2022-11-15T13:10:20-06:00 2021-12-31 990 2021-01-01 440579850 SSM Regional Health Services SSMR 3149947800 10101 Woodfield Lane St Louis MO 63132 Randy Combs Treasurer 3149947800 2022-11-15 Barbara Potts 999009999 2021 2022-09-23 18:48:47Z See Schedule O LAURA KAISER 10101 Woodfield Lane St Louis MO 63132 145266819 false 0928 X www.ssmhealth.com X 1965 MO OPERATES HOSPITAL IN JEFFERSON CITY, MISSOURI AND ASSOCIATED PHYSICIAN SERVICES. 4 0 1081 135 63719 0 15634574 1116290 136911898 141270679 190316 -9 4446725 2857837 157183513 145244797 52143 81222 0 73602623 71912131 0 202826 99118857 99141418 172773623 171134771 -15590110 -25889974 175128531 77480408 280811768 231061974 -105683237 -153581566 THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. false false 155791639 81222 143627141 PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 155791639 true true false true false false false false true false false true true true true false true false false false false false false false false true true true true true false false false false false false false false false false false false false true true true false false true X 0 0 1081 true true true false false false false false false false false false false false X 4 0 false false false false true true true true false false false false true true true true true false false false X Joe Henderson 5736813761 2505 Mission Drive Jefferson City MO 65109 Douglas Long Director, Secretary, General Counsel at SSM Health 1.0 68.2 X X 0 1201678 483601 Laura Kaiser Director, President/CEO of SSM Health 1.0 45.0 X X 0 3489979 2214336 Steve Smoot Director, Vice President, COO of SSM Health 1.0 53.0 X X 0 1532078 917946 Karen Rewerts Director, VP-Financial Operations 1.0 42.0 X 0 736547 251796 George Hayes Regional President - SSM Health Mid-Missouri 40.0 0 X 0 108081 491 Jim Stratton Interim Regional VP, Finance 20.0 20.0 X 0 41625 0 John Snodsmith Pt Yr Regional VP, Finance-Mid-MO 10.0 35.0 X 0 265033 83277 Michael Baumgartner Pt Yr Regional President-SSM Health Mid-Missouri 40.0 5.2 X 0 625557 220270 Randy Combs Treasurer, Chief Financial Officer at SSM Health 1.0 66.0 X 0 1290602 485851 Becky Miller VP-Hospital Operations 40.0 0 X 248651 0 39545 Michael Hyde VP-Patient Care Services/CNO 40.0 0 X 223863 0 38225 Michael Misko MD President, Mid-MO Medical Group 40.0 0 X 0 706507 64705 Tonya Pehle VP-Operations, Physician and Ambulatory Services 40.0 0 X 214112 0 43964 Courtnye Walker Physician 40.0 0 X 522919 0 37404 Devin Kennedy Physician 40.0 0 X 427967 0 31636 Jason Cafer Physician 40.0 0 X 407641 0 43763 John Lucio Physician 40.0 0 X 541583 0 52999 Nathan Kenyon Physician 40.0 0 X 605579 0 25186 Kris Zimmer Former Officer 0.0 0.0 X 0 219379 0 3192315 10217066 5034996 92 true true false AMN HEALTHCARE INC 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 STAFFING SERVICES 5214482 MID-MISSOURI ANESTHESIA 1445 CHRISTY DRIVE JEFFERSON CITY MO 65101 MEDICAL PHYSICIAN SERVICES 1897415 AYA HEALTHCARE INC 5930 CORNERSTONE CT WEST 300 SAN DIEGO CA 92121 STAFFING SERVICES 1464069 SODEXO OPERATIONS LLC 4880 PAYSPHERE CIRCLE CHICAGO IL 60674 DIETARY SERVICES 1396244 COLE PHYSICIAN SERVICES LLC 200 CORPORATE BLVD SUITE 201 LAFAYETTE LA 70508 MEDICAL PHYSICIAN SERVICES 1004510 16 28374 1062506 25410 4800 1116290 NET PATIENT REVENUE 622110 140154780 140154780 340B PHARMACY REVENUE 446110 18719 18719 1097180 1097180 0 0 141270679 14513 14513 109 109 0 109 109 7500 22022 0 -14522 -14522 -14522 PHARMACY REVENUE 446110 2356462 2356462 CAFETERIA REVENUE 722210 401447 401447 LABORATORY REVENUE 621500 63719 63719 36100 0 0 36100 2857728 145244797 143627141 63719 437647 X 65721 65721 15501 15501 808361 773686 32567 2108 54175507 51851664 2182596 141247 4852405 4644263 195491 12651 8312365 7955809 334884 21672 3763493 3602059 151622 9812 1148199 1105009 43190 159911 159911 29820 29820 31426122 26277321 5147616 1185 2888 2888 6128286 5831549 283152 13585 6261243 6213518 47425 300 4041055 3920690 120365 88224 63650 24308 266 62974 61910 1064 7175380 7175380 639443 639443 