SSM CARDINAL GLENNON CHILDRENS HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SSM CARDINAL GLENNON CHILDRENS HOSPITAL (EIN 43-0738490)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-15
IRS object ID: 201203209349308915
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-15T17:01:45-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1111 BAGBY STREET SUITE 4500	AddressLine1
City	HOUSTON	City
State	TX	State
ZIP Code	77002	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	430738490	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SSM CARDINAL GLENNON CHILDREN'S HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SSMC	NameControl
Phone	3149893610	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	477 N LINDBERGH BOULEVARD	AddressLine1
City	STLOUIS	City
State	MO	State
ZIP Code	63141	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JUNE L PICKETT	Name
Title	SECRETARY	Title
Phone	3149893610	Phone
Date Signed	2012-11-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	SRIRAM SRINIVASAN	Name
PTIN	P00654717	PTIN
Phone	7139822000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	WILLIAM P THOMPSON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	477 N LINDBERGH BOULEVARD	AddressLine1
City	STLOUIS	City
State	MO	State
ZIP Code	63141	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	289089988	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.SSMHC.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1984	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	A NOT-FOR-PROFIT 190-BED INPATIENT AND OUPATIENT MEDICAL CENTER IN ST. LOUIS, MISSOURI.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	2120	TotalNbrEmployees
Total Nbr Volunteers	350	TotalNbrVolunteers
Total Gross UBI	660308	TotalGrossUBI
Net Unrelated Business Txbl Income	148183	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	8080445	ContributionsGrantsPriorYear
Contributions Grants Current Year	9242948	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	252032083	ProgramServiceRevenuePriorYear
Program Service Revenue CY	272174021	ProgramServiceRevenueCY
Investment Income Prior Year	5173829	InvestmentIncomePriorYear
Investment Income Current Year	1331106	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5297516	OtherRevenuePriorYear
Other Revenue Current Year	6041665	OtherRevenueCurrentYear
Total Revenue Prior Year	270583873	TotalRevenuePriorYear
Total Revenue Current Year	288789740	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	187613	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	135642	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	111628655	SalariesEtcPriorYear
Salaries Etc Current Year	125813584	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	140398124	OtherExpensePriorYear
Other Expenses Current Year	147972477	OtherExpensesCurrentYear
Total Expenses Prior Year	252214392	TotalExpensesPriorYear
Total Expenses Current Year	273921703	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	18369481	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	14868037	RevenuesLessExpensesCY
Total Assets BOY	264819204	TotalAssetsBOY
Total Assets EOY	273967838	TotalAssetsEOY
Total Liabilities BOY	68253934	TotalLiabilitiesBOY
Total Liabilities EOY	83445354	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	196565270	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	190522484	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	255607605	Expense
Grants	135642	Grants
Revenue	275007764	Revenue
Description	SEE SCHEDULE O	Description
Total Program Service Expense	255607605	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	1	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	2120	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	KELLY THOMPSON	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3149893610	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1195 CORPORATE LAKE	AddressLine1
City	STLOUIS	City
State	MO	State
ZIP Code	63132	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
SHEILA BADER
DIRECTOR	1.00	X	0	0	0
DANIEL BAUMANN MD
DIRECTOR	1.00	X	0	258927	21762
DONALD E BINZ II MD
DIRECTOR	1.00	X	0	387029	25069
DAVID G COSBY
DRECOR	1.00	X	0	0	0
MARY T MCLENNAN
DIRECTOR	1.00	X	0	0	0
BRENDA D NEWBERRY
DIRECTOR	1.00	X	0	0	0
RUDOLPH W NICKENS JR
DIRECTOR	1.00	X	0	0	0
TIKA NAZARETH DMD
DIRECTOR	1.00	X	0	0	0
JAMES A SANDFORT EDD
DIRECTOR	1.00	X	0	0	0
KARL WILSON PHD
DIRECTOR	1.00	X	0	0	0
SR MARY JEAN RYAN
DIRECTOR & CHAIRPERSON	1.00	X	0	0	0	X
JAMES M SANGER
DIRECTOR & PRESIDENT	1.00	X	0	842896	24901	X
WILLIAM P THOMPSON
DIRECTOR AND VICE PRES	1.00	X	0	1518393	741005	X
KRIS A ZIMMER
TREASURER	1.00		0	708536	189289	X
JUNE L PICKETT
SECRETARY	1.00		0	224061	185772	X
JUDY GARTLAND
ASST SECRETARY	1.00		0	67451	39473	X
SHERLYN HAILSTONE
HOSPITAL PRESIDENT	40.00		0	598587	160443	X
KAREN REWERTS
CFO	10.00		0	503987	176069	X
STEVEN BARNEY
VICE PRESIDENT	1.00		0	677427	38184	X
LORRAINE MAE YEHLEN
VP PATIENT CARE	40.00		0	249514	136874		X
KEVIN TODD JOHNSON
REG VP MEDICAL AFFAIRS	40.00		0	531943	149521		X
LYNN F LENKER
REG VP NURSING/CNO	40.00		0	357454	146863		X
DEBORAH G WALKENHORST
REG VP HUMAN RES	40.00		0	335815	100809		X
ROBERT PORTER
PRES, PROG AND SERV	40.00		0	510511	216201		X
PATHMA RAMESVARA MD
PHYSICIAN	40.00		446012	0	202662			X
CASIMIR FIRLIT MD
PHYSICIAN	40.00		411642	0	77833			X
JAMAL ZEREIK MD
PHYSICIAN	40.00		356102	0	89101			X
PUSHPA PATEL MD
PHYSICIAN	40.00		329525	0	144822			X
TIMOTHY REED MD
PHYSICIAN	40.00		274335	0	64879			X
MARY SUE EMBERTSON
FORMER OFFICER	0.00		0	222510	60695				X
WILLIAM SCHOENHARD
FORMER OFFICER	0.00		0	283017	109779				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1817616	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	8278058	TotalReportableCompFrmRltdOrgs
Total Other Compensation	3102006	TotalOtherCompensation
Number Individuals GT100 K	72	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ST LOUIS UNIVERSITY MEDICAL CENTER
1402 S GRAND	ST LOUIS	MO	63104	PHYSICIAN SERVICES	36607941
ARAMARK SERVICES LLC
1101 MARKET STREET	PHILADELPHIA	PA	19107	CAFETERIA SERVICES	4419509
ALBERICI CONSTRUCTORS INC
