2012-11-15T17:02:49-06:00 2011-12-31 861065772 DELOITTE TAX LLP 1111 BAGBY STREET SUITE 4500 HOUSTON TX 770022591 990 2011-01-01 431754347 CARDINAL GLENNON CHILDREN'S FOUNDATION CARD 3145775605 477 N LINDBERGH BLVD ST LOUIS MO 63141 JUNE L PICKETT 3145775605 2012-11-15 1 SRIRAM SRINIVASAN P00654717 7139822000 2011 2016-02-24 21:20:13Z SEE SCHEDULE O DAN BUCK 3800 PARK AVENUE ST LOUIS MO 63110 22131704 0 0928 X WWW.GLENNON.ORG X 1996 MO RAISE FUNDS FOR SSM CARDINAL GLENNON CHILDREN'S HOSPITAL. 48 46 0 225 0 0 10547440 12860994 0 0 1532371 2275321 24639 563979 12104450 15700294 5252011 5823205 0 0 949643 1319862 0 0 1617136 1500226 1403337 7701880 8546404 4402570 7153890 57489622 63299406 8262288 8901720 49227334 54397686 X THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 5823205 5823205 SEE SCHEDULE O 5823205 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 365 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 48 46 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X JULIE WEBER 3149893608 1195 CORPORATE LAKE DRIVE ST LOUIS MO 63132 X MOST REV ROBERT J CARLSON 1.00 X X 0 0 0 ALLEN D ALLRED 1.00 X X 0 0 0 LYNN BEALL 1.00 X 0 0 0 DANA M BEFFA 1.00 X 0 0 0 JAMES G BRENNAN 1.00 X 0 0 0 JACQUELINE B DANIS 1.00 X 0 0 0 DAN DIERDORF 1.00 X 0 0 0 JOHN F EILERMANN 1.00 X 0 0 0 HARRY P FABICK 1.00 X 0 0 0 WALTER J GALVIN 1.00 X 0 0 0 DENNIS G GIPSON 1.00 X 0 0 0 MARK J GUYOL 1.00 X 0 0 0 SHERLYN HAILSTONE 1.00 X 0 598587 160443 JOHN F HEFELE 1.00 X 0 0 0 MICHAEL H HEINZ 1.00 X 0 0 0 EDWARD T HEMPSTEAD 1.00 X 0 0 0 EDWARD D HIGGINS 1.00 X 0 0 0 THOMAS E HILTON 1.00 X X 0 0 0 DENNIS J JACKNEWITZ 1.00 X 0 0 0 MARIE JACOBS 1.00 X 0 0 0 JAMES G KOMAN 1.00 X 0 0 0 NANCY KOPLAR 1.00 X 0 0 0 JOHN C KUENEKE 1.00 X 0 0 0 CRAIG E LABARGE 1.00 X 0 0 0 MARIAN V MEHAN 1.00 X X 0 0 0 ROBERT M MERENDA 1.00 X 0 0 0 MONSIGNOR LOUIS F MEYER 1.00 X 0 0 0 THOMAS M NOONAN 1.00 X 0 0 0 CHRISTOPHER R PRONGER 1.00 X 0 0 0 JEFFRY N QUINN 1.00 X 0 0 0 JERRY E RITTER 1.00 X 0 0 0 DARRYL A ROSS PHD 1.00 X 0 0 0 KATHRYN SANSONE 1.00 X 0 0 0 THOM SEHNERT 1.00 X 0 0 0 DONNA BECK SMITH 1.00 X 0 0 0 JAMES F WHALEN 1.00 X 0 0 0 MILTON P WILKINS JR 1.00 X 0 0 0 CHRIS ZUCKERMAN 1.00 X 0 0 0 SR MARY JEAN RYAN 1.00 X 0 0 0 JAMES M SANGER 1.00 X 0 842896 24901 PETER BENOIST 1.00 X 0 0 0 CHRISTOPHER HOWARD 1.00 X 0 822289 217130 ROBERT J WITTERSCHEIN 1.00 X 0 0 0 BRYAN M SWIFT 1.00 X 0 0 0 J MICHAEL BRUNO 1.00 X 0 0 0 JULIAN L CARR JR 1.00 X X 0 0 0 JAMES G CASTELLANO 1.00 X X 0 0 0 MOLLY N CLINE PHD 1.00 X 0 0 0 GERALD B COHN 1.00 X 0 0 0 BOB COSTAS 1.00 X 0 0 0 DARRYL W DAVIS 1.00 X 0 0 0 DOUGLAS FABICK 1.00 X 0 0 0 JACK SCHREIBER 1.00 