2011-11-15T14:06:30-06:00 2010-12-31 DELOITTE TAX LLP 1111 BAGBY STREET SUITE 4500 HOUSTON TX 770022591 990 2010-01-01 466029223 SSM HEALTH CARE CORPORATION SSMH 3145238759 477 N LINDBERGH BLVD ST LOUIS MO 63141 JUNE L PICKETT 3145238759 2011-11-15 1 NANCY Z EVETTS 7139822000 2010 2016-03-07 17:11:31Z SEE SCHEDULE O WILLIAM THOMPSON 477 N LINDBERGH BLVD ST LOUIS MO 63141 130357405 0 0928 X WWW.SSMHC.COM X 1874 MO SEE SCHEDULE O 9 8 180 8 290184 289184 0 0 46768765 29724949 27884102 86078417 6190089 14554039 80842956 130357405 0 84900 0 0 42396728 29478408 0 0 0 62107068 61725540 104503796 91288848 -23660840 39068557 1958756695 2185155989 1928698089 2159233931 30058606 25922058 X THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 84900 84900 29724949 SEE SCHEDULE O 84900 1 0 0 1 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 401 0 1 180 1 1 1 1 CJ 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X DONNA WALLACE 3145238793 12312 OLIVE BLVD SUITE 600 ST LOUIS MO 63141 X SR ROSE DOWLING FSM 1.00 X 0 0 0 SR MARITA ANNE MARRAH FSM 1.00 X 0 0 0 JOHN MOTEN 1.00 X 0 0 0 THOMAS M NOONAN 1.00 X 0 0 0 SR MARGE O'GORMAN FSM 1.00 X 0 0 0 SR MARY JEAN RYAN FSM 40.00 X X 0 0 0 SR SUSAN SCHOLL FSM 1.00 X 0 0 0 SR SANDRA SCHWARTZ FSM 1.00 X 0 0 0 WILLIAM P THOMPSON 40.00 X X 1188452 0 605422 KRIS A ZIMMER 40.00 X 723982 0 180212 JUNE L PICKETT 40.00 X 220736 0 179387 JAMES SANGER 40.00 X 914911 0 40252 MARY STARMANN-HARRISON 40.00 X 780068 0 259699 CHRISTOPHER HOWARD 40.00 X 643777 0 218635 DIXIE PLATT 40.00 X 484132 0 190796 PHILIP GUSTAFSON 40.00 X 534331 0 102866 STEVEN BARNEY 40.00 X 575163 0 78630 THOMAS LANGSTON 40.00 X 552855 0 304182 PAULA FRIEDMAN 40.00 X 531902 0 191134 STEVEN JOHNSON 40.00 X 704668 0 237862 SHERLYN HAILSTONE 40.00 X 662469 0 143891 FRANK BYRNE 40.00 X 533404 0 156688 PATRICE KOMOROSKI 40.00 X 502278 0 157205 ROBERT PORTER 40.00 X 494589 0 213260 WILLIAM C SCHOENHARD 0.00 X 282789 0 130820 10330506 0 3390941 76 1 1 0 CATHOLIC HEALTHCARE AUDIT NETWORK 231 S BEMISTON ST LOUIS MO 63105 INTERNAL AUDIT/CONSULTING 2204247 LOCKTON COMPANIES LLC 3 CITY PLACE DRIVE SUITE 900 ST LOUIS MO 63141 INSURANCE 2079750 FRANCISCAN SISTERS OF MARY 1100 BELLEVUE AVENUE ST LOUIS MO 63117 MANAGEMENT SERVICES 1992547 DELOITTE & TOUCHE LLP 100 S 4TH ST SUITE 300 ST LOUIS MO 63102 CONSULTING 1159024 ALLIANT INSURANCE COMPANY 5847 SAN FELIPE SUITE 2750 HOUSTON TX 77057 INSURANCE 929243 30 CORPORATE FEES 561000 25001000 25001000 RELATED MGMT FEES 561000 3328388 3328388 OTHER REVENUE 519100 1395561 1395561 29724949 60745363 60745363 25308161 24893 25308161 24893 25333054 25333054 JOINT VENTURE INCOME 900099 11560221 290184 11270037 OTHER INCOME 900099 2993818 2993818 14554039 130357405 29724949 290184 100342272 84900 84900 9501524 9501524 9966270 9966270 8896034 8896034 342099 342099 772481 772481 293246 293246 873 873 4292004 4292004 25508 25508 1993751 1993751 