2015-11-16T13:06:20-06:00 2014-12-31 861065772 Deloitte Tax LLP 1111 Bagby Street Suite 4500 Houston TX 770022591 990 2014-01-01 431333488 SSM Health Businesses SSMH 3145238755 10101 Woodfield Lane St Louis MO 63132 June Pickett Secretary 2015-11-16 true Brooke Kitchen McNeil P00849302 7139822000 2014 2016-04-25 22:37:26Z See Schedule O William Thompson 10101 Woodfield Lane St Louis MO 63132 213432959 false 0928 X www.ssmhealth.com X 1984 MO To meet the health needs of the community it serves and provide exceptional health care both in the hospital and in the patients' places of residence. 6 0 1464 153 1149739 286741 228984 137842 206559165 207766863 5390195 5441100 -1257 18931 212177087 213364736 0 0 0 0 104973979 108472623 0 0 0 91510097 91344571 196484076 199817194 15693011 13547542 222031179 232689610 48325324 46830068 173705855 185859542 THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. false false 175726667 0 206617124 PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 175726667 true true false false false false false false false true true false false true true false true false false false false false false false false false false false true false false false false false false true false false false false false true true true true false false true 0 0 1464 true true true 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 Donna Wallace 3149892818 10101 Woodfield Lane St Louis MO 63132 William Thompson Director & President 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 Thomas Langston Senior VP - CIO 40.00 1.00 X 0 548551 2404408 Alison Ruehl President SSM Home Care 40.00 1.00 X 0 396518 373490 Patrick Gilligan VP Strategic & Financial Planning 40.00 0 X 215425 0 156066 Jonathan Kimerle VP Clinic Transformation 40.00 0 X 327926 0 127630 Michael Paasch VP CIO - STL 40.00 0 X 257923 0 243009 Kevin Cross VP IT Operations 40.00 0 X 232537 0 232452 William Odman VP CIO - Multifacility 40.00 0 X 221234 0 31919 Kevin Olson VP CIO - OK 40.00 0 X 220359 0 85751 Lynn Lenker Former Highest Compensated 0.00 40.00 X 0 366667 216366 1475404 9235148 8163042 124 true true false EPIC 1979 MILKY WAY VERONA WI 53593 INFORMATION TECHNOLOGY CONSULTING 6606876 SSM SELECT REHAB OF ST LOUIS LLC 4714 GETTYSBURG ROAD MECHANICSBURG PA 17055 MEDICAL THERAPY 5841487 MICROSOFT LICENSING GP 1950 N STEMMONS FWY DALLAS TX 75207 MAINTENANCE AGREEMENTS 4663080 GE HEALTHCARE BIN 265 MILWAUKEE WI 53288 INFORMATION TECHNOLOGY CONSULTING 3544544 CISCO SYSTEMS CAPITAL CORPORATION PO BOX 60000 SAN FRANCISCO CA 94160 INFORMATION TECHNOLOGY CONSULTING 3026320 71 66805 71037 137842 OTHER PROGRAM REVENUE 621610 161454530 160304791 1149739 NET PATIENT REVENUE 621610 46312333 46312333 0 0 0 0 207766863 2053155 2053155 87154 68223 18931 0 18931 18931 3289076 98869 3289076 98869 3387945 3387945 0 0 0 0 0 213364736 206617124 1149739 5460031 1348640 1348640 83117207 74675510 8441697 6415539 5834771 580768 11362649 10058983 1303666 6228588 5526544 702044 385100 385100 51881 51881 121956 121956 15990057 12284240 3705817 0 345 345 35948735 31214149 4734586 1756171 1094296 661875 2721052 2358098 362954 2510255 2387681 122574 366812 356182 10630 570680 570680 27691853 26567500 1124353 194732 194732 MEDICAL SUPPLIES 2610655 2610655 BOND RELATED FEES 134132 134132 LICENSES 188722 187378 1344 Federal Income Tax 101433 101433 0 0 0 0 199817194 175726667 24090527 0 17862241 18757917 6435905 6969693 174871 133458 8385669 8111025 139604553 58079636 91489818 81524917 96756581 115597801 0 926094 1594799 222031179 232689610 17230928 15651313 31094396 31178755 48325324 46830068 X 173679674 185827535 26181 32007 173705855 185859542 222031179 232689610 X 13547542 -1490339 96484 X false true X true false X 55310 71927 75334 228984 137842 569397 153128745 171804844 187695497 205388751 206617124 924634961 153184055 171876771 187770831 205617735 206754966 925204358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 925204358 1907516 2399578 2381515 1916947 2140309 10745865 1907516 2399578 2381515 1916947 2140309 10745865 604162 358798 91307 269314 287741 1611322 0 0 0 0 0 0 155695733 174635147 190243653 207803996 209183016 937561545 0.9868 0.9859 0.0115 0.0124 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 224028 143577 80451 4834290 2622855 2211435 73136051 55313204 17822847 61410184 61410184 81524917 SSM COMPREHENSIVE INVESTMENT PROGRAM 114633328 F BENEFICIAL INTEREST IN FOUNDATION 964473 F 115597801 DEFERRED REVENUE 67136 PENSION FUNDING LIABILITY 15855045 ALLOCATION OF TAX-EXEMPT BONDS (ISSUED BY SSM HEALTH) 15221417 RABBI TRUST LIABILITY 20143 DEFERRED COMPENSATION 15014 31178755 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote SSM HEALTH BUSINESSES' FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF A RELATED ORGANIZATION, SSM HEALTH (SSMH). 