X 0 0 0 DAN BUCK 1.00 X 0 208151 32393 JUNE L PICKETT 1.00 X 0 224061 185772 0 2695984 620639 0 0 1 0 VOSS CONSTRUCTION COMPANY 210 OLD DORSETT RD MARYLAND HEIGHTS MO 63043 CONSTRUCTION SERVICES 700299 1 293081 12567913 2766235 12860994 1388153 1388153 6473778 5586610 887168 887168 887168 1408779 293081 844800 563979 563979 15700294 0 0 2839300 5798440 5798440 24765 24765 229974 114987 114987 893570 369665 523905 4986 1556 3430 107050 45091 61959 84282 36241 48041 116653 116653 4854 4854 11932 11932 62072 62072 170133 170133 65904 65904 116039 50820 65219 40830 17557 23273 124857 62660 62197 29058 22271 6787 2289 984 1305 30916 30916 FUNDRAISING EXPENSE 535900 0 0 535900 MISCELLANEOUS 91900 0 91900 0 8546404 5823205 1106063 1617136 822971 1091016 2555761 2400730 366165 357413 594639 455907 8186 138732 53736539 59311515 57489622 63299406 541441 679468 7720847 8222252 8262288 8901720 X 33936403 38347428 10336569 9989834 4954362 6060424 49227334 54397686 57489622 63299406 X 7153890 -1983538 X 0 1 1 X 0 X 9262466 9951949 9353008 10547440 12860994 51975857 9262466 9951949 9353008 10547440 12860994 51975857 7474792 44501065 1922826 1489854 867173 1165830 1388153 6833836 58809693 3732033 0.75670 0.81660 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15387961 2090571 432019 313771 17596780 10203377 4405000 945534 165950 15387961 9170500 156696 936181 60000 10203377 10841842 -1590345 80997 9170500 0.36000 0.35000 0.29000 0 0 594639 455907 138732 138732 GIFT ANNUITY LIABILITY 8222252 8222252 15700294 8546404 7153890 -1381441 -602097 -1983538 5170352 15163653 -1381441 844800 -536641 15700294 0 15700294 9993301 1446897 1446897 8546404 0 8546404 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: TO SUPPORT THE PEDIATRIC MEDICAL SERVICES PROVIDED BY SSM CARDINAL GLENNON CHILDREN'S HOSPITAL. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE FOUNDATION EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2011 OR 2010. PART XI, LINE 8 - OTHER ADJUSTMENTS: ACTUARIAL LOSS ON GIFT ANNUITY -602,097. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES FOR SPECIAL EVENTS 844,800. PART XIII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES FROM SPECIAL EVENTS 844,800. ACTUARIAL LOSS ON GIFT ANNUITY LIABILITY 602,097. BOB COSTAS CELEBRITY GALA 594040 122423 471617 436399 DAN DIERDORF GOLF TOURNAMENT 141200 128554 12646 20072 25 966620 42104 924516 388329 1701860 293081 1408779 844800 844800 563979 1 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 1465 SOUTH GRAND BLVD ST LOUIS MO 63104 430738490 501(C)(3) 5798440 TO SUPPORT HOSPITAL PROGRAMS 1 0 PATIENT ASSISTANCE 78 24765 