SSM HEALTH CARE CORPORATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: SSM HEALTH CARE CORPORATION (EIN 46-6029223)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-14
IRS object ID: 201843189349302844
Schema version: 2017v2.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-14T10:01:14-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Crowe LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	9600 Brownsboro Road Suite 400	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402411122	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	466029223	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SSM Health Care Corporation	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SSMH	BusinessNameControlTxt
Phone	3149947800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10101 Woodfield Lane	AddressLine1Txt
City	St Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63132	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	June Pickett	PersonNm
Person Title	Secretary	PersonTitleTxt
Signature	2018-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	5023263996	PhoneNum

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	See Schedule O	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Laura Kaiser	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10101 Woodfield Lane	AddressLine1Txt
City	St Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63132	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$573,744,281	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.ssmhealth.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1874	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	2482	TotalEmployeeCnt
Total Volunteers	13	TotalVolunteersCnt
Total Gross UBI	$3,046,666	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$193,752	NetUnrelatedBusTxblIncmAmt
CY Contributions Grants	$357	CYContributionsGrantsAmt
PY Program Service Revenue	$450,718,053	PYProgramServiceRevenueAmt
CY Program Service Revenue	$478,280,009	CYProgramServiceRevenueAmt
PY Investment Income	$88,218,517	PYInvestmentIncomeAmt
CY Investment Income	$95,970,961	CYInvestmentIncomeAmt
PY Other Revenue	$4,481,175	PYOtherRevenueAmt
CY Other Revenue	-$507,046	CYOtherRevenueAmt
PY Total Revenue	$543,417,745	PYTotalRevenueAmt
CY Total Revenue	$573,744,281	CYTotalRevenueAmt
PY Grants And Similar Paid	$216,501	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$187,965	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$151,334,426	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$167,770,596	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$366,715,551	PYOtherExpensesAmt
CY Other Expenses	$384,535,032	CYOtherExpensesAmt
PY Total Expenses	$518,266,478	PYTotalExpensesAmt
CY Total Expenses	$552,493,593	CYTotalExpensesAmt
PY Revenues Less Expenses	$25,151,267	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$21,250,688	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,118,153,865	TotalAssetsBOYAmt
Total Assets EOY	$3,128,194,273	TotalAssetsEOYAmt
Total Liabilities BOY	$3,640,312,684	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,460,634,567	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$522,158,819	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$332,440,294	NetAssetsOrFundBalancesEOYAmt
Mission	THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$430,808,840	ExpenseAmt
Grant	$187,965	GrantAmt
Revenue	$474,726,297	RevenueAmt
Desc	PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.	Desc
Total Program Service Expenses	$430,808,840	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	Yes (true)	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	2387	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2482	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	MY	ForeignCountryCd
Foreign Country	MX	ForeignCountryCd
Foreign Country	BR	ForeignCountryCd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	DA	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	false	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Jackie Tsikalas	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3149892799	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10101 Woodfield Lane	AddressLine1Txt
City	St Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63132	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
David Cosby
Director & Chairperson	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
William Thompson
Pt Yr Director, Pt Yr President/CEO of SSM Health	40.0	17.0	Yes (X)	Yes (X)	$1,280,477	$0	$547,089
Laura S Kaiser
Director, President/CEO of SSM Health	40.0	16.0	Yes (X)	Yes (X)	$1,325,216	$0	$268,145
Jennifer Grantham-Stein
Director	1.0	0	Yes (X)		$0	$0	$0
Thomas Gunn
Director	1.0	0	Yes (X)		$0	$0	$0
Ron Hamel
Director	1.0	0	Yes (X)		$0	$0	$0
Kevin Todd Johnson
Director, Pt Yr Chief Medical Officer, SSM Health	40.0	1.0	Yes (X)		$0	$120,956	$958,034
Dr Mark Kaufmann MD
Director	1.0	0	Yes (X)		$0	$0	$0
Lawrence LeGrand
Director	1.0	0	Yes (X)		$0	$0	$0
Stephanie McCutcheon
Pt Yr Director	1.0	0	Yes (X)		$0	$0	$0
Dr Kavita Patel MD
Director	1.0	0	Yes (X)		$0	$0	$0
Sr Susan Scholl FSM
Director	1.0	0	Yes (X)		$0	$0	$0
James Whalen
Director	1.0	1.0	Yes (X)		$0	$0	$0
Sr Kathleen Buchheit FSM
Director	1.0	0	Yes (X)		$0	$0	$0
Rick Corcoran
Director	1.0	0	Yes (X)		$0	$0	$0
Tom Merfeld
Director	1.0	0	Yes (X)		$0	$0	$0
Evans Richardson
Director	1.0	0	Yes (X)		$0	$0	$0
Paula Friedman
Vice President, Chief Strategy Officer at SSM Health	40.0	15.0		Yes (X)	$856,416	$0	$891,366
June Pickett
