2014-11-17T14:50:55-06:00 2013-12-31 861065772 DELOITTE TAX LLP 1111 BAGBY STREET SUITE 4500 HOUSTON TX 77002 990 2013-01-01 430738490 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL SSMC 3149893610 10101 WOODFIELD LANE ST LOUIS MO 63132 JUNE L PICKETT SECRETARY 3149893610 2014-11-17 1 BROOKE KITCHEN P00849302 7139822000 2013 2015-11-30 17:44:51Z X SEE SCHEDULE O WILLIAM P THOMPSON 10101 WOODFIELD LANE ST LOUIS MO 63132 313074718 0 0928 X WWW.SSMHEALTH.COM X 1984 MO A NOT-FOR-PROFIT 190-BED INPATIENT & OUPATIENT MEDICAL CENTER IN ST. LOUIS, MISSOURI. 13 9 2094 306 756321 -153360 12173938 12309740 293072050 291370781 1274866 3257233 8060827 5418222 314581681 312355976 150716 118050 0 0 122296883 120522110 0 0 0 159723225 162985418 282170824 283625578 32410857 28730398 306029574 333045211 75328505 88844930 230701069 244200281 THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 266091853 118050 294125673 PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 266091853 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 0 0 2094 1 1 1 0 0 0 0 0 0 0 0 0 0 X 13 9 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X BONNIE THORN 3149893640 1195 CORPORATE LAKE ST LOUIS MO 63132 SHEILA BADER DIRECTOR 1.00 0.00 X 0 0 0 DANIEL BAUMANN MD DIRECTOR 1.00 40.00 X 0 230048 25051 DONALD E BINZ II MD DIRECTOR 1.00 40.00 X 0 337900 37026 JAN CERNY DIRECTOR 1.00 0.00 X 0 0 0 DEE JOYNER DIRECTOR 1.00 0.00 X 0 0 0 MARY T MCLENNAN DIRECTOR 1.00 0.00 X 0 0 0 TIKA SHAH DMD DIRECTOR 1.00 0.00 X 0 0 0 JOHN OLDANI DIRECTOR 1.00 0.00 X 0 1734 0 BARBARA TURKINGTON DIRECTOR 1.00 0.00 X 0 0 0 KARL WILSON PHD DIRECTOR 1.00 0.00 X 0 0 0 SR MARY JEAN RYAN DIRECTOR & CHAIRPERSON 1.00 0.00 X X 0 0 0 WILLIAM P THOMPSON DIRECTOR & VICE PRES 1.00 40.00 X X 0 2421072 841970 CHRISTOPHER HOWARD DIRECTOR & PRESIDENT 10.00 30.00 X X 0 893660 29906 PAULA FRIEDMAN VICE PRESIDENT 1.00 40.00 X 0 596799 15489 KRIS A ZIMMER TREASURER 1.00 40.00 X 0 836253 68008 JUNE L PICKETT SECRETARY 1.00 40.00 X 0 256054 -96872 SHERLYN HAILSTONE HOSPITAL PRESIDENT 40.00 0.00 X 0 630075 70593 KAREN REWERTS SYSTEM VP FINANCE 10.00 30.00 X 0 543340 -3299 JUDY GARTLAND ASST SECRETARY 10.00 30.00 X 0 61973 11101 STEVEN BARNEY PY VICE PRESIDENT 1.00 40.00 X 0 592443 -223953 KEVIN TODD JOHNSON REG VP - MEDICAL AFFAIRS 10.00 30.00 X 0 611070 55672 LEANN ZERKEL VP PATIENT CARE 40.00 0.00 X 190063 0 -109894 DEBORAH G WALKENHORST SYSTEM VP HUMAN RES 10.00 30.00 X 0 375919 34601 DAMON HARBISON VP OPERATIONS 40.00 0.00 X 193108 0 34809 PUSHPA PATEL PHYSICIAN 40.00 0.00 X 334906 0 34128 PATHMA RAMESVARA PHYSICIAN 40.00 0.00 X 273191 0 -168090 MAX BURGDORF PHYSICIAN 40.00 0.00 X 260920 0 25900 TIMOTH REED PHYSICIAN 40.00 0.00 X 257026 0 15581 TIMOTH STAED PHYSICIAN 40.00 0.00 X 234456 0 290016 WILLIAM SCHOENHARD FORMER OFFICER 0.00 0.00 X 0 274359 -277636 ROBERT PORTER FORMER KEY EMPLOYEE 0.00 0.00 X 0 532567 -33023 LYNN LENKER FORMER KEY EMPLOYEE 0.00 40.00 X 0 364804 52466 1743670 9560070 729550 97 1 1 0 ST LOUIS UNIVERSITY 1402 S GRAND BLVD ST LOUIS MO 63104 PHYSICIAN SERVICES 24175614 ALBERICI CONSTRUCTORS INC 8800 PAGE AVE ST LOUIS MO 63114 CONSTRUCTION SERVICES 6010221 ASSOC REGIONAL & UNIVERSITY PATHOLOGIST 500 CHIPETA WAY SALT LAKE CITY UT 84108 LABORATORY SERVICES 976496 KAISER ELECTRIC INC 1552 FENCORP DRIVE FENTON MO 63026 CONSTRUCTION SERVICES 655737 TIVOLI TOO INC 2444 ENTERPRISE DR MENDOTA HEIGHTS MN 55120 DESIGN/CONSTRUCTION SERVICES 591614 35 9844835 1605673 859232 150092 12309740 NET PATIENT SERVICE REVENUE 621110 278229334 278229334 OTHER REVENUE 621110 11513680 11513680 LABORATORY REVENUE 621500 1627767 871446 756321 291370781 2038542 2038542 462074 435582 26492 26492 26492 1218691 0 1218691 1218691 1218691 404508 283160 121348 121348 PHARMACY REVENUE 446110 3339936 3339936 CAFETERIA 722210 1759169 1759169 PAYROLL TAX REFUND 541200 109336 109336 61941 61941 5270382 312355976 294125673 756321 5164242 X 55784 55784 62266 62266 1785094 506108 1278986 89192039 80447427 8744612 9253545 8294887 958658 13807275 12302894 1504381 6484157 5776052 708105 3933326 1500595 2432731 167494 167494 96966 96966 59274081 58470745 803336 165489 165489 9086168 8488775 597393 13336252 13312768 23484 5838512 5365526 472986 351355 189779 161576 114048 98632 15416 998457 998457 10875133 10500474 374659 -1278439 -1278439 MEDICAL SUPPLIES 35109849 35109849 MEDICARE PROVIDER TAX 24491063 24491063 BOND RELATED FEES 230092 230092 LICENSES 195572 119772 75800 283625578 266091853 17533725 0 13102322 44683084 69498615 52120225 6335549 4996132 4036518 4495827 1560171 1562994 306778479 168708203 135360904 138070276 7287499 8342121 62292751 73330562 6555245 5443990 306029574 333045211 29087151 43244430 46241354 45600500 75328505 88844930 X 204426882 215808573 12749462 13741004 13524725 14650704 230701069 244200281 306029574 333045211 X 28730398 210426 -15441610 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 34196 0 1 23273 1 34628 0 0 92097 0 PART II-B, LINE 1: SSM CARDINAL GLENNON CHILDREN'S HOSPITAL EMPLOYS LOBBYISTS WHOSE ACTIVITIES INCLUDE SERVING AS LIAISONS TO CITY, STATE, AND FEDERAL OFFICIALS. THEY TRACK AND EVALUATE HEALTH CARE AND OTHER LEGISLATION THAT MAY HAVE AN IMPACT ON THE SYSTEM, EXPLORE AND EVALUATE POSSIBLE FUNDING OPPORTUNITIES FOR SSM CARDINAL GLENNON CHILDREN'S HOSPITAL, AND SERVE AS THE SPOKESPERSONS TO LEGISLATIVE COMMITTEES AND STATE AGENCIES FOR THE SYSTEM ON LEGISLATIVE ISSUES. THE LOBBYIST'S ACTIVITIES INCLUDED DIRECT MAILINGS, AND DIRECT CONTACT WITH LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS. IN ADDITION, THE ORGANIZATION PAID DUES TO VARIOUS STATE AND NATIONAL HOSPITAL ASSOCIATIONS AND PORTIONS OF THESE DUES WERE ALLOCATED TO LOBBYING ACTIVITIES. 27206992 5692 3092788 775282 29530190 24155350 749317 2464561 162236 27206992 22120818 2090571 367264 423303 24155350 16356158 4405000 1525610 165950 22120818 9170500 6152781 1092877 60000 16356158 0.25000 0.50000 0.25000 0 1 1 7590658 7590658 216898366 110029863 106868503 74997658 57171492 17826166 7291797 1506848 5784949 138070276 BENEFICIAL INTEREST IN FOUNDATION 70363028 F SSM COMPREHENSIVE INVESTMENT PROGRAM 2967534 F 73330562 RABBI TRUST LIABILITY 301494 PENSION FUNDING LIABILITY 16496590 ASSET RETIREMENT OBLIGATION 2309093 ALLOCATED TAX EXEMPT BOND LIAB (ISSUED THROUGH SSM HEALTH CARE) 26493254 DUE TO AFFILIATES 69 45600500 X PART V, LINE 4: TO SUPPORT THE PEDIATRIC MEDICAL SERVICES PROVIDED BY SSM CARDINAL GLENNON CHILDREN'S HOSPITAL PART X, LINE 2: SSM CARDINAL GLENNON CHILDREN'S HOSPITAL'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH CARE CORPORATION ("SSMHC"), A RELATED ORGANIZATION. SSMHC 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 2013 OR 2012. 1 1 1 X 1 X 1 1 0 1 0 1060673 1060673 0.00370 145058001 155833450 -10775449 0.00000 146118674 155833450 -9714776 0.00370 287548 48285 239263 0.00080 35649190 12483708 23165482 0.08170 19428028 16000 19412028 0.06840 532248 532248 0.00190 110060 110060 0.00040 56007074 12547993 43459081 0.15320 202125748 168381443 33744305 0.15690 186 186 0.00000 6193 6193 0.00000 6379 6379 0 1696461 1 1 1 1 CARDINAL GLENNON CHILDREN'S MEDICAL CTR 1465 S GRAND BLVD ST LOUIS MO 63104 WWW.CARDINALGLENNON.COM 429-17 X X X X X CARDINAL GLENNON CHILDREN'S MEDICAL CTR 1 1 X X X X X X X X X 12 1 1 1 X SEE PART V, SECTION C - SUPPLEMENTAL INFO X WWW.SSMHEALTH.COM X X X X X X 0 0 1 1 200.000000000000 1 400.000000000000 1 X X X X X X 1 1 X X X X 1 0 1 X 0 0 CARDINAL GLENNON CHILDREN'S MEDICAL CTR PART V, SECTION B, LINE 3: THE INDIVIDUALS IN THE COMMUNITY STAKEHOLDER'S GROUP, WHO REPRESENT THE BROAD INTEREST OF CHILDREN AND PUBLIC HEALTH IN ST. LOUIS CITY, PROVIDED THEIR FEEDBACK THROUGH TWO FOCUS GROUP PRESENTATIONS. THE INITIAL FOCUS GROUP WAS CONDUCTED TO SOLICIT FEEDBACK FROM THESE INDIVIDUALS ON THE NEEDS OF ST. LOUIS CITY CHILDREN. DURING THE SECOND FOCUS GROUP, THE COMMUNITY STAKEHOLDERS ASSISTED THE HOSPITALS IN RANKING THE HEALTH NEEDS THAT WERE DETERMINED TO BE A PRIORITY IN THE COMMUNITY. A COMPLETE LIST OF COMMUNITY STAKEHOLDERS CAN BE FOUND IN APPENDIX A OF THE CHNA. THE HOSPITAL'S CHNA CAN BE FOUND AT:HTTP://WWW.CARDINALGLENNON.COM/ABOUTUS/PAGES/COMMUNITYHEALTHNEEDS.ASPX CARDINAL GLENNON CHILDREN'S MEDICAL CTR PART V, SECTION B, LINE 4: PRIMARY DATA COLLECTION FOR THE CHNA INCLUDED USE OF COMMUNITY STAKEHOLDER FOCUS GROUP FEEDBACK. BECAUSE CARDINAL GLENNON AND BJC HEALTH SYSTEM'S ST. LOUIS CHILDREN'S HOSPITAL (SLCH) BOTH FOCUS ON ADDRESSING THE HEALTH NEEDS OF PEDIATRIC PATIENTS IN ST. LOUIS CITY, THE TWO HOSPITALS COMBINED EFFORTS TO SEEK INPUT FROM COMMUNITY STAKEHOLDERS. CARDINAL GLENNON CHILDREN'S MEDICAL CTR PART V, SECTION B, LINE 7: THE CARDINAL GLENNON ADMINISTRATIVE TEAM REVIEWED THE FINAL LIST OF PRIORITIZED PEDIATRIC HEALTH NEEDS FOR ST LOUIS CITY, CONSIDERING MAGNITUDE OF IMPACT ON THE COMMUNITY AND ALIGNMENT WITH THE SSM MISSION AND STRATEGIC PLAN, THE AMOUNT OF RESOURCES REQUIRED TO ADDRESS THE ISSUE, AND THE HOSPITAL'S ABILITY TO IMPACT EACH