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANTS TO ORGANIZATIONS WERE MADE TO A RELATED ORGANIZATION THAT IS TAX EXEMPT UNDER SECTION 501(C)(3). THIS ORGANIZATION HAS DEVELOPED INTERNAL CONTROL PROCEDURES FOR THE USE OF GRANT FUNDS. ALL GRANTS TO INDIVIDUALS INCLUDE A GRANT APPLICATION PROCESS THROUGH A RELATED ORGANIZATION. APPROVED GRANT APPLICATIONS ARE FORWARDED TO THE FOUNDATION AND THE FOUNDATION PAYS THE REQUESTED EXPENDITURE TO THE APPROPRIATE VENDOR. 0 1 0 0 0 0 0 0 0 SHERLYN HAILSTONE 0 550227 0 0 0 48360 0 136938 0 23505 0 759030 0 0 JAMES M SANGER 0 702345 0 0 0 140551 0 6130 0 18771 0 867797 0 0 CHRISTOPHER HOWARD 0 768126 0 0 0 54163 0 190088 0 27042 0 1039419 0 0 DAN BUCK 0 207495 0 0 0 656 0 15466 0 16927 0 240544 0 0 JUNE L PICKETT 0 217587 0 0 0 6474 0 169142 0 16630 0 409833 0 0 SUPPLEMENTAL INFORMATION PART III 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. 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 SANGER $ 71,999 X 61513 X 15 2700606 COST OR SELLING PRICE X GIFT CARDS 3 950 X SPORTING EVENT 6 3166 0 0 1 1 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): THE AMOUNTS IN COLUMN B ON PART I REPRESENT THE NUMBER OF DONORS WHO CONTRIBUTED ITEMS CLASSIFIED INTO EACH CATEGORY OF PROPERTY. THIRD PARTY USE: PART I, LINE 32B: ALL PUBLICLY TRADED SECURITIES DONATED TO THE ORGANIZATION ARE LIQUIDATED BY STIFEL NICOLAUS. FORM 990, PART I, DOING BUSINESS AS: CARDINAL GLENNON CHILDREN'S HOSPITAL FOUNDATION FORM 990, PART III, LINE 4A: SINCE IT WAS FOUNDED IN 1872 BY ROMAN CATHOLIC SISTERS, SSM HEALTH CARE (SSMHC) HAS EXISTED TO MEET THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. SPONSORED BY THE FRANCISCAN SISTERS OF MARY AND HEADQUARTERED IN ST LOUIS, MISSOURI, SSMHC OPERATES 17 HOSPITAL LOCATIONS, TWO SKILLED NURSING FACILITIES AND HOME HEALTH AGENCIES IN FOUR STATES. SSM CARDINAL GLENNON CHILDREN'S MEDICAL CENTER IN ST. LOUIS IS THE ONLY PEDIATRIC HOSPITAL IN THE SSM SYSTEM. OVERALL, THE HEALTH SYSTEM EMPLOYS APPROXIMATELY 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 HEALTHCARE TO EVERYONE WHO COMES TO ITS HOSPITALS, REGARDLESS OF THEIR ABILITY TO PAY. CARDINAL GLENNON CHILDREN'S FOUNDATION (THE FOUNDATION) EXISTS TO SUPPORT THE HEALTHCARE AND COMMUNITY SERVICES OF SSM CARDINAL GLENNON CHILDREN'S MEDICAL CENTER (GLENNON). GLENNON IS A NOT-FOR-PROFIT, 190-BED INPATIENT AND OUTPATIENT PEDIATRIC MEDICAL CENTER IN ST. LOUIS, MISSOURI, SPECIALIZING IN NEONATOLOGY, CARDIOLOGY, PEDIATRIC AND FETAL SURGERY, AND CANCER SERVICES. THE FOUNDATION RAISES FUNDS TO SUPPORT GLENNON'S MEDICAL AND COMMUNITY-BENEFIT SERVICES, AS WELL AS TO ENABLE ALL YOUNGSTERS TO ACCESS THOSE SERVICES