2024-11-15T13:52:10-06:00 2023-12-31 990 2023-01-01 440579850 SSM REGIONAL HEALTH SERVICES SSMR 3149947800 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 STEPHANIE KING VP FINANCE 3149947800 2024-11-15 0 2023 2024-10-15 13:58:12Z X LAURA KAISER 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 142253665 0 0928 X WWW.SSMHEALTH.COM X 1965 MO OPERATES A HOSPITAL IN JEFFERSON CITY, MISSOURI AND ASSOCIATED PHYSICIAN SERVICES. 4 0 1075 135 61030 13371 49456 129837 137782217 141605413 -151061 27980 3131562 490435 140812174 142253665 242924 199321 0 0 67010905 73054398 0 0 0 110726414 99101725 177980243 172355444 -37168069 -30101779 69353224 72322141 260703601 288999636 -191350377 -216677495 X THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 151835338 199321 141544383 SINCE IT WAS FOUNDED IN 1872 BY CATHOLIC SISTERS, SSM HEALTH (SSMH) HAS EXISTED TO MEET THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. SSMH IS A CATHOLIC, NOT-FOR-PROFIT HEALTH SYSTEM SERVING THE COMPREHENSIVE HEALTH NEEDS OF COMMUNITIES ACROSS THE MIDWEST THROUGH ONE OF THE LARGEST INTEGRATED DELIVERY SYSTEMS IN THE NATION. WITH CARE DELIVERY SITES IN ILLINOIS, MISSOURI, OKLAHOMA, AND WISCONSIN, SSMH INCLUDES 23 ACUTE CARE HOSPITALS, ONE CHILDREN'S HOSPITAL, MORE THAN 650 PHYSICIAN OFFICES AND OTHER OUTPATIENT AND VIRTUAL CARE SERVICES, 12 POST-ACUTE FACILITIES, COMPREHENSIVE HOME CARE AND HOSPICE SERVICES, A PHARMACY BENEFIT COMPANY, AND AN ACCOUNTABLE CARE ORGANIZATION. THE HEALTH SYSTEM EMPLOYS NEARLY 40,000 PEOPLE AND IS AFFILIATED WITH 13,900 PHYSICIANS MAKING IT ONE OF THE LARGEST EMPLOYERS IN EVERY COMMUNITY IT SERVES. IN THE TRADITION OF ITS FOUNDING SISTERS, SSMH STRIVES TO FULFILL ITS MISSION BY PROVIDING EXCEPTIONAL HEALTH CARE TO EVERYONE WHO COMES TO ITS HOSPITALS, REGARDLESS OF THEIR ABILITY TO PAY. ABOUT SSM REGIONAL HEALTH SERVICES:SSM REGIONAL HEALTH SERVICES INCLUDES SSM HEALTH ST. MARY'S HOSPITAL JEFFERSON CITY IN JEFFERSON CITY, MISSOURI, AS WELL AS A NETWORK OF PRIMARY CARE MEDICAL CLINICS AND SPECIALTY OFFERINGS THAT SERVE JEFFERSON CITY AND SURROUNDING COMMUNITIES.SSM HEALTH ST. MARY'S HEALTH CENTER JEFFERSON CITY HAS BEEN IN SERVICE FOR MORE 100 YEARS AND OPERATES AS A FULL-SERVICE COMMUNITY HOSPITAL LOCATED IN MISSOURI'S STATE CAPITOL. THE HOSPITAL FEATURES A DEDICATED INPATIENT PEDIATRIC UNIT, A WOUND CENTER AND OUTPATIENT TREATMENT CENTER. ADDITIONALLY, SSM HEALTH ST MARY'S HOSPITAL JEFFERSON CITY OFFERS A FULL RANGE OF HEALTH CARE SERVICES INCLUDING CARDIOVASCULAR, EMERGENCY, ORTHOPEDIC, CANCER, OUTPATIENT SURGICAL, WOMEN'S HEALTH AND IMAGING, PAIN MANAGEMENT, SLEEP MEDICINE, AND OCCUPATIONAL AND REHABILITATION THERAPY.SSM HEALTH ST. MARY'S HOSPITAL JEFFERSON CITY IS ONE OF ONLY TWO HOSPITALS IN THE STATE AND THE ONLY ONE IN JEFFERSON CITY TO RECEIVE TWO PATIENT-FOCUSED AWARDS FROM HEALTHGRADES, A LEADING ONLINE RESOURCE FOR COMPREHENSIVE INFORMATION ABOUT PHYSICIANS AND HOSPITALS. THE HOSPITAL EARNED BOTH THE 2016 PATIENT SAFETY EXCELLENCE AWARD AND THE 2016 HEALTHGRADES OUTSTANDING PATIENT EXPERIENCE AWARD. OUTSTANDING PATIENT EXPERIENCE AWARD RECIPIENTS WERE IDENTIFIED THROUGH AN EVALUATION OF 10 PATIENT EXPERIENCE MEASURES, USING DATA COLLECTED FROM A 32-QUESTION HCAHPS SURVEY OF THE HOSPITAL'S OWN PATIENTS. THE SURVEY QUESTIONS FOCUS ON PATIENTS' PERSPECTIVES OF THEIR CARE DURING THEIR INPATIENT HOSPITAL STAY. IN NOVEMBER 2014, THE HOSPITAL MOVED TO A NEW, STATE-OF-THE-ART BUILDING. IMPROVEMENTS WITH THE NEW FACILITY INCLUDE ALL PRIVATE PATIENT ROOMS, INCREASING PATIENT COMFORT, HEALING, AND SAFETY; EASE OF PATIENT AND VISITOR TRANSPORTATION BETWEEN INPATIENT AND OUTPATIENT AREAS; SOUND-ABSORBING FLOORING, ACOUSTIC CEILING TILES, AND LIMITED OVERHEAD PAGING THAT WILL REDUCE NOISE AND PROMOTE RECOVERY; AND OUTDOOR GARDENS FOR PATIENTS TO RELAX AND RECUPERATE. SSM REGIONAL HEALTH SERVICES ALSO FURTHERS ITS EXEMPT PURPOSE WITH THE FOLLOWING ACTIVITIES: OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA HAS A GOVERNING BODY IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS, PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS ALL SURPLUS FUNDS GENERATED BY SSMH ENTITIES ARE REINVESTED IN IMPROVING OUR PATIENT CARE DELIVERY SYSTEM QUANTIFIABLE UNCOMPENSATED CARE:THE FOLLOWING IS A LIST OF THE TYPES OF PROGRAMS AND SERVICES THAT COULD BE INCLUDED AS UNCOMPENSATED CARE:TRADITIONAL CHARITY CARE $ 2,424,017UNPAID COST OF MEDICAID $ 9,086,739UNPAID COST OF OTHER MEANS-TESTED PROGRAMS $ 1,491,568UNPAID COST OF MEDICARE $ 12,960,789 TOTAL QUANTIFIABLE UNCOMPENSATED CARE $ 25,963,113 151835338 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 1075 1 1 1 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 0 0 0 X JOE HENDERSON 5736813761 2505 MISSION DRIVE JEFFERSON CITY MO 65109 KAREN REWERTS DIRECTOR, VP-FINANCIAL OPERATIONS 1.00 55.00 X 0 801331 287514 STEVE SMOOT DIRECTOR, VICE PRESIDENT, COO OF SSM HEALTH 1.00 55.00 X X 0 2054358 1204489 LAURA KAISER DIRECTOR, PRESIDENT/CEO OF SSM HEALTH 1.00 55.00 X X 0 4644135 3002313 DOUGLAS LONG DIRECTOR, SECRETARY, GENERAL COUNSEL AT SSM HEALTH 1.00 55.00 X X 0 1425239 777013 KC DEBOER REGIONAL PRESIDENT- SSM HEALTH MID-MISSOURI 50.00 