2013-11-15T09:43:36-06:00 2012-12-31 861065772 DELOITTE TAX LLP 1111 BAGBY STREET SUITE 4500 HOUSTON TX 77002 990 2012-01-01 430738490 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL SSMC 3149893610 477 N LINDBERGH BOULEVARD STLOUIS MO 63141 JUNE L PICKETT 3149893610 2013-11-15 1 BROOKE KITCHEN P00849302 7139822000 2012 2016-02-25 16:41:14Z SEE SCHEDULE O WILLIAM P THOMPSON 477 N LINDBERGH BLVD ST LOUIS MO 63141 314873316 0 0928 X WWW.SSMHC.COM X 1984 MO A NOT-FOR-PROFIT 190-BED INPATIENT AND OUPATIENT MEDICAL CENTER IN ST. LOUIS, MISSOURI. 10 6 2116 266 628075 85916 9242948 12173938 272174021 293072050 1331106 1274866 6041665 8060827 288789740 314581681 135642 150716 0 0 125813584 122296883 0 0 0 147972477 159723225 273921703 282170824 14868037 32410857 273967838 306029574 83445354 75328505 190522484 230701069 X THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 265593476 150716 299855689 PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 265593476 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 0 0 0 0 0 1 1 1 1 0 1 0 0 2116 1 1 1 0 0 0 0 0 0 0 0 0 0 X 10 6 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X KELLY THOMPSON 3149893610 1195 CORPORATE LAKE STLOUIS MO 63132 SHEILA BADER 1.00 X 0 0 0 DANIEL BAUMANN MD 1.00 40.00 X 0 234859 24797 DONALD E BINZ II MD 1.00 40.00 X 0 412893 33197 JAN CERNI 1.00 X 0 0 0 DAVID G COSBY 1.00 X 0 0 0 MARY T MCLENNAN 1.00 X 0 0 0 BRENDA D NEWBERRY 1.00 X 0 0 0 RUDOLPH W NICKENS JR 0.00 X 0 0 0 TIKA NAZARETH DMD 0.00 X 0 0 0 JAMES A SANDFORT EDD 0.00 X 0 0 0 JOHN OLDANI 1.00 X 0 0 0 BARBARA TURKINGTON 1.00 X 0 0 0 KARL WILSON PHD 1.00 X 0 0 0 SR MARY JEAN RYAN 1.00 X X 0 0 0 WILLIAM P THOMPSON 1.00 40.00 X X 0 2161601 1088396 CHRISTOPHER HOWARD 1.00 40.00 X X 0 873195 368042 STEVEN BARNEY 1.00 40.00 X 0 779380 231364 KRIS A ZIMMER 1.00 40.00 X 0 837428 257469 JUNE L PICKETT 1.00 40.00 X 0 240525 353818 JUDY GARTLAND 1.00 40.00 X 0 66780 40845 SHERLYN HAILSTONE 0.00 40.00 X 0 640496 181620 KAREN REWARDS 10.00 30.00 X 0 570276 264694 KEVIN TODD JOHNSON 10.00 30.00 X 0 592236 185907 LEANN ZERKEL 40.00 0.00 X 197944 0 24851 DEBORAH G WALKENHORST 10.00 30.00 X 0 379504 123389 DAMON HARBISON 40.00 0.00 X 183337 0 40158 ROBERT PORTER 0.00 40.00 X 0 555984 245011 LORRAINE MAE YEHLEN 0.00 40.00 X 0 195098 119079 CASIMIR FIRLIT MD 40.00 0.00 X 425921 0 30835 PUSHPA PATEL MD 40.00 0.00 X 341921 0 166616 PATHMA RAMESVARA MD 40.00 0.00 X 326367 0 468003 TIMOTHY REED MD 40.00 0.00 X 284805 0 94463 MAX BURGDORF MD 40.00 0.00 X 264241 0 27380 LYNN LENKER 0.00 40.00 X 0 384911 179067 WILLIAM SCHOENHARD 0.00 0.00 X 0 274197 676363 2024536 9199363 5225364 92 1 1 0 ST LOUIS UNIVERSITY 1402 S GRAND BLVD ST LOUIS MO 63104 PHYSICIAN SERVICES 31872933 ALBERICI CONSTRUCTORS INC 8800 PAGE AVE ST LOUIS MO 631146106 CONSTRUCTION SERVICES 4081259 ASSOC REGIONAL & UNIVERSITY PATHOLOGIST 500 CHIPETA WAY SALT LAKE CITY UT 84108 LABORATORY SERVICES 858811 CHRISTNER INC 7711 BONHOMME STE 100 ST LOUIS MO 63105 CONSTRUCTION SERVICES 424518 MID-AMERICA TRANSPLANT SERVICES 1110 HIGHLAND PLAZA DR EAST SUITE 1 ST LOUIS MO 63110 PHYSICIAN SERVICES 395224 38 9610539 1746385 817014 1568 12173938 PATIENT SERVICE REV. 621110 283517798 283517798 OTHER REVENUE 621110 8505648 8505648 LABORATORY REVENUE 621500 1048604 420529 628075 293072050 456941 456941 500762 0 500762 500762 500762 790251 27674 0 0 790251 27674 817925 817925 439986 291635 148351 148351 PHARMACY REVENUE 446110 2808413 2808413 PAYROLL TAX REFUND 541200 2800000 2800000 CAFETERIA 722210 1745360 1745360 57941 57941 7411714 314581681 299855689 628075 1923979 