Medical supplies 26295004 26295004 Medicaid Provider Tax 7703525 7703525 Internal management fees 7857201 1473794 6383407 Licenses and taxes 122143 122143 0 0 0 0 171134771 155791639 15140306 202826 301336 330313 297520 1317605 20307371 20969711 0 0 0 0 4273719 4258358 590333 388103 0 0 93583 0 1074 1150 5764367 6438089 143499228 43777079 175128531 77480408 17614909 22506977 3810823 0 0 259386036 208554997 280811768 231061974 X -107208520 -155269805 1525283 1688239 -105683237 -153581566 175128531 77480408 X -25889974 35118 -22043473 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 29820 29820 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION PAID DUES TO VARIOUS HOSPITAL ASSOCIATIONS AND A PORTION OF THESE DUES WAS ALLOCATED TO LOBBYING ACTIVITIES. 111000 111000 111000 3523 3523 111000 111000 1009 1009 111000 111000 501 501 111000 111000 627 627 111000 0.0 1.0 0.0 true false Beneficial Interest in Foundation 6438089 F 6438089 THIRD PARTY RECEIVABLE DUE FROM AFFILIATES 13961544 PROPERTY HELD FOR SALE 29815535 43777079 RABBI TRUST LIABILITY 3094608 DUE TO AFFILIATES ALLOCATED TAX-EXEMPT BOND DEBT (ISSUED BY SSM HEALTH CARE) 196493985 RETIREMENT LIABILITIES 1437107 THIRD-PARTY PATIENT LOANS 155091 THIRD PARTY PAYOR 7374206 208554997 X Schedule D, Part V, Line 4 Intended uses of endowment funds ENDOWMENT FUNDS ARE USED TO SUPPORT OPERATIONS AND THE MISSION OF SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote SSM REGIONAL HEALTH SERVICES' FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH (SSMH), A RELATED ORGANIZATION. 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 RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2021 OR 2020. true true X true X true X true true false true true 2287278 2287278 0.0 29005338 27421817 1583521 0.0 3555309 2586822 968487 0.0 0 0 34847925 30008639 4839286 0.0 391477 391477 0.0 576032 576032 0.0 0 0.0 0 0.0 67246 67246 0.0 0 0 1034755 0 1034755 0.0 0 0 35882680 30008639 5874041 0.0 0 0.0 0 0.0 16264 16264 0.0 0 0.0 0 0.0 1233 1233 0.0 0 0.0 0 0.0 0 0.0 0 0 17497 0 17497 0.0 true 15975648 27336517 41947525 -14611008 X true true 1 1 SSM Health St Mary's Hospital - Jefferson City 100 ST MARYS MEDICAL PLAZA JEFFERSON CITY MO 65101 https://www.ssmhealth.com/locations/st-marys-hospital-jefferson-city 455-21 X X X A A 1 false false true X X X X X X X X X 21 true false false true X https://www.ssmhealth.com/resources/about/community-health X true 22 true https://www.ssmhealth.com/resources/about/community-health false true X 200.0 400.0 X X X X X true true X X X true X https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill X https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill X https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E The hospital facility analyzed several health needs of the community and has prioritized those of most concern. The prioritization of the top significant community health needs is described in the CHNA. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - SSM Health St. Mary's Hospital - Jefferson City. To complete the 2022 -2024 Community Health Needs Assessment, leadership from SSM Health St. Mary's Hospital -Jefferson City conducted a comprehensive community health assessment using multiple methodologies: secondary data analysis, conversations with community groups, and surveys completed by community members, community leaders and local health 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 Health 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 health care and health 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 health 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 health 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 Health and Human Services. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - SSM Health St. Mary's Hospital - Jefferson City. 