0.00 X 426080 0 265950 AMY CAMPBELL VP - PATIENT CARE SERVICES. CNO 40.00 0.00 X 238215 0 70927 BECKY MILLER VP - HOSPITAL OPERATIONS 40.00 0.00 X 171088 0 28263 JOHN LUCIO REGIONAL CHIEF MEDICAL OFFICER 40.00 0.00 X 590995 0 87482 TONYA PEHLE VP-OPERATIONS, PHYSICIAN AND AMBULATORY SERVICES 40.00 0.00 X 247697 0 57961 NATHAN KENYON PHYSICIAN 40.00 0.00 X 562554 0 34271 THOMAS RYAN PHYSICIAN 40.00 0.00 X 552626 0 29226 BRIAN CONLEY PHYSICIAN 40.00 0.00 X 365688 0 64724 MOHAMMAD JARBOU PHYSICIAN 40.00 0.00 X 327203 0 58352 DEVIN KENNEDY PHYSICIAN 40.00 0.00 X 445940 0 46619 MICHAEL BAUMGARTNER FORMER OFFICER 0.00 0.00 X 0 563577 295955 JOHN SNODSMITH FORMER OFFICER, VP FINANCE 40.00 0.00 X 0 292287 99350 MICHAEL MISKO FORMER KEY EMPLOYEE 0.00 0.00 X 0 113696 0 3928086 9894623 6410409 126 1 1 0 AGILITI HEALTH INC 6625 W 78TH ST STE 300 MINNEAPOLIS MN 55429 MEDICAL SERVICES 4122912 OWENS & MINOR DISTRIBUTION INC 9120 LOCKWOOD BLVD MECHANICSVILLE VA 23116 CONSTRUCTION SERVICES 3386499 MID-MISSOURI ANESTHESIA 1445 CHRISTY DRIVE JEFFERSON CITY MO 65101 MEDICAL SERVICES 3376052 VAYA WORKFORCE SOLUTIONS LLC 5930 CORNERSTONE CT ATE 300 SAN DIEGO CA 92121 STAFFING SERVICES 2797161 CARE STAT INC 2108 N ST STE 4037 SACRAMENTO CA 95816 MEDICAL SERVICES 2766855 58 104887 2050 22900 6026 129837 NET PATIENT SERVICE RE 621990 136470265 136470265 340 PHARMACY REVENUE 456110 75610 75610 5059538 4998508 61030 141605413 11770 11770 16210 0 16210 16210 16210 CAFETERIA REVENUE 722514 490435 490435 490435 142253665 141544383 61030 518415 X 193049 193049 6272 6272 2184655 2128179 56476 55988397 54541016 1447381 2873086 2798813 74273 7844540 7641747 202793 4163720 4056082 107638 2998398 2901508 96890 395282 13500 381782 26708135 26579806 128329 47664 10114 37550 2693069 2446576 246493 5214747 5214747 3815962 3596560 219402 57656 47028 10628 56895 55616 1279 2225 2225 19518335 3003287 16515048 2724840 2601896 122944 883314 235501 647813 MEDICAL SUPPLIES & EQUI 26969187 26969187 MEDICAID PROVIDER TAX & 6363478 6363478 LICENSES, DUES & SUBSCR 388836 235223 153613 BANK FEES 224974 155200 69774 38728 38728 172355444 151835338 20520106 0 390073 139799 162858 197380 23378584 22288764 4424492 4658385 361098 672771 103568417 70932631 31132252 32635786 237579 1074 5841323 6494957 13417 3648053 4996720 69353224 72322141 16935899 15013473 46196 8949 243767702 273931018 260703601 288999636 X -192862044 -218384458 1511667 1706963 -191350377 -216677495 69353224 72322141 X -30101779 34522 4740139 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7035 7035 0 PART II-B, LINE 1: THE ORGANIZATION PAID DUES TO VARIOUS NATIONAL HOSPITAL ASSOCIATIONS AND A PORTION OF THESE DUES WAS ALLOCATED TO LOBBYING ACTIVITIES. 111000 111000 111000 111000 111000 111000 111000 3523 3523 111000 111000 1009 1009 111000 1.00000 1 0 529302 529302 59872622 36939062 22933560 523000 341999 181001 41176690 33628934 7547756 1466803 22636 1444167 32635786 INTEREST IN FOUNDATION 6494957 F 6494957 COLLATERAL HELD UNDER AGREEMENT 1920199 ESTIMATED THIRD PARTY SETTLEMENT 2451733 OTHER ASSETS 624788 4996720 THIRD PARTY PAYABLES 4233115 INTERCOMPANY PAYABLE 267144869 OPERATING RIGHT-OF-USE LIABILITIES 1927628 DEFERRED COMPENSATION PLAN LIABILITIES 625406 273931018 X PART V, LINE 4: ENDOWMENT FUNDS ARE USED TO SUPPORT OPERATIONS AND THE MISSION OF SSM HEALTH ST. MARY'S HOSPITAL-JEFFERSON CITY. PART X, LINE 2: SSM REGIONAL HEALTH SERVICES' 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 2022. 1 1 X 1 X 1 X 1 1 1 0 1 1 2424017 0 2424017 0.01410 31854533 22767794 9086739 0.05270 3621226 2129659 1491567 0.00870 37899776 24897453 13002323 0.07550 470278 6272 464006 0.00270 516887 0 516887 0.00300 0 0 0 0 61364 0 61364 0.00040 1048529 6272 1042257 0.00610 38948305 24903725 14044580 0.08160 1 6888895 0 23333998 36294787 -12960789 X 1 1 1 1 SSM HEALTH ST MARY'S HOSPITAL - JEFFERSON CITY 100 ST MARYS MEDICAL PLAZA JEFFERSON CITY MO 65101 WWW.SSMHEALTH.COM/LOCATIONS/MID-MISSOU 455-21 X X X SSM HEALTH ST MARY'S HOSPITAL - JEFFERS 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH X 1 22 1 HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA X WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA X WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA X X X X X X 1 X 0 X X X X 1 X 0 0 SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY 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. SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY PART V, SECTION B, LINE 5: TO COMPLETE THE 2022 -2024 COMMUNITY HEAL TH NEEDS ASSESSMENT, LEADERSHIP FROM SSM HEALTH ST. MARY'S HOSPITAL -JEFFERSON CITY CONDUCTED A COMPREHENSIVE COMMUNITY HEAL TH ASSESSMENT USING MULTIPLE METHODOLOGIES: SECONDARY DATA ANALYSIS, CONVERSATIONS WITH COMMUNITY GROUPS, AND SURVEYS COMPLETED BY COMMUNITY MEMBERS, COMMUNITY LEADERS AND LOCAL HEAL TH AND HUMAN SERVICE PROVIDERS, WHICH ALLOWED US TO MEASURE PERCEPTION, HEALTH RISKS, HEALTH FACTORS, HEALTH OUTCOMES AND CHARACTERISTICS SPECIFIC TO THE COMMUNITIES IN THESE FIVE CENTRAL MISSOURI COUNTIES. PRIMARY DATA SSM HEALTH ST. MARY'S HOSPITAL -JEFFERSON CITY SOUGHT AND RECEIVED INPUT FROM A NUMBER OF COMMUNITY MEMBERS AND THE LEADERS FROM NUMEROUS