2015-11-16T15:20:57-06:00 2014-12-31 861065772 Deloitte Tax LLP 1111 Bagby Street Suite 4500 Houston TX 770022591 990 2014-01-01 431550298 SSM Audrain Health Care Inc SSMA 5735825000 10101 Woodfield Lane St Louis MO 63132 June L Pickett Secretary 2015-11-16 true Brooke Kitchen McNeil P00849302 7139822000 2014 2016-03-07 17:11:31Z See Schedule O William Thompson 10101 Woodfield Lane St Louis MO 63132 54302648 false 0928 X www.ssmhealth.com X 1990 MO Operates an 89-bed community hospital offering a range of services including emergency care, cardiology services, medical imaging, women and child services and diabetes education. 6 0 535 54 0 0 810827 968642 45965035 53125115 -42749 95672 149014 113219 46882127 54302648 0 0 27230852 26385489 0 0 35608602 30725994 62839454 57111483 -15957327 -2808835 20778644 24383856 23049743 25841212 -2271099 -1457356 THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. false false 47788611 0 53125115 Please see schedule o for a complete description of program service accomplishments. 47788611 true true false true false false false false true true false false false true true false true false false false false false false false false true true false false true false false false false false false true false false false false false false true true true false false true 0 0 535 true false false false false false false false false false false X 6 0 false false false false true true true true true false false false true true true true true false false false X JOSEPH HENDERSON 5736813000 2505 MISSION DRIVE JEFFERSON CITY MO 65109 William Thompson President/Director 1.00 55.00 X X 0 3248929 2256052 Kris Zimmer Director & Treasurer 1.00 56.00 X X 0 956951 412836 Paula Friedman Director & Vice President 1.00 53.00 X X 0 729173 396619 Christopher Howard Director 1.00 52.00 X 0 1013182 504975 Gaurov Dayal MD Director 1.00 43.00 X 0 945865 290662 Shane Peng MD Director 1.00 44.00 X 0 775782 283844 June Pickett Secretary 0.10 42.70 X 0 253530 146963 Jim Stratton Regional CFO 20.00 20.00 X 0 237111 34445 David Neuendorf Hospital President 40.00 1.00 X 0 226140 58573 Greg Shaw Pt Yr CFO 40.00 0 X 94928 0 1576 Shahid Waheed Physician 40.00 0 X 471256 0 38051 Peter Perll Physician 40.00 0 X 425940 0 22087 Michael Quilan Physician 40.00 0 X 334271 0 33023 Clark Andelin Physician 40.00 0 X 367670 0 28004 N Eugene Thomas Physician 40.00 0 X 326158 0 27454 2020223 8386663 4535164 23 false true false MID-MISSOURI ANESTHESIA CONSULTANTS PC 1445 CHRISTY DRIVE JEFFERSON CITY MO 65101 ANESTHESIOLOGY 1177016 KING'S MEDICAL GROUP INC 1920 GEORGETOWN RD HUDSON OH 44236 MEDICAL SERVICES 566740 AUDRAIN EMERGENCY GROUP LLC PO BOX 82368 LAFAYETTE LA 70598 ER PHYSICIANS 481791 BOYCE AND BYNUM PATHOLOGY LABORATORIES PO BOX 7406 COLUMBIA MO 65205 PATHOLOGY SERVICES 479450 MEXICO CARDIOGRAPHICS 720 MEDICAL PARK DRIVE MEXICO MO 65265 MEDICAL SERVICES 376875 19 231461 737181 7141 968642 NET PATIENT REVENUE 621400 51825920 51825920 OTHER REVENUE 900099 1299195 1299195 0 0 0 0 53125115 53149 53149 113219 113219 0 113219 113219 42523 0 42523 42523 42523 0 0 0 0 0 54302648 53125115 0 208891 X 361726 361726 20693752 15975194 4718558 514459 404848 109611 3426386 2621839 804547 1389166 1056026 333140 1070250 437857 632393 19382 19382 12704 12704 7586761 5706440 1880321 0 2558 2558 3842310 3490104 352206 857531 857531 2150739 2095669 55070 120961 112879 8082 40842 40181 661 388397 388397 1940169 1932737 7432 21481 21481 MEDICAL SUPPLIES 9568006 9568006 MEDICAID PROVIDER TAX 3091588 3091588 LICENSES AND TAXES 9665 9315 350 BOND RELATED FEES 2650 2650 0 0 0 0 57111483 47788611 9322872 0 456656 109442 6031193 5974581 444637 1099850 815526 658012 15267455 3042944 9911620 12224511 1668097 2849304 655849 728780 0 17740 66120 777326 673256 20778644 24383856 6689174 12934372 3644623 2635000 12715946 10271840 23049743 25841212 X -2888636 -2158096 297707 380760 319830 319980 -2271099 -1457356 20778644 24383856 X -2808835 3622578 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 19167 false false false 19167 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION PAID DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS AND A PORTION OF THESE DUES WAS ALLOCATED TO LOBBYING ACTIVITIES. 319830 150 17860 0 0 337840 3342128 80000 0 0 0 3102298 319830 3959469 0 -585196 0 12851 19294 3342128 4026494 0 -8789 0 42838 15398 3959469 4394652 43181 -296457 500 105437 8945 4026494 0.95 0.05 true false 570000 570000 5470843 473785 4997058 58302 2912 55390 7325372 2540572 4784800 1842938 25675 1817263 12224511 ESTIMATED PENSION LIABILITY 5975942 ASSET RETIREMENT OBLIGATION 550058 DUE TO THIRD-PARTY PAYORS 3275206 CAPITAL LEASE 455802 DUE TO AFFILIATES 14832 10271840 X Schedule D, Part V, Line 4 Intended uses of endowment funds ALL FUNDS ARE USED TO PROVIDE HEALTH CARE SERVICES AND CAPITAL IMPROVEMENTS. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote SSM AUDRAIN HEALTH CARE, INC.'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH (SSMH), A RELATED ORGANIZATION. SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2014 OR 2013. true true true X true X true true false true false 1436881 1436881 0.0252 10002346 11818133 -1815787 0.0 0 0.0 0 0 11439227 11818133 -378906 0.0252 5 3352 250 3102 0.0001 0 0.0 0 0.0 0 0.0 4 3057 3057 0.0001 9 0 6409 250 6159 0.0001 9 0 11445636 11818383 -372747 0.0253 false 2064477 17650489 21706853 -4056364 X true true 1 1 AUDRAIN MEDICAL CENTER 620 E MONROE MEXICO MO 65265 WWW.SSMHEALTH.COM 36-57 X X X AUDRAIN MEDICAL CENTER 1 false false true X X X X X X X X X 13 true false false true X www.ssmhealthmidmo.com/about/ X www.ssmhealth.com/system/exceptional-care/what-we-mean/CHNA/ X true 13 false true false true X 2.0 4.0 X X X X X true true X X X true X X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - SSM Audrain Health Care. SSM Audrain Health Care, Inc. surveyed the community using group meetings and a direct mail paper survey. Community groups were asked their thoughts on community health and the unmet health needs in Audrain and Montgomery counties. A paper survey was sent to over 540 random community members. Additional information on the community survey can be found on pages 31 through 40 of the CHNA. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - SSM Audrain Health Care. SSM Health's mission statement is "Through our exceptional health care services, we reveal the healing presence of God." The strategic priorities of the community benefit plan as identified in the most recent community health needs assessment (CHNA) are: heart disease/obesity prevention and access to additional health care specialist and services. Our needs assessment was completed in 2013. Goals and objectives were established to change behavior, provide metrics to measure change, and to impact the overall health of those we serve. Based on the most recent SSM Audrain CHNA outcomes, heart disease and obesity (as an underlying condition) were identified as the primary health needs for the service area. In conjunction with local partners, the hospital will provide education and primary care for residents who struggle with obesity. In addition, the hospital will simultaneously screen and promote prevention of obesity through education and exercise. SSM Audrain sponsors a large heart disease awareness event which has been a significant outreach opportunity. The event, "Heart Luncheon," continues to provide opportunities for education, awareness and ongoing community health improvement. The following goals were achieved in 2014 to address heart disease and obesity: * Goal: Maintain heart failure composite core measure process of care score of 100%, maintained composite score of 100% * Goal: Implement a process to decrease the percentage of all- cause/all-location CHF 30-day readmissions, SSM Audrain has planned for the implementation of the EPIC Electronic Health Records software in June 2015 to enable tracking of readmissions. Based on the most recent SSM Audrain CHNA outcomes, the service area lacks adequate access to physicians in the following specialties: orthopedics, urology, ear, nose and throat, pain and neurology. The hospital will establish partnerships with specialty physicians available part-time and full-time to provide in-patient and out-patient coverage. The following goal was achieved in 2014 to address access to additional health care specialist and services: * Goal: Reduce average new patient specialist wait time from 6 weeks to 4 weeks, achieved an average wait time of 4 weeks To determine the community benefits the hospital could address, the community benefits team reviewed the CHNA data, engaged in discussion, and completed a multi-voting exercise based on the following criteria: severity, importance to community, impact, and existing community resources . A list of other community needs not addressed and the reasons why not can be found on page 36 of the CHNA. 15 MEXICO HEALTH SERVICES 600 MEDICAL PARK DRIVE MEXICO MO 65265 OUTPATIENT PHYSICIAN CLINIC MEXICO FAMILY HEALTH CARE 626 SUMMIT SUITE L MEXICO MO 65265 OUTPATIENT PHYSICIAN CLINIC MEXICO PEDIATRIC SERVICES 3626 S CLARK AVE SUITE A MEXICO MO 65265 OUTPATIENT PHYSICIAN CLINIC WELLSVILLE MEDICAL CLINIC 111 W BATES WELLSVILLE MO 63384 OUTPATIENT PHYSICIAN CLINIC MONTGOMERY CITY MEDICAL CLINIC 240 N PICKERING MONTGOMERY CITY MO 63361 OUTPATIENT PHYSICIAN CLINIC MEDICAL PARK FAMILY PRACTICE 809 MEDICAL PARK DRIVE SUITE 101 MEXICO MO 65265 OUTPATIENT PHYSICIAN CLINIC VANDALIA MEDICAL CLINIC 204 W WASHINGTON VANDALIA MO 63382 OUTPATIENT PHYSICIAN CLINIC PERRY MEDICAL CLINIC 1223 MAIN STREET PERRY MO 63462 OUTPATIENT PHYSICIAN CLINIC PARIS MEDICAL CLINIC 221 N MAIN STREET PARIS MO 65275 OUTPATIENT PHYSICIAN CLINIC AUDRAIN PULMONARY & CRITICAL CARE 620 E MONROE MEXICO MO 65265 OUTPATIENT CLINIC AUXVASSE FAMILY HEALTH 201 S MAIN STREET AUXVASSE MO 65231 OUTPATIENT PHYSICIAN CLINIC AUDRAIN MEDICAL CLINIC - WOMEN'S HEALTH 605 E PROMENADE ST SUITE A MEXICO MO 65262 OUTPATIENT CLINIC AUDRAIN FAMILY HEALTH 713 EAST JACKSON STREET MEXICO MO 65265 SSM HEALTH CANCER CENTER SUMMIT MEDICAL PARK LAB & X-RAY 626 SUMMIT SUITE F MEXICO MO 65265 LABORATORY AND X-RAY SERVICES MEXICO SURGICAL SERVICES 626 SUMMIT SUITE F MEXICO MO 65265 GENERAL SURGERY Schedule H, Part I, Line 3b Services eligible under the financial assistance policy will be made available to the patient on a sliding fee scale, in accordance with financial need, as determined in reference to Federal Poverty Levels (FPL) in effect at the time of the determination. The basis for the amounts the hospital will charge patients qualifying for financial assistance is as follows: Patients whose family income is above 200% but not more than 400% of the FPL are eligible to receive discounted services at amounts no greater than the amounts generally billed to the hospital's commercially insured or Medicare patients. Schedule H, Part I, Line 3c Patients whose family income exceeds 400% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the hospital; however the discounted rates shall not be greater than the amounts generally billed to commercially insured [or Medicare] patients. In such cases, other factors may be considered in determining their eligibility for discounted or free services, including: * Bank accounts, investments and other assets * Employment status and earning capacity * Amount and frequency of bills for health care services * Other financial obligations and expenses * Generally, financial responsibility will be no more than 25% of gross family income. The hospital may utilize predictive analytical software or other criteria to assist in making a determination of financial assistance eligibility in situations where the patient qualifies for financial assistance but has not provided the necessary documentation to make a determination. This process is called "presumptive eligibility." Schedule H, Part I, Line 6a SSM Audrain Health Care, Inc. is part of the integrated health system known as SSM Health. In an effort to strengthen its community benefit program, SSM Health plans for, measures, and communicates community benefits provided to persons who are low income, the unpaid costs of public programs and other activities that respond to community need, improve community health, or reach out to low income and vulnerable persons. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Financial Assistance Methodology: The cost of financial assistance is calculated in compliance with catholic health association (CHA) guidelines. A cost to charge ratio calculated using the IRS worksheet 2, ratio of patient care cost to charges, was used to compute financial assistance at cost. This is the ratio of total adjusted operating expense to total gross patient revenue. The gross revenue amount is a gross amount - prior to contractual adjustments and bad debts. Both gross revenue and costs are based on charges at date/time of service. Unreimbursed Medicaid Costing Methodology: The cost of unreimbursed Medicaid is calculated in compliance with Catholic Health Association(CHA) guidelines. A cost to charge ratio calculated utilizing IRS Worksheet 2, Ratio of patient care cost to charges, was used to compute unreimbursed Medicaid costs. This is the ratio of total adjusted operating expenses to total gross patient revenue. The gross revenue amount is gross amount - prior to contractual adjustments and bad debts. Both gross revenue and costs are based on charges at date/time of service. Community health improvement services and community benefit operations costing methodology: The costs for these programs were derived from the actual costs incurred in these areas. Subsidized health services costing methodology: The expenditures are determined based on actual invoices or dollar amounts spent and charged to these departments, reduced by any grant revenues restricted for these services, if any. Research costing methodology: Research expenses were taken from the income and expense statements for the research departments, derived from the accounting system. Cash and In-Kind contributions to community groups costing methodology: Contribution expenditures are based on actual invoices that were captured and reported for this program, derived from the accounting system. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Bad debt expense reported in the accounting system, adjusted for bad debt recoveries, was used, multiplied by the cost to charge ratio using IRS Worksheet 2, Ratio of patient costs to charges. Schedule H, Part III, Line 3 Bad Debt Expense Methodology SSM Audrain Health Care, Inc. did not make an estimate of the organization's bad debt attributable to patients eligible under the organization's financial assistance policy. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote SSM Audrain Health Care, Inc. is part of the SSM Health consolidated audit. The footnote that references bad debt expense in the December 31, 2014 consolidated audit is contained on page 16 and 17 of the attached financial statements. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The cost of providing care to Medicare eligible patients is greater than the reimbursement that Medicare allows on the Medicare cost report. SSM Audrain Health Care, Inc. considers this shortfall as a component of community benefit because the reimbursement is not negotiated and services are provided regardless of the patients' ability to pay. The Medicare costs reported on Line 6 were obtained from the 2014 Medicare cost report. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance SSM Audrain Health Care, Inc. has established a written credit and collection policy and procedures. The billing and collection policies and practices reflect the mission and values of SSM Health, including our special concern for people who are poor and vulnerable, The Health Center embraces its responsibility to serve the communities in which it participates by establishing sound business practices. The Health Center's billing and collection practices will be fairly and consistently applied. All staff and vendors are expected to treat all patients consistently and fairly regardless of their ability to pay. They respond to patients in a prompt and courteous manner regarding any questions about their bills and provide notification of the availability of financial assistance. All uninsured patients will be provided a standard discount for medically necessary inpatient and outpatient services, including services provided at off-campus outpatient sites. The hospital determined the amount of the discount based on the local managed care market, applicable statutory requirements and other relevant local circumstances. The rate must be no less than the lowest effective discount rate and no greater than the highest effective discount rate for the current managed care contracts of the hospital. Uninsured patients may also qualify for an additional discount based upon financial need under the system financial assistance policy. All accounts due from the patient will receive a statement after discharge or after final adjudication from patient's insurance. Generally the patient will receive 4 months (120 days) of in-house collection efforts (including early out vendors) and 12 months of bad debt collection efforts. The hospital will make Reasonable Efforts to determine FAP eligibility including: 1. The financial assistance summary will be included with each billing statement 2. Extraordinary Collection Activity (ECAs) may not occur until bad debt placement and only after the expiration of the notification period. 