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 Literacy Mental 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 co-occurring 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 settings Community 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 specialty 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 specialty; and * a lack of reliable personal or public transportation. The 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 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 specialty care providers in identified shortage areas * Evaluate expansion and implementation of telehealth/telemedicine offerings in region Community 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 (DPP) with key partners, YMCA, Catholic Charities, and SSM Health Medical Group Community 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 CHNA-identified needs and additional community needs within its efforts. 20 SSM HEALTH MEDICAL GROUP 100 HWY 28 EAST BELLE MO 65013 RURAL HEALTH CLINIC SSM HEALTH SPORTS MEDICINE & REHABILITATION CENTER 1225 WEST STADIUM BLVD JEFFERSON CITY MO 65109 OUTPATIENT CLINIC SSM HEALTH CANCER CENTER 1241 WEST STADIUM BLVD JEFFERSON CITY MO 65109 OUTPATIENT CLINIC SSM HEALTH MEDICAL GROUP 140 NORTHSTAR DRIVE HOLTS SUMMIT MO 65043 FAMILY PRACTICE CLINIC SSM HEALTH MEDICAL GROUP 2265 BAGNELL DAM BLVD SUITE 103 LAKE OZARK MO 65049 RURAL HEALTH CLINIC SSM HEALTH PHARMACY 2505 MISSION DRIVE SUITE 110 JEFFERSON CITY MO 65101 RETAIL PHARMACY SSM HEALTH SPINE & PAIN MANAGEMENT CENTER 2505 MISSION DRIVE SUITE 200 JEFFERSON CITY MO 65109 OUTPATIENT CLINIC SSM HEALTH WOUND CENTER 2505 MISSION DRIVE SUITE 210 JEFFERSON CITY MO 65109 OUTPATIENT CLINIC SSM Health Medical Group - Pulmonary Medicine 2505 Mission Drive Suite 300 Jefferson City MO 65109 Outpatient clinic SSM Health Medical Group - Cardiovascular & Thoracic Surgery 2505 MISSION DRIVE SUITE 310 JEFFERSON CITY MO 65109 OUTPATIENT CLINIC SSM HEALTH MEDICAL GROUP - OCCUPATIONAL MEDICINE 2511 WEST EDGEWOOD DRIVE SUITE F JEFFERSON CITY MO 65109 OUTPATIENT CLINIC SSM HEALTH MEDICAL GROUP 2511 WEST EDGEWOOD DRIVE SUITE G JEFFERSON CITY MO 65109 FAMILY PRACTICE CLINIC SSM HEALTH URGENT CARE 2511 WEST EDGEWOOD SUITE D JEFFERSON CITY MO 65109 URGENT CARE CLINIC SSM HEALTH MEDICAL GROUP - BEHAVIORAL MEDICINE 2701 WEST EDGEWOOD DRIVE SUITE 101 JEFFERSON CITY MO 65109 OUTPATIENT CLINIC SSM HEALTH MEDICAL GROUP - PEDIATRICS 3348 AMERICAN AVENUE JEFFERSON CITY MO 65109 PEDIATRIC CLINIC SSM HEALTH SLEEP CENTER 3349 AMERICAN AVENUE SUITE D JEFFERSON CITY MO 65109 OUTPATIENT CLINIC SSM HEALTH MEDICAL GROUP 3527 WEST TRUMAN BLVD SUITE 100 JEFFERSON CITY MO 65109 FAMILY PRACTICE CLINIC SSM HEALTH MEDICAL GROUP 801 KIDWELL DRIVE VERSAILLES MO 65084 RURAL HEALTH CLINIC SSM HEALTH MEDICAL GROUP 875 Highway 5 South TIPTON MO 65081 RURAL HEALTH CLINIC SSM Health Multi-Specialty Clinic - Cardiology 2505 MISSION DRIVE SUITE 130 JEFFERSON CITY MO 65109 OUTPATIENT CLINIC Schedule H, Part I, Line 3c DISCOUNTED CARE EXCEPTIONS 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 health 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." Schedule H, Part I, Line 6a Community benefit report prepared by related organization SSM Health Care Corporation, 46-6029223 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance 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, and 7i 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. Schedule H, Part II Community Building Activities SSM REGIONAL HEALTH SERVICES PARTICIPATES IN A WIDE ARRAY OF COMMUNITY AND CIVIC ORGANIZATIONS IN THE PROMOTION OF HEALTH CARE AND COMMUNITY BUILDING ACTIVITIES. SPECIFIC ACTIVITIES REPORTED IN PART II OF SCHEDULE H INCLUDE THE FOLLOWING: COMMUNITY SUPPORT: PARTNERS IN EDUCATION PROGRAM, WHICH PRODUCES VIDEOS FOR LOCAL SCHOOLS, FINANCIAL SUPPORT FOR THE AMERICAN HEART ASSOCIATION, COUNCIL FOR A DRUG-FREE YOUTH, YMCA, AND AMERICAN CANCER SOCIETY; COALITION BUILDING: HOSPITAL STAFF PARTICIPATE IN CASA EDUCATION, TRAINING, AND FAMILY SUPPORT SERVICES. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount AS A RESULT OF NEW ACCOUNTING GUIDANCE, BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology 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. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER NORTON HOSPITAL'S FINANCIAL ASSISTANCE POLICY ON A GROSS BASIS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 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, 2021 consolidated audit is contained on page 13, 14 and 15 of the attached financial statements. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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 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. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance SSM Regional Health Services has 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 Health 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 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 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. Schedule H, Part V, Section B, Line 16a FAP website A - SSM Health St. Mary's Hospital - Jefferson City: Line 16a URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill; Schedule H, Part V, Section B, Line 16b FAP Application website A - SSM Health St. Mary's Hospital - Jefferson City: Line 16b URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - SSM Health St. Mary's Hospital - Jefferson City: Line 16c URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill; Schedule H, Part VI, Line 2 Needs assessment 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 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), 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-health priorities: Establish strategies to address priorities; complete Strategic Implementation Plan; obtain Regional/Divisional 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 health priorities: Collect data and evaluate progress; report to Regional/Divisional 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 health 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. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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 counseling. The following types of notices to the public are provided: * Signs in the emergency department, website resources, 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. Schedule H, Part VI, Line 4 Community information 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. Schedule H, Part VI, Line 5 Promotion of community health 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 LOW-INCOME 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. Schedule H, Part VI, Line 6 Affiliated health care system 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. Schedule H, Part VI, Line 7 State filing of community benefit report MO true Catholic Charities of Central and Northern Missouri PO Box 104626 Jefferson City MO 65110 452395310 501(c)(3) 50000 General organization and program support Roman Catholic Diocese of Jefferson City PO Box 104900 Jefferson City MO 65110 440612540 501(c)(3) 8500 Priest wellness program 2 0 GAS/travel VOUCHERS FOR PATIENTS 5 239 Book GAS/travel VOUCHERS FOR PATIENTS PRESCRIPTION ASSISTANCE 493 11523 Patient supply bags/new baby bags 1710 3739 Book Patient supply bags/new baby bags Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE ORGANIZATION'S GRANTS WERE MADE TO GOVERNMENTAL OR TAX- EXEMPT, UNDER SECTION 501(C)(3), ORGANIZATIONS. THESE ORGANIZATIONS HAVE DEVELOPED INTERNAL CONTROL PROCEDURES FOR THE USE OF GRANT FUNDS. true true false false false false false false false Steve Smoot Director, Vice President, COO of SSM Health 0 1014744 0 506986 0 10347 0 877981 0 39965 0 2450024 0 506986 Douglas Long Director, Secretary, General Counsel at SSM Health 0 683805 0 374673 0 143200 0 460492 0 23109 0 1685279 0 374673 Laura Kaiser Director, President/CEO of SSM Health 0 1734729 0 1374054 0 381195 0 2194966 0 19371 0 5704315 0 1747726 Karen Rewerts Director, VP-Financial Operations 0 572568 0 96173 0 67806 0 219658 0 32138 0 988343 0 159077 Kris Zimmer Former Officer 0 0 0 219008 0 372 0 0 0 0 0 219379 0 372 John Snodsmith Pt Yr Regional VP, Finance-Mid-MO 0 251039 0 13365 0 629 0 57340 0 25937 0 348310 0 13365 Randy Combs