THROUGH THE FOUNDATION'S CHILDREN'S FUND FOR FAMILIES WITH LIMITED OR INABILITY TO PAY FOR THEIR CHILDREN'S SERVICES. THE FOUNDATION ALSO RAISES FUNDS FOR GLENNON'S TECHNOLOGICAL ADVANCES. FURTHER, THE FOUNDATION INCREASES AWARENESS OF GLENNON'S SERVICES THROUGH PUBLICITY, HOSTING OF SPECIAL EVENTS AND ONE-ON-ONE INTERACTIONS WITH COMMUNITY STAKEHOLDERS. THEREFORE, THROUGH ITS MULTIPLE ACTIVITIES, THE FOUNDATION IMPACTS THE HEALTH OF CHILDREN WHO RECEIVE GLENNON SERVICES. SOME OF THE PROGRAMS AND ENHANCEMENTS SUPPORTED BY THE FOUNDATION IN 2011 INCLUDED: THE FOOTPRINTS PROGRAM. FOOTPRINTS IS A PALLIATIVE-CARE PROGRAM THAT HELPS FAMILIES LIVE WELL ALONG A JOURNEY THAT MAY END AT THE GRAVESIDE OF A BELOVED CHILD. FOOTPRINTS' MULTIDISCIPLINARY TEAM IS COMPRISED OF A DIRECTOR WHO IS AN MD, A CLINICAL CARE COORDINATOR WHO IS BOTH A NURSE AND A CHAPLAIN, AND A SOCIAL WORKER; HOWEVER, THE TEAM REGULARLY CALLS UPON OTHER GLENNON RESOURCES TO ASSIST THESE FAMILIES. PRIMARILY, FOOTPRINTS FOCUSES ON: COMFORT - DEVELOPING FAMILY-DIRECTED, COMPASSIONATE CARE PLANS THAT PROVIDE FOR CHILDREN'S COMFORT WHILE RESPECTING FAMILY VALUES AND BELIEFS; THESE PLANS CAN BE FOLLOWED AT GLENNON OR AT HOME. ADVOCACY - BEING A VOICE FOR CHILDREN AND FAMILIES WHILE THEY ARE AT GLENNON AND IN THE LARGER MEDICAL COMMUNITY. SUPPORT - LISTENING TO FAMILY CONCERNS AND WISHES; FACILITATING COMMUNICATION TO ENSURE FAMILY GOALS, CONCERNS AND WISHES ARE HONORED; ASSISTING FAMILIES WITH THE EXTRAORDINARY COSTS OF CARING FOR CHILDREN'S MEDICAL NEEDS; ASSISTING WITH BURIAL COSTS OF CHILDREN WHO SUCCUMB TO THEIR ILLNESSES. DURING HOSPITALIZATION, THE FOOTPRINTS TEAM MAKES CERTAIN THAT EACH CHILD'S CLINICAL BEDSIDE TEAM IS FULLY AWARE OF THE FAMILY'S WISHES AND THAT THE BEDSIDE TEAM KEEPS EACH FAMILY INFORMED OF THE CHILD'S CONDITION, PROGNOSIS AND CARE OPTIONS. IF A CHILD IS DISCHARGED, THE FOOTPRINTS TEAM WORKS WITH COMMUNITY CARE PROVIDERS TO ENSURE THEY ARE FULLY INFORMED OF THE CHILD'S NEEDS AND WILL RESPECT FAMILY WISHES. SAFE KIDS EDUCATES THE PUBLIC ON PREVENTION OF CHILDHOOD INJURIES IN THE HOME AND ON THE ROAD. THE PROGRAM PRIMARILY FOCUSES ON CAR-SEAT SAFETY, BIKE SAFETY, CRIB SAFETY AND COOKING SAFETY. PROGRAM STAFF MEMBERS COORDINATE TIMES AND PLACES WHERE THEY CHECK FOR PROPER CAR SEAT INSTALLATIONS AND PROVIDE CAR-SEAT ADJUSTMENTS OR INSTALLATIONS. FAMILIES WHO CANNOT AFFORD CAR SEATS CAN RECEIVE ONE, FREE OF CHARGE. THE PROGRAM ALSO PROVIDES BIKE-SAFETY EVENTS AND FREE BIKE HELMETS FOR FAMILIES THAT ARE UNABLE TO PURCHASE THEM, AS WELL AS HOME-SAFETY EVENTS. FURTHER, PROGRAM STAFF MEMBERS TRAIN CAR-SEAT TECHNICIANS. ALMOST THREE