X 73530 73530 77186 77186 1931009 620792 1310217 92429630 83875605 8554025 8032312 7258425 773887 13456083 12060472 1395611 6447849 5778960 668889 4105333 1630141 2475192 654015 654015 19511 19511 54149642 53455500 694142 200905 179356 21549 9798668 9143319 655349 12499982 12491150 8832 5944569 5458780 485789 310503 223906 86597 117268 93546 23722 1048144 1048144 10482612 10007315 475297 -2035665 -2035665 MEDICAL SUPPLIES 36399735 36399735 0 0 MEDICARE PROVIDER TAX 25605306 25605306 0 0 BOND RELATED FEES 231020 0 231020 0 LICENSES 185366 107268 78098 0 6311 5040 1271 282170824 265593476 16577348 0 1834871 13102322 49822741 69498615 1265423 6335549 3690054 4036518 1822467 1560171 293352024 157991120 133963553 135360904 6817069 7287499 69642650 62292751 5109010 6555245 273967838 306029574 26501072 29087151 56944282 46241354 83445354 75328505 X 167913674 204426882 9731317 12749462 12877493 13524725 190522484 230701069 273967838 306029574 X 32410857 888460 6879268 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 24600 0 1 8041 1 24722 0 0 57363 0 24155350 749317 2464561 162236 27206992 22120818 2090571 367264 423303 24155350 16356158 4405000 1525610 165950 22120818 9170500 6152781 1092877 60000 16356158 8766403 2075439 -1590345 80997 9170500 0.25000 0.50000 0.25000 0 1 1 7590658 7590658 212196969 104115873 108081096 68858499 53875247 14983252 4705898 4705898 135360904 BENEFICIAL INTEREST IN FOUNDATION 59607853 F SSM COMPREHENSIVE INVESTMENT PROGRAM 2684898 F 62292751 RABBI TRUST LIABILITY 302990 PENSION FUNDING LIABILITY 14210590 ASSET RETIREMENT OBLIGATION 2548116 ALLOCATED TAX EXEMPT BOND LIAB (ISSUED THROUGH SSM HEALTH CARE) 27172074 DUE TO AFFILIATES 2007584 46241354 X DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: TO SUPPORT THE PEDIATRIC MEDICAL SERVICES PROVIDED BY CARDINAL GLENNON CHILDREN'S HOSPITAL. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 2012 OR 2011. 1 1 1 X 1 X 1 1 1 0 1 1 1370223 0 1370223 0.00490 152536089 159362438 -6826349 0.00000 153906312 159362438 -5456126 0.00490 1324864 0 1324864 0.00470 24455791 10824531 13631260 0.04830 16533585 0 16533585 0.05860 719621 0 719621 0.00260 231330 0 231330 0.00080 43265191 10824531 32440660 0.11500 197171503 170186969 26984534 0.11990 5565 5565 0.00000 5565 5565 1 1551357 1 1 1 1 CARDINAL GLENNON CHILDREN'S MEDICAL CTR

1465 S GRAND BLVD ST LOUIS MO 63104

X X X X X CARDINAL GLENNON CHILDREN'S MEDICAL CTR 1 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 22 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

1849 BROADWAY CAPE GIRARDEAU MO 63701

OUTPATIENT PEDIATRIC CLINIC SSM ST MARY'S PEDIATRICS

3348 AMERICAN DRIVE JEFFERSON CITY MO 65109

OUTPATIENT PEDIATRIC CLINIC SSM CARDINAL GLENNON SPECIALTY SERVICES

2900 FRANK SCOTT PARKWAY WEST BELLEVILLE IL 62223

OUTPATIENT PEDIATRIC CLINIC SSM CARDINAL GLENNON SPECIALTY SERVICES

6000 BOND AVENUE CENTREVILLE IL 62207

OUTPATIENT PEDIATRIC CLINIC SSM CARDINAL GENNON SPECIALTY SERVICES -

3 GOOD SAMARITAN WAY 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 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 PERCENTAGELESS THAN OR EQUAL TO 2 TIMES FPG 100%MORE THAN 2 TIMES, LESS THAN 2.5 TIMES 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%PART I, QUESTION 3C:AN EXCEPTION TO THE SLIDING SCALE IS PROVIDED FOR A PATIENT'S BALANCE DUE IF THE AMOUNT IS TOO LARGE TO BE REASONABLY PAID THROUGH AN INSTALLMENT PLAN OVER FOUR YEARS GIVEN THE FAMILY INCOME AND EXPENSES. TO FURTHER STREAMLINE AND AUTOMATE THE FINANCIAL ASSISTANCE PROCESS, SSM CARDINAL GLENNON CHILDREN'S HOSPITAL WILL AUTOMATICALLY CONSIDER 100% OF THE PATIENT ACCOUNT AS CHARITY IF THE COMMERCIAL SOFTWARE SYSTEM (SEARCHAMERICA) INDICATES THAT THE PATIENT IS LIVING AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL). THIS PROCESS IS CALLED "PRESUMPTIVE ELIGIBILITY".PART I, QUESTION 6A:SSM 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. SSM HEALTH CARE'S 2012 ANNUAL COMMUNITY BENEFIT REPORT FOR THE SYSTEM CAN BE FOUND AT WWW.SSMHC.COM.