COMMUNITY ORGANIZATIONS. COMMUNITY PERSPECTIVES AND DATA GATHERED DURING THIS ENDEAVOR WERE INCORPORATED INTO THE SSM HEALTH ST. MARY'S HOSPITAL -JEFFERSON CITY'S COMMUNITY HEAL TH NEEDS ASSESSMENT.COMMUNITY PERSPECTIVES WERE GATHERED FROM MULTIPLE AGENCIES, INCLUDING A KEY INFORMANT SURVEY. *COMMUNITY AND KEY INFORMANT SURVEY -IN ADDITION TO THE REVIEW OF DEMOGRAPHICS AND SECONDARY DATA, AND THE AFOREMENTIONED CONVERSATIONS WITH COMMUNITY GROUPS, A COMMUNITY PERCEPTION SURVEY WAS CONDUCTED TO ASSESS THE PERCEPTION OF HEAL TH CARE AND HEAL TH STATUS ACROSS THE FIVE-COUNTY REGION IN THE ANALYSIS. THE SURVEY WAS MADE AVAILABLE VIA EMAIL, YIELDING A TOTAL OF 59 RESPONSES FROM RESIDENTS. ANALYSIS OF THE SURVEY RESPONSES HELPED INFORM THE SECONDARY DATA AND FUELED THE PRIORITIZATION PROCESS. THIS INPUT PROVIDED PERSPECTIVE ON THE HEALTH STATUS OF THE COMMUNITY AND ENLIGHTENED THE ANALYSIS OF THE SECONDARY DATA RELATIVE TO THE MOST IMPORTANT HEAL TH ISSUES AND CHALLENGES, KEY RESOURCES AND ADVICE ON HOW TO ADDRESS THE ISSUES IDENTIFIED. SECONDARY DATA EXISTING DATA PREVIOUSLY COLLECTED FOR OTHER PURPOSES, CALLED SECONDARY DATA, WAS USED FROM A VARIETY OF CREDIBLE PUBLIC LOCAL, STATE AND FEDERAL SOURCES TO PROVIDE A CONTEXT FOR ANALYSIS AND INTERPRETATION. DATA IS KEY TO DIAGNOSING AND ADDRESSING SOME OF OUR REGION'S MOST PRESSING HEAL TH ISSUES, AND BY ANALYZING THE INFORMATION AVAILABLE TO THE PUBLIC, FURTHERS OUR MISSIONS TO IMPROVE HEALTH AND THE WELL-BEING OF OUR COMMUNITIES. THE AVAILABILITY OF NEW DATASETS ENABLED A MORE DETAILED LEVEL OF ANALYSIS SUCH AS HEALTH AND SOCIAL FACTORS AT A COUNTY AND ZIP CODE LEVEL. WE GATHERED AND REVIEWED DATA FROM BROAD SOURCES TO SET THE INITIAL DIRECTION AND PRIORITIES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE SECONDARY DATA WAS DERIVED FROM A VARIETY OF UNBIASED SOURCES INCLUDING THE U.S. CENSUS, CENTERS FOR DISEASE CONTROL AND PREVENTION, ROBERT WOOD JOHNSON FOUNDATION, COMMUNITY COMMONS, MISSOURI HOSPITAL ASSOCIATION, AND THE MISSOURI DEPARTMENT OF HEAL TH AND HUMAN SERVICES. SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY PART V, SECTION B, LINE 11: THE HOSPITAL IDENTIFIED VARIOUS HEALTH NEEDS IN THE 2021 CHNA. TO MAKE A MEANINGFUL IMPACT, AND USE ITS FINANCES MOST EFFECTIVELY AND EFFICIENCY, THE HOSPITAL WILL PLACE PRIMARY FOCUS ON THE FOLLOWING KEY PRIORITIES:- MENTAL HEALTH- ACCESS TO CARE - HEALTH LITERACYMENTAL HEALTH MENTAL HEALTH NEEDS IN CENTRAL MISSOURI MAY INCLUDE, BUT ARE NOT LIMITED TO NEEDS, BARRIERS AND CHALLENGES THAT RELATE TO PROVIDER AVAILABILITY, AFFORDABILITY, INSURANCE, STIGMA, SUBSTANCE USE, STRESS, AND SUICIDE. SUBSTANCE ABUSE NEEDS IN CENTRAL MISSOURI MAY INCLUDE, BUT ARE NOT LIMITED TO NEEDS, BARRIERS AND CHALLENGES THAT RELATE TOBACCO, VAPING, DRUGS (NARCOTICS, MARIJUANA, ETC.), PRESCRIPTION MEDICATIONS, AND ALCOHOL USE, MENTAL HEALTH TREATMENT SERVICES AND ACCESS TO CARE. MANY COMMUNITY PERCEPTION SURVEY PARTICIPANTS AND STEERING TEAM MEMBERS EXPRESSED CONCERN ABOUT MENTAL HEALTH ISSUES IN THE COMMUNITY. MENTAL HEALTH ISSUES, SUCH AS ANXIETY, DEPRESSION AND RISK OF SUICIDE, ARE PREVALENT CONCERNS. THERE ARE LIMITED MENTAL HEALTH PROVIDERS IN THE AREA IN GENERAL BUT ESPECIALLY NOTED WAS THE GAP IN PROVIDERS FOR YOUTH AND FAMILIES IN DISTRESS. LONG WAIT LISTS FOR TREATMENT OR COUNSELING WERE OFTEN NOTED. ADDITIONALLY, MANY FEEL THAT MENTAL HEALTH IS INTERTWINED WITH OTHER KEY HEALTH ISSUES SUCH AS SUBSTANCE ABUSE, ADDICTION, AND OVERALL GOOD PHYSICAL HEALTH. REGARDING SUBSTANCE ABUSE, IT WAS NOTED THAT INDIVIDUALS MAY BE USING DRUGS/ALCOHOL AS A MECHANISM TO COPE WITH MENTAL HEALTH ISSUES STEMMING FROM TOXIC STRESS THEY HAVE EXPERIENCED. POOR MENTAL OR BEHAVIORAL HEALTH FREQUENTLY CONTRIBUTES TO OR EXACERBATES PROBLEMS WITH PHYSICAL HEALTH AND ILLNESS. AN ADDITIONAL CONCERN REPORTED WAS RELATED TO CONNECTING PATIENTS WITH SERVICES NEEDED, ESPECIALLY COORDINATION OF CARE FOR PATIENTS WITH CO COOCCURRING OR DUAL DIAGNOSIS CONDITIONS. A CONCERN THAT SOCIAL STIGMAS AROUND MENTAL HEALTH ARE WIDESPREAD IN OUR COMMUNITIES AND MAY PLAY A KEY ROLE IN WHETHER AN INDIVIDUAL SEEKS CARE. THE HOSPITAL HAS OUTLINED THE FOLLOWING ACTION PLAN IN ORDER TO IMPROVE MENTAL HEALTH THROUGH PREVENTION AND BY ENSURING ACCESS TO APPROPRIATE, QUALITY MENTAL HEALTH SERVICES:* PARTICIPATE IN EMERGENCY ROOM ENHANCEMENT (ERE) PROGRAM AND EVALUATE IMPLEMENTATION OF PEER SUPPORT FOR MENTAL HEALTH PATIENTS IN THE ER* COLLABORATE WITH AND SUPPORT CATHOLIC CHARITIES OF CENTRAL AND NORTHERN TO EVOLVE MENTAL HEALTH SCREENINGS AND THERAPY SERVICES AT THE CATHOLIC CHARITIES CENTER IN JEFFERSON CITY * ENHANCE PARTNERSHIP WITH COUNCIL FOR DRUG FREE YOUTH TO EXPAND SCHOOL SCHOOL-BASED EDUCATION AND INCREASE AVAILABILITY OF SUBSTANCE USE PREVENTION AND EARLY IDENTIFICATION/INTERVENTION INITIATIVES IN THE REGION* SUSTAIN SSM HEALTH OUTPATIENT BRIEF TREATMENT PROGRAM FOR ADULTS AND THE OUTPATIENT TRANSITIONAL CARE PROGRAM FOR ADULTS AND SENIORS * INCREASE ACCESS BY WORKING TO ENHANCE MENTAL HEALTH RESOURCES AND OR TELETHERAPY SERVICES IN THE CLINICAL AND COMMUNITY-BASED SETTINGSCOMMUNITY PARTNERS & SUPPORTING RESOURCES INCLUDE: * CATHOLIC CHARITIES OF CENTRAL AND