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        <Identifier>Arrangement used to establish the top management official's compensation</Identifier>
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        <Explanation>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.</Explanation>
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        <Identifier>SEVERANCE PLAN</Identifier>
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        <Explanation>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.</Explanation>
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        <Identifier>Supplemental nonqualified retirement plan</Identifier>
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        <Explanation>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 THE PLAN IN 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 CURENT YEAR WERE INCLUDED IN THE INDIVIDUAL'S TAXABLE COMPENSATION. STEVEN BARNEY $66,707 JAMES SANGER $71,999 PHILIP GUSTAFSON $36,750</Explanation>
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      <GeneralExplanation>
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        <Explanation>SSM HEALTH CARE IS A CATHOLIC, NOT-FOR-PROFIT HEALTH SYSTEM WITH AN INTERNATIONAL REPUTATION AS A PIONEER IN THE USE OF QUALITY MEASURES TO IMPROVE CARE. WITH MORE THAN 24,000 EMPLOYEES AND 6,500 PHYSICIANS IN FOUR STATES, SSM IS ONE OF THE LARGEST EMPLOYERS IN EVERY COMMUNITY IT SERVES. IT HAS OPERATIONS IN WISCONSIN, OKLAHOMA, ILLINOIS AND MISSOURI. IN EVERY REGION, SSM FACILITIES FORGE CREATIVE RELATIONSHIPS IN THE COMMUNITY TO FOSTER HEALTHIER PEOPLE AND HEALTHIER NEIGHBORHOODS. THROUGH THESE RELATIONSHIPS AND AT ITS VARIOUS SITES, SSM SERVES ABOUT 1.5 MILLION PEOPLE ANNUALLY. AN EARLY ADOPTER OF THE ELECTRONIC HEALTH RECORD, SSM PROVIDES CARE IN A RANGE OF CONVENIENT SETTINGS, INCLUDING HOSPITALS, A PEDIATRIC MEDICAL CENTER, OUTPATIENT CENTERS, RURAL AND INNER CITY CLINICS, SURGERY CENTERS, NURSING HOMES, ASSISTED LIVING FACILITIES, PHYSICIAN OFFICES, AN EMERGENCY CENTER, REHABILITATION FACILITIES, HOME CARE, AND HOSPICE. SSM WAS THE FIRST HEALTH CARE ORGANIZATION TO RECEIVE THE MALCOLM BALDRIGE NATIONAL QUALITY AWARD, THE NATION'S HIGHEST AWARD FOR QUALITY. BEGUN BY FIVE CATHOLIC SISTERS WITH $5 AND TODAY SPONSORED BY THE FRANCISCAN SISTERS OF MARY, SSM HEALTH CARE MAINTAINS THE MISSION OF ITS FOUNDING SISTERS BY WORKING TO PROVIDE COMPASSIONATE CARE AND EXCEPTIONAL OUTCOMES TO PATIENTS AND THEIR LOVED ONES. THE SSM POLICY INSTITUTE (SSMPI) WAS CREATED TO IDENTIFY HEALTH CARE ISSUES OF SPECIAL CONCERN TO SSM HEALTH CARE (SSMHC) ESPECIALLY IN THE AREA OF QUALITY AND ACCESS TO HEALTH CARE AND TO EDUCATE LEGISLATORS AND THE COMMUNITIES SERVED BY SSMHC. THE SSMPI BOARD REVIEWS ISSUES AND RECOMMENDS POLICY POSITIONS TO SSM HEALTH CARE'S SYSTEM LEADERSHIP. SSMPI POSITION PAPERS ARE DRAFTED AND SHARED WITH SYSTEM LEADERS TO USE WITH LEGISLATORS AND COMMUNITY LEADERS. THEY ALSO ARE SHARED WITH CONGRESSIONAL MEMBERS AND STAFF AS WELL AS LAWMAKERS AT THE STATE AND LOCAL LEVELS. THE SSMPI ALSO HELD LEGISLATIVE FORUMS IN ST. LOUIS AND IN WASHINGTON, D.C. WITH CONGRESSIONAL STAFF TO DISCUSS ACCESS TO HEALTH CARE IN GREATER DEPTH. THE SSMPI HAS DRAFTED A NUMBER OF POSITION PAPERS ON TOPICS RANGING FROM COMMUNITY BENEFIT TO THE IMPORTANCE OF THE ELECTRONIC HEALTH RECORD IN DELIVERING QUALITY HEALTH CARE OUTCOMES TO SUGGESTIONS ON HOW TO STRENGTHEN THE MEDICAID PROGRAM. SEVERAL YEARS PRIOR TO THE CONSIDERATION OF HEALTH CARE REFORM AT THE NATIONAL LEVEL, THE SSMPI DRAFTED SSM HEALTH CARE'S PRINCIPLES TO GUIDE HEALTH CARE REFORM, BASED ON THE SYSTEM'S MISSION AND VALUES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Classes of members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 6</ReturnReference>
        <Explanation>THE SOLE CORPORATE MEMBER OF THE CORPORATION IS SSM HEALTH CARE CORPORATION, A NONPROFIT 501(C)(3) ORGANIZATION. SSM POLICY INSTITUTE AND SSM HEALTH CARE CORPORATION ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH CARE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Members or stockholders electing members of governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7a</ReturnReference>
        <Explanation>THE MEMBER HAS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS.</Explanation>
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      <GeneralExplanation>
        <Identifier>Decisions requiring approval by members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7b</ReturnReference>
        <Explanation>THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS C. TO APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION D. TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION E. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION F. TO APPROVE THE SALE, CONVEYANCE, ASSIGNMENT, TRANSFER, ALIENATION, PLEDGE, ENCUMBRANCE, MORTGAGE OR LEASE OF REAL PROPERTY OR ANY INTEREST THEREIN OF THE CORPORATION 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 OR DISPOSITION OF ANOTHER LEGAL ENTITY OR AN OWNERSHIP INTEREST IN ANOTHER LEGAL ENTITY , OR III) THE FORMATION OF A SUBSIDIARY OF THE CORPORATION, IN EACH CASE IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER H. 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. I. TO APPROVE THE STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION J. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION K. 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 L. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE MEMBER APPROVAL</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Review of form 990 by governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>ACCOUNTING/FINANCE PERSONNEL AT EACH SSMHC (SSM HEALTH CARE SYSTEM) ENTITY, IN CONJUNCTION WITH CORPORATE FINANCE PERSONNEL, PREPARE A CHECKLIST CONTAINING INFORMATION AND SUPPORTING SCHEDULES THAT ARE USED TO PREPARE THE FORM 990. THIS INFORMATION 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. SSMHC PERSONNEL PREPARE THE FORM 990 AND SUBMIT THE COMPLETED FORM 990 TO AN OUTSIDE TAX CONSULTING FIRM WHO REVIEWS THE FORM 990 AND SIGNS AS PAID PREPARER. A COMPLETE COPY OF THE RETURN IS PROVIDED TO THE BOARD PRIOR TO FILING WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Conflict of interest policy</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY TO THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUST BE COMPLETED ON LINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR END.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process used to establish compensation of top management official</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15a</ReturnReference>
        <Explanation>RELATED ORGANIZATION EXECUTIVE SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH LIKE POSITIONS IN THE MARKET. THE COMPENSATION PROCESS REVIEW IS PERFORMED BY EXTERNAL INDEPENDENT COMPENSATION CONSULTANTS. THE SALARY DATA AND POTENTIAL ADJUSTMENTS, FOR THE CEO OF THE SYSTEM, 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, OR MODIFY</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process used to establish compensation of other officers/key employees</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15b</ReturnReference>
        <Explanation>THE SAME COMPARATIVE COMPENSATION PROCESS USED FOR EXECUTIVE SALARY/COMPENSATION IS PERFORMED INTERNALLY FOR ALL EMPLOYEES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Governing documents, conflict of interest policy and financial statements available to the public</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH CARE SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH CARE'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Average number of hours devoted per week to related organization</Identifier>
        <ReturnReference>Form 990, Part VII, Section A, Column B</ReturnReference>
        <Explanation>DIXIE PLATT - 41 STEVE HOVEN - 40 ANDY KOSSEFF, MD - 26 CHRISTOPHER HOWARD - 42 JAMES M SANGER - 42 KERSEY WINFREE, MD - 41 KEVIN JOHNSON, MD - 40 LORRAINE YEHLEN - 40 MARY STARMANN-HARRISON - 41 PHILIP GUSTAFSON - 44 STEVEN BARNEY - 43 JUDITH DIGGS - 40 JUNE PICKETT - 49 KRIS ZIMMER - 44</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="11000230" softwareVersion="v2011.1.0">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SSM HEALTH CARE CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>477 N LINDBERGH BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
        </AddressUS>
        <EIN>466029223</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FRANCISCAN SISTERS OF MARY</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SSM EMPLOYEE HEALTH CARE FUND</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>477 N LINDBERGH BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
        </AddressUS>
        <EIN>431328934</EIN>
        <PrimaryActivities>BENEFIT PLANS</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(9)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SSM HEALTH CARE CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SSMHC LIABILITY TRUST I</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>477 N LINDBERGH BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
        </AddressUS>
        <EIN>436331003</EIN>
        <PrimaryActivities>INSURANCE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SSM HEALTH CARE CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SSM CONSOLIDATED HEALTH SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>477 N LINDBERGH BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
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        <EIN>431473657</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SSM HEALTH CARE CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SSM PORTFOLIO MANAGEMENT CO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>477 N LINDBERGH BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
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        <EIN>431825256</EIN>
        <PrimaryActivities>MANAGEMENT</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SSM HEALTH CARE CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SSM CARDINAL GLENNON CHILDREN'S HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>477 N LINDBERGH BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
        </AddressUS>
        <EIN>430738490</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
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        <DirectControllingEntityName>
          <BusinessNameLine1>SSM HEALTH CARE ST LOUIS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GLENNON HOSPITAL GUILD</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>477 N LINDBERGH BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