1273228 1273228 1120920 1120920 779005 779005 129233 129233 42269132 42269132 774762 774762 17763 17763 LOSS ON EARLY EXTINGUIS 4819000 4819000 BOND RELATED FEES 3842784 3842784 MISCELLANEOUS EXPENSES 89476 89476 LICENSES 4855 4855 91288848 84900 91203948 0 5220524 282883 5184819 9146606 4195920 4318245 771464776 773626786 778180 645651 9476355 4114726 5364550 5361629 1009622009 1300633343 69834146 81932230 87091771 9208616 1958756695 2185155989 153385661 140621883 1047549760 1157876734 53437409 674325259 860735314 1928698089 2159233931 X 30032515 25893770 26091 28288 30058606 25922058 1958756695 2185155989 X 39068557 -43205105 X 0 1 1 X 0 X X X 0 0 0 SSM HEALTH CARE ST LOUIS 431343281 3 1 0 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 430738490 3 1 0 SSM HEALTH CARE OF WISCONSIN INC 430688874 3 1 0 SSM HEALTH CARE OF OKLAHOMA INC 730657693 3 1 0 SSM REGIONAL HEALTH SERVICES 440579850 3 1 0 GOOD SAMARITAN REGIONAL HEALTH CENTER 430653587 3 1 0 ST MARY'S HOSPITAL 370662580 3 1 0 7 0 SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SSM HEALTH CARE CORPORATION (SSMHC) IS A TYPE I SUPPORTING ORGANIZATION THAT IS OPERATED EXCLUSIVELY TO SUPPORT THE OPERATIONS OF ALL ITS RELATED ORGANIZATIONS LISTED ON SCHEDULE A, PART I, LINE 11(H). THE AMOUNT OF SUPPORT PROVIDED TO THESE ORGANIZATIONS, REPORTED ON SCHEDULE A, PART I, LINE 11(H)(VII), DOES NOT INCLUDE EXPENSES PAID ON BEHALF OF BUT NOT DIRECTLY TO THE ENTITIES SSMHC SUPPORTS. THESE EXPENSES TOTALED $91,203,948 DURING THE YEAR ENDED DECEMBER 31, 2010. 0 1 0 1 45256 0 0 1 135769 0 0 181025 0 26092 2197 28289 22624 3468 26092 22624 22624 1.00000 0 0 1305822 1065036 240786 3635787 3049690 586097 4534746 4534746 5361629 DUE TO AFFILIATES 70809440 CAPITAL LEASE OBLIGATION 37544639 DEFERRED COMPENSATION 66180763 SWAPS MARK TO MARKET LIABILITY 65594226 RABBI TRUST LIABILITY 28754773 PENSION LIABILITY 591851473 860735314 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: SSMHC'S ENDOWMENT FUNDS ARE TO BE USED TO DEFRAY THE COSTS OF AN ANNUAL EXECUTIVE LEVEL MANAGEMENT MEETING. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: SSM HEALTH CARE CORPORATION EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2010 OR 2009. 1 UNICEF HAITI EARTHQUAKE RELIEF 125 MAIDEN LANE NEW YORK NY 10038 061135999 501(C)(3) 50000 DISASTER ASSISTANCE SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 477 N LINDBERGH BLVD ST LOUIS MO 63141 430738490 501(C)(3) 5000 GENERAL PROGRAM SUPPORT MIGRANT HEALTH PROMOTION 224 W MICHIGAN AVE SALINE MI 48176 383092194 501(C)(3) 15000 GENERAL PROGRAM SUPPORT ST LOUIS UNIVERSITY 1402 S GRAND ST LOUIS MO 63104 430654872 501(C)(3) 5000 GENERAL PROGRAM SUPPORT 4 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION'S GRANTS WERE MADE TO TAX EXEMPT UNDER IRC SECTION 501(C)(3) ORGANIZATIONS. THESE ORGANIZATIONS HAVE DEVELOPED INTERNAL CONTROL PROCEDURES FOR THE USE OF GRANT FUNDS. X