2019-11-11T21:00:22-06:00 2018-12-31 350921680 Crowe LLP 9600 Brownsboro Road Suite 400 Louisville KY 402411122 990 2018-01-01 466029223 SSM Health Care Corporation SSMH 3149947800 10101 Woodfield Lane St Louis MO 63132 Doug Long Secretary 2019-11-11 true Rachel Spurlock P00520729 5023263996 2018 2020-04-17 16:48:07Z SEE SCHEDULE O Laura Kaiser 10101 Woodfield Lane St Louis MO 63132 652355842 false 0928 X www.ssmhealth.com X 1874 MO THE ORGANIZATION IS THE PARENT OF THE SSM HEALTH SYSTEM. THE ORGANIZATION PROVIDES MANAGEMENT AND CENTRALIZED SUPPORT SERVICES TO THE HOSPITALS AND OTHER HEALTH CARE ORGANIZATIONS WITHIN THE SYSTEM. 17 15 2901 15 1137830 308288 357 0 478280009 500459776 95970961 125133169 -507046 26762897 573744281 652355842 187965 73516 0 167770596 202777695 0 0 384535032 458349029 552493593 661200240 21250688 -8844398 3128194273 3462016673 3460634567 3740235589 -332440294 -278218916 THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. false false 523764675 73516 526084843 PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 523764675 true false false true false false false false true true false false false true true false true false true true false false false false false false true false true true false false true false false false false false true false false false false false false true true true false false true X 2369 0 true 2901 true true true true CJ false false false false true false false false true false X 17 15 false false false false true true true true false false false false true true true true true true true true true X Jackie Tsikalas 3149892799 10101 Woodfield Lane St Louis MO 63132 Laura Kaiser Director, President/CEO at SSM Health 40.0 9.0 X X 1891562 0 841443 Sr Mary Noel Brown CSA Director 1.0 0 X 0 0 0 Sr Kathleen Buchheit FSM Director 1.0 0 X 0 0 0 Rick Corcoran Director 1.0 1.0 X 0 0 0 Marie Devlin Director 1.0 0 X 0 0 0 Jennifer Grantham-Stein Director 1.0 0 X 0 0 0 Ron Hamel Director 1.0 0 X 0 0 0 Don Imholz Director 1.0 0 X 0 0 0 Kevin Johnson MD Director 1.0 0 X 26388 0 0 Mark Kaufmann MD Director 1.0 0 X 0 0 0 Lisa Latts MD Pt Yr Director 1.0 0 X 0 0 0 Lawrence LeGrand Director 1.0 0 X 0 0 0 Tom Merfeld Director 1.0 0 X 0 0 0 Kavita Patel MD Director 1.0 0 X 0 0 0 Evans Richardson Director 1.0 0 X 0 0 0 Michael Rozier SJ Director 1.0 0 X 0 0 0 Sr Susan Scholl FSM Director 1.0 0 X 0 0 0 James Whalen Director 1.0 0 X 0 0 0 June Pickett Secretary, Asst VP Governance & Archives, SSM Health 40.0 32.7 X 286530 0 54057 Paula Friedman Senior VP-Strategic Development SSM Health 40.0 19.0 X 1545828 0 309578 Kris Zimmer Treasurer, Chief Financial Officer at SSM Health 40.0 27.0 X 1741877 0 376259 Doug Long Assistant Secretary, General Counsel at SSM Health 40.0 1.0 X 0 0 0 MATTHEW HANLEY MD Chief Clinical Officer 40.0 1.0 X 412374 0 272064 Steve Smoot Chief Operations Officer 40.0 9.0 X 420253 0 195902 Christopher Howard Pt Yr President - Hospital Operations 40.0 9.0 X 2492311 0 144128 Lynn Bruchhof Pt Yr Senior Vice President - Human Resources 40.0 0 X 1214479 0 60998 Margaret Fowler System VP - Chief Nursing Officer 40.0 0.0 X 510747 0 121348 Chris Sprowl MD Regional Clinical Affairs Officer 0.0 42.0 X 584600 0 283113 Allison Mooney System VP - Operation, Phys. & Ambulatory 40.0 0 X 895462 0 89843 Karen Rewerts System VP, Finance (MO/ILL) 0.0 40.0 X 621313 0 130045 Susan Goldberg System VP-Total Comp & Emp Services 40.0 0 X 686344 0 65284 Doug Carter System VP-Financial Operations 40.0 0 X 556332 0 134468 Michael Panicola PhD Former Key Employee 0.0 0 X 537064 0 17360 Shane Peng MD Former Key Employee 0.0 0 X 1332501 0 7921 Mark Adams MD Former Key Employee 40.0 0 X 145560 0 0 15901525 0 3103811 270 true true false McKinsey & Company 55 E 52nd Street New York NY 10022 Consulting services 18796544 Infinity Marketing Solutions 874 S Pleasantburg Drive Greenville SC 29607 MARKETING SERVICES 5067080 NXCG LLC 2901 North Dallas Pkwy Suite 420 Plano TX 75093 Consulting services 3929939 Press Ganey Associates Inc 404 Columbia Place South Bend IN 46601 Consulting services 3296016 Premier Inc 5882 Collection Center Drive Chicago IL 60693 Supply chain management 2842197 173 0 Insurance fees 525100 230521620 230521620 Corporate fees 561000 265106166 265106166 Management fees 561000 4831990 4831990 0 0 0 0 500459776 103409645 103409645 0 0 21723524 21723524 0 21723524 