2024-11-15T14:24:02-06:00 2023-12-31 990 2023-01-01 431575307 ST MARY'S HEALTH CENTER JEFFERSON CITY MO FOUNDATION STMA 5736813742 2505 MISSION DRIVE JEFFERSON CITY MO 65109 STEPHANIE KING VP FINANCE 5736813742 2024-11-15 0 2023 2024-10-15 13:58:12Z X STEPHANIE KING 2505 MISSION DRIVE JEFFERSON CITY MO 65109 565734 0 0928 X WWW.GIVETOSSMHEALTH.ORG/STMARYSJC X 1991 MO SSM HEALTH ST. MARY'S HOSPITAL FOUNDATION PROVIDES PHILANTHROPIC DOLLARS TO SUPPORT THE HEALING MISSION OF SSM HEALTH ST. MARY'S HOSPITAL IN PROVIDING EXCEPTIONAL, COMPASSIONATE HEALTH CARE TO THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THE POOR AND VULNERABLE. ST. MARY'S HOSPITAL IS PART OF SSM HEALTH (SSMH) A NOT-FOR-PROFIT CATHOLIC HEALTH CARE SYSTEM FOUNDED IN 1872 BY CATHOLIC SISTERS. SSMH IS 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/OUTPATIENT SITES, VIRTUAL CARE SERVICES, 13 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, 32 32 0 25 0 0 287396 266614 0 0 206788 282175 -3240 15523 490944 564312 37946 116688 0 0 0 20890 0 0 50157 192794 29267 230740 166845 260204 397467 5602616 6498150 0 3193 5602616 6494957 THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 106688 106688 THE FOUNDATION SOLICITS AND RAISES GIFTS FOR THE PURPOSE OF MAKING DISTRIBUTIONS TO CHARITABLE, RELIGIOUS, SCIENTIFIC, OR EDUCATIONAL ORGANIZATIONS SUCH AS SSM REGIONAL HEALTH SERVICES WHICH OWNS AND OPERATES SSM HEALTH ST MARY'S HOSPITAL - JEFFERSON CITY. THESE GIFTS GO TO PURCHASE NECESSARY EQUIPMENT AND FUND SERVICES TO BETTER SERVE THE COMMUNITY'S HEALTH CARE NEEDS. 10000 10000 THE FOUNDATION RAISES FUNDS TO PROVIDE SCHOLARSHIPS TO DESERVING STUDENTS/EMPLOYEES WHO DESIRE TO GET OR ENHANCE AN EDUCATION IN THE HEALTHCARE FIELD. THROUGH THESE FUNDRAISING EFFORTS 10 SCHOLARSHIPS WERE AWARDED IN 2023. 116688 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 X 32 32 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X ANNE ROST 5736813742 2505 MISSION DRIVE JEFFERSON CITY MO 65109 ROGER DUDENHOEFFER PRESIDENT & DIRECTOR 0.40 0.00 X X 0 0 0 TERRY RACKERS FIRST VICE-PRESIDENT & DIRECTOR 0.50 0.00 X X 0 0 0 MORGAN FECHTEL SECOND VICE-PRESIDENT & DIRECTOR 0.50 0.00 X X 0 0 0 HARRY OTTO TREASURER & DIRECTOR 0.50 0.00 X X 0 0 0 JUDY SCHNEIDER SECRETARY & DIRECTOR 0.50 0.00 X X 0 0 0 KC DEBOER DIRECTOR 0.20 0.00 X 0 426080 265950 LISA DULLE DIRECTOR 0.20 0.00 X 0 0 0 KIRK FARMER DIRECTOR 0.20 0.00 X 0 0 0 MORGAN FECHTEL DIRECTOR 0.20 0.00 X 0 0 0 THERESSA FERGUSON DIRECTOR 0.20 0.00 X 0 0 0 RANDY HALSEY DIRECTOR 0.20 0.00 X 0 0 0 LT GOVERNOR MIKE KEHOE DIRECTOR 0.20 0.00 X 0 0 0 JOHN A KLEBBA DIRECTOR 0.20 0.00 X 0 0 0 LARRY KOLB DIRECTOR 0.20 0.00 X 0 0 0 GREG MEEKER DIRECTOR 0.20 0.00 X 0 0 0 JASON OTKE DIRECTOR 0.20 0.00 X 0 0 0 MARGARET REHMA-BOULCH DIRECTOR 0.20 0.00 X 0 0 