        </AddressUS>
        <EIN>431030299</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SSM CARDINAL GLENNON HOSPITAL</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CARDINAL GLENNON CHILDREN'S FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>477 N LINDBERGH BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
        </AddressUS>
        <EIN>431754347</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SSM CARDINAL GLENNON HOSPITAL</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SSM DEPAUL HEALTH CENTER FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>477 N LINDBERGH BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
        </AddressUS>
        <EIN>431776109</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SSM HEALTH CARE ST LOUIS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SSM ST JOSEPH FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>477 N LINDBERGH BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
        </AddressUS>
        <EIN>431591556</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SSM HEALTH CARE ST LOUIS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST CLARE HEALTH CENTER FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>477 N LINDBERGH BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
        </AddressUS>
        <EIN>431273310</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SSM HEALTH CARE ST LOUIS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SSM ST MARY'S HEALTH CENTER FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>477 N LINDBERGH BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
        </AddressUS>
        <EIN>431552945</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SSM HEALTH CARE ST LOUIS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SSM HEALTH CARE OF OKLAHOMA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>477 N LINDBERGH BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
        </AddressUS>
        <EIN>730657693</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SSM HEALTH CARE CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST ANTHONY HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>477 N LINDBERGH BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
        </AddressUS>
        <EIN>736104300</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SSM HEALTH CARE OF OKLAHOMA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SSM HEALTH CARE OF WISCONSIN INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>477 N LINDBERGH BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
        </AddressUS>
        <EIN>430688874</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
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        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
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        <DirectControllingEntityName>
          <BusinessNameLine1>SSM HEALTH CARE CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DELLS MEDICAL BUILDING INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>477 N LINDBERGH BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
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        <PrimaryActivities>MOB</PrimaryActivities>
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        <DirectControllingEntityName>
          <BusinessNameLine1>SSM HEALTH CARE OF WISCONSIN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST MARY'S FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>477 N LINDBERGH BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
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        <EIN>431940686</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
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        <DirectControllingEntityName>
          <BusinessNameLine1>SSM HEALTH CARE OF WISCONSIN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST CLARE HEALTH CARE FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>477 N LINDBERGH BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
        </AddressUS>
        <EIN>431940683</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SSM HEALTH CARE OF WISCONSIN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOME HEALTH UNITED INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4639 HAMMERSLEY ROAD</AddressLine1>
          <City>MADISON</City>
          <State>WI</State>
          <ZIPCode>53713</ZIPCode>
        </AddressUS>
        <EIN>391539827</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SSM HEALTH CARE OF WISCONSIN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOME CARE UNITED INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4639 HAMMERSLEY ROAD</AddressLine1>
          <City>MADISON</City>
          <State>WI</State>
          <ZIPCode>53713</ZIPCode>
        </AddressUS>
        <EIN>391776340</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SSM HEALTH CARE OF WISCONSIN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HHU XTRA CARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4639 HAMMERSLEY ROAD</AddressLine1>
          <City>MADISON</City>
          <State>WI</State>
          <ZIPCode>53713</ZIPCode>
        </AddressUS>
        <EIN>391705111</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
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