21723524 Income from partnerships 900099 1137830 1137830 Other income 900099 26022610 26022610 Joint Venture income 900099 -397543 -397543 0 0 0 0 26762897 652355842 526084843 1137830 125133169 73516 73516 12918126 10800613 2117513 164117127 137215382 26901745 13955851 11668236 2287615 2141927 1790827 351100 9644664 8063730 1580934 1473662 1293693 179969 2015082 2015082 190803 190803 25766485 25766485 51233862 39646379 11587483 0 14929000 14929000 8177977 4941794 3236183 6961019 4475966 2485053 6373296 3787552 2585744 2652175 1493635 1158540 298026 224234 73792 80313947 80313947 1494970 1494970 62304 62304 Medical claims 239589720 200316662 39273058 Loss on early debt extinguishment 14105297 14105297 Licenses and taxes 1226197 1226197 Unrelated business income tax 769741 769741 715466 0 715466 0 661200240 523764675 137435565 0 21758609 44744 5305833 11742654 0 0 0 925147725 1514247725 77426965 5155428 25822872 10050956 11645128 15771916 2070155424 1871781603 5078427 -1757909 0 754951 10921211 45030512 3128194273 3462016673 95352993 214310965 1613455645 1861757524 0 685332184 689005000 1066493745 975162100 3460634567 3740235589 X -332461942 -278240358 4648 17000 21442 -332440294 -278218916 3128194273 3462016673 X -8844398 -115430997 178496773 X false true X true false X X 15 SSM Health Care St Louis 431343281 3 true 0 0 SSM Cardinal Glennon Children's Hospital 430738490 3 true 0 0 SSM Health Care of Wisconsin Inc 430688874 3 true 0 0 SSM Health Care of Oklahoma Inc 730657693 3 true 0 0 SSM Regional Health Services 440579850 3 true 0 0 Good Samaritan Regional Health Center 430653587 3 true 0 0 St Mary's Hospital Centralia Illinois 370662580 3 true 0 0 St Anthony Shawnee Hospital Inc 455055149 3 true 0 0 SSM Audrain Health Care Inc 431550298 3 true 0 0 SSM Health Ministries 431012492 1 true 0 0 SSM-SLUH Inc 474196634 3 true 0 0 Agnesian Healthcare Inc 390807236 3 true 0 0 Ripon Medical Center Inc 391101287 3 true 0 0 Waupun Memorial Hospital 390806265 3 true 0 0 The Monroe Clinic Inc 390808509 3 true 0 0 15 0 0 false false false false true true false false false false false false false false false false true false Schedule A, Part I, Line 12f COLUMN V, AMOUNT OF MONETARY SUPPORT: SSM HEALTH CARE CORPORATION (SSMHC) IS A TYPE I SUPPORTING ORGANIZATION THAT IS OPERATED TO SUPPORT THE OPERATIONS OF ALL ITS RELATED ORGANIZATIONS LISTED ON SCHEDULE A, PART I, LINE 11(G). THE AMOUNT OF SUPPORT PROVIDED TO THESE ORGANIZATIONS, REPORTED ON SCHEDULE A, PART I, LINE 11(G)(V), DOES NOT INCLUDE EXPENSES PAID ON BEHALF OF BUT NOT DIRECTLY TO THE ENTITIES SSMHC SUPPORTS. THESE EXPENSES TOTALED $661,200,240. Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name SSM HEALTH CARE CORPORATION IS THE PARENT ORGANIZATION OF SSM HEALTH, A HEALTH SYSTEM OF WHICH ALL SUPPORTED ORGANIZATIONS ARE SUBSIDIARIES. SSM HEALTH CARE CORPORATION'S MEMBER, SSM HEALTH MINISTRIES, HAS THE POWER TO APPOINT OR ELECT THE MEMBERS OF SSM HEALTH CARE CORPORATION'S BOARD OF DIRECTORS. THE PURPOSE OF SSM HEALTH CARE CORPORATION IS TO PROVIDE, EITHER DIRECTLY OR IN CONJUNCTION WITH OTHER PERSONS OR ORGANIZATIONS, HEALTH CARE, HEALTH EDUCATION, HOUSING SERVICES, CHILD CARE SERVICES, SERVICES FOR THE ELDERLY AND RELATED SERVICES AND FACILITIES AND/OR OTHER CHARITABLE ACTIVITIES AS MAY BE DETERMINED FROM TIME TO TIME BY MEMBERS OF THE CORPORATION AND THE BOARD OF DIRECTORS IN ACCORDANCE WITH THE BYLAWS OF THE CORPORATION AND WITH THE TEACHINGS AND MISSION OF THE ROMAN CATHOLIC CHURCH. SSM HEALTH CARE CORPORATION, IN CONJUNCTION WITH ITS SPONSOR, SSM HEALTH MINISTRIES, HAS DETERMINED THAT THE SUPPORTED ORGANIZATIONS LISTED ON SCHEDULE A, PART I, LINE 11(G) ALLOW THE CORPORATION TO FULFILL ITS MISSION. Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org. THE FOLLOWING SUPPORTED ORGANIZATIONS WERE ADDED IN 2018: AGNESIAN HEALTHCARE INC, 39-0807236 RIPON MEDICAL CENTER INC, 39-1101287 WAUPUN MEMORIAL HOSPITAL, 39-0806265 THE MONROE CLINIC INC, 39-0808509 THE ORGANIZATIONS WERE ADDED IN 2018 DUE TO A SPONSORSHIP TRANSFER TO SSM HEALTH DURING THE YEAR, AN EVENT AUTHORIZED BY THE SSM HEALTH CARE CORPORATION GOVERNING BODY. false true false false false false true 141620 false false 141620 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY SSM Health Care Corporation employs lobbyists whose activities include serving as liaisons to city, state, and federal officials. They track and evaluate health care and other legislation that may have an impact on the system, explore and evaluate possible funding opportunities for SSM Health Care Corporation, and serve as the spokesperson to legislative committees and state agencies for the system on legislative issues. The lobbyist's activities include direct contact with legislators, their staff and other governmental officials. 