2011-11-14T16:27:58-06:00 2010-12-31 DELOITTE TAX LLP 1111 BAGBY STREET SUITE 4500 HOUSTON TX 770022591 990 2010-01-01 431333488 SSM HEALTH BUSINESSES SSMH 3145238791 477 N LINDBERGH ST LOUIS MO 63141 JUNE L PICKETT 3145238791 2011-11-14 NANCY Z EVETTS 7139822000 2010 2016-03-07 17:11:31Z SEE SCHEDULE O WILLIAM THOMPSON 477 N LINDBERGH ST LOUIS MO 63141 161428594 0 0928 X WWW.SSMHC.COM X 1984 MO SEE SCHEDULE O 12 1 1231 125 4238537 604163 67480 55010 125129944 157321394 -1158588 1965061 812215 1857948 124851051 161199413 0 0 0 0 64392869 80711371 0 0 0 65211045 71217879 129603914 151929250 -4752863 9270163 160288178 185696803 34651533 43902057 125636645 141794746 X THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 1 0 122381868 153128745 SEE SCHEDULE O 122381868 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 0 0 1231 1 1 1 0 0 0 0 0 0 0 0 0 X 12 1 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 OK X DONNA WALLACE 3145238793 12312 OLIVE BLVD SUITE 600 ST LOUIS MO 63141 X STEVEN BARNEY 1.00 X 0 575163 78630 CHRISTOPHER HOWARD 1.00 X 0 643777 218635 THOMAS K LANGSTON 1.00 X X 0 552855 304182 PHILIP P GUSTAFSON 1.00 X 0 534331 102866 DIXIE L PLATT 1.00 X 0 484132 190796 JAMES M SANGER 1.00 X 0 914911 40252 WILLIAM P THOMPSON 1.00 X X 0 1188452 605422 KRIS A ZIMMER 1.00 X X 0 723982 180212 MARY STARMANN-HARRISON 1.00 X 0 780068 259699 PAULA FRIEDMAN 1.00 X 0 531902 191134 JUNE L PICKETT 1.00 X 0 220736 179387 ALISON RUEHL 40.00 X 0 275607 170280 JOHNATHAN KIMERLE 40.00 X 262068 0 67177 MICHAEL PAASCH 40.00 X 179287 0 113828 R LYNN WIDMER 40.00 X 171848 0 115512 PATRICK GILLIGAN 40.00 X 191604 0 89311 DAVID E LUNDAL 40.00 X 205457 0 57658 1010264 7425916 2964981 69 0 1 0 SSM SELECT REHAB OF ST LOUIS 3572 SOLUTIONS CENTER CHICAGO IL 60677 MEDICAL THERAPY 2920139 EPIC 1979 MILKY WAY VERONA WI 53593 MAINTENANCE AGREEMENT 2683708 MICORSOFT LICENSING GP 1950 N STEMMONS FWY STE 5010 DALLAS TX 75207 MAINTENANCE AGREEMENT 2269012 GENERAL ELECTRIC COMPANY PO BOX 60050 FORY MYERS FL 33906 MAINTENANCE AGREEMENT 1718925 PREMIER INC 5882 COLLECTION CENTER DR CHICAGO IL 60693 MAINTENANCE AGREEMENT 1463606 28 55010 55010 OTHER PROGRAM REVENUE 519100 115935086 111696549 4238537 NET PATIENT REVENUE 621610 41386308 41386308 157321394 1808486 1808486 99030 95456 3574 3574 3574 2072116 26670 133725 2072116 -107055 1965061 1965061 MISCELLANEOUS REVENUE 900099 45888 45888 45888 161199413 153128745 4238537 3777121 1302924 1302924 60849421 50764781 10084640 5366199 4764824 601375 8794867 6898860 1896007 4397960 3636120 761840 33605 33605 64904 64904 9448155 8756166 691989 34358334 26962976 7395358 2723939 2391172 332767 1929636 1660012 269624 340785 311257 29528 675130 675130 20952657 15398025 5554632 280186 23420 256766 LICENSES AND TAXES 150011 118835 31176 0 BOND RELATED FEES 137549 0 137549 0 MISCELLANEOUS EXPENSES 122988 20290 102698 0 151929250 122381868 29547382 0 7894947 30120529 4469265 4496890 157236 149651 6077339 5647147 173754206 112477496 65159686 61276710 75507233 82863536 1022472 1142340 160288178 185696803 7609103 10342948 27042430 33559109 34651533 43902057 X 125618053 141786962 18592 7784 125636645 141794746 160288178 185696803 X 9270163 6887938 X 0 1 1 X 0 X 169485 90947 62917 67480 55310 446139 88690952 100170274 110513825 125140882 153128745 577644678 88860437 100261221 110576742 125208362 153184055 578090817 0 0 0 578090817 