SSM EMPLOYEE HEALTH CARE FUND: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- SSM EMPLOYEE HEALTH CARE FUND (EIN 43-1328934)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-14
- IRS object ID
- 201103189349306655
- Schema version
- 2010v3.4
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-14T16:06:40-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431328934 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SSM EMPLOYEE HEALTH CARE FUND | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SSME | NameControl |
| Phone | 3149977800 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 477 N LINDBERGH BLVD | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63141 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KRIS A ZIMMER | Name |
| Title | TRUSTEE | Title |
| Phone | 3149977800 | Phone |
| Date Signed | 2011-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | NANCY Z EVETTS | Name |
| Phone | 7139822000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SUSAN E GOLDBERG | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 477 N LINDBERGH BLVD | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63141 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 187443585 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.SSMHC.COM | WebSite |
| Type Of Organization Trust | X | TypeOfOrganizationTrust |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE SICK, ACCIDENT, AND OTHER QUALIFIED BENEFITS TO EMPLOYEES OF SSM HEALTH CARE | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 148872660 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 187421480 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 15600 | InvestmentIncomePriorYear |
| Investment Income Current Year | 22105 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 148888260 | TotalRevenuePriorYear |
| Total Revenue Current Year | 187443585 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | 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 | 141313766 | OtherExpensePriorYear |
| Other Expenses Current Year | 184736815 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 141313766 | TotalExpensesPriorYear |
| Total Expenses Current Year | 184736815 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 7574494 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2706770 | RevenuesLessExpensesCY |
| Total Assets BOY | 35245012 | TotalAssetsBOY |
| Total Assets EOY | 41565194 | TotalAssetsEOY |
| Total Liabilities BOY | 15951489 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 19539901 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 19293523 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 22025293 | NetAssetsOrFundBalancesEOY |
| 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 |
| Description | PROVIDE SICK, ACCIDENT, AND OTHER QUALIFIED BENEFITS FOR MEMBERS OF THE SSM HEALTH CARE SYSTEM. | Description |
| Described In501 C3 | 0 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | 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 | 1 | 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 | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| 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 | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | 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 | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | 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 | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | 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 | 1 | 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 | SUSAN E GOLDBERG | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3149947904 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 477 NORTH LINDBERGH BLVD | AddressLine1 |
| City | ST LOUIS | 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 (3 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|
| STEVEN M BARNEY | |||||
| TRUSTEE | 1.00 | X | 0 | 575163 | 78630 |
| SUSAN E GOLDBERG | |||||
| TRUSTEE | 1.00 | X | 0 | 258193 | 113290 |
| KRIS A ZIMMER | |||||
| TRUSTEE | 1.00 | X | 0 | 723982 | 180212 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1557338 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 372132 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | 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 |
|---|---|---|---|---|---|
| FMH CORESOURCE | |||||
| 13160 FOSTER STREET SUITE 150 | OVERLAND PARK | KS | 662312660 | THIRD PARTY ADMINISTRATOR | 4421795 |
| DEAN HEALTH PLAN ADMINISTRATIVE SERVICES | |||||
| 8500 FREEPORT PARKWAY SOUTH SUITE | IRVING | TX | 750631937 | THIRD PARTY ADMINISTRATOR | 2189521 |
| MATRIA | |||||
| P O BOX 403393 | ATLANTA | GA | 303843393 | ADMINISTRATOR | 536218 |
| EXPRESS SCRIPT INC | |||||
| 21653 NETWORK PLACE | CHICAGO | IL | 606731216 | ADMINISTRATOR | 311969 |
| TOWERS WATSON | |||||
| 1055 SOLUTIONS CENTER | CHICAGO | IL | 606771000 | ACTUARY | 280756 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 10 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INSURANCE FEES | Description |
| Business Code | 525100 | BusinessCode |
| Total Revenue Column | 187421480 | TotalRevenueColumn |
| Related Or Exempt Function Income | 187421480 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 187421480 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22105 | TotalRevenueColumn |
| Exclusion | $22,105 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 187443585 | TotalRevenueColumn |