880 PAGE AVE	ST LOUIS	MO	63114	CONSTRUCTION SERVICES	2912329
KIRBERG ROOFING INC
1400 SOUTH THIRD ST	ST LOUIS	MO	63104	CONTRUCTION SERVICES	1091006
ASSOCIATED REGIONAL & UNIVERSITY PATHOLO
500 CHIPETA WAY	SALT LAKE CITY	UT	08108	LABORATORY SERVICES	825535

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	31	NumberOfContractorsGT100K
Related Organizations	5823205	RelatedOrganizations
Government Grants	2653791	GovernmentGrants
All Other Contributions	765952	AllOtherContributions
Total Contributions	9242948	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REV	621110	261014044	261014044
OTHER REVENUE	621110	11159977	11159977

Field	Value	IRS element (for citing)
Total Program Service Revenue	272174021	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	570574	TotalRevenueColumn
Exclusion	$570,574	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	588809	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	588809	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	588809	TotalRevenueColumn
Exclusion	$588,809	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	816329	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	55797	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	816329	Securities
Other	-55797	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	760532	TotalRevenueColumn
Exclusion	$760,532	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	347205	GrossSalesOfInventory
Cost Of Goods Sold	244451	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	102754	TotalRevenueColumn
Exclusion	$102,754	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
PHARMACY REVENUE	446110	2279511	2279511
CAFETERIA	722210	1820338		$1,820,338
LABORATORY REVENUE	621500	1214540	554232		660308

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	35713	TotalRevenueColumn
Exclusion	$35,713	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	5350102	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	288789740	TotalRevenueColumn
Related Or Exempt Function Income	275007764	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	660308	UnrelatedBusinessRevenue
Exclusion	$3,878,720	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	85618	Total
Program Services	85618	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	50024	Total
Program Services	50024	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	95184170	Total
Program Services	85849084	ProgramServices
Management And General	9335086	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	9850602	Total
Program Services	8883139	ProgramServices
Management And General	967463	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	15181469	Total
Program Services	13660966	ProgramServices
Management And General	1520503	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5597343	Total
Program Services	5047608	ProgramServices
Management And General	549735	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	3517247	Total
Program Services	1179155	ProgramServices
Management And General	2338092	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	182116	Total
Management And General	182116	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	99192	Total
Management And General	99192	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	46781503	Total
Program Services	46232367	ProgramServices
Management And General	549136	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	216524	Total
Program Services	141448	ProgramServices
Management And General	75076	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	10523032	Total
Program Services	9914771	ProgramServices
Management And General	608261	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	11180502	Total
Program Services	11161770	ProgramServices
Management And General	18732	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5603730	Total
Program Services	5182928	ProgramServices
Management And General	420802	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	281262	Total
Program Services	195034	ProgramServices
Management And General	86228	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	131841	Total
Program Services	111095	ProgramServices
Management And General	20746	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1108504	Total
Program Services	1108504	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	10346198	Total
Program Services	9882475	ProgramServices
Management And General	463723	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	799640	Total
Management And General	799640	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	29870054	29870054	0
MEDICARE PROVIDER TAX	24140754	24140754	0
BAD DEBTS	2849000	2849000	0
LICENSES	103776	56830	46946

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	237602	Total
Program Services	4981	ProgramServices
Management And General	232621	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	273921703	Total
Program Services	255607605	ProgramServices
Management And General	18314098	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	15832991	BOY
EOY	1834871	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	32383207	BOY
EOY	49822741	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1229755	BOY
EOY	1265423	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3364823	BOY
EOY	3690054	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	988449	BOY
EOY	1822467	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	283007798	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	149044245	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	134488019	BOY
EOY	133963553	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	6732857	BOY
EOY	6817069	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	64628255	BOY
EOY	69642650	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	5170848	BOY
EOY	5109010	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	264819204	BOY
EOY	273967838	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	27927548	BOY
EOY	26501072	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	40326386	BOY
EOY	56944282	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	68253934	BOY