ISSUE. THE CARDINAL GLENNON TEAM'S FINAL PRIORITIZATION MATRIX CAN BE FOUND IN APPENDIX E OF THE CHNA. 24 SSM CARDINAL GLENNON PEDIATRICS - TROY 164 PROFESSIONAL PARKWAY TROY MO 63379 OUTPATIENT PEDIATRIC CLINIC CARDINAL GLENNON SPECIALTY SERVICES - SA 12700 SOUTHFORK ROAD SUITE 155 ST LOUIS MO 63128 OUTPATIENT PEDIATRIC CLINIC SSM CARDINAL GLENNON ER - DEPAUL HEALTH 12303 DEPAUL DRIVE SUITE 300 BRIDGETON MO 63044 OUTPATIENT PEDIATRIC CLINIC SSM CARDINAL GLENNON PEDIATRICS - WARREN 511 ASHLAND SUITE A WARRENTON MO 63383 OUTPATIENT PEDIATRIC CLINIC SSM CARDINAL GLENNON PEDIATRICS - DEPAUL 12255 DEPAUL DRIVE STE 300 BRIDGETON MO 63044 OUTPATIENT PEDIATRIC CLINIC SSM CARDINAL GLENNON ER - ST JOSEPH HOSP 100 MEDICAL PLAZA LAKE ST LOUIS MO 63367 OUTPATIENT PEDIATRIC CLINIC CARDINAL GLENNON ER - ST ANTHONY'S MEDIC MEDICAL PLAZA BUILDING 10010 KENNERLY RD ST LOUIS MO 63128 OUTPATIENT PEDIATRIC CLINIC SSM CARDINAL GLENNON ER - ST CLARE HEALT 1015 BOWLES AVENUE FENTON MO 63026 OUTPATIENT PEDIATRIC CLINIC SSM CARDINAL GLENNON ER - ST JOSEPH HEAL 300 FIRST CAPITAL DRIVE ST CHARLES MO 63301 OUTPATIENT PEDIATRIC CLINIC SSM CARDINAL GLENNON PEDIATRICS ST JOSEP 400 MEDICAL PLAZA SUITE 220 LAKE ST LOUIS MO 63367 OUTPATIENT PEDIATRIC CLINIC CARDINAL GLENNON SPECIALTY SERVICES - AN 2133 VADALABENE DRIVE MARYVILLE IL 62062 OUTPATIENT PEDIATRIC CLINIC SSM CARDINAL GLENNON SPECIALTY SERVICES 224 SOUTH WOODS MILL RD CHESTERFIELD MO 63017 OUTPATIENT PEDIATRIC CLINIC CARDINAL GLENNON ER - ANDERSON HOSPITAL 6800 STATE ROUTE 162 MARYVILLE IL 62062 OUTPATIENT PEDIATRIC CLINIC SSM CARDINAL GLENNON SPECIALTY SERVICES 25 DOCTORS PARK CAPE GIRARDEAU MO 63703 OUTPATIENT PEDIATRIC CLINIC SSM ST MARY'S PEDIATRICS 3348 AMERICAN DRIVE JEFFERSON CITY MO 65109 OUTPATIENT PEDIATRIC CLINIC SSM CARDINAL GLENNON NEONATOLOGY SERVICE 6420 CLAYTON ROAD RICHMOND HEIGHTS MO 63117 OUTPATIENT CLINIC SSM CARDINAL GLENNON SPECIALTY SERVICES 6000 BOND AVENUE CENTREVILLE IL 62207 OUTPATIENT PEDIATRIC CLINIC SSM CARDINAL GENNON SPECIALTY SERVICES - 1708 JEFFERSON AVENUE SUITE 240 MT VERNON IL 62864 OUTPATIENT PEDIATRIC CLINIC SSM CARDINAL GLENNON SPECIALTY SERVICES 1 DOCTORS PARK ROAD SUITE F MT VERNON IL 62864 OUTPATIENT CLINIC SSM CARDINAL GLENNON SPECIALTY SERVICES 415 HEALTH DEPARTMENT ROAD MURPHYSBORO IL 62966 OUTPATIENT CLINIC SSM CARDINAL GLENNON SPECIALTY SERVICES 416 WEST EDWARDS STREET VANDALIA IL 62471 OUTPATIENT CLINIC SSM CARDINAL GLENNON SPECIALTY SERVICES 101 EAST EDWARDSVILLE ROAD WOOD RIVER IL 62095 OUTPATIENT CLINIC CARDINAL GLENNON SPECIALTY SERVICES - A 2133 VADALABENE DRIVE MARYVILLE IL 62062 OUTPATIENT CLINIC SSM CARDINAL GLENNON SPECIALTY SERVICES 2900 FRANK SCOTT PRKWY WT COPPER BEND SO BELLEVILLE IL 62223 OUTPATIENT PEDIATRIC CLINIC SCHEDULE H, PART I, QUESTION 3B SSM CARDINAL GLENNON CHILDREN'S HOSPITAL USES FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS.THE APPLICABLE PERCENTAGE VARIES BASED ON HOW MUCH THE APPLICANT'S INCOME EXCEEDS FPG GUIDELINES. THE FOLLOWING SCHEDULE IS USED TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE:APPLICANT'S INCOME IS CHARITY CARE PERCENTAGE LESS THAN OR EQUAL TO 2 TIMES FPG 100%MORE THAN 2 TIMES, LESS THAN 2.5 TIME FPG 80%MORE THAN 2.5 TIMES, LESS THAN 3 TIMES FPG 60%MORE THAN 3 TIMES, LESS THAN 3.5 TIMES FPG 40%MORE THAN 3.5 TIMES, LESS THAN 4 TIMES FPG 20%4 OR MORE TIMES FPG 0%SCHEDULE H, PART I, QUESTION 3CAN EXCEPTION TO THE SLIDING SCALE IS PROVIDED FOR A PATIENT IF THEIR BALANCE DUE EXCEEDS 20% OF THEIR GROSS FAMILY INCOME. IN THIS SITUATION, THE BILL IS DISCOUNTED DOWN TO 20% OF THEIR FAMILY INCOME. TO FURTHER STREAMLINE AND AUTOMATE THE FINANCIAL ASSISTANCE PROCESS, THE HOSPITAL'S BUSINESS OFFICE PERSONNEL WILL AUTOMATICALLY CONSIDER 100% OF THE PATIENT ACCOUNT AS CHARITY IF THE COMMERCIAL SOFTWARE SYSTEM (PASSPORT) INDICATES THAT THE PATIENT IS LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL). ADDITIONALLY, PRIOR TO CLASSIFYING THE BALANCE DUE AS A BAD DEBT, THE HOSPITAL REVIEWS ACCOUNTS WITH BALANCES OVER $10,000 AND APPLIES THE SAME ELIGIBILITY CRITERIA MENTIONED ABOVE. THIS PROCESS IS CALLED "PRESUMPTIVE ELIGIBILITY". SCHEDULE H, PART I, QUESTION 6ASSM CARDINAL GLENNON CHILDREN'S HOSPITAL IS PART OF THE INTEGRATED HEALTH SYSTEM KNOWN AS SSM HEALTH CARE. IN AN EFFORT TO STRENGTHEN ITS COMMUNITY BENEFIT PROGRAM, SSM HEALTH CARE PLANS FOR, MEASURES, AND COMMUNICATES IN AN ANNUAL REPORT CHARITY CARE 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, QUESTION 7CHARITY CARE COSTING METHODOLOGY: THE COST OF CHARITY CARE 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 CHARGE, WAS USED TO COMPUTE CHARITY CARE 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 CHARGE, WAS USED TO COMPUTE UNREIMBURSED MEDICAID COSTS. 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. THE UNREIMBURSED COST OF MEDICAID IS NEGATIVE DUE TO THE FACT THAT FEDERAL REIMBURSEMENT ALLOWANCE (FRA) RECEIPTS ARE INCLUDED IN THE CALCULATION. THROUGH THE FRA PROGRAM, MISSOURI'S MEDICAID PROGRAM USES FUNDS THAT HAVE BEEN ASSESSED FROM HOSPITALS TO EARN MATCHING FEDERAL DOLLARS, ALLOWING MISSOURI'S GENERAL REVENUE FUNDS TO BE USED FOR OTHER STATE PRIORITIES. THESE FUNDS ARE PROVIDED AS REIMBURSEMENT TO HOSPITALS FOR THE COST OF TREATING THE UNINSURED, MEDICAID RECIPIENTS AND PROVIDING GRADUATE MEDICAL EDUCATION. THE PROGRAM ENABLES OUR HOSPITAL TO PROVIDE SAFETY NET SERVICES FOR THE POOR AND UNINSURED OF THE COMMUNITY.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.HEALTH PROFESSIONAL EDUCATION COSTING METHODOLOGY: THE EXPENSES FOR HEALTH PROFESSION EDUCATION WERE TAKEN FROM THE DEPARTMENT'S INCOME AND EXPENSE STATEMENT, DERIVED FROM THE ACCOUNTING SYSTEM. AMOUNTS PAID FROM RESIDENT DEPARTMENTS WERE ALSO INCLUDED.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.RESEARCH COSTING METHODOLOGY: RESEARCH EXPENSES WERE TAKEN FROM THE INCOME AND EXPENSE STATEMENT 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.SCHEDULE H, PART II, COMMUNITY BUILDING ACTIVITIESSSM CARDINAL GLENNON CHILDREN'S HOSPITAL PARTICIPATES IN A WIDE ARRAY OF COMMUNITY AND CIVIC ORGANIZATIONS IN THE PROMOTION OF HEALTH CARE AND COMMUNITY BUILDING ACTIVITIES. SPECIFIC ACTIVITIES REPORTED IN PART II OF SCHEDULE H INCLUDE THE FOLLOWING:COMMUNITY BUILDING - COALITION BUILDING - HOSPITAL STAFF HAVE SERVED ON THE PROGRAM COMMITTEE FOR THE ASTHMA AND ALLERGY FOUNDATION OF AMERICA.COMMUNITY BUILDING - COMMUNITY HEALTH IMPROVEMENT ADVOCACY - THE PRESIDENT OF SSM CARDINAL GLENNON CHILDREN'S HOSPITAL ALONG WITH SENIOR STAFF MEMBER HAVE PROVIDED HOSPITAL TOURS TO VARIOUS MEMBERS OF THE COMMUNITY ALONG WITH PROVIDING MEETING WITH LEGISLATORS TO DISCUSS HEALTH CARE PUBLIC POLICY. SCHEDULE H, PART III, SECTION A, LINE 2BAD DEBT COSTING METHODOLOGY: 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 CARE COST TO CHARGES.SCHEDULE H, PART III, SECTION A, LINE 4THE ORGANIZATION IS PART OF THE SSM HEALTH CARE CONSOLIDATED AUDIT. THE FOOTNOTE THAT REFERENCES BAD DEBT EXPENSE IN THE DECEMBER 31, 2013 CONSOLIDATED AUDIT IS AS FOLLOWS:"IN LINE WITH ITS MISSION, SSMHC PROVIDES SERVICES TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY FOR THOSE SERVICES. FOR SOME OF ITS PATIENT SERVICES, SSMHC RECEIVES NO PAYMENT OR PAYMENT THAT IS LESS THAN THE FULL COST OF PROVIDING THE SERVICES.SSMHC VOLUNTARILY PROVIDES FREE CARE TO PATIENTS WHO ARE UNABLE TO PAY FOR ALL OR PART OF THEIR HEALTH CARE EXPENSES AS DETERMINED BY SSMHC'S CRITERIA FOR FINANCIAL ASSISTANCE. BECAUSE SSMHC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS PATIENT SERVICE REVENUES.IN SOME CASES, SSMHC DOES NOT RECEIVE THE AMOUNT BILLED FOR PATIENT SERVICES EVEN THOUGH IT DID NOT RECEIVE INFORMATION NECESSARY TO DETERMINE IF THE PATIENTS MET THE CRITERIA FOR FINANCIAL ASSISTANCE. THE ESTIMATED COST OF CHARITY AND THE COST OF DOUBTFUL ACCOUNTS ARE AS FOLLOWS. THE ESTIMATED COSTS ARE CALCULATED USING THE COSTS OF PROVIDING PATIENT CARE DIVIDED BY GROSS PATIENT SERVICE REVENUE. THE RATIO IS THEN MULTIPLIED BY THE GROSS CHARITY AND DOUBTFUL CHARGES TO DETERMINE ESTIMATED COSTS."BAD DEBT EXPENSE REPORTED ON LINE 2 FOR THE YEAR ENDED DECEMBER 31, 2011 WAS $5,669,989 AT CHARGES AND $1,696,461 AT COST.SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 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, SECTION B, LINE 8 - N/ASCHEDULE H, PART III, SECTION C, LINE 9BSSM CARDINAL GLENNON CHILDREN'S HOSPITAL HAS ESTABLISHED WRITTEN CREDIT AND COLLECTION POLICY AND PROCEDURES. THE BILLING AND COLLECTION POLICIES AND PRACTICES REFLECT THE MISSION AND VALUES OF SSM CARDINAL GLENNON CHILDREN'S HOSPITAL, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. THE HOSPITAL EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH IT PARTICIPATES BY ESTABLISHING SOUND BUSINESS PRACTICES. THE HOSPITAL'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 CHARITY CARE AND FINANCIAL ASSISTANCE. 