SSM REGIONAL HEALTH SERVICES: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: SSM REGIONAL HEALTH SERVICES (EIN 44-0579850)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-15
IRS object ID: 201143199349304204
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-15T11:26:57-06:00	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	440579850	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SSM REGIONAL HEALTH SERVICES	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SSMR	NameControl
Phone	3149947800	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	477 NORTH LINDBERGH BLVD	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	63141	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JUNE L PICKETT	Name
Title	SECRETARY	Title
Phone	3149947800	Phone
Date Signed	2011-11-15	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

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	WILLIAM P THOMPSON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	477 NORTH LINDBERGH BLVD	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	63141	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	216145449	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.SSMHC.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2000	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	OPERATES TWO HOSPITALS AND HEALTH CENTERS IN JEFFERSON CITY, MISSOURI AND MARYVILLE, MISSOURI.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	1	NbrIndependentVotingMembers
Total Nbr Employees	1812	TotalNbrEmployees
Total Nbr Volunteers	432	TotalNbrVolunteers
Total Gross UBI	7805403	TotalGrossUBI
Net Unrelated Business Txbl Income	-217285	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	517571	ContributionsGrantsPriorYear
Contributions Grants Current Year	735088	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	206840339	ProgramServiceRevenuePriorYear
Program Service Revenue CY	205599260	ProgramServiceRevenueCY
Investment Income Prior Year	775624	InvestmentIncomePriorYear
Investment Income Current Year	1413625	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7867713	OtherRevenuePriorYear
Other Revenue Current Year	8281171	OtherRevenueCurrentYear
Total Revenue Prior Year	216001247	TotalRevenuePriorYear
Total Revenue Current Year	216029144	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	422219	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	313256	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	98106162	SalariesEtcPriorYear
Salaries Etc Current Year	101455776	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	142987	TotalFundrsngExpCurrentYear
Other Expense Prior Year	106178168	OtherExpensePriorYear
Other Expenses Current Year	120830982	OtherExpensesCurrentYear
Total Expenses Prior Year	204706549	TotalExpensesPriorYear
Total Expenses Current Year	222600014	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	11294698	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-6570870	RevenuesLessExpensesCY
Total Assets BOY	140254460	TotalAssetsBOY
Total Assets EOY	137523233	TotalAssetsEOY
Total Liabilities BOY	51918642	TotalLiabilitiesBOY
Total Liabilities EOY	53525919	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	88335818	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	83997314	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
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
Expense	195390641	Expense
Grants	313256	Grants
Revenue	206105638	Revenue
Description	SEE SCHEDULE O	Description
Total Program Service Expense	195390641	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	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	0	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	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	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	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	1	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	209	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1812	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	1	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	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	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	0	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	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	DONNA WALLACE	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3145238793	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	63141	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
SR MARY JEAN RYAN
DIRECTOR	1.00	X	0	0	0
STEVEN BARNEY
DIRECTOR	1.00	X	0	575163	78630
PAULA FRIEDMAN
DIRECTOR	1.00	X	0	531902	191134
CHRISTOPHER HOWARD
DIRECTOR	1.00	X	0	643777	218635
THOMAS K LANGSTON
DIRECTOR	1.00	X	0	552855	304182
PHILLIP GUSTAFSON
DIRECTOR & REG PRES	1.00	X	0	534331	102866
DIXIE L PLATT
DIRECTOR	1.00	X	0	484132	190796
JAMES M SANGER
DIRECTOR	1.00	X	0	914911	40252
WILLIAM P THOMPSON
DIRECTOR & PRESIDENT	1.00	X	0	1188452	605422	X
KRIS A ZIMMER
DIRECTOR & TREASURER	1.00	X	0	723982	180212	X
MARY STARMANN HARRISON
DIRECTOR	1.00	X	0	780068	259699
JUNE L PICKETT
SECRETARY	1.00		0	220736	179387	X
JOCELYN SKIDMORE
CFO - ST. FRANCIS HOSPITAL	40.00		133480	0	78255	X
THOMAS LUEBBERING
PART YEAR CFO	40.00		39961	0	32433	X
BRIAN DEAN
CFO - ST. MARY'S HEALTH CENTER	40.00		141002	0	21010	X
GRAY COX
HOSPITAL PRESIDENT-ST. FRANCIS HOSP.	40.00		334552	0	211954	X
R BRENT VANCONIA
HOSPITAL PRESIDENT-ST. MARY'S HLTH CNTR	40.00		436511	0	163827	X
CATHY NEW
VP CLINICAL SERVICES	40.00		156331	0	124671		X
PATRICK HARR MD
MED STAFF PRESIDENT	40.00		399809	0	144680		X
SCOTT HOLMAN DO
VP MEDICAL AFFAIRS	40.00		423429	0	103905		X
CATHERINE ABRAMS
VP OF NURSING	40.00		225796	0	63011		X
JOHN LUCIO DO
VP MEDICAL AFFAIRS	40.00		248057	0	56637		X
SUSAN MANKOSKI
VP HUMAN RESOURCES	40.00		162935	0	57781		X
GARF THOMAS
VP OF SUPPORT	40.00		150921	0	35795		X
THOMAS DISTEFANO MD
PHYSICIAN	40.00		986430	0	191904			X
JANE DAWSON MD
PHYSICIAN	40.00		455786	0	95789			X
DAMIEN MIZERA MD
PHYSICIAN	40.00		524992	0	94363			X
ARMIT P SINGH
PHYSICIAN	40.00		437371	0	65200			X
JOHN CROUCH MD
PHYSICIAN	40.00		444276	0	108194			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5701639	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	7150309	TotalReportableCompFrmRltdOrgs
Total Other Compensation	4000624	TotalOtherCompensation
Number Individuals GT100 K	77	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
CAPITAL EMERGENCY PHYSICIANS
100 ST MARYS MEDICAL PLAZA	JEFFERSON CITY	MO	65101	MEDICAL PHYSICIAN SERVICES	2162040
EMERGENCY PRACTICE ASSOCIATES INC
3840 W 9TH ST	WATERLOO	IA	50702	EMERGENCY ROOM PHYSICIAN SERVICES	1278916
MID-MISSOURI ANESTHESIA
1445 CHRISTY DRIVE	JEFFERSON CITY	MO	65101	MEDICAL PHYSICIAN SERVICES	1218000
MORRISON MANAGEMENT SPECIALISTS
5801 PEACHTREE DUNWOODY ROAD	ATLANTA	GA	30342	MEDICAL MANAGEMENT FEES	1093172
JEFFERSON CITY MEDICAL GROUP
1241 W STADIUM	JEFFERSON CITY	MO	65109	MEDICAL PHYSICIAN SERVICES	686491

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	41	NumberOfContractorsGT100K
Related Organizations	142017	RelatedOrganizations
Government Grants	588742	GovernmentGrants
All Other Contributions	4329	AllOtherContributions
Noncash Contributions	4506	NoncashContributions
Total Contributions	735088	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REV	621110	204315399	204315399
OTHER REVENUE	621110	1283861	1283861

Field	Value	IRS element (for citing)
Total Program Service Revenue	205599260	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	800362	TotalRevenueColumn
Exclusion	$800,362	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	41417	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	78913	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-37496	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-37496	TotalRevenueColumn
Exclusion	-$37,496	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	618052	Securities
Other	21900	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	26689	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	618052	Securities
Other	-4789	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	613263	TotalRevenueColumn
Exclusion	$613,263	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	12898	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	1433	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	11465	TotalRevenueColumn
Exclusion	$11,465	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	21377	GrossSalesOfInventory
Cost Of Goods Sold	9270	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	12107	TotalRevenueColumn
Exclusion	$12,107	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PHARMACY REVENUE	446110	7368913	7368913
CHILD CARE CENTER	624410	388826	388826
LABORATORY REV	621500	335355	16686	318669

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	202001	TotalRevenueColumn
Related Or Exempt Function Income	171023	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	30978	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	8295095	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	216029144	TotalRevenueColumn
