2011-11-15T11:28:42-06:00 2010-12-31 DELOITTE TAX LLP 1111 BAGBY STREET SUITE 4500 HOUSTON TX 77002 990 2010-01-01 430738490 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL SSMC 3149893610 477 N LINDBERGH BOULEVARD ST LOUIS MO 63141 JUNE L PICKETT 3149893610 2011-11-15 1 NANCY Z EVETTS 7139822000 2010 2016-02-24 21:20:13Z SEE SCHEDULE O WILLIAM P THOMPSON 477 N LINDBERGH BOULEVARD ST LOUIS MO 63141 270916778 0 0928 X WWW.SSMHC.COM X 1984 MO A NOT-FOR-PROFIT 190-BED INPATIENT AND OUPATIENT MEDICAL CENTER IN ST. LOUIS, MISSOURI. 13 9 2091 350 482536 88868 3142959 8080445 239446574 252032083 4548554 5173829 4416814 5297516 251554901 270583873 70684 187613 0 0 99838738 111628655 0 0 0 134318883 140398124 234228305 252214392 17326596 18369481 431282276 264819204 63750321 68253934 367531955 196565270 X THROUGH OUR EXCEPTIONAL HEALTH SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 238253391 187613 254678420 SEE SCHEDULE O 238253391 1 1 0 1 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 2091 1 1 1 0 0 0 0 0 0 0 0 0 X 13 9 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X KELLY THOMPSON 3149893610 1195 CORPORATE LAKE STLOUIS MO 63132 X SHEILA BADER 1.00 X 0 0 0 DANIEL BAUMANN MD 1.00 X 0 282086 22768 DONALD E BINZ II MD 1.00 X 0 363544 25571 DAVID G COSBY 1.00 X 0 0 0 MARY T MCLENNAN 1.00 X 0 0 0 BRENDA D NEWBERRY 1.00 X 0 0 0 RUDOLPH E NICKENS JR 1.00 X 0 0 0 TIKA NAZARETH DMD 1.00 X 0 0 0 JAMES A SANDFORT EDD 1.00 X 0 0 0 KARL WILSON PHD 1.00 X 0 0 0 SR MARY JEAN RYAN 1.00 X X 0 0 0 JAMES M SANGER 1.00 X X 0 914911 40252 WILLIAM P THOMPSON 1.00 X X 0 1188452 605422 KRIS A ZIMMER 1.00 X 0 723982 180212 JUNE L PICKETT 1.00 X 0 220736 179387 JUDY GARTLAND 1.00 X 0 66164 45540 SHERLYN HAILSTONE 1.00 X 0 662469 143891 MARY SUE EMBERTSON 1.00 X 0 270134 57895 KAREN REWERTS 1.00 X 0 365914 121672 LORRAINE MAE YEHLEN 40.00 X 0 249673 138391 KEVIN TODD JOHNSON 40.00 X 0 520731 134714 LYNN F LENKER 40.00 X 0 353604 138714 DEBORAH G WALKENHORST 40.00 X 0 335000 94668 ROBERT PORTER 40.00 X 0 494589 213235 SHARON DUDLEY 40.00 X 0 300478 24556 CASIMER F FIRLIT MD 40.00 X 429738 0 66514 MAX BURGDORF MD 40.00 X 266989 0 21419 JAMAL AHMED ZEREIK MD 40.00 X 398296 0 92127 PUSHPA S PATEL MD 40.00 X 377536 0 183421 PATHMA RAMESVARA MD 40.00 X 425724 0 219333 WILLIAM SCHOENHARD 1.00 X 0 282789 130820 1898283 7595256 2880522 60 1 1 0 ST LOUIS UNIVERSITY MEDICAL CENTER 1402 S GRAND ST LOUIS MO 63104 PHYSICIAN SERVICES 20665516 ARAMARK CORPORATION 1101 MARKET STREET PHILADELPHIA PA 19107 CAFETERIA SERVICES 5690233 ALBERICI CONSTRUCTORS INC 8800 PAGE AVE ST LOUIS MO 63114 CONSTRUCTION SERVICES 909429 ASSOCIATED REGIONAL & UNIVERSITY PATHOLO 500 CHIETA WAY SALT LAKE CITY UT 84108 LABORATORY SERVICES 568414 INTERFACE CONSTRUCTION CORP 8401 WABASH BERKELEY MO 63134 CONSTRUCTION SERVICES 538330 26 5223288 1856761 1000396 8080445 PATIENT SERVICE REV 621110 243719338 243719338 OTHER REVENUE 621110 8312745 8312745 252032083 3675205 3675205 324788 324788 324788 324788 1599447 5753 106576 1599447 -100823 1498624 1498624 311609 226329 85280 85280 PHARMACY REVENUE 446110 2012460 2012460 CAFETERIA 722210 1726389 1726389 LABORATORY REVENUE 621500 1116413 633877 482536 32186 32186 4887448 270583873 254678420 482536 7342472 98717 98717 88896 88896 1905944 963629 942315 85168734 82334729 2834005 6442093 6204593 237500 12647771 12127437 520334 5464113 5230413 233700 3573409 1360505 2212904 130626 130626 115948 115948 38784429 37923229 861200 192102 88237 103865 40038842 39317348 721494 9737535 9737535 5283661 4844281 439380 302452 215883 86569 107783 76870 30913 1162721 1162721 10613510 10166444 447066 3782105 3782105 MEDICARE PROVIDER TAX 22279731 22279731 0 0 BAD DEBTS 3928000 3928000 0 0 BOND RELATED FEES 234732 0 234732 0 LICENSES 125198 98853 26345 0 MISCELLANEOUS EXPENSES 5340 5340 0 0 252214392 238253391 13961001 0 181562560 15832991 31557580 32383207 802649 1229755 3199483 3364823 3875133 988449 278115501 143627482 136477648 134488019 6152781 6732857 55454829 64628255 12199613 5170848 431282276 264819204 22733190 27927548 41017131 40326386 63750321 68253934 X 349527848 174541481 7442295 10336569 10561812 11687220 367531955 196565270 431282276 264819204 X 18369481 -189336166 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 42368 1 42368 1 6288 0 0 0 91024 0 16356158 4405000 1525610 165950 22120818 9170500 6152781 1092877 60000 16356158 8766403 2075439 -1590345 80997 9170500 0.29000 0.53000 0.18000 0 0 7578658 7578658 202395084 92863680 109531404 66104734 50763802 15340932 2037025 2037025 134488019 BENEFICIAL INTEREST IN FOUNDATION 49227334 F SSM CENTRAL INVESTMENT POOL 15400921 F 64628255 RABBI TRUST LIABILITY 237778 PENSION FUNDING LIABILITY 7944000 ASSET RETIREMENT OBLIGATION 2423771 CAPITAL LEASES 313139 ALLOCATED TAX EXEMPT BOND LIAB (ISSUED THROUGH SSM HEALTH CARE) 29400792 DUE TO AFFILIATES 6906 40326386 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: TO SUPPORT THE PEDIATRIC MEDICAL SERVICES PROVIDED BY CARDINAL GLENNON CHILDREN'S HOSPITAL. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: SSM CARDINAL GLENNON CHILDREN'S HOSPITAL'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF 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. 1 1 1 X 1 X 0.0 1 1 0 1 1 1098806 751666 347140 0.00140 142924041 150397994 -7473953 0.00000 144022847 151149660 -7126813 1355526 1355526 0.00550 11953831 7211472 4742359 0.01910 14131262 14131262 0.05690 1428 1428 0.00000 202932 202932 0.00080 27644979 7211472 20433507 0.08230 171667826 158361132 13306694 0.05360 144 144 0.00000 3966 3966 0.00000 1500 1500 0.00000 5610 5610 1 1606286 1 0 1 1 CARDINAL GLENNON CHILDREN'S MEDICAL CTR