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 FURTHER 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. X true true true true false false false false false false false William Thompson Director & President 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 Thomas Langston Senior VP - CIO 0 313343 0 0 0 235208 0 2385641 0 18767 0 2952959 0 34930 Alison Ruehl President SSM Home Care 0 327088 0 0 0 69430 0 343777 0 29713 0 770008 0 18970 Patrick Gilligan VP Strategic & Financial Planning 200818 0 0 0 14607 0 131257 0 24809 0 371491 0 7936 0 Lynn Lenker Former Highest Compensated 0 308935 0 0 0 57732 0 192079 0 24287 0 583033 0 12800 Jonathan Kimerle VP Clinic Transformation 307840 0 0 0 20086 0 104962 0 22668 0 455556 0 11400 0 Michael Paasch VP CIO - STL 243021 0 0 0 14902 0 220942 0 22067 0 500932 0 9464 0 Kevin Cross VP IT Operations 216211 0 0 0 16326 0 208834 0 23618 0 464989 0 8480 0 William Odman VP CIO - Multifacility 211033 0 0 0 10201 0 19805 0 12114 0 253153 0 8160 0 Kevin Olson VP CIO - OK 209963 0 0 0 10396 0 63770 0 21981 0 306110 0 8000 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments The following individuals listed on Part VII, Section A, received tax indemnification/gross up payments in 2014, which were included in their taxable compensation: Jonathan Kimerle Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The organization's top management official (Senior VP - CIO) 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 Board of Directors. Schedule J, Part I, Line 4a Severance or change-of-control payment SSMH 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 individual received payments under the plan in the current year. William Schoenhard $218,667 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. Kevin Cross $ 9,489 Gaurov Dayal $45,560 Paula Friedman $39,621 Patrick Gilligan $7,947 Christopher Howard $75,167 Jonathan Kimerle $14,318 Thomas Langston $169,963 Lynn Lenker $25,281 William Odman $8,171 Kevin Olson $8,028 Michael Paasch $9,476 June Pickett $11,398 Alison Ruehl $18,996 William Thompson $90,701 Kris Zimmer $50,811 KRISTOPHER ZIMMER FAMILY MEMBER 70595 EMPLOYMENT false Form 990, Part III, Line 4a Description of Program Service Since it was founded in 1872 by catholic sisters, SSM Health (SSMH) has existed to meet the health needs of the communities it serves. SSM 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 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. SSMH 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 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: SSM Integrated Health Technologies Division (SSMIHT) works closely with our colleagues at the SSM Hospitals to provide assistance in their health care ministry, including providing technology assistance to their health community activities as appropriate. SSMIHT has two primary, closely related service segments, Clinical Engineering Services (CES) and Information Technology (IT). SSMIHTCES provides the highest standard of maintenance, equipment management, and technology assessment. This service enables SSM caregivers to provide safe and reliable service to our patients. SSMIHT services also reduce cost for high quality performance. IT supports all the information systems, telecommunication and network infrastructure for all of SSM. This includes support of a wide range of applications. Clinical applications provide the information systems used by the acute care facilities to serve SSM's customers and include a fully integrated Electronic Health Record, Patient Registration, Patient Accounting, Physician Connectivity, and multiple other applications. Also included in the clinical systems group are applications utilized by our non-acute care customers, and include a Home Health and a Physician Practice Management system. The administrative applications provide the business information systems required by SSM to effectively manage operations. Included in this group of products is an Enterprise Resource Planning (ERP) System, which includes financial, materials management and HR/payroll components. Some applications, such as decision support models and benchmarking software, are utilized by both the clinical and the administrative applications. Support of these systems takes many forms. SSMIHT coordinates and manages all upgrades to standard applications, as well as new product implementations. Our Product Specialists are knowledgeable in all aspects of the applications they support and provide consulting services as well as problem resolution services to the SSM user community. The Technical Service Center (TSC), SSMIHT's certified help desk, has been nationally recognized for multiple