2024-11-15T13:39:44-06:00 2023-12-31 990 2023-01-01 262884795 GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION GOOD 6188991047 1 GOOD SAMARITAN WAY MT VERNON IL 62864 STEPHANIE KING VP FINANCE 6188991047 2024-11-15 0 2023 2024-10-15 13:58:12Z X STEPHANIE KING 1 GOOD SAMARITAN WAY MT VERNON IL 62864 585898 0 0928 X SSMHEALTH.COM/DONATE/GOOD-SAMARITAN-FOUNDATION-MT X 2005 IL TO PROVIDE SUPPORT TO SSM HEALTH GOOD SAMARITAN HOSPITAL - MT. VERNON IN SUPPORT OF THEIR MISSION TO CONTINUE THE HEALING MINISTRY OF JESUS CHRIST BY IMPROVING REGIONAL QUALITY HEALTH SERVICES FOR EVERYONE. 13 12 0 25 0 0 282459 297713 0 0 82699 146280 643 118522 365801 562515 129613 26945 0 0 181660 93569 0 0 119363 49231 25794 360504 146308 5297 416207 3091378 3730158 1120 6337 3090258 3723821 THROUGH OUR EXCEPTIONAL HEALTHCARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 26945 26945 PROVIDED PROGRAM AND CAPITAL SUPPORT TO THE HEALTHCARE INITIATIVES OF SSM HEALTH GOOD SAMARITAN HOSPITAL - MT. VERNON. PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 26945 1 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 IL X REBECCA LYONS 3149893072 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 CAROL HAMERSKI TRUSTEE & SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 MICHAEL BAUMGARTNER HOSPITAL PRESIDENT 1.00 0.00 X 0 0 0 BILL BECK TRUSTEE 1.00 0.00 X 0 0 0 HUNT BONAN TRUSTEE 1.00 0.00 X 0 0 0 REX CUSUMANO TRUSTEE 1.00 0.00 X 0 0 0 NORMA FAIRCHILD TRUSTEE 1.00 0.00 X 0 0 0 DR JOHNNY KAUSHAL TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL KROESCHEN CHAIRPERSON & TRUSTEE 1.00 0.00 X X 0 0 0 DR NICHOLE LEMASTER TRUSTEE 1.00 0.00 X 0 0 0 DR WES NEAL TRUSTEE 1.00 0.00 X 0 0 0 MARCIA SCOTT TRUSTEE 1.00 0.00 X 0 0 0 BRYAN STIREWALT TRUSTEE 1.00 0.00 X 0 0 0 DARLA WEXSTTEN TRUSTEE 1.00 0.00 X 0 0 0 TOM WILLIAMS TRUSTEE 1.00 1.00 X 0 0 0 DOUGLAS LONG ASST. SECRETARY, GENERAL COUNSEL AT SSM HEALTH 1.00 72.20 X 0 1425239 777013 JOHN SNODSMITH REGIONAL VP, FINANCE 1.00 43.00 X 0 292287 99350 KAY ZIBBY-DAMRON EXECUTIVE DIRECTOR 20.00 20.00 X 0 162164 37460 KAREN REWERTS FORMER OFFICER, VP-FINANCIAL OPERATIONS 0.00 43.00 X 0 801331 287514 MATT KINSELLA FORMER OFFICER 0.00 40.00 X 0 532042 201905 0 3213063 1403242 0 1 1 0 0 58425 239288 297713 83837 83837 62443 0 62443 62443 62443 12865 58425 22688 -9823 -9823 695 695 0 INTERCOMPANY REVENUE-S 900099 125845 125845 OTHER REVENUE 900099 2500 2500 128345 562515 0 0 264802 X 26945 26945 86752 86752 6817 6817 16366 16366 1147 1147 1880 1880 302 302 1930 1930 113 113 OTHER EXPENSES 3155 3155 BANK FEES 726 726 TAXES 115 115 LICENSES, DUES & SUBSCR 60 60 146308 26945 0 119363 408309 717482 1505868 1669626 167061 172327 593299 753882 0 0 416841 416841 3091378 3730158 1120 6337 1120 6337 X 1392328 1881868 1697930 