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        <BusinessName>
          <BusinessNameLine1Txt>June Pickett</BusinessNameLine1Txt>
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        <TitleTxt>Secretary, Asst VP Governance &amp; Archives, SSM Health</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>56827</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>14195</NontaxableBenefitsRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (Foundation Program Coordinator) 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 SSM Health (SSMH) Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>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: Christopher Howard $352,692 Alison Ruehl $46,425</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2018. 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). Christopher Howard $110,040 Steve Smoot $90,000 Laura Kaiser $264,600 Paula Friedman $87,389 Kris Zimmer $105,240 Alison Ruehl $27,011 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. Christopher Howard $685,002 Paula Friedman $100,740 Kris Zimmer $105,454 Alison Ruehl $137,159 June Pickett $41,882 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: Christopher Howard $399,961 Paula Friedman $252,107 Kris Zimmer $137,310 Alison Ruehl $21,406 June Pickett $-101,871 Laura Morris $-6,379</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="18007697" softwareVersionNum="2018v3.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Program Service Accomplishments</FormAndLineReferenceDesc>
        <ExplanationTxt>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. The purpose of the SSM Health Hospice and Home Health Foundation is to help our most vulnerable patients realize the full benefit of the exceptional health care services provided by our caregivers. The Foundation's mission is to meet patients' needs that insurance companies will not pay for, but are necessary to the success of their care, including the most basic needs of food, shelter and medical care. The Foundation serves communities in the Saint Louis and St. Charles metro regions, Mid-Missouri, Northwest Missouri, and Southern Illinois regions. Our programs respect and emphasize the dignity of each patient, thus supporting SSMH's Mission: "Through our exceptional health care services, we reveal the healing presence of God." Programs supported by the Foundation included: - "Dr. Robert Kingsbury Patient &amp; Family Emergency Assistance Fund" is a safety net that provides our patients and families with necessities that private insurance, Medicare and/or Medicaid won't cover. These items may include: rent/mortgage payment, utility payments, groceries, prescription drug costs not covered by insurance, insurance co-pay for prosthetics, medical equipment and home adaptations/modifications necessary for a patient to remain at home. Patients must be on Medicaid or meet specific charity requirements established by SSM Home Care. In 2018, we helped a total of 229 patients through our emergency assistance fund. - "Home Care Rehab Services" for Physical, Occupational and Speech Therapy is available for home care patients who are without insurance to pay for these therapies. 109 individuals were served in 2018. - "Comfort Touch" Massage Therapy techniques utilized by our certified massage therapists help promote relief from pain and ease tension and anxiety for our hospice patients. Complimentary massages are offered to patients in the St. Louis/St. Charles, Northwest Missouri and Illinois regions. 341 individuals received massage therapy in 2018. - "MAGIC Children's Bereavement Program" is designed to help children who have experienced the loss of a loved one grieve properly so that they can move forward in their lives. Our professional staff helps children and families develop strategies for coping, communicating and healing. There is no charge for this program, which includes Camp MAGIC, an annual one-day grief retreat. SSM Health Hospice and Home Care Foundation funds three annual camps in our Mid Missouri, St. Louis and Southern Illinois markets. - "My Legacy" ensures that our patients' memories endure for their loved ones before they pass away through video interviews or photographs. My Legacy gives our hospice patients the opportunity to have a video and/or photo session that will preserve the stories, values, ideals and experiences that have shaped their lives and will bring comfort and historic value to their families for years to come. As with our other Foundation programs, donations help us provide the My Legacy services to patients and families free of charge. - "Peaceful Moments" provides a companion for hospice patients during their last hours of life. This program ensures no one dies alone and offers relief and comfort for struggling families. - "Memories That Last" end-of-life wish fulfillment honors the lives of our hospice patients by granting wishes that connect patients and their loved ones. Granted wishes may include arranging visits to a professional baseball game and Broadway musical production, purchasing a Thanksgiving meal for a patient and family, and taking photographs of a family reunion. - Through "Peaceful Harmony Music Therapy," our certified music therapist can decrease pain and anxiety for our hospice patients, promote relaxation, and improve their overall quality of life in their precious last months and days. Our therapist uses tools ranging from listening to performing to writing and recording in order to meet the social, emotional, spiritual, physical, and cognitive needs of our patients and families. - "We Honor Veterans" is a program designed to recognize Americans for their military service as well as provide valuable resources to Veterans receiving end-of-life care. SSM Health at Home Hospice, in partnership with the Department of Veterans Affairs and the National Hospice and Palliative Care Organization, provides the tools necessary to provide comfort to patients with a history of military service and possibly physical or psychological trauma. SSM staff members are trained to respectfully inquire as to the patient's past military service, provide a listening ear, and gratefully acknowledge his or her service to our country. Most of our programs would not be possible without the generous financial support of local families and businesses.