best practices, and provides the first line of support. Application Development staff modify and enhance applications to meet specified user needs. SSMIHT also acts as a resource for project implementation for projects that have widespread impact to the organization, such as HIPAA. SSMIHT provides the application technology and hardware infrastructure required to support these applications. In addition to maintaining and monitoring computer operations, this group is responsible for Network Management and consultation, and assuring the security and integrity of the information systems. These services provide the IT infrastructure and operations that allow the information applications to process and function optimally. Technology consulting is also a function provided by the Information systems staff. SSMIHT's sole purpose is providing service to SSM facilities to carry out the Mission of SSM. By linking patient diagnostic and monitoring systems with electronic health records, SSMIHT works to improve patient safety by bringing critical information directly to the bedside. SSMIHT services also help to increase physician and nurse productivity by reducing paperwork and streamlining workflows. SSM Home Care strives to provide holistic and family-centered care. SSM Home Care brings healing health care services into the homes of our patients, where family support & familiar surroundings can truly enhance recovery and healing. SSM Home Care provides a variety of home care services to meet a variety of needs - when extended care is required after a hospital stay, as an alternative to a hospital admission, or instead of a nursing home or alternative care setting. Our services can be arranged quickly and efficiently by a single phone call and referrals can be made by physicians, case managers, social workers, family and friends, or by request from the patient. The healing services we offer at SSM Home Care include skilled nursing care, medical social work services, palliative care, home health aides/nurses assistants, occupational therapy, physical therapy, speech-language therapy, maternal/child/pediatric, nutritional counseling and medical social work. SSM Infusion, LLC provides comprehensive infusion therapy services for adult and pediatric patients in home and alternate site settings. Our experienced staff supports the physician's treatment plan with clinical excellence, outcomes reporting and cost-effective provision of services. SSM Infusion provides assistance interpreting insurance rules and regulations related to home infusion therapy, careful monitoring of supply needs by Home Patient Representatives and access to our nationwide network of branches, providing patients or their loved ones with consistent, quality care where they live and when they travel. SSM Hospice provides hospice care at a time when caring, comfort, assistance and special kind of healing are needed. It is a very special way of caring for people with a limited life expectancy. Hospice also provides comfort and guidance to care givers, families and friends of the patient. Hospice care gives individuals and their care givers a comforting alternative to the traditional hospital setting, making it possible for the terminally ill person to remain at home or in other familiar surroundings. The emphasis of SSM Hospice is on preserving the dignity and improving the quality of life through symptom management which includes relief from emotional, spiritual, as well as physical pain. The SSM Hospice Team is recognized for our compassionate approach and quality nursing care. The team consists of registered nurses, counselors, pastors, social workers, home health aides, and volunteers to provide exceptional care. Describe the corporation's financial assistance policies or programs (e.g., free, discounted) for low-income persons and how they are communicated to the public: SSM Home Care 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. SSM Home Care will apply its financial assistance policies fairly & consistently. Each person will be treated as an individual with specific needs for assistance without regard to payment. SSM Home Care embraces its responsibility to serve the communities in which we participate 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 not more than two times the federal poverty level are eligible for free hospital services. Form 990, Part III, Line 4b Description of Program Service (continued) 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." SSM Home Care will provide information about: - The patient's responsibility for payment; - The availability of financial assistance from public programs and entity financial assistance and payment arrangements; - The entity's financial assistance