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 COST 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 COST 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. THE EXPENDITURES ARE DETERMINED BASED ON ACTUAL INVOICES OR DOLLAR AMOUNTS SPENT AND CHARGED TO THESE DEPARTMENTS.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.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.SSM CARDINAL GLENNON CHILDREN'S HOSPITAL HAD BAD DEBT EXPENSE IN THE AMOUNT OF $2,849,000 REPORTED ON PART IX LINE 24 OF THE FORM 990; HOWEVER IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS PART I, LINE 7, COLUMN F.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 - COMMUNITY HEALTH IMPROVEMENT ADVOCACY - THE PRESIDENT OF SSM CARDINAL GLENNON CHILDREN'S HOSPITAL ALONG WITH SENIOR STAFF MEMBERS HAVE PROVIDED HOSPITAL TOURS TO VARIOUS MEMBERS OF THE COMMUNITY ALONG WITH MEETING WITH LEGISLATORS TO DISCUSS HEALTH CARE PUBLIC POLICY. THE HOSPITAL HAS ALSO PROVIDED LUNCHEON PRESENTATIONS EDUCATING STAKEHOLDERS ON THE ST LOUIS CORD BLOOD BANK DONATIONS AND TRANSPLANTATION SERVICES.PART III, SECTION A, LINE 4:THE ORGANIZATION IS PART OF THE SSM HEALTH CARE CONSOLIDATED AUDIT. THE FOOTNOTE THAT REFERENCES BAD DEBT EXPENSE IN THE DECEMBER 31, 2012 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, 2012 WAS $4,896,961 AT CHARGES AND $1,551,357 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. PART III, SECTION B, LINE 8 - N/APART III, SECTION C, LINE 9B:SSM 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 FAIR 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.PART VI, LINE 2: NEEDS ASSESSMENT PROCESSTHE ANNUAL STRATEGIC, FINANCIAL, AND HUMAN RESOURCES PLANNING PROCESS HAS INCLUDED AN ASSESSMENT OF THE COMMUNITY'S NEEDS TO INCLUDE THE IDENTIFICATION OF SPECIFIC AND MEASURABLE "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 WITH THE FINANCIAL LIMITS OF THE SYSTEM.EACH SSM HEALTH CARE HOSPITAL WILL CONDUCT A SEPARATE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ONCE EVERY THREE YEARS. TO SUPPORT THE COMPLETION OF A CHNA IN ACCORDANCE WITH ESTABLISHED GUIDELINES, A SIX-STEP PROCESS WAS DEVELOPED. THE PROCESS DEFINES AN APPROACH THAT CAN BE USED TO ASSESS THE HEALTH NEEDS OF THE COMMUNITIES SERVED BY SSM HEALTH CARE AND DEVELOP STRATEGIES FOR MEETING THOSE NEEDS. THE PROCESS INCLUDES:- DEVELOP A PLAN TO ADDRESS HEALTH REFORM MANDATES TO INCLUDE DEFINING HOW THE ASSESSMENT AND BY WHOM THE ASSESSMENT WILL BE COMPLETED; IDENTIFYING THE STAKEHOLDERS INVOLVED; AND THE TIME FRAME FOR COMPLETION- PERFORM DATA COLLECTION INCLUDING IDENTIFYING THE GEOGRAPHIC AREA SERVED, ACCESSING SECONDARY DATA SOURCES AND COORDINATING INTERVIEWS, SURVEY AND/OR FOCUS GROUPS FOR PRIMARY DATA COLLECTION- PERFORM DATA ANALYSIS BY EVALUATING QUANTITATIVE AND QUALITATIVE DATE TO IDENTIFY AND PRIORITIZE HEALTH NEEDS AND OPPORTUNITIES- CREATE A PLAN WITH GOALS, STRATEGIES, ACTIONS, DUE DATES, AND RESOURCE REQUIREMENTS WHICH INCLUDES INPUT FROM CONSTITUENTS- OBTAIN APPROVAL FROM SYSTEM MANAGEMENT (ADOPTED IN 2012) AND INCORPORATE THE CHNA INITIATIVES INTO THE STRATEGIC PLAN TO INCLUDE APPOINTING RESPONSIBILITY FOR IMPLEMENTING THE PLAN AND ASSIGNING A STEERING COMMITTEE TO MONITOR PROGRESS AS APPROPRIATE- COORDINATE COMMUNICATION TO THE PUBLIC, BOARDS, STAFF AND OTHER STAKEHOLDERS PROGRESS IN ADDRESSING TOP PRIORITIES IMPACTING COMMUNITY HEALTHUTILIZING THIS PLAN, SSM CARDINAL GLENNON CHILDREN'S HOSPITAL HAS COMPLETED ITS CHNA IN 2012 AND IT WAS ADOPTED AS PART OF OUR STRATEGIC PLAN.