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 CARDINAL GLENNON CHILDREN'S HOSPITAL'S COLLECTION AND CHARITY POLICIES. SCHEDULE H, PART VI, LINE 2: NEEDS ASSESSMENT PROCESS THE ANNUAL STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLANNING PROCESS HAS INCLUDED AN ASSESSMENT OF THE COMMUNITY'S NEEDS TO INCLUDE THE IDENTIFICATION OF SPECIFIC AND MEASUREABLE HEALTHY COMMUNITIES' INITIATIVES. OUR SYSTEM VISION FOR IMPROVED COMMUNITY HEALTH IS PURSUED IN ALL OF OUR WORK AT SSM HEALTH CARE FROM STRATEGIC PLANNING, FINANCIAL MANAGEMENT, AND DIRECT PATIENT CARE TO ADVOCACY, COMMUNITY PARTNERSHIPS AND HEALTHY COMMUNITIES INITIATIVES. OVERALL EFFORTS IN THIS AREA ARE COORDINATED THROUGH SSM HEALTH CARE'S COMMUNITY BENEFIT PROGRAM, WHICH FOCUSES ON ASSESSING AND IMPLEMENTING STRATEGIES TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS.SSM HEALTH CARE'S COMMITMENT TO COMMUNITY BENEFIT IS DEEPLY EMBEDDED INTO OUR ORGANIZATIONAL CULTURE AS REFLECTED IN OUR SYSTEM VISION STATEMENT WHICH READS: 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 WITHIN THE FINANCIAL LIMITS OF THE SYSTEM.SSM CARDINAL GLENNON CHILDREN'S HOSPITAL TAKES AN ACTIVE ROLE IN PARTICIPATING IN COMMUNITY ORGANIZATIONS AND TASK FORCES WHICH ARE FOCUSED ON STRENGTHENING THE COMMUNITY (I.E., SAFE KIDS, MISSOURI POISON CENTER, THE ST LOUIS CORD BLOOD BANK, AND REACH OUT AND READ). WE PARTICIPATE IN HEALTHY COMMUNITY INITIATIVES SPECIFIC TO THE INDIVIDUAL MARKET AREAS THAT WE SERVE.COMMUNITY BENEFIT IS DEFINED AS PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO COMMUNITY NEEDS; THEY ARE NOT PROVIDED FOR MARKETING PURPOSES. COMMUNITY BENEFIT PROGRAMS GENERATE A LOW OR NEGATIVE FINANCIAL RETURN, RESPOND TO NEEDS OF SPECIAL POPULATIONS SUCH AS PERSONS LIVING IN POVERTY AND OTHER DISENFRANCHISED PERSONS AND PUBLIC HEALTH NEEDS. GENERALLY THESE PROGRAMS OR SERVICES WOULD LIKELY BE DISCONTINUED - OR WOULD NEED TO BE PROVIDED BY ANOTHER NOT-FOR-PROFIT OR GOVERNMENT PROVIDER - IF THE DECISION WAS MADE ON A PURELY FINANCIAL BASIS. COMMUNITY BENEFIT PROGRAMS CAN ALSO INVOLVE EDUCATION OR RESEARCH THAT IMPROVE OVERALL COMMUNITY HEALTH. THE COMMUNITY BENEFIT PLAN DETAILS THE PLANNING, MEASUREMENT AND COMMUNICATION OF ITS COMMUNITY BENEFITS. THE THREE-MAIN ASPECTS OF COMMUNITY BENEFIT BEING THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH DETERMINES THE COMMUNITY NEEDS TO BE ADDRESSED BY THE HOSPITAL, THE COMMUNITY BENEFIT PLAN WHICH DETAILS STEPS TO BE ACCOMPLISHED TO MEET IDENTIFIED NEEDS, AND THE CBISA DATABASE WHICH DOCUMENTS ALL OF THE COMMUNITY BENEFIT ACTIVITIES FOR EACH YEAR. AT THE END OF EACH YEAR, THE CBISA COMMUNITY BENEFIT REPORT IS GIVEN TO MANAGEMENT, ADMINISTRATION AND THE SSMHC BOARD OF DIRECTORS IN ORDER TO EVALUATE AND IMPROVE THE PROGRAM. ONE OF THE FIRST STEPS FOR IDENTIFYING THE HIGH-PRIORITY HEALTH NEEDS OF OUR COMMUNITY IS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). A SUMMARY OF THE CARDINAL GLENNON COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS CAN BE FOUND ON PAGES 4 THROUGH 7 OF ITS CHNA. THE THREE STRATEGIC PRIORITIES OF THE CARDINAL GLENNON HOSPITAL COMMUNITY BENEFIT PLAN ARE: PEDIATRIC INJURY AND VIOLENCE, PARENTAL HEALTH LITERACY AND ASTHMA. DURING 2013, GOALS AND OBJECTIVES WERE ESTABLISHED TO CHANGE BEHAVIOR, PROVIDE METRICS TO MEASURE CHANGE, AND TO IMPACT THE OVERALL HEALTH OF THOSE WE SERVE. ALL OF THE COMMUNITY BENEFIT ACTIVITIES ARE DESIGNED TO MEET THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHICH WAS ADOPTED IN DECEMBER 2012. SCHEDULE H, PART IV LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEALL SSMHC 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 SSMHC, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. SSMHC 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.SSMHC APPLIES ITS CHARITY CARE POLICIES FAIRLY AND CONSISTENTLY. EACH PERSON IS TREATED AS AN INDIVIDUAL WITH SPECIFIC NEEDS FOR ASSISTANCE WITHOUT REGARD TO PAYMENT. SSMHC 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 EXCEEDS 20% OF THEIR GROSS FAMILY INCOME.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 INFORMATIONSSM CARDINAL GLENNON CHILDREN'S HOSPITAL DEFINES ITS PRIMARY SERVICE AREA AS THE ST LOUIS METROPOLITAN STATISTICAL AREA (MSA), A 12 COUNTY REGION WITH AN APPROXIMATE POPULATION OF 2.1 MILLION IN 2011. THIS INCLUDES 505,000 CHILDREN (AGES 0 - 17) WHO REPRESENT 24% OF THE REGION'S POPULATION. THE PEDIATRIC POPULATION IS PROJECTED TO GROW IN ST LOUIS CITY, WITH THE BIGGEST GROWTH PROJECTED TO OCCUR IN THE 3-9 AGE GROUP. THE NUMBER OF CHILDREN 0- 2 IS PROJECTED TO REMAIN FLAT. MORE THAN 80% OF THE PEDIATRIC POPULATION IN THE ST LOUIS MSA ARE BETWEEN THE AGES OF 3 - 17.THE MEDIAN HOUSEHOLD INCOME IN THE ST LOUIS MSA IS $69,077 AND APPROXIMATELY 31% OF THE POPULATION HAS A BACHELOR'S DEGREE OR GREATER. DISTRIBUTION OF RACE/ETHNICITY IN OUR COMMUNITY IS WHITE/CAUCASIAN: 74%; BLACK/AFRICAN-AMERICAN: 19%; HISPANIC: 3%; OTHER: 4%.DEMOGRAPHICS VARY CONSIDERABLY ACROSS THE ST LOUIS METROPOLITAN AREA. BECAUSE WE SUPPORT A WIDE RANGE OF LOCAL MARKETS AND CONSTITUENCIES, DEMOGRAPHICS ARE ALSO EVALUATED FOR OUR INDIVIDUAL SERVICE LINES AND CLINICAL DEPARTMENTS TO ENSURE WE FOCUS ON SPECIFIC COMMUNITY HEALTH NEEDS.ADDITIONAL INFORMATION CONCERNING THE CARDINAL GLENNON SERVICE AREA CAN BE FOUND ON PAGES 15 THROUGH 22 OF THE CHNA.SCHEDULE H, PART VI LINE 5: PROMOTION OF COMMUNITY HEALTHSSM HEALTH CARE'S MISSION STATEMENT IS "THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD". SSM CARDINAL GLENNON CHILDREN'S HOSPITAL PROVIDES MANY COMMUNITY BUILDING ACTIVITIES TO PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE. LISTED ARE THE PRIMARY INITIATIVE THAT WE SUPPORT AND THEIR IMPACT: A. PERINATAL OUTREACH SERVICES THE OUTREACH PROGRAM PROVIDES SERVICES TO PERINATAL CARE PROVIDERS IN MISSOURI AND ILLINOIS. THE PROGRAM IS DESIGNED TO IMPROVE OUTCOMES FOR MOTHERS AND BABIES THROUGH EDUCATIONAL PROGRAMS AND QUALITY IMPROVEMENT ACTIVITIES. PROGRAMS FOR BOTH PHYSICIANS AND NURSES INCLUDE TOPIC PRESENTATIONS, CASE REVIEWS, FETAL MONITORING CLASSES, NEONATAL RESUSCITATION PROGRAM TRAINING, AND THE STABLE PROGRAM, A COURSE IN THE STABILIZATION OF SICK OR PRETERM NEWBORNS. THE DEPARTMENT ALSO PARTICIPATES IN COMMUNITY ORGANIZATIONS AND BOARDS AS REQUESTED. A PRIMARY GOAL OF THE DEPARTMENT IS TO ASSIST HEALTH CARE PROFESSIONALS IN DEVELOPING AND PROVIDING QUALITY CARE FOR MOTHERS AND BABIES FOR IMPROVED OUTCOMES.B. SAFE KIDSCARDINAL GLENNON IS THE MISSOURI SPONSOR OF SAFE KIDS WORLDWIDE, AN ORGANIZATION DEDICATED TO INJURY PREVENTION FOR CHILDREN BIRTH TO 14 YEARS OF AGE. THE PARENT ORGANIZATION, SAFE KIDS WORLDWIDE, COORDINATES OVER 600 COALITIONS IN THE UNITED STATES AND MANY OTHERS IN VARIOUS COUNTRIES. THE PRIMARY FOCUS OF OUR LOCAL COALITION IS CHILD PASSENGER SAFETY, BECAUSE AUTOMOBILE CRASHES ARE THE NUMBER ONE CAUSE OF CHILD DEATHS IN MISSOURI AND THE UNITED STATES. THE LOCAL PROGRAM COMPRISES 55 AGENCIES IN ST LOUIS CITY, ST LOUIS COUNTY, WASHINGTON, JEFFERSON AND FRANKLIN COUNTIES TO PROVIDE CAR SEAT CHECKS TO CAREGIVERS AND ALSO TO PROVIDE LOW-COST CAR SEATS FOR LOW-INCOME FAMILIES. BEYOND CAR SEATS, SAFE KIDS PROVIDES EDUCATIONAL SERVICES AS REQUESTED BY COMMUNITIES FOR HOME SAFETY, POISON PREVENTION, PEDESTRIAN SAFETY, BICYCLE SAFETY, AND SAFE SLEEP. THE PROGRAM CONDUCTS NEEDS ASSESSMENTS TO DETERMINE AREAS FOR THE GREATEST IMPACT FOR SERVICES, AND ALSO WORKS CLOSELY WITH A NUMBER OF PEDIATRIC HOSPITALS, PEDIATRIC HOSPITAL DEPARTMENTS AND MULTIPLE AGENCIES TO PROVIDE GREATER SERVICE TO THOSE IN NEED. C. FOOTPRINTSFOOTPRINTS IS A PROGRAM OF ADVOCACY AND SUPPORT FOR CHILDREN LIVING WITH SERIOUS, COMPLEX ILLNESS. THE MISSION OF THE PROGRAM IS TO HAVE OUR CHILDREN, AND THEIR FAMILIES LIVE WELL ALONG THEIR JOURNEY. WE DEFINE "LIVING WELL" FOR EACH FAMILY BY FACILITATING CARE COORDINATION FOR THE CHILD; BY WORKING WITH THE FAMILY MEMBERS TO DEVELOP A FAMILY CENTERED PLAN OF CARE FOR THE CHILD THAT FOCUSES ON THE COMFORT OF THE CHILD AND RESPECTS THE VALUES AND BELIEFS OF THE FAMILY; AND BY COLLABORATING WITH THE HEALTH CARE TEAM TO ENSURE THE FAMILY GOALS ARE HONORED AND SUPPORTED BY ALL THOSE INVOLVED IN CARING FOR THE CHILD. FOOTPRINTS CHILDREN ARE FOLLOWED BY OUR STAFF WHILE IN THE HOSPITAL, DURING OUTPATIENT CLINIC VISITS, AND AT HOME BY MEANS OF NUMEROUS PHONE CALLS AND AT TIMES, HOME VISITS.FOR SOME CHILDREN, "LIVING WELL" MEANS BEING AT HOME WITH FAMILY AND FRIENDS, PETS, ETC., LIVING AS CLOSE TO "NORMAL" A LIFE AS POSSIBLE. FOR OTHERS, IT MEANS HAVING ACCESS TO COSTLY MEDICAL EQUIPMENT OR NURSING SERVICES THAT ARE NOT COVERED BY INSURANCE, BUT ARE NECESSARY TO KEEP THE CHILD COMFORTABLE AND "WELL" AS POSSIBLE. AND LASTLY, FOR OTHERS, IT MEANS RELIEF OF SOME OF THE EXTRAORDINARY EXPENSES RELATED TO CARING LONG TERM FOR A CHILD WITH SERIOUS ILLNESS. FUNDS RAISED FOR THE PROGRAM ALLOW US TO ADDRESS SOME OF THESE NEEDS.FOOTPRINTS STAFF PROVIDE EDUCATION TO THE LOCAL, REGIONAL, AND NATIONAL COMMUNITY AROUND BEST PRACTICE PEDIATRIC PALLIATIVE CARE. A THREE YEAR, ON GOING PARTNERSHIP WITH OTHERS IN CHILDREN'S