Treasurer, Chief Financial Officer at SSM Health 0 940014 0 182693 0 167895 0 478907 0 6945 0 1776454 0 82693 Michael Baumgartner Pt Yr Regional President-SSM Health Mid-Missouri 0 394313 0 138473 0 92771 0 207274 0 12996 0 845827 0 138473 Michael Hyde VP-Patient Care Services/CNO 205387 0 17154 0 1322 0 12514 0 25711 0 262088 0 17154 0 Becky Miller VP-Hospital Operations 194391 0 51518 0 2742 0 26206 0 13339 0 288196 0 11543 0 Michael Misko MD President, Mid-MO Medical Group 0 287076 0 129928 0 289503 0 40884 0 23821 0 771212 0 0 Tonya Pehle VP-Operations, Physician and Ambulatory Services 166244 0 47078 0 790 0 28374 0 15590 0 258076 0 13129 0 Nathan Kenyon Physician 604661 0 0 0 918 0 7826 0 17360 0 630765 0 0 0 John Lucio Physician 486799 0 47656 0 7128 0 8366 0 44633 0 594582 0 0 0 Jason Cafer Physician 308201 0 98432 0 1008 0 7327 0 36436 0 451404 0 0 0 Courtnye Walker Physician 521209 0 0 0 1710 0 8700 0 28704 0 560323 0 0 0 Devin Kennedy Physician 427209 0 0 0 758 0 8125 0 23511 0 459603 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation 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. Schedule J, Part I, Line 4a Severance or change-of-control payment 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 $71,060 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan 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 2021. 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 2021: Karen Rewerts $52,238 Steve Smoot $197,200 Laura Kaiser $549,883 John Snodsmith $10,785 Michael Hyde $9,153 Michael Misko $33,857 Tonya Pehle $7,315 The following individuals listed on Part VII of the Form 990 received distributions from this plan in 2021. All distributions received from the plan in the current year were included in the individual's taxable compensation. Karen Rewerts $62,904 Laura Kaiser $373,672 Michael Misko $214,034 Kris Zimmer $372 Form 990, Part III, Line 4a Description of Program Service Accomplishments Briefly describe the corporation'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. 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 $ 2,287,278 Unpaid Cost of Medicaid $1,583,521 Unpaid Cost of Other Means-Tested Programs $ 968,487 Unpaid Cost of Medicare $ 14,611,008 Total Quantifiable Uncompensated Care $ 19,450,294 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, Line 15a Process for determining compensation 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, Line 15b Process for determining compensation 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, Line 6 Classes of members or stockholders 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 HEALTH CARE CORPORATION ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND APPOINT AND REMOVE THE DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders 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, 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, 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 at the next regularly scheduled board meeting. Form 990, Part VI, Line 12c Conflict of interest policy Board members are required to complete a conflict of interest disclosure statement annually. The President and Secretary to 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 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, Line 19 Required documents available to the public The year-end audited consolidated financial statements and unaudited quarterly consolidated financial statement 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 VIII, Line 2f Other Program Service Revenue ALL OTHER PROGRAM SERVICE REVENUE - Total Revenue: 1097180, Related or Exempt Function Revenue: 1097180, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue ALL OTHER REVENUE - Total Revenue: 36100, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 36100; Form 990, Part IX, Line 11g Other Fees Medical and other professional fees - Total Expense: 31426122, Program Service Expense: 26277321, Management and General Expenses: 5147616, Fundraising Expenses: 