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.OUR PEDIATRIC SERVICE LINE AND CLINICAL DEPARTMENTS ALSO CONDUCT ASSESSMENTS TO FOCUS ON SPECIFIC COMMUNITY HEALTH NEEDS. EXAMPLES INCLUDE: SCHOOL PARTNERSHIP PROGRAM, PERINATAL OUTREACH SERVICES AND ASTHMA EDUCATION INITIATIVES.SSM CARDINAL GLENNON CHILDREN'S HOSPITAL USES DEMOGRAPHIC, UTILIZATION AND TECHNOLOGY TRENDS GENERATED BY THE HEALTH CARE ADVISORY BOARD AND SG2 TO SIZE THE MARKET FOR BOTH INPATIENT AND OUTPATIENT HEALTH CARE NEEDS FOR THE IMMEDIATE AND LONG-TERM. WE USE THIS INFORMATION TO ADJUST CAPACITY TO MEET FUTURE DEMAND FOR HEALTH CARE SERVICES.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 IS TOO LARGE TO BE REASONABLY PAID THROUGH AN INSTALLMENT PLAN OVER FOUR YEARS GIVEN THE FAMILY INCOME AND EXPENSES.EACH ENTITY PROVIDING MEDICAL SERVICE SHALL PROVIDE INFORMATION TO THE PUBLIC REGARDING ITS CHARITY CARE POLICIES AND THE QUALIFICATION REQUIREMENTS FOR EACH OF ITS FACILITIES. WHEN STANDARD SYSTEM NOTICES AND COMMUNICATION REGARDING CHARITY CARE ARE AVAILABLE, THESE MUST BE USED. MODIFICATIONS TO THE STANDARD MAY BE MADE TO COMPLY WITH STATE AND LOCAL LAWS, AS WELL AS REFLECT CULTURALLY SENSITIVE TERMINOLOGY FOR THE POLICY. ALL NOTICES ARE EASY TO UNDERSTAND BY THE GENERAL PUBLIC, CULTURALLY APPROPRIATE AND AVAILABLE IN THOSE LANGUAGES THAT ARE PREVALENT IN THE COMMUNITY.THEY PROVIDE INFORMATION ABOUT:- THE PATIENT'S RESPONSIBILITY FOR PAYMENT,- THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND ENTITY CHARITY CARE AND PAYMENT ARRANGEMENTS,- THE ENTITY'S CHARITY POLICY AND APPLICATION PROCESS, AND- WHO TO CONTACT TO GET ADDITIONAL INFORMATION OR FINANCIAL COUNSELING.THE FOLLOWING TYPES OF NOTICES TO THE PUBLIC ARE PROVIDED:- SIGNS IN THE EMERGENCY DEPARTMENT, OUTPATIENT AND INPATIENT REGISTRATION AND PUBLIC WAITING AREAS.- BROCHURES OR FLYERS 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. PART VI, LINE 4: COMMUNITY INFORMATIONSSM CARDINAL GLENNON CHILDREN'S HOSPITAL DEFINES ITS PRIMARY SERVICE AREA AS THE ST. LOUIS METROPOLITAN STATISTICAL AREA, A 12 COUNTY REGION WITH AN APPROXIMATE POPULATION OF 2.1 MILLION IN 2012. 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 LARGEST 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 METROPOLITAN STATISTICAL AREA (MSA) IS 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.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 PARTICIPATES IN A WIDE ARRAY OF COMMUNITY PROGRAMS THROUGHOUT THE AREA TO FURTHER ITS EXEMPT PURPOSE OF PROMOTING THE HEALTH OF THE COMMUNITY. SOME EXAMPLES INCLUDE THE FOLLOWING:A. PERINATAL OUTREACH SERVICESTHE OUTREACH PROGRAM PROVIDES SERVICES TO PERINATAL CARE PROVIDERS IN MISSOURI AND ILLINOIS. 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 FROM 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'S 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 A "NORMAL" 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 AS 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 THE ST. LOUIS AREA.