3. ECAs must be suspended if a guarantor submits a FAP application during the application period. 4. Reasonable measures must be taken to reverse ECAs if the application is approved which may include refunding any payments made in excess of amounts owed as an FAP-eligible individual. 5. Bad Debt vendors will gain written approval from SSM prior to engaging in ECAs. SSM will review the accounts and verify satisfactory completion of reasonable efforts during the notification and application period. A waiver is not considered reasonable efforts. Obtaining a signed waiver that an individual does not wish to apply for FAP assistance or receive FAP application information will not meet the requirement to make "reasonable efforts" to determine whether the individual is FAP-eligible before engaging in ECAs. All outside collection agencies must comply with state and federal laws, comply with the association of credit and collection professional's code of ethics and professional responsibility and comply with SSM Audrain Health Care, Inc. collection and financial assistance policies. Schedule H, Part V, Section B, Line 16a FAP website - AUDRAIN MEDICAL CENTER: Line 16a URL: www.ssmhealth.com/system/exceptional-care/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - AUDRAIN MEDICAL CENTER: Line 16b URL: www.ssmhealth.com/system/exceptional-care/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - AUDRAIN MEDICAL CENTER: Line 16c URL: www.ssmhealth.com/system/exceptional-care/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment SSM Health (SSMH) participates in Community Benefit according to our vision, Through our participation in the healing ministry of Jesus Christ, communities, especially those that are economically, physically, and socially marginalized, will experience improved health in mind, body, spirit and environment. In the tradition of our founders, the Franciscan Sisters of Mary, caring for those in greatest need remains our organizational priority. Today our System Board monitors Community Benefit efforts, and views achievement of our vision as a primary responsibility. The purpose of SSMH's Community Benefit program is to assess and address community health needs. Making our communities healthier in measurable ways is always our goal. To fulfill this commitment, SSMH's Community Benefit is divided into two parts: 1) Community Health Needs Assessment (CHNA), and 2) Community Benefit Inventory for Social Accountability (CBISA). The CHNA is an assessment and prioritization of community health needs and the adoption and implementation of strategies to address those needs. A CHNA is conduced every three years by each hospital according to the following steps: * Assess and prioritize community health needs: Gather CHNA data from secondary sources; obtain input from stakeholders representing the broad interests of the community through interviews and focus groups; use data to select top health priorities; and complete written CHNA. * Develop, adopt, and implement strategies to address top-health priorities: Establish strategies to address priorities; complete Strategic Implementation Plan; obtain Regional/Divisional Board approval; and integrate strategies into operational plan. * Make CHNA widely available to the public: Publish CHNA and summary document on hospital's website. * Monitor, track, and report progress on top health priorities: Collect data and evaluate progress; report to Regional/Divisional Board every six months and System Board every year; share findings with community stakeholders; and send results to finance for submission to the Internal Revenue Service (IRS). 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: Send out emails reminding staff to submit activities; enter data into Lyon; and run reports to share with leaders. * Finalize and report on prior year: Enter all prior year data 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. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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 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 applies its charity care policies fairly and consistently. Each person is treated as an individual with specific needs for assistance without regard to payment. SSMH embraces its responsibility to serve the communities in which we participate by establishing sound business practices. Charity care 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. In addition, an exception to the sliding scale is provided for a patient's balance due if the amount is too large to be reasonably paid through an installment plan over four years given the family income and expenses. Each entity providing medical service shall provide information to the public regarding its charity care policies and the qualification requirements for each of its facilities. When standard system notices and communication regarding charity care are available, these must be used. Modifications to the standard may be made to comply with state and local laws, as well as reflect culturally sensitive terminology for the policy. All notices are easy to understand by the general public, culturally appropriate and available in those languages that are prevalent in the community. They provide information about: * The patient's responsibility for payment, * The availability of financial assistance from public programs and entity charity care and payment arrangements, * The entity's charity policy and application process, and * Who to contact to get additional information or financial counseling. The following types of notices to the public are provided: * Signs in the emergency department, 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 is also provided