1803865 2375749 2124377 2023327 1907516 10234834 1803865 2375749 2124377 2023327 1907516 10234834 82766 604162 686928 75 89 4473 4637 90664377 102637059 112705592 127314455 155695733 589017216 0.98140 0.98020 0.01740 0.01830 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: REVENUE EXCLUDED FROM TAX RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 167808 90000 77808 4101139 1197089 2904050 166117095 111190407 54926688 3368164 3368164 61276710 SSM CENTRAL INVESTMENT POOL 82414313 F BENEFICIAL INTEREST IN FOUNDATION 449223 F 82863536 DUE TO AFFILIATES 8470420 PENSION FUNDING LIABILITY 7761040 ALLOCATION OF TAX EXEMPT BONDS (ISSUED BY SSM HEALTH CARE) 17325954 RABBI TRUST LIABILITY 1695 33559109 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: SSM HEALTH BUSINESSES' FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSMHC, A RELATED ORGANIZATION. SSMHC EVALUTES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2010 OR 2009. 0 1 0 0 0 0 0 0 0 STEVEN BARNEY 0 486155 0 0 0 89008 0 58965 0 19665 0 653793 0 0 CHRISTOPHER HOWARD 0 531763 0 0 0 112014 0 190893 0 27742 0 862412 0 0 THOMAS K LANGSTON 0 439665 0 0 0 113190 0 275586 0 28596 0 857037 0 0 PHILIP P GUSTAFSON 0 505622 0 0 0 28709 0 75722 0 27144 0 637197 0 0 DIXIE L PLATT 0 420917 0 0 0 63215 0 164658 0 26138 0 674928 0 0 JAMES M SANGER 0 681814 0 0 0 233097 0 22569 0 17683 0 955163 0 0 WILLIAM P THOMPSON 0 830800 0 0 0 357652 0 585557 0 19865 0 1793874 0 0 KRIS A ZIMMER 0 638080 0 0 0 85902 0 154088 0 26124 0 904194 0 0 MARY STARMANN-HARRISON 0 638784 0 0 0 141284 0 226110 0 33589 0 1039767 0 0 PAULA FRIEDMAN 0 456901 0 0 0 75001 0 176489 0 14645 0 723036 0 0 JUNE L PICKETT 0 207649 0 0 0 13087 0 163178 0 16209 0 400123 0 0 ALISON RUEHL 0 247372 0 0 0 28235 0 145651 0 24629 0 445887 0 0 JOHNATHAN KIMERLE 250659 0 0 0 11409 0 47726 0 19451 0 329245 0 0 0 MICHAEL PAASCH 169378 0 0 0 9909 0 93993 0 19835 0 293115 0 0 0 R LYNN WIDMER 161202 0 0 0 10646 0 99353 0 16159 0 287360 0 0 0 PATRICK GILLIGAN 182206 0 0 0 9398 0 68517 0 20794 0 280915 0 0 0 DAVID E LUNDAL 197344 0 0 0 8113 0 34571 0 23087 0 263115 0 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 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. JAMES M SANGER $116,523 MARY STARMANN HARRISON $44,302 CHRISTOPHER HOWARD $43,454 KRIS A ZIMMER $42,738 WILLIAM P THOMPSON $37,749 THOMAS LANGSTON $35,357 DIXIE PLATT $33,079 STEVEN BARNEY $55,321 ALISON RUEHL $17,099 PAULA FRIEDMAN $9,648 R LYNN WIDMER $8,832 JONATHAN KIMERLE $8,285 JUNE PICKETT $7,123 MICHAEL PAASCH $6,627 DAVID LUNDAL $6,281 PATRICK GILLIGAN $5,779 DESCRIPTION OF ORGANIZATION MISSION FORM 990, PART I, LINE 1: TO MEET THE HEALTH NEEDS OF THE COMMUNITY IT SERVES AND PROVIDE EXCEPTIONAL HEALTH CARE BOTH IN THE HOSPITAL AND IN THE PATIENTS' PLACES OF RESIDENCE. DOING BUSINESS AS: FORM 990, PART I SSM HEALTH BUSINESSES CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING REGISTERED NAMES: 1) SSM HOME CARE A)SSM HOME CARE AT ST. ANTHONY HOSPITAL B)SSM HOME CARE AT ST. FRANCIS HOSPITAL C)SSM HOME CARE AT ST. MARY'S HEALTH CENTER D)SSM HOME CARE OF ILLINOIS E)SSM HOME CARE OF ST. LOUIS F)SSM HOME CARE-PRIVATE DUTY G)SSM HOSPICE H)SSM HOSPICE AT ST. FRANCIS HOSPITAL I)SSM HOSPICE OF ILLINOIS 2) SSM HOME MEDICAL EQUIPMENT COMPANY 3) SSM INTEGRATED HEALTH TECHNOLOGIES 4) SSM CLINICAL ENGINEERING SERVICES 5) SSM INFUSION SERVICES LLC NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 DURING 2010, SSM HEALTH BUSINESSES ADDED THE SSM CLINICAL ENGINEERING SERVICES (CES) DIVISION TO ITS PROGRAM SERVICES AS A DEPARTMENT OF SSM INTEGRATED HEALTH TECHNOLOGIES (IHT). CES IS A SYSTEM-WIDE CLINICAL EQUIPMENT MAINTENANCE AND TECHNOLOGY ASSESSMENT SERVICE. TODAY'S MODERN MEDICINE RELIES HEAVILY UPON STATE OF THE ART TECHNOLOGY, WHICH MUST BE PROPERLY MAINTAINED TO INSURE RELIABLE AND SAFE OPERATION WHEN CALLED UPON. CES' IN-HOUSE STAFF OF 110 CLINICAL ENGINEERS PROVIDES AN EFFICIENT AND COST EFFECTIVE ALTERNATIVE TO EXPENSIVE OUTSOURCING. IT IS ESTIMATED THAT CES SAVES SSM APPROXIMATELY $11 MILLION ANNUALLY IN CLINICAL EQUIPMENT MAINTENANCE EXPENSES COMPARED TO OUTSOURCING. CES MANAGES THE CLINICAL ENGINEERING PROGRAMS IN 15 WHOLLY OWNED SSM HOSPITALS, AS WELL AS OVER A DOZEN NON-SSM OR PARTIALLY OWNED FACILITIES (OUTREACH). WE ARE RESPONSIBLE FOR THE MAINTENANCE OF APPROXIMATELY 65,000 CLINICAL DEVICES. PROGRAM SERVICE STATEMENT FORM 990, PART III, LINE 4A LISTING OF INCLUDED DIVISIONS FORM 990 DIVISION: SSM HOME CARE (FEIN: 43-1333488) SSM INTEGRATED HEALTH TECHNOLOGIES (FEIN: 23-7001243) FORM 990, PART III, LINE 4A DESCRIPTION OF PROGRAM SERVICE BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION: SINCE IT WAS FOUNDED IN 1872 BY 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, MO, SSMHC OWNS, MANAGES AND IS AFFILIATED WITH 20 HOSPITALS, TWO NURSING HOMES AND HOME HEALTH AGENCIES IN FOUR STATES. THE HEALTH SYSTEM EMPLOYS APPROXIMATELY 22,000 PEOPLE AND IS AFFILIATED WITH MORE THAN 5,400 PHYSICIANS. IN THE TRADITION OF ITS FOUNDING SISTERS, SSMHC STRIVES TO FULFILL ITS MISSION BY PROVIDING EXCEPTIONAL HEALTH CARE TO EVERYONE WHO COMES TO ITS HOSPITALS, REGARDLESS OF THEIR ABILITY TO PAY. DESCRIBE THE TAX-EXEMPT PURPOSE ACHIEVEMENTS: SSM INTEGRATED HEALTH TECHNOLOGIES DIVISION (SSM IHT) WORKS CLOSELY WITH OUR COLLEAGUES AT THE SSM HOSPITALS TO PROVIDE ASSISTANCE IN THEIR HEALTH CARE MINISTRY, INCLUDING PROVIDING TECHNOLOGY ASSISTANCE TO THEIR HEALTH COMMUNITY ACTIVITIES AS APPROPRIATE. THROUGH ITS CLINICAL ENGINEERING SERVICES (CES) DIVISION, SSM IHT PROVIDES THE HIGHEST STANDARD OF MAINTENANCE, EQUIPMENT MANAGEMENT, AND TECHNOLOGY ASSESSMENT. ADDITIONALLY, SSM IHT HELPS REDUCE AND CONTROL CLINICAL EQUIPMENT SERVICE COSTS. SSM HOME CARE STRIVES TO PROVIDE EXCEPTIONAL HOME HEALTH AND HOSPICE SERVICES IN PATIENT HOMES WITHOUT REGARD FOR THE PATIENT'S ABILITY TO PAY. TO THAT END, AND IN KEEPING WITH THE SSM MISSION, SSM HOME CARE PROVIDED OVER $1 MILLION IN COSTS OF FREE OR UNCOMPENSATED SERVICES TO PERSONS IN THE COMMUNITIES IN WHICH WE SERVE. THIS INCLUDES CHARITY CARE AND UNCOMPENSATED COSTS OF STATE MEDICAID PROGRAMS. SSM HOME CARE ALSO PROVIDED SEVERAL SERVICES TO THE COMMUNITY CARE AT COSTS OF OVER $2,000 IN 2010 INCLUDING HEALTH SCREENINGS FOR AT RISK INDIVIDUALS, CHARITABLE DONATIONS, AND OTHER EDUCATIONAL SERVICES. DESCRIBE THE CORPORATION'S FINANCIAL ASSISTANCE POLICIES OR PROGRAMS (E.G., CHARITY CARE, DISCOUNTING) FOR LOW-INCOME PERSONS AND HOW THEY ARE COMMUNICATED TO THE PUBLIC: SSM HOME CARE WILL STRIVE TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY. ALL BILLING AND COLLECTION POLICIES AND PRACTICES WILL REFLECT THE MISSION AND VALUES OF SSMHC, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. SSM HOME CARE WILL APPLY ITS CHARITY CARE POLICIES FAIRLY AND