21648 21648 20507 1141 21648 19745 762 20507 19966 -221 19745 19166 800 19966 0.0 0.79 0.21 false true true 8447014 4273811 4173203 7337730 5777145 1560585 10038128 10038128 15771916 Deferred compensation Swaps Mark to Market Liability 94479448 Rabbi Trust Liability 49462236 Pension liability Estimated health care claims 23447000 Due to affiliates 10358781 Defined contribution liability Leasehold liabilities 3686717 Retirement liabilities 793727918 975162100 X Schedule D, Part V, Line 4 Intended uses of endowment funds SSMHC's endowment funds are to be used to defray the costs of an annual executive level management meeting. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote SSM Health evaluates its uncertain tax positions on an annual basis. A tax benefit from an uncertain tax position may be recognized when it is more likely than not that the position will be sustained upon examination, including resolutions of any related appeals or litigation processes, based on the technical merits. There have been no uncertain tax positions recorded in 2018 or 2017. Central America and the Caribbean Investments 391691000 Europe (Including Iceland and Greenland) Investments 172475000 Central America and the Caribbean 1 1 Program Services Self Insurance 4267000 1 1 0 0 1 1 568433000 0 568433000 true false true false true false true Cardinal Glennon Children's Foundation 10101 Woodfield Lane St Louis MO 63132 431754347 501(c)(3) 30000 General support Excellence in Missouri Foundation 201 North Keene Street Columbia MO 65201 431605896 501(c)(3) 10000 General support 2 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. The organization's grants were made to organizations tax exempt under IRC Section 501(C)(3). These organizations have developed internal control procedures for the use of grant funds. X true true X X X X true true false false false false false false false Laura Kaiser Director, President/CEO at SSM Health 1469008 0 400000 0 22554 0 834575 0 6868 0 2733005 0 0 0 June Pickett Secretary, Asst VP Governance & Archives, SSM Health 229703 0 0 0 56827 0 39862 0 14195 0 340587 0 23155 0 Paula Friedman Senior VP-Strategic Development SSM Health 724285 0 450000 0 371543 0 299866 0 9712 0 1855406 0 550740 0 Kris Zimmer Treasurer, Chief Financial Officer at SSM Health 870069 0 600000 0 271808 0 356499 0 19760 0 2118136 0 705454 0 Michael Panicola PhD Former Key Employee 0 0 0 0 537064 0 0 0 17360 0 554424 0 0 0 Shane Peng MD Former Key Employee 0 0 0 0 1332501 0 0 0 7921 0 1340422 0 480566 0 Mark Adams MD Former Key Employee 145560 0 0 0 0 0 0 0 0 0 145560 0 0 0 MATTHEW HANLEY MD Chief Clinical Officer 335409 0 25000 0 51965 0 266490 0 5574 0 684438 0 0 0 Steve Smoot Chief Operations Officer 358627 0 0 0 61626 0 189508 0 6394 0 616154 0 0 0 Christopher Howard Pt Yr President - Hospital Operations 556972 0 600000 0 1335339 0 123963 0 20165 0 2636440 0 1285002 0 Lynn Bruchhof Pt Yr Senior Vice President - Human Resources 226731 0 300000 0 687748 0 36451 0 24547 0 1275477 0 597087 0 Margaret Fowler System VP - Chief Nursing Officer 405691 0 0 0 105057 0 102231 0 19118 0 632096 0 26069 0 Chris Sprowl MD Regional Clinical Affairs Officer 566049 0 0 0 18551 0 256033 0 27080 0 867713 0 0 0 Allison Mooney System VP - Operation, Phys. & Ambulatory 486799 0 0 0 408664 0 83520 0 6323 0 985305 0 224393 0 Karen Rewerts System VP, Finance (MO/ILL) 530795 0 0 0 90518 0 112510 0 17535 0 751357 0 54831 0 Susan Goldberg System VP-Total Comp & Emp Services 279149 0 0 0 407195 0 55810 0 9474 0 751628 0 188736 0 Doug Carter System VP-Financial Operations 549929 0 0 0 6403 0 134145 0 323 0 690800 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments The following individuals listed on Part VII, Section A received a tax indemnification/ gross up payment in 2018. These payments were included in their taxable compensation. Paula Friedman Kris Zimmer Christopher Howard Margaret Fowler Karen Rewerts 