NORTHERN MISSOURI; COMPASS HEALTH; COUNCIL FOR DRUG FREE YOUTH; SSM MEDICAL GROUP; SSM HEALTH BEHAVIORAL SERVICES; COMPASS HEALTH; CATHOLIC CHARITIES; MISSOURI MENTAL HEALTH FOUNDATION; AND MISSOURI COALITION OF BEHAVIORAL HEALTH CENTERS. ACCESS TO CARE ACCESS TO SPECIAL TY HEALTH CARE SERVICES THROUGH A DOCTOR'S OFFICE, CLINIC OR OTHER APPROPRIATE PROVIDER IS AN IMPORTANT ELEMENT OF A COMMUNITY'S HEALTH CARE SYSTEM AND IS VITAL FOR HELPING THE COMMUNITY'S RESIDENTS TO BE HEALTHY. THE ABILITY TO ACCESS SPECIALTY CARE IS INFLUENCED BY MANY FACTORS, INCLUDING:* INSURANCE COVERAGE AND THE ABILITY TO AFFORD SERVICES;* LONG WAITS FOR APPOINTMENTS OR TREATMENTS;* THE AVAILABILITY AND HOURS OF OPERATION; * AN UNDERSTANDING OF WHERE TO FIND SERVICES WHEN NEEDED;* A LACK OF SPECIAL TY; AND * A LACK OF RELIABLE PERSONAL OR PUBLIC TRANSPORTATION. HOSPITAL'S ACTION PLAN TO INCREASE THE PROPORTION OF PERSONS OF ALL AGES WHO HAVE A SPECIFIC SOURCE OF ONGOING CARE INCLUDES: * COLLABORATION WITH AREA HEALTH CARE PROVIDERS, UNITED WAY AND SOCIAL SERVICE AGENCIES TO ESTABLISH A COMMUNITY COMMUNITY-BASED SOLUTION TO HEALTH HEALTH-RELATED TRANSPORTATION, I.E., HEALTHTRAN CONTINUING TO EVOLVE PARTNERSHIP WITH CATHOLIC CHARITIES OF CENTRAL AND THE NORTHERN MISSOURI TO EXPAND HEALTH AND HUMAN SERVICE OUTREACH PROGRAMS, INCLUDING INTEGRATION WITH CATHOLIC CHARITIES HEALTH AND NUTRITION SERVICES TO COORDINATE HEALTH SCREENINGS, WELLNESS AND CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS, AND ON ON-LINE FOOD ORDERING FOR AT AT-RISK PATIENTS AT DISCHARGE TO ADDRESS SOCIAL DETERMINANTS OF HEALTH.* INCREASING NUMBER AND CAPACITY OF HEALTH CARE PROFESSIONALS TO IMPROVE ACCESS IN PRIMARY AND SPECIAL TY CARE PROVIDERS IN IDENTIFIED SHORTAGE AREAS* EVALUATE EXPANSION AND IMPLEMENTATION OF TELEHEALTH/TELEMEDICINE OFFERINGS IN REGIONCOMMUNITY PARTNERS & SUPPORTING RESOURCES WILL BE: * CATHOLIC CHARITIES OF CENTRAL AND NORTHERN MISSOURI; MISSOURI RURAL HEALTH ASSOCIATION; UNITED WAY OF CENTRAL MISSOURI; COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI; JEFFERSON CITY MEDICAL GROUP; SSM HEALTH MEDICAL GROUP; UNITED WAY OF CENTRAL MISSOURI. HEALTH LITERACY CHRONIC DISEASE NEEDS IN CENTRAL MISSOURI MAY INCLUDE, BUT ARE NOT LIMITED TO NEEDS, BARRIERS AND CHALLENGES THAT RELATE TO DIABETES, CARDIOVASCULAR DISEASE, OBESITY, HYPERTENSION, FOOD ACCESSIBILITY, HEALTH BEHAVIORS AND ACCESS TO CARE. HEART DISEASE, CANCER, CEREBROVASCULAR DISEASES, RESPIRATORY DISEASES ARE IN THE TOP TEN LEADING CAUSES OF DEATH IN CENTRAL MISSOURI. HEALTH LITERACY, INCLUDING CHRONIC DISEASE SELF-MANAGEMENT, PREVENTATIVE CARE, AND LIFE SKILLS EDUCATION, STRESS MANAGEMENT AND COPING ARE NEEDED TO IMPROVE HEALTH AND WELLNESS DECISIONS. PRIMARY DATA SUGGESTS THAT HEALTH EDUCATION, PREVENTATIVE SCREENINGS, AND SOCIAL AND EMOTIONAL SUPPORT SERVICES SHOULD BE DELIVERED DIFFERENTLY THROUGHOUT COMMUNITIES RATHER THAN IN THE TRADITIONAL CLASS OFFERINGS OR GROUP SETTINGS. EXPANDING THE OPPORTUNITIES FOR EDUCATION OF CONSUMERS THROUGH DIGITAL MEDIA, HEALTH KIOSKS, PROVIDING MORE MOBILE HEALTH CARE OPTIONS, AND USING COMMUNITY HEALTH WORKERS AND CASE MANAGERS IN A VARIETY OF SETTINGS, INCLUDING CHURCHES, SCHOOLS AND COLLEGES, TO ENCOURAGE AND LINK INDIVIDUALS TO HEALTH CARE OR SUPPORT SERVICES. IN ADDITION, IT WAS NOTED THAT HEALTH LITERACY IS A CONCERN THAT CUTS ACROSS THE OTHER PRIORITY AREAS AS WELL, INCOME AND EDUCATIONAL DISPARITIES, LANGUAGE BARRIERS, LACK OF INSURANCE AND/OR UNDERSTANDING OF HOW TO USE THE HEALTH CARE SYSTEM ARE SOME OF THE ISSUES THAT UNDERMINE HEALTH AND WELLNESS. THE HOSPITAL HAS OUTLINED THE FOLLOWING INITIATIVES TO INCREASE THE PROPORTION OF PERSONS WHO REPORT THEIR HEALTH CARE PROVIDER ALWAYS GIVES THEM EASY-TO-UNDERSTAND INSTRUCTIONS ABOUT WHAT TO DO TO TAKE CARE OF THEIR ILLNESS OR HEALTH CONDITION:* PROVIDE COMMUNITY HEALTH EDUCATION, HEALTH RISK AND PREVENTION SCREENINGS, CHRONIC DISEASE SELF-MANAGEMENT AND LIFE SKILLS EDUCATION TO IMPROVE HEALTH AND WELLNESS DECISION SUCH AS, BLOOD PRESSURE SELF-MONITORING PROGRAM * PROVIDE COMMUNITY AND WORKPLACE HEALTH RESOURCE FAIRS AND SCREENINGS* EVALUATE IMPLEMENTATION OF EVIDENCED EVIDENCED-BASED DIABETES PREVENTION PROGRAM (OPP) WITH KEY PARTNERS, YMCA, CATHOLIC CHARITIES, AND SSM HEALTH MEDICAL GROUPCOMMUNITY PARTNERS & SUPPORTING RESOURCES WILL INCLUDE: * CATHOLIC CHARITIES SELF-MONITORING BLOOD PRESSURE PROGRAM, CENTRAL MISSOURI SMBP TASK FORCE, AGING BEST, JEFFERSON CITY YMCA. THE HOSPITAL HAS NO PLANS TO DISCONTINUE OTHER PROGRAMS ADDRESSING THE REMAINING CHNAIDENTIFIED NEEDS AND ADDITIONAL COMMUNITY NEEDS WITHIN ITS EFFORTS. 