1465 S GRAND BLVD ST LOUIS MO 63104

X X X X X NA 1 10 GLENNON CARE PRIMARY PEDS

511 ASHLAND SUITE A WARRENTON MO 63383

OUTPATIENT PEDIATRIC CLINIC GLENNON CARE PRIMARY PEDS

164 PROFESSIONAL PARKWAY TROY MO 63379

OUTPATIENT PEDIATRIC CLINIC GLENNON CARE PRIMARY PEDS

12255 DEPAUL DRIVE SUITE 300 BRIDGETON MO 63044

OUTPATIENT PEDIATRIC CLINIC PEDIATRIC SPECIALIST AT ANDERSON HOSP

6800 STATE ROUTE 162 MARYVILLE IL 62062

OUTPATIENT PEDIATRIC CLINIC SAINT ANTHONY'S SUBSPECIALTY SERVICE

12700 SOUTHFOK ROAD SUITE 155 ST CHARLES MO 63128

OUTPATIENT PEDIATRIC CLINIC ST LUKE'S SUBSPECIALTY SERVICES

232 SOUTH WOODS MILLS RD CHESTERFIELD MO 63017

OUTPATIENT PEDIATRIC CLINIC SSM ST JOSEPH MEDICAL PARK SUBSLTY SERV

1475 KISKER ROAD SUITE 275 ST CHARLES MO 63304

OUTPATIENT PEDIATRIC CLINIC GOOD SAMARITAN PROFESSIONAL BUILDING

4230 LINCOLNSHIRE DRIVE MT VERNON IL 62864

OUTPATIENT PEDIATRIC AND DENTAL CLINIC CARDINAL GLENNON PEDIATRIC SURGRY CTR

1465 SOUTH GRAND BLVD ST LOUIS MO 63104

SURGERY CENTER HEALTH AND DENTAL CARE FOR KIDS

4055 LINDELL BLVD ST LOUIS MO 63108

OUTPATIENT PEDIATRIC DENTAL CLINIC PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3928000. PART I, QUESTION 3BELIGIBLITY FOR DISCOUNTED CARESSM CARDINAL GLENNON CHILDREN'S HOSPITAL 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 PERCENTAGELESS 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%PART I, QUESTION 3COTHER CRITERIA FOR FREE OR DISCOUNTED CAREAN 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 CARDINAL GLENNON HOSPITAL 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, QUESTION 6APREPARATION OF COMMUNITY BENEFIT REPORTS SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 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, QUESTION 7DESCRIPTION OF COSTING METHODOLOGYCHARITY 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. THE UNREIMBURSED COST OF MEDICAID IS NEGATIVE DUE TO THE FACT THAT FEDERAL REIMBURSEMENT ALLOWANCE (FRA) RECEIPTS ARE INCLUDED IN THE CALCULATION. THROUGH THE FRA PROGRAM, MISSOURI'S MEDICAID PROGRAM USES FUNDS THAT HAVE BEEN ASSESSED FROM HOSPITALS TO EARN MATCHING FEDERAL DOLLARS, ALLOWING MISSOURI'S GENERAL REVENUE FUNDS TO BE USED FOR OTHER STATE PRIORITIES. THESE FUNDS ARE PROVIDED AS REIMBURSEMENT TO HOSPITALS FOR THE COST OF TREATING THE UNINSURED, MEDICAID RECIPIENTS AND PROVIDING GRADUATE MEDICAL EDUCATION. THE PROGRAM ENABLES OUR HOSPITAL TO PROVIDE SAFETY NET SERVICES FOR THE POOR AND UNINSURED OF THE COMMUNITY. 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, LINE 7B, COLUMN FDUE TO SOFTWARE LIMITATIONS RELATED TO ELECTRONICALLY FILING THIS TAX RETURN, THE CALCULATED AMOUNT ON LINE 7B, COLUMN F SHOULD BE -3.01% AND LINE 7D, COLUMN F SHOULD BE -2,87%. HOWEVER, THE SOFTWARE WOULD NOT ACCEPT A NEGATIVE PERCENTAGE, AND THEREFORE, LINE 7B AND 7D ARE BLANK.PART II, COMMUNITY BUILDING ACTIVITIESSSM CARDINAL GLENNON CHILDREN'S HOSPITAL 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 - ADVOCACY: THE CENTER FOR HEALTH TRANSFORMATION IS A HIGH IMPACT COLLABORATION OF PRIVATE AND PUBLIC SECTOR LEADERS COMMITTED TO CREATING A 21ST CENTURY INTELLIGENT HEALTH SYSTEM THAT SAVES LIVES AND SAVES MONEY FOR ALL AMERICANS.THE CENTER IS BASED ON THE FOLLOWING PREMISE: SMALL CHANGES OR REACTIONARY FIXES TO SEPARATE PIECES OF THE CURRENT SYSTEM HAVE NOT AND WILL NOT WORK. WE NEED A SYSTEM-WIDE TRANSFORMATION. UNLIKE OTHER ALLIANCES, THE CENTER UNITES STAKEHOLDERS ACROSS THE SPECTRUM (PROVIDERS, EMPLOYERS, VENDORS, TRADE ASSOCIATIONS, DISEASE GROUPS, THINK TANKS) AND GOVERNMENT LEADERS AT BOTH THE STATE AND FEDERAL LEVEL TO DRIVE TRANSFORMATION ACCORDING TO A SHARED VISION AND KEY PRINCIPLES.COMMUNITY BUILDING - COALITION BUILDING: TIME SPENT IN COALITION BUILDING WITH OTHER AGENCIES TO SERVE THE NEEDS OF THE COMMUNITY.COMMUNITY BUILDING - WORKFORCE DEVELOPMENT: SCHOOL BASED PROGRAMS ON HEALTH CARE CAREERS AND COMMUNITY CAREER FAIRS.PART III, SECTION A, LINE 4BAD DEBT EXPENSETHE ORGANIZATION 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 FOLLOWS:"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 $4,374,998 AT CHARGES AND $1,606,286 AT COST.SSM CARDINAL GLENNON CHILDREN'S HOSPITAL DID NOT MAKE AN ESTIMATE OF THE ORGANIZATION'S BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART III, SECTION C, LINE 9BCOLLECTION PRACTICESSSM CARDINAL GLENNON CHILDREN'S HOSPITAL HAS ESTABLISHED WRITTEN CREDIT AND COLLECTION POLICY AND PROCEDURES. THE BILLING AND COLLECTION POLICIES AND PRACTICES REFLECT THE MISSION AND VALUES OF SSM CARDINAL GLENNON CHILDREN'S HOSPITAL, 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 CARDINAL GLENNON CHILDREN'S HOSPITAL'S COLLECTION AND CHARITY POLICIES.PART VI, LINE 2NEEDS ASSESSMENT PROCESSTHE 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 CARDINAL GLENNON CHILDREN'S HOSPITAL 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: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEALL 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: COMMUNITY INFORMATIONSSM CARDINAL GLENNON CHILDREN'S HOSPITAL DEFINES ITS PRIMARY SERVICE AREA AS THE ST LOUIS METROPOLITAN STATISTICAL AREA, A 12 COUNTY REGION WITH AN APPROXIMATE POPULATION OF 2.8 MILLION IN 2010. THIS INCLUDES 665,000 CHILDREN (AGES 0 - 17) WHO REPRESENT 24% OF THE REGION'S POPULATION. THE PEDIATRIC POPULATION IS PROJECTED TO REMAIN STEADY OVER THE NEXT FIVE YEARS.HOUSEHOLD INCOME AND EDUCATION LEVELS ARE CONSISTENT WITH NATIONAL AVERAGES. DISTRIBUTION OF RACE/ETHNICITY IN OR COMMUNITY IS WHITE/CAUCASIAN: 76%; BLACK/AFRICAN-AMERICAN: 19%; HISPANIC: 2%; OTHER: 3%.DEMOGRAPHICS VARY CONSIDERABLY ACROSS THE ST LOUIS METROPOLITAN AREA. BECAUSE WE SUPPORT A WIDE RANGE OF LOCAL MARKETS AND CONSTITUENCIES, DEMOGRAPHICS ARE ALSO EVALUATED FOR OUR INDIVIDUAL SERVICE LINES AND CLINICAL DEPARTMENTS TO ENSURE WE FOCUS ON SPECIFIC COMMUNITY HEALTH NEEDS. PART VI, LINE 2: PART VI, LINE 3: PART VI, LINE 4: PART VI, LINE 6: PART VI, LINE 7: PART VI, LINE 5PROMOTION OF COMMUNITY HEALTHSSM HEALTH CARE'S MISSION STATEMENT IS "THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD". SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 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:A. PERINATAL OUTREACH SERVICESTHE