Related Or Exempt Function Income	206088952	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	7805403	UnrelatedBusinessRevenue
Exclusion	$1,399,701	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	301586	Total
Program Services	301586	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	11670	Total
Program Services	11670	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3112008	Total
Management And General	3112008	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	73773348	Total
Program Services	63258757	ProgramServices
Management And General	10427038	ManagementAndGeneral
Fundraising	87553	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6501636	Total
Program Services	5407038	ProgramServices
Management And General	1086235	ManagementAndGeneral
Fundraising	8363	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	12988136	Total
Program Services	10797062	ProgramServices
Management And General	2175655	ManagementAndGeneral
Fundraising	15419	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5080648	Total
Program Services	4190125	ProgramServices
Management And General	884343	ManagementAndGeneral
Fundraising	6180	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	4528218	Total
Program Services	798806	ProgramServices
Management And General	3729412	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	368824	Total
Management And General	368824	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	73069	Total
Management And General	73069	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	13072574	Total
Program Services	12108533	ProgramServices
Management And General	964041	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	926668	Total
Program Services	348306	ProgramServices
Management And General	578362	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	44858851	Total
Program Services	44268882	ProgramServices
Management And General	576298	ManagementAndGeneral
Fundraising	13671	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	8445640	Total
Program Services	8445640	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4626801	Total
Program Services	4399599	ProgramServices
Management And General	227202	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	433950	Total
Program Services	247653	ProgramServices
Management And General	185399	ManagementAndGeneral
Fundraising	898	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	204191	Total
Program Services	159373	ProgramServices
Management And General	44818	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	974648	Total
Program Services	974648	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	9544168	Total
Program Services	9336663	ProgramServices
Management And General	206513	ManagementAndGeneral
Fundraising	992	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3650133	Total
Program Services	1272249	ProgramServices
Management And General	2377884	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBT	17609214	17609214	0	0
MEDICARE PROVIDER TAX	10933042	10933042	0	0
BOND RELATED FEES	212273	197626	14647	0
LICENSES	200161	200161	0	0
MISCELLANEOUS EXPENSES	168557	124008	34638	9911

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	222600014	Total
Program Services	195390641	ProgramServices
Management And General	27066386	ManagementAndGeneral
Fundraising	142987	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
EOY	937158	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	25687434	BOY
EOY	23247494	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	26081882	BOY
EOY	25732718	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	20000	BOY
EOY	20000	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4169013	BOY
EOY	4402699	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2787201	BOY
EOY	1834444	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	145100084	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	95191727	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	53067327	BOY
EOY	49908357	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	22544752	BOY
EOY	25558196	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	5896851	BOY
EOY	5882167	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	140254460	BOY
EOY	137523233	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	13733875	BOY
EOY	15024134	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	38184767	BOY
EOY	38501785	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	51918642	BOY
EOY	53525919	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	87040507	BOY
EOY	82478990	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1184311	BOY
EOY	1407324	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	111000	BOY
EOY	111000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	88335818	BOY
EOY	83997314	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	140254460	BOY
EOY	137523233	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-6570870	ReconcilationRevenueExpenses
Reconcilation Other Changes	2232366	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$23,821	GrantsOtherOrganizationsAmount
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	23821	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	116307	BeginningOfYearBalance
Investment Earnings Or Losses	2098	InvestmentEarningsOrLosses
Other Expenditures	7405	OtherExpenditures
End Of Year Balance	111000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	118719	BeginningOfYearBalance
Contributions	1500	Contributions
Investment Earnings Or Losses	4614	InvestmentEarningsOrLosses
Other Expenditures	8526	OtherExpenditures
End Of Year Balance	116307	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	173727	BeginningOfYearBalance
Investment Earnings Or Losses	-55008	InvestmentEarningsOrLosses
End Of Year Balance	118719	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4619933	OtherCostOrOtherBasis
Book Value	4619933	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	79666825	OtherCostOrOtherBasis
Depreciation	51797545	Depreciation
Book Value	27869280	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	555923	OtherCostOrOtherBasis
Depreciation	425333	Depreciation
Book Value	130590	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	54729294	OtherCostOrOtherBasis
Depreciation	42259060	Depreciation
Book Value	12470234	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5528109	OtherCostOrOtherBasis
Depreciation	709789	Depreciation
Book Value	4818320	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	49908357	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
BENEFICIAL INTEREST IN FOUNDATIONS	7826713	F
EQUITY IN JOINT VENTURES	463009	F
SSM CENTRAL INVESTMENT POOL	17268474	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	25558196	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
PENSION FUNDING LIABILITY	$7,265,140
RABBI TRUST LIABILITY	$1,130,322
THIRD PARTY PAYOR	$282,470
ASSET RETIREMENT LIABILITY	$851,105
DEFERRED COMPENSATION LIABILITY	$1,097,711
ALLOCATED TAX EXEMPT BOND DEBT (ISSUED BY SSM HEALTH CARE)	$27,875,037

Field	Value	IRS element (for citing)
Total Of Amounts	38501785	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	ENDOWMENT FUNDS ARE USED TO SUPPORT OPERATIONS AND MISSION OF ST. MARY'S HEALTH CENTER.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	SSM REGIONAL HEALTH SERVICES' FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH CARE CORPORATION (SSMHC), A RELATED ORGANIZATION. SSMHC 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.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	0.0	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4078357	TotalCommunityBenefitExpense
Net Community Benefit Expense	4078357	NetCommunityBenefitExpense
Percent Of Total Expense	0.01990	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	30424689	TotalCommunityBenefitExpense
Direct Offsetting Revenue	27070293	DirectOffsettingRevenue
Net Community Benefit Expense	3354396	NetCommunityBenefitExpense
Percent Of Total Expense	0.01640	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	34503046	TotalCommunityBenefitExpense
Direct Offsetting Revenue	27070293	DirectOffsettingRevenue
Net Community Benefit Expense	7432753	NetCommunityBenefitExpense
Percent Of Total Expense	0.03630	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	319000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10691	DirectOffsettingRevenue
Net Community Benefit Expense	308309	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	38919	TotalCommunityBenefitExpense
Net Community Benefit Expense	38919	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	426657	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22204	DirectOffsettingRevenue
Net Community Benefit Expense	404453	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	784576	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32895	DirectOffsettingRevenue
Net Community Benefit Expense	751681	NetCommunityBenefitExpense
Percent Of Total Expense	0.00370	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	35287622	TotalCommunityBenefitExpense
Direct Offsetting Revenue	27103188	DirectOffsettingRevenue