HOSPITAL PROGRAMS IN THE STATE HAS ALLOWED US THE OPPORTUNITY TO ESTABLISH ACCESS TO PEDIATRIC PALLIATIVE CARE, SIMILAR TO THE FOOTPRINTS MODEL, IN THE MISSOURI CITIES OF SPRINGFIELD, CAPE GIRARDEAU, COLUMBIA AND OTHER SITES IN ST LOUIS.D. MISSOURI POISON CENTERTHE HOSPITAL RESPONDS TO THE NEEDS OF THE LOCAL AREA (INDEED, THE ENTIRE STATE OF MISSOURI) FOR EXPERT EVALUATION AND TREATMENT ADVICE FOR HUMAN EXPOSURES TO TOXIC CHEMICALS AND PRODUCTS, PLANTS, INSECTS, AND MEDICINES.THE POISON CENTER RESPONDS TO MORE THAN 193,000 CALLS FOR ASSISTANCE EACH YEAR, REPRESENTING APPROXIMATELY ONE CALL FOR EVERY 33 MISSOURIANS. SEVENTY-FOUR PERCENT OF CALLS ARE MANAGED OVER THE PHONE BY SPECIALLY TRAINED PHARMACISTS AND NURSES WORKING THE POISON HOTLINE, AVOIDING UNNECESSARY AND COSTLY EMERGENCY DEPARTMENT, LABORATORY AND PHYSICIAN FEES. (FOR EVERY $1 SPENT ON POISON CENTER SERVICES, $12 IN HEALTH CARE COSTS ARE AVOIDED.) THESE FIGURES ALONE ATTEST TO THE NEED FOR THE POISON CENTER AS A PUBLIC GOOD. ALTHOUGH ACCIDENTAL EXPOSURES IN CHILDREN UNDER THE AGE OF 5 ARE MOST FREQUENTLY THE REASON FOR A CALL, OTHER SITUATIONS INCLUDE SUBSTANCE ABUSE AMONG YOUTH AND ADULTS, MEDICATION ERRORS IN OLDER ADULTS, AND EXPOSURES AT THE WORKPLACE. THUS, ALL AGES AND ALL STATES OF LIFE HAVE NEED FOR THE POISON CENTER. NO OTHER AGENCIES OR PROGRAMS EXISTS TO FILL THIS NEED IN MISSOURI. TOLL-FREE TELEPHONE AVAILABILITY OF THE POISON CENTER SIGNIFICANTLY IMPROVES ACCESS TO EXPERT ADVICE FOR THE POPULATION IN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS, HEALTH PROFESSIONAL SHORTAGE AREAS AND IMPOVERISHED COUNTIES FOR WHOM ACCESS TO OTHER HEALTH CARE MAY BE LIMITED. LIKEWISE, POISON CENTER TELEPHONE-BASED SERVICE TO THE POPULATION IN THE STATE'S FOUR METROPOLITAN AREAS GIVES MANY MEDICALLY UNDERSERVED PERSONS AND DISADVANTAGED MINORITIES OTHER OPTIONS FOR CARE FOR POISONING EMERGENCIES BESIDES OVERCROWDED CITY HOSPITALS. SUCH UNIVERSAL ACCESS TO A CENTRAL HEALTH RESOURCE ACTS TO REDUCE HEALTH DISPARITIES FOR SOME OF OUR MOST VULNERABLE POPULATIONS.PUBLIC EDUCATION PRESENTATIONS ARE ALSO MADE AVAILABLE THROUGHOUT THE STATE TO TEACH THE BASIC STRATEGIES OF POISON PREVENTION. THIS EMPOWERS AND ENABLES MEMBERS OF THE COMMUNITY TO ACT EFFECTIVELY FOR THEIR OWN SAFETY.E. ST. LOUIS CORD BLOOD BANKTHE ST. LOUIS CORD BLOOD BANK, ONE OF THE LARGEST PUBLIC CORD BLOOD BANKS IN THE WORLD, RECEIVED LICENSURE APPROVAL FROM THE U.S. FOOD AND DRUG ADMINISTRATION TO MANUFACTURE AND DISTRIBUTE CORD BLOOD DERIVED STEM CELL PRODUCTS IN 2013. IT WAS THE FIRST BANK IN THE REGION AND THE FOURTH BANK IN THE WORLD TO EARN THIS HIGH DISTINCTION. THE BLOOD BANK WORKS WITH MORE THAN 450 DOCTORS AT 29 HOSPITALS THROUGHOUT EASTERN MISSOURI AND SOUTHERN ILLINOIS AS WELL AS SAINT LUKE'S CORD BLOOD PROGRAM IN KANSAS CITY, MISSOURI.THE ST. LOUIS CORD BLOOD BANK COLLECTS, PROCESSES AND STORES UMBILICAL CORD BLOOD, PROVIDING A LIFE-SAVING USE FOR A BIRTH BY-PRODUCT THAT WOULD OTHERWISE BE DISCARDED AS MEDICAL WASTE. CORD BLOOD CAN BE USED TO TREAT MORE THAN 70 DISEASES, INCLUDING LEUKEMIA AND SICKLE-CELL ANEMIA. SINCE 1995, OVER 140,000 FAMILIES HAVE DONATED THEIR CHILD'S CORD BLOOD IN THE HOPE OF SAVING THE LIFE OF ANOTHER UNRELATED PERSON. THE BANK HAS DISTRIBUTED NEARLY 2,500 OF THESE CORD BLOOD UNITS FOR TRANSPLANT WORLDWIDE SAVING MORE THAN 1,850 LIVES SINCE IT BEGAN. MORE THAN 24,000 UNITS REMAIN IN STORAGE AT THE ST. LOUIS CORD BLOOD BANK, AVAILABLE TO TREAT PATIENTS WITH AN APPROPRIATE MATCH OR PROVIDE THE MATERIAL TO BETTER UNDERSTAND THE BIOLOGY OF STEM CELLS AND EXPAND APPLICATIONS FOR MORE TREATMENTS.F. PACTS FOR LIFE/PALSPACTS FOR LIFE (PEDIATRIC ADVANCED CARDIORESPIRATORY AND TRAUMA SUPPORT FOR LIFE) WAS CREATED BY CARDINAL GLENNON EMERGENCY PHYSICIAN ANTHONY SCALZO, M.D., AND PROVIDES TRAINING FOR CAREGIVERS IN EMERGENCY LIFE SUPPORT. PALS (PEDIATRIC ADVANCED LIFE SUPPORT) IS THE RESULT OF A COLLABORATION BETWEEN THE AMERICAN HEART ASSOCIATION (AHA) AND THE AMERICAN ACADEMY OF PEDIATRICS. THE COURSES ARE DESIGNED TO PROVIDE CAREGIVERS WITH SKILLS WHICH WILL ENABLE THEM TO BOTH RECOGNIZE THE POTENTIAL FOR RESPIRATORY AND/OR CARDIAC ARREST IN INFANTS AND CHILDREN, AND INTERVENE IN AN APPROPRIATE MANNER BY PROVIDING A SYSTEMIC APPROACH TO THESE PATIENTS. THE COURSES ARE OFFERED TO PHYSICIANS, NURSES, PARAMEDICS, RESPIRATORY THERAPISTS, AND OTHER HEALTH CARE PROVIDERS, AND CARRY CONTINUING EDUCATION CREDITS.G. SCHOOL PARTNERSHIP PROGRAMCHILDREN WHO ARE HOSPITALIZED OR WHO LIVE WITH CHRONIC ILLNESS BENEFIT FROM KEEPING MUCH OF THEIR REGULAR ROUTINES FROM THEIR LIVES OUTSIDE THE HOSPITAL. ATTENDING SCHOOL, WORKING ON SCHOOL ACADEMICS AND COMPLETING SCHOOLWORK ARE A HEALTHY PART OF A CHILD'S LIFE ROUTINE. PARTICIPATING IN SCHOOL ACTIVITIES CAN GIVE CHILDREN HOPE OF RETURNING TO NORMAL EVENTS. TO MEET THIS VERY IMPORTANT NEED FOR NORMALCY AND DEVELOPMENT, CARDINAL GLENNON HAS ITS VERY OWN SCHOOL, THE SHINING STAR SCHOOL. SHINING STAR SCHOOL HELPS PROMOTE GENERAL ACADEMIC DEVELOPMENT, SOCIAL AND EMOTIONAL DEVELOPMENT AS WELL AS THE OVERALL WELL-BEING OF INDIVIDUAL CHILDREN AND GROUPS IN THE HOSPITAL SETTING. H. COMMUNITY EDUCATION CARDINAL GLENNON PROVIDES EDUCATION CLASSES AT VARIOUS EVENTS THROUGHOUT THE AREA INCLUDING: SCHOOL TOOLS FOR NURSES THROUGH THE SCHOOL NURSE PARTNERSHIP AND COORDINATING ACTIVITIES/PRESENTATIONS TO OUTSIDE SPECIAL GROUPS REGARDING CHILD LIFE, INCLUDING COORDINATING SERVICE PROJECT VOLUNTEERS; RALLY SQUIRREL SAFETY TREEHOUSE IN THE DAN DIERDORF EMERGENCY CENTER WHICH PROVIDES TOOLS TO EDUCATE PARENTS IN THE AREAS OF ENVIRONMENTAL SAFETY, HOME SAFETY, DISASTER PREPAREDNESS, AND SPORTS SAFETY TO DECREASE THE RISK OF PEDIATRIC INJURY; I. DOROTHY AND LARRY DALLAS HEART CENTERTHE DOROTHY AND LARRY DALLAS HEART CENTER PROVIDES COMPREHENSIVE HEART CARE FOR CHILDREN WITH HEART DEFECTS AND OTHER PROBLEMS. THROUGH ADVANCED DIAGNOSED IMAGING, HEART EXPERTS CAN DETERMINE IF A BABY HAS A HEART PROBLEM WHILE STILL IN THE WOMB AND WORK WITH THE FAMILY TO DETERMINE THE BEST COURSE OF ACTION TO TREAT THE ISSUE. THE DALLAS HEART CENTER HAS THE MOST ADVANCED DIAGNOSTIC EQUIPMENT TO LEARN MORE ABOUT A CHILD'S HEART THROUGH LESS INVASIVE PROCEDURES. DIGITAL ECHO TECHNOLOGY AND A CARDIAC ULTRASOUND MACHINE WITH ADVANCED 3D IMAGING ALLOW DOCTORS TO SEE 3D HEART IMAGING IN REAL TIME TO MAKE THE MOST ACCURATE DIAGNOSIS.J. ST. LOUIS FETAL CARE INSTITUTETHE ST. LOUIS FETAL CARE INSTITUTE SERVES FAMILIES ACROSS THE COUNTRY BY OFFERING THE MOST COMPREHENSIVE FETAL CARE PROGRAM IN MIDDLE AMERICA. A MULTI-DISCIPLINARY TEAM OF PEDIATRIC AND HIGH-RISK MATERNITY EXPERTS ARE ABLE TO TREAT LIFE-THREATENING CONDITIONS IN BABIES BEFORE BIRTH. ALTHOUGH MANY FETAL CONDITIONS REQUIRE ONLY CAREFUL MONITORING AND PREPARATION FOR THE BABY'S BIRTH, MANY CONDITIONS THAT THREATEN A BABY'S QUALITY OF LIFE CAN BE SURGICALLY CORRECTED WHILE THE BABY IS STILL IN THE WOMB. IN CONDITIONS SUCH AS TWIN-TWIN TRANSFUSION SYNDROME, CONGENITAL DIAPHRAGMATIC HERNIA, AMNIOTIC BAND SYNDROME AND LARGE TUMORS, PHYSICIANS HAVE BEEN ABLE TO PROVIDE LIFE-CHANGING INTERVENTION TO ALLOW A BABY TO BE BORN HEALTHY.BABIES WITH MYELOMENINGOCELE, THE MOST SEVERE FORM OF SPINA BIFIDA, HAVE BEEN SIGNIFICANTLY HELPED THROUGH SURGICAL INTERVENTION. THE INTERNATIONALLY KNOWN MOMS TRIAL DETERMINED THAT BABIES WHO HAVE THEIR SPINA BIFIDA ADDRESSED THROUGH SURGERY IN THE WOMB HAVE BETTER FUNCTION AND DO BETTER AS THEY AGE THAN BABIES WHO DID NOT RECEIVE SURGICAL INTERVENTION. THE ST. LOUIS FETAL CARE INSTITUTE HAS BECOME ONE OF THE ONLY CENTERS IN THE COUNTRY TO PROVIDE THIS TYPE OF LIFE-CHANGING SURGERY AND HAS HELPED A NUMBER OF CHILDREN WHOSE LIVE WOULD HAVE OTHERWISE BEEN SIGNIFICANTLY DIFFERENT.K. IMAGING CENTERSSM CARDINAL GLENNON CHILDREN'S MEDICAL CENTER OPENED ITS NEW IMAGING CENTER IN NOVEMBER 2012. THE NEW SPACE FEATURES THE LOWEST RADIATION DOSE AVAILABLE FOR PEDIATRIC IMAGING ANYWHERE IN THE COUNTRY, ENSURING THAT PATIENTS WHO NEED A CT SCAN WILL RECEIVE SIGNIFICANTLY DECREASED RADIATION EXPOSURE.THE IMAGING CENTER FEATURES TWO NEW 128-SLICE CT SCANNERS THAT WILL PROVIDE SIGNIFICANTLY ENHANCED DIAGNOSTIC IMAGING CAPABILITIES WHILE PROVIDING THE SAFEST IMAGING THROUGH DOSE REDUCTION SOFTWARE. SSM CARDINAL GLENNON'S 128-SLICE SCANNER, IN ADDITION TO PROVIDING THE LOWEST RADIATION DOSE POSSIBLE, CAN SCAN FASTER, RESULTING IN A DECREASE OF PATIENTS WHO REQUIRE SEDATION.THE IMAGING CENTER ALSO INTRODUCES AN INTERACTIVE MRI SUITE DESIGNED TO PROVIDE COMFORT AND DISTRACTION TECHNIQUES TO CHILDREN. CHILDREN CAN USE AN IPAD TO SELECT COLOR "THEMES" FOR THE MRI SUITE. THEIR SELECTED THEME IS REFLECTED THROUGHOUT THE ROOM WITH LIGHT-UP WALLS AND LIGHTS. CHILDREN CAN ALSO SELECT A FAVORITE VIDEO TO WATCH ON A FLAT-PANEL TV MOUNTED ABOVE THE MRI.L. KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTERTHE KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER OPENED ITS NEW FACILITY IN MAY 2013. THIS 11,000-SQUARE-FOOT SPACE IS DEDICATED