X X 1 1 X X X X 1 1 0 0 0 0 0 0 0 WILLIAM P THOMPSON 830800 0 0 0 357652 0 585557 0 19865 0 1793874 0 0 0 KRIS A ZIMMER 638080 0 0 0 85902 0 154088 0 26124 0 904194 0 0 0 JUNE L PICKETT 207649 0 0 0 13087 0 163178 0 16209 0 400123 0 0 0 JAMES SANGER 681794 0 0 0 233117 0 22569 0 17683 0 955163 0 0 0 MARY STARMANN-HARRISON 638784 0 0 0 141284 0 226110 0 33589 0 1039767 0 0 0 CHRISTOPHER HOWARD 531763 0 0 0 112014 0 190893 0 27742 0 862412 0 0 0 DIXIE PLATT 420917 0 0 0 63215 0 164658 0 26138 0 674928 0 0 0 PHILIP GUSTAFSON 505622 0 0 0 28709 0 75722 0 27144 0 637197 0 0 0 STEVEN BARNEY 486155 0 0 0 89008 0 58965 0 19665 0 653793 0 0 0 THOMAS LANGSTON 439665 0 0 0 113190 0 275586 0 28596 0 857037 0 0 0 PAULA FRIEDMAN 456901 0 0 0 75001 0 176489 0 14645 0 723036 0 0 0 STEVEN JOHNSON 564798 0 0 0 139870 0 213196 0 24666 0 942530 0 0 0 SHERLYN HAILSTONE 506105 0 0 0 156364 0 121009 0 22882 0 806360 0 0 0 FRANK BYRNE 451485 0 0 0 81919 0 122006 0 34682 0 690092 0 0 0 PATRICE KOMOROSKI 395375 0 0 0 106903 0 149696 0 7509 0 659483 0 0 0 ROBERT PORTER 407816 0 0 0 86773 0 190902 0 22358 0 707849 0 0 0 WILLIAM C SCHOENHARD 0 0 0 0 282789 0 112880 0 17940 0 413609 0 0 0 SUPPLEMENTAL INFORMATION PART III PART I, LINE 1A: THE FOLLOWING INDIVIDUALS LISTED ON PART VII, SECTION A, RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENTS IN 2010, WHICH WERE INCLUDED IN THEIR TAXABLE COMPENSATION: WILLIAM THOMPSON KRIS ZIMMER JAMES SANGER MARY STARMANN HARRISON CHRISTOPHER HOWARD DIXIE PLATT THOMAS LANGSTON PAULA FRIEDMAN STEVEN JOHNSON SHERILYN HAILSTONE FRANK BYRNE PATRICE KOMOROSKI ROBERT PORTER PART I, LINE 1A: THE FOLLOWING INDIVIDUALS LISTED ON PART VII, SECTION A, RECEIVED A REIMBURSEMENT OF HEALTH OR SOCIAL CLUB DUES IN 2010 WHICH WAS INCLUDED IN THEIR TAXABLE COMPENSATION: JAMES SANGER MARY STARMANN HARRISON PHILIP GUSTAFSON STEVEN BARNEY STEVEN JOHNSON PATRICE KOMOROSKI ROBERT PORTER PART I, LINE 4A: SEVERANCE PLAN: SSMHC HAS ADOPTED A SEVERANCE POLICY TO PROVIDE A FINANCIAL TRANSITION IN THE EVENT OF INVOLUNTARY TERMINATION WITHOUT CAUSE FOR EXECUTIVE LEVEL POSITIONS. THE AMOUNT OF THE COMPENSATION IS BASED ON THE POSITION HELD AND LENGTH OF SERVICE WITH SSMHC. THE FOLLOWING INDIVIDUAL RECEIVED PAYMENTS UNDER THE PLAN IN THE CURRENT YEAR WILLIAM SCHOENHARD $ 277,333 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 PATRICE KOMOROSKI $ 34,686 DIXIE PLATT $ 33,079 FRANK BYRNE $ 31,695 STEVEN BARNEY $ 55,321 STEVEN JOHNSON $ 28,038 ROBERT PORTER $ 25,712 SHERLYN HAILSTONE $ 23,111 PAULA FRIEDMAN $ 9,648 JUNE PICKETT $ 7,123 HEALTH AND EDUC FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 60635R2Z9 2008-05-15 100851259 TO FINANCE/REFINANCE CAPITAL IMPROVEMENTS 0 0 0 HEALTH AND EDUC FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 60635RU70 2005-07-21 198800000 FINANCE/REFINANCE CAPITAL IMPROVEMENTS AND REFUND BONDS ISSUED 7/12/95 0 0 0 HEALTH AND EDUC FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 60635RRV2 2005-07-21 555100000 FINANCE CAPITAL IMPROVEMENTS AND REFUND BONDS USSED 5/20/98 AND 5/22/01 0 0 0 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97710BUX8 2010-05-13 125000551 FINANCE CAPITAL IMPROVEMENTS 0 0 0 100851259 100851259 2009 0 0 1 1 134200000 204402773 1729412 165864999 36808362 2008 1 0 1 1 292675000 628923523 4165473 6776384 122495329 495486337 2008 0 1 0 1 125151254 76213149 48938105 0 0 0 1 0 1 1 1 1 0.00860 0.00860 1 0 1 1 1 1 0.01980 0.01980 1 0 1 1 1 1 0.01980 0.01980 1 0 1 1 1 1 0.01390 0.01390 1 0 0 0 0 0 1 1 1 1 UBS AG & CITIBANK NA 29.900000000000 0 1 0 0 1 0 1 1 UBS AG & CITIBANK NA 27.900000000000 0 1 0 0 0 1 1 0 0 0 0 PART II LINE 3 TOTAL PROCEEDS EXCEEDS AMOUNT SHOWN IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. PART IV, LINE 5 TWO BOND ISSUES HELD PROCEEDS BEYOND AN AVAILABLE TEMPORARY PERIOD; AMOUNTS IN QUESTION WERE IN YIELD-RESTRICTED ADVANCE REFUNDING ESCROWS. PART IV, LINE 6 TWO BOND ISSUES WERE MULTIPURPOSE ISSUES INCLUDING CURRENT REFUNDING PURPOSES, SO PORTIONS OF THOSE ISSUES MET THE REQUIREMENTSE FOR A SPENDING EXCEPTION TO REBATE. HEALTH AND EDUC FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 60635R7B7 2010-05-13 450254794 FINANCE CAPITAL IMPROVEMENTS AND REFUND BONDS ISSUED 5/22/01 AND 7/21/05 0 0 0 450556391 21476737 244374 428835280 2010 1 1 0 1 0 1 1 1 1 0.03130 0.03130 1 0 1 0 0 0 1 FORM 990, PART I, DOING BUSINESS AS: SSM HEALTH CARE CORPORATION CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING REGISTERED NAMES: SSM HEALTH CARE SSM HEALTH CARE CORPORATE ARCHIVES SSM SUPPORT SERVICES FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION'S MISSION: THE ORGANIZATION IS THE PARENT OF THE SSM HEALTH CARE SYSTEM. THE ORGANIZATION PROVIDES MANAGEMENT AND CENTRALIZED SUPPORT SERVICES TO THE HOSPITALS AND OTHER HEALTH CARE ORGANIZATIONS WITHIN THE SYSTEM. PROGRAM SERVICE STATEMENT FORM 990, PART III, LINE 4A: 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. SSM HEALTH CARE'S CORPORATE OFFICE OVERSEES COMMUNITY BENEFIT REPORTING FOR THE ENTIRE SYSTEM. THE CORPORATE OFFICE MANDATES THAT EVERY SSM FACILITY ASSESS THE UNMET HEALTH NEEDS OF ITS COMMUNITY AND ADDRESS THOSE NEEDS STRATEGICALLY EITHER THROUGH ITS OWN ACTIONS OR BY PARTNERING WITH OTHERS IN THE COMMUNITY. ALL SSMHC FACILITIES 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 REFLECT THE MISSION AND VALUES OF SSMHC, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. SSMHC FACILITIES OFFER DISCOUNTS FOR HOSPITAL SERVICES TO ALL UNINSURED PERSONS. SELF-PAY DISCOUNTS APPLY TO EVERYONE WHO DOES NOT HAVE HEALTH INSURANCE, NO MATTER THEIR ABILITY TO PAY. SSMHC APPLIES ITS CHARITY CARE POLICIES FAIRLY AND CONSISTENTLY. EACH PERSON IS TREATED AS AN INDIVIDUAL WITH SPECIFIC NEEDS FOR ASSISTANCE WITHOUT REGARD TO PAYMENT. SSMHC EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH IT PARTICIPATES BY ESTABLISHING SOUND BUSINESS PRACTICES. CHARITY CARE IS PROVIDED TO PATIENTS BASED ON A SLIDING SCALE FOR HOUSEHOLD INCOMES UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL. PATIENTS WHOSE HOUSEHOLD INCOME IS NO MORE THAN TWO TIMES THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR FREE HOSPITAL SERVICES. IN ADDITION, AN EXCEPTION TO THE SLIDING SCALE IS PROVIDED FOR A PATIENT'S BALANCE DUE IF THE AMOUNT IS TOO LARGE TO BE REASONABLY PAID THROUGH AN INSTALLMENT PLAN OVER FOUR YEARS GIVEN THE FAMILY INCOME AND EXPENSES. EACH ENTITY PROVIDING MEDICAL SERVICES PROVIDES INFORMATION TO THE PUBLIC REGARDING ITS CHARITY CARE POLICIES AND THE QUALIFICATION REQUIREMENTS FOR EACH OF ITS FACILITIES. WHEN STANDARD SYSTEM NOTICES AND COMMUNICATIONS REGARDING CHARITY CARE ARE AVAILABLE, THESE MUST BE USED. MODIFICATIONS TO THE STANDARD MAY BE MADE TO COMPLY WITH STATE AND LOCAL LAWS, AS WELL AS REFLECT CULTURALLY SENSITIVE TERMINOLOGY FOR THE POLICY. ALL NOTICES WILL BE EASY TO UNDERSTAND BY THE GENERAL PUBLIC, CULTURALLY APPROPRIATE AND AVAILABLE IN THOSE LANGUAGES THAT ARE PREVALENT IN THE COMMUNITY. THEY PROVIDE INFORMATION ABOUT: - THE PATIENT'S RESPONSIBILITY FOR PAYMENT; - THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND ENTITY CHARITY CARE AND PAYMENT ARRANGEMENTS; - THE ENTITY'S CHARITY POLICY AND APPLICATION PROCESS: AND - WHO TO CONTACT TO GET ADDITIONAL INFORMATION OR FINANCIAL COUNSELING. THE FOLLOWING TYPES OF NOTICES TO THE PUBLIC THAT ARE PROVIDED: - SIGNS IN THE EMERGENCY DEPARTMENT, OUTPATIENT AND INPATIENT REGISTRATION AND PUBLIC WAITING AREAS. - BROCHURES OR FLYERS PROVIDED AT TIME OF REGISTRATION AND AVAILABLE IN THE FINANCIAL COUNSELING AREAS. - NOTICES SENT WITH PATIENT BILLS OR COMMUNICATIONS SENT TO PATIENTS AND GUARANTORS RELATED TO MEDICAL SERVICES. - APPLICATIONS PROVIDED TO UNINSURED PATIENTS AT THE TIME OF REGISTRATION. THE APPLICATION FOR CHARITY CARE, TOGETHER WITH ANY INSTRUCTIONS, MUST CLEARLY STATE THE POLICIES REGARDING CHARITY CARE, INCLUDING EXCLUDED SERVICES, ELIGIBILITY CRITERIA AND DOCUMENTATION REQUIREMENTS. INFORMATION ABOUT THE ENTITY'S CHARITY POLICIES WILL ALSO BE PROVIDED TO PUBLIC AGENCIES. SSMHC HOSPITALS: - OPERATE AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY; - HAVE AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA; - HAVE A GOVERNING BODY IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY; - ENGAGE IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS; - PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. 