Net Community Benefit Expense	8184434	NetCommunityBenefitExpense
Percent Of Total Expense	0.04000	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	6534	TotalCommunityBuildingExpense
Net Community Building Expense	6534	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	197632	TotalCommunityBuildingExpense
Net Community Building Expense	197632	NetCommunityBuildingExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	2468	TotalCommunityBuildingExpense
Direct Offsetting Revenue	160	DirectOffsettingRevenue
Net Community Building Expense	2308	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	206634	TotalCommunityBuildingExpense
Direct Offsetting Revenue	160	DirectOffsettingRevenue
Net Community Building Expense	206474	NetCommunityBuildingExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$8,419,728	BadDebtExpenseAmount
Amount Reimbursed By Medicare	59671565	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	67188386	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-7516821	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	0	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 SMHC MUSC COMGMT LLC
MANAGEMENT	0.50000	0.50000
2 SMHC SGRL COMGMT LLC
MANAGEMENT	0.50000	0.50000
3 SMHC CARDIO CMGT LLC
MANAGEMENT	0.50000	0.50000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours
ST MARY'S HEALTH CENTER
1	100 ST MARYS MEDICAL PLAZA	JEFFESON CITY	MO	65101	X	X	X
ST FRANCIS HOSPITAL & HEALTH SERVICES
2	2016 S MAIN	MARYVILLE	MO	64468	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	25	NumberOfOtherFacilities

Other Facilities OtherFacilities (25 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/AddressLine2
ST MARY'S MEDICAL CLINIC - BELLE
100 HIGHWAY 28	BELLE	MO	65013	OFFSITE CLINIC - FAMILY PRACTICE
ST MARY'S HEALTH PSYCHOLOGY
3702 W TRUMAN BLVD SUITE 115	JEFFERSON CITY	MO	65109	OFFSITE CLINIC - O/P PSYCHIATRIC SERVICES
ST MARY'S MEDICAL CLINIC - HOLTS SUMMIT
140 NORTHSTAR	HOLTS SUMMIT	MO	65043	OFFSITE CLINIC - FAMILY PRACTICE
ST MARY'S MEDICAL CLINIC - JEFFERSON CI
2511 W EDGEWOOD SUITE D	JEFFERSON CITY	MO	65109	OFFSITE CLINIC - FAMILY PRACTICE
ST MARY'S MEDICAL CLINIC -LAKE OZARK
2265 BAGNELL DAM BLVD SUITE 103	LAKE OZARK	MO	65049	OFFSITE CLINIC - FAMILY PRACTICE
ST MARY'S OCCUPATIONAL MEDICINE
2511 W EDGEWOOD SUITE F	JEFFERSON CITY	MO	65109	OFFSITE CLINIC - OCCUPATIONAL MEDICINE
ST MARY'S PEDIATRICS
3348 AMERICAN AVENUE	JEFFERSON CITY	MO	65109	OFFSITE CLINIC - PEDIATRICS
ST MARY'S MEDICAL CLINIC - TIPTON
875 HWY 5 SOUTH PO BOX 667	TIPTON	MO	65081	OFFSITE CLINIC - FAMILY PRACTICE
ST MARY'S URGENT CARE - JEFFERSON CITY
2511 W EDGEWOOD SUITE D	JEFFERSON CITY	MO	65109	OFFSITE CLINIC - URGENT CARE
ST MARY'S URGENT CARE - LAKE OZARK
2265 BAGNELL DAM BLVD SUITE 103	LAKE OZARK	MO	65049	OFFSITE CLINIC - URGENT CARE
ST MARY'S MEDICAL CLINIC - VERSAILLES
801 KIDWELL DRIVE	VERSAILLES	MO	65084	OFFSITE CLINIC - FAMILY PRACTICE
ST MARY'S MEDICAL CLINIC - WESTPHALIA
1875 HWY 63	WESTPHALIA	MO	65085	OFFSITE CLINIC - FAMILY PRACTICE
ST MARY'S CARDIOVASCULAR SURGERY
200 ST MARYS MEDICAL PLAZA SUITE	JEFFERSON CITY	MO	65101	OFFSITE CLINIC - CARDIOVASCULAR SERVICES	203
ST MARY'S CANCER SPECIALISTS
200 ST MARYS MEDICAL PLAZA SUITE	JEFFERSON CITY	MO	65101	OFFSITE CLINIC - O/P ONCOLOGY SERVICES	202
ST MARY'S OUTPATIENT REHAB & SPINE CENT
2511 W EDGEWOOD SUITE G	JEFFERSON CITY	MO	65109	OFFSITE CLINIC - O/P PT, OT, SPEECH & SPINE SERVICES
ST MARY'S HOLTS SUMMIT PHARMACY
140 NORTHSTAR	HOLTS SUMMIT	MO	65043	RETAIL PHARMACY
ST MARY'S TIPTON PHARMACY
875 HWY 5 SOUTH PO BOX 667	TIPTON	MO	65081	RETAIL PHARMACY
ST MARY'S WESTPHALIA PHARMACY
1875 HWY 63	WESTPHALIA	MO	65085	RETAIL PHARMACY
ST MARY'S PLAZA PHARMACY
200 ST MARYS MEDICAL PLAZA SUITE	JEFFERSON CITY	MO	65101	RETAIL PHARMACY	204
ST MARY'S SLEEP DISORDERS CENTER
3348 AMERICAN AVENUE	JEFFERSON CITY	MO	65109	SLEEP DISORDERS CENTER
ST FRANCIS FAMILY HEALTH CARE- EAST
114 E SOUTH HILLS DR	MARYVILLE	MO	64468	PEDIATRIC CLINIC
HARDIN MEDICAL CLINIC
408 SOUTH DODGE STREET	BEDFORD	IA	50833	OUTPATIENT CLINIC
ST FRANCIS GRANT CITY MEDICAL CLINIC
24 WEST 4TH STREET	GRANT CITY	MO	64456	PRIMARY CARE, INTERNAL MDICINE AND ORTHOPEDIC CLINIC
ST FRANCIS FAMILY LIFE SERVICES
114 EAST SOUTH HILLS DRIVE	MARYVILLE	MO	64468	MENTAL HEALTH OUTPATIENT
WEST NODAWAY HEALTH CLINIC
221 EAST MAIN STREET	BURLINGTON JUNCTION	MO	64428	PRIMARY CARE CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanation
PART I, LINE 3C: SSM REGIONAL HEALTH SERVICES USES FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS.THE APPLICABLE PERCENTAGE VARIES BASED ON HOW MUCH THE APPLICANT'S INCOME EXCEEDS FPG GUIDELINES. THE FOLLOWING SCHEDULE IS USED TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE:APPLICANT'S INCOME IS CHARITY CARE PERCENTAGE LESS THAN OR EQUAL TO 2 TIMES FPG 100%MORE THAN 2 TIMES, LESS THAN 2.5 TIMES FPG 80%MORE THAN 2.5 TIMES, LESS THAN 3 TIMES FPG 60%MORE THAN 3 TIMES, LESS THAN 3.5 TIMES FPG 40%MORE THAN 3.5 TIMES, LESS THAN 4 TIMES FPG 20%4 OR MORE TIMES FPG 0%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. TO FURTHER STREAMLINE AND AUTOMATE THE FINANCIAL ASSISTANCE PROCESS, SSM REGIONAL HEALTH SERVICES WILL AUTOMATICALLY CONSIDER 100% OF THE PATIENT ACCOUNT AS CHARITY IF THE COMMERCIAL SOFTWARE SYSTEM (SEARCHAMERICA) INDICATES THAT THE PATIENT IS LIVING AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL). THIS PROCESS IS CALLED "PRESUMPTIVE ELIGIBILITY".
PART I, LINE 6A: SSM REGIONAL HEALTH SERVICES IS PART OF THE INTEGRATED HEALTH SYSTEM KNOWN AS SSM HEALTH CARE. IN AN EFFORT TO STRENGTHEN ITS COMMUNITY BENEFIT PROGRAM, SSM HEALTH CARE PLANS FOR, MEASURES, AND COMMUNICATES IN AN ANNUAL REPORT CHARITY CARE PROVIDED TO PERSONS WHO ARE LOW INCOME, THE UNPAID COSTS OF PUBLIC PROGRAMS AND OTHER ACTIVITIES THAT RESPOND TO COMMUNITY NEED, IMPROVE COMMUNITY HEALTH, OR REACH OUT TO LOW INCOME AND VULNERABLE PERSONS. SSM HEALTH CARE'S 2010 ANNUAL COMMUNITY BENEFIT REPORT FOR THE SYSTEM CAN BE FOUND AT WWW.SSMHC.COM.
PART I, LINE 7: CHARITY CARE COSTING METHODOLOGY: THE COST OF CHARITY CARE IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES. A COST TO CHARGE RATIO CALCULATED USING THE IRS WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGE, WAS USED TO COMPUTE CHARITY CARE AT COST. THIS IS THE RATIO OF TOTAL ADJUSTED OPERATING EXPENSE TO TOTAL GROSS PATIENT REVENUE. THE GROSS REVENUE AMOUNT IS A GROSS AMOUNT - PRIOR TO CONTRACTUAL ADJUSTMENTS AND BAD DEBTS. BOTH GROSS REVENUE AND COST ARE BASED ON CHARGES AT DATE/TIME OF SERVICE.UNREIMBURSED MEDICAID COSTING METHODOLOGY: THE COST OF UNREIMBURSED MEDICAID IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES. A COST TO CHARGE RATIO CALCULATED UTILIZING IRS WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGE, WAS USED TO COMPUTE UNREIMBURSED MEDICAID COSTS. THIS IS THE RATIO OF TOTAL ADJUSTED OPERATING EXPENSE TO TOTAL GROSS PATIENT REVENUE. THE GROSS REVENUE AMOUNT IS A GROSS AMOUNT - PRIOR TO CONTRACTUAL ADJUSTMENTS AND BAD DEBTS. BOTH GROSS REVENUE AND COST ARE BASED ON CHARGES AT DATE/TIME OF SERVICE. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS COSTING METHODOLOGY: THE COSTS FOR THESE PROGRAMS WERE DERIVED FROM THE ACTUAL COSTS INCURRED IN THESE AREAS. THE EXPENDITURES ARE DETERMINED BASED ON ACTUAL INVOICES OR DOLLAR AMOUNTS SPENT AND CHARGED TO THESE DEPARTMENTS.HEALTH PROFESSIONAL EDUCATION COSTING METHODOLOGY: THE EXPENSES FOR HEALTH PROFESSION EDUCATION WERE TAKEN FROM THE DEPARTMENT'S INCOME AND EXPENSE STATEMENT, DERIVED FROM THE ACCOUNTING SYSTEM. AMOUNTS PAID FROM RESIDENT DEPARTMENTS WERE ALSO INCLUDED.RESEARCH COSTING METHODOLOGY: RESEARCH EXPENSES WERE TAKEN FROM THE INCOME AND EXPENSE STATEMENT FOR THE RESEARCH DEPARTMENTS, DERIVED FROM THE ACCOUNTING SYSTEM.CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS COSTING METHODOLOGY: CONTRIBUTION EXPENDITURES ARE BASED ON ACTUAL INVOICES THAT WERE CAPTURED AND REPORTED FOR THIS PROGRAM.
PART I, L7 COL(F): SSM REGIONAL HEALTH SERVICES HAD BAD DEBT EXPENSE IN THE AMOUNT OF $17,609,214 REPORTED ON PART IX LINE 24 OF THE FORM 990; HOWEVER IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS PART I, LINE 7, COLUMN F.
PART II: SSM REGIONAL HEALTH SERVICES PARTICIPATES IN A WIDE ARRAY OF COMMUNITY AND CIVIC ORGANIZATIONS IN THE PROMOTION OF HEALTH CARE AND COMMUNITY BUILDING ACTIVITIES. SPECIFIC ACTIVITIES REPORTED IN PART II OF SCHEDULE H INCLUDE THE FOLLOWING: COMMUNITY BUILDING - COMMUNITY SUPPORT: PROVIDES DIRECT SUPPORT FOR UNDERFUNDED CHILD CARE CENTER TO COVER SALARY AND BENEFITS FOR CHILDREN AND FAMILY CENTER OF NORTHWEST MISSOURI; PARTICIPATES IN ACTIVITIES TO TAKE AN ACTIVE ROLE IN THE JEFFERSON CITY, MISSOURI COMMUNITY AND THE HEALTH OF ITS CITIZENS.COMMUNITY BUILDING - PHYSICAL IMPROVEMENTS: PROVIDED ACTIVE SUPPORT FOR THE BUILDING OF HOMES FOR LOW-INCOME RESIDENTS OF NODAWAY COUNTY THROUGH THE NODAWAY COUNTY HABITAT FOR HUMANITYCOMMUNITY BUILDING - COALITION BUILDING: PROVIDES LEADERSHIP AND COMMUNICATION RESOURCES TO EFFECT CHANGE FOR HEALTHIER LIFESTYLES THROUGH COLLABORATIVE PARTNERSHIPS WITH COMMUNITY GROUPS TO IMPROVE THE COMMUNITY'S HEALTH.