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 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 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 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 100,000 FAMILIES HAVE DONATED THEIR CHILD'S CORD BLOOD IN THE HOPE OF SAVING THE LIFE OF ANOTHER UNRELATED PERSON. THE BANK HAS DISTRIBUTED NEARLY 2,000 OF THESE CORD BLOOD UNITS FOR TRANSPLANT WORLDWIDE. MORE THAN 23,000 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 ARE ELIGIBLE FOR CONTINUING EDUCATION CREDITS.G. SCHOOL PARTNERSHIP PROGRAMSCHOOL PARTNERSHIP PROGRAM IS A COLLABORATIVE PROGRAM OF CARDINAL GLENNON AND THE ST LOUIS ARCHDIOCESE AND PROVIDES VISION, HEARING AND BLOOD PRESSURE SCREENING WITH REFERRAL FOR STUDENTS IN 33 CATHOLIC SCHOOLS. THE PROGRAM ALSO OFFERS A NUMBER OF OTHER SERVICES TO ALL OF THE AREA'S 155 CATHOLIC SCHOOLS, INCLUDING INSTRUCTION ON MEDICATION ADMINISTRATION WITH ANNUAL REVIEW, FIRST AID CLASSES, CPR INSTRUCTION, UNIVERSAL PRECAUTION/INFECTION CONTROL EDUCATION, CLASSES ON ALLERGIES, SEIZURES, DIABETES AND ASTHMA, HEALTH PROMOTIONAL ACTIVITIES SUCH AS HAND-WASHING AND HYGIENE INSTRUCTION, AND EDUCATION SESSIONS FOR THE SCHOOL NURSES.H. CLINICAL DIETARY SERVICESCARDINAL GLENNON CLINICAL DIETITIANS PROVIDE NUTRITIONAL COUNSELING FOR FAMILIES, AS WELL AS DIETARY TRACKING AND ANALYSIS FOR PEDIATRICIANS.I. COMMUNITY EDUCATIONSEVENTEEN TIMES A YEAR, THE HOSPITAL PUBLISHES IN A MAJOR DAILY NEWSPAPER (THE ST LOUIS POST-DISPATCH) A COLUMN BY CHIEF OF PEDIATRICS ROBERT WILMOTT, M.D. THE COLUMN, CALLED "HEALTHY KIDS", PROVIDES PARENTING ADVICE AND CHILD HEALTH INFORMATION. EACH COLUMN INVITES READERS TO SEND DR. WILMOTT QUESTIONS VIA EMAIL, WHICH HE RESPONDS TO PROMPTLY AND PRIVATELY. THE HOSPITAL ALSO OFFERS A VAST LIBRARY OF PEDIATRIC HEALTH AND PARENTING INFORMATION, CALLED "KIDSHEALTH" ON ITS WEB SITE AT WWW.CARDINALGLENNON.COM. IN ADDITION, CARDS PROVIDING PEDIATRIC HEALTH TIPS FOR PARENTS ARE DISTRIBUTED THROUGH "EDUCATION STATIONS" IN THE WAITING ROOMS OF HUNDREDS OF AREA PEDIATRICIANS' OFFICES.J. 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.IN 2011, SSM CARDINAL GLENNON DEBUTED A NEW PEDIATRIC HYBRID CARDIAC CATHETERIZATION SUITE. THIS NEW SUITE ALLOWS A CARDIOLOGIST AND CARDIOTHORACIC SURGEON TO FIND AND FIX A CHILD'S HEART PROBLEM IN THE SAME ROOM AND SAME PROCEDURE. THIS PROMOTES FASTER RECOVERY AND SAFER CARE FOR THE YOUNG PATIENTS SERVED BY THE HOSPITAL.K. 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 LIVES WOULD HAVE OTHERWISE BEEN SIGNIFICANTLY DIFFERENT.L. 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 WALLSM. 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 TEAM 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 PROVIDES DISTRACTION DURING THERAPY SESSIONS.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 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.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) 24895 GENERAL PROGRAM SUPPORT JUVENILE DIABETES RESEARCH FOUNDATION 7818 BIG SKY DR SUITE 118 MADISON WI 53719 231907729 501(C)(3) 5000 GENERAL PROGRAM SUPPORT MISSOURI HOSPITAL ASSOCIATION 4712 COUNTRY CLUB DRIVE JEFFERSON CITY MO 65102 440610607 501(C)(6) 11967 SUPPORT THE MISSOURI POISON CONTROL CENTER 2 1 PROVIDE MEALS TO PATIENTS' FAMILY MEMBERS 38965 CAR SEATS/BOOSTER SEATS/BIKE HELMETS 1074 28478 BUS PASSES/TAXI FOR PATIENTS' FAMILY MEMBERS 9743 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANTS ARE PROVIDED TO REGIONAL, NATIONAL 501(C)(3) ORGANIZATIONS, OR REGIONAL PROFESSIONAL ASSOCIATIONS WHERE THE HOSPITAL IS A MEMBER. 