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        <NamePerson>JAMES F WHALEN</NamePerson>
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        <NamePerson>CHRIS ZUCKERMAN</NamePerson>
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        <NamePerson>SR MARY JEAN RYAN</NamePerson>
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      </Form990PartVIISectionA>
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        <NamePerson>ROBERT J WITTERSCHEIN</NamePerson>
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        <NamePerson>BRYAN M SWIFT</NamePerson>
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        <NamePerson>J MICHAEL BRUNO</NamePerson>
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        <NamePerson>DARRYL W DAVIS</NamePerson>
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        <Contributions>749317</Contributions>
        <InvestmentEarningsOrLosses>1631551</InvestmentEarningsOrLosses>
        <OtherExpenditures>58155</OtherExpenditures>
        <EndOfYearBalance>19919493</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>15387961</BeginningOfYearBalance>
        <Contributions>2090571</Contributions>
        <InvestmentEarningsOrLosses>432019</InvestmentEarningsOrLosses>
        <OtherExpenditures>313771</OtherExpenditures>
        <EndOfYearBalance>17596780</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>10203377</BeginningOfYearBalance>
        <Contributions>4405000</Contributions>
        <InvestmentEarningsOrLosses>945534</InvestmentEarningsOrLosses>
        <OtherExpenditures>165950</OtherExpenditures>
        <EndOfYearBalance>15387961</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>9170500</BeginningOfYearBalance>
        <Contributions>156696</Contributions>
        <InvestmentEarningsOrLosses>936181</InvestmentEarningsOrLosses>
        <OtherExpenditures>60000</OtherExpenditures>
        <EndOfYearBalance>10203377</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <CurrentYearMinus4Years>
        <Contributions>10841842</Contributions>
        <InvestmentEarningsOrLosses>-1590345</InvestmentEarningsOrLosses>
        <OtherExpenditures>80997</OtherExpenditures>
        <EndOfYearBalance>9170500</EndOfYearBalance>
      </CurrentYearMinus4Years>
      <BoardDesignatedEOYBalance>0.35000</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.31000</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.34000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Equipment>
        <OtherCostOrOtherBasis>611790</OtherCostOrOtherBasis>
        <Depreciation>517446</Depreciation>
        <BookValue>94344</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>94344</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>GIFT ANNUITY LIABILITY</Description>
        <Amount>8202378</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>8202378</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>18664234</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>3186501</NetUnrealizedGainsInvestments>
      <OtherRevenues>357866</OtherRevenues>
      <RevenueNotRptdF990>3544367</RevenueNotRptdF990>
      <RevenueSubtotal>15119867</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>15119867</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>13454068</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>13454068</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>13454068</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>TO SUPPORT THE PEDIATRIC MEDICAL SERVICES PROVIDED BY CARDINAL GLENNON CHILDREN'S HOSPITAL.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>THE FOUNDATION EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2012 OR 2011.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XI, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>ACTUARIAL GAIN ON GIFT ANNUITY LIABILITY 357,866.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <EventsInformation>