Secretary	40.0	26.1		Yes (X)	$262,856	$0	$51,074
Kris Zimmer
Treasurer/Asst Secretary, Chief Financial Officer at SSM Health	40.0	18.0		Yes (X)	$973,103	$0	$961,176
Lynn Bruchhof
Chief People Officer, SSM Health	40.0	0			$621,675	$0	$411,058	Yes (X)
Margaret Fowler
Chief Nursing Officer, SSM Health	40.0	0			$459,127	$0	$296,897	Yes (X)
Christopher Howard
Chief Operations Officer at SSM Health	40.0	16.0			$985,838	$0	$1,036,792	Yes (X)
Michael R Panicola PhD
Pt Yr Senior VP - Mission, Legal, and Government Affairs at SSM Health	40.0	0			$1,198,309	$0	$257,891	Yes (X)
Shane Peng MD
Pt Yr President-Physician and Ambulatory at SSM Health	40.0	8.0			$1,218,862	$0	$203,481	Yes (X)
Damond Boatwright
Regional President, SSM Health Care of Wisconsin		43.0			$66,001	$566,453	$88,776		Yes (X)
Joe Hodges
Regional President-Hospital Operations, SSM Health Care of Oklahoma	1.0	43.0			$70,617	$611,648	$345,285		Yes (X)
Candace Jennings
Regional Pres-Hospital Operations-SSM Health Care St Louis	0.0	42.0			$106,292	$626,818	$123,879		Yes (X)
Philip Loftus
Chief Innovation Officer at SSM Health	0.0	40.0			$28,289	$794,118	$405,732		Yes (X)
Allison Mooney
System VP - Ops, Phys & Ambulatory Services at SSM Health	40.0	0			$659,969	$0	$86,208		Yes (X)
Gaurov Dayal MD
Former Officer	0.0	0.0			$261,224	$0	$0			Yes (X)
Thomas Langston
Former Key Employee		0			$84,589	$0	$359,204			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,458,860	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,719,993	TotReportableCompRltdOrgAmt
Total Other Compensation	$7,292,087	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	222	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
McKinsey & Company
55 E 52nd Street	New York	NY	10022	Consulting services	$3,500,000
DICOM MARKETING SERVICES INC
1650 DES PERES ROAD	ST LOUIS	MO	63131	MARKETING SERVICES	$3,380,228	SUITE 100
DELOITTE & TOUCHE LLP
100 S 4TH STREET	ST LOUIS	MO	63102	ACCOUNTING SERVICES	$2,632,071	SUITE 300
GREENSFELDER HEMKER & GALE PC
10 SOUTH BROADWAY	ST LOUIS	MO	63102	LEGAL SERVICES	$2,615,911	SUITE 2000
Premier Inc
5882 Collection Center Drive	Chicago	IL	60693	Supply chain management	$2,378,130

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	106	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$357	AllOtherContributionsAmt
Total Contributions	$357	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Insurance fees	525100	$231,903,458	$231,903,458
Corporate fees	561000	$220,343,644	$220,343,644
Other operating revenue	519100	$21,971,229	$21,971,229
Management fees	561000	$4,061,678	$4,061,678

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$478,280,009	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$62,486,840	TotalRevenueColumnAmt
Exclusion	$62,486,840	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$33,484,121	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$33,484,121	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$33,484,121	TotalRevenueColumnAmt
Exclusion	$33,484,121	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Income from partnerships	900099	$3,046,666	$3,046,666
Other income	900099	-$3,563,999		-$3,563,999
Joint Venture income	900099	$10,287		$10,287

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	-$507,046	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$573,744,281	TotalRevenueColumnAmt
Related Or Exempt Func Income	$474,726,297	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,046,666	UnrelatedBusinessRevenueAmt
Exclusion	$95,970,961	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$187,965	TotalAmt
Program Services	$187,965	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$14,106,849	TotalAmt
Program Services	$7,621,925	ProgramServicesAmt
Management And General	$6,484,924	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$122,849,743	TotalAmt
Program Services	$100,824,043	ProgramServicesAmt
Management And General	$22,025,700	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$25,589,230	TotalAmt
Program Services	$21,607,146	ProgramServicesAmt
Management And General	$3,982,084	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	-$3,414,115	TotalAmt
Program Services	-$1,922,179	ProgramServicesAmt
Management And General	-$1,491,936	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,638,889	TotalAmt
Program Services	$6,937,158	ProgramServicesAmt
Management And General	$1,701,731	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$364,492	TotalAmt
Program Services	$344,815	ProgramServicesAmt
Management And General	$19,677	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,307,871	TotalAmt
Management And General	$2,307,871	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$276,372	TotalAmt
Management And General	$276,372	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$40,287,853	TotalAmt
Program Services	$24,876,100	ProgramServicesAmt
Management And General	$15,411,753	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$13,134,221	TotalAmt
Management And General	$13,134,221	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,240,774	TotalAmt
Program Services	$3,326,983	ProgramServicesAmt
Management And General	$3,913,791	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,668,939	TotalAmt
Program Services	$3,265,105	ProgramServicesAmt
Management And General	$2,403,834	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,398,355	TotalAmt
Program Services	$2,128,840	ProgramServicesAmt
Management And General	$2,269,515	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,202,182	TotalAmt