EOY	83445354	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	174541481	BOY
EOY	167913674	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10336569	BOY
EOY	9731317	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	11687220	BOY
EOY	12877493	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	196565270	BOY
EOY	190522484	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	264819204	BOY
EOY	273967838	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	14868037	ReconcilationRevenueExpenses
Reconcilation Other Changes	-20910823	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Mailings Members	$25,262	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$6,346	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$25,262	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	56870	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	22120818	BeginningOfYearBalance
Contributions	2090571	Contributions
Investment Earnings Or Losses	367264	InvestmentEarningsOrLosses
Other Expenditures	423303	OtherExpenditures
End Of Year Balance	24155350	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	16356158	BeginningOfYearBalance
Contributions	4405000	Contributions
Investment Earnings Or Losses	1525610	InvestmentEarningsOrLosses
Other Expenditures	165950	OtherExpenditures
End Of Year Balance	22120818	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	9170500	BeginningOfYearBalance
Contributions	6152781	Contributions
Investment Earnings Or Losses	1092877	InvestmentEarningsOrLosses
Other Expenditures	60000	OtherExpenditures
End Of Year Balance	16356158	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	8766403	BeginningOfYearBalance
Contributions	2075439	Contributions
Investment Earnings Or Losses	-1590345	InvestmentEarningsOrLosses
Other Expenditures	80997	OtherExpenditures
End Of Year Balance	9170500	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.26000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.53000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.21000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7578658	OtherCostOrOtherBasis
Book Value	7578658	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	206825733	OtherCostOrOtherBasis
Depreciation	98500289	Depreciation
Book Value	108325444	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	66639712	OtherCostOrOtherBasis
Depreciation	50543956	Depreciation
Book Value	16095756	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1963695	OtherCostOrOtherBasis
Book Value	1963695	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	133963553	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
BENEFICIAL INTEREST IN FOUNDATION	54297685	F
SSM COMPREHENSIVE INVESTMENT PROGRAM	15344965	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	69642650	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
RABBI TRUST LIABILITY	$290,778
PENSION FUNDING LIABILITY	$12,580,000
ASSET RETIREMENT OBLIGATION	$2,505,276
CAPITAL LEASES	$136,585
ALLOCATED TAX EXEMPT BOND LIAB (ISSUED THROUGH SSM HEALTH CARE)	$28,311,098
DUE TO AFFILIATES	$13,120,545

Field	Value	IRS element (for citing)
Total Of Amounts	56944282	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	TO SUPPORT THE PEDIATRIC MEDICAL SERVICES PROVIDED BY CARDIANL GLENNON CHILDREN'S HOSPITAL
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	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 2011 OR 2010.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	0.0	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1143658	TotalCommunityBenefitExpense
Net Community Benefit Expense	1143658	NetCommunityBenefitExpense
Percent Of Total Expense	0.00420	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	153004329	TotalCommunityBenefitExpense
Direct Offsetting Revenue	156792633	DirectOffsettingRevenue
Net Community Benefit Expense	-3788304	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	154147987	TotalCommunityBenefitExpense
Direct Offsetting Revenue	156792633	DirectOffsettingRevenue
Net Community Benefit Expense	-2644646	NetCommunityBenefitExpense
Percent Of Total Expense	0.00420	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1340961	TotalCommunityBenefitExpense
Net Community Benefit Expense	1340961	NetCommunityBenefitExpense
Percent Of Total Expense	0.00490	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13000039	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7243890	DirectOffsettingRevenue
Net Community Benefit Expense	5756149	NetCommunityBenefitExpense
Percent Of Total Expense	0.02120	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13259919	TotalCommunityBenefitExpense
Net Community Benefit Expense	13259919	NetCommunityBenefitExpense
Percent Of Total Expense	0.04890	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	570683	TotalCommunityBenefitExpense
Net Community Benefit Expense	570683	NetCommunityBenefitExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	98883	TotalCommunityBenefitExpense
Net Community Benefit Expense	98883	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	28270485	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7243890	DirectOffsettingRevenue
Net Community Benefit Expense	21026595	NetCommunityBenefitExpense
Percent Of Total Expense	0.07750	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	182418472	TotalCommunityBenefitExpense
Direct Offsetting Revenue	164036523	DirectOffsettingRevenue
Net Community Benefit Expense	18381949	NetCommunityBenefitExpense
Percent Of Total Expense	0.08170	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$1,434,065	BadDebtExpenseAmount
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	0	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CARDINAL GLENNON CHILDREN'S MEDICAL CTR	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1465 S GRAND BLVD	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	63104	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Childrens Hospital	X	ChildrensHospital
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CARDINAL GLENNON CHILDREN'S MEDICAL CTR	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	1	AmountsGenerallyBilled