        <NameOfEvent1>BOB COSTAS CELEBRITY GALA</NameOfEvent1>
        <GrossReceiptsEvent1>694283</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>281617</CharitableContributionsEvent1>
        <GrossRevenueEvent1>412666</GrossRevenueEvent1>
        <RentFacilityCostsEvent1>211636</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>108002</FoodAndBeverageEvent1>
        <EntertainmentEvent1>74486</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>18542</OtherDirectExpensesEvent1>
        <NameOfEvent2>DAN DIERDORF GOLF TOURNAMENT</NameOfEvent2>
        <GrossReceiptsEvent2>184817</GrossReceiptsEvent2>
        <CharitableContributionsEvent2>114345</CharitableContributionsEvent2>
        <GrossRevenueEvent2>70472</GrossRevenueEvent2>
        <NonCashPrizesEvent2>16258</NonCashPrizesEvent2>
        <RentFacilityCostsEvent2>38911</RentFacilityCostsEvent2>
        <FoodAndBeverageEvent2>12372</FoodAndBeverageEvent2>
        <OtherDirectExpensesEvent2>2931</OtherDirectExpensesEvent2>
        <TotalNumberOfOtherEvents>25</TotalNumberOfOtherEvents>
        <GrossReceiptsOtherEvents>828505</GrossReceiptsOtherEvents>
        <CharitableContribOtherEvents>790580</CharitableContribOtherEvents>
        <GrossRevenueOtherEvents>37925</GrossRevenueOtherEvents>
        <NonCashPrizesOtherEvents>10995</NonCashPrizesOtherEvents>
        <RentFacilityCostsOtherEvents>4161</RentFacilityCostsOtherEvents>
        <FoodAndBeverageOtherEvents>13077</FoodAndBeverageOtherEvents>
        <EntertainmentOtherEvents>225</EntertainmentOtherEvents>
        <OtherDirectExpensesOtherEvents>9467</OtherDirectExpensesOtherEvents>
        <GrossReceiptsTotal>1707605</GrossReceiptsTotal>
        <CharitableContributionsTotal>1186542</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>521063</GrossRevenueTotalEvents>
        <NonCashPrizesTotalEvents>27253</NonCashPrizesTotalEvents>
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        <FoodAndBeverageTotalEvents>133451</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>74711</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>30940</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>521063</DirectExpenseSummaryEvents>
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      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SSM CARDINAL GLENNON CHILDREN'S HOSPITAL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1465 SOUTH GRAND BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63104</ZIPCode>
        </AddressUS>
        <EINOfRecipient>430738490</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>9472362</AmountOfCashGrant>
        <PurposeOfGrant>TO SUPPORT HOSPITAL OPERATIONS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>VISION FOR CHILDREN AT RISK</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2433 N GRAND BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63106</ZIPCode>
        </AddressUS>
        <EINOfRecipient>431853499</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>23500</AmountOfCashGrant>
        <PurposeOfGrant>SUPPORT STUDY OF HEALTH CARE NEEDS OF ST LOUIS CITY CHILDREN</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>2</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>PATIENT ASSISTANCE</TypeOfGrant>
        <NumberOfRecipients>144</NumberOfRecipients>
        <AmountOfCashGrant>38866</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: GRANTS TO ORGANIZATIONS WERE MADE TO ORGANIZATIONS THAT ARE TAX EXEMPT UNDER SECTION 501(C)(3). THESE ORGANIZATIONS HAVE DEVELOPED INTERNAL CONTROL PROCEDURES FOR THE USE OF GRANT FUNDS. ALL GRANTS TO INDIVIDUALS INCLUDE A GRANT APPLICATION PROCESS THROUGH A RELATED ORGANIZATION. APPROVED GRANT APPLICATIONS ARE FORWARDED TO THE FOUNDATION AND THE FOUNDATION PAYS THE REQUESTED EXPENDITURE TO THE APPROPRIATE VENDOR.</Explanation>