1841953 3090258 3723821 3091378 3730158 416207 217356 0 X 0 1 X 1 0 X 251254 953679 417612 282459 297713 2202717 251254 953679 417612 282459 297713 2202717 2202717 19534 16881 32720 57592 83837 210564 19580 20890 18925 19620 13560 92575 2505856 0.87900 0.61560 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 24714 1000 3734 29448 27995 -3281 24714 25000 2995 27995 25000 25000 1.00000 1 0 0 SSM COMPREHENSIVE INVESTMENT PROGRAM 753882 F 753882 MINERAL RIGHTS 416841 416841 DUE TO AFFILIATES 6337 6337 X PART V, LINE 4: THE PURPOSE OF THE ENDOWMENT IS TO PROVIDE SCHOLARSHIPS TO EMPLOYEES AND STUDENTS IN THE HEALTH CARE FIELD. PART X, LINE 2: GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF A RELATED ORGANIZATION, SSM HEALTH (SSMH). SSMH EVALUATES ITS UNCDERTAIN 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. GOLF EVENT 71290 58425 12865 7019 13019 2650 71290 58425 12865 7019 13019 2650 22688 -9823 1 GOOD SAMARITAN HOSPITAL - MT VERNON 1 GOOD SAMARITAN WAY MOUNT VERNON IL 62864 430653587 501(C)(3) 10250 0 CHARITABLE SUPPORT 1 PART I, LINE 2: GRANTS TO ORGANIZATIONS ARE MADE TO A RELATED ORGANIZATION AND ARE TAX EXEMPT UNDER SECTION 501(C)(3). THE ORGANIZATION HAS DEVELOPED INTERNAL CONTROL PROCEDURES FOR THE USE OF GRANT FUNDS. 0 1 0 0 0 0 0 0 0 DOUGLAS LONG ASST. SECRETARY, GENERAL COUNSEL AT 0 759270 0 495539 0 170430 0 753634 0 23379 0 2202252 0 495539 KAREN REWERTS FORMER OFFICER, VP-FINANCIAL OPERATI 0 589021 0 154022 0 58288 0 253200 0 34314 0 1088845 0 205965 MATT KINSELLA FORMER OFFICER 0 405421 0 105716 0 20905 0 160100 0 41805 0 733947 0 114535 JOHN SNODSMITH REGIONAL VP, FINANCE 0 257255 0 34175 0 857 0 69162 0 30188 0 391637 0 34175 KAY ZIBBY-DAMRON EXECUTIVE DIRECTOR 0 152528 0 8943 0 693 0 21367 0 16093 0 199624 0 8943 SCHEDULE J PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION THE FOUNDATION'S TOP MANAGEMENT OFFICIAL (EXECUTIVE DIRECTOR) IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSUL TANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990 SCHEDULE J PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT 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: DOUGLAS LONG $161,286 JOHN SNODSMITH $11,873 MATTHEW KINSELLA $39,596 KAREN REWERTS $56,755 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. KAREN REWERTS $53,386 MATT KINSELLA $19,814 GREEN HILLS GOLF CLUB ENTITY MORE THAN 35% OWNED BY TOM WILLIAMS 13019 PURCHASES OF SERVICES AND EVENT PRIZES 1 FORM 990, PART III, LINE 4A - PROGRAM SERVICE ACCOMPLISHMENTS BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION. 