Gross Charges	1	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	14	NumberOfOtherFacilities

Other Facilities OtherFacilities (14 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
GLENNON CARE PRIMARY PEDS
164 PROFESSIONAL PARKWAY	TROY	MO	63379	OUTPATIENT PEDIATRIC CLINIC
SAINT ANTHONY'S SUBSPECIALTY SERVICE
12700 SOUTHFORK ROAD SUITE 155	ST LOUIS	MO	63128	OUTPATIENT PEDIATRIC CLINIC
GLENNON CARE PRIMARY PEDS
511 ASHLAND SUITE A	WARRENTON	MO	63383	OUTPATIENT PEDIATRIC CLINIC
SSM DEPAUL HEALTH CENTER
12303 DEPAUL DRIVE SUITE 300	BRIDGETON	MO	63044	OUTPATIENT PEDIATRIC CLINIC
SSM CARD GLENNON PEDS ST JOSEPH WEST
400 MEDICAL PLAZA SUITE 220	LAKE ST LOUIS	MO	63367	OUTPATIENT PEDIATRIC CLINIC
ST LUKE'S SUBSPECIALTY SERVICES
224 SOUTH WOODS MILL ROAD	CHESTERFIELD	MO	63017	OUTPATIENT PEDIATRIC CLINIC
PEDIATRIC SPECIALIST AT ANDERSON HOSP
6800 STATE ROUTE 162	MARYVILLE	IL	62062	OUTPATIENT PEDIATRIC CLINIC
SSM MEDICAL GROUP PEDIATRICS
722 N HIGHWAY 47 SUITE B	WARRENTON	MO	63383	OUTPATIENT PEDIATRIC CLINIC
PEDIATRIC SURGERY CENTER
12700 SOUTHFORK ROAD SUITE 101	ST LOUIS	MO	63128	PEDIATRIC SURGERY CENTER
SE MO HOSPITAL SUBSPECIALTY 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
POPLAR BLUFF REGIONAL MEDICAL CENTER
2630 NORTH WESTWOOD BLVD	POPLAR BLUFF	MO	63901	OUTPATIENT PEDIATRIC CLINIC
GOOD SAMARITAN PROFESSIONAL BUILDING
4230 LINCOLNSHIRE DRIVE	MT VERNON	IL	62864	OUTPATIENT PEDIATRIC CLINIC
CENTER FOR MATERNAL-FETAL CARE
1601 EAST BROADWAY SUITE 100	COLUMBIA	MO	65201	OUTPATIENT PEDIATRIC CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (4 entries)

ExplanationExplanation	IdentifierIdentifier
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 TIME FPG 80%MORE THAN 2.5 TIMES, LESS THAN 3 TIMES FPG 60%MORE THAN 3 TIMES, LESS THAN 3.5 TIMES FPG 40%MORE THAN 3.5 TIMES, LESS THAN 4 TIMES FPG 20%4 OR MORE TIMES FPG 0%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 2011 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 I, LINE 7B, COLUMN F:DUE TO SOFTWARE LIMITATIONS RELATED TO ELECTRONICALLY FILING THIS TAX RETURN, THE CALCULATED AMOUNT ON LINE 7B, COLUMN F SHOULD BE -1.40% AND LINE 7D, COLUMN F SHOULD BE -0.98%. HOWEVER, THE SOFTWARE WOULD NOT ACCEPT A NEGATIVE PERCENTAGE, AND THEREFORE, LINE 7B AND 7D ARE BLANK.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, 2011 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. BAD DEBTS EXPENSE IS THE ESTIMATED AMOUNT OF PATIENT SERVICE REVENUES THAT SSMHC WILL NOT COLLECT."BAD DEBT COSTING METHODOLOGY: BAD DEBT EXPENSE REPORTED IN THE 2011 ANNUAL LICENSING SURVEY OF MISSOURI HOSPITALS WAS USED, MULTIPLIED BY THE COST TO CHARGE RATIO USING IRS WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES.BAD DEBT EXPENSE REPORTED ON LINE 2 FOR THE YEAR ENDED DECEMBER 31, 2011 WAS $3,985,725 AT CHARGES AND $1,434,085 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 I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2849000.
PART 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.AS OF JANUARY 2011, THE PRIMARY FOCUS OF SSM HEALTH CARE'S HEALTHY COMMUNITIES INITIATIVES (HCIS) HAS BEEN ON ONE OF THE TOP-THREE CHRONIC DISEASES IN EACH ENTITY'S/NETWORK'S RESPECTIVE MARKET (E.G., CHF, DIABETES, ASTHMA) AS IDENTIFIED THROUGH, AMONG OTHER DATA SOURCES, COMMUNITY NEEDS ASSESSMENTS, CONSUMER/PUBLIC HEALTH STUDIES AND STATE/LOCAL HEALTH DEPARTMENT INFORMATION.COMMUNITY HEALTH IMPROVEMENT, WHICH WE PURSUE AS A SYSTEM PRIMARILY THROUGH HCIS UNDERTAKEN AT THE ENTITY LEVEL, IS FUNDAMENTAL TO OUR MISSION, VALUES, AND VISION. OVER THE YEARS MANY PEOPLE HAVE BENEFITED FROM OUR HCIS AND MUCH GOOD HAS COME FROM THEM. IN AN EFFORT TO BEST RESPOND TO COMMUNITY NEEDS, HCIS HAS REFOCUSED ITS EFFORTS TOWARD A NEW APPROACH TO COMMUNITY HEALTH, AS OUTLINED BELOW.CHRONIC DISEASE IS RAMPANT THROUGHOUT THE U.S WHERE ROUGHLY HALF OF ALL ADULTS AND 10% OF CHILDREN/ADOLESCENTS LIVE WITH AT LEAST ONE CHRONIC DISEASE. OF THESE AN ESTIMATED 13 MILLION LACK HEALTH INSURANCE AND THEREBY HAVE POORER ACCESS TO PREVENTIVE AND PRIMARY CARE SERVICES THAN THEIR INSURED COUNTERPARTS AND EXPERIENCE WORSE HEALTH-RELATED OUTCOMES, INCLUDING PREMATURE DEATH.IN RESPONSE TO THIS GROWING NATIONAL HEALTH CRISIS, SYSTEM MANAGEMENT HAS SET THE EXPECTATION THAT ALL SSM OPERATING ENTITIES, WORKING INDIVIDUALLY OR COLLECTIVELY AS NETWORKS, IN COLLABORATION WITH COMMUNITY PARTNERS, WILL DEVELOP HCIS FOCUSED ON THE CHRONIC DISEASE SELECTED THAT ADDRESSES THREE PILLARS THAT STRETCH ACROSS THE CARE CONTINUUM:- PREVENTION THROUGH COMMUNITY EDUCATION IN PARTNERSHIP WITH COMMUNITY HEALTH ORGANIZATIONS, LOCAL HEALTH AGENCIES, CHURCHES, CIVIC CENTERS, SCHOOLS, INSURANCE COMPANIES AND OTHER COMMUNITY PARTNERS.- ACCESS TO PRIMARY CARE SERVICES AND NECESSARY MEDICATIONS IN CONJUNCTION WITH COMMUNITY HEALTH ORGANIZATIONS, LOCAL HEALTH AGENCIES AND CLINICS, EMPLOYED COMMUNITY PHYSICIANS AND PHARMACEUTICAL COMPANIES.- INPATIENT CARE INCLUDING PATIENT EDUCATION, COMPREHENSIVE DISCHARGE PLANNING, MEDICATION RECONCILIATION, COORDINATION OF CARE ACROSS SETTINGS AND POST-DISCHARGE FOLLOW-UP.INITIALLY, THE STRATEGIC GOAL WILL BE TO REDUCE THE 30-DAY HOSPITAL READMISSION RATE FOR THE CHRONIC DISEASE SELECTED. THIS HAS THE MOST IMMEDIATE IMPACT. AS WE DEVELOP OUR COMMUNITY PARTNERSHIPS AND BEGIN TO IMPACT THE WHOLE CASE CONTINUUM, ADDITIONAL GOALS CAN BE ADDED THAT ADDRESS KEY INDICATORS OF COMMUNITY/POPULATION HEALTH (E.G., PREVALENCE AND INCIDENCE RATES, SCREENING RATES, HOSPITAL ADMISSION RATES, BEHAVIORAL AND LIFESTYLE FACTORS). ENTITIES MUST ESTABLISH SPECIFIC STRATEGIES AND DEVELOP CLEAR INDICATORS OR MEASURES OF SUCCESS TO TRACK PROGRESS. IN ADDITION TO HCIS, EACH SSM HEALTH CARE HOSPITAL WILL CONDUCT A SEPARATE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). 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 DATA 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 TO BE 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 HEALTHPART IV, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCELL 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.