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    </IRS990ScheduleI>
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      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>SHERLYN HAILSTONE</NamePerson>
        <Title>DIRECTOR</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>518118</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>122378</OtherCompensationRelatedOrgs>
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        <DeferredCompRelatedOrgs>156452</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>25168</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>822116</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>35840</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHRISTOPHER HOWARD</NamePerson>
        <Title>DIRECTOR</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>735141</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>138054</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>337445</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
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        <TotalCompensationRelatedOrgs>1241237</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>37660</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM THOMPSON</NamePerson>
        <Title>DIRECTOR</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>1321845</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>839756</OtherCompensationRelatedOrgs>
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        <TotalCompensationRelatedOrgs>3249997</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>57960</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>JUNE L PICKETT</NamePerson>
        <Title>ASST SECRETARY</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>220007</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>20518</OtherCompensationRelatedOrgs>
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        <DeferredCompRelatedOrgs>331433</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>22385</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>594343</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>8280</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAN BUCK</NamePerson>
        <Title>EXECUTIVE DIRECTOR</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>212482</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>2033</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>26844</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>20573</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>261932</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>PART III</ReturnReference>
        <Explanation>PART I, LINE 3: COMPENSATION TO CEO/EXECUTIVE DIRECTOR THE ORGANIZATION'S CEO 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 BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4A: 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. 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 2012. 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 2012. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUALS' TAXABLE COMPENSATION. WILLIAM THOMPSON $58,026 CHRISTOPHER HOWARD $48,612 SHERLYN HAILSTONE $37,177 JUNE PICKETT $8,289</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <ClothingAndHouseholdGoods>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>104</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST OR SELLING PRICE</MethodOfDeterminingRevenues>
      </ClothingAndHouseholdGoods>
      <SecuritiesPubliclyTraded>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>16</NumberOfContributions>