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 300 PHYSICIAN OFFICES AND OTHER OUTPATIENT AND VIRTUAL CARE SERVICES, 10 POST-ACUTE FACILITIES, COMPREHENSIVE HOME CARE AND HOSPICE SERVICES, A PHARMACY BENEFIT COMPANY, A HEALTH INSURANCE COMPANY, AND AN ACCOUNTABLE CARE ORGANIZATION. THE HEALTH SYSTEM EMPLOYS NEARLY 40,000 PEOPLE AND IS AFFILIATED WITH 11,000 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. DESCRIBE THE EXEMPT PURPOSE ACHIEVEMENTS. THE FOUNDATION RAISES FUNDS WITH A VISION TO PROVIDE LONG-TERM SUPPORT TO SSM HEALTH GOOD SAMARITAN HOSPITAL MOUNT VERNON'S HEALING MINISTRY. THIS SUPPORT IS GENERATED BY ORGANIZATIONS AND INDIVIDUALS WHO PROVIDE ANNUAL GIVING FROM INCOME, OCCASIONAL LARGE GIFTS IN SUPPORT OF SPECIAL PROJECTS, AND THE ULTIMATE GIFT ARRANGED THROUGH BEQUESTS AND OTHER PLANNED GIFT VEHICLES. THIS VISION IS CARRIED OUT BY BUILDING RELATIONS WITH INDIVIDUALS, ORGANIZATIONS, AND FOUNDATIONS CAPABLE OF MAKING GIFTS, CREATING OPPORTUNITIES TO INFORM PROSPECTIVE SUPPORTERS ABOUT THE HOSPITAL'S WORK, INVOLVING THEM IN THE MISSION, AND GRACIOUSLY RECOGNIZING THE SUPPORT WE ARE GIVEN. THROUGH GIFTS TO THE FOUNDATION, DONORS SUPPORT MEDICAL PROGRAMS, THE PURCHASE OF MEDICAL EQUIPMENT, BUILDING IMPROVEMENTS AND DEPARTMENTAL PROGRAMS AND COMMUNITY HEALTH INITIATIVES. DURING 2023, THE FOUNDATION APPROVED FUNDING REQUESTS TO PROVIDE ASSISTANCE TO HOSPICE PATIENTS, EQUIPMENT AND INTERN STIPEND TO THE MUSIC THERAPY DEPARTMENT, AND IS FUNDING MONTHLY TRANSPORTATION COSTS FOR PATIENTS WHO NEED ASSISTANCE GETTING TO MEDICAL APPOINTMENTS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF THE FOUNDATION IS ST. MARY'S-GOOD SAMARITAN, INC., A NONPROFIT 501(C)(3) ORGANIZATION. BOTH THE FOUNDATION AND ST. MARY'S-GOOD SAMARITAN, INC. ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY THE MEMBER HAS THE POWER TO APPOINT THE BOARD OF TRUSTEES EXCEPT FOR ANY TRUSTEE WHO SERVES EX OFFICIO, AND TO REMOVE APPOINTED TRUSTEES WITH OR WITHOUT CAUSE. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE PHILOSOPHY OF THE FOUNDATION B. TO APPOINT THE BOARD OF TRUSTEES, EXCEPT FOR ANY TRUSTEE WHO SERVES EX OFFICIO, AND TO REMOVE THE APPOINTED TRUSTEES WITH OR WITHOUT CAUSE C. TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE FOUNDATION AS PROVIDED THEREIN D. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE FOUNDATION E. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE FOUNDATION F.TO APPROVE THE SALE, CONVEYANCE, ASSIGNMENT, TRANSFER, ALIENATION, PLEDGE, ENCUMBRANCE, MORTGAGE OR LEASE OF REAL PROPERTY OR ANY INTEREST THEREIN OF THE FOUNDATION IN ACCORDANCE WITH THE POLICIES APPROVED BY THE MEMBER G.TO APPROVE I) THE ACQUISITION OF REAL PROPERTY OR ANY INTEREST THEREIN OR II) THE ACQUISITION OF STOCK OF A CORPORATION IF, AFTER THE ACQUISITION, THE FOUNDATION WILL OWN A MAJORITY OF THE VOTING STOCK OF SUCH CORPORATION, IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER H.TO APPROVE THE SALE, TRANSFER OR OTHER DISPOSITION OF THE VOTING