1. SSM'S CORPORATE OFFICE DEMONSTRATED ITS COMMITMENT TO PRESERVING THE ENVIRONMENT BY PARTICIPATING IN THE FOLLOWING: COLLECTION OF OVER 100 NEW AND SLIGHTLY USED COATS, JACKETS AND OTHER WINTER WEAR TO BENEFIT ST. PATRICK'S CENTER IN ST. LOUIS, MO AND CARING AND SHARING IN ST. CHARLES, MO; COLLECTION OF COMPUTERS AND OTHER ELECTRONICS WHICH WERE GIVEN TO WEB INNOVATIONS & TECHNOLOGY SERVICES WHICH PROVIDES EMPLOYMENT, EDUCATION AND COMPUTERS TO SCHOOLS AND CHURCHES WHICH OTHERWISE COULD NOT AFFORD THESE ITEMS; COLLECTION OF 193 PAIRS OF SHOES TO BENEFIT SOLES 4 SOULS TO ASSIST THE HAITI EARTHQUAKE VICTIMS; DISTRIBUTION OF QUARTERLY NEWSLETTER TO EMPLOYEES TO PROVIDE CURRENT ENVIRONMENTAL INFORMATION ALONG WITH OPPORTUNITIES FOR PARTICIPATION IN LOCAL ENVIRONMENTAL PROJECTS. 2. STAFF MEMBERS CONTRIBUTED THEIR TIME TO THE ST. LOUIS REGIONAL COMMERCE AND GROWTH ASSOCIATION, INCLUDING THEIR PUBLIC POLICY COMMITTEE. THE ORGANIZATION UNITES THE ST. LOUIS REGION'S BUSINESS COMMUNITY TO DEVELOP AND SUSTAIN A WORLD-CLASS ECONOMY AND COMMUNITY. 3. STAFF MEMBERS CONTRIBUTED THEIR TIME TO ASSOCIATED INDUSTRIES OF MISSOURI, A GROUP THAT BELIEVES THAT THE TRANSPORTATION SYSTEM IN MISSOURI DEMANDS CONTINUING CARE AND ATTENTION BECAUSE IT IS VITAL TO THE STATE'S ECONOMIC WELFARE AND QUALITY OF LIFE. 4. DURING 2010, SSM'S CORPORATE OFFICE PARTICIPATED IN A FOOD DRIVE FOR DONATIONS TO OPERATION FOOD SEARCH, A SCHOOL SUPPLY DRIVE TO DISTRIBUTE OVER 16 BOXES OF SUPPLIES FOR THE TEACHERS AND CHILDREN WHO BENEFIT FROM KIDSMART, AND A FUNDRAISER TO BENEFIT OPERATION FOOD SEARCH. SSM'S CORPORATE OFFICE STAFF SUPPORTED THE LOCAL UNITED WAY CAMPAIGN BY RAISING OVER $54,000 IN DONATIONS FROM STAFF. ADDITIONAL INFORMATION REGARDING SSMHC'S 2010 COMMUNITY BENEFIT REPORT CAN BE FOUND AT WWW.SSMHC.COM. QUANTIFIABLE COMMUNITY BENEFIT THE TYPES OF PROGRAMS AND SERVICES THAT COULD BE INCLUDED AS COMMUNITY BENEFIT ACTIVITIES: COMMUNITY BENEFIT PROGRAMS $ 96,158 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE CLASS OF MEMBERS. THESE MEMBERS CONSIST OF THE PRESIDENT AND COUNSELORS OF THE FRANCISCAN SISTERS OF MARY (FOUR INDIVIDUALS). THE VOTING RIGHTS, INTERESTS AND PRIVILEGES OF EACH MEMBER ARE EQUAL. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS HAVE THE POWER TO APPOINT AND REMOVE MEMBERS OF THE BOARD OF DIRECTORS, WITH OR WITHOUT CAUSE, EXCEPT FOR THOSE WHO SERVE EX-OFFICIO. 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 CERTIFICATE 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 SSMHC 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 AT THE CORPORATE OFFICE AND COORDINATED WITH 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 ITS 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 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, MODIFY. FORM 990, PART VI, SECTION C, LINE 19 THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH CARE SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH CARE'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 32,750,878. CES TRANSFER TO HEALTH BUSINESSES -5,274,951. FUND BALANCE TRANSFERS 7,148,635. NET PENSION LIABILITY -77,829,667. TOTAL TO FORM 990, PART XI, LINE 5: -43,205,105. 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