        <NoncashContribsRptdF990>467506</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST OR SELLING PRICE</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
      <FoodInventory>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>11</NumberOfContributions>
        <NoncashContribsRptdF990>5134</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST OR SELLING PRICE</MethodOfDeterminingRevenues>
      </FoodInventory>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>PRIZES</Description>
        <NumberOfContributions>33</NumberOfContributions>
        <NoncashContribsRptdF990>35088</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST OR SELLING PRICE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>GIFT CARDS</Description>
        <NumberOfContributions>25</NumberOfContributions>
        <NoncashContribsRptdF990>16840</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST OR SELLING PRICE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>MEMORABILIA</Description>
        <NumberOfContributions>13</NumberOfContributions>
        <NoncashContribsRptdF990>3050</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST OR SELLING PRICE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>TOYS</Description>
        <NumberOfContributions>114</NumberOfContributions>
        <NoncashContribsRptdF990>74629</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST OR SELLING PRICE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>GOLF EQUIPMENT</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>600</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST OR SELLING PRICE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>CHILL CHAMBER</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>1405</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST OR SELLING PRICE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>MISC</Description>
        <NumberOfContributions>10</NumberOfContributions>
        <NoncashContribsRptdF990>7231</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST OR SELLING PRICE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>DIAMOND WATCH</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>3595</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST OR SELLING PRICE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <NumberOf8283Received>0</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>1</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>1</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS:</Identifier>
        <ReturnReference>PART I, COLUMN (B):</ReturnReference>
        <Explanation>THE AMOUNT IN COLUMN B ON PART I REPRESENT THE NUMBER OF DONORS WHO CONTRIBUTED ITEMS CLASSIFIED INTO EACH CATEGORY OF PROPERTY.</Explanation>
      </Form990ScheduleMPartII>
      <Form990ScheduleMPartII>
        <Identifier>THIRD PARTY USE:</Identifier>
        <ReturnReference>PART I, LINE 32B:</ReturnReference>
        <Explanation>ALL PUBLICLY TRADED SECURITIES DONATED TO THE ORGANIZATION ARE LIQUIDATED BY STIFEL NICOLAUS.</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART I, DOING BUSINESS AS:</ReturnReference>
        <Explanation>CARDINAL GLENNON CHILDREN'S HOSPITAL FOUNDATION</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART III, LINE 4A:</ReturnReference>
        <Explanation>SINCE IT WAS FOUNDED IN 1872 BY ROMAN CATHOLIC SISTERS, SSM HEALTH CARE (SSMHC) HAS EXISTED TO MEET THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. SPONSORED BY THE FRANCISCAN SISTERS OF MARY AND HEADQUARTERED IN ST LOUIS, MISSOURI, SSMHC OPERATES 18 HOSPITAL LOCATIONS, TWO SKILLED NURSING FACILITIES AND HOME HEALTH AGENCIES IN FOUR STATES. SSM CARDINAL GLENNON CHILDREN'S MEDICAL CENTER IN ST. LOUIS IS THE ONLY PEDIATRIC HOSPITAL IN THE SSM SYSTEM. OVERALL, THE HEALTH SYSTEM EMPLOYS APPROXIMATELY 25,600 PEOPLE AND IS AFFILIATED WITH MORE THAN 6,600 PHYSICIANS. IN