CONSISTENTLY. EACH PERSON WILL BE TREATED AS AN INDIVIDUAL WITH SPECIFIC NEEDS FOR ASSISTANCE WITHOUT REGARD TO PAYMENT. SSM HOME CARE EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH WE PARTICIPATE BY ESTABLISHING SOUND BUSINESS PRACTICES. CHARITY CARE IS PROVIDED TO PATIENTS BASED ON A SLIDING SCALE FOR HOUSEHOLD INCOMES UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL. PATIENTS WHOSE HOUSEHOLD INCOME IS NOT MORE THAN TWO TIMES THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR FREE HOSPITAL SERVICES. IN ADDITION, AN EXCEPTION TO THE SLIDING SCALE IS PROVIDED FOR A PATIENT'S BALANCE DUE IF THE AMOUNT IS TOO LARGE TO BE REASONABLY PAID THROUGH AN INSTALLMENT PLAN OVER FOUR YEARS GIVEN THE FAMILY INCOME AND EXPENSES. SSM HOME CARE WILL PROVIDE INFORMATION ABOUT: A) THE PATIENT'S RESPONSIBILITY FOR PAYMENT; B) THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND ENTITY CHARITY CARE AND PAYMENT ARRANGEMENTS; C) THE ENTITY'S CHARITY POLICY AND APPLICATION PROCESS: AND D) WHOM TO CONTACT TO GET ADDITIONAL INFORMATION OR FINANCIAL COUNSELING. SSM HOME CARE SHALL PROVIDE THE FOLLOWING TYPES OF NOTICES TO THE PUBLIC: A) AT THE BEGINNING OF CARE, WHEN THE CAREGIVER FIRST GOES INTO THE HOME, THE PATIENT'S GUIDE TO FINANCIAL ASSISTANCE IS PROVIDED TO EACH PATIENT. B) NOTICES RELATED TO FINANCIAL ASSISTANCE ARE SENT TO PATIENTS: WHEN BILLED FOR THEIR PORTION OF THE BALANCE DUE; C) IMMEDIATELY UPON REQUEST FROM THE PATIENT, PATIENT'S FAMILY, PATIENT'S PHYSICIAN OR SSM HOME CARE STAFF. D) ALL NOTICES WILL BE EASY TO UNDERSTAND BY THE GENERAL PUBLIC AND CULTURALLY APPROPRIATE. TRANSLATORS WILL BE AVAILABLE TO PROVIDE ASSISTANCE IN THOSE LANGUAGES THAT ARE PREVALENT IN THE COMMUNITY. THE APPLICATION FOR CHARITY CARE, TOGETHER WITH ANY INSTRUCTIONS, MUST CLEARLY STATE THE POLICIES REGARDING CHARITY CARE, INCLUDING EXCLUDED SERVICES, ELIGIBILITY CRITERIA AND DOCUMENTATION REQUIREMENTS. INFORMATION ABOUT THE ENTITY'S CHARITY POLICIES WILL ALSO BE PROVIDED TO PUBLIC AGENCIES. ORGANIZATIONAL DESCRIPTION FOR TAX EXEMPTION: THE DIVISIONS OF SSM HEALTH BUSINESS: - PROVIDE HOME HEALTH, HOSPICE AND TECHNICAL SUPPORT TO SSMHC HOSPITALS. IN ADDITION, SSM HOME CARE: A) PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. B) WORKS IN COOPERATION WITH SSMHC HOSPITALS AND PHYSICIANS TO PROVIDE A CONTINUUM OF CARE TO THE PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. DESCRIPTION OF COMMUNITY BENEFIT PROGRAMS: SSM HOME CARE CONTINUED TO PROVIDE HOME HEALTH THERAPY SERVICES TO MISSOURI MEDICAID PATIENTS EVEN THOUGH THE REIMBURSEMENT FOR THESE SERVICES WAS DISCONTINUED IN 2007. SSM HOME CARE ALSO PROVIDES TELEMONITORING SERVICES FOR CHF PATIENTS WHICH HELP REDUCE NECESSARY HOSPITAL RE-ADMISSIONS AND IMPROVES THE OVERALL HEALTH OF THESE PATIENTS. THROUGH ITS CES DIVISION, SSM IHT SAVES SSMHC APPROXIMATELY $11 MILLION ANNUALLY IN CLINICAL EQUIPMENT MAINTENANCE EXPENSES COMPARED TO OUTSOURCING. QUANTIFIABLE COMMUNITY BENEFIT THIS SECTION INCLUDES A LIST OF THE TYPES OF PROGRAMS AND SERVICES THAT COULD BE INCLUDED AS COMMUNITY BENEFIT ACTIVITIES. TRADITIONAL CHARITY CARE $ 157,889 UNPAID COST OF MEDICARD $ 858,868 UNPAID COST OF MEDICARE $-3,602,253 COMMUNITY BENEFIT PROGRAMS $ 2,137 TOTAL $-2,583,359 4. LINK TO ADDITIONAL COMMUNITY BENEFIT INFORMATION ADDITIONAL INFORMATION REGARDING SSMHC'S 2009 COMMUNITY BENEFIT REPORT CAN BE FOUND AT WWW.SSMHC.COM. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF THE CORPORATION IS SSM HEALTH CARE CORPORATION. SSM HEALTH CARE CORPORATION IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH SSM HEALTH BUSINESSES AND SSM HEALTH CARE CORPORATION ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH CARE. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND APPOINT AND REMOVE DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS C. TO APPOINT AND REMOVE THE APPOINTED DIRECTORS AND THE EX OFFICIO DIRECTORS. D. TO APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION AND THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION. E. TO APPROVE THE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN. F. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION. G. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION. H. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY. I. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION. J. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY. K. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY. L. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS, TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS, AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS. M. TO APPROVE THE STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION. N. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION. O. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTERESTS IN THE PROPERTY OF THE CORPORATION. P. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER OF THE MEMBER OR TO ANY ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY THE MEMBER OF THE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS AND OBJECTIVES OF THE MEMBER OF THE MEMBER AS DETERMINED BY THE MEMBER OF THE MEMBER. Q. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER OF THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE MEMBER APPROVAL, AND R. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY NON-CONTROLLED SUBSIDIARY. FORM 990, PART VI, SECTION B, LINE 11 ACCOUNTING/FINANCE PERSONNEL AT EACH SSMHC (SSM HEALTH CARE SYSTEM) ENTITY, IN CONJUNCTION WITH CORPORATE FINANCE PERSONNEL, PREPARE A CHECKLIST CONTAINING INFORMATION AND SUPPORTING SCHEDULES THAT ARE USED TO PREPARE THE FORM 990. THIS CHECKLIST IS THEN REVIEWED BY A SUPERVISOR/MANAGER AND SENT TO THE CORPORATE OFFICE FOR FINAL REVIEW AND COORDINATION OF THE SYSTEM LEVEL FORM 990 INFORMATION. THE INFORMATION IS SUBMITTED TO AN OUTSIDE TAX CONSULTING FIRM WHO PREPARES 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 BOARD AT THE NEXT SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY TO THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUST BE COMPLETED ON LINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR END. FORM 990, PART VI, SECTION B, LINE 15 ALL SSMHC EXECUTIVE SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH 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 C, LINE 19 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. 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 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 THE ORGANIZATION OR 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 GAINS ON INVESTMENTS: 4,939,227. BENEFICIAL INTEREST IN FOUNDATION -27,675. TRANSFERS TO AFFILIATES 1,976,386. TOTAL TO FORM 990, PART XI, LINE 5: 6,887,938. 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