PART V, SECTION B, LINE 18D: ALL UNINSURED PATIENTS RECEIVE A 40% DISCOUNT FOR MEDICAL SERVICES PROVIDED WHICH APPROXIMATES THE LOWEST EFFECTIVE DISCOUNT RATE OF OUR MANAGED CARE CONTRACTS. IN ADDITION, WE OFFER A FLAT RATE FEE FOR UNINSURED PATIENTS USING EMERGENCY ROOM, MRI, CT AND LABORATORY SERVICES.	CARDINAL GLENNON CHILDREN'S MEDICAL CTR

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
ILLINOIS HOSPITAL RESEARCH AND EDUCATION FOUNDATION
1151 EAST WARRENVILLE RD	NAPERVILLE	IL	60566	237421930	501(C)(3)	32720	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)	18398	SUPPORT THE MISSOURI POISON CONTROL CENTER

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
MEAL TICKETS	0	0	32234	OTHER	PROVIDE MEALS TO PATIENTS' FAMILY MEMBERS
SAFETY DEVICES	184		4929	OTHER	CAR SEATS/BOOSTER SEATS/BIKE HELMETS
TRANSPORTATION SERVICES	0	0	12861	OTHER	BUS PASSES/TAXI FOR PATIENTS FAMILY MEMBERS

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	PART I, LINE 2:	SCHEDULE I, PART I, LINE 2: GRANTS ARE PROVIDED ONLY TO REGIONAL AND NATIONAL 501(C)(3) ORGANIZATIONS. THESE ORGANIZATION ARE EXPECTED TO MAINTAIN ADEQUATE CONTROLS REGARDING THE USE OF GRANT FUNDS FOR THEIR INTENDED PURPOSES.
		MEAL TICKETS AND BUS PASSES/TAXI SERVICES ARE GIVEN TO FAMILY MEMBERS 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.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DANIEL BAUMANN MD
0	251764	0	0	0	7163	0	0	0	21762	0	280689	0	0
DONALD E BINZ II MD
0	379160	0	0	0	7869	0	0	0	25069	0	412098	0	0
JAMES M SANGER
0	702345	0	0	0	140551	0	6130	0	18771	0	867797	0	0
WILLIAM P THOMPSON
0	1013217	0	0	0	505176	0	725268	0	15737	0	2259398	0	0
KRIS A ZIMMER
0	661311	0	0	0	47225	0	162685	0	26604	0	897825	0	0
JUNE L PICKETT
0	217587	0	0	0	6474	0	169142	0	16630	0	409833	0	0
SHERLYN HAILSTONE
0	550227	0	0	0	48360	0	136938	0	23505	0	759030	0	0
KAREN REWERTS
0	456379	0	0	0	47608	0	167031	0	9038	0	680056	0	0
STEVEN BARNEY
0	539974	0	0	0	137453	0	16752	0	21432	0	715611	0	0
LORRAINE MAE YEHLEN
0	240783	0	0	0	8731	0	111350	0	25524	0	386388	0	0
KEVIN TODD JOHNSON
0	475869	0	0	0	56074	0	121759	0	27762	0	681464	0	0
LYNN F LENKER
0	322057	0	0	0	35397	0	121383	0	25480	0	504317	0	0
DEBORAH G WALKENHORST
0	316656	0	0	0	19159	0	85612	0	15197	0	436624	0	0
ROBERT PORTER
0	445542	0	0	0	64969	0	192832	0	23369	0	726712	0	0
PATHMA RAMESVARA MD
388282	0	0	0	57730	0	183197	0	19465	0	648674	0	0	0
CASIMIR FIRLIT MD
402829	0	0	0	8813	0	50359	0	27474	0	489475	0	0	0
JAMAL ZEREIK MD
320975	0	0	0	35127	0	84310	0	4791	0	445203	0	0	0
PUSHPA PATEL MD
314099	0	0	0	15426	0	128055	0	16767	0	474347	0	0	0
TIMOTHY REED MD
269752	0	0	0	4583	0	48915	0	15964	0	339214	0	0	0
MARY SUE EMBERTSON
0	0	0	0	0	222510	0	52489	0	8206	0	283205	0	0
WILLIAM SCHOENHARD
0	0	0	0	0	283017	0	94615	0	15164	0	392796	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL INFORMATION	Identifier
Return Reference	PART III	ReturnReference
Explanation	PART I, LINE 1A THE FOLLOWING INDIVIDUALS LISTED ON SCHEDULE J PART II RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENT IN 2011. THESE PAYMENTS WERE INCLUDED IN THEIR TAXABLE COMPENSATION. JAMAL AHMED ZEREIK PUSHPA P. PATEL PATHMA RAMESVARA TIMOTHY REED 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) WRITTEN EMPLOYMENT CONTRACT; (3) COMPENSATION SURVEY OR STUDY; (4) 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. THE FOLLOWING INDIVIDUALS LISTED ON SCHEDULE J, PART II RECEIVED PAYMENTS UNDER THIS PLAN. WILLIAM SCHOENHARD $277,333 MARY SUE EMBERTSON $219,019 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 2011. 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 2011. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUALS' TAXABLE COMPENSATION. JAMES M. SANGER $ 71,999 STEVEN BARNEY $ 66,707	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 MEDICAL CENTER 13. SSM GLENNON CARE FOR KIDS
FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE:	BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION: SINCE IT WAS FOUNDED IN 1872 BY 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 17 HOSPITAL LOCATIONS, TWO SKILLED NURSING FACILITIES AND HOME HEALTH AGENCIES IN FOUR STATES (WISCONSIN, OKLAHOMA, ILLINOIS AND MISSOURI). THE HEALTH SYSTEM EMPLOYS APPROXIMATELY 24,000 PEOPLE AND IS AFFILIATED WITH MORE THAN 6,500 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: WE TAKE 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'S 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 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.	PROGRAM SERVICE STATEMENT