THE TRADITION OF ITS FOUNDING SISTERS, SSMHC STRIVES TO FULFILL ITS MISSION BY PROVIDING EXCEPTIONAL HEALTHCARE TO EVERYONE WHO COMES TO ITS HOSPITALS, REGARDLESS OF THEIR ABILITY TO PAY. SSM CARDINAL GLENNON CHILDREN'S FOUNDATION (THE FOUNDATION) EXISTS TO SUPPORT THE HEALTHCARE AND COMMUNITY SERVICES OF CARDINAL GLENNON CHILDREN'S MEDICAL CENTER (GLENNON). GLENNON IS A NOT-FOR-PROFIT, 190-BED INPATIENT AND OUTPATIENT PEDIATRIC MEDICAL CENTER IN ST. LOUIS, MISSOURI, SPECIALIZING IN NEONATOLOGY, CARDIOLOGY, PEDIATRIC AND FETAL SURGERY, AND CANCER SERVICES. THE FOUNDATION RAISES FUNDS TO SUPPORT GLENNON'S MEDICAL AND COMMUNITY-BENEFIT SERVICES, AS WELL AS TO ENABLE ALL YOUNGSTERS TO ACCESS THOSE SERVICES THROUGH THE FOUNDATION'S CHILDREN'S FUND FOR FAMILIES WITH LIMITED OR NO ABILITY TO PAY FOR THEIR CHILDREN'S SERVICES. THE FOUNDATION ALSO RAISES FUNDS FOR GLENNON'S TECHNOLOGICAL ADVANCES. FURTHER, THE FOUNDATION INCREASES AWARENESS OF GLENNON'S SERVICES THROUGH PUBLICITY, HOSTING OF SPECIAL EVENTS AND ONE-ON-ONE INTERACTIONS WITH COMMUNITY STAKEHOLDERS. THEREFORE, THROUGH ITS MULTIPLE ACTIVITIES, THE FOUNDATION IMPACTS THE HEALTH OF CHILDREN WHO RECEIVE GLENNON SERVICES. SOME OF THE PROGRAMS AND ENHANCEMENTS SUPPORTED BY THE FOUNDATION IN 2012 INCLUDED: THE FOOTPRINTS PROGRAM. FOOTPRINTS IS A PALLIATIVE-CARE PROGRAM THAT HELPS FAMILIES LIVE WELL ALONG A JOURNEY THAT MAY END AT THE GRAVESIDE OF A BELOVED CHILD. FOOTPRINTS' MULTIDISCIPLINARY TEAM IS COMPRISED OF A DIRECTOR WHO IS A DOCTOR, A CLINICAL CARE COORDINATOR WHO IS BOTH A NURSE AND A CHAPLAIN, AND A SOCIAL WORKER; HOWEVER, THE TEAM REGULARLY CALLS UPON OTHER GLENNON RESOURCES TO ASSIST THESE FAMILIES. PRIMARILY, FOOTPRINTS FOCUSES ON: COMFORT - DEVELOPING FAMILY-DIRECTED, COMPASSIONATE CARE PLANS THAT PROVIDE FOR CHILDREN'S COMFORT WHILE RESPECTING FAMILY VALUES AND BELIEFS; THESE PLANS CAN BE FOLLOWED AT GLENNON OR AT HOME. ADVOCACY - BEING A VOICE FOR CHILDREN AND FAMILIES WHILE THEY ARE AT GLENNON AND IN THE LARGER MEDICAL COMMUNITY. SUPPORT - LISTENING TO FAMILY CONCERNS AND WISHES; FACILITATING COMMUNICATION TO ENSURE FAMILY GOALS, CONCERNS AND WISHES ARE HONORED; ASSISTING FAMILIES WITH THE EXTRAORDINARY COSTS OF CARING FOR CHILDREN'S MEDICAL NEEDS; ASSISTING WITH BURIAL COSTS OF CHILDREN WHO SUCCUMB TO THEIR ILLNESSES. DURING HOSPITALIZATION, THE FOOTPRINTS TEAM MAKES CERTAIN THAT EACH CHILD'S CLINICAL BEDSIDE TEAM IS FULLY AWARE OF THE FAMILY'S WISHES AND THAT THE BEDSIDE TEAM KEEPS EACH FAMILY INFORMED OF THE CHILD'S CONDITION, PROGNOSIS AND CARE OPTIONS. IF A CHILD IS DISCHARGED, THE FOOTPRINTS TEAM WORKS WITH COMMUNITY CARE PROVIDERS TO ENSURE THEY ARE FULLY INFORMED OF THE CHILD'S NEEDS AND WILL RESPECT FAMILY WISHES. THE SAFE KIDS PROGRAM. SAFE KIDS EDUCATES THE PUBLIC ON PREVENTION OF CHILDHOOD INJURIES IN THE HOME AND ON THE ROAD. THE PROGRAM PRIMARILY FOCUSES ON CAR-SEAT SAFETY, BIKE SAFETY, CRIB SAFETY AND COOKING SAFETY. PROGRAM STAFF MEMBERS COORDINATE TIMES AND PLACES WHERE THEY CHECK FOR PROPER CAR SEAT INSTALLATIONS AND PROVIDE CAR-SEAT ADJUSTMENTS OR INSTALLATIONS. FAMILIES WHO CANNOT AFFORD CAR SEATS CAN RECEIVE ONE, FREE OF CHARGE. THE PROGRAM ALSO PROVIDES BIKE-SAFETY EVENTS AND FREE BIKE HELMETS FOR FAMILIES THAT ARE UNABLE TO PURCHASE THEM, AS WELL AS HOME-SAFETY EVENTS. FURTHER, PROGRAM STAFF MEMBERS TRAIN CAR-SEAT TECHNICIANS. THE CARDINAL GLENNON SPORTSCARE TEAM. SPORTSCARE IS A DEDICATED TEAM OF ATHLETIC TRAINERS AND HEALTHCARE PREVENTION SPECIALISTS WHO WORK DIRECTLY WITH AREA SPORTS CLUBS, TEAMS, TOURNAMENTS AND SCHOOLS TO GUIDE THEM ON PREVENTATIVE PROGRAMS, STRETCHING EXERCISES, EDUCATION, AND EARLY INTERVENTION OF SPORTS AND RECREATIONAL RELATED INJURIES. THIS NEW INITATIVE IS AIMED AT EDUCATING PARENTS, COACHES AND YOUNG ATHLETES ON HOW TO AVOID