STOCK OF A CORPORATION IF BEFORE THE DISPOSITION THE FOUNDATION OWNED A MAJORITY OF THE VOTING STOCK OF THE CORPORATION AND AFTER SUCH DISPOSITION THE FOUNDATION WOULD NOT OWN A MAJORITY OF THE VOTING STOCK OF THE CORPORATION, IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER I.TO APPROVE ANY BORROWINGS OR GUARANTEES OF THE FOUNDATION IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER J.TO APPROVE THE ACCEPTANCE OF ANY GIFT OR CONTRIBUTION WHICH, IN CONNECTION THEREWITH, WOULD IMPOSE A CONTINUING OBLIGATION UPON THE FOUNDATION, INCLUDING, WITHOUT LIMITATION, THE OBLIGATION TO PROVIDE HEAL TH CARE SERVICES, PAY AN ANNUITY OR UNDERTAKE ANY OTHER OBLIGATIONS, EXCEPT AS OTHERWISE DETERMINED BY THE MEMBER PURSUANT TO POLICIES ADOPTED BY THE MEMBER K.TO APPROVE OR REJECT PROPOSALS FOR EXPENDITURES OR CONTRIBUTIONS IN ACCORDANCE WITH ARTICLE IX OF THE BYLAWS IN THE EVENT THE PRESIDENT OF THE MEMBER AND THE BOARD OF TRUSTEES DO NOT AGREE WITH RESPECT TO THE APPROVAL OF SUCH PROPOSAL L.TO APPROVE THE ANNUAL OPERATING BUDGET OF THE FOUNDATION AND M.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 FOUNDATION IN SUCH PROGRAMS, AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE FOUNDATION IN CONNECTION WITH SUCH PROGRAMS. FORM 990, PART VI, SECTION A, LINE 8B DOCUMENTATION OF MEETINGS HELD BY COMMITTEES OF GOVERNING BODY THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION (SSM). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SSM PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE 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 MUST BE COMPLETED ONLINE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR END. FORM 990, PART VI, SECTION C, LINE 19 THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEAL TH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE ILLINOIS SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART VI, LINE 11B - REVIEW OF FORM 990 BY GOVERNING BODY THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION (SSM). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SSM PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART IX, LINE 11G OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 16,366. TOTAL EXPENSES 16,366. SSM HEALTH CARE ST LOUIS 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431343281 HEALTH CARE MO 501(C)(3) LINE 3 SSM HEALTH CARE CORPORATION 0 CENTRALIA MEDICAL SERVICES BLDG ASSOC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 237408025 MOB IL 501(C)(3) LINE 12A, I SSM REGIONAL HEALTH SERVICES 0 ST MARY'S JANESVILLE FOUNDATION INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 273439133 FUNDRAISING WI 501(C)(3) LINE 7 SSM HEALTH CARE OF WISCONSIN 0 SSM HEALTH MINISTRIES 3221 MCKELVEY ROAD SUITE 107 BRIDGETON MO 63044 431012492 RELIGIOUS ORGANIZATION