IN EVERY 1,000 CHILDREN ARE BORN DEAF EACH YEAR. THESE CHILDREN FACE A LIFETIME OF CHALLENGES, SUCH AS FAILURE TO DEVELOP LANGUAGE SKILLS, REDUCED ACCESS TO MAINSTREAM EDUCATION, AND DIFFICULTY IN FINDING EMPLOYMENT AS ADULTS. WHILE TRADITIONAL HEARING AIDS AMPLIFY SOUND, COCHLEAR IMPLANTS PROVIDE AN ADVANTAGE FOR CHILDREN WITH PROFOUND DEAFNESS BECAUSE THEY ACTUALLY COMPENSATE FOR DAMAGED OR NON-WORKING PARTS OF THE EAR BY FINDING USEFUL SOUNDS AND SENDING THEM TO THE BRAIN. VERY YOUNG CHILDREN ARE IDEAL CANDIDATES FOR THE DEVICE BECAUSE THEIR CENTRAL NERVOUS SYSTEMS ARE EXTREMELY ADAPTIVE, ALLOWING THEIR BRAINS TO MAKE USE OF THE SOUNDS THE IMPLANT PROVIDES. WHEN IMPLANTED EARLY AND COUPLED WITH POST-IMPLANTATION SPEECH AND LANGUAGE THERAPY, CHILDREN WHO ARE DEAF HAVE THE ABILITY TO DEVELOP AGE-APPROPRIATE SPEECH, LANGUAGE AND SOCIAL SKILLS. ONE OF THE MAIN BARRIERS TO CHILDREN RECEIVING COCHLEAR IMPLANTS IS THE COST. THEREFORE, THE FOUNDATION RAISES FUNDS TO PROVIDE COCHLEAR IMPLANTS, AS WELL AS OTHER TECHNOLOGY, SERVICES AND SURGERIES THAT ENABLE CHILDREN WITH HEARING LOSS TO ENJOY THE SOUNDS AND SUCCESSES OF LIFE. THE KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER SERVES CHILDREN WITH SUSPECTED AUTISM SPECTRUM DISORDERS AND DEVELOPMENTAL DELAYS. LAST YEAR, 1,937 CHILDREN WERE SERVED. THE CENTER ACCEPTS CHILDREN BASED ON CONCERNS OF PARENTS, PEDIATRICIANS OR OTHER PRIMARY HEALTHCARE PROVIDERS. DEVELOPMENTAL SPECIALISTS THEN CONDUCT THE NECESSARY ASSESSMENTS TO ACCURATELY DIAGNOSE OR TO RULE OUT THOSE CONCERNS. WHEN CHILDREN ARE DETERMINED TO BE AFFECTED, THE CENTER MAKES THE BEST POSSIBLE REFERRALS TO A SELECT GROUP OF SERVICE PROVIDERS. IT CONTINUES TO OVERSEE AND FACILITATE CHILDREN'S PROGRESS THROUGH MEDICATION MANAGEMENT, PERIODIC REASSESSMENTS, AND REEVALUATIONS OF SERVICES NEEDED. CHILD LIFE SERVICES - THANKS TO THE GENEROSITY OF DONORS, WE ARE ABLE TO PROVIDE FUN AND ENGAGING CHILD LIFE SERVICES. THE MISSION OF THE CHILD LIFE DEPARTMENT AT SSM CARDINAL GLENNON IS TO ADVOCATE FOR THE PSYCHOSOCIAL, DEVELOPMENTAL, EMOTIONAL AND EDUCATIONAL NEEDS OF ALL OUR PATIENTS AND FAMILIES. WE STRIVE TO CREATE A SUPPORTIVE ENVIRONMENT, WHILE HELPING EMPOWER PATIENTS AND THEIR FAMILIES TO MAKE DECISIONS AFFECTING THEIR CARE. NEW RADIOLOGY DEPARTMENT - THE FOUNDATION RAISED OVER $6 MILLION TO BUILD A NEW RADIOLOGY DEPARTMENT IN 2012. THIS NEW IMAGING CENTER BRINGS THE LATEST IN LOW DOSE RADIATION, SPECIFICALLY DESIGNED FOR KIDS, TO OUR RADIOLOGY DEPARTMENT. THE HIGH RESOLUTION IMAGING ON THE NEW MRI AND CT SCAN MACHINES WILL GIVE OUR SURGEONS AND DOCTORS CRISP, SHARP IMAGES TO ALLOW THEM TO MORE ACCURATELY DETECT PROBLEMS. THIS IS THE MOST ADVANCED RADIOLOGY DEPARTMENT IN THE REGION. THE NEW IMAGING CENTER WILL BE READY FOR USE IN DECEMBER OF 2012, WITH A GRAND OPENING SLATED FOR FEBRUARY 2013. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE FOUNDATION IS SSM CARDINAL GLENNON CHILDREN'S HOSPITAL. SSM CARDINAL GLENNON CHILDREN'S HOSPITAL IS A NONPROFIT 501(C)(3) ORGANIZATION THAT OPERATES A 190-BED INPATIENT AND OUTPATIENT MEDICAL CENTER IN ST LOUIS, MISSOURI. BOTH THE FOUNDATION AND SSM CARDINAL GLENNON CHILDREN'S HOSPITAL ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH CARE. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE POWER TO APPOINT THE BOARD OF GOVERNORS, EXCEPT FOR THE GOVERNORS WHO SERVE EX OFFICIO, AND TO REMOVE APPOINTED GOVERNORS WITH OR WITHOUT CAUSE. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE FOLLOWING POWERS: A.TO ESTABLISH AND CHANGE THE PHILOSOPHY OF THE FOUNDATION B.TO APPOINT THE BOARD OF GOVERNORS, EXCEPT FOR THE GOVERNORS WHO SERVE EX-OFFICIO, AND TO REMOVE APPOINTED GOVERNORS WITH OR WITHOUT CAUSE C.TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE FOUNDATION AS PROVIDED IN THE BYLAWS D.TO APPROVE THE BYLAWS OF THE FOUNDATION AND ANY AMENDMENTS THERETO E.TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE FOUNDATION F.TO APPROVE THE SALE, CONVEYANCE, ASSIGNMENT, TRANSFER, ALIENATION, PLEDGE, ENCUMBRANCE, MORTGAGE OR LEASE OF REAL PROPERTY OR ANY INTEREST THEREIN OF THE FOUNDATION IN ACCORDANCE WITH THE POLICIES APPROVED BY THE MEMBER G.TO APPROVE I) THE ACQUISITION OF REAL PROPERTY OR ANY INTEREST THEREIN OR II) THE ACQUISITION OF STOCK OF A CORPORATION IF, AFTER THE ACQUISITION, THE FOUNDATION WILL OWN A MAJORITY OF THE VOTING STOCK OF SUCH CORPORATION, IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER H.TO APPROVE THE SALE, TRANSFER OR OTHER DISPOSITION OF THE VOTING STOCK OF A CORPORATION IF BEFORE THE DISPOSITION THE FOUNDATION OWNED A MAJORITY OF THE VOTING STOCK OF THE CORPORATION AND AFTER SUCH DISPOSITION THE FOUNDATION WOULD NOT OWN A MAJORITY OF THE VOTING STOCK OF THE CORPORATION, IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER I.TO APPROVE ANY BORROWINGS OR GUARANTEES OF THE FOUNDATION IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER J.TO APPROVE THE ACCEPTANCE OF ANY GIFT OR CONTRIBUTION WHICH, IN CONNECTION THEREWITH, WOULD IMPOSE A CONTINUING OBLIGATION UPON THE FOUNDATION, INCLUDING, WITHOUT LIMITATION, THE OBLIGATION TO PROVIDE HEALTH CARE SERVICES, PAY AN ANNUITY OR UNDERTAKE ANY OTHER OBLIGATIONS, EXCEPT AS OTHERWISE DETERMINED BY THE MEMBER PURSUANT TO POLICIES ADOPTED BY THE MEMBER AND K.TO APPROVE OR REJECT PROPOSALS FOR EXPENDITURES OR CONTRIBUTIONS IN ACCORDANCE WITH ARTICLE IX OF THE BYLAWS IN THE EVENT THE PRESIDENT OF THE HOSPITAL AND THE BOARD OF GOVERNORS DO NOT AGREE WITH RESPECT TO THE APPROVAL OF SUCH PROPOSAL. 