PREVENTABLE INJURIES AND HOW TO ACCESS PROPER CARE WHEN NEEDED. THE AUDIOLOGY DEPARTMENT. ALMOST THREE IN EVERY 1,000 CHILDREN ARE BORN DEAF EACH YEAR. THESE CHILDREN FACE A LIFETIME OF CHALLENGES, SUCH AS FAILURE TO DEVELOP LANGUAGE SKILLS, REDUCED ACCESS TO MAINSTREAM EDUCATION, AND DIFFICULTY IN FINDING EMPLOYMENT AS ADULTS. WHILE TRADITIONAL HEARING AIDS AMPLIFY SOUND, COCHLEAR IMPLANTS PROVIDE AN ADVANTAGE FOR CHILDREN WITH PROFOUND DEAFNESS BECAUSE THEY ACTUALLY COMPENSATE FOR DAMAGED OR NON-WORKING PARTS OF THE EAR BY FINDING USEFUL SOUNDS AND SENDING THEM TO THE BRAIN. VERY YOUNG CHILDREN ARE IDEAL CANDIDATES FOR THE DEVICE BECAUSE THEIR CENTRAL NERVOUS SYSTEMS ARE EXTREMELY ADAPTIVE, ALLOWING THEIR BRAINS TO MAKE USE OF THE SOUNDS THE IMPLANT PROVIDES. WHEN IMPLANTED EARLY AND COUPLED WITH POST-IMPLANTATION SPEECH AND LANGUAGE THERAPY, CHILDREN WHO ARE DEAF HAVE THE ABILITY TO DEVELOP AGE-APPROPRIATE SPEECH, LANGUAGE AND SOCIAL SKILLS. ONE OF THE MAIN BARRIERS TO CHILDREN RECEIVING COCHLEAR IMPLANTS IS THE COST. THEREFORE, THE FOUNDATION RAISES FUNDS TO PROVIDE COCHLEAR IMPLANTS, AS WELL AS OTHER TECHNOLOGY, SERVICES AND SURGERIES THAT ENABLE CHILDREN WITH HEARING LOSS TO ENJOY THE SOUNDS AND SUCCESSES OF LIFE. THE KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER. THE KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER SERVES CHILDREN WITH SUSPECTED AUTISM SPECTRUM DISORDERS AND DEVELOPMENTAL DELAYS. LAST YEAR, 1,937 CHILDREN WERE SERVED. THE CENTER ACCEPTS CHILDREN BASED ON CONCERNS OF PARENTS, PEDIATRICIANS OR OTHER PRIMARY HEALTHCARE PROVIDERS. DEVELOPMENTAL SPECIALISTS THEN CONDUCT THE NECESSARY ASSESSMENTS TO ACCURATELY DIAGNOSE OR TO RULE OUT THOSE CONCERNS. WHEN CHILDREN ARE DETERMINED TO BE AFFECTED, THE CENTER MAKES THE BEST POSSIBLE REFERRALS TO A SELECT GROUP OF SERVICE PROVIDERS. IT CONTINUES TO OVERSEE AND FACILITATE CHILDREN'S PROGRESS THROUGH MEDICATION MANAGEMENT, PERIODIC REASSESSMENTS, AND REEVALUATIONS OF SERVICES NEEDED. THE CENTER UNDERWENT A MAJOR EXPANSION IN 2013, AS MORE THAN $1.4 MILLION OF DONATIONS FROM VARIOUS COMMUNITY GROUPS AND PHILANTHROPIST HELPED CREATE A NEW 11,000 SQUARE FOOT TREATMENT FACILITY ON THE MEDICAL CAMPUS. CONTRIBUTORS INCLUDED THE KNIGHTS OF COLUMBUS, CHILDREN'S MIRACLE NETWORK, GUTH FOUNDATION AND THE GLENNON GUILD. CHILD LIFE SERVICES - THANKS TO THE GENEROSITY OF DONORS, WE ARE ABLE TO PROVIDE FUN AND ENGAGING CHILD LIFE SERVICES. THE MISSION OF THE CHILD LIFE DEPARTMENT AT SSM CARDINAL GLENNON IS TO ADVOCATE FOR THE PSYCHOSOCIAL, DEVELOPMENTAL, EMOTIONAL AND EDUCATIONAL NEEDS OF ALL OUR PATIENTS AND FAMILIES. WE STRIVE TO CREATE A SUPPORTIVE ENVIRONMENT, WHILE HELPING EMPOWER PATIENTS AND THEIR FAMILIES TO MAKE DECISIONS AFFECTING THEIR CARE. NEW RADIOLOGY DEPARTMENT. THE FOUNDATION RAISED OVER $6 MILLION TO BUILD A NEW RADIOLOGY DEPARTMENT IN 2012. THIS NEW IMAGING CENTER BRINGS THE LATEST IN LOW DOSE RADIATION, SPECIFICALLY DESIGNED FOR KIDS, TO OUR RADIOLOGY DEPARTMENT. THE HIGH RESOLUTION IMAGING ON THE NEW MRI AND CT SCAN MACHINES WILL GIVE OUR SURGEONS AND DOCTORS CRISP, SHARP IMAGES TO ALLOW THEM TO MORE ACCURATELY DETECT PROBLEMS. THIS IS THE MOST ADVANCED RADIOLOGY DEPARTMENT IN THE REGION. THE NEW IMAGING CENTER OPENED TO ITS FIRST PATIENTS IN DECEMBER OF 2012, AND WAS FULLY OPERATIONAL BY JANUARY 2013.