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. Lynn Bruchhof $300,652 Christopher Howard $352,692 Susan Goldberg $149,818 Allison Mooney $130,756 Michael Panicola, PhD $540,000 Shane Peng, MD $794,000 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. The following individuals listed on Part VII of Form 990 received distributions from the plan in 2018: Susan Goldberg $1,273,678 Michael Panicola, PhD $261,118 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 2018. THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). Laura Kaiser $264,600 Paula Friedman $87,389 Kris Zimmer $105,240 Christopher Howard $110,040 Steve Smoot $90,000 Margaret Fowler $33,200 Matthew Hanley, MD $84,000 Susan Goldberg $34,613 Doug Carter $44,000 Allison Mooney $49,450 Karen Rewerts $42,840 Chris Sprowl, MD $69,000 The following individuals listed on Part VII of the Form 990 received distributions from this plan in 2018. All distributions received from the plan in the current year were included in the individual's taxable compensation. Paula Friedman $100,740 Kris Zimmer $105,454 June Pickett $41,882 Lynn Bruchhof $297,087 Christopher Howard $685,002 Margaret Fowler $26,069 Susan Goldberg $188,736 Allison Mooney $224,393 Karen Rewerts $54,831 Shane Peng, MD $480,566 During 2018, the following individuals participated in a nonqualified retirement plan from the organization or a related organization. The amounts reported below represent the change in accrued benefit for each individual and also include amounts accrued under the pension restoration plan. The amounts below are in addition to those reported in Part II, Column C: Paula Friedman $252,107 Kris Zimmer $137,310 June Pickett $-101,871 Lynn Bruchhof $749 Christopher Howard $399,961 Margaret Fowler $83,482 Allison Mooney $2,300 Karen Rewerts $-6,266 Shane Peng, MD $-10,388 A Health and Educational Facilities Authority of the State of Missouri 431178966 000000000 2012-07-26 183265000 Refund three previous bond issues false false false B Health and Educational Facilities Authority of the State of Missouri 431178966 60637AGB2 2014-05-14 257654670 Refund Series 2005CD bonds issued 07/21/2005 and Series 2010D bonds issued on 05/13/2010 false false false C Health and Educational Facilities Authority of the State of Missouri 431178966 000000000 2014-05-14 632155000 (1) Finance various capital improvements and (2) refund previous bond issues false false false D Health and Educational Facilities Authority of the State of Missouri 431178966 60637ALZ3 2017-04-28 104690000 Reissuance Series 2012A Bonds issued on 7/26/2012 false false false A 11775000 104945000 183265000 183265000 2012 true false true true B 535000 257654670 257654670 2011 true false true true C 155300000 632176484 84084433 552092051 2016 true false true true D 4390000 104690000 104690000 2012 true false true true A false true true true false true 0.0 0.009 0.009 false true 0.0275 true true B false true true true false true 0.0 0.0074 0.0074 false true 0.0541 true true C false true true true false true 0.0 0.0016 0.0016 false true 0.2788 true true D false true true true false true 0.0 0.009 0.009 false false true A false false true false true false false false true B false false true false false false false false true C false false true false true false false false true D false false true false false false false false true A true B true C true D true A Health and Educational Facilities Authority of the State of Missouri 431178966 60637AMQ2 2018-05-08 282751276 Capital improvements and refunding revolving loan and bonds; also includes CUSIP 60637AMP4 false false false B Wisconsin Health and Educational Facilities Authority 391337855 97670DBF7 2018-05-08 44411908 Acquire Monroe Clinic assets financed or refinanced with proceeds of the Monroe Series 2016 Bonds false false false A 282751276 150443842 132307434 false true true true B 44411908 44408742 3166 2012 false false true true A false true true true false 0.0 0.0032 0.0032 false false true B false true true true false 0.0 0.0 0.0 false false true A false true false false true false false false true B false true false false true false false false true A true B true LAUREN ZIMMER DAUGHTER-IN-LAW OF OFFICER OF ORGANIZATION 95013 EMPLOYMENT false 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 more than 40,000 people and is affiliated with more than 