20 1 - SSM HEALTH MEDICAL GROUP 100 HWY 28 EAST BELLE MO 65013 RURAL HEALTH CLINIC 2 - SSM HEALTH SPORTS MEDICINE & REHABILITATIO 1225 WEST STADIUM BLVD JEFFSERSON CITY MO 65109 OUTPATIENT CLINIC 3 - SSM HEALTH CANCER CENTER 1241 WEST STADIUM BLVD JEFFSERSON CITY MO 65109 OUTPATIENT CLINIC 4 - SSM HEALTH MEDICAL GROUP 140 NORTHSTAR DRIVE HOLTS SUMMIT MO 65043 FAMILY PRACTICE CLINIC 5 - SSM HEALTH MEDICAL GROUP 2265 BAGNELL DAM BLVD LAKE OZARK MO 65049 RURAL HEALTH CLINIC 6 - SSM HEALTH PHARMACY 2505 MISSION DRIVE STE 110 JEFFSERSON CITY MO 651099508 RETAIL PHARMACY 7 - SSM HEALTH SPINE & PAIN MANAGEMENT CENTER 2505 MISSION DRIVE STE 1200 JEFFSERSON CITY MO 651099508 OUTPATIENT CLINIC 8 - SSM HEALTH WOUND CARE 2505 MISSION DRIVE STE 210 JEFFSERSON CITY MO 651099508 OUTPATIENT CLINIC 9 - SSM HEALTH MEDICAL GROUP - OULMONARY MEDIC 2505 MISSION DRIVE STE 300 JEFFSERSON CITY MO 651099508 OUTPATIENT CLINIC 10 - SSM HEALTH MEDICAL GROUP - CARDIOVASCULAR 2505 MISSION DRIVE STE 310 JEFFSERSON CITY MO 651099508 OUTPATIENT CLINIC 11 - SSM HEALTH MEDICAL GROUP - OCCUPATIONAL ME 2511 WEST EDGEWOOD DRIVE STE F JEFFSERSON CITY MO 65109 OUTPATIENT CLINIC 12 - SSM HEALTH MEDICAL GROUP 2511 WEST EDGEWOOD DRIVE STE G JEFFSERSON CITY MO 65109 FAMILY PRACTICE CLINIC 13 - SSM HEALTH URGENT CARE 2511 WEST EDGEWOOD DRIVE STE D JEFFSERSON CITY MO 65109 URGENT CARE CLINIC 14 - SSM HEALTH MEDICAL GROUP - BEHAVIORAL HEAL 2701 W EDGEWOOD DR STE 101 JEFFSERSON CITY MO 651095890 OUTPATIENT CLINIC 15 - SSM HEALTH MEDICAL GROUP - PEDIATRICS 3348 AMERICAN AVENUE JEFFSERSON CITY MO 65109 PEDIATRIC CLINIC 16 - SSM HEALTH SLEEP CENTER 3349 AMERICAN AVENUE STE D JEFFSERSON CITY MO 65109 OUTPATIENT CLINIC 17 - SSM HEALTH MEDICAL GROUP 3527 WEST TRUMAN BLVD STE 100 JEFFSERSON CITY MO 65109 FAMILY PRACTICE CLINIC 18 - SSM HEALTH MEDICAL GROUP 801 KIDWELL DRIVE VERSAILLES MO 65084 RURAL HEALTH CLINIC 19 - SSM HEALTH MEDICAL GROUP 875 HIGHWAY 5 SOUTH TIPTON MO 65081 RURAL HEALTH CLINIC 20 - SSM HEALTH MULTI-SPECIALTY CLINIC - CARDIO 2505 MISSION DRIVE STE 310 JEFFSERSON CITY MO 65109 OUTPATIENT CLINIC PART I, LINE 3C: PATIENTS WHOSE FAMILY INCOME EXCEEDS 400% OF THE 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; HOWEVER THE DISCOUNTED RATES SHALL NOT BE GREATER THAN THE AMOUNTS GENERALLY BILLED TO COMMERCIALLY INSURED [OR MEDICARE] PATIENTS. IN SUCH CASES, OTHER FACTORS MAY BE CONSIDERED IN DETERMINING THEIR ELIGIBILITY FOR DISCOUNTED OR FREE SERVICES, INCLUDING: *BANK ACCOUNTS, INVESTMENTS AND OTHER ASSETS*EMPLOYMENT STATUS AND EARNING CAPACITY*AMOUNT AND FREQUENCY OF BILLS FOR HEAL TH CARE SERVICES*OTHER FINANCIAL OBLIGATIONS AND EXPENSES*GENERALLY, FINANCIAL RESPONSIBILITY WILL BE NO MORE THAN 25% OF GROSS FAMILY INCOME. THE HOSPITAL MAY UTILIZE PREDICTIVE ANALYTICAL SOFTWARE OR OTHER CRITERIA TO ASSIST IN MAKING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IN SITUATIONS WHERE THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE BUT HAS NOT PROVIDED THE NECESSARY DOCUMENTATION TO MAKE A DETERMINATION. THIS PROCESS IS CALLED "PRESUMPTIVE ELIGIBILITY." PART I, LINE 6A: SSM HEALTH CARE CORPORATION, 46-6029223 PART I, LINE 7: THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B, AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H, AND 71 ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE CALCULATION OF SCHEDULE H, PART I, LINE 7, COLUMN F UTILIZES 990, PART IX, LINE 25, COLUMN A, WHICH DOES NOT INCLUDE BAD DEBT EXPENSE. PART 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 REGIONAL HEALTH SERVICES 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, 2023 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 COST 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 HEAL TH 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: SSM REGIONAL HEALTH SERVIES HAS ESTABLISHED A WRITTEN CREDIT AND COLLECTION POLICY AND PROCEDURES. THE BILLING AND COLLECTION POLICIES AND PRACTICES REFLECT THE MISSION AND VALUES OF SSM HEAL TH, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE, THE HEAL TH CENTER EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH IT PARTICIPATES BY ESTABLISHING SOUND BUSINESS PRACTICES. THE HEALTH CENTER'S BILLING AND COLLECTION PRACTICES WILL BE FAIRLY AND CONSISTENTLY APPLIED. ALL STAFF AND VENDORS ARE EXPECTED TO TREAT ALL PATIENTS CONSISTENTLY AND FAIRLY REGARDLESS OF THEIR ABILITY TO PAY. THEY RESPOND TO PATIENTS IN A PROMPT AND COURTEOUS MANNER REGARDING ANY QUESTIONS ABOUT THEIR BILLS AND PROVIDE NOTIFICATION OF THE AVAILABILITY OF 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 RA TE 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 STATEMENT 2.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 SSM REGIONAL HEALTH SERVICES' COLLECTION AND FINANCIAL ASSISTANCE POLICIES. PART VI, LINE 2: SSM HEALTH (SSMH) PARTICIPATES IN COMMUNITY BENEFIT ACCORDING TO OUR VISION, THROUGH OUR PARTICIPATION IN THE HEALING MINISTRY OF JESUS CHRIST, COMMUNITIES, ESPECIALLY THOSE THAT ARE ECONOMICALLY, PHYSICALLY, AND SOCIALLY MARGINALIZED, WILL EXPERIENCE IMPROVED HEALTH IN MIND, BODY, SPIRIT AND ENVIRONMENT. IN THE TRADITION OF OUR FOUNDERS, THE FRANCISCAN SISTERS OF MARY, CARING FOR THOSE IN GREATEST NEED REMAINS OUR ORGANIZATIONAL PRIORITY. TODAY OUR SYSTEM BOARD MONITORS COMMUNITY BENEFIT EFFORTS, AND VIEWS ACHIEVEMENT OF OUR VISION AS A PRIMARY RESPONSIBILITY. THE PURPOSE OF SSMH'S COMMUNITY BENEFIT PROGRAM IS TO ASSESS AND ADDRESS COMMUNITY HEAL TH NEEDS. MAKING OUR COMMUNITIES HEALTHIER IN MEASURABLE WAYS IS ALWAYS OUR GOAL. TO FULFILL THIS COMMITMENT, SSMH'S COMMUNITY BENEFIT IS DIVIDED INTO TWO PARTS: 1) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AND 2) COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA). THE CHNA IS AN