TO HELPING CHILDREN WITH AUTISM AND OTHER NEURODEVELOPMENTAL DISORDERS. THE NEW FACILITY ENABLES EXPERTS TO SEE CHILDREN WITH SPECIAL NEEDS IN A HEALTH CARE SETTING DEVELOPED JUST FOR THEM, OUTSIDE THE DISTRACTIONS OF THE HOSPITAL.THE KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER AT SSM CARDINAL GLENNON HELPS CHILDREN WITH AUTISM AND NEURODEVELOPMENTAL DISORDERS TO REACH THEIR HIGHEST POTENTIAL THROUGH COMPREHENSIVE EVALUATION, CARE, FAMILY GUIDANCE, EDUCATION AND INNOVATIVE RESEARCH.CHILDREN WITH AUTISM SPECTRUM DISORDERS RECEIVE INNOVATIVE CARE TO TREAT THEIR COMPLEX DIAGNOSES. THE MULTI-DISCIPLINARY PROVIDES APPLIED BEHAVIORAL ANALYSIS, SPEECH AND LANGUAGE THERAPY, OCCUPATIONAL THERAPY AND PHYSICAL THERAPY AS NEEDED TO CHILDREN WITH AUTISM. A PEERS SOCIAL SKILL PROGRAM TEACHES CHILDREN WITH AUTISM HOW TO INTERACT WITH OTHERS, WHICH IS OFTEN CHALLENGING FOR CHILDREN ON THE AUTISM SPECTRUM DISORDER.THE KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER ALSO HAS A DOG THERAPY PROGRAM. TRAINED THERAPY DOG HIGGINS, A GOLDENDOODLE, WORKS WITH CHILDREN TO MAKE THEM MORE COMFORTABLE WITH MEDICAL TREATMENT AND PROVIDE DISTRACTION DURING THERAPY SESSIONS.M. PEDIATRIC RESEARCH INSTITUTETHE PEDIATRIC RESEARCH INSTITUTE OPERATES TO IMPROVE AND ASSURE THE HEALTH AND SAFETY OF CHILDREN IN THE GREATER ST LOUIS AREA. BU PROMOTING RESEARCH THAT ADVANCES THE KNOWLEDGE AND MANAGEMENT OF CHILDHOOD HEALTH AND DISEASES, A NUMBER OF NATIONALLY KNOWN PHYSICIAN-SCIENTISTS CONDUCT RESEARCH THAT CAN BE APPLIED TO THE CLINICAL SETTING TO IMPROVE DISEASE PREVENTION AND TREATMENT. ONGOING PROGRAMS INCLUDE THE STUDY OF PEDIATRIC INFECTIONS AND VACCINE DEVELOPMENT, CARDIAC TRANSPLANT REJECTION, LIVER DISEASE, METABOLIC DISEASES AND NEONATAL LUNG INFLAMMATION.N. COMMUNITY OUTREACHCARDINAL GLENNON SUPPORTS NUMEROUS OUTREACH PROGRAMS THROUGHOUT THE COMMUNITY INCLUDING: HOLDING A FREE PUBLIC FLU CLINIC PROVIDING FREE FLU SHOTS TO 456 PEOPLE; SPONSORING A MILK DEPOT OR "DROP OFF" FOR MOTHERS IN THE COMMUNITY THAT WANT TO DONATE BREAST MILK TO THE MILK BANK; SERVING AS BOARD MEMBERS FOR ORGANIZATIONS PROMOTING COMMUNITY HEALTH RELATED ENDEAVORS; PROVIDING FUNDING FOR MEDICATION FOR CHILDREN WHEN FAMILIES ARE UNABLE TO PAY; DONATING MEDICATION TO MISSION TRIPS; PROVIDING MEAL TICKETS AND CAB FARE TO FAMILY MEMBERS OF PATIENTS; PROVIDING CONFERENCE ROOM SPACE TO ORGANIZATIONS ALIGNED WITH OUR MISSION/VALUES.O. NATIONALLY RECOGNIZED CARDINAL GLENNON HAS BEEN RANKED AMONG THE COUNTRY'S TOP PEDIATRIC HEART AND NEONATOLOGY PROGRAMS IN U.S. NEWS AND WORLD REPORT'S 2013 -14 BEST CHILDREN'S HOSPITALS RANKINGS. CARDINAL GLENNON RANKED 46TH IN PEDIATRIC CARDIOLOGY/HEART SURGERY AND 45TH IN NEONATOLOGY. CARDINAL GLENNON IS EXPANDING THE DANA BROWN NEONATAL INTENSIVE CARE UNIT FROM 60 TO 65 ALL-PRIVATE ROOMS, CARDINAL GLENNON HAS A LEVEL IV NICU, THE HIGHEST DESIGNATION AVAILABLE. GLENNON 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,- HAS A GOVERNING BODY IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY- ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS,- PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS - CARDINAL GLENNON IS COMMITTED TO PROVIDING A HIGH QUALITY PATIENT CARE DELIVERY SYSTEM WHICH INCLUDES THE REINVESTMENT OF SURPLUS FUNDSSCHEDULE H, PART VI LINE 6: AFFILIATED HEALTH CARE SYSTEMSSM CARDINAL GLENNON HOSPITAL IS A 501(C)(3) NON PROFIT CORPORATION OPERATING A CHILDREN'S HOSPITAL WHICH SERVES A 12 COUNTY AREA SURROUNDING THE ST LOUIS METROPOLITAN AREA. IT IS THE ONLY CHILDREN'S HOSPITAL IN THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH CARE.SCHEDULE H, PART VI LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORTTHE SSM HEALTH CARE ANNUAL CONSOLIDATED COMMUNITY BENEFIT REPORT IS FILED IN ILLINOIS, MISSOURI, OKLAHOMA, AND WISCONSIN. 1 ILLINOIS HOSPITAL RESEARCH AND EDUCATION FOUNDATION 1151 EAST WARRENVILLE RD NAPERVILLE IL 60566 237421930 501(C)(3) 20754 GENERAL PROGRAM SUPPORT JUVENILE DIABETES RESEARCH FOUNDATION INTERNATIONAL 50 CRESTWOOD EXEC CENTER STE 401 ST LOUIS MO 63126 231907729 501(C)(3) 5000 GENERAL PROGRAM SUPPORT GREATER EDWARDSVILLE AREA COMMUNITY FOUNDATION PO BOX 102 EDWARDSVILLE IL 62025 367146151 501(C)(3) 5000 GENERAL PROGRAM SUPPORT 3 0 PROVIDE MEALS TO PATIENTS' FAMILY MEMBERS 13337 CAR SEATS/BOOSTER SEATS/BIKE HELMETS 1419 33754 BUS PASSES/TAXI FOR PATIENTS' FAMILY MEMBERS 15175 PART I, LINE 2: GRANTS ARE PROVIDED ONLY TO REGIONAL AND NATIONAL 501(C)(3) ORGANIZATIONS. THESE ORGANIZATION ARE EXPECTED TO MAINTAIN ADEQUATE CONTROLS REGARDING THE USE OF GRANT FUNDS FOR THEIR INTENDED PURPOSES. MEAL TICKETS AND BUS PASSES/TAXI SERVICES ARE GIVEN TO FAMILY MEMBERS WHOSE LOVED ONES ARE HOSPITALIZED AND WHO DO NOT HAVE THE FUNDS TO MEET THESE NEEDS. THE ORGANIZATION DOES NOT KEEP TRACK OF THE NUMBER OF INDIVIDUALS SERVED UNDER THESE GRANTS. X 1 1 1 1 0 0 0 0 0 0 0 DANIEL BAUMANN MD DIRECTOR 0 222956 0 0 0 7092 0 0 0 25051 0 255099 0 0 DONALD E BINZ II MD DIRECTOR 0 330376 0 0 0 7524 0 0 0 37026 0 374926 0 0 WILLIAM P THOMPSON DIRECTOR & VICE PRES 0 1404608 0 0 0 1016464 0 811381 0 30589 0 3263042 0 59150 CHRISTOPHER HOWARD DIRECTOR & PRESIDENT 0 806003 0 0 0 87657 0 -1097 0 31003 0 923566 0 40320 PAULA FRIEDMAN VICE PRESIDENT 0 523635 0 0 0 73164 0 -2191 0 17680 0 612288 0 32970 KRIS A ZIMMER TREASURER 0 763126 0 0 0 73127 0 40169 0 27839 0 904261 0 45360 JUNE L PICKETT SECRETARY 0 226100 0 0 0 29954 0 -119886 0 23014 0 159182 0 8680 SHERLYN HAILSTONE HOSPITAL PRESIDENT 0 540980 0 0 0 89095 0 45395 0 25198 0 700668 0 36540 KAREN REWERTS SYSTEM VP FINANCE 0 501034 0 0 0 42306 0 -14073 0 10774 0 540041 0 18280 STEVEN BARNEY PY VICE PRESIDENT 0 354279 0 0 0 238164 0 -236820 0 12867 0 368490 0 0 KEVIN TODD JOHNSON REG VP - MEDICAL AFFAIRS 0 560471 0 0 0 50599 0 22299 0 33373 0 666742 0 19280 LEANN ZERKEL VP PATIENT CARE 161079 0 0 0 28984 0 -128032 0 18138 0 80169 0 0 0 DEBORAH G WALKENHORST SYSTEM VP HUMAN RES 0 350700 0 0 0 25219 0 16730 0 17871 0 410520 0 12720 DAMON HARBISON VP OPERATIONS 184335 0 0 0 8773 0 11883 0 22926 0 227917 0 6280 0 PUSHPA PATEL PHYSICIAN 324691 0 0 0 10215 0 14683 0 19445 0 369034 0 0 0 MAX BURGDORF PHYSICIAN 254650 0 0 0 6270 0 3700 0 22200 0 286820 0 0 0 TIMOTH REED PHYSICIAN 255312 0 0 0 1714 0 -2971 0 18552 0 272607 0 0 0 TIMOTH STAED PHYSICIAN 233270 0 0 0 1186 0 265472 0 24544 0 524472 0 0 0 WILLIAM SCHOENHARD FORMER OFFICER 0 0 0 0 0 274359 0 -296128 0 18492 0 -3277 0 0 ROBERT PORTER FORMER KEY EMPLOYEE 0 3609 0 0 0 528958 0 -51201 0 18178 0 499544 0 30660 LYNN LENKER FORMER KEY EMPLOYEE 0 308073 0 0 0 56731 0 27092 0 25374 0 417270 0 12440 PART I, LINE 1A THE FOLLOWING INDIVIDUAL LISTED ON SCHEDULE J PART II RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENT IN 2013. THE PAYMENT WAS INCLUDED IN THEIR TAXABLE COMPENSATION. PUSHPA PATEL PART I, LINE 3 COMPENSATION TO TOP MANAGEMENT OFFICIAL: THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (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 CARE (SSMHC) PRESIDENT/CEO. PART I, LINES 4A-B SEVERANCE PLAN: 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. WILLIAM SCHOENHARD $277,333 PART I, LINE 4B: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS PENSION RESTORATION PLAN: SSM HEALTH CARE (SSMHC) PROVIDES THIS SUPPLEMENTAL DEFINED BENEFIT NONQUALIFIED RETIREMENT PLAN TO ANY EMPLOYEE WHO IS A PARTICIPANT IN THE SSMHC 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 SSMHC'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 SSMHC OR (2) AGE 55 OR OLDER IF THE INDIVIDUAL IS NO LONGER EMPLOYED BY SSMHC. NO REPORTABLE INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THIS PLAN DURING 2013. CAPITAL ACCUMULATION PLAN: SSMHC 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 SSMHC 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 2013. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUALS' TAXABLE COMPENSATION. STEVEN BARNEY $148,902 ROBERT PORTER $65,817 WILLIAM THOMPSON $59,209 CHRISTOPHER HOWARD $52,082 KRIS ZIMMER $45,405 SHERLYN HAILSTONE $43,212 PAULA FRIEDMAN $33,003 KAREN REWERTS $21,790 LYNN LENKER $19,930 KEVIN TODD JOHNSON $19,299 JUNE PICKETT $19,086 LEANN ZERKEL $14,340 DEBORAH WALKENHORST $12,733 DAMON HARBISON $7,430 X MEDICAL EQUIP 1 146400 COST OR SELLING PRIC X EMERGENCY PRE 2 3692 COST OR SELLING PRIC 0 0 1 0 PART I, COLUMN (B): THE AMOUNT IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART I, DOING BUSINESS AS: SSM CARDINAL GLENNON CHILDREN'S HOSPITAL CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING REGISTERED NAMES: 1. CARDINAL GLENNON CHILDREN'S HOSPITAL 2. CARDINAL GLENNON CHILDREN'S HOSPITAL ACC PHARMACY 3. CARDINAL GLENNON CHILDREN'S HOSPITAL AMBULATORY CARE CENTER PHARMACY 4. CARDINAL GLENNON CHILDREN'S MEDICAL CENTER 5. CARDINAL GLENNON PEDIATRIC SURGERY CENTER (FEIN: 43-0738490) 6. GLENNON CARE 7. GLENNON CARE FOR KIDS 8. GLENNON CARE PEDIATRICS 9. GLENNON CARE PEDIATRIC ASSOCIATES 10. GLENNON CARE PROFESSIONAL SERVICES (FEIN: 43-1790606) 11. MISSOURI POISON CENTER 12. SAFE KIDS ST. LOUIS 13. ST. LOUIS CORD BLOOD BANK 14. SSM CARDINAL GLENNON CHILDREN'S MEDICAL CENTER 15. SSM GLENNON CARE FOR KIDS 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 CARE (SSMHC) HAS EXISTED TO MEET THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. AS OF NOVEMBER 15, 2013, WITH VATICAN APPROVAL, THE FRANCISCAN SISTERS OF MARY TRANSITIONED SPONSORSHIP OF SSMHC TO SSM HEALTH MINISTRIES. SSM HEALTH MINISTRIES IS AN INDEPENDENT 6-MEMBER BODY COMPRISED OF THREE FRANCISCAN SISTERS OF MARY AND THREE LAY PEOPLE WHO COLLECTIVELY HOLD CERTAIN RESERVED POWERS OVER SSMHC. HEADQUARTERED IN ST LOUIS, MISSOURI, SSMHC OWNS AND OPERATES 18 ACUTE CARE HOSPITALS, ONE CHILDREN'S HOSPITAL, TWO LONG-TERM CARE FACILITIES, AN EXTENSIVE NETWORK OF PHYSICIAN PRACTICE OPERATIONS, AND OTHER HEALTH CARE BUSINESSES LOCATED PRIMARILY IN MISSOURI, OKLAHOMA, WISCONSIN, AND ILLINOIS. THE HEALTH SYSTEM EMPLOYS APPROXIMATELY 30,000 PEOPLE AND IS AFFILIATED WITH MORE THAN 8,000 PHYSICIANS. IN THE TRADITION OF ITS FOUNDING SISTERS, SSMHC 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 CORPORATION'S APPROACH TO PROVIDING COMMUNITY BENEFIT: SSM CARDINAL GLENNON CHILDREN'S HOSPITAL TAKES AN ACTIVE ROLE IN PARTICIPATING IN COMMUNITY ORGANIZATIONS AND TASK FORCES WHICH ARE FOCUSED ON STRENGTHENING THE COMMUNITY (I.E., SAFE KIDS, MISSOURI POISON CENTER, THE ST LOUIS CORD BLOOD BANK, AND REACH OUT AND READ). WE PARTICIPATE IN HEALTHY COMMUNITY INITIATIVES SPECIFIC TO THE INDIVIDUAL MARKET AREAS THAT WE SERVE. COMMUNITY BENEFIT IS DEFINED AS PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO COMMUNITY NEEDS; THEY ARE NOT PROVIDED FOR MARKETING PURPOSES. COMMUNITY BENEFIT PROGRAMS GENERATE A LOW OR NEGATIVE FINANCIAL RETURN, RESPOND TO NEEDS OF SPECIAL POPULATIONS SUCH AS PERSONS LIVING IN POVERTY AND OTHER DISENFRANCHISED PERSONS AND PUBLIC HEALTH NEEDS. GENERALLY THESE PROGRAMS OR SERVICES WOULD LIKELY BE DISCONTINUED - OR WOULD NEED TO BE PROVIDED BY ANOTHER NOT-FOR-PROFIT OR GOVERNMENT PROVIDER - IF THE DECISION WAS MADE ON A PURELY FINANCIAL BASIS. COMMUNITY BENEFIT PROGRAMS CAN ALSO INVOLVE EDUCATION OR RESEARCH THAT IMPROVE OVERALL COMMUNITY HEALTH. THE CARDINAL GLENNON COMMUNITY BENEFIT PLAN DETAILS THE PLANNING, MEASUREMENT AND COMMUNICATION OF ITS COMMUNITY BENEFITS. THE THREE-MAIN ASPECTS OF COMMUNITY BENEFIT BEING THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH DETERMINES THE COMMUNITY NEEDS TO BE ADDRESSED BY THE HOSPITAL, THE COMMUNITY BENEFIT PLAN WHICH DETAILS STEPS TO BE ACCOMPLISHED TO MEET IDENTIFIED NEEDS, AND THE CBISA DATABASE WHICH DOCUMENTS ALL OF THE COMMUNITY BENEFIT ACTIVITIES FOR EACH YEAR. AT THE END OF EACH YEAR, THE CBISA COMMUNITY BENEFIT REPORT IS GIVEN TO MANAGEMENT, ADMINISTRATION AND THE SSMHC BOARD OF DIRECTORS IN ORDER TO EVALUATE AND IMPROVE THE PROGRAM. DESCRIBE THE CORPORATION'S FINANCIAL ASSISTANCE POLICIES OR PROGRAMS (I.E. CHARITY CARE, DISCOUNTING) FOR LOW-INCOME PERSONS AND HOW THEY ARE COMMUNICATED TO THE PUBLIC: ALL SSMHC 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 WILL REFLECT THE MISSION AND VALUES OF SSMHC, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. SSMHC 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. SSMHC WILL APPLY ITS CHARITY CARE POLICIES FAIRLY AND CONSISTENTLY. EACH PERSON WILL BE TREATED AS AN INDIVIDUAL WITH SPECIFIC NEEDS FOR ASSISTANCE WITHOUT REGARD TO PAYMENT. SSMHC 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 EXCEEDS 20% OF THEIR GROSS FAMILY INCOME. 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 WILL BE EASY TO UNDERSTAND BY THE GENERAL PUBLIC, CULTURALLY APPROPRIATE AND AVAILABLE IN THOSE LANGUAGES THAT ARE PREVALENT IN THE COMMUNITY. THEY WILL PROVIDE INFORMATION ABOUT: - THE PATIENT'S RESPONSIBILITY FOR PAYMENT, - THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND ENTITY CHARITY CARE AND PAYMENT ARRANGEMENTS, - THE ENTITIES CHARITY POLICY AND APPLICATION PROCESS, AND - WHO TO CONTACT TO GET ADDITIONAL INFORMATION OR FINANCIAL COUNSELING. THE FOLLOWING TYPES OF NOTICES TO THE PUBLIC SHALL BE PROVIDED: - SIGNS IN THE EMERGENCY DEPARTMENT, OUTPATIENT AND INPATIENT REGISTRATION AND PUBLIC WAITING AREAS. - BROCHURES OR FLIERS PROVIDED AT TIME OF REGISTRATION AND AVAILABLE IN THE FINANCIAL COUNSELING AREAS. - NOTICES SENT WITH OR ON PATIENT BILLS OR COMMUNICATIONS SENT TO PATIENTS AND GUARANTORS RELATED TO MEDICAL SERVICES. - APPLICATIONS PROVIDED TO UNINSURED PATIENTS AT THE TIME OF REGISTRATION. THE APPLICATION FOR CHARITY CARE, TOGETHER WITH ANY INSTRUCTIONS, MUST CLEARLY STATE THE POLICIES REGARDING CHARITY CARE, INCLUDING EXCLUDED SERVICES, ELIGIBILITY CRITERIA AND DOCUMENTATION REQUIREMENTS. INFORMATION ABOUT THE ENTITY'S CHARITY POLICIES WILL ALSO BE PROVIDED TO PUBLIC AGENCIES. ORGANIZATION DESCRIPTION FOR TAX EXEMPTION: SSMHC HOSPITALS - OPERATE AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY, - HAVE AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, - HAVE A GOVERNING BODY IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY - ENGAGE IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS, - PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS - CARDINAL GLENNON IS COMMITTED TO PROVIDING A HIGH QUALITY PATIENT CARE DELIVERY SYSTEM WHICH INCLUDES THE REINVESTMENT OF SURPLUS FUNDS. DESCRIBE THE COMMUNITY BENEFIT PROGRAMS: SSM CARDINAL GLENNON CHILDREN'S HOSPITAL PROVIDES MANY COMMUNITY BUILDING ACTIVITIES TO PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE. LISTED ARE THE PRIMARY INITIATIVE THAT WE SUPPORT AND THEIR IMPACT: A. PERINATAL OUTREACH SERVICES THE OUTREACH PROGRAM PROVIDES SERVICES TO PERINATAL CARE PROVIDERS IN MISSOURI AND ILLINOIS. THE PROGRAM IS DESIGNED TO IMPROVE OUTCOMES FOR MOTHERS AND BABIES THROUGH EDUCATIONAL PROGRAMS AND QUALITY IMPROVEMENT ACTIVITIES. PROGRAMS FOR BOTH PHYSICIANS AND NURSES INCLUDE TOPIC PRESENTATIONS, CASE REVIEWS, FETAL MONITORING CLASSES, NEONATAL RESUSCITATION PROGRAM TRAINING, AND THE STABLE PROGRAM, A COURSE IN THE STABILIZATION OF SICK OR PRETERM NEWBORNS. THE DEPARTMENT ALSO PARTICIPATES IN COMMUNITY ORGANIZATIONS AND BOARDS AS REQUESTED. A PRIMARY GOAL OF THE DEPARTMENT IS TO ASSIST HEALTH CARE PROFESSIONALS IN DEVELOPING AND PROVIDING QUALITY CARE FOR MOTHERS AND BABIES FOR IMPROVED OUTCOMES. B. SAFE KIDS CARDINAL GLENNON IS THE MISSOURI SPONSOR OF SAFE KIDS WORLDWIDE, AN ORGANIZATION DEDICATED TO INJURY PREVENTION FOR CHILDREN BIRTH TO 14 YEARS OF AGE. THE PARENT ORGANIZATION, SAFE KIDS WORLDWIDE, COORDINATES OVER 600 COALITIONS IN THE UNITED STATES AND MANY OTHERS IN VARIOUS COUNTRIES. THE PRIMARY FOCUS OF OUR LOCAL COALITION IS CHILD PASSENGER SAFETY, BECAUSE AUTOMOBILE CRASHES ARE THE NUMBER ONE CAUSE OF CHILD DEATHS IN MISSOURI AND THE UNITED STATES. THE LOCAL PROGRAM COMPRISES 55 AGENCIES IN ST LOUIS CITY, ST LOUIS COUNTY, WASHINGTON, JEFFERSON AND FRANKLIN COUNTIES TO PROVIDE CAR SEAT CHECKS TO CAREGIVERS AND ALSO TO PROVIDE LOW-COST CAR SEATS FOR LOW-INCOME FAMILIES. BEYOND CAR SEATS, SAFE KIDS PROVIDES EDUCATIONAL SERVICES AS REQUESTED BY COMMUNITIES FOR HOME SAFETY, POISON PREVENTION, PEDESTRIAN SAFETY, BICYCLE SAFETY, AND SAFE SLEEP. THE PROGRAM CONDUCTS NEEDS ASSESSMENTS TO DETERMINE AREAS FOR THE GREATEST IMPACT FOR SERVICES, AND ALSO WORKS CLOSELY WITH A NUMBER OF PEDIATRIC HOSPITALS, PEDIATRIC HOSPITAL DEPARTMENTS AND MULTIPLE AGENCIES TO PROVIDE GREATER SERVICE TO THOSE IN NEED. C. FOOTPRINTS FOOTPRINTS IS A PROGRAM OF ADVOCACY AND SUPPORT FOR CHILDREN LIVING WITH SERIOUS, COMPLEX ILLNESS. THE MISSION OF THE PROGRAM IS TO HAVE OUR CHILDREN, AND THEIR FAMILIES LIVE WELL ALONG THEIR JOURNEY. WE DEFINE "LIVING WELL" FOR EACH FAMILY BY FACILITATING CARE COORDINATION FOR THE CHILD; BY WORKING WITH THE FAMILY MEMBERS TO DEVELOP A FAMILY CENTERED PLAN OF CARE FOR THE CHILD THAT FOCUSES ON THE COMFORT OF THE CHILD AND RESPECTS THE VALUES AND BELIEFS OF THE FAMILY; AND BY COLLABORATING WITH THE HEALTH CARE TEAM TO ENSURE THE FAMILY GOALS ARE HONORED AND SUPPORTED BY ALL THOSE INVOLVED IN CARING FOR THE CHILD. FOOTPRINTS CHILDREN ARE FOLLOWED BY OUR STAFF WHILE IN THE HOSPITAL, DURING OUTPATIENT CLINIC VISITS, AND AT HOME BY MEANS OF NUMEROUS PHONE CALLS AND AT TIMES, HOME VISITS. FOR SOME CHILDREN, "LIVING WELL" MEANS BEING AT HOME WITH FAMILY AND FRIENDS, PETS, ETC., LIVING AS CLOSE TO "NORMAL" A LIFE AS POSSIBLE. FOR OTHERS, IT MEANS HAVING ACCESS TO COSTLY MEDICAL EQUIPMENT OR NURSING SERVICES THAT ARE NOT COVERED BY INSURANCE, BUT ARE NECESSARY TO KEEP THE CHILD COMFORTABLE AND "WELL" AS POSSIBLE. AND LASTLY, FOR OTHERS, IT MEANS RELIEF OF SOME OF THE EXTRAORDINARY EXPENSES RELATED TO CARING LONG TERM FOR A CHILD WITH SERIOUS ILLNESS. FUNDS RAISED FOR THE PROGRAM ALLOW US TO ADDRESS SOME OF THESE NEEDS. FOOTPRINTS STAFF PROVIDE EDUCATION TO THE LOCAL, REGIONAL, AND NATIONAL COMMUNITY AROUND BEST PRACTICE PEDIATRIC PALLIATIVE CARE. A THREE YEAR, ON GOING PARTNERSHIP WITH OTHERS IN