PART III, LINE 4: SSM REGIONAL HEALTH SERVICES IS PART OF THE SSM HEALTH CARE CONSOLIDATED AUDIT. THE FOOTNOTE THAT REFERENCES BAD DEBT EXPENSE IN THE DECEMBER 31, 2010, CONSOLIDATED AUDIT IS AS FOLLOW:"IN LINE WITH ITS MISSION, SSMHC PROVIDES SERVICES TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY FOR THOSE SERVICES. FOR SOME OF ITS PATIENT SERVICES, SSMHC RECEIVES NO PAYMENT OR PAYMENT THAT IS LESS THAN THE FULL COST OF PROVIDING THE SERVICES.SSMHC VOLUNTARILY PROVIDES FREE CARE TO PATIENTS WHO ARE UNABLE TO PAY FOR ALL OR PART OF THEIR HEALTH CARE EXPENSES AS DETERMINED BY SSMHC'S CRITERIA FOR FINANCIAL ASSISTANCE. BECAUSE SSMHC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS PATIENT SERVICE REVENUES.IN SOME CASES, SSMHC DOES NOT RECEIVE THE AMOUNT BILLED FOR PATIENT SERVICES EVEN THOUGH IT DID NOT RECEIVE INFORMATION NECESSARY TO DETERMINE IF THE PATIENTS MET THE CRITERIA FOR FINANCIAL ASSISTANCE. BAD DEBTS EXPENSE IS THE ESTIMATED AMOUNT OF PATIENT SERVICE REVENUES THAT SSMHC WILL NOT COLLECT."BAD DEBT COSTING METHODOLOGY: BAD DEBT EXPENSE REPORTED IN THE 2010 ANNUAL LICENSING SURVEY OF MISSOURI HOSPITALS WAS USED, MULTIPLIED BY THE COST TO CHARGE RATIO USING IRS WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES.BAD DEBT EXPENSE REPORTED ON LINE 2 FOR THE YEAR ENDED DECEMBER 31, 2010, WAS $18,308,151 AT CHARGES AND $8,419,728 AT COST.SSM REGIONAL HEALTH SERVICES DID NOT MAKE AN ESTIMATE OF THE ORGANIZATION'S BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
PART III, LINE 8: THE COST OF PROVIDING CARE TO MEDICARE ELIGIBLE PATIENTS IS GREATER THAN THE REIMBURSEMENT THAT MEDICARE ALLOWS ON THE MEDICARE COST REPORT. SSM REGIONAL HEALTH SERVICES CONSIDERS THIS SHORTFALL AS A COMPONENT OF COMMUNITY BENEFIT BECAUSE THE REIMBURSEMENT IS NOT NEGOTIATED AND SERVICES ARE PROVIDED REGARDLESS OF THE PATIENTS' ABILITY TO PAY. THE MEDICARE COSTS REPORTED ON LINE 6 WERE OBTAINED FROM THE 2010 MEDICARE COST REPORT.
PART III, LINE 9B: SSM REGIONAL HEALTH SERVICES HAS ESTABLISHED WRITTEN CREDIT AND COLLECTION POLICY AND PROCEDURES. THE BILLING AND COLLECTION POLICIES AND PRACTICES REFLECT THE MISSION AND VALUES OF SSM HEALTH CARE, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. THE HOSPITAL EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH IT PARTICIPATES BY ESTABLISHING SOUND BUSINESS PRACTICES. THE HOSPITAL'S BILLING AND COLLECTION PRACTICES WILL BE FAIR AND CONSISTENTLY APPLIED. ALL STAFF AND VENDORS ARE EXPECTED TO TREAT ALL PATIENTS CONSISTENTLY AND FAIRLY REGARDLESS OF THEIR ABILITY TO PAY. THEY RESPOND TO PATIENTS IN A PROMPT AND COURTEOUS MANNER REGARDING ANY QUESTIONS ABOUT THEIR BILLS AND PROVIDE NOTIFICATION OF THE AVAILABILITY OF CHARITY CARE AND FINANCIAL ASSISTANCE. ALL OUTSIDE COLLECTION AGENCIES MUST COMPLY WITH STATE AND FEDERAL LAWS, COMPLY WITH THE ASSOCIATION OF CREDIT AND COLLECTION PROFESSIONAL'S CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY AND COMPLY WITH SSM REGIONAL HEALTH SERVICES' COLLECTION AND CHARITY POLICIES.
PART VI, LINE 2: THE ANNUAL STRATEGIC, FINANCIAL, AND HUMAN RESOURCES PLANNING PROCESS HAS INCLUDED AN ASSESSMENT OF THE COMMUNITY'S NEEDS TO INCLUDE THE IDENTIFICATION OF SPECIFIC AND MEASUREABLE HEALTHY COMMUNITIES' INITIATIVES. HEALTHY COMMUNITIES' INITIATIVES DEMONSTRATE THE LEADERSHIP ROLE THAT SSM REGIONAL HEALTH SERVICES IS TAKING IN IDENTIFYING, COMMUNICATING AND DEVELOPING RESPONSES TO HEALTH RELATED NEEDS IN THE COMMUNITY. AS OF JANUARY 2010, THE PRIMARY FOCUS OF SSM HEALTH CARE'S HEALTHY COMMUNITIES (HCIS) HAS BEEN ON ONE OF THE TOP-THREE CHRONIC DISEASES IN EACH ENTITY'S/NETWORK'S RESPECTIVE MARKET (E.G., CHF, DIABETES, ASTHMA) AS IDENTIFIED THROUGH, AMONG OTHER DATA SOURCES, COMMUNITY NEEDS ASSESSMENTS, CONSUMER/PUBLIC HEALTH STUDIES AND STATE/LOCAL HEALTH DEPARTMENT INFORMATION.COMMUNITY HEALTH IMPROVEMENT, WHICH WE PURSUE AS A SYSTEM PRIMARILY THROUGH HCIS UNDERTAKEN AT THE ENTITY LEVEL, IS FUNDAMENTAL TO OUR MISSION, VALUES, AND VISION. OVER THE YEARS MANY PEOPLE HAVE BENEFITED FROM OUR HCIS AND MUCH GOOD HAS COME FROM THEM. IN AN EFFORT TO BEST RESPOND TO COMMUNITY NEEDS, HCIS WILL REFOCUS ITS EFFORTS TOWARD A NEW APPROACH TO COMMUNITY HEALTH, AS OUTLINED HERE.CHRONIC DISEASE IS RAMPANT THROUGHOUT THE U.S WHERE ROUGHLY HALF OF ALL ADULTS AND 10% OF CHILDREN/ADOLESCENTS LIVE WITH AT LEAST ONE CHRONIC DISEASE. OF THESE AN ESTIMATED 13 MILLION LACK HEALTH INSURANCE AND THEREBY HAVE POORER ACCESS TO PREVENTIVE AND PRIMARY CARE SERVICES THAN THEIR INSURED COUNTERPARTS AND EXPERIENCE WORSE HEALTH-RELATED OUTCOMES, INCLUDING PREMATURE DEATH.IN RESPONSE TO THIS GROWING NATIONAL HEALTH CRISIS, SYSTEM MANAGEMENT HAS SET THE EXPECTATION THAT ALL SSM OPERATING ENTITIES, WORKING INDIVIDUALLY OR COLLECTIVELY AS NETWORKS, IN COLLABORATION WITH COMMUNITY PARTNERS, WILL DEVELOP HCIS FOCUSED ON THE CHRONIC DISEASE SELECTED THAT ADDRESSES THREE PILLARS THAT STRETCH ACROSS THE CARE CONTINUUM:- PREVENTION THROUGH COMMUNITY EDUCATION IN PARTNERSHIP WITH COMMUNITY HEALTH ORGANIZATIONS, LOCAL HEALTH AGENCIES, CHURCHES, CIVIC CENTERS, SCHOOLS, INSURANCE COMPANIES AND OTHER COMMUNITY PARTNERS.- ACCESS TO PRIMARY CARE SERVICES AND NECESSARY MEDICATIONS IN CONJUNCTION WITH COMMUNITY HEALTH ORGANIZATIONS, LOCAL HEALTH AGENCIES AND CLINICS, EMPLOYED COMMUNITY PHYSICIANS AND PHARMACEUTICAL COMPANIES.- INPATIENT CARE INCLUDING PATIENT EDUCATION, COMPREHENSIVE DISCHARGE PLANNING, MEDICATION RECONCILIATION, COORDINATION OF CARE ACROSS SETTINGS AND POST-DISCHARGE FOLLOW-UP.INITIALLY, THE STRATEGIC GOAL WILL BE TO REDUCE THE 30-DAY HOSPITAL READMISSION RATE FOR THE CHRONIC DISEASE SELECTED. THIS HAS THE MOST IMMEDIATE IMPACT. AS WE DEVELOP OUR COMMUNITY PARTNERSHIPS AND BEGIN TO IMPACT THE WHOLE CARE CONTINUUM, ADDITIONAL GOALS CAN BE ADDED THAT ADDRESS KEY INDICATORS OF COMMUNITY/POPULATION HEALTH (E.G., PREVALENCE AND INCIDENCE RATES, SCREENING RATES, HOSPITAL ADMISSION RATES, BEHAVIORAL AND LIFESTYLE FACTORS). ENTITIES MUST ESTABLISH SPECIFIC STRATEGIES AND DEVELOP CLEAR INDICATORS OR MEASURES OF SUCCESS TO TRACK PROGRESS. IN ADDITION TO THE HEALTHY COMMUNITIES INITIATIVES, EACH SSM HEALTH CARE HOSPITAL WILL CONDUCT A SEPARATE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). TO SUPPORT THE COMPLETION OF A CHNA IN ACCORDANCE WITH ESTABLISHED GUIDELINES, A SIX-STEP PROCESS WAS DEVELOPED. THE PROCESS DEFINES AN APPROACH THAT CAN BE USED TO ASSESS THE HEALTH NEEDS OF THE COMMUNITIES SERVED BY SSM HEALTH CARE AND DEVELOP STRATEGIES FOR MEETING THOSE NEEDS. THE PROCESS INCLUDES:- DEVELOP A PLAN TO ADDRESS HEALTH REFORM MANDATES TO INCLUDE DEFINING HOW THE ASSESSMENT AND BY WHOM THE ASSESSMENT WILL BE COMPLETED; IDENTIFYING THE STAKEHOLDERS INVOLVED; AND THE TIME FRAME FOR COMPLETION- PERFORM DATA COLLECTION INCLUDING IDENTIFYING THE GEOGRAPHIC AREA SERVED, ACCESSING SECONDARY DATA SOURCES AND COORDINATING INTERVIEWS, SURVEY AND/OR FOCUS GROUPS FOR PRIMARY DATA COLLECTION- PERFORM DATA ANALYSIS BY EVALUATING QUANTITATIVE AND QUALITATIVE DATA TO IDENTIFY AND PRIORITIZE HEALTH NEEDS AND OPPORTUNITIES- CREATE A PLAN WITH GOALS, STRATEGIES, ACTIONS, DUE DATES, AND RESOURCE REQUIREMENTS WHICH INCLUDES INPUT FROM CONSTITUENTS- OBTAIN APPROVAL FROM SYSTEM MANAGEMENT TO BE ADOPTED IN 2012 AND INCORPORATE THE CHNA INITIATIVES INTO THE STRATEGIC PLAN TO INCLUDE APPOINTING RESPONSIBILITY FOR IMPLEMENTING THE PLAN AND ASSIGNING A STEERING COMMITTEE TO MONITOR PROGRESS AS APPROPRIATE- COORDINATE COMMUNICATION TO THE PUBLIC, BOARDS, STAFF AND OTHER STAKEHOLDERS PROGRESS IN ADDRESSING TOP PRIORITIES IMPACTING COMMUNITY HEALTH