to public agencies Schedule H, Part VI, Line 4 Community information SSM Audrain Health Care's service area includes the Missouri counties of Audrain and Montgomery. The total population for the service area was 37,617 in 2012. Overall population is projected to decline. The MSA has a slightly higher proportion of female population (54%). Additional detailed information on the demographics and community health rankings of the community served by SSM Audrain Health Care can be found in the hospital's CHNA on pages 7 through 30. SSM Audrain Health Care provides the following services at its hospitals: J.B. & Greeta B Arthur cancer center, diabetes education, emergency department, healthworks rehabilitation, Jordan-waters heart center, lab services, medchoice clinics, medical imaging, sleep lab, and women's and children's services. Schedule H, Part VI, Line 5 Promotion of community health SSM Audrain Health Care participates in a wide array of community programs throughout the area to further its exempt purpose of promoting the health of the community. The community initiatives build on the strengths of our communities and systems to improve the quality of life and to create a sense of hope. Community Benefit initiatives build community capacity and individual empowerment through community organizing, leadership development, partnerships, and coalition building. Our Community Health programs provide compassionate and competent care while they promote health improvement by reaching directly into the community to ensure that low-income and under-served persons can access health care services. Focusing on a broad definition of health, SSM Audrain Health Care's hospital, clinics and programs provide medical and mental health services, health education, health management, prevention, referrals, insurance enrollment and in-home primary care services and support, while fostering collaboration and incorporating Community Benefit strategies. SSM Audrain Health Care promotes grassroots advocacy and engages persons of influence to affect social and public policy change in order to promote both community health and healthy communities. SSM Audrain Health Care also furthers its exempt purpose with the following activities: * Operates an emergency room that is open to all persons regardless of ability to pay, * Has an open medical staff with privileges available to all qualified physicians in the area, * Engages in the training and education of health care professionals, * Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs * All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system. Schedule H, Part VI, Line 6 Affiliated health care system SSM Audrain Health Care is a 501 (c) (3) organization and is a member of the integrated health care system known as SSM Health. SSM Health is a 501(c)(3) organization headquartered in St. Louis, Missouri. Schedule H, Part VI, Line 7 State filing of community benefit report IL, MO, OK, WI true true false false false false false false false William Thompson President/Director 0 1807984 0 0 0 1440945 0 2228684 0 27368 0 5504981 0 90580 Kris Zimmer Director & Treasurer 0 853676 0 0 0 103275 0 382451 0 30385 0 1369787 0 50610 Paula Friedman Director & Vice President 0 640295 0 0 0 88878 0 377167 0 19452 0 1125792 0 33950 Christopher Howard Director 0 891236 0 0 0 121946 0 474548 0 30427 0 1518157 0 51660 Gaurov Dayal MD Director 0 876340 0 0 0 69525 0 261335 0 29327 0 1236527 0 45500 Shane Peng MD Director 0 743560 0 0 0 32222 0 244453 0 39391 0 1059626 0 0 June Pickett Secretary 0 230695 0 0 0 22835 0 130612 0 16351 0 400493 0 8960 Jim Stratton Regional CFO 0 200895 0 0 0 36216 0 13580 0 20865 0 271556 0 0 David Neuendorf Hospital President 0 222323 0 0 0 3817 0 33207 0 25366 0 284713 0 0 Shahid Waheed Physician 447250 0 0 0 24006 0 11986 0 26065 0 509307 0 0 0 Peter Perll Physician 405522 0 0 0 20418 0 11116 0 10971 0 448027 0 0 0 Michael Quilan Physician 332649 0 0 0 1622 0 9330 0 23693 0 367294 0 0 0 Clark Andelin Physician 348451 0 0 0 19219 0 4195 0 23809 0 395674 0 0 0 N Eugene Thomas Physician 319651 0 0 0 6507 0 9004 0 18450 0 353612 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The organization's top management official, the Hospital President, is compensated by a related organization that utilized the following to determine compensation: (1) independent compensation consultant, (2) compensation survey or study, (3) approval by the SSM Health president. Schedule J, Part I, Line 4a Severance or change-of-control payment SSMHC 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 SSMHC. The following individual received payments under the plan in the current year. Greg Shaw $91,456 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 SSMH's 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 this plan during 2014. 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 2008 or after, the distribution will occur after the completion of two 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 2014. All distributions received from the plan in the current year were included in the individuals' taxable compensation. Gaurov Dayal $45,560 Paula Friedman $39,621 Christopher Howard $75,167 June Pickett $11,398 William Thompson $90,701 Kris Zimmer $50,811 LISA NEUENDORF FAMILY MEMBER OF HOSPITAL PRESIDENT 70402 EMPLOYMENT false Form 990, Part III, Line 4a Description of Program Service 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, SSM includes 18 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 approximately 30,000 people and is affiliated with more than 8,000 physicians making it one of the largest employers in every community it serves. SSM is sponsored by SSM Health Ministries, an independent 6-member body comprised of three Franciscan Sisters of Mary and three lay people who collectively hold certain