OUTREACH PROGRAM PROVIDES SERVICES TO PERINATAL CARE PROVIDERS IN MISSOURI AND ILLINOIS. PROGRAMS FOR BOTH PHYSICIANS AND NURSES INCLUDE TOPIC PRESENTATIONS, CASE REVIEWS, FETAL MONITORING CLASSES, NEONATAL RESUSCITATION PROGRAM TRAINING, AND THE STABLE PROGRAM, A COURSE IN THE STABILIZATION OF SICK OR PRETERM NEWBORNS. THE DEPARTMENT ALSO PARTICIPATES IN COMMUNITY ORGANIZATIONS AND BOARDS AS REQUESTED. A PRIMARY GOAL OF THE DEPARTMENT IS TO ASSIST HEALTH CARE PROFESSIONALS IN DEVELOPING AND PROVIDING QUALITY CARE FOR MOTHERS AND BABIES FOR IMPROVED OUTCOMES.B. SAFE KIDSSSM CARDINAL GLENNON CHILDREN'S HOSPITAL IS THE MISSOURI SPONSOR OF SAFE KIDS WORLDWIDE, AN ORGANIZATION DEDICATED TO INJURY PREVENTION FOR CHILDREN BIRTH TO 14 YEARS OF AGE. THE PARENT ORGANIZATION, SAFE KIDS WORLDWIDE, COORDINATES OVER 600 COALITIONS IN THE UNITED STATES AND MANY OTHERS IN VARIOUS COUNTRIES. THE PRIMARY FOCUS OF OUR LOCAL COALITION IS CHILD PASSENGER SAFETY, BECAUSE AUTOMOBILE CRASHES ARE THE NUMBER ONE CAUSE OF CHILD DEATHS IN MISSOURI AND THE UNITED STATES. THE LOCAL PROGRAM IS COMPRISED OF 55 AGENCIES IN ST LOUIS CITY, ST LOUIS COUNTY, WASHINGTON, JEFFERSON AND FRANKLIN COUNTIES THAT PROVIDE CAR SEAT CHECKS TO CAREGIVERS AND ALSO TO PROVIDE LOW-COST CAR SEATS FOR LOW-INCOME FAMILIES. BEYOND CAR SEATS, SAFE KIDS PROVIDES EDUCATIONAL SERVICES AS REQUESTED BY COMMUNITIES FOR HOME SAFETY, POISON PREVENTION, PEDESTRIAN SAFETY, BICYCLE SAFETY, AND SAFE SLEEP. THE PROGRAM CONDUCTS NEEDS ASSESSMENTS TO DETERMINE AREAS FOR THE GREATEST IMPACT FOR SERVICES, AND ALSO WORKS CLOSELY WITH A NUMBER OF PEDIATRIC HOSPITALS, PEDIATRIC HOSPITAL DEPARTMENTS AND MULTIPLE AGENCIES ACROSS THE COUNTRY TO PROVIDE GREATER SERVICE TO THOSE IN NEED.C. FOOTPRINTSFOOTPRINTS IS A PROGRAM OF ADVOCACY AND SUPPORT FOR CHILDREN LIVING WITH SERIOUS, COMPLEX ILLNESS. THE MISSION OF THE PROGRAM IS TO HAVE OUR CHILDREN, AND THEIR FAMILIES LIVE WELL ALONG THEIR JOURNEY. WE DEFINE "LIVING WELL" FOR EACH FAMILY BY FACILITATING CARE COORDINATION FOR THE CHILD, BY WORKING WITH THE FAMILY MEMBERS TO DEVELOP A FAMILY-CENTERED PLAN OF CARE FOR THE CHILD THAT FOCUSES ON THE COMFORT OF THE CHILD AND RESPECTS THE VALUES AND BELIEFS OF THE FAMILY AND BY COLLABORATING WITH THE HEALTH CARE TEAM TO ENSURE THE FAMILY GOALS ARE HONORED AND SUPPORTED BY ALL THOSE INVOLVED IN CARING FOR THE CHILD. FOOTPRINTS CHILDREN ARE FOLLOWED BY OUR STAFF WHILE IN THE HOSPITAL, DURING OUTPATIENT CLINIC VISITS, AND AT HOME BY MEANS OF NUMEROUS PHONE CALLS AND AT TIMES, HOME VISITS.FOR SOME CHILDREN, "LIVING WELL" MEANS BEING AT HOME WITH FAMILY AND FRIENDS, PETS, ETC., LIVING AS CLOSE TO "NORMAL" A LIFE AS POSSIBLE. FOR OTHERS, IT MEANS HAVING ACCESS TO COSTLY MEDICAL EQUIPMENT OR NURSING SERVICES THAT ARE NOT COVERED BY INSURANCE, BUT ARE NECESSARY TO KEEP THE CHILD COMFORTABLE AND "WELL" AS POSSIBLE. AND LASTLY, FOR OTHERS, IT MEANS RELIEF OF SOME OF THE EXTRAORDINARY EXPENSES RELATED TO CARING LONG TERM FOR A CHILD WITH SERIOUS ILLNESS. FUNDS RAISED FOR THE PROGRAM ALLOW US TO ADDRESS SOME OF THESE NEEDS.FOOTPRINTS STAFF PROVIDE EDUCATION TO THE LOCAL, REGIONAL, AND NATIONAL COMMUNITY AROUND BEST PRACTICE PEDIATRIC PALLIATIVE CARE. A THREE YEAR, ON-GOING PARTNERSHIP WITH OTHERS IN CHILDREN'S HOSPITAL PROGRAMS IN THE STATE HAS ALLOWED US THE OPPORTUNITY TO ESTABLISH ACCESS TO PEDIATRIC PALLIATIVE CARE, SIMILAR TO THE FOOTPRINTS MODEL, IN THE MISSOURI CITIES OF SPRINGFIELD, CAPE GIRARDEAU, COLUMBIA AND OTHER SITES IN THE ST LOUIS AREA.D. MISSOURI POISON CENTERTHE HOSPITAL RESPONDS TO THE NEEDS OF THE LOCAL AREA (INDEED, THE ENTIRE STATE OF MISSOURI) FOR EXPERT EVALUATION AND TREATMENT ADVICE FOR HUMAN EXPOSURES TO TOXIC CHEMICALS AND PRODUCTS, PLANTS, INSECTS, AND MEDICINES.THE POISON CENTER RESPONDS TO MORE THAN 193,000 CALLS FOR ASSISTANCE EACH YEAR, REPRESENTING APPROXIMATELY ONE CALL FOR EVERY 33 MISSOURIANS. SEVENTY-FOUR PERCENT OF CALLS ARE MANAGED OVER THE PHONE BY SPECIALLY TRAINED PHARMACISTS AND NURSES WORKING THE POISON HOTLINE, AVOIDING UNNECESSARY AND COSTLY EMERGENCY DEPARTMENT, LABORATORY AND PHYSICIAN FEES. (FOR EVERY $1 SPENT ON POISON CENTER SERVICES, $12 IN HEALTH CARE COSTS ARE AVOIDED.) THESE FIGURES ALONE ATTEST TO THE NEED FOR THE POISON CENTER AS A PUBLIC GOOD. ALTHOUGH ACCIDENTAL EXPOSURES IN CHILDREN UNDER THE AGE OF 5 ARE MOST FREQUENTLY THE REASON FOR A CALL, OTHER SITUATIONS INCLUDE SUBSTANCE ABUSE AMONG YOUTH AND ADULTS, MEDICATION ERRORS IN OLDER ADULTS, AND EXPOSURES AT THE WORKPLACE. THUS, ALL AGES AND ALL STATES OF LIFE HAVE NEED FOR THE POISON CENTER. NO OTHER AGENCIES OR PROGRAMS EXIST TO FILL THIS NEED IN MISSOURI. TOLL-FREE TELEPHONE AVAILABILITY OF THE POISON CENTER SIGNIFICANTLY IMPROVES ACCESS TO EXPERT ADVICE FOR THE POPULATION IN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS, HEALTH PROFESSIONAL SHORTAGE AREAS AND IMPOVERISHED COUNTIES FOR WHOM ACCESS TO OTHER HEALTH CARE MAY BE LIMITED. LIKEWISE, POISON CENTER'S TELEPHONE-BASED SERVICE TO THE POPULATION IN THE STATE'S FOUR METROPOLITAN AREAS GIVES MANY MEDICALLY UNDERSERVED PERSONS AND DISADVANTAGED MINORITIES OTHER OPTIONS FOR CARE FOR POISONING EMERGENCIES ASIDE FROM OVERCROWDED CITY HOSPITALS. SUCH UNIVERSAL ACCESS TO A CENTRAL HEALTH RESOURCE ACTS TO REDUCE HEALTH DISPARITIES FOR SOME OF OUR MOST VULNERABLE POPULATIONS.PUBLIC EDUCATION PRESENTATIONS ARE ALSO MADE AVAILABLE THROUGHOUT THE STATE TO TEACH THE BASIC STRATEGIES OF POISON PREVENTION. THIS EMPOWERS AND ENABLES MEMBERS OF THE COMMUNITY TO ACT EFFECTIVELY FOR THEIR OWN SAFETY. E. ST. LOUIS CORD BLOOD BANKTHE ST. LOUIS CORD BLOOD BANK COLLECTS, PROCESSES AND STORES UMBILICAL CORD BLOOD, PROVIDING A LIFE-SAVING USE FOR A BIRTH BY-PRODUCT THAT WOULD OTHERWISE BE DISCARDED AS MEDICAL WASTE. CORD BLOOD CAN BE USED TO TREAT MORE THAN 70 DISEASES, INCLUDING LEUKEMIA. SINCE 1995, OVER 100,000 FAMILIES HAVE DONATED THEIR CHILD'S CORD BLOOD IN THE HOPE OF SAVING THE LIFE OF ANOTHER UNRELATED PERSON. THE BANK HAS DISTRIBUTED NEARLY 2,000 OF THESE CORD BLOOD UNITS FOR TRANSPLANT WORLDWIDE. MORE THAN 23,000 UNITS REMAIN IN STORAGE AT THE ST. LOUIS CORD BLOOD BANK, AVAILABLE TO TREAT PATIENTS WITH AN APPROPRIATE MATCH OR PROVIDE THE MATERIAL TO BETTER UNDERSTAND