policy and application process: and - Who to contact to get additional information or financial counseling. SSM Home Care shall provide the following types of notices to the public: - At the beginning of care, when the caregiver first goes into the home, the patient's guide to financial assistance is provided to each patient. - Notices related to financial assistance are sent to patients: when billed for their portion of the balance due; - Immediately upon request from the patient, patient's family, patient's physician or SSM Home Care staff. - All notices will be easy to understand by the general public and culturally appropriate. Translators will be available to provide assistance in those languages that are prevalent in the community. The application for financial assistance, together with any instructions, must clearly state the policies regarding financial assistance, including excluded services, eligibility criteria and documentation requirements. Organizational description for tax exemption: The divisions of SSM Health Businesses: - Provide home health, hospice and technical support to SSMH hospitals. - Has a sole corporate member with reserved powers in which independent persons representative of the community comprise a majority - All surplus funds generated by SSM Health entities are reinvested in improving our patient care delivery system. In addition, SSM Home Care: - Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs. - Works in cooperation with SSMH hospitals and physicians to provide a continuum of care to the patients, regardless of their ability to pay. Description of community benefit programs: SSM Hospice Bereavement Program - Bereavement counselors continue to provide supportive services to survivors for a full year after the patient has died. Bereavement services include telephone calls, visits, letters, support group meetings and individual and group counseling. By respecting individual differences and cultural influences that surround grieving, our team promotes a positive, healing expression of grief consistent with social and religious expectations. Reducing Hospital Readmissions Initiative - The initiative includes the development of specific programs and strategies to reduce hospital readmissions within 30 days of discharge. Home Health Disease Management and Home Connection Programs have been developed for patients with specific diagnoses within SSM hospitals whose post-hospital care is provided by SSM Home Care. Both programs support the transition of care from hospital to home. SSM Home Care and Home Connection Programs teach patients how to take care of themselves. The programs use the techniques of the evidence-based Chronic Care Model, which has the potential to improve patient care and control costs. SSM Home Care staff clarify hospital discharge medications in the home, make sure patients are taking medications as prescribed and are responding to medications correctly; assess home safety; look for obstacles that might interfere with healing and teach signs and symptoms of exacerbations to prevent hospital readmission. Other Community Benefit Activities - Home Care - Staff members participated in the United Way Campaign, Hospice education to Stephen Ministries, Thanksgiving food collection drive, and the Show me the Spirit of Christmas drive. Other Community Benefit Activities - IHT - Approximately 250 hours of staff time was dedicated to meetings, training new team members, running reports, developing online course, developing presentation material, and facilitating breakout training sessions on community benefit reporting. Staff members held the Reuse, Recycle, Redecorate silent auction/sale and volunteered at the Arbor Day tree giveaway. Staff members provided over 450 hours of IT support to the Children's Miracle Network - St Louis office. Staff members participated in various community events including volunteering with the USO of Missouri food drive, Blood drives, Sweet Babies clothing drive and St. Louis Food Bank Volunteer Day. Through its CES division, SSM SSMIHT saves SSMH approximately $11 million annually in clinical equipment maintenance expenses compared to outsourcing. 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 $ 307,920 Unpaid Cost of Medicaid $ 1,618,413 Cost of Bad Debts $ 538,541 Community Benefit Programs $ 25,192 Total Quantifiable Community Benefit $2,490,066 Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE CORPORATION. SSM HEALTH CARE CORPORATION IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH SSM HEALTH BUSINESSES AND SSM HEALTH CARE CORPORATION ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH CARE. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND APPOINT AND REMOVE DIRECTORS OF THE CORPORATION. 