reserved powers over SSM. In the tradition of its founding sisters, SSMH strives to fulfill its mission by providing exceptional health care to everyone who comes to its hospitals, regardless of their ability to pay. About SSM Health St Mary's Hospital - Audrain: SSM Health St Mary's Hospital - Audrain is an 88-bed acute-care hospital with more than 500 employees and 40 active physicians and nurse practitioners in Mexico, Missouri. The hospital has a strong primary-care presence with nine rural health clinics in Mexico and the neighboring communities of Perry, Montgomery City, Wellsville, Vandalia and Paris. The Commission on Cancer (CoC) of the American College of Surgeons (ACoS) has granted Three-Year Accreditation with Commendation to the Cancer Program at St Mary's Hospital - Audrain. This marks the 4th time SSM health St Mary's Hospital - Audrain's cancer program has earned this award and the only program in Missouri to receive the outstanding achievement award this year. Since 1918, SSM health St Mary's Hospital - Audrain has been providing for the health care needs of the citizens of Audrain County and surrounding communities. During its long history of service, the hospital has made many changes to better serve its patients. For instance, in 1991, SSM health St Mary's Hospital - Audrain was the first community hospital in Missouri to lease its facilities and operations to a not-for-profit corporation to establish clinics in communities outside of Audrain County in order to improve patient access to primary-care services. SSM health St Mary's Hospital - Audrain joined the SSM Health Care system in April 2013 as part of SSM's new Mid-Missouri Region. The region also consists of St. Mary's Health Center in Jefferson City, Missouri. SSM health St Mary's Hospital - Audrain provides the following services at its hospital: SSM Health Cancer Center (formerly the J.B Greeta B Arthur cancer center), diabetes education, emergency department, healthworks rehabilitation, Jordan-waters heart center, lab services, medchoice clinics, medical imaging, sleep lab, and women's and children's services. 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 SSM's Community Benefit program is to assess and address community health needs. Making our communities healthier in measurable ways is always our goal. To fulfill this commitment, SSMH's Community Benefit is divided into two parts: 1) Community Health Needs Assessment (CHNA), and 2) Community Benefit Inventory for Social Accountability (CBISA). The CHNA is an assessment and prioritization of community health needs and the adoption and implementation of strategies to address those needs. A CHNA is conducted every three years by each hospital according to the following steps: * Assess and prioritize community health needs: Gather CHNA data from secondary sources; obtain input from stakeholders representing the broad interests of the community through interviews and focus groups; use data to select top health priorities; and complete written CHNA. * Develop, adopt, and implement strategies to address top-health priorities: Establish strategies to address priorities; complete Strategic Implementation Plan; obtain Regional/Divisional Board approval; and integrate strategies into operational plan. * Make CHNA widely available to the public: Publish CHNA and summary document on hospital's website. * Monitor, track, and report progress on top health priorities: Collect data and evaluate progress; report to Regional/Divisional Board every six months and System Board every year; share findings with community stakeholders; and send results to finance for submission to the Internal Revenue Service (IRS). 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: Send out emails reminding staff to submit activities; enter data into Lyon; and run reports to share with leaders. * Finalize and report on prior year: Enter all prior year data 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. Description of CHNA Community Benefit Programs: For more information on Community Benefit Programs provided by SSM health St Mary's Hospital - Audrain, please see Schedule H, Part V. Form 990, Part III, Line 4b Description of Program Service (Continued) Organization description for tax exemption: In addition to its CHNA community benefit activities, SSM Audrain Heath Care participates in a wide array of community programs throughout the area to further its exempt purpose of promoting the health of the community. The community initiatives build on the strengths of our communities and systems to improve the quality of life and to create a sense of hope. Community Benefit initiatives build community capacity and individual empowerment through community organizing, leadership development, partnerships, and coalition building. Our Community Health programs provide compassionate and competent care while they promote health improvement by reaching directly into the community to ensure that low-income and under-served persons can access health care services. Focusing on a broad definition of health, SSM Audrain Heath Care, clinics and programs provide medical and mental health services, health education, health management, prevention, referrals, insurance enrollment and in-home primary care services and support, while fostering collaboration and incorporating Community Benefit strategies. SSM Audrain Heath Care promotes grassroots advocacy and engages persons of influence to affect social and public policy change in order to promote both community health and healthy communities. SSM health St Mary's Hospital - Audrain also furthers its exempt purpose with the following activities: * Operates an emergency room that is open to all persons regardless of ability to pay, * Has an open medical staff with privileges available to all qualified