THE BIOLOGY OF STEM CELLS AND EXPAND APPLICATIONS FOR MORE TREATMENTS.F. PACTS FOR LIFE/PALSPACTS FOR LIFE (PEDIATRIC ADVANCED CARDIORESPIRATORY AND TRAUMA SUPPORT FOR LIFE) WAS CREATED BY CARDINAL GLENNON EMERGENCY PHYSICIAN ANTHONY SCALZO, M.D., AND PROVIDES TRAINING FOR CAREGIVERS IN EMERGENCY LIFE SUPPORT. PALS (PEDIATRIC ADVANCED LIFE SUPPORT) IS THE RESULT OF A COLLABORATION BETWEEN THE AMERICAN HEART ASSOCIATION (AHA) AND THE AMERICAN ACADEMY OF PEDIATRICS. THE COURSES ARE DESIGNED TO PROVIDE CAREGIVERS WITH SKILLS WHICH WILL ENABLE THEM TO BOTH RECOGNIZE THE POTENTIAL FOR RESPIRATORY AND/OR CARDIAC ARREST IN INFANTS AND CHILDREN, AND INTERVENE IN AN APPROPRIATE MANNER BY PROVIDING A SYSTEMIC APPROACH TO THESE PATIENTS. THE COURSES ARE OFFERED TO PHYSICIANS, NURSES, PARAMEDICS, RESPIRATORY THERAPISTS, AND OTHER HEALTH CARE PROVIDERS, AND CARRY CONTINUING EDUCATION CREDITS.G. SCHOOL PARTNERSHIP PROGRAMSCHOOL PARTNERSHIP PROGRAM IS A COLLABORATIVE PROGRAM OF CARDINAL GLENNON AND THE ST LOUIS ARCHDIOCESE AND PROVIDES VISION, HEARING AND BLOOD PRESSURE SCREENING WITH REFERRAL FOR STUDENTS IN 33 CATHOLIC SCHOOLS. THE PROGRAM ALSO OFFERS A NUMBER OF OTHER SERVICES TO ALL OF THE AREA'S 155 CATHOLIC SCHOOLS, INCLUDING INSTRUCTION ON MEDICATION ADMINISTRATION ALONG WITH ANNUAL REVIEW, FIRST AID CLASSES, CPR INSTRUCTION, UNIVERSAL PRECAUTION/INFECTION CONTROL EDUCATION, CLASSES ON ALLERGIES, SEIZURES, DIABETES AND ASTHMA, HEALTH PROMOTIONAL ACTIVITIES SUCH AS HAND-WASHING AND HYGIENE INSTRUCTION, AND EDUCATION SESSIONS FOR THE SCHOOL NURSES.H. CLINICAL DIETARY SERVICESCARDINAL GLENNON CLINICAL DIETITIANS PROVIDE NUTRITIONAL COUNSELING FOR FAMILIES, AS WELL AS DIETARY TRACKING AND ANALYSIS FOR PEDIATRICIANS. I. COMMUNITY EDUCATIONSEVENTEEN TIMES A YEAR, THE HOSPITAL PUBLISHES IN A MAJOR DAILY NEWSPAPER (THE ST LOUIS POST-DISPATCH) A COLUMN BY CHIEF OF PEDIATRICS ROBERT WILMOTT, M.D. THE COLUMN, CALLED "HEALTHY KIDS", PROVIDES PARENTING ADVICE AND CHILD HEALTH INFORMATION. EACH COLUMN INVITES READERS TO SEND DR. WILMOTT QUESTIONS VIA EMAIL, WHICH HE RESPONDS TO PROMPTLY AND PRIVATELY. THE HOSPITAL ALSO OFFERS A VAST LIBRARY OF PEDIATRIC HEALTH AND PARENTING INFORMATION, CALLED "KIDSHEALTH" ON ITS WEB SITE AT WWW.CARDINALGLENNON.COM. IN ADDITION, CARDS PROVIDING PEDIATRIC HEALTH TIPS FOR PARENTS ARE DISTRIBUTED THROUGH "EDUCATION STATIONS" IN THE WAITING ROOMS OF HUNDREDS OF AREA PEDIATRICIAN OFFICES.SSM CARDINAL GLENNON CHILDREN'S HOSPITAL ALSO FURTHERS ITS EXEMPT PURPOSE WITH THE FOLLOWING ACTIVITIES: - OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY,- HAS AN OPEN MEDICAL STAFF 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: AFFILIATED HEALTH CARE SYSTEMSSM CARDINAL GLENNON HOSPITAL IS A 501(C)(3) NON PROFIT CORPORATION OPERATING A CHILDREN'S HOSPITAL WHICH SERVES A 12 COUNTY AREA SURROUNDING THE ST LOUIS METROPOLITAN AREA. IT IS THE ONLY CHILDREN'S HOSPITAL IN THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH CARE.PART VI LINE 8: STATE FILING OF COMMUNITY BENEFIT REPORTTHE SSM HEALTH CARE ANNUAL CONSOLIDATED COMMUNITY BENEFIT REPORT IS FILED IN ILLINOIS, MISSOURI, OKLAHOMA, AND WISCONSIN. 1 ILLINOIS HOSPITAL RESEARCH AND EDUCATIONAL FOUNDATION 1151 EAST WARRENVILLE RD NAPERVILLE IL 60566 237421930 501(C)(3) 36399 GENERAL PROGRAM SUPPORT GATEWAY HEMOPHILIA ASSOCAITION 14248 MANCHESTER ROAD BALLWIN MO 63011 431447057 501(C)(3) 10000 GENERAL PROGRAM SUPPORT THE ASTHMA AND ALLERGY FOUNDATION 1500 S BIG BEND ST LOUIS MO 63117 431484316 501(C)(3) 7500 GENERAL PROGRAM SUPPORT ST LOUIS CRISIS NURSERY 6150 OAKLAND ST LOUIS MO 63139 431410297 501(C)(3) 5000 GENERAL PROGRAM SUPPORT JUVENILE DIABETES RESEARCH FOUNDATION 7818 BIG SKY DR SUITE 118 MADISON WI 53719 231907729 501(C)(3) 5000 GENERAL PROGRAM SUPPORT MISSOURI HOSPITAL ASSOCIATION 4712 COUNTY CLUB DRIVE JEFFERSON CITY MO 65102 440610607 501(C)(6) 12958 SUPPORT THE MISSOURI POISON CONTROL CENTER 5 1 MEAL TICKETS 69308 OTHER PROVIDE MEALS TO PATIENTS' FAMILY MEMBERS SAFETY DEVICES 182 5919 OTHER CAR SEATS/BOOSTER SEATS/ BIKE HELMETS TRANSPORTATION SERVICES 13669 OTHER BUS PASSES/TAXI FOR PATIENTS' FAMILY MEMBERS PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANTS ARE PROVIDED ONLY TO REGIONAL AND NATIONAL 501(C)(3) ORGANIZATIONS. THESE ORGANIZATIONS ARE EXPECTED TO MAINTAIN ADEQUATE CONTROLS REGARDING THE USE OF GRANT FUNDS FOR THEIR INTENDED PURPOSES. OTHER INFORMATION: PART IV: MEAL TICKETS AND BUS PASSES/TAXI SERVICES ARE GIVEN TO FAMILY MEMBERS WHILE THEIR LOVED ONES ARE HOSPITALIZED AND DO NOT HAVE THE FUNDS TO MEET THESE NEEDS. THE ORGANIZATION DOES NOT KEEP TRACK OF THE NUMBER OF INDIVIDUALS SERVED UNDER THESE GRANTS. X 1 1 1 1 0 0 0 0 0 0 0 DANIEL BAUMANN MD 0 274919 0 0 0 7167 0 0 0 22768 0 304854 0 0 DONALD E BINZ II MD 0 356273 0 0 0 7271 0 0 0 25571 0 389115 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 JUNE L PICKETT 0 207649 0 0 0 13087 0 163178 0 16209 0 400123 0 0 SHERLYN HAILSTONE 0 506105 0 0 0 156364 0 121009 0 22882 0 806360 0 0 MARY SUE EMBERTSON 0 30736 0 0 0 239398 0 43477 0 14418 0 328029 0 0 KAREN REWERTS 0 339397 0 0 0 26517 0 117360 0 4312 0 487586 0 0 LORRAINE MAE YEHLEN 0 234940 0 0 0 14733 0 116450 0 21941 0 388064 0 0 KEVIN TODD JOHNSON 0 461034 0 0 0 59697 0 107985 0 26729 0 655445 0 0 LYNN F LENKER 0 310844 0 0 0 42760 0 117815 0 20899 0 492318 0 0 DEBORAH G WALKENHORST 0 306415 0 0 0 28585 0 78558 0 16110 0 429668 0 0 ROBERT PORTER 0 407816 0 0 0 86773 0 190902 0 22333 0 707824 0 0 SHARON DUDLEY 0 285026 0 0 0 15452 0 7451 0 17105 0 325034 0 0 CASIMER F FIRLIT MD 420926 0 0 0 8812 0 40133 0 26381 0 496252 0 0 0 MAX BURGDORF MD 262738 0 0 0 4251 0 3675 0 17744 0 288408 0 0 0 JAMAL AHMED ZEREIK MD 366102 0 0 0 32194 0 87539 0 4588 0 490423 0 0 0 PUSHPA S PATEL MD 354846 0 0 0 22690 0 166825 0 16596 0 560957 0 0 0 PATHMA RAMESVARA MD 363208 0 0 0 62516 0 200116 0 19217 0 645057 0 0 0 WILLIAM SCHOENHARD 0 0 0 0 0 282789 0 112880 0 17940 0 413609 0 0 SUPPLEMENTAL INFORMATION PART III PART I, LINE 1A THE FOLLOWING INDIVIDUALS LISTED ON SCHEDULE J PART II RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENT IN 2010. THESE PAYMENTS WERE INCLUDED IN THEIR TAXABLE COMPENSATION. JAMAL AHMED ZEREIK PUSHPA P. PATEL PATHMA RAMESVARA 