Program Services	$1,215,219	ProgramServicesAmt
Management And General	$986,963	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$285,405	TotalAmt
Program Services	$164,559	ProgramServicesAmt
Management And General	$120,846	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$64,567,943	TotalAmt
Program Services	$64,567,943	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,211,260	TotalAmt
Program Services	$302,461	ProgramServicesAmt
Management And General	$908,799	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$39,417	TotalAmt
Management And General	$39,417	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical claims	$231,186,374	$185,758,252	$45,428,122
Loss on early debt extinguishment	$8,318,300	$8,318,300
Unrelated business income tax	$1,282,891	$1,282,891
Licenses	$933,530	$1,314	$932,216

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$828,853	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$828,853	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$552,493,593	TotalAmt
Program Services	$430,808,840	ProgramServicesAmt
Management And General	$121,684,753	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,613,834	BOYAmt
EOY	$21,758,609	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,379,776	BOYAmt
EOY	$5,305,833	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$920,785,243	BOYAmt
EOY	$925,147,725	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$383,756	BOYAmt
EOY	$77,426,965	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$19,472,154	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$7,827,026	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$9,820,819	BOYAmt
EOY	$11,645,128	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,756,718,044	BOYAmt
EOY	$2,070,155,424	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$5,349,082	BOYAmt
EOY	$5,078,427	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$327,826	BOYAmt
EOY	$754,951	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$401,775,485	BOYAmt
EOY	$10,921,211	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,118,153,865	BOYAmt
EOY	$3,128,194,273	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$84,228,000	BOYAmt
EOY	$95,352,993	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,925,295	BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,165,140,290	BOYAmt
EOY	$1,613,455,645	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$87,405,737	BOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$849,869,750	BOYAmt
EOY	$685,332,184	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,451,743,612	BOYAmt
EOY	$1,066,493,745	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,640,312,684	BOYAmt
EOY	$3,460,634,567	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$522,179,325	BOYAmt
EOY	-$332,461,942	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,506	BOYAmt
EOY	$4,648	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$17,000	BOYAmt
EOY	$17,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$522,158,819	BOYAmt
EOY	-$332,440,294	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,118,153,865	BOYAmt
EOY	$3,128,194,273	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$21,250,688	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$179,574,783	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$11,106,946	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type1	Yes (X)	SupportingOrgType1Ind
Supported Organizations	11	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (11 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
SSM Health Care St Louis
431343281	3	Yes (true)	$0	$0
SSM Cardinal Glennon Children's Hospital
430738490	3	Yes (true)	$0	$0
SSM Health Care of Wisconsin Inc
430688874	3	Yes (true)	$0	$0
SSM Health Care of Oklahoma Inc
730657693	3	Yes (true)	$0	$0
SSM Regional Health Services
440579850	3	Yes (true)	$0	$0
Good Samaritan Regional Health Center
430653587	3	Yes (true)	$0	$0
St Mary's Hospital Centralia Illinois
370662580	3	Yes (true)	$0	$0
St Anthony Shawnee Hospital Inc
455055149	3	Yes (true)	$0	$0
SSM Audrain Health Care Inc
431550298	3	Yes (true)	$0	$0
SSM Health Ministries
431012492	1	Yes (true)	$0	$0
SSM-SLUH Inc
474196634	3	Yes (true)	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	11	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	false	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	Yes (true)	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	false	OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 $552,493,593.

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$258,961	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$258,961	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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.

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,507	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,141	InvestmentEarningsOrLossesAmt
End Year Balance	$21,648	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,745	BeginningYearBalanceAmt
Investment Earnings Or Losses	$762	InvestmentEarningsOrLossesAmt
End Year Balance	$20,507	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,966	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$221	InvestmentEarningsOrLossesAmt
End Year Balance	$19,745	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,166	BeginningYearBalanceAmt
Investment Earnings Or Losses	$800	InvestmentEarningsOrLossesAmt
End Year Balance	$19,966	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,485	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$319	InvestmentEarningsOrLossesAmt