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process for determining compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (Foundation Program Coordinator) 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 SSM Health (SSMH) Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process for determining compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (Foundation Program Coordinator) 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 SSM Health (SSMH) Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's bylaws were amended during the year as follows: a. Reduce the minimum number of directors b. institute a specific number of directors unless the Board determines otherwise.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF THE FOUNDATION IS SSM HEALTH BUSINESSES. SSM HEALTH BUSINESSES IS A NONPROFIT 501(C)(3) ORGANIZATION THAT OPERATES SSM HOME CARE. BOTH SSM HOSPICE AND HOME CARE FOUNDATION AND SSM HEALTH BUSINESSES ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND TO APPOINT THE BOARD OF DIRECTORS EXCEPT FOR ANY DIRECTOR WHO SERVES EX OFFICIO, AND TO REMOVE APPOINTED DIRECTORS WITH OR WITHOUT CAUSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE PHILOSOPHY AND VALUES OF THE FOUNDATION B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS C. TO APPOINT THE BOARD OF DIRECTORS EXCEPT FOR ANY DIRECTOR WHO SERVES EX OFFICIO, AND TO REMOVE THE APPOINTED DIRECTORS WITH OR WITHOUT CAUSE D. TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE FOUNDATION AS PROVIDED THEREIN E. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE FOUNDATION F. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE FOUNDATION G. TO APPROVE THE SALE, CONVEYANCE, ASSIGNMENT, TRANSFER, ALIENATION, PLEDGE, ENCUMBRANCE, MORTGAGE OR LEASE OF REAL PROPERTY OR ANY INTEREST THEREIN OF THE FOUNDATION IN ACCORDANCE WITH THE POLICIES APPROVED BY THE MEMBER H. TO APPROVE I) THE ACQUISITION OF REAL PROPERTY OR ANY INTEREST THEREIN OR II) THE ACQUISITION OF STOCK OF A CORPORATION IF, AFTER THE ACQUISITION, THE FOUNDATION WILL OWN A MAJORITY OF THE VOTING STOCK OF SUCH CORPORATION, IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER I. TO APPROVE THE STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE FOUNDATION J. TO APPROVE THE SALE, TRANSFER OR OTHER DISPOSITION OF THE VOTING STOCK OF A CORPORATION IF BEFORE THE DISPOSITION THE FOUNDATION OWNED A MAJORITY OF THE VOTING STOCK OF THE CORPORATION AND AFTER SUCH DISPOSITION THE FOUNDATION WOULD NOT OWN A MAJORITY OF THE VOTING STOCK OF THE CORPORATION, IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER K. TO APPROVE ANY BORROWINGS OR GUARANTEES OF THE FOUNDATION IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER L. TO APPROVE THE ACCEPTANCE OF ANY GIFT OR CONTRIBUTION WHICH, IN CONNECTION THEREWITH, WOULD IMPOSE A CONTINUING OBLIGATION UPON THE FOUNDATION, INCLUDING, WITHOUT LIMITATION, THE OBLIGATION TO PROVIDE HEALTH CARE SERVICES, PAY AN ANNUITY OR UNDERTAKE ANY OTHER OBLIGATIONS, EXCEPT AS OTHERWISE DETERMINED BY THE MEMBER PURSUANT TO POLICIES ADOPTED BY THE MEMBER M. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS, TO REQUIRE THE PARTICIPATION OF THE FOUNDATION IN SUCH PROGRAMS, AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE FOUNDATION IN CONNECTION WITH SUCH PROGRAMS N. TO ESTABLISH GUIDELINES FOR THE ESTABLISHMENT, COMPOSITION AND FUNCTION OF THE DIVISIONAL BOARDS O. TO APPROVE OR REJECT PROPOSALS FOR EXPENDITURES OR CONTRIBUTIONS IN ACCORDANCE WITH THE BYLAWS IN THE EVENT THE PRESIDENT OF SSM HOME CARE AND THE APPLICABLE DIVISIONAL BOARD DO NOT AGREE WITH RESPECT TO THE APPROVAL OF SUCH PROPOSAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization does not have any committees with authority to act on behalf of the governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY OF 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>SSM Health Ministries</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>SSMHC Liability Trust I</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>SSM Cardinal Glennon Children's Hospital</BusinessNameLine1Txt>
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          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63132</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>SSM Health Care of Wisconsin Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
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        </USAddress>
        <EIN>430688874</EIN>
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      <IdRelatedTaxExemptOrgGrp>
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        <USAddress>
          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63132</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>MOB</PrimaryActivitiesTxt>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Clare Health Care Foundation Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
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          <ZIPCd>63132</ZIPCd>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Home Health United Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2802 Walton Commons Lane</AddressLine1Txt>
          <CityNm>Madison</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53718</ZIPCd>
        </USAddress>
        <EIN>391539827</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>SSM Health Care of Wisconsin</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Home Care United Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2802 Walton Commons Lane</AddressLine1Txt>
          <CityNm>Madison</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53718</ZIPCd>