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. WILLIAM SCHOENHARD $277,333 MARY SUE EMBERTSON $197,117 PART I, LINE 4B: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS PENSION RESTORATION PLAN: SSM HEALTH CARE (SSMHC) PROVIDES THIS SUPPLEMENTAL DEFINED BENEFIT NONQUALIFIED RETIREMENT PLAN TO ANY EMPLOYEE WHO IS A PARTICIPANT IN THE SSMHC QUALIFIED DEFINED BENEFIT PLAN WHO EARNS OVER THE INTERNAL REVENUE SERVICE COMPENSATION LIMIT. THE PLAN "RESTORES" THE BENEFITS TO THESE EMPLOYEES THAT WOULD HAVE BEEN PROVIDED UNDER SSMHC'S QUALIFIED PLAN IF THE REGULATIONS DID NOT IMPOSE COMPENSATION LIMITS. AN INDIVIDUAL CAN TAKE A DISTRIBUTION FROM THE PLAN AT (1) AGE 65 OR OLDER IF THE INDIVIDUAL IS STILL EMPLOYED BY SSMHC OR (2) AGE 55 OR OLDER IF THE INDIVIDUAL IS NO LONGER EMPLOYED BY SSMHC. NO REPORTABLE INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THIS PLAN DURING 2010. CAPITAL ACCUMULATION PLAN: SSMHC PROVIDES THIS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO EXECUTIVE LEVEL EMPLOYEES. THE ORGANIZATION CONTRIBUTED A PERCENTAGE OF THE EMPLOYEE'S BASE SALARY INTO THEIR CHOICE OF A SELECT LIST OF INVESTMENTS. THE DEPOSITS AND EARNINGS OF THE PLAN ARE OWNED BY SSMHC AND ARE TAX-DEFERRED UNTIL A DISTRIBUTION IS MADE TO THE EMPLOYEE. IN ADDITION, THE PLAN HAS SPECIAL SAFEGUARDS IN PLACE TO PROTECT THE FUNDS FROM CONTINGENCIES, OTHER THAN INSOLVENCY. FOR CONTRIBUTIONS MADE TO THE PLAN IN 2008 OR AFTER, THE DISTRIBUTION WILL OCCUR AFTER THE COMPLETION OF TWO PLAN YEARS FOR ALL EXECUTIVES THAT ARE STILL ACTIVELY EMPLOYED ON THE DISTRIBUTION DATE. ANY ACTIVE PARTICIPANT 65 YEARS OR OLDER WILL RECEIVE THE CONTRIBUTION IN THE CURRENT YEAR. THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DISTRIBUTIONS FROM THIS PLAN IN 2010. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUALS' TAXABLE COMPENSATION. JAMES M. SANGER $116,523 KRIS A. ZIMMER $ 42,738 WILLIAM P. THOMPSON $ 37,749 ROBERT PORTER $ 25,712 SHERLYNN HAILSTONE $ 23,111 MARY SUE EMBERTSON $ 17,462 KEVIN TODD JOHNSON $ 13,716 LYNN F. LENKER $ 11,762 DEBORAH G. WALKENHORST $ 11,480 SHARON DUDLEY $ 10,784 LORRAINE MAE YEHLEN $ 9,280 JUNE PICKETT $ 7,123 KAREN REWERTS $ 5,391 FORM 990, PART I, DOING BUSINESS AS: SSM CARDINAL GLENNON CHILDREN'S HOSPITAL CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING REGISTERED NAMES: 1. CARDINAL GLENNON PEDIATRIC SURGERY CENTER (FEIN: 43-0738490) 2. GLENNON CARE 3. GLENNON CARE FOR KIDS 4. GLENNON CARE PEDIATRICS 5. GLENNON CARE PEDIATRIC ASSOCIATES 6. SAFE KIDS ST. LOUIS 7. ST. LOUIS CORD BLOOD BANK 8. SSM CARDINAL GLENNON MEDICAL CENTER 9. SSM GLENNON CARE FOR KIDS 10.GLENNON CARE PROFESSIONAL SERVICES (FEIN: 43-1790606) PROGRAM SERVICE STATEMENT FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE: BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION: SINCE IT WAS FOUNDED IN 1872 BY FIVE 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, SSMHC OPERATES 16 HOSPITAL LOCATIONS, TWO SKILLED NURSING FACILITIES AND HOME HEALTH AGENCIES IN FOUR STATES (WISCONSIN, OKLAHOMA, ILLINOIS AND MISSOURI). 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 AND COMPASSIONATE HEALTH CARE TO PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. DESCRIBE THE ORGANIZATION'S APPROACH TO PROVIDING COMMUNITY BENEFIT: SSM CARDINAL GLENNON CHILDREN'S HOSPITAL USES SEVERAL APPROACHES TO UNDERSTAND THE HEALTH CARE NEEDS OF OUR COMMUNITIES. FOR EXAMPLE, OUR LEADERS SERVE ON THE BOARDS OF TWO REGIONAL ORGANIZATIONS THAT OVERSEE THE HEALTHCARE SAFETY NET FOR OUR REGION, THE ST. LOUIS REGIONAL HEALTH COMMISSION (RHC) AND ST. LOUIS CONNECTCARE. THE RHC IS A COLLABORATIVE EFFORT OF ST LOUIS CITY, ST LOUIS COUNTY, THE STATE OF MISSOURI, HEALTH PROVIDERS, AND COMMUNITY MEMBERS TO IMPROVE THE HEALTH OF UNINSURED CITIZENS IN ST LOUIS CITY AND COUNTY. ST LOUIS CONNECTCARE IS THE LARGEST PROVIDER OF SPECIALTY CARE TO THE MEDICALLY UNDERSERVED IN ST LOUIS CITY AND COUNTY. WE PARTICIPATE IN AND UTILIZE THE COMMUNITY HEALTH ASSESSMENT AND RELATED STUDIES COORDINATED BY THE REGIONAL HEALTH COMMISSION. WE TAKE AN ACTIVE ROLE IN PARTICIPATING IN COMMUNITY ORGANIZATIONS AND TASK FORCES WHICH ARE FOCUSED ON STRENGTHENING THE COMMUNITY (I.E. SAFE KIDS, MISSOURI POISON CENTER, THE ST LOUIS CORD BLOOD BANK, AND REACH OUT AND READ). WE PARTICIPATE IN HEALTHY COMMUNITY INITIATIVES SPECIFIC TO THE INDIVIDUAL MARKET AREAS THAT WE SERVE. OUR PEDIATRIC SERVICE LINE AND CLINICAL DEPARTMENTS ALSO CONDUCT ASSESSMENTS TO FOCUS ON SPECIFIC COMMUNITY HEALTH NEEDS. EXAMPLES INCLUDE: SCHOOL PARTNERSHIP PROGRAM, PERINATAL OUTREACH SERVICES AND ASTHMA EDUCATION INITIATIVES. SSM CARDINAL GLENNON CHILDREN'S HOSPITAL USES DEMOGRAPHIC, UTILIZATION AND TECHNOLOGY TRENDS GENERATED BY THE HEALTH CARE ADVISORY BOARD AND SG2 TO SIZE THE MARKET FOR BOTH INPATIENT AND OUTPATIENT HEALTH CARE NEEDS FOR THE IMMEDIATE AND LONG-TERM. WE USE THIS INFORMATION TO ADJUST CAPACITY TO MEET FUTURE DEMAND FOR HEALTH CARE SERVICES. DESCRIPTION OF THE CORPORATION'S FINANCIAL ASSISTANCE POLICIES OR PROGRAMS (I.E. 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 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 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 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 ENTITIES CHARITY POLICY AND APPLICATION PROCESS, AND - WHOM 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 WILL ALSO BE PROVIDED TO PUBLIC AGENCIES. ORGANIZATION DESCRIPTION FOR TAX EXEMPTION: SSMHC HOSPITALS - OPERATE AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY, - HAVE AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, - HAVE A GOVERNING BODY IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY - ENGAGE IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS, - PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS COMMUNITY BENEFIT PROGRAMS: SSM CARDINAL GLENNON CHILDREN'S HOSPITAL PROVIDES MANY COMMUNITY BUILDING ACTIVITIES TO PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE. LISTED ARE THE PRIMARY INITIATIVES THAT WE SUPPORT AND THEIR IMPACT: A. PERINATAL OUTREACH SERVICES THE OUTREACH PROGRAM PROVIDES SERVICES TO PERINATAL CARE PROVIDERS IN MISSOURI AND ILLINOIS. PROGRAMS FOR BOTH PHYSICIANS AND NURSES INCLUDE TOPIC