CHILDREN'S HOSPITAL PROGRAMS IN THE STATE HAS ALLOWED US THE OPPORTUNITY TO ESTABLISH ACCESS TO PEDIATRIC PALLIATIVE CARE, SIMILAR TO THE FOOTPRINTS MODEL, IN THE MISSOURI CITIES OF SPRINGFIELD, CAPE GIRARDEAU, COLUMBIA AND OTHER SITES IN ST LOUIS. D. MISSOURI POISON CENTER THE HOSPITAL RESPONDS TO THE NEEDS OF THE LOCAL AREA (INDEED, THE ENTIRE STATE OF MISSOURI) FOR EXPERT EVALUATION AND TREATMENT ADVICE FOR HUMAN EXPOSURES TO TOXIC CHEMICALS AND PRODUCTS, PLANTS, INSECTS, AND MEDICINES. THE POISON CENTER RESPONDS TO MORE THAN 193,000 CALLS FOR ASSISTANCE EACH YEAR, REPRESENTING APPROXIMATELY ONE CALL FOR EVERY 33 MISSOURIANS. SEVENTY-FOUR PERCENT OF CALLS ARE MANAGED OVER THE PHONE BY SPECIALLY TRAINED PHARMACISTS AND NURSES WORKING THE POISON HOTLINE, AVOIDING UNNECESSARY AND COSTLY EMERGENCY DEPARTMENT, LABORATORY AND PHYSICIAN FEES. (FOR EVERY $1 SPENT ON POISON CENTER SERVICES, $12 IN HEALTH CARE COSTS ARE AVOIDED.) THESE FIGURES ALONE ATTEST TO THE NEED FOR THE POISON CENTER AS A PUBLIC GOOD. ALTHOUGH ACCIDENTAL EXPOSURES IN CHILDREN UNDER THE AGE OF 5 ARE MOST FREQUENTLY THE REASON FOR A CALL, OTHER SITUATIONS INCLUDE SUBSTANCE ABUSE AMONG YOUTH AND ADULTS, MEDICATION ERRORS IN OLDER ADULTS, AND EXPOSURES AT THE WORKPLACE. THUS, ALL AGES AND ALL STATES OF LIFE HAVE NEED FOR THE POISON CENTER. NO OTHER AGENCIES OR PROGRAMS EXIST TO FILL THIS NEED IN MISSOURI. TOLL-FREE TELEPHONE AVAILABILITY OF THE POISON CENTER SIGNIFICANTLY IMPROVES ACCESS TO EXPERT ADVICE FOR THE POPULATION IN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS, HEALTH PROFESSIONAL SHORTAGE AREAS AND IMPOVERISHED COUNTIES FOR WHOM ACCESS TO OTHER HEALTH CARE MAY BE LIMITED. LIKEWISE, POISON CENTER TELEPHONE-BASED SERVICE TO THE POPULATION IN THE STATE'S FOUR METROPOLITAN AREAS GIVES MANY MEDICALLY UNDERSERVED PERSONS AND DISADVANTAGED MINORITIES OTHER OPTIONS FOR CARE FOR POISONING EMERGENCIES BESIDES OVERCROWDED CITY HOSPITALS. SUCH UNIVERSAL ACCESS TO A CENTRAL HEALTH RESOURCE ACTS TO REDUCE HEALTH DISPARITIES FOR SOME OF OUR MOST VULNERABLE POPULATIONS. PUBLIC EDUCATION PRESENTATIONS ARE ALSO MADE AVAILABLE THROUGHOUT THE STATE TO TEACH THE BASIC STRATEGIES OF POISON PREVENTION. THIS EMPOWERS AND ENABLES MEMBERS OF THE COMMUNITY TO ACT EFFECTIVELY FOR THEIR OWN SAFETY. E. ST. LOUIS CORD BLOOD BANK THE ST. LOUIS CORD BLOOD BANK, ONE OF THE LARGEST PUBLIC CORD BLOOD BANKS IN THE WORLD, RECEIVED LICENSURE APPROVAL FROM THE U.S. FOOD AND DRUG ADMINISTRATION TO MANUFACTURE AND DISTRIBUTE CORD BLOOD-DERIVED STEM CELL PRODUCTS IN 2013. IT WAS THE FIRST BANK IN THE REGION AND THE FOURTH BANK IN THE WORLD TO EARN THIS HIGH DISTINCTION. THE BLOOD BANK WORKS WITH MORE THAN 450 DOCTORS AT 29 HOSPITALS THROUGHOUT EASTERN MISSOURI AND SOUTHERN ILLINOIS AS WELL AS SAINT LUKE'S CORD BLOOD PROGRAM IN KANSAS CITY, MISSOURI. THE ST. LOUIS CORD BLOOD BANK COLLECTS, PROCESSES AND STORES UMBILICAL CORD BLOOD, PROVIDING A LIFE-SAVING USE FOR A BIRTH BY-PRODUCT THAT WOULD OTHERWISE BE DISCARDED AS MEDICAL WASTE. CORD BLOOD CAN BE USED TO TREAT MORE THAN 70 DISEASES, INCLUDING LEUKEMIA AND SICKLE-CELL ANEMIA. SINCE 1995, OVER 140,000 FAMILIES HAVE DONATED THEIR CHILD'S CORD BLOOD IN THE HOPE OF SAVING THE LIFE OF ANOTHER UNRELATED PERSON. THE BANK HAS DISTRIBUTED NEARLY 2,500 OF THESE CORD BLOOD UNITS FOR TRANSPLANT WORLDWIDE SAVING MORE THAN 1,850 LIVES SINCE IT BEGAN. MORE THAN 24,000 UNITS REMAIN IN STORAGE AT THE ST. LOUIS CORD BLOOD BANK, AVAILABLE TO TREAT PATIENTS WITH AN APPROPRIATE MATCH OR PROVIDE THE MATERIAL TO BETTER UNDERSTAND THE BIOLOGY OF STEM CELLS AND EXPAND APPLICATIONS FOR MORE TREATMENTS. F. PACTS FOR LIFE/PALS PACTS FOR LIFE (PEDIATRIC ADVANCED CARDIORESPIRATORY AND TRAUMA SUPPORT FOR LIFE) WAS CREATED BY CARDINAL GLENNON EMERGENCY PHYSICIAN ANTHONY SCALZO, M.D., AND PROVIDES TRAINING FOR CAREGIVERS IN EMERGENCY LIFE SUPPORT. PALS (PEDIATRIC ADVANCED LIFE SUPPORT) IS THE RESULT OF A COLLABORATION BETWEEN THE AMERICAN HEART ASSOCIATION (AHA) AND THE AMERICAN ACADEMY OF PEDIATRICS. THE COURSES ARE DESIGNED TO PROVIDE CAREGIVERS WITH SKILLS WHICH WILL ENABLE THEM TO BOTH RECOGNIZE THE POTENTIAL FOR RESPIRATORY AND/OR CARDIAC ARREST IN INFANTS AND CHILDREN, AND INTERVENE IN AN APPROPRIATE MANNER BY PROVIDING A SYSTEMIC APPROACH TO THESE PATIENTS. THE COURSES ARE OFFERED TO PHYSICIANS, NURSES, PARAMEDICS, RESPIRATORY THERAPISTS, AND OTHER HEALTH CARE PROVIDERS, AND CARRY CONTINUING EDUCATION CREDITS. G. SCHOOL PARTNERSHIP PROGRAM CHILDREN WHO ARE HOSPITALIZED OR WHO LIVE WITH CHRONIC ILLNESS BENEFIT FROM KEEPING MUCH OF THEIR REGULAR ROUTINES FROM THEIR LIVES OUTSIDE THE HOSPITAL. ATTENDING SCHOOL, WORKING ON SCHOOL ACADEMICS AND COMPLETING SCHOOLWORK ARE A HEALTHY PART OF A CHILD'S LIFE ROUTINE. PARTICIPATING IN SCHOOL ACTIVITIES CAN GIVE CHILDREN HOPE OF RETURNING TO NORMAL EVENTS. TO MEET THIS VERY IMPORTANT NEED FOR NORMALCY AND DEVELOPMENT, CARDINAL GLENNON HAS ITS VERY OWN SCHOOL, THE SHINING STAR SCHOOL. SHINING STAR SCHOOL HELPS PROMOTE GENERAL ACADEMIC DEVELOPMENT, SOCIAL AND EMOTIONAL DEVELOPMENT AS WELL AS THE OVERALL WELL-BEING OF INDIVIDUAL CHILDREN AND GROUPS IN THE HOSPITAL SETTING. H. COMMUNITY EDUCATION CARDINAL GLENNON PROVIDES EDUCATION CLASSES AT VARIOUS EVENTS THROUGHOUT THE AREA INCLUDING: SCHOOL TOOLS FOR NURSES THROUGH THE SCHOOL NURSE PARTNERSHIP AND COORDINATING ACTIVITIES/PRESENTATIONS TO OUTSIDE SPECIAL GROUPS REGARDING CHILD LIFE, INCLUDING COORDINATING SERVICE PROJECT VOLUNTEERS; RALLY SQUIRREL SAFETY TREEHOUSE IN THE DAN DIERDORF EMERGENCY CENTER WHICH PROVIDES TOOLS TO EDUCATE PARENTS IN THE AREAS OF ENVIRONMENTAL SAFETY, HOME SAFETY, DISASTER PREPAREDNESS, AND SPORTS SAFETY TO DECREASE THE RISK OF PEDIATRIC INJURY; I. DOROTHY AND LARRY DALLAS HEART CENTER THE DOROTHY AND LARRY DALLAS HEART CENTER PROVIDES COMPREHENSIVE HEART CARE FOR CHILDREN WITH HEART DEFECTS AND OTHER PROBLEMS. THROUGH ADVANCED DIAGNOSED IMAGING, HEART EXPERTS CAN DETERMINE IF A BABY HAS A HEART PROBLEM WHILE STILL IN THE WOMB AND WORK WITH THE FAMILY TO DETERMINE THE BEST COURSE OF ACTION TO TREAT THE ISSUE. THE DALLAS HEART CENTER HAS THE MOST ADVANCED DIAGNOSTIC EQUIPMENT TO LEARN MORE ABOUT A CHILD'S HEART THROUGH LESS INVASIVE PROCEDURES. DIGITAL ECHO TECHNOLOGY AND A CARDIAC ULTRASOUND MACHINE WITH ADVANCED 3D IMAGING ALLOW DOCTORS TO SEE 3D HEART IMAGING IN REAL TIME TO MAKE THE MOST ACCURATE DIAGNOSIS. J. ST. LOUIS FETAL CARE INSTITUTE THE ST. LOUIS FETAL CARE INSTITUTE SERVES FAMILIES ACROSS THE COUNTRY BY OFFERING THE MOST COMPREHENSIVE FETAL CARE PROGRAM IN MIDDLE AMERICA. A MULTI-DISCIPLINARY TEAM OF PEDIATRIC AND HIGH-RISK MATERNITY EXPERTS ARE ABLE TO TREAT LIFE-THREATENING CONDITIONS IN BABIES BEFORE BIRTH. ALTHOUGH MANY FETAL CONDITIONS REQUIRE ONLY CAREFUL MONITORING AND PREPARATION FOR THE BABY'S BIRTH, MANY CONDITIONS THAT THREATEN A BABY'S QUALITY OF LIFE CAN BE SURGICALLY CORRECTED WHILE THE BABY IS STILL IN THE WOMB. IN CONDITIONS SUCH AS TWIN-TWIN TRANSFUSION SYNDROME, CONGENITAL DIAPHRAGMATIC HERNIA, AMNIOTIC BAND SYNDROME AND LARGE TUMORS, PHYSICIANS HAVE BEEN ABLE TO PROVIDE LIFE-CHANGING INTERVENTION TO ALLOW A BABY TO BE BORN HEALTHY. BABIES WITH MYELOMENINGOCELE, THE MOST SEVERE FORM OF SPINA BIFIDA, HAVE BEEN SIGNIFICANTLY HELPED THROUGH SURGICAL INTERVENTION. THE INTERNATIONALLY KNOWN MOMS TRIAL DETERMINED THAT BABIES WHO HAVE THEIR SPINA BIFIDA ADDRESSED THROUGH SURGERY IN THE WOMB HAVE BETTER FUNCTION AND DO BETTER AS THEY AGE THAN BABIES WHO DID NOT RECEIVE SURGICAL INTERVENTION. THE ST. LOUIS FETAL CARE INSTITUTE HAS BECOME ONE OF THE ONLY CENTERS IN THE COUNTRY TO PROVIDE THIS TYPE OF LIFE-CHANGING SURGERY AND HAS HELPED A NUMBER OF CHILDREN WHOSE LIVE WOULD HAVE OTHERWISE BEEN SIGNIFICANTLY DIFFERENT. K. IMAGING CENTER SSM CARDINAL GLENNON CHILDREN'S MEDICAL CENTER OPENED ITS NEW IMAGING CENTER IN NOVEMBER 2012. THE NEW SPACE FEATURES THE LOWEST RADIATION DOSE AVAILABLE FOR PEDIATRIC IMAGING ANYWHERE IN THE COUNTRY, ENSURING THAT PATIENTS WHO NEED A CT SCAN WILL RECEIVE SIGNIFICANTLY DECREASED RADIATION EXPOSURE. THE IMAGING CENTER FEATURES TWO NEW 128-SLICE CT SCANNERS THAT WILL PROVIDE SIGNIFICANTLY ENHANCED DIAGNOSTIC IMAGING CAPABILITIES WHILE PROVIDING THE SAFEST IMAGING THROUGH DOSE REDUCTION SOFTWARE. SSM CARDINAL GLENNON'S 128-SLICE SCANNER, IN ADDITION TO PROVIDING THE LOWEST RADIATION DOSE POSSIBLE, CAN SCAN FASTER, RESULTING IN A DECREASE OF PATIENTS WHO REQUIRE SEDATION. THE IMAGING CENTER ALSO INTRODUCES AN INTERACTIVE MRI SUITE DESIGNED TO PROVIDE COMFORT AND DISTRACTION TECHNIQUES TO CHILDREN. CHILDREN CAN USE AN IPAD TO SELECT COLOR "THEMES" FOR THE MRI SUITE. THEIR SELECTED THEME IS REFLECTED THROUGHOUT THE ROOM WITH LIGHT-UP WALLS AND LIGHTS. CHILDREN CAN ALSO SELECT A FAVORITE VIDEO TO WATCH ON A FLAT-PANEL TV MOUNTED ABOVE THE MRI. L. KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER THE KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER OPENED ITS NEW FACILITY IN MAY 2013. THIS 