	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'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" 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 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 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 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. 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 ARE ELIGIBLE FOR 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 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 DIAGNOSE AND TREAT A CHILD'S HEART PROBLEM IN THE SAME ROOM AND USING A SINGLE 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 LIVE BETTER LIVES 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. KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER THE KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER AT SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 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 APPROACH 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 WITH AUTISM SPECTRUM DISORDER. THE KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER ALSO HAS A DOG THERAPY PROGRAM. TRAINED THERAPY DOG HIGGINS, A GOLDENDOODLE, WORKS WITH CHILDREN TO MAKE THEM MORE COMFORTABLE WITH MEDICAL TREATMENT AND PROVIDE DISTRACTION DURING THERAPY SESSIONS. ADDITIONAL INFORMATION REGARDING SSMHC'S 2011 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 $ 1,143,658 UNPAID COST OF MEDICAID $ (3,788,304) COST OF BAD DEBTS $ 1,434,065 COMMUNITY BENEFIT PROGRAMS $ 21,026,595 TOTAL QUANTIFIABLE COMMUNITY BENEFIT $ 19,816,014
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 HEATH 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 VOTING 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 SAME COMPARATIVE PROCESS IS PERFORMED INTERNALLY FOR EMPLOYEES. THE SALARY DATA AND POTENTIAL ADJUSTMENTS, FOR THE CEO OF THE SYTEM, THE PRESIDENT/COO AND THE SENIOR VICE PRESIDENTS ARE PRESENTED TO THE SSMHC BOARD OF DIRECTORS BY THE SAME INDEPENDENT COMPENSATION CONSULTANTS TO APPROVE, DISAPPROVE, MODIFY.
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.
FORM 990, PART VII:	ALL INDIVIDUALS WHO RECEIVE COMPENSATION FOR SERVICES TO THE FILING ORGANIZATION ARE EMPLOYED AND COMPENSATED BY THE ORGANIZATION OR A RELATED ORGANIZATION. IN ADDITION, ALL COMPENSATED REPORTABLE INDIVIDUALS LISTED ON FORM 990, PART VII WORK A MINIMUM OF 40 HOURS PER WEEK FOR SSMHC RELATED ORGANIZATIONS.	AVG HOURS DEVOTED TO RELATED ORG(S) WHEN RELATED COMP IS REPORTED:
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -1,105,105. BENEFICIAL INTEREST IN FOUNDATION 5,070,352. FUND BALANCE TRANSFER TO AFFILIATES -24,876,070. TOTAL TO FORM 990, PART XI, LINE 5: -20,910,823.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (41 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
SSM HEALTH CARE CORPORATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	466029223	HEALTH CARE	MO	501(C)(3)	LINE 11A, I	FRANCISCAN SISTERS OF MARY	0
SSM EMPLOYEE HEALTH CARE FUND
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431328934	BENEFIT PLANS	MO	501(C)(9)		SSM HEALTH CARE CORPORATION	0
SSMHCS LIABILITY TRUST I
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	436331003	INSURANCE	MO	501(C)(3)	LINE 11A, I	SSM HEALTH CARE CORPORATION	0
SSM CONSOLIDATED HEALTH SERVICES
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431473657	HEALTH CARE	MO	501(C)(3)	LINE 11A, I	SSM HEALTH CARE CORPORATION	0
SSM POLICY INSTITUTE
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431788151	HEALTH CARE	MO	501(C)(4)		SSM HEALTH CARE CORPORATION	0
SSM PORTFOLIO MANAGEMENT CO
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431825256	MANAGEMENT	MO	501(C)(3)	LINE 11A, I	SSM HEALTH CARE CORPORATION	0
GLENNON HOSPITAL GUILD
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431030299	FUNDRAISING	MO	501(C)(3)	LINE 9	SSM CARDINAL GLENNON CHILDREN'S HOSPITAL	1