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 WHILE THEIR LOVED ONES ARE HOSPITALIZED AND 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 0 227698 0 0 0 7161 0 0 0 24797 0 259656 0 0 DONALD E BINZ II MD 0 396174 0 0 0 16719 0 0 0 33197 0 446090 0 0 WILLIAM P THOMPSON 0 1321845 0 0 0 839756 0 1051531 0 36865 0 3249997 0 57960 CHRISTOPHER HOWARD 0 735141 0 0 0 138054 0 337445 0 30597 0 1241237 0 37660 STEVEN BARNEY 0 623277 0 0 0 156103 0 208024 0 23340 0 1010744 0 0 KRIS A ZIMMER 0 737296 0 0 0 100132 0 227242 0 30227 0 1094897 0 43820 JUNE L PICKETT 0 220007 0 0 0 20518 0 331433 0 22385 0 594343 0 8280 SHERLYN HAILSTONE 0 518118 0 0 0 122378 0 156452 0 25168 0 822116 0 35840 KAREN REWARDS 0 488441 0 0 0 81835 0 254400 0 10294 0 834970 0 16600 KEVIN TODD JOHNSON 0 501177 0 0 0 91059 0 153655 0 32252 0 778143 0 18720 LEANN ZERKEL 166807 0 0 0 31137 0 8572 0 16279 0 222795 0 0 0 DEBORAH G WALKENHORST 0 343351 0 0 0 36153 0 105915 0 17474 0 502893 0 12360 DAMON HARBISON 175761 0 0 0 7576 0 9998 0 30160 0 223495 0 0 0 ROBERT PORTER 0 439830 0 0 0 116154 0 219237 0 25774 0 800995 0 29190 LORRAINE MAE YEHLEN 0 173813 0 0 0 21285 0 97432 0 21647 0 314177 0 9668 CASIMIR FIRLIT MD 417108 0 0 0 8813 0 0 0 30835 0 456756 0 0 0 PUSHPA PATEL MD 339643 0 0 0 2278 0 147723 0 18893 0 508537 0 0 0 PATHMA RAMESVARA MD 306793 0 0 0 19574 0 447348 0 20655 0 794370 0 0 0 TIMOTHY REED MD 279442 0 0 0 5363 0 76409 0 18054 0 379268 0 0 0 MAX BURGDORF MD 260054 0 0 0 4187 0 3672 0 23708 0 291621 0 0 0 LYNN LENKER 0 330229 0 0 0 54682 0 149860 0 29207 0 563978 0 11960 WILLIAM SCHOENHARD 0 0 0 0 0 274197 0 662169 0 14194 0 950560 0 0 SUPPLEMENTAL INFORMATION PART III PART I, LINE 1A THE FOLLOWING INDIVIDUAL LISTED ON SCHEDULE J PART II RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENT IN 2012. THE PAYMENT WAS INCLUDED IN THEIR TAXABLE COMPENSATION. TIMOTHY REED 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. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS UNDER THIS 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 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. STEVEN BARNEY $74,677 WILLIAM THOMPSON $58,026 CHRISTOPHER HOWARD $48,612 KRIS ZIMMER $43,871 SHERLYN HAILSTONE $37,177 ROBERT PORTER $33,412 KAREN REWERTS $20,947 KEVIN JOHNSON $18,741 DEBORAH WALKENHORST $12,374 LYNN LENKER $11,974 LORRAINE YEHLEN $9,679 JUNE PICKETT $8,289 DAMON HARBISON $6,291 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 AMBULATORY CARE CENTER PHARMACY 3. CARDINAL GLENNON CHILDREN'S MEDICAL CENTER 4. CARDINAL GLENNON PEDIATRIC SURGERY CENTER (FEIN: 43-0738490) 5. GLENNON CARE 6. GLENNON CARE FOR KIDS 7. GLENNON CARE PEDIATRICS 8. GLENNON CARE PEDIATRIC ASSOCIATES 9. GLENNON CARE PROFESSIONAL SERVICES (FEIN: 43-1790606) 10. SAFE KIDS ST. LOUIS 11. ST. LOUIS CORD BLOOD BANK 12. SSM CARDINAL GLENNON CHILDREN'S MEDICAL CENTER 13. SSM GLENNON CARE FOR KIDS PROGRAM SERVICE STATEMENT FORM 990, PART III, LINE 4A BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION: SINCE IT WAS FOUNDED IN 1872 BY FIVE 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, SSMHC OPERATES 18 HOSPITAL LOCATIONS, TWO SKILLED NURSING FACILITIES AND HOME HEALTH AGENCIES IN FOUR STATES (WISCONSIN, OKLAHOMA, ILLINOIS AND MISSOURI). 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 AND COMPASSIONATE HEALTH CARE TO PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. DESCRIBE THE TAX-EXEMPT PURPOSE ACHIEVEMENTS: SSM CARDINAL GLENNON CHILDREN'S HOSPITAL USES SEVERAL APPROACHES TO UNDERSTAND THE HEALTH CARE NEEDS OF OUR COMMUNITIES. FOR EXAMPLE, OUR LEADERS SERVE ON THE BOARDS OF TWO REGIONAL ORGANIZATIONS THAT OVERSEE THE HEALTHCARE SAFETY NET FOR OUR REGION, THE ST. LOUIS REGIONAL HEALTH COMMISSION (RHC) AND ST. LOUIS CONNECTCARE. THE RHG IS A COLLABORATIVE EFFORT OF ST LOUIS CITY, ST LOUIS COUNTY, THE STATE OF MISSOURI, HEALTH PROVIDERS, AND COMMUNITY MEMBERS TO IMPROVE THE HEALTH OF UNINSURED CITIZENS IN ST LOUIS CITY AND COUNTY. ST LOUIS CONNECTCARE IS THE LARGEST PROVIDER OF SPECIALTY CARE TO THE MEDICALLY UNDERSERVED IN ST LOUIS CITY AND COUNTY. WE PARTICIPATE IN AND UTILIZE THE COMMUNITY HEALTH ASSESSMENT AND RELATED STUDIES COORDINATED BY THE REGIONAL HEALTH COMMISSION. 