        </USAddress>
        <EIN>391776340</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HHU Xtra Care Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2802 Walton Commons Lane</AddressLine1Txt>
          <CityNm>Madison</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53718</ZIPCd>
        </USAddress>
        <EIN>391705111</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SSM Health at Home Foundation of Wisconsin Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2802 Walton Commons Lane</AddressLine1Txt>
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          <ZIPCd>53718</ZIPCd>
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        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SSM Regional Health Services</BusinessNameLine1Txt>
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        </USAddress>
        <EIN>440579850</EIN>
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          <BusinessNameLine1Txt>SSM Health Care Corporation</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Mary's Health Center Jefferson City Missouri Foundation</BusinessNameLine1Txt>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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          <ZIPCd>63044</ZIPCd>
        </USAddress>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Lee Dewey Corporation</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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        </USAddress>
        <EIN>731279603</EIN>
        <PrimaryActivitiesTxt>MOB</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Mary's Hospital Auxiliary</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 St Marys Medical Plaza</AddressLine1Txt>
          <CityNm>Jefferson City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65101</ZIPCd>
        </USAddress>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Good Samaritan Hospital Auxiliary</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1 Good Samaritan Way</AddressLine1Txt>
          <CityNm>Mount Vernon</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62864</ZIPCd>
        </USAddress>
        <EIN>237049599</EIN>
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        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Anthony Shawnee Hospital Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1000 N Lee Ave</AddressLine1Txt>
          <CityNm>Oklahoma City</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73102</ZIPCd>
        </USAddress>
        <EIN>455055149</EIN>
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          <BusinessNameLine1Txt>SSM Managed Care Organization LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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          <ZIPCd>63132</ZIPCd>
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        <PrimaryActivitiesTxt>Health Promotion</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>FPP INC &amp; Subs</BusinessNameLine1Txt>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>Diversified Health Services Corp</BusinessNameLine1Txt>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
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        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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          <BusinessNameLine1Txt>SSM Properties Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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          <BusinessNameLine1Txt>HealthFirst Physician Management Services</BusinessNameLine1Txt>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>SSMHC Liability Trust II</BusinessNameLine1Txt>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SSM Neurosciences Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SSM Medical Group Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SSMHC Insurance Company</BusinessNameLine1Txt>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SSM Orthopedic Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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          <AddressLine1Txt>1808 West Beltline Highway</AddressLine1Txt>
          <CityNm>Madison</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
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        <EIN>391717636</EIN>
        <PrimaryActivitiesTxt>Property Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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          <AddressLine1Txt>1808 West Beltline Highway</AddressLine1Txt>
          <CityNm>Madison</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
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        <EIN>800968174</EIN>
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        </DirectControllingEntityName>
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          <AddressLine1Txt>4117 Veterans Memorial Drive</AddressLine1Txt>
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          <StateAbbreviationCd>IL</StateAbbreviationCd>
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        <USAddress>
          <AddressLine1Txt>1808 West Beltline Highway</AddressLine1Txt>
          <CityNm>Madison</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
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        <EIN>832038674</EIN>
        <PrimaryActivitiesTxt>Condo association</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <DirectControllingEntityName>
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        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SSM Health Pharmacy LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63132</ZIPCd>
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        <EIN>264031708</EIN>
        <PrimaryActivitiesTxt>Pharmacy</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      </IdRelatedOrgTxblCorpTrGrp>
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      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>