physicians in the area, * Engages in the training and education of health care professionals, * Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs * All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system 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: For information on the financial assistance polices provided by SSM health St Mary's Hospital - Audrain, please see Schedule H. Quantifiable Community Benefit: The following is a list of the types of programs and services that could be included as community benefit activities: Traditional Charity Care $ 4,254,446 Unpaid Cost of Medicaid $16,918,359 Unpaid Cost of Medicare $18,495,148 Cost of Bad Debts $ 862,775 Community Benefit Programs $ 2,655,675 Total Quantifiable Community Benefit $43,186,403 Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF THE CORPORATION IS SSM REGIONAL HEALTH SERVICES. SSM REGIONAL HEALTH SERVICES IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH SSM AUDRAIN HEALTH CARE, INC. AND SSM REGIONAL HEALTH SERVICES ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND TO APPOINT AND REMOVE THE DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS C. TO APPOINT AND REMOVE THE DIRECTORS D. TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION E. TO APPROVE THE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION F. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION G. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION H. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY I. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION J. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY K. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY L. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS, TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS, AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS M. TO APPROVE THE STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION N. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION O. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTEREST IN THE PROPERTY OF THE CORPORATION P. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER OF THE MEMBER OR TO ANY ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY THE MEMBER OF THE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS, AND OBJECTIVE OF THE MEMBER OF THE MEMBER AS DETERMINED BY THE MEMBER OF THE MEMBER Q. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER OF THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OR THE CORPORATION WHICH WILL NOT REQUIRE MEMBER APPROVAL; AND R. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY NON-CONTROLLED SUBSIDIARY. Form 990, Part VI, Line 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 TO PREPARE THE FORM 990. SYSTEM FINANCE SUBMITS THE FORM 990 TO AN OUTSIDE TAX CONSULTING FIRM WHO REVIEWS THE FORM 990 AND SIGNS AS PAID PREPARER. THE SYSTEM DIRECTOR - TAX AND COMPLIANCE REVIEWS THE COMPLETED FORM 990 PRIOR TO FILING THE RETURN. 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 TO THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUST BE COMPLETED ONLINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR-END. Form 990, Part VI, Line 19 Required documents available to the public THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL 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 IX, Line 11g Other Fees Medical Physician, Practitioner, Psychiatrist, Resident, and Therapist - Total Expense: 2999900, Program Service Expense: 2634071, Management and General Expenses: 365829, Fundraising Expenses: 0; Recruitment, Consulting, Administrative, and PBS Fees - Total Expense: 2772550, Program Service Expense: 1258058, Management and General Expenses: 1514492, Fundraising Expenses: 0; Medical Lab, Radiology, Transportation - Total Expense: 1814311, Program Service Expense: 1814311, Management and General Expenses: 0, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN BENEFICIAL INTEREST IN FOUNDATION - 72931; TRANSFERS FROM AFFILIATES - 7923925; ACTUARIAL CHANGE IN DEFINED BENEFIT OBLIGATION - -4374278; Part I Doing Business As SSM Audrain Health Care, Inc. currently conducts business under the following registered names: Audrain Anesthesia Services Audrain Health Care, Inc. Physicians Audrain Medical Center Audrain Medical Centre - Auxvasse Audrain Medical Center - Women's Health Healthworks J.B. & Greta B. Arthur Cancer Center Jordan-Waters Heart Center Medchoice Medical Park Family Practice Mexico Family Health Care Mexico Health Services Mexico Pediatric Services Mexico Surgical Services Montgomery City Medical Clinic Paris Health Care Clinic Perry Medical Clinic Specialty Services of Mexico SSM Health Cancer Center SSM Health Medical Group - Family Practice SSM Health Medical Group - General Surgery SSM Health Medical Group - Internal Medicine SSM Health Medical Group - Pediatrics SSM Health Medical Group Pulmonary & Critical Care SSM Health Medical Group - Women's Health SSM Health St. Mary's Hospital - Audrain Vandalia Medical Clinic Wellsville Medical Group SSM Health Care Corporation 10101 Woodfield Lane St Louis MO 63132 466029223 Health Care MO 501(c)(3 Type I SSM Health Ministries false SSMHC Liability Trust I 10101 Woodfield Lane St Louis MO 63132 436331003 Insurance MO 501(c)(3 Type I SSM Health Care Corporation false SSM Consolidated Health Services 10101 Woodfield Lane St Louis MO 63132 431473657 Health Care MO 501(c)(3 Type I SSM Health Care Corporation false SSM Policy Institute 10101 Woodfield Lane St Louis MO 63132 431788151 Health Care MO 501(c)(4 SSM Health Care Corporation false SSM Health Care Portfolio Management Co 10101 Woodfield Lane St Louis MO 63132 431825256 Management MO 501(c)(3 Type I SSM Health Care Corporation false SSM Cardinal Glennon Children's Hospital 10101 Woodfield Lane St Louis MO 63132 430738490 Health Care