11,000-SQUARE-FOOT SPACE IS DEDICATED TO HELPING CHILDREN WITH AUTISM AND OTHER NEURODEVELOPMENTAL DISORDERS. THE NEW FACILITY ENABLES EXPERTS TO SEE CHILDREN WITH SPECIAL NEEDS IN A HEALTH CARE SETTING DEVELOPED JUST FOR THEM, OUTSIDE THE DISTRACTIONS OF THE HOSPITAL. THE KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER AT SSM CARDINAL GLENNON HELPS CHILDREN WITH AUTISM AND NEURODEVELOPMENTAL DISORDERS TO REACH THEIR HIGHEST POTENTIAL THROUGH COMPREHENSIVE EVALUATION, CARE, FAMILY GUIDANCE, EDUCATION AND INNOVATIVE RESEARCH. CHILDREN WITH AUTISM SPECTRUM DISORDERS RECEIVE INNOVATIVE CARE TO TREAT THEIR COMPLEX DIAGNOSES. THE MULTI-DISCIPLINARY PROVIDES APPLIED BEHAVIORAL ANALYSIS, SPEECH AND LANGUAGE THERAPY, OCCUPATIONAL THERAPY AND PHYSICAL THERAPY AS NEEDED TO CHILDREN WITH AUTISM. A PEERS SOCIAL SKILL PROGRAM TEACHES CHILDREN WITH AUTISM HOW TO INTERACT WITH OTHERS, WHICH IS OFTEN CHALLENGING FOR CHILDREN ON THE AUTISM SPECTRUM DISORDER. THE KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER ALSO HAS A DOG THERAPY PROGRAM. TRAINED THERAPY DOG HIGGINS, A GOLDENDOODLE, WORKS WITH CHILDREN TO MAKE THEM MORE COMFORTABLE WITH MEDICAL TREATMENT AND PROVIDE DISTRACTION DURING THERAPY SESSIONS. M. PEDIATRIC RESEARCH INSTITUTE THE PEDIATRIC RESEARCH INSTITUTE OPERATES TO IMPROVE AND ASSURE THE HEALTH AND SAFETY OF CHILDREN IN THE GREATER ST LOUIS AREA. BU PROMOTING RESEARCH THAT ADVANCES THE KNOWLEDGE AND MANAGEMENT OF CHILDHOOD HEALTH AND DISEASES, A NUMBER OF NATIONALLY KNOWN PHYSICIAN-SCIENTISTS CONDUCT RESEARCH THAT CAN BE APPLIED TO THE CLINICAL SETTING TO IMPROVE DISEASE PREVENTION AND TREATMENT. ONGOING PROGRAMS INCLUDE THE STUDY OF PEDIATRIC INFECTIONS AND VACCINE DEVELOPMENT, CARDIAC TRANSPLANT REJECTION, LIVER DISEASE, METABOLIC DISEASES AND NEONATAL LUNG INFLAMMATION. N. COMMUNITY OUTREACH CARDINAL GLENNON SUPPORTS NUMEROUS OUTREACH PROGRAMS THROUGHOUT THE COMMUNITY INCLUDING: HOLDING A FREE PUBLIC FLU CLINIC PROVIDING FREE FLU SHOTS TO 456 PEOPLE; SPONSORING A MILK DEPOT OR "DROP OFF" FOR MOTHERS IN THE COMMUNITY THAT WANT TO DONATE BREAST MILK TO THE MILK BANK; SERVING AS BOARD MEMBERS FOR ORGANIZATIONS PROMOTING COMMUNITY HEALTH RELATED ENDEAVORS; PROVIDING FUNDING FOR MEDICATION FOR CHILDREN WHEN FAMILIES ARE UNABLE TO PAY; DONATING MEDICATION TO MISSION TRIPS; PROVIDING MEAL TICKETS AND CAB FARE TO FAMILY MEMBERS OF PATIENTS; PROVIDING CONFERENCE ROOM SPACE TO ORGANIZATIONS ALIGNED WITH OUR MISSION/VALUES. O. NATIONALLY RECOGNIZED CARDINAL GLENNON HAS BEEN RANKED AMONG THE COUNTRY'S TOP PEDIATRIC HEART AND NEONATOLOGY PROGRAMS IN U.S. NEWS AND WORLD REPORT'S 2013 -14 BEST CHILDREN'S HOSPITALS RANKINGS. CARDINAL GLENNON RANKED 46TH IN PEDIATRIC CARDIOLOGY/HEART SURGERY AND 45TH IN NEONATOLOGY. CARDINAL GLENNON IS EXPANDING THE DANA BROWN NEONATAL INTENSIVE CARE UNIT FROM 60 TO 65 ALL-PRIVATE ROOMS, CARDINAL GLENNON HAS A LEVEL IV NICU, THE HIGHEST DESIGNATION AVAILABLE. 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 $ 1,060,673 UNPAID COST OF MEDICAID $(10,775,449) COST OF BAD DEBTS $ 1,696,461 COMMUNITY BENEFIT PROGRAMS $ 43,459,081 TOTAL QUANTIFIABLE COMMUNITY BENEFIT $ 35,440,766 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE ST LOUIS. SSM HEALTH CARE ST LOUIS IS A NONPROFIT 501(C)(3) ORGANIZATION THAT OPERATES SIX HOSPITALS. BOTH SSM CARDINAL GLENNON CHILDREN'S HOSPITAL AND SSM HEALTH CARE ST LOUIS ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH CARE. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND TO APPOINT AND REMOVE THE APPOINTED DIRECTORS AND THE EX OFFICIO DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B 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 APPOINTED DIRECTORS AND THE EX OFFICIO DIRECTORS D. TO APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION AND THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION E. TO APPROVE THE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN 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 INTERESTS 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 OBJECTIVES 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 OF 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, SECTION B, LINE 11 ACCOUNTING/FINANCE PERSONNEL AT EACH SSMHC (SSM HEALTH CARE SYSTEM) ENTITY, IN CONJUNCTION WITH CORPORATE FINANCE PERSONNEL, PREPARE A CHECKLIST CONTAINING INFORMATION AND SUPPORTING SCHEDULES THAT ARE USED TO PREPARE THE FORM 990. THIS CHECKLIST IS THEN REVIEWED BY A SUPERVISOR/MANAGER AND SENT TO THE CORPORATE OFFICE FOR FINAL REVIEW AND COORDINATION OF THE SYSTEM LEVEL FORM 990 INFORMATION. THE INFORMATION IS SUBMITTED TO AN OUTSIDE TAX CONSULTING FIRM WHO PREPARES THE FORM 990 FROM THE SSMHC INFORMATION AND SIGNS AS PAID PREPARER. PRIOR TO FINALIZING THE RETURN, A DRAFT IS SENT TO PERSONNEL AT SSMHC FOR REVIEW AND APPROVAL. THE COMPLETED FORM 990 IS PROVIDED ELECTRONICALLY TO ALL BOARD MEMBERS AT THE NEXT SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C 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, SECTION C, LINE 19 THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH CARE SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH CARE'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 ORGANIZAION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL PHYSICIAN, PRACTITIONER, AND RESIDENT FEES: PROGRAM SERVICE EXPENSES 37,587,852. MANAGEMENT AND GENERAL EXPENSES 142,852. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,730,704. MEDICAL LAB, RADIOLOGY, AND VARIOUS SERVICES: PROGRAM SERVICE EXPENSES 9,049,372. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,049,372. TEACHING, CONSULTING, AND OTHER MISC SERVICES: PROGRAM SERVICE EXPENSES 11,833,521. MANAGEMENT AND GENERAL EXPENSES 660,484. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,494,005. FORM 990, PART XI, LINE 9: BENEFICIAL INTEREST IN FOUNDATION 10,755,177. TRANSFER TO AFFILIATE -26,196,787. FORM 990, PART XII, LINE 1: BENEFICIAL INTEREST IN FOUNDATION $2,115,220; FUND BALANCE TRANSFER FROM AFFILIATES $1,569,100; UNREALIZED GAINS $888,460 SSM HEALTH CARE CORPORATION 10101 WOODFIELD LANE ST LOUIS MO 63132 466029223 HEALTH CARE MO 501(C)(3) LINE 11A, I FRANCISCAN SISTERS OF MARY 0 SSMHC LIABILITY TRUST I 10101 WOODFIELD LANE ST LOUIS MO 63132 436331003 INSURANCE MO 501(C)(3) LINE 11A, I SSM HEALTH CARE CORPORATION 0 SSM CONSOLIDATED HEALTH SERVICES 10101 WOODFIELD LANE ST LOUIS MO 63132 431473657 HEALTH CARE MO 501(C)(3) LINE 11A, I SSM HEALTH CARE CORPORATION 0 SSM POLICY INSTITUTE 10101 WOODFIELD LANE ST LOUIS MO 63132 431788151 HEALTH CARE MO 501(C)(4) SSM HEALTH CARE CORPORATION 0 SSM HEALTH CARE PORTFOLIO MANAGEMENT CO 10101 WOODFIELD LANE ST LOUIS MO 63132 431825256 MANAGEMENT MO 501(C)(3) LINE 11A, I SSM HEALTH CARE CORPORATION 0 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 10101 WOODFIELD LANE ST LOUIS MO 63132 430738490 HEALTH CARE MO 501(C)(3) LINE 3 SSM HEALTH CARE ST LOUIS 0 CARDINAL GLENNON CHILDREN'S FOUNDATION 10101 WOODFIELD LANE ST LOUIS MO 63132 431754347 FUNDRAISING MO 501(C)(3) LINE 7 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 1 SSM DEPAUL HEALTH CENTER FOUNDATION 10101 WOODFIELD LANE ST LOUIS MO 63132 431776109 FUNDRAISING MO 501(C)(3) LINE 7 SSM HEALTH CARE ST LOUIS 0 SSM ST JOSEPH FOUNDATION 10101 WOODFIELD LANE ST LOUIS MO 63132 431591556 FUNDRAISING MO 501(C)(3) LINE 7 SSM HEALTH CARE ST LOUIS 0 SSM ST CLARE HEALTH CENTER FOUNDATION 10101 WOODFIELD LANE ST LOUIS MO 63132 431273310 FUNDRAISING MO 501(C)(3) LINE 7 SSM HEALTH CARE ST LOUIS 0 SSM ST MARY'S HEALTH CENTER FOUNDATION 10101 WOODFIELD LANE ST LOUIS MO 63132 431552945 FUNDRAISING MO 501(C)(3) LINE 7 SSM HEALTH CARE ST LOUIS 0 SSM HEALTH CARE OF OKLAHOMA INC 10101 WOODFIELD LANE ST LOUIS MO 63132 730657693 HEALTH CARE OK 501(C)(3) LINE 3 SSM HEALTH CARE CORPORATION 0 ST ANTHONY HOSPITAL FOUNDATION INC 10101 WOODFIELD LANE ST LOUIS MO 63132 736104300 FUNDRAISING OK 501(C)(3) LINE 7 SSM HEALTH CARE OF OKLAHOMA 0 SSM HEALTH CARE OF WISCONSIN INC 10101 WOODFIELD LANE ST LOUIS MO 63132 430688874 HEALTH CARE WI 501(C)(3) LINE 3 SSM HEALTH CARE CORPORATION 0 DELLS MEDICAL BUILDING INC 10101 WOODFIELD LANE ST LOUIS MO 63132 391613292 MOB WI 501(C)(2) SSM HEALTH CARE OF WISCONSIN 0 ST MARY'S FOUNDATION INC 10101 WOODFIELD LANE ST LOUIS MO 63132 431940686 FUNDRAISING WI 501(C)(3) LINE 7 SSM HEALTH CARE OF WISCONSIN 0 ST CLARE HEALTH CARE FOUNDATION INC 10101 WOODFIELD LANE ST LOUIS MO 63132 431940683 FUNDRAISING WI 501(C)(3) LINE 7 SSM HEALTH CARE OF WISCONSIN 0 HOME HEALTH UNITED INC 2802 WALTON COMMONS LANE MADISON WI 53718 391539827 HEALTH CARE WI 501(C)(3) LINE 9 SSM HEALTH CARE OF WISCONSIN 0 HOME CARE UNITED INC 2802 WALTON COMMONS LANE MADISON WI 53718 391776340 HEALTH CARE WI 501(C)(3) LINE 9 SSM HEALTH CARE OF WISCONSIN 0 HHU XTRA CARE INC 2802 WALTON COMMONS LANE MADISON WI 53718 391705111 HEALTH CARE WI 501(C)(3) LINE 9 SSM HEALTH CARE OF WISCONSIN 0 HOME HEALTH UNITED - 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