PRESENTATIONS, CASE REVIEWS, FETAL MONITORING CLASSES, NEONATAL RESUSCITATION PROGRAM TRAINING, AND THE STABLE PROGRAM, A COURSE IN THE STABILIZATION OF SICK OR PRETERM NEWBORNS. THE DEPARTMENT ALSO PARTICIPATES IN COMMUNITY ORGANIZATIONS AND BOARDS AS REQUESTED. A PRIMARY GOAL OF THE DEPARTMENT IS TO ASSIST HEALTH CARE PROFESSIONALS IN DEVELOPING AND PROVIDING QUALITY CARE FOR MOTHERS AND BABIES FOR IMPROVED OUTCOMES. B. SAFE KIDS CARDINAL GLENNON IS THE MISSOURI SPONSOR OF SAFE KIDS WORLDWIDE, AN ORGANIZATION DEDICATED TO INJURY PREVENTION FOR CHILDREN BIRTH TO 14 YEARS OF AGE. THE PARENT ORGANIZATION, SAFE KIDS WORLDWIDE, COORDINATES OVER 600 COALITIONS IN THE UNITED STATES AND MANY OTHERS IN VARIOUS COUNTRIES. THE PRIMARY FOCUS OF OUR LOCAL COALITION IS CHILD PASSENGER SAFETY, BECAUSE AUTOMOBILE CRASHES ARE THE NUMBER ONE CAUSE OF CHILD DEATHS IN MISSOURI AND THE UNITED STATES. THE LOCAL PROGRAM COMPRISES 55 AGENCIES IN ST LOUIS CITY, ST LOUIS COUNTY, WASHINGTON, JEFFERSON AND FRANKLIN COUNTIES TO PROVIDE CAR SEAT CHECKS TO CAREGIVERS AND ALSO TO PROVIDE LOW-COST CAR SEATS FOR LOW-INCOME FAMILIES. BEYOND CAR SEATS, SAFE KIDS PROVIDES EDUCATIONAL SERVICES AS REQUESTED BY COMMUNITIES FOR HOME SAFETY, POISON PREVENTION, PEDESTRIAN SAFETY, BICYCLE SAFETY, AND SAFE SLEEP. THE PROGRAM CONDUCTS NEEDS ASSESSMENTS TO DETERMINE AREAS FOR THE GREATEST IMPACT FOR SERVICES, AND ALSO WORKS CLOSELY WITH A NUMBER OF PEDIATRIC HOSPITALS, PEDIATRIC HOSPITAL DEPARTMENTS AND MULTIPLE AGENCIES TO PROVIDE GREATER SERVICE TO THOSE IN NEED. C. FOOTPRINTS FOOTPRINTS IS A PROGRAM OF ADVOCACY AND SUPPORT FOR CHILDREN LIVING WITH SERIOUS, COMPLEX ILLNESS. THE MISSION OF THE PROGRAM IS TO HAVE OUR CHILDREN, AND THEIR FAMILIES LIVE WELL ALONG THEIR JOURNEY. WE DEFINE "LIVING WELL" FOR EACH FAMILY BY FACILITATING CARE COORDINATION FOR THE CHILD; BY WORKING WITH THE FAMILY MEMBERS TO DEVELOP A FAMILY CENTERED PLAN OF CARE FOR THE CHILD THAT FOCUSES ON THE COMFORT OF THE CHILD AND RESPECTS THE VALUES AND BELIEFS OF THE FAMILY; AND BY COLLABORATING WITH THE HEALTH CARE TEAM TO ENSURE THE FAMILY GOALS ARE HONORED AND SUPPORTED BY ALL THOSE INVOLVED IN CARING FOR THE CHILD. FOOTPRINTS CHILDREN ARE FOLLOWED BY OUR STAFF WHILE IN THE HOSPITAL, DURING OUTPATIENT CLINIC VISITS, AND AT HOME BY MEANS OF NUMEROUS PHONE CALLS AND AT TIMES, HOME VISITS. FOR SOME CHILDREN, "LIVING WELL" MEANS BEING AT HOME WITH FAMILY AND FRIENDS, PETS, ETC., LIVING AS CLOSE TO "NORMAL" A LIFE AS POSSIBLE. FOR OTHERS, IT MEANS HAVING ACCESS TO COSTLY MEDICAL EQUIPMENT OR NURSING SERVICES THAT ARE NOT COVERED BY INSURANCE, BUT ARE NECESSARY TO KEEP THE CHILD COMFORTABLE AND "WELL" AS POSSIBLE. AND LASTLY, FOR OTHERS, IT MEANS RELIEF OF SOME OF THE EXTRAORDINARY EXPENSES RELATED TO CARING LONG TERM FOR A CHILD WITH SERIOUS ILLNESS. FUNDS RAISED FOR THE PROGRAM ALLOW US TO ADDRESS SOME OF THESE NEEDS. FOOTPRINTS STAFF PROVIDE EDUCATION TO THE LOCAL, REGIONAL, AND NATIONAL COMMUNITY AROUND BEST PRACTICE PEDIATRIC PALLIATIVE CARE. A THREE YEAR, ON GOING PARTNERSHIP WITH OTHERS IN CHILDREN'S HOSPITAL PROGRAMS IN THE STATE HAS ALLOWED US THE OPPORTUNITY TO ESTABLISH ACCESS TO PEDIATRIC PALLIATIVE CARE, SIMILAR TO THE FOOTPRINTS MODEL, IN THE MISSOURI CITIES OF SPRINGFIELD, CAPE GIRARDEAU, COLUMBIA AND OTHER SITES IN ST LOUIS. D. MISSOURI POISON CENTER THE HOSPITAL RESPONDS TO THE NEEDS OF THE LOCAL AREA (INDEED, THE ENTIRE STATE OF MISSOURI) FOR EXPERT EVALUATION AND TREATMENT ADVICE FOR HUMAN EXPOSURES TO TOXIC CHEMICALS AND PRODUCTS, PLANTS, INSECTS, AND MEDICINES. THE POISON CENTER RESPONDS TO MORE THAN 193,000 CALLS FOR ASSISTANCE EACH YEAR, REPRESENTING APPROXIMATELY ONE CALL FOR EVERY 33 MISSOURIANS. SEVENTY-FOUR PERCENT OF CALLS ARE MANAGED OVER THE PHONE BY SPECIALLY TRAINED PHARMACISTS AND NURSES WORKING THE POISON HOTLINE, AVOIDING UNNECESSARY AND COSTLY EMERGENCY DEPARTMENT, LABORATORY AND PHYSICIAN FEES. (FOR EVERY $1 SPENT ON POISON CENTER SERVICES, $12 IN HEALTH CARE COSTS ARE AVOIDED.) THESE FIGURES ALONE ATTEST TO THE NEED FOR THE POISON CENTER AS A PUBLIC GOOD. ALTHOUGH ACCIDENTAL EXPOSURES IN CHILDREN UNDER THE AGE OF 5 ARE MOST FREQUENTLY THE REASON FOR A CALL, OTHER SITUATIONS INCLUDE SUBSTANCE ABUSE AMONG YOUTH AND ADULTS, MEDICATION ERRORS IN OLDER ADULTS, AND EXPOSURES AT THE WORKPLACE. THUS, ALL AGES AND ALL STATES OF LIFE HAVE NEED FOR THE POISON CENTER. NO OTHER AGENCIES OR PROGRAMS EXIST TO FILL THIS NEED IN MISSOURI. TOLL-FREE TELEPHONE AVAILABILITY OF THE POISON CENTER SIGNIFICANTLY IMPROVES ACCESS TO EXPERT ADVICE FOR THE POPULATION IN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS, HEALTH PROFESSIONAL SHORTAGE AREAS AND IMPOVERISHED COUNTIES FOR WHOM ACCESS TO OTHER HEALTH CARE MAY BE LIMITED. LIKEWISE, POISON CENTER TELEPHONE-BASED SERVICE TO THE POPULATION IN THE STATE'S FOUR METROPOLITAN AREAS GIVES MANY MEDICALLY UNDERSERVED PERSONS AND DISADVANTAGED MINORITIES OTHER OPTIONS FOR CARE FOR POISONING EMERGENCIES BESIDES OVERCROWDED CITY HOSPITALS. SUCH UNIVERSAL ACCESS TO A CENTRAL HEALTH RESOURCE ACTS TO REDUCE HEALTH DISPARITIES FOR SOME OF OUR MOST VULNERABLE POPULATIONS. PUBLIC EDUCATION PRESENTATIONS ARE ALSO MADE AVAILABLE THROUGHOUT THE STATE TO TEACH THE BASIC STRATEGIES OF POISON PREVENTION. THIS EMPOWERS AND ENABLES MEMBERS OF THE COMMUNITY TO ACT EFFECTIVELY FOR THEIR OWN SAFETY. E. ST. LOUIS CORD BLOOD BANK THE ST. LOUIS CORD BLOOD BANK COLLECTS, PROCESSES AND STORES UMBILICAL CORD BLOOD, PROVIDING A LIFE-SAVING USE FOR A BIRTH BY-PRODUCT THAT WOULD OTHERWISE BE DISCARDED AS MEDICAL WASTE. CORD BLOOD CAN BE USED TO TREAT MORE THAN 70 DISEASES, INCLUDING LEUKEMIA. SINCE 1995, OVER 100,000 FAMILIES HAVE DONATED THEIR CHILD'S CORD BLOOD IN THE HOPE OF SAVING THE LIFE OF ANOTHER UNRELATED PERSON. THE BANK HAS DISTRIBUTED NEARLY 2,000 OF THESE CORD BLOOD UNITS FOR TRANSPLANT WORLDWIDE. MORE THAN 23,000 UNITS REMAIN IN STORAGE AT THE ST. LOUIS CORD BLOOD BANK, AVAILABLE TO TREAT PATIENTS WITH AN APPROPRIATE MATCH OR PROVIDE THE MATERIAL TO BETTER UNDERSTAND THE BIOLOGY OF STEM CELLS AND EXPAND APPLICATIONS FOR MORE TREATMENTS. F. PACTS FOR LIFE/PALS PACTS FOR LIFE (PEDIATRIC ADVANCED CARDIORESPIRATORY AND TRAUMA SUPPORT FOR LIFE) WAS CREATED BY CARDINAL