ASSESSMENT AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS AND THE ADOPTION AND IMPLEMENTATION OF STRATEGIES TO ADDRESS THOSE NEEDS. A CHNA IS CONDUCTED EVERY THREE YEARS BY EACH HOSPITAL ACCORDING TO THE FOLLOWING STEPS: *ASSESS AND PRIORITIZE COMMUNITY HEALTH NEEDS: GATHER CHNA DATA FROM SECONDARY SOURCES; OBTAIN INPUT FROM STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH INTERVIEWS AND FOCUS GROUPS; USE DATA TO SELECT TOP HEALTH PRIORITIES; AND COMPLETE WRITTEN CHNA. *DEVELOP, ADOPT, AND IMPLEMENT STRATEGIES TO ADDRESS TOP-HEAL TH PRIORITIES: ESTABLISH STRATEGIES TO ADDRESS PRIORITIES; COMPLETE STRATEGIC IMPLEMENTATION PLAN; OBTAIN REGIONAUDIVISIONAL BOARD APPROVAL; AND INTEGRATE STRATEGIES INTO OPERATIONAL PLAN. *MAKE CHNA WIDELY AVAILABLE TO THE PUBLIC: PUBLISH CHNA AND SUMMARY DOCUMENT ON HOSPITAL'S WEBSITE. *MONITOR, TRACK, AND REPORT PROGRESS ON TOP HEAL TH PRIORITIES: COLLECT DATA AND EVALUATE PROGRESS; REPORT TO REGIONAUDIVISIONAL BOARD EVERY SIX MONTHS AND SYSTEM BOARD EVERY YEAR; SHARE FINDINGS WITH COMMUNITY STAKEHOLDERS; AND SEND RESULTS TO FINANCE FOR SUBMISSION TO THE INTERNAL REVENUE SERVICE (IRS). SYSTEM OFFICE STAFF AND LEADERS OVERSEE AND MONITOR SSMH'S COMMUNITY BENEFIT PROGRAM, AND ENSURE REPORTING IS IN COMPLIANCE WITH IRS REGULATIONS. IN COLLABORATION WITH COMMUNITY STAKEHOLDERS AND PARTNER ORGANIZATIONS, SSM HEALTH CARE CORPORATION ALSO IDENTIFIES NEEDS BASED ON ASSESSMENTS AND RESEARCH, AND SSMH FACILITIES ALSO INVOLVE CASE MANAGERS AND CARE TEAM STAFF TO PINPOINT CRITICAL HEAL TH ISSUES IN THE COMMUNITY. ALL HOSPITAL CHNAS ARE COMPLETED, APPROVED, AND INTEGRATED INTO THE ORGANIZATION'S STRATEGIC PLAN. WE CONTINUE TO MONITOR AND ASSESS THE PROGRESS OF OUR LOCAL EFFORTS IN THE SPIRIT OF CARING FOR OTHERS AND IMPROVING COMMUNITY HEALTH. PART VI, LINE 3: EACH ENTITY PROVIDING MEDICAL SERVICE SHALL PROVIDE INFORMATION TO THE PUBLIC REGARDING ITS CHARITY CARE POLICIES AND THE QUALIFICATION REQUIREMENTS FOR EACH OF ITS FACILITIES. WHEN STANDARD SYSTEM NOTICES AND COMMUNICATION REGARDING CHARITY CARE ARE AVAILABLE, THESE MUST BE USED. MODIFICATIONS TO THE STANDARD MAY BE MADE TO COMPLY WITH STATE AND LOCAL LAWS, AS WELL AS REFLECT CULTURALLY SENSITIVE TERMINOLOGY FOR THE POLICY. ALL NOTICES ARE EASY TO UNDERSTAND BY THE GENERAL PUBLIC, CULTURALLY APPROPRIATE AND AVAILABLE IN THOSE LANGUAGES THAT ARE PREVALENT IN THE COMMUNITY. THEY PROVIDE INFORMATION ABOUT: * THE PATIENT'S RESPONSIBILITY FOR PAYMENT,* THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND ENTITY CHARITY CARE AND PAYMENT ARRANGEMENTS* THE ENTITY'S CHARITY POLICY AND APPLICATION PROCESS, AND* WHO TO CONTACT TO GET ADDITIONAL INFORMATION OR FINANCIAL COUNSELINGTHE FOLLOWING TYPES OF NOTICES TO THE PUBLIC ARE PROVIDED: *SIGNS IN THE EMERGENCY DEPARTMENT, OUTPATIENT AND INPATIENT REGISTRATION AND PUBLIC WAITING AREAS. *BROCHURES OR FLIERS PROVIDED AT TIME OF REGISTRATION AND AVAILABLE IN THE FINANCIAL COUNSELING AREAS. *NOTICES SENT WITH OR ON PATIENT BILLS OR COMMUNICATIONS SENT TO PATIENTS AND GUARANTORS RELATED TO MEDICAL SERVICES. *APPLICATIONS PROVIDED TO UNINSURED PATIENTS AT THE TIME OF REGISTRATION. THE APPLICATION FOR CHARITY CARE, TOGETHER WITH ANY INSTRUCTIONS, MUST CLEARLY STATE THE POLICIES REGARDING CHARITY CARE, INCLUDING EXCLUDED SERVICES, ELIGIBILITY CRITERIA AND DOCUMENTATION REQUIREMENTS. INFORMATION ABOUT THE ENTITY'S CHARITY POLICIES IS ALSO PROVIDED TO PUBLIC AGENCIES. PART VI, LINE 4: THE COMMUNITY WE SERVE IS DEFINED AS CENTRAL MISSOURI, INCLUDING CALLAWAY, COLE, MILLER, MONITEAU, AND OSAGE COUNTIES, WHICH COVERS THE PRIMARY SERVICE AREA SERVED BY THE HOSPITAL. THERE ARE 51 ZIP CODES THAT ARE CONTAINED WITHIN OR OVERLAP THE SERVICE AREA. THE HOSPITAL IS LOCATED IN JEFFERSON CITY (65109), COLE COUNTY MISSOURI. IN 2019, CALLAWAY, COLE, MILLER, MONITEAU, AND OSAGE COUNTIES HAD AN ESTIMATED POPULATION OF 176,474 PERSONS.BETWEEN 2000 AND 2010 THE POPULATION IN THE REPORT AREA GREW BY 12,829 PERSONS, A CHANGE OF 7.93%. WHEN COMPARED TO MISSOURI AND THE UNITED STATES, THE POPULATION OF OUR REPORT AREA IS LESS DIVERSE WITH 90.1% OF THE POPULATION BEING WHITE AND 9.9% OF THE POPULATION BEING PERSONS OF COLOR. ALL FIVE COUNTIES IN THE REPORT AREA HAVE A MEDIAN AGE THAT IS AT OR ABOVE THE MISSOURI STATE AVERAGE OF 38.6 YEARS AND ALL FIVE COUNTIES HAVE A MEDIAN AGE THAT IS ABOVE THE NATIONAL AVERAGE OF 38.1 YEARS. IN ADDITION, AN ESTIMATED 29,001 PERSONS ARE ADULTS AGED 65 AND OLDER, REPRESENTING 16.43% OF THE POPULATION. THIS PERCENTAGE IS CONSISTENT WITH THE AGING OF THE POPULATION ACROSS THE REST OF THE STATE BUT IS HIGHER THAN WHAT IS BEING SEEN ACROSS THE UNITED SATES (15.64%). THE HISPANIC POPULATION IN THE REPORT AREA GREW BY 75.1% OR 1,508 PERSONS. THIS FINDING IS CONSISTENT WITH HISPANIC POPULATION GROWTH OF 79.5% IN THE STATE OF MISSOURI DURING THE SAME PERIOD. MEDIAN HOUSEHOLD INCOME AND PER CAPITA INCOME ARE LESS FOR THE REGION THAN MISSOURI AND THE U.S. AS A WHOLE.THE REPORT AREA INCLUDES PEOPLE WHO ARE AT HIGH RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE DUE TO BEING UNINSURED/UNDERINSURED OR FACING BARRIERS RELATED TO GEOGRAPHY, LANGUAGE, FINANCIAL