End Year Balance	$19,166	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.79	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.21	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$438,942	OtherCostOrOtherBasisAmt
Depreciation	$96,697	DepreciationAmt
Book Value	$342,245	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,892,062	OtherCostOrOtherBasisAmt
Depreciation	$3,557,571	DepreciationAmt
Book Value	$3,334,491	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,309,859	OtherCostOrOtherBasisAmt
Depreciation	$4,172,758	DepreciationAmt
Book Value	$1,137,101	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,831,291	OtherCostOrOtherBasisAmt
Book Value	$6,831,291	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$11,645,128	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
Deferred compensation	$125,505,257
Swaps Mark to Market Liability	$116,321,842
Rabbi Trust Liability	$58,840,562
Pension liability	$738,006,663
Estimated health care claims	$22,132,000
Due to affiliates	$53,359
Defined contribution liability	$2,566,000
Leasehold liabilities	$3,068,062

Field	Value	IRS element (for citing)
Total Liability	$1,066,493,745	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2017 or 2016.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	OfficesOfficesCnt	EmployeeEmployeeCnt	Specific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean	Investments	$110,715,000
Europe (Including Iceland and Greenland)	Investments	$15,787,000
Central America and the Caribbean	Program Services	$4,180,000	1	1	Self Insurance

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Subtotal Employees	1	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	1	TotalOfficeCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$130,682,000	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$130,682,000	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
Almost Home
3200 St Vincent Avenue	St Louis	MO	63104	431645686	501(c)(3)	$5,700	General support
Cardinal Glennon Children's Foundation
10101 Woodfield Lane	St Louis	MO	63132	431754347	501(c)(3)	$30,000	General support
Catholic Charities
990 Eddy Street	San Francisco	CA	94109	941498472	501(c)(3)	$25,200	General support
Excellence in Missouri Foundation
201 North Keene Street	Columbia	MO	65201	431605896	501(c)(3)	$10,000	General support
Northwest Foundation
800 University Drive	Maryville	MO	64468	237165025	501(c)(3)	$50,000	General support
SSM Health Foundation - St Louis
10101 Woodfield Lane	St Louis	MO	63132	431552945	501(c)(3)	$25,460	General support
St Louis Community College Foundation
300 S Broadway	St Louis	MO	63102	431374500	501(c)(3)	$10,105	General support
St Louis Sports Commission
308 N 21st Street	St Louis	MO	63103	431646221	501(c)(6)	$6,500	General support	Suite 500
Urban League of Metropolitan St Louis
3701 Grandel Eq	St Louis	MO	63108	430653605	501(c)(3)	$25,000	General support

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	The organization's grants were made to organizations tax exempt under IRC Section 501(C)(3) and 501(C)(6). These organizations have developed internal control procedures for the use of grant funds.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
William Thompson
Pt Yr Director, Pt Yr President/CEO of SSM Health	$661,230	$0	$0	$0	$619,247	$0	$542,525	$0	$4,564	$0	$1,827,566	$0	$562,455	$0
Laura S Kaiser
Director, President/CEO of SSM Health	$1,076,161	$0	$200,000	$0	$49,055	$0	$252,000	$0	$16,145	$0	$1,593,361	$0	$0	$0
Kevin Todd Johnson
Director, Pt Yr Chief Medical Officer, SSM Health	$0	$116,673	$0	$0	$0	$4,283	$0	$952,128	$0	$5,906	$0	$1,078,990	$0	$0
Paula Friedman
Vice President, Chief Strategy Officer at SSM Health	$706,550	$0	$0	$0	$149,866	$0	$871,392	$0	$19,974	$0	$1,747,782	$0	$0	$0
June Pickett
Secretary	$229,924	$0	$0	$0	$32,932	$0	$34,295	$0	$16,779	$0	$313,930	$0	$0	$0
Kris Zimmer
Treasurer/Asst Secretary, Chief Financial Officer at SSM Health	$870,069	$0	$0	$0	$103,034	$0	$930,581	$0	$30,595	$0	$1,934,279	$0	$0	$0
Gaurov Dayal MD
Former Officer	$33	$0	$0	$0	$261,191	$0	$0	$0	$0	$0	$261,224	$0	$0	$0
Thomas Langston
Former Key Employee	$0	$0	$0	$0	$84,589	$0	$359,204	$0	$0	$0	$443,793	$0	$57,120	$0
Lynn Bruchhof
Chief People Officer, SSM Health	$559,228	$0	$0	$0	$62,447	$0	$376,735	$0	$34,323	$0	$1,032,733	$0	$0	$0
Margaret Fowler
Chief Nursing Officer, SSM Health	$386,712	$0	$0	$0	$72,415	$0	$271,916	$0	$24,981	$0	$756,024	$0	$0	$0
Christopher Howard
Chief Operations Officer at SSM Health	$873,028	$0	$0	$0	$112,810	$0	$1,006,272	$0	$30,520	$0	$2,022,630	$0	$0	$0
Michael R Panicola PhD
Pt Yr Senior VP - Mission, Legal, and Government Affairs at SSM Health	$576,823	$0	$0	$0	$621,486	$0	$230,942	$0	$26,949	$0	$1,456,200	$0	$181,800	$0
Shane Peng MD
Pt Yr President-Physician and Ambulatory at SSM Health	$955,899	$0	$0	$0	$262,963	$0	$170,055	$0	$33,426	$0	$1,422,343	$0	$0	$0
Damond Boatwright
Regional President, SSM Health Care of Wisconsin	$46,642	$556,433	$0	$0	$19,359	$10,020	$80,481	$0	$8,295	$0	$154,777	$566,453	$0	$0
Joe Hodges
Regional President-Hospital Operations, SSM Health Care of Oklahoma	$43,767	$588,914	$0	$0	$26,850	$22,734	$312,318	$0	$32,967	$0	$415,902	$611,648	$0	$0
Candace Jennings
Regional Pres-Hospital Operations-SSM Health Care St Louis	$73,634	$615,748	$0	$0	$32,658	$11,070	$91,141	$0	$32,738	$0	$230,171	$626,818	$0	$0
Philip Loftus
Chief Innovation Officer at SSM Health	$0	$699,048	$0	$0	$28,289	$95,070	$386,316	$0	$19,416	$0	$434,021	$794,118	$0	$0