9,900 physicians making it one of the largest employers in every community it serves. In the tradition of its founding sisters, SSMH strives to fulfill its mission by providing exceptional health care to everyone who comes to its hospitals, regardless of their ability to pay. Describe the tax-exempt purpose achievements: SSM Health Care Corporation is the parent of a large healthcare system spread across four states - Illinois, Missouri, Oklahoma and Wisconsin. As the parent of SSM Health (SSMH), the corporate office provides services to all SSMH facilities. These services include the following: Implementation and optimization of a common platform of care for SSMH facilities; support and implementation of the electronic health record at SSMH hospitals and facilities; evaluation and consultation of new growth strategies and opportunities; communications counsel, strategy and planning; oversight of the mission awareness teams and spiritual care departments; high-level Corporate Responsibility Process oversight to ensure ethical and legal compliance; organizational and clinical ethics education; policy writing and review and patient billing services. Other services include capital planning and allocation; strategic, financial and human resource plan preparation; investment management and debt financing; system-level internal and external financial reporting; tax compliance process management; employee benefits administration; educational program offerings for leadership development; and risk management strategies. The efforts of SSM Health Care Corporation provide for high quality, cost effective, and compassionate health care services for the communities we serve. Description of community benefit programs: 1. Executive leadership contributed time to the St. Louis Regional Commerce and Growth Association. The organization unites the St. Louis region's business community to develop and sustain a world-class economy and community. Leaders also served on the board of the ACLU of Missouri. 2. SSM senior leaders participate in various economic development councils, chambers of commerce, or organization boards on issues impacting the community's health and safety. Specific organizations include the United Way of Greater St Louis, Leadership St Louis, St Charles and St Louis Regional Chambers of Commerce, and the Oklahoma City Metro Alliance. 3. SSM's corporate office employees provided support for community benefit reporting throughout the system embracing community benefit reporting to make a real and lasting change. In addition, the SSM corporate office maintained a community benefit took kit and a share point site for the dissemination of community benefit information. 4. SSM public policy leaders participate in various discussions with legislators on numerous issues impacting the community's health and safety including behavioral health, Medicaid funding, the Missouri Poison Control Center, St. Louis Cord Blood Bank, Medical Homes for Foster Children, CHIP, the Cigarette Tax, and other key health issues affecting children and adults such as autism and smoking. Service also includes participation with the Greater North County Chamber of Commerce, Generate Health STL, Habitat for Humanity, and North County, Inc. 5. Corporate office staff participated in a partnership with the Diversity Awareness Partnership Organization, a local organization that provides diversity and inclusion training, career immersion programs, and respect programs. 6. During 2018, the SSM Patient Business Services department provided services to increase access and quality of care in health services to individuals, especially persons living in poverty and those in other vulnerable populations. Services included financial counseling, Medicaid eligibility teams, processing financial applications for self-pay patients and contracting with vendors to support the department's efforts. 