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THE SOLE MEMBER OF THE FOUNDATION IS CARDINAL GLENNON CHILDREN'S HOSPITAL. CARDINAL GLENNON CHILDREN'S HOSPITAL IS A NONPROFIT 501(C)(3) ORGANIZATION THAT OPERATES A 190-BED INPATIENT AND OUTPATIENT MEDICAL CENTER IN ST LOUIS, MISSOURI. BOTH THE FOUNDATION AND CARDINAL GLENNON CHILDREN'S HOSPITAL ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH CARE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>THE MEMBER HAS THE POWER TO APPOINT THE BOARD OF GOVERNORS, EXCEPT FOR THE GOVERNORS WHO SERVE EX OFFICIO, AND TO REMOVE APPOINTED GOVERNORS WITH OR WITHOUT CAUSE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>THE MEMBER HAS THE FOLLOWING POWERS: A.TO ESTABLISH AND CHANGE THE PHILOSOPHY OF THE FOUNDATION B.TO APPOINT THE BOARD OF GOVERNORS, EXCEPT FOR THE GOVERNORS WHO SERVE EX-OFFICIO, AND TO REMOVE APPOINTED GOVERNORS WITH OR WITHOUT CAUSE C.TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE FOUNDATION AS PROVIDED IN THE BYLAWS D.TO APPROVE THE BYLAWS OF THE FOUNDATION AND ANY AMENDMENTS THERETO E.TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE FOUNDATION F.TO APPROVE THE SALE, CONVEYANCE, ASSIGNMENT, TRANSFER, ALIENATION, PLEDGE, ENCUMBRANCE, MORTGAGE OR LEASE OF REAL PROPERTY OR ANY INTEREST THEREIN OF THE FOUNDATION IN ACCORDANCE WITH THE POLICIES APPROVED BY THE MEMBER G.TO APPROVE I) THE ACQUISITION OF REAL PROPERTY OR ANY INTEREST THEREIN OR II) THE ACQUISITION OF STOCK OF A CORPORATION IF, AFTER THE ACQUISITION, THE FOUNDATION WILL OWN A MAJORITY OF THE VOTING STOCK OF SUCH CORPORATION, IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER H.TO APPROVE THE SALE, TRANSFER OR OTHER DISPOSITION OF THE VOTING STOCK OF A CORPORATION IF BEFORE THE DISPOSITION THE FOUNDATION OWNED A MAJORITY OF THE VOTING STOCK OF THE CORPORATION AND AFTER SUCH DISPOSITION THE FOUNDATION WOULD NOT OWN A MAJORITY OF THE VOTING STOCK OF THE CORPORATION, IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER I.TO APPROVE ANY BORROWINGS OR GUARANTEES OF THE FOUNDATION IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER J.TO APPROVE THE ACCEPTANCE OF ANY GIFT OR CONTRIBUTION WHICH, IN CONNECTION THEREWITH, WOULD IMPOSE A CONTINUING OBLIGATION UPON THE FOUNDATION, INCLUDING, WITHOUT LIMITATION, THE OBLIGATION TO PROVIDE HEALTH CARE SERVICES, PAY AN ANNUITY OR UNDERTAKE ANY OTHER OBLIGATIONS, EXCEPT AS OTHERWISE DETERMINED BY THE MEMBER PURSUANT TO POLICIES ADOPTED BY THE MEMBER AND K.TO APPROVE OR REJECT PROPOSALS FOR EXPENDITURES OR CONTRIBUTIONS IN ACCORDANCE WITH ARTICLE IX OF THE BYLAWS IN THE EVENT THE PRESIDENT OF THE HOSPITAL AND THE BOARD OF GOVERNORS DO NOT AGREE WITH RESPECT TO THE APPROVAL OF SUCH PROPOSAL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>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 THE RETURN AS PREPARER. PRIOR TO FINALIZING THE RETURN, A DRAFT IS SENT TO PERSONNEL AT SSMHC FOR REVIEW AND APPROVAL. UPON SSMHC APPROVAL, THE OUTSIDE PREPARER FORWARDS THE COMPLETED FORM 990 FOR THE APPROPRIATE SIGNATURES AND FILING ACTION. THE FOUNDATION EXECUTIVE DIRECTOR PRESENTS THE FORM 990 TO THE BOARD OF GOVERNORS AT THE NEXT REGULARLY SCHEDULED BOARD MEETING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>ALL SSMHC EXECUTIVE SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH LIKE POSITIONS IN THE MARKET. THE COMPENSATION REVIEW PROCESS IS PERFORMED BY EXTERNAL INDEPENDENT COMPENSATION CONSULTANTS. THE SALARY DATA AND POTENTIAL ADJUSTMENTS, FOR THE PRESIDENT/CEO OF THE SYSTEM, THE SENIOR VICE PRESIDENTS AND THE REGIONAL PRESIDENTS ARE PRESENTED TO THE SSMHC BOARD OF DIRECTORS BY THE SAME INDEPENDENT COMPENSATION CONSULTANTS TO APPROVE, DISAPPROVE, MODIFY. THE SAME COMPARATIVE COMPENSATION PROCESS USED FOR EXECUTIVE SALARY/COMPENSATION IS PERFORMED INTERNALLY FOR OTHER EMPLOYEES. THE SSMHC BOARD OF DIRECTORS HAS DELEGATED SALARY APPROVAL FOR ALL OTHER POSITIONS TO THE COMPENSATION COMMITTEE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>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 CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9:</ReturnReference>
        <Explanation>ACTUARIAL GAIN ON GIFT ANNUITY 357,866.</Explanation>
      </GeneralExplanation>
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