Allison Mooney
System VP - Ops, Phys & Ambulatory Services at SSM Health	$640,882	$0	$0	$0	$19,087	$0	$58,623	$0	$27,585	$0	$746,177	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2017. These payments were included in their taxable compensation. Paula Friedman Kris Zimmer Lynn Bruchhof Margaret Fowler Christopher Howard Michael Panicola, PhD Shane Peng, MD Joe Hodges
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. Gaurov Dayal, MD $260,077 Michael Panicola, PhD $238,846 Shane Peng, MD $137,423
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 reportable individuals listed on Part VII of Form 990 received distributions from the plan in 2017. 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 distributions from this plan in 2017. All distributions received from the plan in the current year were included in the individual's taxable compensation. Thomas Langston $84,589 Philip Loftus $84,000 Michael Panicola, PhD $300,847 June Pickett $18,727 William Thompson $516,375 During 2017, 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: William Thompson $542,525 Kevin Todd Johnson $951,349 Paula Friedman $329,953 June Pickett $12,318 Kris Zimmer $221,291 Lynn Bruchhof $7,993 Margaret Fowler $236,230 Christopher Howard $294,342 Michael Panicola, PhD $228,605 Shane Peng, MD $71,504 Damond Boatwright $4,988 Joe Hodges $231,389 Candace Jennings $6,038 Philip Loftus $2,316 Allison Mooney $5,123 Thomas Langston $359,204

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Wisconsin Health and Educational Facilities Authority
A	391337855	97710BUX8	2010-05-13	$125,000,551	Finance various capital improvements.	false	false	false
Health and Educational Facilities Authority of the State of Missouri
B	431178966	60635R7B7	2010-05-13	$450,254,794	(1) Finance various capital improvements and (2) refund previous bond issues	false	false	false
Health and Educational Facilities Authority of the State of Missouri
C	431178966	000000000	2012-07-26	$183,265,000	Refund three previous bond issues	false	false	false
Health and Educational Facilities Authority of the State of Missouri
D	431178966	60637AGB2	2014-05-14	$257,654,670	Refund Series 2005CD bonds issued 07/21/2005 and Series 2010D bonds issued on 05/13/2010	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Credit EnhancementCreditEnhancementAmt	Other Spent ProceedsOtherSpentProceedsAmt
A	$4,430,000	$9,445,000	$125,436,509	$125,436,509	2011	false	false	Yes (true)	Yes (true)
B	$4,540,000	$304,115,000	$450,254,794	$165,003,260	2010	Yes (true)	Yes (true)	Yes (true)	Yes (true)	$244,374	$285,007,161
C	$10,205,000	$104,945,000	$183,265,000		2012	Yes (true)	false	Yes (true)	Yes (true)		$183,265,000
D		$535,000	$257,654,670		2011	Yes (true)	false	Yes (true)	Yes (true)		$257,654,670

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.03	0.03	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0293	0.0293	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0468	0.0468	Yes (true)	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0388	0.0388	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd
A	false	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
B	false	false	false	Yes (true)	Yes (true)	false	false	Yes (true)	Yes (true)
C	false	false	Yes (true)	false	Yes (true)	false	false	false	Yes (true)
D	false	false	Yes (true)	false	false	false	false	false	Yes (true)	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (a) Note for Schedule K (2), Part I, Column (a), Line B:	The issue is compromised of 10 separate series of bonds. The bonds of the issue with the latest maturity dates (the Series 2014J and Series 2014K bonds each maturing 06/01/2045) do not have a CUSIP number. The Series 2014B, 2014C, 2014D, 2014E, 2014F, and 2014G bonds have CUSIP numbers. Of these series of bonds, the Series 2014D, 2014E, 2014F, and 2014G bonds each mature 06/01/2044. Therefore, the bonds with the latest maturity with CUSIP numbers are the 06/01/2044 maturities of the Series 2014D, 2014E, 2014F, and 2014G bones. The CUSIP numbers for these bonds are as follows: Bond Series CUSIP Number 2014D 60637A FK3 2014E 60637A FL1 2014F 60637A FM9 2014G 60637A FN7
Schedule K, Part V Different Procedures to Undertake Corrective Action	Issuer name: Wisconsin Health and Educational Facilities Authority With respect to Part I, column(g), for the Series 2010A Bonds, Series 2010BCDE Bonds, and Series 2012AB Bonds a defeasance or refunding escrow was not outstanding as of December 31, 2015. Each of these Bond Issues previously had either defeasance or refunding escrow(s) established and the cumulative principal amount of each Bond Issue that have been legally defeased since the issue date of the respective Bond Issue is reported on Part II, Line 2.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: Wisconsin Health and Educational Facilities Authority The calculation for computing no rebate due was performed on 06/01/2012
Schedule K, Part IV, Line 2c COLUMN B	Issuer name: Health and Educational Facilities Authority of the State of Missouri The calculation for computing no rebate due was performed on 06/01/2012

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Health and Educational Facilities Authority of the State of Missouri
A	431178966	000000000	2014-05-14	$632,155,000	(1) Finance various capital improvements and (2) refund previous bond issues	false	false	false
Health and Educational Facilities Authority of the State of Missouri