MO 501(C)(3) LINE 1 N/A 0 LEE DEWEY CORPORATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 731279603 MOB OK 501(C)(3) LINE 12A, I SSM HEALTH CARE OF OKLAHOMA 0 ST MARY'S HOSPITAL AUXILIARY 100 ST MARYS MEDICAL PLAZA JEFFERSON CITY MO 65101 436049878 FUNDRAISING MO 501(C)(3) LINE 12B, II N/A 0 GOOD SAMARITAN HOSPITAL AUXILIARY 1 GOOD SAMARITAN WAY MOUNT VERNON IL 62864 237049599 FUNDRAISING IL 501(C)(3) LINE 12C, III-FI N/A 0 ST ANTHONY SHAWNEE HOSPITAL INC 1000 N LEE AVE OKLAHOMA CITY OK 73102 455055149 HEALTH CARE OK 501(C)(3) LINE 3 SSM HEALTH CARE OF OKLAHOMA 0 SSM AUDRAIN HEALTH CARE INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431550298 HEALTH CARE MO 501(C)(3) LINE 3 SSM REGIONAL HEALTH SERVICES 0 SSM-SLUH INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 474196634 HEALTH CARE MO 501(C)(3) LINE 3 SSM HEALTH CARE ST LOUIS 0 AGNESIAN HEALTHCARE INC 430 E DIVISION ST FOND DU LAC WI 54935 390807236 HEALTH CARE WI 501(C)(3) LINE 3 SSM HEALTH CARE OF WISCONSIN 0 RIPON MEDICAL CENTER INC 845 PARKSIDE STREET RIPON WI 54971 391101287 HEALTH CARE WI 501(C)(3) LINE 3 AGNESIAN HEALTHCARE INC 0 WAUPUN MEMORIAL HOSPITAL INC 620 WEST BROWN STREET WAUPUN WI 53963 390806265 HEALTH CARE WI 501(C)(3) LINE 3 AGNESIAN HEALTHCARE INC 0 ST FRANCIS HOME OF FOND DU LAC WISCONSIN INC 33 EVERETT STREET FOND DU LAC WI 54935 391029998 HEALTH CARE WI 501(C)(3) LINE 10 AGNESIAN HEALTHCARE INC 0 SISTER SERVANTS OF CHRIST THE KING VILLA LORETTO N8114 COUNTY WW MOUNT CALVARY WI 53057 391022770 HEALTH CARE WI 501(C)(3) LINE 10 AGNESIAN HEALTHCARE INC 0 VILLA ROSA INC N8120 COUNTY WW MOUNT CALVARY WI 53057 421670962 HEALTH CARE WI 501(C)(3) LINE 10 AGNESIAN HEALTHCARE INC 0 THE CHRISTIAN HOME AND REHABILITATION CENTER INCORPORATED 331 BLY STREET WAUPUN WI 53963 390884514 HEALTH CARE WI 501(C)(3) LINE 10 AGNESIAN HEALTHCARE INC 0 THE MONROE CLINIC INC 515 22ND AVENUE MONROE WI 53566 390808509 HEALTH CARE WI 501(C)(3) LINE 3 SSM HEALTH CARE OF WISCONSIN 0 MONROE CLINIC AND HOSPITAL FOUNDATION INC 515 22ND AVENUE MONROE WI 53566 205769038 FUNDRAISING WI 501(C)(3) LINE 7 SSM HEALTH CARE OF WISCONSIN 0 AGNESIAN HEALTHCARE FOUNDATION INC 430 E DIVISION ST FOND DU LAC WI 54935 391684956 FUNDRAISING WI 501(C)(3) LINE 12A, I SSM HEALTH CARE OF WISCONSIN 0 SHARED MAGNETIC RESONANCE IMAGING FACILITY INC 1104 JOHN NOLEN DRIVE MADISON WI 53713 391534744 HEALTH CARE WI 501(C)(3) LINE 12A, I SSM HEALTH CARE OF WISCONSIN 0 SSM HEALTH CARDINAL GLENNON TRANSPORT 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 863519607 HEALTH CARE MO 501(C)(3) LINE 12A, I SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 0 SSM HEALTH FOUNDATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 874109859 FUNDRAISING MO 501(C)(3) LINE 12A, I SSM HEALTH CARE CORPORATION 