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 OF THE CORPORATION. D. TO APPROVE THE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN. E. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION. F. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION. G. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY. H. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION. I. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY. J. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY. K. 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. L. TO APPROVE THE STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION. M. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION. N. 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. O. 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, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS, AND OBJECTIVE OF THE MEMBER OF THE MEMBER AS DETERMINED BY THE MEMBER. P. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OR THE CORPORATION WHICH WILL NOT REQUIRE MEMBER APPROVAL; AND Q. 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 INFORMATION. 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 on line. Periodically through the year, the entity's corporate responsibility contact person (with the help of the entity's learning management system coordinator) sends department managers a list of employees who have not yet completed their COI so they can remind the employees and ensure the employees have time in their schedule to complete the required course. Resolution of any conflicts that are disclosed must be documented and kept on file at the entity. Supervisors verify required course completion prior to year end. Form 990, Part VI, Line 19 Required documents available to the public The year-end audited consolidated financial statements and unaudited quarterly consolidated financial statement for the SSM Health System are made available to the public on SSM Health's website. The organization's articles of incorporation are available on the Missouri Secretary of State's website. Copies of the Form 990 and the organization's conflict of interest policy are available upon request. Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN BENEFICIAL INTEREST IN FOUNDATION - 194926; TRANSFERS TO AFFILIATES - -98442; DOING BUSINESS AS SSM HEALTH BUSINESSES CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING REGISTERED NAMES: SSM at Home SSM Clinic Engineering Services SSM Health at Home SSM Health at Home - Audrain SSM Health at Home - Extended Care SSM Home Care SSM Home Care - Private Duty SSM Home Care at Audrain SSM Home Care at St Anthony Hospital SSM Home Care at St Francis Hospital SSM Home Care at St Mary's Health Center SSM Home Care of Illinois SSM Home Care of St Louis SSM Home Care Private Duty SSM Home Medical Equipment Company SSM Hospice SSM Hospice at Audrain SSM Hospice at St Francis Hospital SSM Hospice of Illinois SSM Integrated Health Technologies SSM INFUSION SERVICES LLC 10101 WOODFIELD LANE ST LOUIS MO 63132 431872025 INFUSION THERAPY SERVICES MO 3298336 2766133 SSM HEALTH BUSINESSES 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 Good Samaritan Regional Health Center 10101 Woodfield Lane St Louis MO 63132 430653587 Health Care IL 501(c)(3 3 SSM Regional Health Services false St Mary's Hospital Centralia Illinois 10101 Woodfield Lane St Louis MO 63132 370662580 Health Care IL 501(c)(3 3 SSM Regional Health Services false St Mary's - Good Samaritan Inc 10101 Woodfield Lane St Louis MO 63132 364170833 Health Care IL 501(c)(3 Type I SSM Regional Health Services false Good Samaritan Regional Health Center Foundation 10101 Woodfield Lane St Louis MO 63132 262884795 Fundraising IL 501(c)(3 7 St Mary's - Good Samaritan 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 Care St Louis 10101 Woodfield Lane St Louis MO 63132 431343281 Health Care MO 501(c)(3 3 SSM Health Care Corporation false Centralia Medical Services Bldg Assoc 10101 Woodfield Lane St Louis MO 63132 237408025 MOB IL 501(c)(3 Type I SSM Regional Health Services false St Mary's Janesville Foundation Inc 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 Bridgeton MO 63044 431012492 Religious Organization MO 501(c)(3 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 true 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 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 c100 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 NA 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 true true false false false false false false true true true true true true true true true true SSM HOSPICE AND HOME CARE FOUNDATION C 66805 COST OF SERVICES SSM HOSPICE AND HOME CARE FOUNDATION R 314347 CASH