities and net assets/fund balances ........	505,793,989	33	453,704,540