PART VI, LINE 3: ALL SSMHC FACILITIES WILL STRIVE TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY. ALL BILLING AND COLLECTION POLICIES 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. EACH ENTITY PROVIDING MEDICAL SERVICE SHALL PROVIDE INFORMATION TO THE PUBLIC REGARDING ITS CHARITY CARE POLICIES AND THE QUALIFICATION REQUIREMENTS FOR EACH OF ITS FACILITIES. WHEN STANDARD SYSTEM NOTICES AND COMMUNICATION 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 ARE 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 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 OR ON 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 IS ALSO PROVIDED TO PUBLIC AGENCIES.
PART VI, LINE 4: ST MARY'S HEALTH CENTER DEFINES ITS PRIMARY AND SECONDARY SERVICE AREAS AS THE NINE COUNTY AREA INCLUDING CALLAWAY, CAMDEN, COLE, GASCONADE, MARIES, MONITEAU, MILLER, MORGAN AND OSAGE LOCATED IN CENTRAL MISSOURI. THE AREA IS PROJECTED TO HAVE A GROWTH RATE OF 3.5% FROM 2009 TO 2014 WITH CAMDEN COUNTY HAVING THE LARGEST GROWTH RATE OF 6.1% FROM 2009 - 2014. THE MEDIAN AGE IN THE SERVICE IS 38.9 AND THE AVERAGE HOUSEHOLD INCOME IS $55,642. ST FRANCIS HOSPITAL & HEALTH SERVICES IS LOCATED IN MARYVILLE, MISSOURI, IN RURAL NORTHWEST MISSOURI. NODAWAY COUNTY IS THE PRIMARY SERVICE AREA. THE SECONDARY SERVICE ARE INCLUDES THE SURROUNDING COUNTIES OF ANDREW, ATCHISON, HOLT, GENTRY, AND WORTH, MISSOURI AND TAYLOR, IOWA. NODAWAY COUNTY HAS A POPULATION OF 23,370, A 6.7% INCREASE FROM 2000 - 2010. THE MEDIAN HOUSEHOLD INCOME IS $36,677 AND 21% OF THE POPULATION IS BELOW THE 2009 POVERTY LEVEL. THE COUNTY IS PREDOMINATELY WHITE (94.5%). ST MARY'S HEALTH CENTER OFFERS A FULL RANGE OF HEALTH CARE SERVICES INCLUDING CARDIOVASCULAR, EMERGENCY, ORTHOPEDIC, CANCER, OUTPATIENT SURGICAL, AND WOMEN'S HEALTH SERVICES. IN ADDITION ST MARY'S EXTENDS ITS HEALTH CARE INTO THE REGION WITH THE FOLLOWING SERVICES: WOUND HEALING CENTER, MEDICAL CLINICS, URGENT CARE FACILITIES, RETAIL PHARMACIES, ST MARY'S PEDIATRICS, HEALTH PSYCHOLOGY, PAIN MANAGEMENT, ST MARY'S SLEEP CENTER, WOMEN'S IMAGING CENTER, OCCUPATION MEDICINE, OUTPATIENT PHYSICAL REHABILITATION AND DIABETES MANAGEMENT AND TRAINING.AS A RURAL HOSPITAL, ST FRANCIS HOSPITAL & HEALTH SERVICES PROVIDES EMERGENCY TREATMENT, ACUTE CARE FOR PATIENTS WITH MEDICAL AND SURGICAL DIAGNOSIS, MENTAL HEALTH ILLNESSES, AND OBSTETRICAL NEEDS.
PART VI, LINE 6: SSM HEALTH CARE'S MISSION STATEMENT IS "THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD". SSM REGIONAL HEALTH SERVICES PARTICIPATES IN A WIDE ARRAY OF COMMUNITY PROGRAMS THROUGHOUT THE AREA TO FURTHER ITS EXEMPT PURPOSE OF PROMOTING THE HEALTH OF THE COMMUNITY. SOME EXAMPLES INCLUDE THE FOLLOWING:ST. FRANCIS HOSPITAL AND HEALTH SERVICES - MARYVILLE, MO IN KEEPING WITH AREA SCHOOL DISTRICT WELLNESS PROGRAMS, THE HOSPITAL'S COMMUNITY EDUCATION SPECIALIST AND ONE OF THE LAB PERSONNEL PROVIDED LAB AND BONE DENSITY SCREENINGS FOR TEN AREA SCHOOLS. THESE WERE PROVIDED ON SITE TO REDUCE THE COSTS OF DISTRICT EMPLOYEES TRAVELING TO A MEDICAL FACILITY FOR THE TESTING. IN ADDITION, LAB CHARGES WERE DISCOUNTED. IN NODAWAY COUNTY, THE RATE OF ER VISITS FOR STROKE OR OTHER CEREBROVASCULAR DISEASE SHOWED A SIGNIFICANT INCREASE IN RECENT YEARS BASED ON THE COMMUNITY ASSESSMENT. OF THE DATA STUDIED, 75% OF THE PATIENTS WERE FEMALE. EFFORTS WERE MADE TO IDENTIFY HIGH-RISK PATIENTS THROUGH INCREASED SCREENINGS IN THE AREA WITH SPECIAL EMPHASIS ON WOMEN IN THE AREA. HEALTH SCREENINGS INCLUDE BLOOD PRESSURE, BLOOD DRAWS, AND/OR ONE DENSITY TEST. THE HOSPITAL MAKES PRESENTATIONS ABOUT HEALTH RELATED-RELATED MATTERS SUCH AS DIABETES AND HEART DISEASE AND PARTICIPATES IN HEALTH FAIRS. ADDITIONALLY, THE HOSPITAL PARTICIPATES IN JOB SHADOW OPPORTUNITIES FOR STUDENTS IN ELEMENTARY SCHOOL THROUGH COLLEGE. ST. MARY'S HEALTH CENTER - JEFFERSON CITY, MO ST. MARY'S FINANCIAL ASSISTANCE PROGRAM: ST. MARY'S PROVIDED IN-HOUSE AND NOW CONTRACTS WITH A COMPANY THAT SCREENS AND ASSISTS ALL PATIENTS WHO HAVE NO INSURANCE TO HELP THEM APPLY FOR MEDICARE, MEDICAID, OR OTHER FORMS OF ASSISTANCE. ST. MARY'S HEALTH CENTER FOUNDATION MEDICATION ASSISTANCE FUND: THIS PROGRAM PROVIDES AID TO THOSE IN NEED BY OFFERING SHORT-TERM ASSISTANCE TO PATIENTS WHO CANNOT AFFORD PRESCRIPTION MEDICINE, AND CANNOT OBTAIN IT IN A TIMELY MANNER FROM ANOTHER AGENCY. THIS PROGRAM SUPPORTS THE POOR, UNINSURED AND IS AVAILABLE TO BOTH THE URBAN AND RURAL DEMOGRAPHIC. TRAINING RESOURCES FOR DISADVANTAGED YOUTH: THIS PROGRAM IS A TRAINING PROGRAM THAT PROVIDES LEARNING CHALLENGED HIGH SCHOOL STUDENTS AN OPPORTUNITY TO BUILD VALUABLE EXPERIENCE AND LIFE SKILLS BY WORKING AT THE HOSPITAL. THE PROGRAM SUPPORTS LEARNING DISADVANTAGED, OFTEN ECONOMICALLY CHALLENGED YOUTH IN OUR COMMUNITY, AS WELL AS SUPPORTS A COMMUNITY PARTNERSHIP WITH THE LOCAL HIGH SCHOOL. LINCOLN UNIVERSITY SCHOOL OF NURSING: ST. MARY'S HEALTH CENTER PARTNERS WITH LINCOLN UNIVERSITY BY DONATING $62,166 TO THE NURSING PROGRAM AS WELL AS PROVIDING A CLINICAL SETTING FOR THE RN STUDENTS TO LEARN. SSM REGIONAL HEALTH SERVICES ALSO FURTHERS ITS EXEMPT PURPOSE WITH THE FOLLOWING ACTIVITIES: - OPERATES EMERGENCY ROOMS THAT ARE OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY,- HAS OPEN MEDICAL STAFFS WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA,- HAS A GOVERNING BODY IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY- ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS,- PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS
PART VI, LINE 7: SSM REGIONAL HEALTH SERVICES IS A HEALTH CARE NETWORK THAT OPERATES ST MARY'S HEALTH CENTER IN JEFFERSON CITY MISSOURI AND ST FRANCIS HOSPITAL & HEALTH SERVICES IN MARYVILLE, MISSOURI. IT IS PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH CARE. SSM HEALTH CARE IS A 501(C)(3) ORGANIZATION HEADQUARTERED IN ST LOUIS, MISSOURI.
PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: ILLINOIS, MISSOURI, OKLAHOMA, AND WISCONSIN

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (10 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
LINCOLN UNIVERSITY
820 CHESTNUT ST	JEFFERSON CITY	MO	65102	446001089	501(C)(3)	62166	REGISTERED NURSE TRAINING PROGRAM
HAITIAN HEALTH FOUNDATION
97 SHERMAN ST	NORWICH	CT	06360	061135999	501(C)(3)	6000	DISASTER RELIEF CONTRIBUTION
JEFFERSON CITY AREA YMCA
PO BOX 104176	JEFFERSON CITY	MO	65110	430953286	501(C)(3)	10000	CAPITAL CAMPAIGN
ROMAN CATHOLIC DIOCESE OF JEFFERSON CITY
PO BOX 104900	JEFFERSON CITY	MO	65110	440612540	501(C)(3)	16000	PASTORAL CARE SERVICES GRANT
NODAWAY COUNTY HABITAT FOR HUMANITY
PO BOX 274	MARYVILLE	MO	64468	562397352	501(C)(3)	6500	SUPPORT FOR LOCAL HABITAT FOR HUMANITY HOUSE PROJECT
ST FRANCIS HOSPITAL FOUNDATION
2016 S MAIN	MRYVILLE	MO	64468	431099253	501(C)(3)	15000	SUPPORT FOR PURCHASE OF MEDICAL EQUIPMENT
HEARTLAND FOUNDATION
518 S 6TH	ST JOSEPH	MO	64501	431262768	501(C)(3)	6250	SUPPORT HEALTHY COMMUNITIES INITIATIVE
ST LOUIS REGIONAL DSH AUTHORITY
PO BOX 60	JEFFERSON CITY	MO	65102	061642698	501(C)(3)	89105	LOW INCOME MEDICAL CLINIC FUNDING THROUGH MHA
MHA CENTER FOR EDUCATION
4712 COUNTRY CLUB DRIVE	JEFFERSON CITY	MO	65109	430898947	501(C)(3)	18254	SCHOLARSHIP FUNDING THROUGH MHA
JEFFERSON CITY PUBLIC SCHOOLS DBA NICHOLS CAREER CENTER
605 UNION STREET	JEFFERSON CITY	MO	65101	446003078	GOV'T ENTITY	11425	RADIOLOGY TECHNICIAN PROGRAM

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	9	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	EMPLOYEE ASSISTANCE PROGRAM	TypeOfGrant
Number Of Recipients	140	NumberOfRecipients
Amount Of Cash Grant	7810	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: THE ORGANIZATION'S GRANTS WERE MADE TO GOVERNMENTAL OR TAX EXEMPT, UNDER SECTION 501(C)(3), ORGANIZATIONS. THESE ORGANIZATIONS HAVE DEVELOPED INTERNAL CONTROL PROCEDURES FOR THE USE OF GRANT FUNDS. APPROVED GRANT APPLICATIONS FOR GRANTS TO INDIVIDUALS ARE FORWARDED TO THE ORGANIZATION AND PAYMENT IS MADE TO THE APPROPRIATE VENDOR.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (27 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 BARNEY
0	486155	0	0	0	89008	0	58965	0	19665	0	653793	0	0
PAULA FRIEDMAN
0	456901	0	0	0	75001	0	176489	0	14645	0	723036	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
PHILLIP 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	681794	0	0	0	233117	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
JUNE L PICKETT
0	207597	0	0	0	13139	0	163178	0	16209	0	400123	0	0
JOCELYN SKIDMORE
120048	0	0	0	13432	0	67563	0	10692	0	211735	0	0	0
BRIAN DEAN
137860	0	0	0	3142	0	0	0	21010	0	162012	0	0	0
GRAY COX
259416	0	0	0	75136	0	180143	0	31811	0	546506	0	0	0
R BRENT VANCONIA
375406	0	0	0	61105	0	132729	0	31098	0	600338	0	0	0
CATHY NEW
145378	0	0	0	10953	0	114050	0	10621	0	281002	0	0	0
PATRICK HARR MD
349937	0	0	0	49872	0	118691	0	25989	0	544489	0	0	0
SCOTT HOLMAN DO
400254	0	0	0	23175	0	77092	0	26813	0	527334	0	0	0
CATHERINE ABRAMS
215728	0	0	0	10068	0	45067	0	17944	0	288807	0	0	0
JOHN LUCIO DO
244951	0	0	0	3106	0	45854	0	10783	0	304694	0	0	0
SUSAN MANKOSKI
154508	0	0	0	8427	0	46128	0	11653	0	220716	0	0	0
GARF THOMAS
150271	0	0	0	650	0	26997	0	8798	0	186716	0	0	0
THOMAS DISTEFANO MD
951445	0	0	0	34985	0	174501	0	17403	0	1178334	0	0	0
JANE DAWSON MD
435846	0	0	0	19940	0	79532	0	16257	0	551575	0	0	0
DAMIEN MIZERA MD
522426	0	0	0	2566	0	62926	0	31437	0	619355	0	0	0
ARMIT P SINGH
395169	0	0	0	42202	0	59888	0	5312	0	502571	0	0	0
JOHN CROUCH MD
409359	0	0	0	34917	0	73688	0	34506	0	552470	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 1A	THE FOLLOWING INDIVIDUALS THAT ARE LISTED ON PART VII OF THE FORM 990 RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENT IN 2010. THESE PAYMENTS WERE INCLUDED IN THEIR TAXABLE COMPENSATION. PATRICK HARR, MD SCOTT HOLMAN, DO THOMAS DISTEFANO, MD JANE DAWSON, MD ARMIT SINGH JOHN COUCH, MD
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. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS UNDER THIS PLAN. PART I, LINE 4B: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS 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 R BRENT VANCONIA $25,570 GRAY COX $18,875 JOCELYN SKIDMORE $12,700 PAULA FRIEDMAN $9,648 CATHY NEW $9,495 JUNE PICKETT $7,123 SUSAN MANKOSKI $5,993	SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Loan Table LoanTable

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	DAMIEN MIZERA MD	BusinessNameLine1

Field	Value	IRS element (for citing)
Purpose Of Loan	STUDENT LOAN	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$20,000	OriginalPrincipalAmount
Balance Due	20000	BalanceDue
Default	0	Default
Approved By Board	0	ApprovedByBoard
Written Agreement	1	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	20000	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
TERI HARR
FAMILY MEMBER OF KEY EMPLOYEE	67798	EMPLOYMENT	0
NICOLE MAUGHAN
FAMILY MEMBER OF KEY EMPLOYEE	61058	EMPLOYMENT	0
RYAN HOLMAN
FAMILY MEMBER OF KEY EMPLOYEE	10283	EMPLOYMENT	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART I, DOING BUSINESS AS:	SSM REGIONAL HEALTH SERVICES CURRENTLY UTILIZES THE FOLLOWING FICTITIOUS NAMES: 1. ST. FRANCIS HOSPITAL & HEALTH SERVICES (EIN:44-0579850) A. ST. FRANCIS FAMILY HEALTH CARE - EAST B. ST. FRANCIS FAMILY HEALTH CARE - WEST C. ST. FRANCIS FAMILY LIFE SERVICES D. ST. FRANCIS GRANT CITY HEALTH CLINIC E. ST. FRANCIS HARDIN MEDICAL CLINIC F. ST. FRANCIS ORTHOPEDIC & SPORTS MEDICINE CLINIC G. ST. FRANCIS PRESCHOOL & CHILDCARE H. ST. FRANCIS WEST NODAWAY HEALTH CLINIC 2. ST. MARY'S HEALTH CENTER (EIN:44-0546097) A. CENTER FOR PLASTIC & RESTORATIVE SURGERY B. COMPREHENSIVE WOUND HEALTH CENTER AT ST. MARY'S C. ST. MARY'S CANCER SPECIALISTS D. ST. MARY'S HEALTH PSYCHOLOGY E. ST. MARY'S HOLTS SUMMIT PHARMACY F. ST. MARY'S MEDICAL CLINIC - BELLE G. ST. MARY'S MEDICAL CLINIC - ELDON H. ST. MARY'S MEDICAL CLINIC - HOLTS SUMMIT I. ST. MARY'S MEDICAL CLINIC - LINN J. ST. MARY'S MEDICAL CLINIC - TIPTON K. ST. MARY'S MEDICAL CLINIC - VERSAILLES I. ST. MARY'S MEDICAL CLINIC - WESTPHALIA M. ST. MARY'S MEDICAL PLAZA PHARMACY N. ST. MARY'S OCCUPATIONAL MEDICINE O. ST. MARY'S PEDIATRICS P. ST. MARY'S REHABILITATION Q. ST. MARY'S SLEEP CENTER R. ST. MARY'S SPORTS MEDICINE & REHABILITATION CENTER S. ST. MARY'S TIPTON PHARMACY T. ST. MARY'S URGENT CARE AT THE LAKE U. ST. MARY'S WESTPHALIA PHARMACY V. THE VASCULAR INSTITUTE AT ST. MARY'S