B	431178966	60637ALZ3	2017-04-28	$104,690,000	Reissuance Series 2012A Bonds issued on 7/26/2012	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt
A	$250,000	$632,155,000	$80,062,949	$552,092,051	2016	Yes (true)	false	Yes (true)	Yes (true)
B		$104,690,000		$104,690,000	2012	Yes (true)	false	Yes (true)	Yes (true)	$2,050,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0	0.0322	0.0322	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0	0.0143	0.0143	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	Yes (true)	false	false	false	Yes (true)
B	false	false	Yes (true)	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LAUREN ZIMMER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	DAUGHTER-IN-LAW OF OFFICER OF ORGANIZATION	RelationshipDescriptionTxt
Transaction	$81,794	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 19 acute care hospitals, one children's hospital, more than 60 outpatient care sites, a pharmacy benefit company, an insurance company, two long-term care facilities, comprehensive home care and hospice services, a technology company, and two Accountable Care Organizations. The health system employs more than 31,000 people and is affiliated with more than 8,500 physicians making it one of the largest employers in every community it serves. SSMH is sponsored by SSM Health Ministries, an independent 8-member body comprised of three Franciscan Sisters of Mary and five lay people who collectively hold certain reserved powers over SSMH. 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: SSMH's 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. Describe the organization's approach to providing community benefit: 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 the 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). First, CHNA is the 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: Kick-off meeting conducted and updated toolkit distributed; and periodic meetings scheduled to evaluate and monitor progress. Data collected and report made 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). Next, CBISA is the gathering, collecting, and reporting of all data relating to community benefit activities and programs across the System. A CBISA is conducted every year by each hospital according to the following steps: - Collect and enter data: Kick-off meeting conducted and updated toolkit distributed; new staff complete Lyon web-based course; and periodic meetings scheduled to evaluate and monitor progress. Emails sent reminding staff to submit activities; occurrences entered into Lyon; and reports are produced and shared with leaders. - Finalize and report on prior year: All prior year data entered into Lyon by January 31; and communicate final prior year figures to IRS, System Board, and the community. 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, all hospital CHNAs were 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. In collaboration with our community partners, most SSM Health hospital facilities completed their most recent cycle of the CHNA in 2015. The assessments were approved by SSMH management have been included in the System's strategic plan. During 2016 each SSMH hospital utilized their CHNA to identify various unmet community health needs. Our primary responsibility is to address those that we can impact the most, that is, those aligned with our core competencies. We communicate the needs identified in the assessment to the community through a variety of media, develop a plan for how to address those needs that we can impact, and implement strategies to address these needs. Each priority area was assigned a champion and programs and services were designed to address the identified need. Additional information regarding identified needs and actionable goals can be found at www.ssmhealth.com.
Form 990, Part III, Line 4b Program Service Accomplishments (Continued)	Describe the organization's financial assistance policies or programs (e.g., charity care, discounting) for low-income persons and how they are communicated to the public. All SSMH facilities will strive to provide exceptional health care services to all persons in need regardless of their ability to pay. All billing and collection policies and practices will reflect the mission and values of SSMH, including our special concern for people who are poor and vulnerable. SSMH facilities offer discounts for hospital services to all uninsured persons. Self-pay discounts apply to everyone who does not have health insurance, no matter their ability to pay. SSMH will apply its charity care policies fairly and consistently. Each person will be treated as an individual with specific needs for assistance without regard to payment. SSMH embraces its responsibility to serve the communities in which it participates by establishing sound business practices. Financial Assistance is provided to patients based on a sliding scale for household incomes up to four times the federal poverty level. Patients whose household income is no more than two times the federal poverty level are eligible for free hospital services. 