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 THE RETURN AS PREPARER. PRIOR TO FINALIZING THE RETURN, A DRAFT IS SENT TO PERSONNEL AT SSMHC FOR REVIEW AND APPROVAL. UPON SSMHC APPROVAL, THE OUTSIDE PREPARER FORWARDS THE COMPLETED FORM 990 FOR THE APPROPRIATE SIGNATURES AND FILING ACTION. THE FOUNDATION EXECUTIVE DIRECTOR PRESENTS THE FORM 990 TO THE BOARD OF GOVERNORS AT THE NEXT REGULARLY SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY TO THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUST BE COMPLETED ON LINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR END. FORM 990, PART VI, SECTION B, LINE 15 ALL SSMHC EXECUTIVE SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH LIKE POSITIONS IN THE MARKET. THE COMPENSATION REVIEW PROCESS IS PERFORMED 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 SYSTEM, THE PRESIDENT/COO AND THE SENIOR VICE PRESIDENTS ARE PRESENTED TO THE 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 AVAIABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. AVG HOURS DEVOTED TO RELATED ORG(S) WHEN RELATED COMP IS REPORTED: FORM 990, PART VII: ALL INDIVIDUALS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION ARE EMPLOYED AND COMPENSATED BY 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -1,381,441. ACTUARIAL LOSS ON GIFT ANNUITY -602,097. TOTAL TO FORM 990, PART XI, LINE 5: -1,983,538. 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 SSMHC 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 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 477 N LINDBERGH BLVD ST LOUIS MO 63141 430738490 HEALTH CARE MO 501(C)(3) LINE 3 SSM HEALTH CARE ST LOUIS 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 HOSP 0 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 N/A 0 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 HOSP 0 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 N/A 0 GOOD SAMARITAN HOSPITAL AUXILIARY 605 NORTH 12TH STREET MT VERNON IL 62864 237049599 FUNDRAISING IL 501(C)(3) LINE 11C, III-FI N/A 0 HHU-VNS FOUNDATION 4630 HAMMERSLEY ROAD MADISON WI 53713 391839309 FUNDRAISING WI 501(C)(3) LINE 7 SSMCH WISCONSIN 0 ST MARY'S HOSPITAL AUXILIARY 400 N PLEASANT CENTRALIA IL 62801 237126345 FUNDRAISING IL 501(C)(3) LINE 9 0 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 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 0 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 1