1185; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in beneficial interest in foundation - 652922; Transfers to affiliates - -22696395; 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 SSM Health Care Corporation 10101 Woodfield Lane St Louis MO 63132 466029223 Health Care MO 501(c)(3) Type I SSM Health Ministries false SSMHC Liability Trust I 10101 Woodfield Lane St Louis MO 63132 436331003 Insurance MO 501(c)(3) Type I SSM Health Care Corporation false SSM Consolidated Health Services 10101 Woodfield Lane St Louis MO 63132 431473657 Health Care MO 501(c)(3) 10 SSM Health Care Corporation false SSM Policy Institute 10101 Woodfield Lane St Louis MO 63132 431788151 Health Care MO 501(c)(4) SSM Health Care Corporation false SSM Health Care Portfolio Management Co 10101 Woodfield Lane St Louis MO 63132 431825256 Management MO 501(c)(3) Type I SSM Health Care Corporation false SSM Cardinal Glennon Children's Hospital 10101 Woodfield Lane St Louis MO 63132 430738490 Health Care MO 501(c)(3) 3 SSM Health Care St Louis false Cardinal Glennon Children's Foundation 10101 Woodfield Lane St Louis MO 63132 431754347 Fundraising MO 501(c)(3) 7 SSM Cardinal Glennon Children's Hospital false SSM Health Foundation - St Louis 10101 Woodfield Lane St Louis MO 63132 431552945 Fundraising MO 501(c)(3) 7 SSM Health Care St Louis false SSM Health Care of Oklahoma Inc 10101 Woodfield Lane St Louis MO 63132 730657693 Health Care OK 501(c)(3) 3 SSM Health Care Corporation false The St Anthony Hospital Foundation Inc 10101 Woodfield Lane St Louis MO 63132 736104300 Fundraising OK 501(c)(3) 7 SSM Health Care of Oklahoma false SSM Health Care of Wisconsin Inc 10101 Woodfield Lane St Louis MO 63132 430688874 Health Care WI 501(c)(3) 3 SSM Health Care Corporation false Dells Medical Building Inc 10101 Woodfield Lane St Louis MO 63132 391613292 MOB WI 501(c)(2) SSM Health Care of Wisconsin false St Mary's Foundation Inc 10101 Woodfield Lane St Louis MO 63132 431940686 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false St Clare Health Care Foundation Inc 10101 Woodfield Lane St Louis MO 63132 431940683 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false Home Health United Inc 2802 Walton Commons Lane Madison WI 53718 391539827 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin false Home Care United Inc 2802 Walton Commons Lane Madison WI 53718 391776340 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin false HHU Xtra Care Inc 2802 Walton Commons Lane Madison WI 53718 391705111 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin false SSM Health at Home Foundation of Wisconsin Inc 2802 Walton Commons Lane Madison WI 53718 391839309 Fundraising WI 501(c)(3) Type I Home Health United Inc false St Mary's Health Center Jefferson City Missouri Foundation 10101 Woodfield Lane St Louis MO 63132 431575307 Fundraising MO 501(c)(3) Type I SSM Regional Health Services true Good Samaritan Regional Health Center 10101 Woodfield Lane St Louis MO 63132 430653587 Health Care IL 501(c)(3) 3 SSM Regional Health Services true St Mary's Hospital Centralia Illinois 10101 Woodfield Lane St Louis MO 63132 370662580 Health Care IL 501(c)(3) 3 SSM Regional Health Services true St Mary's - Good Samaritan Inc 10101 Woodfield Lane St Louis MO 63132 364170833 Health Care IL 501(c)(3) Type I SSM Regional Health Services true Good Samaritan Regional Health Center Foundation 10101 Woodfield Lane St Louis MO 63132 262884795 Fundraising IL 501(c)(3) 7 St Mary's-Good Samaritan Inc false St Mary's Hospital Foundation 10101 Woodfield Lane St Louis MO 63132 364636691 Fundraising IL 501(c)(3) 7 St Mary's-Good Samaritan Inc false St Mary's Hospital Auxiliary 400 N Pleasant Centralia IL 62801 237126345 Fundraising IL 501(c)(3) 10 St Mary's Hospital Foundation false SSM Health Businesses 10101 Woodfield Lane St Louis MO 63132 431333488 Health Care MO 501(c)(3) 10 SSM Health Care Corporation false SSM Health Care St Louis 10101 Woodfield Lane St Louis MO 63132 431343281 Health Care MO 501(c)(3) 3 SSM Health Care Corporation false Centralia Medical