CIRCUMSTANCES, TRANSPORTATION, STIGMA, ACCESSIBILITY TO TECHNOLOGY, ACCESS TO HEALTHY AND AFFORDABLE FOODS AND LOW-INCOME HOUSING.ADDITIONAL DEMOGRAPHIC AND COMMUNITY INFORMATION CAN BE FOUND THROUGHOUT THE 2021 CHNA. PART VI, LINE 5: SSM REGIONAL HEALTH SERVICES PARTICIPATES IN A WIDE ARRAY OF COMMUNITY PROGRAMS THROUGHOUT THE AREA TO FURTHER ITS EXEMPT PURPOSE OF PROMOTING THE HEALTH OF THE COMMUNITY. THE COMMUNITY INITIATIVES BUILD ON THE STRENGTHS OF OUR COMMUNITIES AND SYSTEMS TO IMPROVE THE QUALITY OF LIFE AND TO CREATE A SENSE OF HOPE. COMMUNITY BENEFIT INITIATIVES BUILD COMMUNITY CAPACITY AND INDIVIDUAL EMPOWERMENT THROUGH COMMUNITY ORGANIZING, LEADERSHIP DEVELOPMENT, PARTNERSHIPS, AND COALITION BUILDING. OUR COMMUNITY HEALTH PROGRAMS PROVIDE COMPASSIONATE AND COMPETENT CARE WHILE THEY PROMOTE HEALTH IMPROVEMENT BY REACHING DIRECTLY INTO THE COMMUNITY TO ENSURE THAT LOWINCOME AND UNDER-SERVED PERSONS CAN ACCESS HEALTH CARE SERVICES. IN RESPONSE TO THE GLOBAL CORONAVIRUS PANDEMIC, SSM REGIONAL HEALTH SERVICES WORKED RELENTLESSLY TO RESPOND TO COMMUNITY NEEDS BY DEVELOPING AND IMPLEMENTING STRATEGIES TO ADDRESS SOCIAL NEEDS OF THOSE SERVED, PROVIDING SCREENING & TESTING SERVICES, PERSONAL PROTECTIVE EQUIPMENT AND EDUCATION THROUGHOUT THE COMMUNITY, AS WELL AS TREATMENT FOR THOSE WHO PRESENTED WITH COVID-19. SSM REGIONAL HEALTH SERVICES PROMOTES GRASSROOTS ADVOCACY AND ENGAGES PERSONS OF INFLUENCE TO AFFECT SOCIAL AND PUBLIC POLICY CHANGE IN ORDER TO PROMOTE BOTH COMMUNITY HEALTH AND HEALTHY COMMUNITIES. SSM REGIONAL HEALTH SERVICES ALSO FURTHERS ITS EXEMPT PURPOSE WITH THE FOLLOWING ACTIVITIES:* OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY, * HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA,* ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS,* PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS * ALL SURPLUS FUNDS GENERATED BY SSMH ENTITIES ARE REINVESTED IN IMPROVING OUR PATIENT CARE DELIVERY SYSTEM. PART VI, LINE 6: SSM REGIONAL HEALTH SERVICES IS A HEALTH CARE NETWORK THAT OPERATES SSM HEALTH ST MARY'S HOSPITAL - JEFFERSON CITY IN JEFFERSON CITY, MISSOURI. SSM REGIONAL HEALTH SERVICES IS PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. SSM HEALTH IS A 501(C)(3) ORGANIZATION HEADQUARTED IN ST LOUIS, MISSOURI. SSM HEALTH (SSMH) IS A CENTRALLY MANAGED, FULLY INTEGRATED HEALTH CARE DELIVERY SYSTEM WITH ITS HEADQUARTERS BASED IN ST. LOUIS, MISSOURI. SSM HEALTH CARE CORPORATION (SSMHCC) (DOING BUSINESS AS SSMH) IS THE PRINCIPAL NOT-FOR-PROFIT CORPORATION AND HAS BEEN ESTABLISHED AS THE PARENT CORPORATION. SSMH OWNS AND OPERATES 22 ADULT HOSPITALS, ONE PEDIATRIC HOSPITAL, THIRTEEN POST-ACUTE CARE FACILITIES, A NATIONAL PHARMACY BENEFIT MANAGEMENT COMPANY (PBM), AN EXTENSIVE NETWORK OF PHYSICIAN PRACTICE OPERATIONS, AND OTHER HEALTH CARE BUSINESSES. SSMH'S HOSPITAL OPERATIONS ARE LOCATED PRIMARILY IN MISSOURI, WISCONSIN, OKLAHOMA AND ILLINOIS, AND ITS RELATED BUSINESSES PROVIDE HEAL TH RELATED SERVICES IN 50 STATES. SSMH'S MISSION STATEMENT IS AS FOLLOWS: THROUGH OUR EXCEPTIONAL HEAL TH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. SSMHCC AND MOST OF ITS AFFILIATED SUBSIDIARY CORPORATIONS HAVE BEEN GRANTED EXEMPTION FROM FEDERAL INCOME TAX AS CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). CERTAIN SUBSIDIARIES OF SSMH ARE FOR-PROFIT ENTITIES THAT ARE TAXABLE UNDER THE IRC. SSMH IS SPONSORED BY SSM HEALTH MINISTRIES, AN INDEPENDENT NINE-MEMBER BODY COMPOSED OF TWO FRANCISCAN SISTERS OF MARY, ONE SISTER OF ST. AGNES, ONE JESUIT PRIEST, AND FIVE LAY PERSONS WHO COLLECTIVELY HOLD CERTAIN RESERVED POWERS OVER SSMH. PART VI, LINE 7, REPORTS FILED WITH STATES MO 1 CATHOLIC CHARITIES OF CENTRAL AND NORTHERN MISSOURI PO BOX 104626 JEFFERSON CITY MO 65110 452395310 501(C)(3) 27500 0 GENERAL PURPOSE JEFFERSON CITY COUNTRY CLUB 516 S COUNTRY CLUB DR JEFFERSON CITY MO 65109 440299955 501(C)(7) 16715 0 GENERAL PURPOSE ROMAN CATHOLIC DIOCESE OF JEFFERSON CITY PO BOX 104900 JEFFERSON CITY MO 65110 440612540 501(C)(3) 16000 0 GENERAL PURPOSE LINCOLN UNIVERSITY JEFFERSON CITY MO 65101 JEFFERSON CITY MO 65101 446001089 501(C)(3) 60407 0 GENERAL PURPOSE 3 1 PHARMACY ASSISTANCE 11 6272 PART I, LINE 2: THE ORGANIZATION'S GRANTS WERE MADE TO GOVERNMENTAL OR TAX-EXEMPT ORGANIZATIONS, UNDER IRC SECTION 501(C)(3). THESE ORGANIZATIONS ARE EXPECTED TO MAINTAIN ADEQUATE CONTROLS REGARDING THE USE OF GRANT FUNDS FOR THEIR INTENDED PURPOSE. X 1 1 0 1 0 0 0 0 0 0 0 LAURA KAISER DIRECTOR, PRESIDENT/CEO OF SSM HEALT 0 2047588 0 1868164 0 728383 0 2978810 0 23503 0 7646448 0 1868164 STEVE SMOOT DIRECTOR, VICE PRESIDENT, COO OF SSM 0 1173646 0 737192 0 143520 0 1164125 0 40364 0 3258847 0 878090 DOUGLAS LONG DIRECTOR, SECRETARY, GENERAL COUNSEL 0 759270 0 495539 0 170430 0 753634 0 23379 0 2202252 0 495539 KAREN REWERTS DIRECTOR, VP-FINANCIAL OPERATIONS 0 589021 0 154022 0 58288 0 253200 0 34314 0 1088845 0 207408 MICHAEL BAUMGARTNER FORMER OFFICER 0 236516 0 233270 0 93791 0 285804 0 10151 0 859532 0 233270 KC DEBOER REGIONAL PRESIDENT- SSM HEALTH MID-M 365332 0 57188 0 3560 0 231519 0 34431 0 692030 0 57188 0 JOHN LUCIO REGIONAL CHIEF MEDICAL OFFICER 574884 0 0 0 16111 0 39872 0 47610 0 678477 0 0 