| Related Or Exempt Function Income | 187421480 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $22,105 | ExclusionAmount |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal |
|---|---|
| MED,DENTAL,VISION CLAIM | 160702773 |
| LIFE,LTD,AD&D,STD PREM | 14893582 |
| ADMINISTRATIVE | 7370400 |
| REINSURANCE | 1770060 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 184736815 | Total |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34411821 | BOY |
| EOY | 41360722 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 667946 | BOY |
| EOY | 204472 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 132692 | BOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2568 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2568 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32553 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35245012 | BOY |
| EOY | 41565194 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1390489 | BOY |
| EOY | 211021 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14561000 | BOY |
| EOY | 19328880 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15951489 | BOY |
| EOY | 19539901 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19293523 | BOY |
| EOY | 22025293 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19293523 | BOY |
| EOY | 22025293 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35245012 | BOY |
| EOY | 41565194 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2706770 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 25000 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2568 | OtherCostOrOtherBasis |
| Depreciation | 2568 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED HEALTH CARE CLAIMS | $19,283,000 |
| DUE TO AFFILIATES | $45,880 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 19328880 | TotalOfAmounts |
| Total Revenue | 187443585 | TotalRevenue |
| Total Expenses | 184736815 | TotalExpenses |
| Excess Or Deficit For Year | 2706770 | ExcessOrDeficitForYear |
| Other | $25,000 | OtherAmount |
| Total Adjustments | 25000 | TotalAdjustments |
| Excess Or Deficit Per FS | 2731770 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 172546207 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 172546207 | RevenueSubtotal |
| Other Revenues Not Included | 14897378 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 14897378 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 187443585 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 169843233 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 169843233 | ExpensesSubtotal |
| Other Expenses Not Included | 14893582 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 14893582 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 184736815 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABLITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE STATE AND FEDERAL TAXING AUTHORITIES. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2010 AND 2009, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABLITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELEIVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION FOR YEARS PRIOR TO 2007. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | FUND BALANCE TRANSFER 25,000. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | INSURANCE PREMIUMS FOR LIFE AND DISABILITY INSURANCE 14,897,378. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | OPERATING EXPENSES FOR LIFE AND DISABILITY INSURANCE 14,893,582. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
Form990 Schedule J Part II Form990ScheduleJPartII (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN M BARNEY | |||||||||||||
| 0 | 486155 | 0 | 0 | 0 | 89008 | 0 | 58965 | 0 | 19665 | 0 | 653793 | 0 | 0 |
| SUSAN E GOLDBERG | |||||||||||||
| 0 | 228506 | 0 | 0 | 0 | 29687 | 0 | 103402 | 0 | 9888 | 0 | 371483 | 0 | 0 |
| KRIS A ZIMMER | |||||||||||||
| 0 | 638080 | 0 | 0 | 0 | 85902 | 0 | 154088 | 0 | 26124 | 0 | 904194 | 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 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 2010. 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 2010. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUALS' TAXABLE COMPENSATION. KRIS A. ZIMMER $42,738 STEVEN M. BARNEY $55,321 SUSAN E. GOLDBERG $9,223 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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 AND SIGNS THE FORM 990 FROM THE SSMHC INFORMATION. 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. A COMPLETE COPY OF THE RETURN IS PROVIDED TO THE TRUSTEES PRIOR TO FILING WITH THE IRS. | |
| TRUSTEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. ANY TURSTEE WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAINS FROM 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 12C | |
| ALL SSMHC EXECUTIVE SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH SIMILAR 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 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 B, LINE 15 | |
| THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENT FOR THE SSM HEALTH CARE SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH CARE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| AVG HOURS DEVOTED TO RELATED ORG(S) WHEN RELATED COMP IS REPORTED: | 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. | FORM 990, PART VII: |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FUND BALANCE TRANSFER 25,000. TOTAL TO FORM 990, PART XI, LINE 5: 25,000. | FORM 990, PART XI, LINE 5: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (38 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 | |