0 SSM HEALTH CARE GROUP 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 880988603 HEALTH CARE MO 501(C)(3) LINE 10 SSM HEALTH CARE ST LOUIS 0 THE SARAH COMMUNITY 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431784657 HEALTH CARE MO 501(C)(3) LINE 10 SSM HEALTH BUSINESSES 0 VISITING NURSE ASSOCIATION OF GREATER ST LOUIS 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 430567000 HEALTH CARE MO 501(C)(3) LINE 7 SSM HEALTH BUSINESSES 0 ST MARY'S JANESVILLE FOUNDATION INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 273439133 FUNDRAISING WI 501(C)(3) LINE 7 SSM HEALTH CARE OF WISCONSIN 0 SSM HEALTH MINISTRIES 3221 MCKELVEY ROAD SUITE 107 BRIDGETON MO 63044 431012492 RELIGIOUS ORGANIZATION MO 501(C)(3) LINE 1 N/A 0 LEE DEWEY CORPORATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 731279603 MOB OK 501(C)(3) LINE 12A, I SSM HEALTH CARE OF OKLAHOMA 0 ST MARY'S HOSPITAL AUXILIARY 100 ST MARYS MEDICAL PLAZA JEFFERSON CITY MO 65101 436049878 FUNDRAISING MO 501(C)(3) LINE 12B, II N/A 0 GOOD SAMARITAN HOSPITAL AUXILIARY 1 GOOD SAMARITAN WAY MOUNT VERNON IL 62864 237049599 FUNDRAISING IL 501(C)(3) LINE 12C, III-FI N/A 0 ST ANTHONY SHAWNEE HOSPITAL INC 1000 N LEE AVE OKLAHOMA CITY OK 73102 455055149 HEALTH CARE OK 501(C)(3) LINE 3 SSM HEALTH CARE OF OKLAHOMA 0 SSM AUDRAIN HEALTH CARE INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431550298 HEALTH CARE MO 501(C)(3) LINE 3 SSM REGIONAL HEALTH SERVICES 0 SSM-SLUH INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 474196634 HEALTH CARE MO 501(C)(3) LINE 3 SSM HEALTH CARE ST LOUIS 0 AGNESIAN HEALTHCARE INC 430 E DIVISION ST FOND DU LAC WI 54935 390807236 HEALTH CARE WI 501(C)(3) LINE 3 SSM HEALTH CARE OF WISCONSIN 0 RIPON MEDICAL CENTER INC 845 PARKSIDE STREET RIPON WI 54971 391101287 HEALTH CARE WI 501(C)(3) LINE 3 AGNESIAN HEALTHCARE INC 0 WAUPUN MEMORIAL HOSPITAL INC 620 WEST BROWN STREET WAUPUN WI 53963 390806265 HEALTH CARE WI 501(C)(3) LINE 3 AGNESIAN HEALTHCARE INC 0 ST FRANCIS HOME OF FOND DU LAC WISCONSIN INC 33 EVERETT STREET FOND DU LAC WI 54935 391029998 HEALTH CARE WI 501(C)(3) LINE 10 AGNESIAN HEALTHCARE INC 0 SISTER SERVANTS OF CHRIST THE KING VILLA LORETTO N8114 COUNTY WW MOUNT CALVARY WI 53057 391022770 HEALTH CARE WI 501(C)(3) LINE 10 AGNESIAN HEALTHCARE INC 0 VILLA ROSA INC N8120 COUNTY WW MOUNT CALVARY WI 53057 421670962 HEALTH CARE WI 501(C)(3) LINE 10 AGNESIAN HEALTHCARE INC 0 THE CHRISTIAN HOME AND REHABILITATION CENTER INCORPORATED 331 BLY STREET WAUPUN WI 53963 390884514 HEALTH CARE WI 501(C)(3) LINE 10 AGNESIAN HEALTHCARE INC 0 THE MONROE CLINIC INC 515 22ND AVENUE MONROE WI 53566 390808509 HEALTH CARE WI 501(C)(3) LINE 3 SSM HEALTH CARE OF WISCONSIN 0 MONROE CLINIC AND HOSPITAL FOUNDATION 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