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. OUR PEDIATRIC SERVICE LINE AND CLINICAL DEPARTMENTS ALSO CONDUCT ASSESSMENTS TO FOCUS ON SPECIFIC COMMUNITY HEALTH NEEDS. EXAMPLES INCLUDE: SCHOOL PARTNERSHIP PROGRAM, PERINATAL OUTREACH SERVICES AND ASTHMA EDUCATION INITIATIVES. SSM CARDINAL GLENNON CHILDREN'S HOSPITAL USES DEMOGRAPHIC, UTILIZATION AND TECHNOLOGY TRENDS GENERATED BY THE HEALTH CARE ADVISORY BOARD AND SG2 TO SIZE THE MARKET FOR BOTH INPATIENT AND OUTPATIENT HEALTH CARE NEEDS FOR THE IMMEDIATE AND LONG-TERM. WE USE THIS INFORMATION TO ADJUST CAPACITY TO MEET FUTURE DEMAND FOR HEALTH CARE SERVICES. 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 IS TOO LARGE TO BE REASONABLY PAID THROUGH AN INSTALLMENT PLAN OVER FOUR YEARS GIVEN THE FAMILY INCOME AND EXPENSES. EACH ENTITY PROVIDING MEDICAL SERVICE SHALL PROVIDE INFORMATION TO THE PUBLIC REGARDING ITS CHARITY CARE POLICIES AND THE QUALIFICATION REQUIREMENTS FOR EACH OF ITS FACILITIES. WHEN STANDARD SYSTEM NOTICES AND COMMUNICATION REGARDING CHARITY CARE ARE AVAILABLE, THESE MUST BE USED. MODIFICATIONS TO THE STANDARD MAY BE MADE TO COMPLY WITH STATE AND LOCAL LAWS, AS WELL AS REFLECT CULTURALLY SENSITIVE TERMINOLOGY FOR THE POLICY. ALL NOTICES WILL BE EASY TO UNDERSTAND BY THE GENERAL PUBLIC, CULTURALLY APPROPRIATE AND AVAILABLE IN THOSE LANGUAGES THAT ARE PREVALENT IN THE COMMUNITY. THEY WILL PROVIDE INFORMATION ABOUT: THE PATIENT'S RESPONSIBILITY FOR PAYMENT, THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND ENTITY CHARITY CARE AND PAYMENT ARRANGEMENTS, THE ENTITY'S CHARITY POLICY AND APPLICATION PROCESS, AND WHOM TO CONTACT TO GET ADDITIONAL INFORMATION OR FINANCIAL COUNSELING. THE FOLLOWING TYPES OF NOTICES TO THE PUBLIC SHALL BE PROVIDED: SIGNS IN THE EMERGENCY DEPARTMENT, OUTPATIENT AND INPATIENT REGISTRATION AND PUBLIC WAITING AREAS. BROCHURES OR FLIERS PROVIDED AT TIME OF REGISTRATION AND AVAILABLE IN THE FINANCIAL COUNSELING AREAS. NOTICES SENT WITH OR ON PATIENT BILLS OR COMMUNICATIONS SENT TO PATIENTS AND GUARANTORS RELATED TO MEDICAL SERVICES. APPLICATIONS PROVIDED TO UNINSURED PATIENTS AT THE TIME OF REGISTRATION. THE APPLICATION FOR CHARITY CARE, TOGETHER WITH ANY INSTRUCTIONS, MUST CLEARLY STATE THE POLICIES REGARDING CHARITY CARE, INCLUDING EXCLUDED SERVICES, ELIGIBILITY CRITERIA AND DOCUMENTATION REQUIREMENTS. INFORMATION ABOUT THE ENTITY'S CHARITY POLICIES WILL ALSO BE PROVIDED TO PUBLIC AGENCIES. 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 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 INITIATIVES THAT WE SUPPORT AND THEIR IMPACT: A. PERINATAL OUTREACH SERVICES THE OUTREACH PROGRAM PROVIDES SERVICES TO PERINATAL CARE PROVIDERS IN MISSOURI AND ILLINOIS. 