0 KEVIN L RILEY DIRECTOR 0.20 0.00 X 0 0 0 MARK SCHELL DIRECTOR 0.20 0.00 X 0 0 0 JOE SCHEPPERS DIRECTOR 0.20 0.00 X 0 0 0 BARBARA SHEEHAN DIRECTOR 0.20 0.00 X 0 0 0 DEBORA SNYDER DIRECTOR 0.20 0.00 X 0 0 0 ERIC STRUEMPH DIRECTOR 0.20 0.00 X 0 0 0 DR DENISE TRITZ DIRECTOR 0.20 0.00 X 0 0 0 JAKE VOGEL DIRECTOR 0.20 0.00 X 0 0 0 DR BOB WANKUM DIRECTOR 0.20 0.00 X 0 0 0 ANN WARREN DIRECTOR 0.20 0.00 X 0 78435 0 DONNA WESTHUES DIRECTOR 0.20 0.00 X 0 0 0 DOUGLAS LONG ASSISTANT SECRETARY 0.20 73.00 X 0 1425239 777013 BEVERLY STAFFORD PT YR EXECUTIVE DIRECTOR 40.00 0.00 X 0 64576 7630 0 1994330 1050593 0 0 1 0 0 43007 32567 191040 36366 266614 189743 189743 60882 31550 0 0 60882 31550 92432 92432 16945 43007 1422 15523 15523 564312 0 0 297698 74417 74417 42271 42271 19574 19574 1316 1316 4630 4630 871 871 3440 3440 450 450 168 168 BANK FEES 18940 18940 LICENSES, DUES & SUBSCR 52 52 716 716 166845 116688 0 50157 134631 106915 0 0 232110 0 5235875 6391235 5602616 6498150 0 3193 0 3193 X 4329656 5025574 1272960 1469383 5602616 6494957 5602616 6498150 397467 494649 225 0 X 0 1 X 1 0 X X 1 SSM REGIONAL HEALTH SERVICES 440579850 3 1 74160 0 1 74160 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 111000 111000 111000 111000 111000 289 289 111000 111000 3523 3523 111000 111000 1009 1009 111000 0.00000 1.00000 0.00000 1 0 0 INTERCOMPANY PAYABLES 3193 3193 X PART X, LINE 2: ST. MARY'S HEALTH CENTER, JEFFERSON CITY, MO, FOUNDATION'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 FURTHER 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 GOLG & TENNIS TOURNAMENT 59952 43007 16945 1422 59952 43007 16945 1422 1422 15523 1 SSM REGIONAL HEALTH SERVICES 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 440579850 501(C)(3) 37794 36366 FMV 6 ASCOM PHONES FOR NURSING CALL STATION SUPPORT FOR SSM HEAL TH ST MARYS HOSPITAL - JEFFERSON CITY 1 0 SMHC FOUNDATION MEDICATION ASSISTANCE GRANT - PRESCRIPTION DRUG PURCHASES 191 6272 EMPLOYEE RELIEF GRANT 10 11382 CANCER PATIENT ASSISTANCE GRANT 452 14617 SCHOLARSHIPS 9 10000 PART I, LINE 2: THE FOUNDATION HAS A BOARD APPROVED POLICY CONTAINING THE GUIDELINES, TERMS AND CONDITIONS GOVERNING THE SCHOLARSHIP SELECTION AND MONITORING PROCESS. CANDIDATES MUST SHOW PROOF OF ENROLLMENT TO QUALIFY FOR THE SCHOLARSHIP. STUDENT APPLICANTS MUST SUBMIT A TRANSCRIPT AND LETTER OF RECOMMENDATION. EMPLOYEE APPLICANTS MUST SUBMIT A LETTER DETAILING THE NEED AND BENEFITS OF THE EDUCATION AND A LETTER OF RECOMMENDATION. 