FORM 990, PART III LINE 4A, DESCRIPTION OF PROGRAM SERVICE:	THE COMMUNITY BENEFIT CONTRIBUTION OF SSM REGIONAL HEALTH SERVICES INCLUDES PROGRAMS AND ACTIVITIES THAT IMPROVE ACCESS TO HEALTH CARE AND IMPROVE HEALTH IN OUR COMMUNITIES. IN ORDER TO PORTRAY THE FULL BREADTH OF OUR CONTRIBUTION, OUR COMMUNITY BENEFIT INFORMATION IS DESCRIBED BELOW: SECTION 1: QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT - DESCRIBES THE CORPORATION'S COMMUNITY BENEFIT MISSION, HOW THE MISSION IS TRANSLATED INTO A PROACTIVE APPROACH DESIGNED TO MEET COMMUNITY HEALTH NEEDS, HOW THE CORPORATION MEETS TAX-EXEMPT REQUIREMENTS, AND A DESCRIPTION OF COMMUNITY BENEFIT PROGRAMS AND SERVICES THAT HIGHLIGHT THE CORPORATION'S IMPACT ON COMMUNITY HEALTH. SECTION 2: QUANTITATIVE DESCRIPTION OF COMMUNITY BENEFIT - DESCRIBES THE CORPORATION'S COMMUNITY BENEFIT CONTRIBUTION IN FINANCIAL TERMS PRESENTING THE AMOUNT OF CHARITY CARE, THE UNPAID SHORTFALL FROM GOVERNMENT HEALTH CARE FOR THE INDIGENT, AND THE NET EXPENSE OF COMMUNITY BENEFIT SERVICES. SECTION 1 - QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT 1. ORGANIZATIONAL COMMITMENT TO PROVIDING COMMUNITY BENEFIT A. DESCRIBE THE CORPORATION'S MISSION AND PRIMARY EXEMPT PURPOSE. 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 OPERATES 16 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 5,000 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. B. SUMMARIZE THE CORPORATION'S APPROACH TO PROVIDING COMMUNITY BENEFIT. ST. FRANCIS HOSPITAL AND HEALTH SERVICES - MARYVILLE, MO: A COMMUNITY BENEFIT ACTIVITY IS IDENTIFIED AS A SERVICE RATHER THAN AS A MARKETING TOOL AND MEETS AT LEAST TWO OF THE FOLLOWING CRITERIA: - IT IS FINANCED BY PHILANTHROPIC CONTRIBUTIONS, VOLUNTEER EFFORTS, OR AN ENDOWMENT. - IT PROVIDES A RESPONSE TO A UNIQUE OR PARTICULAR HEALTH PROBLEM IN THE COMMUNITY. - IT GENERATES A LOW OR NEGATIVE MARGIN ON A FULLY ABSORBED COST BASIS. - IT RESPONDS TO THE NEEDS OF SPECIAL POPULATIONS SUCH AS MINORITIES, WOMEN AND CHILDREN, THE FRAIL ELDERLY, LOW INCOME PERSONS WITH DISABILITIES, THE MENTALLY ILL, OR THOSE LIVING WITH CHRONIC ILLNESS. - THE DECISION TO OFFER THE SERVICE OR PROGRAM IS NOT MADE ON A PURELY FINANCIAL BASIS. - IF NOT PROVIDED BY HEALTH CARE ORGANIZATIONS, THE SERVICE WOULD NO LONGER BE AVAILABLE IN THE COMMUNITY OR WOULD BE THE RESPONSIBILITY OF GOVERNMENT. HEALTHY COMMUNITIES' INITIATIVES ARE A COMPONENT OF THE OVERALL COMMUNITY BENEFIT PROGRAM. HEALTHY COMMUNITIES' INITIATIVES DEMONSTRATE THE LEADERSHIP ROLE THAT ST. FRANCIS IS TAKING IN IDENTIFYING, COMMUNICATING AND DEVELOPING RESPONSES TO HEALTH-RELATED NEEDS IN THE COMMUNITY. THESE INITIATIVES ARE UNDERTAKEN IN COLLABORATION WITH OTHER COMMUNITY PARTNERS. HEALTHY COMMUNITIES' INITIATIVES ARE SPECIFICALLY IDENTIFIED IN THE STRATEGIC AND FINANCIAL PLAN. SPECIFIC AND MEASURABLE GOALS AND OBJECTIVES ARE ESTABLISHED FOR EACH INITIATIVE IN ORDER TO DETERMINE ITS EFFECTIVENESS IN RESPONDING TO THE IDENTIFIED COMMUNITY NEED. ONE OF THE FIRST STEPS FOR IDENTIFYING A HEALTHY COMMUNITIES' PROJECT IS TO CONDUCT A COMMUNITY NEEDS ASSESSMENT TO DETERMINE TOP CHRONIC DISEASES IN THE AREA. COMMUNITY PARTNERS ARE IDENTIFIED IN ORDER TO ADDRESS KEY INDICATORS OF COMMUNITY/POPULATION HEALTH (E.G., PREVALENCE AND INCIDENCE RATES, SCREENING RATES, HOSPITAL ADMISSION RATES, BEHAVIORAL AND LIFESTYLE FACTORS). STRATEGIES ARE FOCUSED AROUND PREVENTION, ACCESS, AND INPATIENT CARE TO REDUCE READMISSIONS AND DEVELOP CLEAR INDICATORS OR MEASURES OF SUCCESS TO TRACK PROGRESS. ST. MARY'S HEALTH CENTER - JEFFERSON CITY, MO: ST. MARY'S USES PRIMARY AND SECONDARY STUDIES WITH UTILIZATION QUESTIONS, AS WELL AS VITAL MARKET DATA, TO ASSESS COMMUNITY NEED ON A ANNUAL BASIS. FOR INSTANCE, WE UTILIZE HIDI MARKETING DATA TO ASSESS PROMINENT DISEASE CATEGORIES BY AGE AND GENDER IN OUR NINE COUNTY SERVICE AREA TO DETERMINE THE MOST EFFECTIVE OUTREACH FOR THE UNDERSERVED. FOCUS GROUPS ARE ALSO USED FOR OUR MAJOR SERVICE LINES. ST. MARY'S PARTICIPATES IN COMMUNITY NEEDS ASSESSMENTS, SUCH AS THE INITIATIVES WITH THE COMMUNITY HEALTH CENTER (FREE MEDICAL CLINIC), COLE COUNTY DEPARTMENT OF HEALTH, AND JEFFERSON CITY PUBLIC SCHOOLS (CHILDHOOD OBESITY). C. 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. ALL SSMHC FACILITIES 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. 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 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. SSMHC 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 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 SHALL PROVIDE 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 WILL 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 - WHOM TO CONTACT TO GET ADDITIONAL INFORMATION OR FINANCIAL COUNSELING. THE FOLLOWING TYPES OF NOTICES TO THE PUBLIC SHALL BE PROVIDED: - SIGNS IN THE EMERGENCY DEPARTMENT, OUTPATIENT AND INPATIENT REGISTRATION AND PUBLIC WAITING AREAS. - BROCHURES OR FLIERS PROVIDED AT TIME OF REGISTRATION AND AVAILABLE IN THE FINANCIAL COUNSELING AREAS. - NOTICES SENT WITH OR ON 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. 2. ORGANIZATIONAL DESCRIPTION FOR TAX EXEMPTION EACH OF THE HOSPITALS OF SSM REGIONAL HEALTH SERVICES: - 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 DIVISIONAL BOARD OF DIRECTORS 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.	PROGRAM SERVICE STATEMENT
	3. DESCRIPTION OF COMMUNITY BENEFIT PROGRAMS ST. FRANCIS HOSPITAL AND HEALTH SERVICES - MARYVILLE, MO IN KEEPING WITH AREA SCHOOL DISTRICT WELLNESS PROGRAMS, THE HOSPITAL'S COMMUNITY EDUCATION SPECIALIST AND ONE OF THE LAB PERSONNEL PROVIDED LAB AND BONE DENSITY SCREENINGS FOR TEN AREA SCHOOLS. THESE WERE PROVIDED ON SITE TO KEEP DOWN THE COSTS OF DISTRICT EMPLOYEES TRAVELING TO A MEDICAL FACILITY FOR THE TESTING. ADDITIONALLY, LAB CHARGES WERE DISCOUNTED. IN NODAWAY COUNTY, THE RATE OF ER VISITS FOR STROKE OR OTHER CEREBROVASCULAR DISEASE SHOWED A SIGNIFICANT INCREASE IN RECENT YEARS BASED ON THE COMMUNITY ASSESSMENT. OF THE DATA STUDIED, 75% OF THE PATIENTS WERE FEMALE. EFFORTS WERE MADE TO IDENTIFY HIGH-RISK PATIENTS THROUGH INCREASED SCREENINGS IN THE AREA WITH SPECIAL EMPHASIS ON WOMEN IN THE AREA. ST. MARY'S HEALTH CENTER - JEFFERSON CITY, MO ST. MARY'S FINANCIAL ASSISTANCE PROGRAM: ST. MARY'S PROVIDED IN-HOUSE AND NOW CONTRACTS WITH A COMPANY THAT SCREENS AND ASSISTS ALL PATIENTS