MO 501(c)(3 3 SSM Health Care St Louis false Cardinal Glennon Children's Foundation 10101 Woodfield Lane St Louis MO 63132 431754347 Fundraising MO 501(c)(3 7 SSM Cardinal Glennon 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 St Mary's Health Center Foundation 10101 Woodfield Lane St Louis MO 63132 431552945 Fundraising MO 501(c)(3 7 SSM Health Care St Louis false SSM Health Care of Oklahoma Inc 10101 Woodfield Lane St Louis MO 63132 730657693 Health Care OK 501(c)(3 3 SSM Health Care Corporation false St Anthony Hospital Foundation Inc 10101 Woodfield Lane St Louis MO 63132 736104300 Fundraising OK 501(c)(3 7 SSM Health Care of Oklahoma false SSM Health Care of Wisconsin Inc 10101 Woodfield Lane St Louis MO 63132 430688874 Health Care WI 501(c)(3 3 SSM Health Care Corporation false Dells Medical Building Inc 10101 Woodfield Lane St Louis MO 63132 391613292 MOB WI 501(c)(2 SSM Health Care of Wisconsin false St Mary's Foundation Inc 10101 Woodfield Lane St Louis MO 63132 431940686 Fundraising WI 501(c)(3 7 SSM Health Care of Wisconsin false St Clare Health Care Foundation Inc 10101 Woodfield Lane St Louis MO 63132 431940683 Fundraising WI 501(c)(3 7 SSM Health Care of Wisconsin false Home Health United Inc 2802 Walton Commons Lane Madison WI 53718 391539827 Health Care WI 501(c)(3 9 SSM Health Care of Wisconsin false Home Care United Inc 2802 Walton Commons Lane Madison WI 53718 391776340 Health Care WI 501(c)(3 9 SSM Health Care of Wisconsin false HHU Xtra Care Inc 2802 Walton Commons Lane Madison WI 53718 391705111 Health Care WI 501(c)(3 9 SSM Health Care of Wisconsin false Home Health United - VNS Foundation Inc 2802 Walton Commons Lane Madison WI 53718 391839309 Fundraising WI 501(c)(3 Type II NA false SSM Regional Health Services 10101 Woodfield Lane St Louis MO 63132 440579850 Health Care MO 501(c)(3 3 SSM Health Care Corporation false 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 II SSM Regional Health Services false St Mary's Hospital Centralia Illinois 10101 Woodfield Lane St Louis MO 63132 370662580 Health Care IL 501(c)(3 3 SSM Regional Health Services false St Mary's - Good Samaritan Inc 10101 Woodfield Lane St Louis MO 63132 364170833 Health Care IL 501(c)(3 Type I SSM Regional Health Services false Good Samaritan Regional Health Center Foundation 10101 Woodfield Lane St Louis MO 63132 262884795 Fundraising IL 501(c)(3 7 St Mary's - Good Samaritan 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 9 St Mary's Hospital Foundation false SSM Health Businesses 10101 Woodfield Lane St Louis MO 63132 431333488 Health Care MO 501(c)(3 9 SSM Health Care Corporation false SSM Health Care St Louis 10101 Woodfield Lane St Louis MO 63132 431343281 Health Care MO 501(c)(3 3 SSM Health Care Corporation false Centralia Medical Services Bldg Assoc 10101 Woodfield Lane St Louis MO 63132 237408025 MOB IL 501(c)(3 Type II SSM Regional Health Services false St Mary's Janesville Foundation Inc 10101 Woodfield Lane St Louis MO 63132 273439133 Fundraising WI 501(c)(3 7 SSM Health Care of Wisconsin false Franciscan Sisters of Mary 3221 McKelvey Road Suite 107 Bridgeton MO 63044 431012492 Religious Organization MO 501(c)(3 1 NA false Lee Dewey Corporation 10101 Woodfield Lane St Louis MO 63132 731279603 MOB OK 501(c)(3 Type I SSM Health Care of Oklahoma false SSM Hospice 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 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 true Good Samaritan Regional Health Center 10101 Woodfield Lane St Louis MO 63132 430653587 Health Care IL 501(c)(3 3 SSM Regional Health Services false SSM St Joseph Endoscopy Center LLC 10101 Woodfield Lane St Louis MO 63132 270046559 Surgery Services MO NA N/A St Clare Imaging Services 707 14th Street Suite A Baraboo WI 53913 200122365 Diag Services WI NA N/A Mt Vernon Radiation Therapy Center LLC 10101 Woodfield Lane St Louis MO 63132 201382620 Radiation Therapy IL NA N/A Sleep & Neurology Center of S Illinois LLC 10101 Woodfield Lane St Louis MO 63132 208468195 Diag Services IL NA N/A SMHC Surgical Co-Mgmt Company LLC 100 St Marys Medical Plaza Jefferson City MO 65101 208929305 Management MO NA N/A SMHC Cardiovascular Co-Mgmt Company LLC 100 St Marys Medical Plaza Jefferson City MO 65101 208929381 Management MO NA N/A SMHC Musculoskeletal Co-Mgmt Company LLC 100 St Marys Medical Plaza Jefferson City MO 65101 208929237 Management MO NA N/A ChowSMGSI Office Building LLC 10101 Woodfield Lane St Louis MO 63132 371383861 MOB IL NA N/A Center for Comprehensive Cancer Care LLC 10101 Woodfield Lane St Louis MO 63132 201382727 MOB IL NA N/A Shawnee Real Estate Holdings LLC 1000 N Lee Ave Oklahoma City OK 73102 455458304 MOB OK NA N/A SSM RX Express LLC 10101 Woodfield Lane St Louis MO 63132 264031708 Pharmacy MO NA N/A Dean Clinic & St Marys Hospital Accountable Care Organization LLC 1808 West Beltline Highway Madison WI 53713 452995500 Accountable Care Organization WI NA N/A Wisconsin Integrated Information Technology and Telemedicine Systems LLC 1808 West Beltline Highway Madison WI 53713 392016715 Information Technology Services WI NA N/A Dean Health Holdings LLC 1277 Deming Way Madison WI 53717 261594709 Support Services WI NA N/A Wingra Building Group 1808 West Beltline Highway Madison WI 53713 390237060 MOB WI NA N/A Janesville Riverview Clinic Building Partnership 1808 West Beltline Highway Madison WI 53713 396220698 MOB WI NA N/A 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 SSM Health Care Corporation C Corporation false 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 Yagnesh V Oza MD Inc 4117 Veterans Memorial Drive Mt Vernon IL 62804 Physician Offices IL NA C Corporation false false false true false false false false false false true false true true true true true true true true AUDRAIN MEDICAL CENTER FOUNDATION INC C 157275 CASH CONTRIBUTION