0 0 0 0 0 0 0 0 0 DOUGLAS LONG ASSISTANT SECRETARY 0 759270 0 495539 0 170430 0 753634 0 23379 0 2202252 0 495539 KC DEBOER DIRECTOR 0 365332 0 57188 0 3560 0 231519 0 34431 0 692030 0 57188 X NURSE CALL SYSTEM PHONES 1 36366 FMV 0 0 1 0 PART I, COLUMN (B): OTHER - SUPPLIES AND SERVICES - NUMBER OF CONTRIBUTORS FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE FOUNDATION IS SSM REGIONAL HEALTH SERVICES. SSM REGIONAL HEALTH SERVICES IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH THE FOUNDATION AND SSM REGIONAL HEAL TH SERVICES ARE PART OF THE INTEGRATED HEALTH SYSTEM KNOWN AS SSM HEALTH. FORM 990, PART VI, SECTION A, LINE 7A HE CORPORATE MEMBER HAS POWER TO ELECT AND REMOVE BOARD OF DIRECTORS MEMBERS, WITH OR WITHOUT CAUSE, EXCEPT FOR ANY DIRECTOR WHO SERVES EX-OFFICIO. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE FOLLOWING RESERVED POWERS: A. TO ESTABLISH AND CHANGE THE PHILOSOPHY OF THE FOUNDATION B. TO APPOINT THE BOARD OF DIRECTORS EXCEPT FOR ANY DIRECTOR WHO SERVES EX-OFFICIO, AND TO REMOVE THE APPOINTED DIRECTORS 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 POLICIES APPROVED BY THE MEMBER FROM TIME TO TIME G. TO APPROVE THE ACQUISITION OF REAL PROPERTY OR ANY INTEREST THEREIN OR THE ACQUISITION OF STOCK OF A CORPORATION IF, AFTER THE ACQUISITION THE FOUNDATION WILL OWN A MAJORITY OF 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 ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS IN THE NAME OF THE FOUNDATION IN CONNECTION WITH SUCH PROGRAMS K. TO APPROVE THE ACCEPTANCE OF ANY GIFT OR CONTRIBUTION WHICH WOULD IMPOSE A CONTINUING OBLIGATION UPON THE FOUNDATION, INCLUDING, WITHOUT LIMITATION, THE OBLIGATION TO PROVIDE HEALTH CARE SERVICES, PAY AN ANNUITY OR OTHERWISE PROVIDE SERVICE OR CONSIDERATION IN EXCHANGE THEREFOR, EXCEPT AS OTHERWISE DETERMINED BY THE MEMBER L. TO APPROVE OR REJECT PROPOSALS FOR EXPENDITURES OR CONTRIBUTIONS IN ACCORDANCE WITH BYLAWS IN THE EVENT THE PRESIDENT OF THE HEAL TH CENTER AND THE BOARD OF DIRECTORS DO NOT AGREE WITH RESPECT TO APPROVAL OF SUCH PROPOSAL. 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 (SSMH). THE RETURN IS THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM WHO SIGNS AS PAID PREPARER. THE RETURN IS THEN PROVIDED TO MEMBERS OF SENIOR MANAGEMENT. ANY QUESTIONS ARE ADDRESSED BY THE TAX DEPARTMENT OF SSMH 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, AND IT IS USUALLY DONE AT THE ANNUAL BOARD MEETING. THE CHAIRPERSON AND SECRETARY TO THE BOARD OVERSEES COMPLIANCE WITH THIS REQUIREMENT. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE (COI) WHICH MUST BE COMPLETED ONLINE. PERIODICALLY THROUGH THE YEAR, EACH 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 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 EACH ENTITY. THEIR SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR END, OFTEN IN CONJUNCTION WITH THE PERFORMANCE REVIEW PROCESS. 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 HEAL TH'S WEBSITE. THE FOUNDATION'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. 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