WHO HAVE NO INSURANCE TO HELP THEM APPLY FOR MEDICARE, MEDICAID, OR OTHER FORMS OF ASSISTANCE. ST. MARY'S HEALTH CENTER FOUNDATION MEDICATION ASSISTANCE FUND: THIS PROGRAM PROVIDES AID TO THOSE IN NEED BY OFFERING SHORT-TERM ASSISTANCE TO PATIENTS WHO CANNOT AFFORD PRESCRIPTION MEDICINE, AND CANNOT OBTAIN IT IN A TIMELY MANNER FROM ANOTHER AGENCY. THIS PROGRAM SUPPORTS THE POOR, UNINSURED AND IS AVAILABLE TO THE URBAN AND RURAL DEMOGRAPHIC. TRAINING RESOURCES FOR DISADVANTAGED YOUTH: THIS PROGRAM IS A TRAINING PROGRAM THAT PROVIDES LEARNING CHALLENGED HIGH SCHOOL STUDENTS AN OPPORTUNITY TO BUILD VALUABLE EXPERIENCE AND LIFE SKILLS BY WORKING AT THE HOSPITAL. THE PROGRAM SUPPORTS LEARNING DISADVANTAGED, OFTEN ECONOMICALLY CHALLENGED YOUTH IN OUR COMMUNITY, AS WELL AS SUPPORTS A COMMUNITY PARTNERSHIP WITH THE LOCAL HIGH SCHOOL. LINCOLN UNIVERSITY SCHOOL OF NURSING: ST. MARY'S HEALTH CENTER PARTNERS WITH LINCOLN UNIVERSITY BY DONATING $62,166 TO THE NURSING PROGRAM AS WELL AS PROVIDING A CLINICAL SETTING FOR THE RN STUDENTS TO LEARN. 4. LINK TO ADDITIONAL COMMUNITY BENEFIT INFORMATION ADDITIONAL INFORMATION REGARDING SSMHC'S 2009 COMMUNITY BENEFIT REPORT CAN BE FOUND AT WWW.SSMHC.COM. SECTION 2 - 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 $4,078,357 UNPAID COST OF MEDICARE $7,516,831 UNPAID COST OF MEDICAID $3,354,396 COST OF BAD DEBT $8,419,728 COMMUNITY BENEFIT PROGRAMS $ 751,681 TOTAL $24,120,983
	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 REGIONAL HEALTH SERVICES 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 6
	THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND APPOINT AND REMOVE THE DIRECTORS.	FORM 990, PART VI, SECTION A, LINE 7A
	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 A, LINE 7B
	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 11
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 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.
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.	AVG HOURS DEVOTED TO RELATED ORG(S) WHEN RELATED COMP IS REPORTED:
FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS: 1,193,344. BENEFICIAL INTEREST IN FOUNDATION 1,079,714. TRANSFERS TO AFFLIATES -40,692. TOTAL TO FORM 990, PART XI, LINE 5: 2,232,366.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (37 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 CARDINAL 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 CARDINAL 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
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	SSM HEALTH CARE CORPORATION	0
DELLS MEDICAL BUILDING INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	391613292	MOB	WI	501(C)(2)		SSM HEALTH CARE OF WISCONSIN	0
ST MARY'S FOUNDATION INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431940686	FUNDRAISING	WI	501(C)(3)	LINE 7	SSM HEALTH CARE OF WISCONSIN	0
ST CLARE HEALTH CARE FOUNDATION INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431940683	FUNDRAISING	WI	501(C)(3)	LINE 7	SSM HEALTH CARE OF WISCONSIN	0
HOME HEALTH UNITED INC
4639 HAMMERSLEY ROAD	MADISON	WI	53713	391539827	HEALTH CARE	WI	501(C)(3)	LINE 9	SSM HEALTH CARE OF WISCONSIN	0
HOME CARE UNITED INC
4639 HAMMERSLEY ROAD	MADISON	WI	53713	391776340	HEALTH CARE	WI	501(C)(3)	LINE 9	SSM HEALTH CARE OF WISCONSIN	0
HHU XTRA CARE INC
4639 HAMMERSLEY ROAD	MADISON	WI	53713	391705111	HEALTH CARE	WI	501(C)(3)	LINE 9	SSM HEALTH CARE OF WISCONSIN	0
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
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
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 - 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
LEE DEWEY CORPORATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	731279603	MOB	OK	501(C)(3)	LINE 11A, I	SSM HEALTH CARE OF OKLAHOMA	0
HEALTH CARE FOR KIDS
4055 LINDELL BLVD	ST LOUIS	MO	63108	431620093	HEALTH CARE	MO	501(C)(3)	LINE 3	SSM CARDINAL GLENNON CHILDREN'S HOSPITAL	0

Form990 Schedule R Part III Form990ScheduleRPartIII (30 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
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		SSM REGIONAL HEALTH SERVICES	RELATED	223296	201359	0	1	0.50000
SMHC CARD CO-MGMT
100 ST MARYS MEDICAL PLAZA	JEFFERSON CITY	MO	65101	208929381	MANAGEMENT	MO		SSM REGIONAL HEALTH SERVICES	RELATED	181515	176128	0	1	0.50000
SMHC MUSC CO-MGMT
100 ST MARYS MEDICAL PLAZA	JEFFERSON CITY	MO	65101	208929237	MANAGEMENT	MO		SSM REGIONAL HEALTH SERVICES	RELATED	301498	85522	0	1	0.50000
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
CLASSEN ASSOCIATES
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
SSM RX EXPRESS
727 N BALLAS ROAD	ST LOUIS	MO	63141	431465174	PHARMACY	MO	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (12 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 LINDBERGH BLVD	ST LOUIS	MO	63141	431708511	HEALTH PROMOTION	MO	N/A	C
FPP INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431465174	HEALTH CARE	MO	N/A	C
DIVERSIFIED HEALTH SERVICES CORP
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431369305	MEDICAL EQUIPMENT	MO	N/A	C
SSM CARDIO AND THORACIC SERVICES INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	260286559	HEALTH CARE	MO	N/A	C
SSM PROPERTIES INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431462486	PROPERTY SERVICES	MO	N/A	C
SSM DEPAUL MEDICAL GROUP INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431715106	HEALTH CARE	MO	N/A	C
SSM ST CHARLES CLINIC MED GROUP INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	430626408	PHYSICIAN OFFICES	MO	N/A	C
HEALTH FIRST PHYS MANAGEMENT
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	731534336	MEDICAL SERVICES	MO	N/A	C
SSMHCS LIABILITY TRUST II
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	816128118	INSURANCE	MO	N/A	C
SSM NEUROSCIENCES INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	263413981	HEALTH CARE	MO	N/A	C
SSM MEDICAL GROUP INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431664107	PHYSICIAN OFFICES	MO	N/A	C
SSMHC INSURANCE COMPANY
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	030310431	INSURANCE	CA	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	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	1	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	1	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	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
SSM EMPLOYEE HEALTH CARE FUND
Q	14808569	CASH TRANSFER
ST MARY'S HEALTH CENTER FOUNDATION
C	88536	CASH TRANSFER