CARDINAL GLENNON CHILDREN'S FOUNDATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431754347	FUNDRAISING	MO	501(C)(3)	LINE 7	SSM CARDINAL GLENNON CHILDREN'S HOSPITAL	1
SSM DEPAUL HEALTH CENTER FOUNDATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431776109	FUNDRAISING	MO	501(C)(3)	LINE 7	SSM HEALTH CARE ST LOUIS	0
SSM ST JOSEPH FOUNDATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431591556	FUNDRAISING	MO	501(C)(3)	LINE 7	SSM HEALTH CARE ST LOUIS	0
SSM ST CLARE HEALTH CENTER FOUNDATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431273310	FUNDRAISING	MO	501(C)(3)	LINE 7	SSM HEALTH CARE ST LOUIS	0
SSM ST MARY'S HEALTH CENTER FOUNDATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431552945	FUNDRAISING	MO	501(C)(3)	LINE 7	SSM HEALTH CARE ST LOUIS	0
SSM HEALTH CARE OF OKLAHOMA INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	730657693	HEALTH CARE	OK	501(C)(3)	LINE 3	SSM HEALTH CARE CORPORATION	0
ST ANTHONY HOSPITAL FOUNDATION INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	736104300	FUNDRAISING	OK	501(C)(3)	LINE 7	SSM HEALTH CARE OF OKLAHOMA	0
SSM HEALTH CARE OF WISCONSIN INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	430688874	HEALTH CARE	WI	501(C)(3)	LINE 3	SSM HEALTH CARE CORPORATION	0
DELLS MEDICAL BUILDING INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	391613292	MOB	WI	501(C)(2)		SSM HEALTH CARE OF WISCONSIN	0
ST MARY'S FOUNDATION INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431940686	FUNDRAISING	WI	501(C)(3)	LINE 7	SSM HEALTH CARE OF WISCONSIN	0
ST CLARE HEALTH CARE FOUNDATION INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431940683	FUNDRAISING	WI	501(C)(3)	LINE 7	SSM HEALTH CARE OF WISCONSIN	0
HOME HEALTH UNITED INC
4639 HAMMERSLEY ROAD	MADISON	WI	53713	391539827	HEALTH CARE	WI	501(C)(3)	LINE 9	SSM HEALTH CARE OF WISCONSIN	0
HOME CARE UNITED INC
4639 HAMMERSLEY ROAD	MADISON	WI	53713	391776340	HEALTH CARE	WI	501(C)(3)	LINE 9	SSM HEALTH CARE OF WISCONSIN	0
HHU XTRA CARE INC
4639 HAMMERSLEY ROAD	MADISON	WI	53713	391705111	HEALTH CARE	WI	501(C)(3)	LINE 9	SSM HEALTH CARE OF WISCONSIN	0
SSM REGIONAL HEALTH SERVICES
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	440579850	HEALTH CARE	MO	501(C)(3)	LINE 3	SSM HEALTH CARE CORPORATION	0
ST FRANCIS HOSPITAL FOUNDATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431099253	FUNDRAISING	MO	501(C)(3)	LINE 7	SSM REGIONAL HEALTH SERVICES	0
ST MARY'S HEALTH CENTER FOUNDATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431575307	FUNDRAISING	MO	501(C)(3)	LINE 11B, II	SSM REGIONAL HEALTH SERVICES	0
GOOD SAMARITAN REGIONAL HEALTH CENTER
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	430653587	HEALTH CARE	IL	501(C)(3)	LINE 3	SSM REGIONAL HEALTH SERVICES	0
ST MARY'S HOSPITAL CENTRALIA ILLINOIS
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	370662580	HEALTH CARE	IL	501(C)(3)	LINE 3	SSM REGIONAL HEALTH SERVICES	0
ST MARY'S - GOOD SAMARITAN INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	364170833	HEALTH CARE	IL	501(C)(3)	LINE 11A, I	SSM REGIONAL HEALTH SERVICES	0
GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	262884795	FUNDRAISING	IL	501(C)(3)	LINE 7	ST MARY'S-GOOD SAMARITAN INC	0
ST MARY'S HOSPITAL FOUNDATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	364636691	FUNDRAISING	IL	501(C)(3)	LINE 7	ST MARY'S-GOOD SAMARITAN INC	0
SSM HEALTH BUSINESSES
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431333488	HEALTH CARE	MO	501(C)(3)	LINE 3	SSM HEALTH CARE CORPORATION	0
SSM HEALTH CARE ST LOUIS
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431343281	HEALTH CARE	MO	501(C)(3)	LINE 3	SSM HEALTH CARE CORPORATION	0
CENTRALIA MEDICAL SERVICES BLDG ASSOC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	237408025	HEALTH CARE	IL	501(C)(3)	LINE 11B, II	SSM REGIONAL HEALTH SERVICES	0
ST MARY'S JANESVILLE FOUNDATION INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	273439133	FUNDRAISING	WI	501(C)(3)	LINE 7	SSM HEALTH CARE OF WISCONSIN	0
FRANCISCAN SISTERS OF MARY
1100 BELLEVUE AVE	ST LOUIS	MO	63117	431012492	RELIGIOUS ORGANIZATION	MO	501(C)(3)	LINE 1		0	N/A
LEE DEWEY CORPORATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	731279603	MOB	OK	501(C)(3)	LINE 11A, I	SSM HEALTH CARE OF OKLAHOMA	0