GLENNON EMERGENCY PHYSICIAN ANTHONY SCALZO, M.D., AND PROVIDES TRAINING FOR CAREGIVERS IN EMERGENCY LIFE SUPPORT. PALS (PEDIATRIC ADVANCED LIFE SUPPORT) IS THE RESULT OF A COLLABORATION BETWEEN THE AMERICAN HEART ASSOCIATION (AHA) AND THE AMERICAN ACADEMY OF PEDIATRICS. THE COURSES ARE DESIGNED TO PROVIDE CAREGIVERS WITH SKILLS WHICH WILL ENABLE THEM TO BOTH RECOGNIZE THE POTENTIAL FOR RESPIRATORY AND/OR CARDIAC ARREST IN INFANTS AND CHILDREN, AND INTERVENE IN AN APPROPRIATE MANNER BY PROVIDING A SYSTEMIC APPROACH TO THESE PATIENTS. THE COURSES ARE OFFERED TO PHYSICIANS, NURSES, PARAMEDICS, RESPIRATORY THERAPISTS, AND OTHER HEALTH CARE PROVIDERS, AND CARRY CONTINUING EDUCATION CREDITS. G. SCHOOL PARTNERSHIP PROGRAM SCHOOL PARTNERSHIP PROGRAM IS A COLLABORATIVE PROGRAM OF CARDINAL GLENNON AND THE ST LOUIS ARCHDIOCESE AND PROVIDES VISION, HEARING AND BLOOD PRESSURE SCREENING WITH REFERRAL FOR STUDENTS IN 33 CATHOLIC SCHOOLS. THE PROGRAM ALSO OFFERS A NUMBER OF OTHER SERVICES TO ALL OF THE AREA'S 155 CATHOLIC SCHOOLS, INCLUDING INSTRUCTION ON MEDICATION ADMINISTRATION WITH ANNUAL REVIEW, FIRST AID CLASSES, CPR INSTRUCTION, UNIVERSAL PRECAUTION/INFECTION CONTROL EDUCATION, CLASSES ON ALLERGIES, SEIZURES, DIABETES AND ASTHMA, HEALTH PROMOTIONAL ACTIVITIES SUCH AS HAND-WASHING AND HYGIENE INSTRUCTION, AND EDUCATION SESSIONS FOR THE SCHOOL NURSES. H. CLINICAL DIETARY SERVICES CARDINAL GLENNON CLINICAL DIETITIANS PROVIDE NUTRITIONAL COUNSELING FOR FAMILIES, AS WELL AS DIETARY TRACKING AND ANALYSIS FOR PEDIATRICIANS. I. COMMUNITY EDUCATION SEVENTEEN TIMES A YEAR, THE HOSPITAL PUBLISHES IN A MAJOR DAILY NEWSPAPER (THE ST LOUIS POST-DISPATCH) A COLUMN BY CHIEF OF PEDIATRICS ROBERT WILMOTT, M.D. THE COLUMN, CALLED "HEALTHY KIDS", PROVIDES PARENTING ADVICE AND CHILD HEALTH INFORMATION. EACH COLUMN INVITES READERS TO SEND DR. WILMOTT QUESTIONS VIA EMAIL, WHICH HE RESPONDS TO PROMPTLY AND PRIVATELY. THE HOSPITAL ALSO OFFERS A VAST LIBRARY OF PEDIATRIC HEALTH AND PARENTING INFORMATION, CALLED "KIDSHEALTH" ON ITS WEB SITE AT WWW.CARDINALGLENNON.COM. IN ADDITION, CARDS PROVIDING PEDIATRIC HEALTH TIPS FOR PARENTS ARE DISTRIBUTED THROUGH "EDUCATION STATIONS" IN THE WAITING ROOMS OF HUNDREDS OF AREA PEDIATRICIAN OFFICES. ADDITIONAL INFORMATION REGARDING SSMHC'S 2010 COMMUNITY BENEFIT REPORT CAN BE FOUND AT WWW.SSMHC.COM. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE ST LOUIS. SSM HEALTH CARE ST LOUIS IS A NONPROFIT 501(C)(3) ORGANIZATION THAT OPERATES SIX HOSPITALS. BOTH SSM CARDINAL GLENNON CHILDREN'S HOSPITAL AND SSM HEALTH CARE ST LOUIS ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEATH CARE. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND TO APPOINT AND REMOVE THE APPOINTED DIRECTORS AND THE EX OFFICIO DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS C. TO APPOINT AND REMOVE THE APPOINTED DIRECTORS AND THE EX OFFICIO DIRECTORS D. TO APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION AND THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION E. TO APPROVE THE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN F. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION G. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION H. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY I. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION J. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY K. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY L. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS, TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS, AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS M. TO APPROVE THE STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION N. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION O. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTERESTS IN THE PROPERTY OF THE CORPORATION P. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER OF THE MEMBER OR TO ANY ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY THE MEMBER OF THE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS AND OBJECTIVES OF THE MEMBER OF THE MEMBER AS DETERMINED BY THE MEMBER OF THE MEMBER Q. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER OF THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE MEMBER APPROVAL; AND R. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY NON-CONTROLLED SUBSIDIARY. FORM 990, PART VI, SECTION B, LINE 11 ACCOUNTING/FINANCE PERSONNEL AT EACH SSMHC (SSM HEALTH CARE SYSTEM) ENTITY, IN CONJUNCTION WITH CORPORATE FINANCE PERSONNEL, PREPARE A CHECKLIST CONTAINING INFORMATION AND SUPPORTING SCHEDULES THAT ARE USED TO PREPARE THE FORM 990. THIS CHECKLIST IS THEN REVIEWED BY A SUPERVISOR/MANAGER AND SENT TO THE CORPORATE OFFICE FOR FINAL REVIEW AND COORDINATION OF THE SYSTEM LEVEL FORM 990 INFORMATION. THE INFORMATION IS SUBMITTED TO AN OUTSIDE TAX CONSULTING FIRM WHO PREPARES THE FORM 990 FROM THE SSMHC INFORMATION AND SIGNS AS PAID PREPARER. PRIOR TO FINALIZING THE RETURN, A DRAFT IS SENT TO PERSONNEL AT SSMHC FOR REVIEW AND APPROVAL. THE COMPLETED FORM 990 IS AVAILABLE AT THE NEXT REGULARLY SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY TO THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUST BE COMPLETED ON LINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR END. FORM 990, PART VI, SECTION B, LINE 15 ALL SSMHC EXECUTIVE SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH LIKE POSITIONS IN THE MARKET. THE COMPENSATION REVIEW PROCESS IS DONE BY EXTERNAL INDEPENDENT COMPENSATION CONSULTANTS. THE SAME COMPARATIVE PROCESS IS PERFORMED INTERNALLY FOR EMPLOYEES. THE SALARY DATA AND POTENTIAL ADJUSTMENTS, FOR THE CEO OF THE SYSTEM, THE PRESIDENT/COO AND THE SENIOR VICE PRESIDENTS ARE PRESENTED TO THE SSMHC BOARD OF DIRECTORS BY THE SAME INDEPENDENT COMPENSATION CONSULTANTS TO APPROVE, DISAPPROVE, MODIFY. FORM 990, PART VI, SECTION C, LINE 19 THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH CARE SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH CARE'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. AVG HOURS DEVOTED TO RELATED ORG(S) WHEN RELATED COMP IS REPORTED: FORM 990, PART VII: ALL INDIVIDUALS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION ARE EMPLOYED AND COMPENSATED BY THE ORGANIZATION OR A RELATED ORGANIZATION. IN ADDITION, ALL COMPENSATED REPORTABLE INDIVIDUALS LISTED ON FORM 990, PART VII WORK A MINIMUM OF 40 HOURS PER WEEK FOR SSMHC RELATED ORGANIZATIONS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 2,795,729. BENEFICIAL INTEREST IN FOUNDATION 9,918,102. FUND BALANCE TRANSFER TO AFFILIATES -202,049,997. TOTAL TO FORM 990, PART XI, LINE 5: -189,336,166. 