7. SSM Health, along with Ascension and Mercy St. Louis, have collaborated with Catholic Charities of St. Louis to establish a mobile Rural Parish Clinic to serve residents of Washington County, Missouri, one of the poorest counties in the state. The mobile clinic increases access to care for this vulnerable patient population while decreasing unnecessary emergency department visits, hospitalizations and potential readmissions. SSM Health launched the clinic's Electronic Health Record (EHR) system and provides ongoing support for start-up including consultation on policies, procedures and credentialing. The clinic is primarily started with volunteer physicians, nurses and social workers and provides primary care, social services and virtual care, including screenings, preventive care and chronic disease management, free of charge. In 2018, SSM Health contributed $445,237,000 in community benefit, including charity care, health screenings, educational programs, community donations, and a wide variety of other services to the communities we serve. Form 990, Part VI, Line 6 Classes of members or stockholders THE ORGANIZATION HAS ONE CLASS OF MEMBERS. THESE MEMBERS CONSIST OF THE INDIVIDUALS WHO ARE THE THEN-SERVING MEMBERS OF SSM HEALTH MINISTRIES, A PUBLIC JURIDIC PERSON AND CANONICAL SUCCESSOR TO THE RELIGIOUS INSTITUTE, THE FRANCISCAN SISTERS OF MARY (EIGHT INDIVIDUALS). THE VOTING RIGHTS, INTERESTS AND PRIVILEGES OF EACH MEMBER ARE EQUAL. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBERS HAVE THE POWER TO APPOINT AND REMOVE BOARD MEMBERS, WITH OR WITHOUT CAUSE, EXCEPT FOR THOSE WHO SERVE EX-OFFICIO. 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 THE BOARD OF DIRECTORS, EXCEPT FOR THOSE DIRECTORS WHO SERVE EX OFFICIO, AND TO REMOVE THE APPOINTED DIRECTORS WITH OR WITHOUT CAUSE C) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN D) TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION E) TO APPROVE THE MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION F) TO APPROVE THE SALE, CONVEYANCE, ASSIGNMENT, TRANSFER, ALIENATION, PLEDGE, ENCUMBRANCE, MORTGAGE OR LEASE OF REAL PROPERTY OR ANY INTEREST THEREIN OF THE CORPORATION IN ACCORDANCE WITH THE POLICIES APPROVED BY THE MEMBERS FROM TIME TO TIME G) TO APPROVE ANY BORROWING OR GUARANTEES OF THE CORPORATION IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBERS FROM TIME TO TIME; AND H) TO APPROVE ANY ACTIONS OF THE CORPORATION FOR ITSELF OR ITS CONTROLLED SUBSIDIARIES, REMOTELY CONTROLLED SUBSIDIARIES AND NON- CONTROLLED SUBSIDIARIES WHICH UNDER THE CODE OF CANON LAW WOULD REQUIRE THE CONSENT OR APPROVAL OF THE MEMBERS IN THEIR CAPACITY AS THE MEMBERS OF SSM HEALTH MINISTRIES. 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 OF THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUCH BE COMPLETED ON LINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR END. Form 990, Part VI, Line 15a Process to establish compensation of top management official ALL SSMH EXECUTIVE SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH SIMILAR POSITIONS IN THE MARKET. THE COMPENSATION REVIEW PROCESS IS PERFORMED annually BY EXTERNAL INDEPENDENT COMPENSATION CONSULTANTS. THE SALARY DATA AND POTENTIAL ADJUSTEMENTS, FOR THE PRESIDENT/CEO OF THE SYSTEM, THE SENIOR VICE PRESIDENTS AND THE REGIONAL PRESIDENTS ARE PRESENTED TO THE SSMH BOARD OF DIRECTORS BY THE SAME INDEPENDENT COMPENSATION CONSULTANTS TO APPROVE, DISAPPROVE, OR MODIFY. THE SAME COMPARATIVE COMPENSATION PROCESS USED FOR EXECUTIVE SALARY/COMPENSATION IS PERFORMED INTERNALLY FOR ALL EMPLOYEES. THE SSMH BOARD OF DIRECTORS HAS DELEGATED SALARY APPROVAL FOR ALL OTHER POSITIONS TO THE SSM Health President/CEO. Form 990, Part VI, Line 15b Process to establish compensation of other employees ALL SSMH EXECUTIVE SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH SIMILAR POSITIONS IN THE MARKET. THE COMPENSATION REVIEW PROCESS IS PERFORMED annually BY EXTERNAL INDEPENDENT COMPENSATION CONSULTANTS. THE SALARY DATA AND POTENTIAL ADJUSTEMENTS, FOR THE PRESIDENT/CEO OF THE SYSTEM, THE SENIOR VICE PRESIDENTS AND THE REGIONAL PRESIDENTS ARE PRESENTED TO THE SSMH BOARD OF DIRECTORS BY THE SAME INDEPENDENT COMPENSATION CONSULTANTS TO APPROVE, DISAPPROVE, OR MODIFY. THE SAME COMPARATIVE COMPENSATION PROCESS USED FOR EXECUTIVE SALARY/COMPENSATION IS PERFORMED INTERNALLY FOR ALL EMPLOYEES. THE SSMH BOARD OF DIRECTORS HAS DELEGATED SALARY APPROVAL FOR ALL OTHER POSITIONS TO THE SSM Health President/CEO. Form 990, Part VI, Line 19 Required documents available to the public THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. Form 990, Part X, Line 29 Adoption of ASC 958-205 Effective for the 2018 calendar year, the organization has adopted ASC 958-205, which modifies how Not-for-Profit Entities present their net asset balances for Financial Statement reporting. The organization will report ending balances on Part X, Balance Sheet, in accordance with ASC 958-205 and include all amounts previous reported as temporarily restricted net assets and permanently restricted net assets on line 29. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Actuarial change in defined benefit liability - 77487530; Transfers to affiliates - -XXX-XX-XXXX; Adjustment to fair market value of assets due to sponsorship transfer of hospitals - XXX-XX-XXXX; FORM 990, PART I Doing Business As SSM Health Care Corporation currently conducts business under the following names: SSM Health SSM Health at Work SSM Health Archives SSMHC Liability Trust I 10101 Woodfield Lane St Louis MO 63132 436331003 Insurance MO 501(c)(3) Type I SSM Health Care Corporation true SSM Consolidated Health Services 10101 Woodfield Lane St Louis MO 63132 431473657 Health Care MO 501(c)(3) 10 SSM Health Care Corporation true SSM Policy Institute 10101 Woodfield Lane St Louis MO 63132 431788151 Health Care MO 501(c)(4) SSM Health Care Corporation true 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 true 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 true 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 true 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 SSM Regional Health Services 10101 Woodfield Lane St Louis MO 63132 440579850 Health Care MO 501(c)(3) 3 SSM Health Care Corporation true 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 false Good Samaritan Regional Health Center 10101 Woodfield Lane St Louis MO 63132 430653587 Health Care IL 501(c)(3) 3 SSM Regional Health Services false 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 false 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 false 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 true SSM Health Care St Louis 10101 Woodfield Lane St Louis MO 63132 431343281 Health Care MO 501(c)(3) 3 SSM Health Care Corporation true 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 false 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 SSM St Joseph Endoscopy Center LLC 10101 Woodfield Lane St Louis MO 63132 270046559 Surgery Services MO NA N/A 0 0 0 0 St Clare Imaging Services LLC 707 14th Street Suite A Baraboo WI 53913 200122365 Diag. Services WI NA N/A 0 0 0 0 Mt Vernon Radiation Therapy Center LLC 10101 Woodfield Lane St Louis MO 63132 201382620 Radiation Therapy IL NA N/A 0 0 0 0 Sleep & Neurology Center of Southern Illinois LLC 10101 Woodfield Lane St Louis MO 63132 208468195 Diag. Services IL NA N/A 0 0 0 0 CHOWSMGSI Office Building LLC 10101 Woodfield Lane St Louis MO 63132 371383861 MOB IL NA N/A 0 0 0 0 Oza Cancer Center LLC 10101 Woodfield Lane St Louis MO 63132 201382727 MOB IL NA N/A 0 0 0 0 Shawnee Real Estate Holdings LLC 1000 N Lee Ave Oklahoma City OK 73102 455458304 MOB OK NA N/A 0 0 0 0 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 0 0 0 0 Wisconsin Integrated Information Technology and Telemedicine Systems LLC 1808 West Beltline Highway Madison WI 53713 392016715 Information Technology Services WI NA N/A 0 0 0 0 Dean Health Holdings LLC 1277 Deming Way Madison WI 53717 261594709 Support Services WI NA N/A 0 0 0 0 Wingra Building Group 1808 West Beltline Highway Madison WI 53713 390237060 MOB WI NA N/A 0 0 0 0 Janesville Riverview Clinic Building Partnership 1808 West Beltline Highway Madison WI 53713 396220698 MOB WI NA N/A 0 0 0 0 1110 N Classen Blvd LLC 1110 N Classen Boulevard Oklahoma City OK 73106 731158158 MOB OK NA N/A 0 0 0 0 SSM St Clare Surgical Center LLC 10101 Woodfield Lane St Louis MO 63132 261439695 Surgery Services MO NA N/A 0 0 0 0 Windmill LLP 50 Village View Lane Chesterfield MO 63017 431804651 Investments MO NA N/A 0 0 0 0 SSM Managed Care Organization LLC 10101 Woodfield Lane St Louis MO 63132 431708511 Health Promotion MO NA C Corporation 0 0 0 false FPP INC & Subs 10101 Woodfield Lane St Louis MO 63132 431465174 Health Care MO NA C Corporation 2377416202 1719411121 1 true Diversified Health Services Corp 10101 Woodfield Lane St Louis MO 63132 431369305 Medical Equipment MO NA C Corporation 0 0 0 false SSM Cardiovascular and Thoracic Services Inc 10101 Woodfield Lane St Louis MO 63132 260286559 Health Care MO NA C Corporation 0 0 0 false SSM Properties Inc 10101 Woodfield Lane St Louis MO 63132 431462486 Property Services MO NA C