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 AS "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 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 100,000 FAMILIES HAVE DONATED THEIR CHILD'S CORD BLOOD IN THE HOPE OF SAVING THE LIFE OF ANOTHER UNRELATED PERSON. THE BANK HAS DISTRIBUTED NEARLY 2,000 OF THESE CORD BLOOD UNITS FOR TRANSPLANT WORLDWIDE. MORE THAN 23,000 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 SCHOOL PARTNERSHIP PROGRAM IS A COLLABORATIVE PROGRAM OF CARDINAL GLENNON AND THE ST LOUIS ARCHDIOCESE AND PROVIDES VISION, HEARING AND BLOOD PRESSURE SCREENING WITH REFERRAL FOR STUDENTS IN 33 CATHOLIC SCHOOLS. THE PROGRAM ALSO OFFERS A NUMBER OF OTHER SERVICES TO ALL OF THE AREA'S 155 CATHOLIC SCHOOLS, INCLUDING INSTRUCTION ON MEDICATION ADMINISTRATION WITH ANNUAL REVIEW, FIRST AID CLASSES, CPR INSTRUCTION, UNIVERSAL PRECAUTION/INFECTION CONTROL EDUCATION, CLASSES ON ALLERGIES, SEIZURES, DIABETES AND ASTHMA, HEALTH PROMOTIONAL ACTIVITIES SUCH AS HAND-WASHING AND HYGIENE INSTRUCTION, AND EDUCATION SESSIONS FOR THE SCHOOL NURSES. H. CLINICAL DIETARY SERVICES CARDINAL GLENNON CLINICAL DIETITIANS PROVIDE NUTRITIONAL COUNSELING FOR FAMILIES, AS WELL AS DIETARY TRACKING AND ANALYSIS FOR PEDIATRICIANS. I. COMMUNITY EDUCATION SEVENTEEN TIMES A YEAR, THE HOSPITAL PUBLISHES IN A MAJOR DAILY NEWSPAPER (THE ST LOUIS POST-DISPATCH) A COLUMN BY CHIEF OF PEDIATRICS ROBERT WILMOTT, M.D. THE COLUMN, CALLED "HEALTHY KIDS", PROVIDES PARENTING ADVICE AND CHILD HEALTH INFORMATION. EACH COLUMN INVITES READERS TO SEND DR. WILMOTT QUESTIONS VIA EMAIL, WHICH HE RESPONDS TO PROMPTLY AND PRIVATELY. THE HOSPITAL ALSO OFFERS A VAST LIBRARY OF PEDIATRIC HEALTH AND PARENTING INFORMATION, CALLED "KIDSHEALTH" ON ITS WEB SITE AT WWW.CARDINALGLENNON.COM. IN ADDITION, CARDS PROVIDING PEDIATRIC HEALTH TIPS FOR PARENTS ARE DISTRIBUTED THROUGH "EDUCATION STATIONS" IN THE WAITING ROOMS OF HUNDREDS OF AREA PEDIATRICIANS' OFFICES. J. 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. IN 2011, SSM CARDINAL GLENNON DEBUTED A NEW PEDIATRIC HYBRID CARDIAC CATHETERIZATION SUITE. THIS NEW SUITE ALLOWS A CARDIOLOGIST AND CARDIOTHORACIC SURGEON TO FIND AND FIX A CHILD'S HEART PROBLEM IN THE SAME ROOM AND SAME PROCEDURE. THIS PROMOTES FASTER RECOVERY AND SAFER CARE FOR THE YOUNG PATIENTS SERVED BY THE HOSPITAL. K. 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. L. 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. M. 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 TEAM 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 PROVIDES DISTRACTION DURING THERAPY SESSIONS. ADDITIONAL INFORMATION REGARDING SSMHC'S 2012 COMMUNITY BENEFIT REPORT CAN BE FOUND AT WWW.SSMHC.COM. 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 $1,370,223 UNPAID COST OF MEDICAID $(6,826,349) COST OF BAD DEBTS $1,551,357 COMMUNITY BENEFIT PROGRAMS $32,440,660 TOTAL QUANTIFIABLE COMMUNITY BENEFIT $28,535,891 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 B, LINE 15 ALL SSMHC EXECUTIVE SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH LIKE POSITIONS IN THE MARKET. THE COMPENSATION REVIEW PROCESS IS DONE 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. 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 ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G MEDICAL PHYSICIAN, PRACTITIONER, AND RESIDENT FEES: PROGRAM SERVICE EXPENSES 32,227,588. MANAGEMENT AND GENERAL EXPENSES 77,754. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,305,342. MEDICAL LAB, RADIOLOGY, AND VARIOUS SERVICES: PROGRAM SERVICE EXPENSES 16,906,331. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,906,331. TEACHING, CONSULTING, AND OTHER MISC SERVICES: PROGRAM SERVICE EXPENSES 4,321,581. MANAGEMENT AND GENERAL EXPENSES 616,388. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,937,969. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: BENEFICIAL INTEREST IN FOUNDATION 5,310,168. NET FUND BALANCE TRANSFERS FROM AFFILIATES 1,569,100. 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