0 NATHAN KENYON PHYSICIAN 561636 0 0 0 918 0 16521 0 17750 0 596825 0 0 0 THOMAS RYAN PHYSICIAN 545241 0 0 0 7385 0 7235 0 21991 0 581852 0 0 0 DEVIN KENNEDY PHYSICIAN 440062 0 5000 0 878 0 19064 0 27555 0 492559 0 0 0 BRIAN CONLEY PHYSICIAN 335601 0 15000 0 15087 0 29119 0 35605 0 430412 0 0 0 JOHN SNODSMITH FORMER OFFICER, VP FINANCE 0 257255 0 34175 0 857 0 69162 0 30188 0 391637 0 34175 MOHAMMAD JARBOU PHYSICIAN 317023 0 9000 0 1180 0 17462 0 40890 0 385555 0 0 0 AMY CAMPBELL VP - PATIENT CARE SERVICES. CNO 202594 0 35000 0 621 0 40199 0 30728 0 309142 0 0 0 TONYA PEHLE VP-OPERATIONS, PHYSICIAN AND AMBULAT 211837 0 26950 0 8910 0 46907 0 11054 0 305658 0 33915 0 BECKY MILLER VP - HOSPITAL OPERATIONS 132527 0 27406 0 11155 0 20247 0 8016 0 199351 0 27406 0 MICHAEL MISKO FORMER KEY EMPLOYEE 0 0 0 0 0 113696 0 0 0 0 0 113696 0 0 PART I, LINE 1A SEVERAL INDIVIDUALS LISTED ON SCHEDULE J PART II RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENT IN 2023. THE PAYMENT WAS INCLUDED IN THEIR TAXABLE COMPENSATION. PART I, LINE 3 THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (HOSPITAL PRESIDENT) IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B 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. NO INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THE PLAN IN 2023. 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 DEFERRALS FROM THIS PLAN IN 2023: STEVE SMOOT - $249,972 RANDALL COMBS - $261,633 DOUGLAS LONG - $161,286 EILEEN LAMM - $ 39,082 K.C. DEBOER - $65,871 AMY CAMPBELL - $8,800 BECKY MILLER - $9,291 JOHN LUCIO - $9,456 BRIAN CONLEY - $10,858 MICHAEL BAUMGARTNER - $89,182 JOHN SNODSMITH - $11,873 KAREN REWERTS - $56,755 LAURA KAISER - $720,859 THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DISTRIBUTIONS FROM THIS PLAN IN 2023. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUAL'S TAXABLE COMPENSATION. STEVE SMOOT - $140,898 STEVEN BURGHART - $ KAREN REWERTS - $53,386 EILEEN LAMM - $11,950 TONYA PEHLE - $30,458 FORM 990, SCHEDULE J, PART I, LINE 4A: 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. MICHAEL MISKO - $113,696 FORM 990, PART I, DOING BUSINESS AS: SSM REGIONAL HEALTH SERVICES CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING NAMES: SSM HEALTH BEHAVIORAL HEALTH SSM HEALTH MEDICAL GROUP SSM HEALTH MEDICAL GROUP - BEHAVIORAL MEDICINE SSM HEALTH MEDICAL GROUP - CARDIOTHORACIC SURGERY SSM HEALTH SPINE SURGERY & INTERVENTIONAL PAIN CENTER SSM HEALTH SPORTS MEDICINE & REHABILITATION CENTER SSM HEALTH ST MARY'S HOSPITAL- JEFFERSON CITY SSM HEALTH WOUND CENTER 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 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 REGIONAL HEALTH SERVICES AND SSM HEAL TH CARE CORPORATION ARE PART OF THE INTEGRATED HEAL TH CARE SYSTEM KNOWN AS SSM HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND APPOINT AND REMOVE THE DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS C. TO APPOINT AND REMOVE THE DIRECTORS D. TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION E. TO APPROVE THE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN F. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION G. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION H. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY I. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION J. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY K. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY L. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS, TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS, AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS M. TO APPROVE THE STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION N. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION O. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY 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, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY 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 A RELATED ORGANIZATION UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. 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 6,083,832. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,083,832. MEDICAL PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 10,477,792. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,477,792. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 601,837. MANAGEMENT AND GENERAL EXPENSES 128,329. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 730,166. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,193,393. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,193,393. RECRUITMENT SERVICES: PROGRAM SERVICE EXPENSES 78,736. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,736. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 98,972. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 98,972. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 4,045,244. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,045,244. FORM 990, PART XI, LINE 9: TRANSFERS WITH CONSOLIDATED ENTITIES 3,848,024. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 196,198. BENEFICIAL INTEREST IN FOUNDATION 695,917. 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