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 GLENNON HOSPITAL GUILD 477 N LINDBERGH BLVD ST LOUIS MO 63141 431030299 FUNDRAISING MO 501(C)(3) LINE 9 SSM CARDINAL GLENNON HOSPITAL 1 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 1 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 SSM REGIONAL HEALTH SERVICES 477 N LINDBERGH BLVD ST LOUIS MO 63141 440579850 HEALTH CARE MO 501(C)(3) LINE 3 SSM HEALTH CARE CORPORATION 0 ST FRANCIS HOSPITAL FOUNDATION 477 N LINDBERGH BLVD ST LOUIS MO 63141 431099253 FUNDRAISING MO 501(C)(3) LINE 7 SSM REGIONAL HEALTH SERVICES 0 ST MARY'S HEALTH CENTER FOUNDATION 477 N LINDBERGH BLVD ST LOUIS MO 63141 431575307 FUNDRAISING MO 501(C)(3) LINE 11B, II SSM REGIONAL HEALTH SERVICES 0 GOOD SAMARITAN REGIONAL HEALTH CENTER 477 N LINDBERGH BLVD ST LOUIS MO 63141 430653587 HEALTH CARE IL 501(C)(3) LINE 3 SSM REGIONAL HEALTH SERVICES 0 ST MARY'S HOSPITAL 477 N LINDBERGH BLVD ST LOUIS MO 63141 370662580 HEALTH CARE IL 501(C)(3) LINE 3 SSM REGIONAL HEALTH SERVICES 0 ST MARY'S - GOOD SAMARITAN INC 477 N LINDBERGH BLVD ST LOUIS MO 63141 364170833 HEALTH CARE IL 501(C)(3) LINE 11A, I SSM REGIONAL HEALTH SERVICES 0 GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION 477 N LINDBERGH BLVD ST LOUIS MO 63141 262884795 FUNDRAISING IL 501(C)(3) LINE 7 ST MARY'S - GOOD SAMARITAN 0 ST MARY'S HOSPITAL FOUNDATION 477 N LINDBERGH BLVD ST LOUIS MO 63141 364636691 FUNDRAISING IL 501(C)(3) LINE 7 ST MARY'S - GOOD SAMARITAN 0 SSM HEALTH BUSINESSES 477 N LINDBERGH BLVD ST LOUIS MO 63141 431333488 HEALTH CARE MO 501(C)(3) LINE 3 SSM HEALTH CARE CORPORATION 0 SSM HOSPICE & HOME CARE FOUNDATION 477 N LINDBERGH BLVD ST LOUIS MO 63141 300012246 FUNDRAISING MO 501(C)(3) LINE 7 SSM HEALTH BUSINESSES 0 CENTRALIA MEDICAL SERVICES BLDG ASSOC 477 N LINDBERGH ST LOUIS MO 63141 237408025 HEALTH CARE IL 501(C)(3) LINE 11B, II SSM REGIONAL HEALTH SERVICES 0 ST MARY'S JANESVILLE FOUNDATION INC 2901 LANDMARK PL STE 300 MADISON WI 53713 273439133 FUNDRAISING WI 501(C)(3) LINE 7 SSM HEALTH CARE OF WISCONSIN 0 FRANCISCAN SISTERS OF MARY 1100 BELLEVUE AVE ST LOUIS MO 63117 431012492 RELIGIOUS ORGANIZATION MO 501(C)(3) LINE 1 N/A 0 LEE DEWEY CORPORATION 477 N LINDBERGH BLVD ST LOUIS MO 63141 731279603 MOB OK 501(C)(3) LINE 11A, I SSM HEALTH CARE OF OKLAHOMA 0 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 1 SSM SJ ENDOSCOPY 477 N LINDBERGH BLVD ST LOUIS MO 63141 270046559 SURGERY SERVICES MO N/A SSMCDI IMAGING 5775 WAYZATA BOULEVARD SUITE 400 ST LOUIS PARK MN 55416 263791858 IMAGING SERVICES MO N/A SSM SELECT REHAB 4716 OLD GETTYSBURG ROAD MECHANICSBURG PA 17055 263694972 HEALTH CARE MO N/A SA MT AMB SRUG 110 N LEE OKLAHOMA CITY OK 73103 731528341 SURGERY SERVICES OK N/A ST ANTHONY HOSPITAL CARDIOVASCULAR SERVICES 477 N LINDBERGH BLVD ST LOUIS MO 63141 760825755 HEALTH CARE OK N/A B&J MB OFF BUILD 1000 N LEE OKLAHOMA CITY OK 73103 731533449 MOB OK N/A B&J MANAGEMENT 1000 N LEE STREET OKLAHOMA CITY OK 73102 364645813 MANAGEMENT OK N/A WIITTS LLC 2901 LANDMARK PLACE SUITE 300 MADISON WI 53713 392016715 MED. INF. SYSTEMS WI N/A SHARED IMAGING SERVICES 915 17TH STREET PRAIRIE DU SAC WI 53578 391971378 DIAG. SERVICES WI N/A ST CLARE IMAGING SERVICES 707 14TH STREET SUITE A BARABOO WI 53913 200122365 DIAG. SERVICES WI N/A MEADOW RIDGE 1402 PANKRATZ STREET SUITE 110 MADISON WI 53704 391991403 ASST. LIVING WI N/A DEAN HEALTH HOLD 1277 DEMING WAY MADISON WI 53717 261594709 IT SERVICES WI N/A MV RAD THERAPY 477 N LINDBERGH BLVD ST LOUIS MO 63141 201382620 RADIATION THERAPY IL N/A SLEEPNEURO SO IL 477 N LINDBERGH BLVD ST LOUIS MO 63141 208468195 DIAG. SERVICES IL N/A SMHC SURG CO-MGMT 100 ST MARYS MEDICAL PLAZA JEFFERSON CITY MO 65101 208929305 MANAGEMENT MO N/A SMHC CARD CO-MGMT 100 ST MARYS MEDICAL PLAZA JEFFERSON CITY MO 65101 208929381 MANAGEMENT MO N/A SMHC MUSC CO-MGMT 100 ST MARYS MEDICAL PLAZA JEFFERSON CITY MO 65101 208929237 MANAGEMENT MO N/A CHOWSMGSI 605 N 12TH STREET MOUNT VERNON IL 62864 371383861 MOB MO N/A COMP CANCER CARE 477 N LINDBERGH BLVD ST LOUIS MO 63141 201382727 MOB IL N/A 1110 N CLASSEN BLVD LLC 110 N CLASSEN OKLAHOMA CITY OK 73106 731158158 MOB OK N/A M&C REALTY 1603 WENTZVILLE PARKWAY STE 121 WENTZVILLE MO 63385 621851447 MOB MO N/A SURG CNTR MW CITY 8121 NATIONAL AVE SUITE 108 MIDWEST CITY OK 73110 232697171 SURGERY SERVICES OK N/A SSM WELLBRIDGE 6140 GREENWOOD PLAZA BLVD GREENWOOD VILLAGE CO 80111 431794814 FITNESS CENTER MO N/A MIA OF ST CHARLES 132 NORTH KANSAS ST ROOM 212 EDWARDSVILLE IL 62025 422125740 DIAG. SERVICES MO N/A MEADOW RIDGE MEMORY 1402 PANKRATZ ST SUITE 110 MADISON WI 53704 203163929 HEALTH CARE WI N/A SSM BER-EK IMAGING 477 N LINDBERGH BLVD ST LOUIS MO 63141 205039552 IMAGING SERVICES MO N/A HPI-OKC LLC 14024 QUAIL POINTE DRIVE OKLAHOMA CITY OK 73134 205144487 HEALTH CARE OK N/A VASCULAR INSTITUTE DP 12266 DEPAUL DR SUITE 315 BRIDGETON MO 63044 205511708 VASCULAR CLINIC MO N/A SSM SC SURG CNTR 15305 DALLAS PKWY STE 1600 ADDISON TX 75001 261439695 SURGERY SERVICES MO N/A ST ANTHONY CARDIO SERVICES INSTITUTE 477 N LINDBERGH BLVD ST LOUIS MO 63141 260646402 MANAGEMENT OK N/A SSM RX EXPRESS LLC 727 N BALLAS RD ST LOUIS MO 63141 431465174 PHARMACY MO N/A 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 SSM ORTHOPEDIC INC 477 N LINDBERGH BLVD ST LOUIS MO 63141 271557033 HEALTH CARE MO N/A C SSM CANCER CARE INC 477 N LINDBERGH BLVD ST LOUIS MO 63141 271557324 HEALTH CARE MO N/A C SSM ST JOSEPH SURGERY CENTER 477 N LINDBERGH BLVD ST LOUIS MO 63141 431822767 HEALTH CARE MO N/A C ST MARY'S DEAN VENTURES INC 1808 WEST BELTLINE HIGHWAY MADISON WI 53713 391628491 HEALTH CARE WI N/A C SHARED MRI FACILITY INC 1104 JOHN NOLEN DRIVE MADISON WI 53713 391534744 HEALTH CARE WI N/A C 0 0 1 0 1 0 0 0 0 1 0 0 0 1 1 1 1 0 CARDINAL GLENNON CHILDREN'S FOUNDATION C 5223288 COST SSM EMPLOYEE HEALTH CARE FUND Q 12042883 COST