Services Bldg Assoc 10101 Woodfield Lane St Louis MO 63132 237408025 MOB IL 501(c)(3) Type I SSM Regional Health Services false St Mary's Janesville Foundation Inc 10101 Woodfield Lane St Louis MO 63132 273439133 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false SSM Health Ministries 3221 McKelvey Road Suite 107 Bridgeton MO 63044 431012492 Religious Organization MO 501(c)(3) 1 NA false Lee Dewey Corporation 10101 Woodfield Lane St Louis MO 63132 731279603 MOB OK 501(c)(3) Type I SSM Health Care of Oklahoma false SSM Hospice & Home Care Foundation 10101 Woodfield Lane St Louis MO 63132 300012246 Fundraising MO 501(c)(3) 7 SSM Health Businesses false St Mary's Hospital Auxiliary 100 St Marys Medical Plaza Jefferson City MO 65101 436049878 Fundraising MO 501(c)(3) Type II NA false Good Samaritan Hospital Auxiliary 1 Good Samaritan Way Mount Vernon IL 62864 237049599 Fundraising IL 501(c)(3) Type III-FI NA false St Anthony Shawnee Hospital Inc 1000 N Lee Ave Oklahoma City OK 73102 455055149 Health Care OK 501(c)(3) 3 SSM Health Care of Oklahoma false SSM Audrain Health Care Inc 10101 Woodfield Lane St Louis MO 63132 431550298 Health Care MO 501(c)(3) 3 SSM Regional Health Services true Audrain Medical Center Foundation Inc 620 E Monroe St Mexico MO 65265 431265060 Fundraising MO 501(c)(3) Type I NA false SSM-SLUH Inc 10101 Woodfield Lane St Louis MO 63132 474196634 Health Care MO 501(c)(3) 3 SSM Health Care St Louis false SSM Health Plan 1277 Deming Way Madison WI 53717 831979548 Insurance MO 501(c)(4) SSM Health Businesses false Agnesian Healthcare Inc 430 E Division St Fond du Lac WI 54935 390807236 Health Care WI 501(c)(3) 3 SSM Health Care of Wisconsin false Ripon Medical Center Inc 845 Parkside Street Ripon WI 54971 391101287 Health Care WI 501(c)(3) 3 Agnesian Healthcare Inc false Waupun Memorial Hospital Inc 620 West Brown Street Waupun WI 53963 390806265 Health Care WI 501(c)(3) 3 Agnesian Healthcare Inc false St Francis Home of Fond du Lac Wisconsin Inc 33 Everett Street Fond du Lac WI 54935 391029998 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false Sister Servants of Christ the King Villa Loretto N8114 County WW Mount Calvary WI 53057 391022770 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false Villa Rosa Inc N8120 County WW Mount Calvary WI 53057 421670962 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false The Christian Home and Rehabilitation Center Incorporated 331 Bly Street Waupun WI 53963 390884514 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false The Monroe Clinic Inc 515 22nd Avenue Monroe WI 53566 390808509 Health Care WI 501(c)(3) 3 SSM Health Care of Wisconsin false Monroe Clinic and Hospital Foundation Inc 515 22nd Avenue Monroe WI 53566 205769038 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false Agnesian Healthcare Foundation Inc 430 E Division St Fond du Lac WI 54935 391684956 Fundraising WI 501(c)(3) Type I SSM Health Care of Wisconsin false Shared Magnetic Resonance Imaging Facility Inc 1104 John Nolen Drive Madison WI 53713 391534744 Health Care WI 501(c)(3) Type I SSM Health Care of Wisconsin false SSM Health Cardinal Glennon Transport 10101 Woodfield Lane St Louis MO 63132 863519607 Health Care MO 501(c)(3) Type I SSM Cardinal Glennon Children's Hospital false SSM Health Foundation 10101 Woodfield Lane St Louis MO 63132 874109859 Fundraising MO 501(c)(3) Type I SSM Health Care Corporation false SSM St Joseph Endoscopy Center LLC 10101 Woodfield Lane St Louis MO 63132 270046559 Surgery Services MO NA N/A St Clare Imaging Services LLC 707 14th Street Suite A Baraboo WI 53913 200122365 Diag. Services WI NA N/A Mt Vernon Radiation Therapy Center LLC 10101 Woodfield Lane St Louis MO 63132 201382620 Radiation Therapy IL NA N/A Sleep & Neurology Center of Southern Illinois LLC 10101 Woodfield Lane St Louis MO 63132 208468195 Diag. Services IL NA N/A CHOWSMGSI Office Building LLC 10101 Woodfield Lane St Louis MO 63132 371383861 MOB IL NA N/A Oza Cancer Center LLC 10101 Woodfield Lane St Louis MO 63132 201382727 MOB IL