HEALTH CARE FOR KIDS
4055 LINDELL BLVD	ST LOUIS	MO	63141	431620093	HEALTH CARE	MO	501(C)(3)	LINE 3	SSM CARDINAL GLENNON CHILDREN'S HOSPITAL	1
SSM HOSPICE & HOME CARE FOUNDATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	300012246	FUNDRAISING	MO	501(C)(3)	LINE 7	SSM HEALTH BUSINESSES	0
ST MARY'S HOSPITAL AUXILIARY
100 ST MARYS MEDICAL PLAZA	JEFFERSON CITY	MO	65101	436049878	FUNDRAISING	MO	501(C)(3)	LINE 11B, II		0	N/A
GOOD SAMARITAN HOSPITAL AUXILIARY
605 NORTH 12TH STREET	MT VERNON	IL	62864	237049599	FUNDRAISING	IL	501(C)(3)	LINE 11C, III-FI		0	N/A
HHU-VNS FOUNDATION
4639 HAMMERSLEY ROAD	MADISON	WI	53713	391839309	FUNDRAISING	WI	501(C)(3)	LINE 7	SSM HEALTH CARE OF WISCONSIN	0
ST MARY'S HOSPITAL AUXILIARY
400 N PLEASANT	CENTRALIA	IL	62801	237126345	FUNDRAISING	IL	501(C)(3)	LINE 9		0	N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (12 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA
SSM SJ ENDOSCOPY
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	270046559	SURGERY SERVICES	MO	N/A
SSMCDI IMAGING
3440 DEPAUL LN STE 100	BRIDGETON	MO	63044	263791858	IMAGING SERVICES	MO	N/A
SA MT AMB SURG
110 N LEE	OKLAHOMA CITY	OK	73103	731528341	SURGERY SERVICES	OK	N/A
ST CLARE IMAGING SERVICES
707 14TH STREET SUITE A	BARABOO	WI	53913	200122365	DIAG. SERVICES	WI	N/A
MT VERNON RADIATION THERAPY CENTER
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	201382620	RADIATION THERAPY	IL	N/A
SLEEPNEURO SO IL
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	208468195	DIAG. SERVICES	IL	N/A
SMHC SURG CO-MGMT
100 ST MARYS MEDICAL PLAZA	JEFFERSON CITY	MO	65101	208929305	MANAGEMENT	MO	N/A
SMHC CARD CO-MGMT
100 ST MARYS MEDICAL PLAZA	JEFFERSON CITY	MO	65101	208929381	MANAGEMENT	MO	N/A
SMHC MUSC CO-MGMT
100 ST MARYS MEDICAL PLAZA	JEFFERSON CITY	MO	65101	208929237	MANAGEMENT	MO	N/A
CHOWSMGSI
605 N 12TH STREET	ST LOUIS	MO	63141	371383861	MOB	IL	N/A
COMP CANCER CARE
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	201382727	MOB	IL	N/A
MIA OF ST CHARLES
132 NORTH KANSAS ST ROOM 212	ST CHARLES	MO	63301	422125740	DIAG. SERVICES	MO	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (18 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity
SSM MANAGED CARE ORGANIZATION LLC
477 N LINBERGH BLVD	ST LOUIS	MO	63141	431708511	HEALTH PROMOTION	MO	N/A	C
FPP INC
477 N LINBERGH BLVD	ST LOUIS	MO	63141	431465174	HEALTH CARE	MO	N/A	C
DIVERSIFIED HEALTH SERVICES CORP
477 N LINBERGH BLVD	ST LOUIS	MO	63141	431369305	MEDICAL EQUIPMENT	MO	N/A	C
SSM CARDIO AND THORACIC SERVICES INC
477 N LINBERGH BLVD	ST LOUIS	MO	63141	260286559	HEALTH CARE	MO	N/A	C
SSM PROPERTIES INC
477 N LINBERGH BLVD	ST LOUIS	MO	63141	431462486	PROPERTY SERVICES	MO	N/A	C
SSM DEPAUL MEDICAL GROUP INC
477 N LINBERGH BLVD	ST LOUIS	MO	63141	431715106	HEALTH CARE	MO	N/A	C
SSM ST CHARLES CLINIC MED GROUP INC
477 N LINBERGH BLVD	ST LOUIS	MO	63141	430626408	PHYSICIAN OFFICES	MO	N/A	C
HEALTH FIRST PHYS MANAGEMENT
477 N LINBERGH BLVD	ST LOUIS	OK	63141	731534336	MEDICAL SERVICES	OK	N/A	C
SSMHCS LIABILITY TRUST II
477 N LINBERGH BLVD	ST LOUIS	MO	63141	816128118	INSURANCE	MO	N/A	C
SSM NEUROSCIENCES INC
477 N LINBERGH BLVD	ST LOUIS	MO	63141	263413981	HEALTH CARE	MO	N/A	C
SSM MEDICAL GROUP INC
477 N LINBERGH BLVD	ST LOUIS	MO	63141	431664107	PHYSICIAN OFFICES	MO	N/A	C
SSMHC INSURANCE COMPANY
477 N LINBERGH BLVD	ST LOUIS	MO	63141	030310431	INSURANCE	CA	N/A	C
SSM ORTHOPEDIC INC
477 N LINBERGH BLVD	ST LOUIS	MO	63141	271557033	HEALTH CARE	MO	N/A	C
SSM CANCER CARE
477 N LINBERGH BLVD	ST LOUIS	MO	63141	271557324	HEATH CARE	MO	N/A	C
SSM ST JOSEPH SURGERY CENTER
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431822767	HEALTH CARE	MO	N/A	C
ST MARY'S DEAN VENTURES INC
1808 WEST BELTLINE HIGHWAY	MADISON	WI	53713	391628491	HEALTH CARE	WI	N/A	C
SHARED MRI FACILITY INC
1104 JOHN NOLEN DRIVE	MADISON	WI	53713	391534744	HEALTH CARE	WI	N/A	C
PHYSICIANS SERVICES CORP OF SOUTHERN ILLINOIS
477 N LINBERGH BLVD	ST LOUIS	MO	63141	364161526	HEALTH CARE	IL	N/A	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CARDINAL GLENNON CHILDREN'S FOUNDATION
C	5823205	COST
SSM EMPLOYEE HEALTH CARE FUND
Q	12911513	COST
CARDINAL GLENNON CHILDREN'S FOUNDATION
P	700299	COST
CARDINAL GLENNON CHILDREN'S FOUNDATION
O	1726776	COST