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. Each entity providing medical services 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 communications 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 will be easy to understand by the general public, culturally appropriate and available in those languages that are prevalent in the community. They will 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 - Whom to contact to get additional information or financial counseling. The following types of notices to the public shall be provided: - Signs in the emergency department, outpatient and inpatient registration 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 will also be provided to public agencies. Organizational description for tax exemption: SSMH Hospitals: - Operate an emergency room that is open to all persons regardless of ability to pay; - Have an open medical staff with privileges available to all qualified physicians in the area; - Have a governing body in which independent persons representative of the community comprise a majority; - Engage in the training and education of health care professionals; - Participate in Medicaid, Medicare, Champus, Tricare, and/or government-sponsored health care programs. - All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system. Over the last several years, SSMH has opened one new hospital and constructed two new replacement hospitals. 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. 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. 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 2017, 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. Quantifiable Community Benefit: This section includes a list of the types of programs and services that could be included as community benefit activities. Community health improvement services, community benefit operations, and contributions for community benefit $ 4,823,281 Community Building Activities $ 38,121 Total Quantifiable Community Benefit: $ 4,861,402
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	ACCOUNTING/FINANCE PERSONNEL AT EACH SSMH (SSM HEALTH SYSTEM) ENTITY, IN CONJUNCTION WITH SYSTEM FINANCE PERSONNEL, PREPARE INFORMATION AND SUPPORTING SCHEDULES THAT ARE USED TO PREPARE THE FORM 990. THIS INFORMATION IS THEN REVIEWED BY A SUPERVISOR/MANAGER AND SENT TO THE SYSTEM OFFICE, WHERE SSMH PERSONNEL PREPARE THE FORM 990. THE RETURN IS THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM WHO SIGNS AS PAID PREPARER. THE RETURN IS PROVIDED TO ENTITY MANAGEMENT PERSONNEL FOR FINAL REVIEW PRIOR TO FILING. THE COMPLETE FORM 990 IS PROVIDED ELECTRONICALLY TO ALL BOARD MEMBERS 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 XI, Line 9 Other changes in net assets or fund balances	Actuarial change in defined benefit liability - 4708394; Transfers to affiliates - -15815340;
FORM 990, PART I Doing Business As	SSM Health Care Corporation currently conducts business under the following names: SSM Health SSM Health Care SSM Health at Work SSM Health Archives

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (42 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SSMHC LIABILITY TRUST I
10101 WOODFIELD LANE	ST LOUIS	MO	63132	436331003	INSURANCE	MO	501(c)(3)	Type I	SSM HEALTH CARE CORPORATION	Yes (true)
SSM CONSOLIDATED HEALTH SERVICES
10101 WOODFIELD LANE	ST LOUIS	MO	63132	431473657	HEALTH CARE	MO	501(c)(3)	Type I	SSM HEALTH CARE CORPORATION	Yes (true)
SSM POLICY INSTITUTE
10101 WOODFIELD LANE	ST LOUIS	MO	63132	431788151	HEALTH CARE	MO	501(c)(4)		SSM HEALTH CARE CORPORATION	Yes (true)
SSM PORTFOLIO MANAGEMENT CO
10101 WOODFIELD LANE	ST LOUIS	MO	63132	431825256	MANAGEMENT	MO	501(c)(3)	Type I	SSM HEALTH CARE CORPORATION	Yes (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 HOSPITAL	false
SSM DEPAUL HEALTH CENTER FOUNDATION
10101 WOODFIELD LANE	ST LOUIS	MO	63132	431776109	FUNDRAISING	MO	501(c)(3)	7	SSM HEALTH CARE ST LOUIS	false
SSM ST JOSEPH FOUNDATION
10101 WOODFIELD LANE	ST LOUIS	MO	63132	431591556	FUNDRAISING	MO	501(c)(3)	7	SSM HEALTH CARE ST LOUIS	false
SSM ST CLARE HEALTH CENTER FOUNDATION
10101 WOODFIELD LANE	ST LOUIS	MO	63132	431273310	FUNDRAISING	MO	501(c)(3)	7	SSM HEALTH CARE ST LOUIS	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	Yes (true)
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	Yes (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 REGIONAL HEALTH SERVICES
10101 WOODFIELD LANE	ST LOUIS	MO	63132	440579850	HEALTH CARE	MO	501(c)(3)	3	SSM HEALTH CARE CORPORATION	Yes (true)
ST FRANCIS HOSPITAL FOUNDATION
10101 WOODFIELD LANE	ST LOUIS	MO	63132	431099253	FUNDRAISING	MO	501(c)(3)	7	SSM REGIONAL HEALTH SERVICES	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	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
ST MARY'S HOSPITAL FOUNDATION
10101 WOODFIELD LANE	ST LOUIS	MO	63132	364636691	FUNDRAISING	IL	501(c)(3)	7	ST MARY'S - GOOD SAMARITAN	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	Yes (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	Yes (true)
CENTRALIA MEDICAL SERVICES BLDG ASSOC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	237408025	MOB	IL	501(c)(3)	Type II	SSM REGIONAL HEALTH SERVICES	false
ST MARY'S JANESVILLE FOUNDATION INC
2901 LANDMARK PL STE 300	MADISON	WI	53713	273439133	FUNDRAISING	WI	501(c)(3)	7	SSM HEALTH CARE OF WISCONSIN	false
FRANCISCAN SISTERS OF MARY
3221 MCKELVEY ROAD SUITE 107	ST LOUIS	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 AND 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
605 NORTH 12TH STREET	MT 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 STREET	MEXICO	MO	65265	431265060	FUNDRAISING	MO	501(c)(3)	Type I	SSM AUDRAIN HEALTH CARE INC	false
HOME HEALTH UNITED - VNS FOUNDATION INC
2802 WALTON COMMONS LANE	MADISON	WI	53718	391839309	FUNDRAISING	WI	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
GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION
10101 WOODFIELD LANE	ST LOUIS	MO	63132	262884795	FUNDRAISING	MO	501(c)(3)	7	ST MARY'S - GOOD SAMARITAN	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	UBI Code VUBICodeVAmt	OwnershipOwnershipPct
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
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 S 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
SSM HEALTH PHARMACY LLC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	264031708	PHARMACY	MO	NA	N/A	$0	$0	$0	0
DEAN CLINIC & ST MARYS 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
WINDMILL LLP
50 VILLAGE VIEW LANE	CHESTERFIELD	MO	63017	431804651	INVESTMENTS	MO	NA	N/A	$0	$0	$0	0
1110 N Classen Boulevard LLC
1110 N Classen Boulevard	Oklahoma City	OK	73106	731158158	MOB	OK	SSM Health Care of Oklahoma	N/A	$0	$0	$0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	OwnershipOwnershipPct
SSM MANAGED CARE ORGANIZATION LLC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	431708511	HEALTH PROMOTION	MO	NA	C Corporation	false
FPP INC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	431465174	HEALTH CARE	MO	NA	C Corporation	Yes (true)	1.00
DIVERSIFIED HEALTH SERVICES CORP
10101 WOODFIELD LANE	ST LOUIS	MO	63132	431369305	MEDICAL EQUIPMENT	MO	NA	C Corporation	false
SSM CARDIO AND THORACIC SERVICES INC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	260286559	HEALTH CARE	MO	NA	C Corporation	false
SSM PROPERTIES INC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	431462486	PROPERTY SERVICES	MO	NA	C Corporation	false
SSM DEPAUL MEDICAL GROUP INC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	431715106	HEALTH CARE	MO	NA	C Corporation	false
SSM ST CHARLES CLINIC MED GROUP INC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	430626408	PHYSICIAN OFFICES	MO	NA	C Corporation	false
HEALTH FIRST PHYS MANAGEMENT
10101 WOODFIELD LANE	ST LOUIS	MO	63132	731534336	MEDICAL SERVICES	OK	NA	C Corporation	false
SSMHCS LIABILITY TRUST II
10101 WOODFIELD LANE	ST LOUIS	MO	63132	816128118	INSURANCE	MO	NA	C Corporation	false
SSM NEUROSCIENCES INC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	263413981	HEALTH CARE	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
10101 WOODFIELD LANE	ST LOUIS	MO	63132	030310431	INSURANCE	CA	NA	C Corporation	false
SSM ORTHOPEDIC INC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	271557033	HEALTH CARE	MO	NA	C Corporation	false
SSM CANCER CARE INC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	271557324	HEALTH CARE	MO	NA	C Corporation	false
PHYSICIANS SERVICES CORP OF SOUTHERN ILLINOIS
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
ST MARYS DEAN VENTURES INC
1808 WEST BELTLINE HIGHWAY	MADISON	WI	53713	391628491	PHYSICIAN OFFICES	WI	NA	C Corporation	false
DEAN RETAIL SERVICES INC
1808 WEST BELTLINE HIGHWAY	MADISON	WI	53713	391717636	PROPERTY SERVICES	WI	NA	C Corporation	false
NAVITUS HOLDINGS LLC
1808 WEST BELTLINE HIGHWAY	MADISON	WI	53713	800968174	PHARMACY BENEFITS	WI	NA	C Corporation	false
OZA ONCOLOGY INC
4117 VETERANS MEMORIAL DRIVE	MT VERNON	IL	62804		PHYSICIAN OFFICE	IL	NA	C Corporation	false
SSM Health Janesville Campus Condominium Association Inc
1808 West Beltline Highway	Madison	WI	53713	832038674	Condo association	WI	NA	C Corporation	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (true)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	Yes (true)	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (44 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SSM Regional Health Services
A	$7,781,162	Book
Good Samaritan Regional Health Center
A	$7,009,499	Book
SSM Health Care St Louis
A	$14,683,293	Book
SSM Health Care of Wisconsin
A	$8,534,995	Book
SSM Regional Health Services
D	$30,000,000	Book
Good Samaritan Regional Health Center
E	$25,637,518	Book
SSM Health Care of Wisconsin
L	$10,637,000	Book
SSM Health Care of Oklahoma
L	$11,689,000	Book
SSM Audrain Health Care Inc
L	$1,799,000	Book
SSM Regional Health Services
L	$5,077,000	Book
St Anthony Shawnee Hospital
L	$2,304,996	Book
Good Samaritan Regional Health Center
L	$4,103,000	Book
SSM Health Care St Louis
L	$36,482,000	Book
St Mary's Hospital Centralia Illinois
L	$2,414,000	Book
SSM Health Businesses
M	$78,000	Book
SSMHC Liability Trust I
O	$2,111,950	Book
SSMHC Liability Trust II
O	$164,809	Book
SSM Health Businesses
O	$93,200	Book
Home Care United Inc
O	$29,417	Book
HHU Xtra Care Inc
O	$25,214	Book
Home Health United Inc
O	$29,417	Book
SSM Health Care Of Oklahoma
P	$25,899,456	Book
SSM Regional Health Services
P	$15,788,398	Book
SSM Health Businesses
P	$3,141,984	Book
SSM Cardinal Glennon Children's Hospital
P	$9,343,000	Book
Good Samaritan Regional Health Center
P	$14,882,078	Book
St Mary's Hospital Centralia Illinois
P	$2,414,000	Book
SSM Health Care of Wisconsin
P	$41,245,784	Book
SSM Health Care of St Louis
P	$103,524,948	Book
St Anthony Shawnee Hospital
P	$2,304,996	Book
SSM Audrain Health Care Inc
P	$1,799,000	Book
SSM Cardinal Glennon Children's Hospital
L	$494,976	Book
SSM Health Businesses
L	$1,243,389	Book
SSM Health Care St Louis
L	$4,513,159	Book
SSM Health Care of Oklahoma
L	$1,825,257	Book
SSM Health Care of WIsconsin
L	$3,020,410	Book
SSM Regional Health Services
L	$1,408,996	Book
Good Samaritan Regional Health Center
L	$1,415,212	Book
St Mary's Hospital Centralia Illinois
L	$351,378	Book
SSM Health Care St Louis
R	$90,983	Book
Good Samaritan Regional Health Center
R	$387,013	Book
FPP Inc
B	$117,434,953	Book
SSM Health Care St Louis
C	$117,434,953	Book
FPP Inc
S	$309,913	Book