Corporation 0 0 0 false SSM DePaul Medical Group Inc 10101 Woodfield Lane St Louis MO 63132 431715106 Health Care MO NA C Corporation 0 0 0 false SSM St Charles Clinic Medical Group Inc 10101 Woodfield Lane St Louis MO 63132 430626408 Physician Offices MO NA C Corporation 0 0 0 false HealthFirst Physician Management Services 10101 Woodfield Lane St Louis MO 63132 731534336 Medical Services OK NA C Corporation 0 0 0 false SSMHC Liability Trust II 10101 Woodfield Lane St Louis MO 63132 816128118 Insurance MO NA C Corporation 0 0 0 false SSM Neurosciences Inc 10101 Woodfield Lane St Louis MO 63132 263413981 Health Care MO NA C Corporation 0 0 0 false SSM Medical Group Inc 10101 Woodfield Lane St Louis MO 63132 431664107 Physician Offices MO NA C Corporation 0 0 0 false SSMHC Insurance Company 10101 Woodfield Lane St Louis MO 63132 030310431 Insurance NA C Corporation 0 0 0 false SSM Orthopedic Inc 10101 Woodfield Lane St Louis MO 63132 271557033 Health Care MO NA C Corporation 0 0 0 false SSM Cancer Care Inc 10101 Woodfield Lane St Louis MO 63132 271557324 Health Care MO NA C Corporation 0 0 0 false Physicians Services Corp of Southern Illinois Inc 10101 Woodfield Lane St Louis MO 63132 364161526 Health Care IL NA C Corporation 0 0 0 false Dean Health Systems Inc 1808 West Beltline Highway Madison WI 53713 391128616 Physician Offices WI NA C Corporation 0 0 0 false Dean Health Insurance Inc PO Box 56099 Madison WI 53705 391830837 Insurance WI NA C Corporation 0 0 0 false Dean Health Plan Inc PO Box 56099 Madison WI 53705 391535024 Insurance WI NA C Corporation 0 0 0 false SMDV Office Building 1808 West Beltline Highway Madison WI 53713 391628491 Physician Offices WI NA C Corporation 0 0 0 false Dean Retail Services Inc 1808 West Beltline Highway Madison WI 53713 391717636 Property Services WI NA C Corporation 0 0 0 false Navitus Holdings LLC 1808 West Beltline Highway Madison WI 53713 800968174 Pharmacy Benefits WI NA C Corporation 0 0 0 false Oza Oncology Inc 4117 Veterans Memorial Drive Mt Vernon IL 62804 371343746 Physician Offices IL NA C Corporation 0 0 0 false SSM Health Janesville Campus Condominium Association Inc 1808 West Beltline Highway Madison WI 53713 832038674 Condo association WI NA C Corporation 0 0 0 false SSM Health Pharmacy LLC 10101 Woodfield Lane St Louis MO 63132 264031708 Pharmacy MO NA C Corporation 0 0 0 false true true false true false false false false false false false true true true true false true true true SSM Health Care of Oklahoma A 9112500 Book SSM Regional Health Services A 7958006 Book Good Samaritan Regional Health Center A 6002732 Book SSM Health Care St Louis A 17802307 Book SSM Health Care of Wisconsin A 14365273 Book SSM Regional Health Services D 167606015 Book SSM Health Care St Louis D 196493985 Book SSM Health Care of Oklahoma D 225000000 Book SSM Health Care of Wisconsin L 10390000 Book SSM Health Care of Oklahoma L 11629000 Book SSM Audrain Health Care Inc L 1878000 Book SSM Regional Health Services L 4801000 Book SSM Cardinal Glennon Children's Hospital L 8949000 Book St Anthony Shawnee Hospital L 2433000 Book SSM Cardinal Glennon Children's Hospital L 494315 Book Good Samaritan Regional Health Center L 4085000 Book SSM Health Businesses L 1696241 Book SSM Health Care St Louis L 35984000 Book St Mary's Hospital Centralia Illinois L 2393000 Book SSM-SLUH Inc L 10099998 Book SSM Health Care St Louis L 5482062 Book SSM Health Care of Oklahoma L 2018698 Book SSM Health Care of Wisconsin L 3507053 Book SSM Regional Health Services L 1835190 Book Good Samaritan Regional Health Center L 950116 Book St Mary's Hospital Centralia Illinois L 688803 Book SSM Health Businesses M 83378 Book SSMHC Liability Trust I O 2685657 Book SSMHC Liability Trust II O 342754 Book Home Care United Inc O 30299 Book Hhu Xtra Care Inc O 25971 Book Home Health United Inc O 30299 Book SSM Health Care of Oklahoma Q 30671815 Book SSM Regional Health Services Q 15491740 Book SSM Health Businesses Q 3260277 Book SSM Cardinal Glennon Children's Hospital Q 8949000 Book Good Samaritan Regional Health Center Q 15743464 Book St Mary's Hospital Centralia Illinois Q 2393000 Book FPP Inc Q 12261202 Book SSM Health Care of Wisconsin Q 37796254 Book SSM Health Care St Louis Q 115751096 Book St Anthony Shawnee Hospital Q 2433000 Book SSM Audrain Health Care Inc Q 4124710 Book SSM-SLUH Inc Q 10099998 Book