NA N/A Shawnee Real Estate Holdings LLC 1000 N Lee Ave Oklahoma City OK 73102 455458304 MOB OK NA N/A Dean Clinic & St Mary's Hospital Accountable Care Organization LLC 1808 West Beltline Highway Madison WI 53713 452995500 Accountable Care Organization WI NA N/A Wisconsin Integrated Information Technology and Telemedicine Systems LLC 1808 West Beltline Highway Madison WI 53713 392016715 Information Technology Services WI NA N/A Dean Health Holdings LLC 1277 Deming Way Madison WI 53717 261594709 Support Services WI NA N/A Wingra Building Group 1808 West Beltline Highway Madison WI 53713 390237060 MOB WI NA N/A Janesville Riverview Clinic Building Partnership 1808 West Beltline Highway Madison WI 53713 396220698 MOB WI NA N/A 1110 N Classen Blvd LLC 1110 N Classen Boulevard Oklahoma City OK 73106 731158158 MOB OK NA N/A SSM St Clare Surgical Center LLC 10101 Woodfield Lane St Louis MO 63132 261439695 Surgery Services MO NA N/A Windmill LLP 50 Village View Lane Chesterfield MO 63017 431804651 Investments MO NA N/A Navitus Health Solutions LLC 361 Integrity Drive Madison WI 53717 043608530 Pharmacy Benefits WI NA N/A SSM Select Rehab St Louis LLC 4714 Gettysburg Road Mechanicsburg PA 17055 263694972 Health Care DE NA N/A Epiphany Rx LLC 361 Integrity Drive Madison WI 53717 364855405 Pharmacy Benefits DE NA N/A SSM Managed Care Organization LLC 10101 Woodfield Lane St Louis MO 63132 431708511 Health Promotion MO NA C Corporation false FPP INC & Subs 10101 Woodfield Lane St Louis MO 63132 431465174 Health Care MO NA C Corporation false Diversified Health Services Corp 10101 Woodfield Lane St Louis MO 63132 431369305 Medical Equipment MO NA C Corporation false SSM Properties Inc 10101 Woodfield Lane St Louis MO 63132 431462486 Property Services MO NA C Corporation false HealthFirst Physician Management Services 10101 Woodfield Lane St Louis MO 63132 731534336 Medical Services OK NA C Corporation false SSMHC Liability Trust II 10101 Woodfield Lane St Louis MO 63132 816128118 Insurance MO NA C Corporation false SSM Medical Group Inc 10101 Woodfield Lane St Louis MO 63132 431664107 Physician Offices MO NA C Corporation false SSMHC Insurance Company PO Box 1051 GT Grand Cayman CJ KY11102 030310431 Insurance CJ NA C Corporation false Physicians Services Corp of Southern Illinois Inc 10101 Woodfield Lane St Louis MO 63132 364161526 Health Care IL NA C Corporation false Dean Health Systems Inc 1808 West Beltline Highway Madison WI 53713 391128616 Physician Offices WI NA C Corporation false Dean Health Insurance Inc PO Box 56099 Madison WI 53705 391830837 Insurance WI NA C Corporation false Dean Health Plan Inc PO Box 56099 Madison WI 53705 391535024 Insurance WI NA C Corporation false Dean Retail Services Inc 1808 West Beltline Highway Madison WI 53713 391717636 Property Services WI NA C Corporation false Oza Oncology Inc 4117 Veterans Memorial Drive Mt Vernon IL 62804 371343746 Physician Offices IL NA S Corporation false SSM Health Janesville Campus Condominium Association Inc 1808 West Beltline Highway Madison WI 53713 832038674 Condo association WI NA C Corporation false SSM Health Pharmacy LLC 10101 Woodfield Lane St Louis MO 63132 264031708 Pharmacy MO NA C Corporation false SSM Health Insurance Company 1277 Deming Way Madison WI 53717 834718249 Insurance MO NA C Corporation false Navitus Holdings LLC 1808 West Beltline Highway Madison WI 53713 800968174 Pharmacy WI NA C Corporation false MS Community JV LLC 401 Carlson Parkway CP330 Minnetonka MN 55305 873240022 Insurance DE NA C Corporation false Quality Drug Corporation 239 Broadway Laguna Beach CA 92651 330644268 Pharmacy benefits CA NA C Corporation false St Mary's Hospital Campus Condominium Owners Association Inc 707 South Mills Street Madison WI 53715 000000000 Condo association WI NA C Corporation false false true true false false false false false false false false false true true true true false false false St Mary's Health Center Jefferson City MO Foundation C 23171 Cash St Mary's Health Center Jefferson City MO Foundation B 168989 Cash