| 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 | |
| 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 CARDIAL GLENNON HOSPITAL | 0 | |
| CARDINAL GLENNON CHILDREN'S FOUNDATION | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 431754347 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | SSM CARDIAL GLENNON HOSPITAL | 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 | |
| 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 | OK | 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 | |
| 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 | |
| ST ANTHONY HOSPITAL FOUNDATION INC | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 736104300 | FUNDRAISING | WI | 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 | SSSM 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 | |||||||||||
| 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 | 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 | 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 HOSPICE & HOME CARE FOUNDATION | |||||||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 300012246 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | SSM HEALTH BUSINESSES | 0 | |
| CENTRALIA MEDICAL SERVICES BLDG ASSOC | |||||||||||
| 477 N LINDBERGH | 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 | |||||||||||
| 2901 LANDMARK PL STE 300 | MADISON | WI | 53713 | 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 | |
| HEALTH CARE FOR KIDS | |||||||||||
| 4055 LINDELL BLVD | ST LOUIS | MO | 63108 | 431620093 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | SSM CARDINAL GLENNON CHILDREN'S HOSPITAL | 0 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (31 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 | |||||||
| 5775 WAYZATA BOULEVARD SUITE 400 | ST LOUIS PARK | MN | 55416 | 263791858 | IMAGING SERVICES | MO | N/A |
| SSM SELECT REHAB | |||||||
| 4716 OLD GETTYSBURG ROAD | MECHANICSBURG | PA | 17055 | 263694972 | HEALTH CARE | MO | N/A |
| SA MT AMB SRUG | |||||||
| 110 N LEE | OKLAHOMA CITY | OK | 73103 | 731528341 | SURGERY SERVICES | OK | N/A |
| ST ANTHONY HOSPITAL CARDIOVASCULAR SERVICES | |||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 760825755 | HEALTH CARE | OK | N/A |
| B&J MB OFF BUILD | |||||||
| 1000 N LEE | OKLAHOMA CITY | OK | 73103 | 731533449 | MOB | OK | N/A |
| B&J MANAGEMENT | |||||||
| 1000 N LEE STREET | OKLAHOMA CITY | OK | 73102 | 364645813 | MANAGEMENT | OK | N/A |
| WIITTS LLC | |||||||
| 2901 LANDMARK PLACE SUITE 300 | MADISON | WI | 53713 | 392016715 | MED. INF. SYSTEMS | WI | N/A |
| SHARED IMAGING SERVICES | |||||||
| 915 17TH STREET | PRAIRIE DU SAC | WI | 53578 | 391971378 | DIAG. SERVICES | WI | N/A |
| ST CLARE IMAGING SERVICES | |||||||
| 707 14TH STREET SUITE A | BARABOO | WI | 53913 | 200122365 | DIAG. SERVICES | WI | N/A |
| MEADOW RIDGE | |||||||
| 1402 PANKRATZ STREET SUITE 110 | MADISON | WI | 53704 | 391991403 | ASST. LIVING | WI | N/A |
| DEAN HEALTH HOLD | |||||||
| 1277 DEMING WAY | MADISON | WI | 53717 | 261594709 | IT SERVICES | WI | N/A |
| MV RAD THERAPY | |||||||
| 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 | MOUNT VERNON | IL | 62864 | 371383861 | MOB | MO | N/A |
| COMP CANCER CARE | |||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 201382727 | MOB | IL | N/A |
| 1110 N CLASSEN BLVD LLC | |||||||
| 110 N CLASSEN | OKLAHOMA CITY | OK | 73106 | 731158158 | MOB | OK | N/A |
| M&C REALTY | |||||||
| 1603 WENTZVILLE PARKWAY STE 121 | WENTZVILLE | MO | 63385 | 621851447 | MOB | MO | N/A |
| SURG CNTR MW CITY | |||||||
| 8121 NATIONAL AVE SUITE 108 | MIDWEST CITY | OK | 73110 | 232697171 | SURGERY SERVICES | OK | N/A |
| SSM WELLBRIDGE | |||||||
| 6140 GREENWOOD PLAZA BLVD | GREENWOOD VILLAGE | CO | 80111 | 431794814 | FITNESS CENTER | MO | N/A |
| MIA OF ST CHARLES | |||||||
| 132 NORTH KANSAS ST ROOM 212 | EDWARDSVILLE | IL | 62025 | 422125740 | DIAG. SERVICES | MO | N/A |
| MEADOW RIDGE MEMORY | |||||||
| 1402 PANKRATZ ST SUITE 110 | MADISON | WI | 53704 | 203163929 | HEALTH CARE | WI | N/A |
| SSM BER-EK IMAGING | |||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 205039552 | IMAGING SERVICES | MO | N/A |
| HPI-OKC LLC | |||||||
| 14024 QUAIL POINTE DRIVE | OKLAHOMA CITY | OK | 73134 | 205144487 | HEALTH CARE | OK | N/A |
| VASCULAR INSTITUTE DP | |||||||
| 12266 DEPAUL DR SUITE 315 | BRIDGETON | MO | 63044 | 205511708 | VASCULAR CLINIC | MO | N/A |
| SSM SC SURG CNTR | |||||||
| 15305 DALLAS PKWY STE 1600 | ADDISON | TX | 75001 | 261439695 | SURGERY SERVICES | MO | N/A |
| ST ANTHONY CARDIO SERVICES INSTITUTE | |||||||
| 477 N LINDBERGH BLVD | ST LOUIS | MO | 63141 | 260646402 | MANAGEMENT | OK | N/A |
| SSM RX EXPRESS LLC | |||||||
| 727 N BALLAS RD | ST LOUIS | MO | 63141 | 431465174 | PHARMACY | MO | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (17 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 | MO | 63141 | 731534336 | MEDICAL SERVICES | MO | 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 INC | ||||||||
| 477 N LINBERGH BLVD | ST LOUIS | MO | 63141 | 271557324 | HEALTH 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | 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 | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Comments